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SIGNIFICANT ACCOUNTING POLICIES (Tables)
9 Months Ended
Sep. 30, 2022
Accounting Policies [Abstract]  
Schedule of Service Fee Revenue
Our total service fee revenues during the three and nine months ended September 30, 2022 and 2021 are presented in the table below. Our imaging center revenue is displayed as the estimated service fee, broken down by classification of insurance coverage type. Additional revenues are earned from our management services provided to joint ventures and our software and AI subsidiaries.
In ThousandsThree Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Commercial insurance$189,634 $185,723 $573,259 $555,355 
Medicare78,034 73,163 226,827 207,977 
Medicaid9,669 8,707 28,456 26,198 
Workers' compensation/personal injury13,200 11,554 38,785 32,507 
Other patient revenue7,646 4,800 22,334 14,766 
Management fee revenue6,099 5,255 17,199 16,007 
Software revenue3,430 2,068 9,849 7,115 
Other3,431 3,641 12,054 10,058 
Revenue under capitation arrangements38,001 37,283 114,366 111,449 
Imaging Center Segment Revenue349,144 332,194 1,043,129 981,432 
AI Segment Revenue900 496 3,056 496 
Total service revenue$350,044 $332,690 $1,046,185 $981,928 
Schedule of Goodwill and Other Intangible Assets Activity in goodwill for the nine months ended September 30, 2022 is provided below (in thousands):
Balance as of December 31, 2021$513,820 
Goodwill from acquisitions67,979 
Valuation adjustment(338)
Currency translation(6,369)
Balance as of September 30, 2022$575,092 
Schedule of Effect of Derivative Instruments on Comprehensive Loss A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended September 30, 2022
AccountJune 30, 2022 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesSeptember 30, 2022 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(17,039)$— $924 $(16,115)Equity

For the nine months ended September 30, 2022
AccountDecember 31, 2021 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesSeptember 30, 2022 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(18,886)$— $2,771 $(16,115)Equity

A tabular presentation of the effect of derivative instruments on our statement of operations of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended September 30, 2022
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Gross amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$12,451  Non-cash change in fair value of interest rate swaps$(1,245)Interest Expense

For the nine months ended September 30, 2022
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Gross amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$39,576  Non-cash change in fair value of interest rate swaps$(3,735)Interest Expense
Schedule of Business Acquisitions by Acquisition, Contingent Consideration
A tabular presentation of the effect of the combined Aidence and Quantib contingent consideration on our condensed consolidated balance sheet is as follows (amounts in thousands):
For the three months ended September 30, 2022
AccountJune 30, 2022 BalanceAmount of other non operating income recognized on contingent considerationCurrency TranslationSeptember 30, 2022 BalanceLocation
Other Long Term Liabilities$8,437 $958 $833 $10,228 Liabilities and Non Operating Income


For the nine months ended September 30, 2022
AccountJanuary 1, 2022 BalanceIssuance of contingent considerationAmount of other non operating income recognized on contingent considerationCurrency TranslationSeptember 30, 2022 BalanceLocation
Other Long Term Liabilities$— $10,459 $(329)$98 $10,228 Liabilities and Non Operating Income
Schedule of Fair Value of Assets and Liabilities
The tables below summarize the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our condensed consolidated balance sheets, as follows (in thousands):
 As of September 30, 2022
Level 1Level 2Level 3Total
Current and long term assets    
2019 Swaps - Interest Rate Contracts$— $23,258 $— $23,258 
 As of December 31, 2021
Level 1Level 2Level 3Total
Current and long term liabilities    
2019 Swaps - Interest Rate Contracts$— $16,319 $— $16,319 
The table below summarizes the estimated fair values of contingencies and holdback relating to our Aidence Holding B.V. and Quantib B.V. acquisitions on January 20, 2022, that are subject to fair value measurements and the classification of these liabilities on our condensed consolidated balance sheets, as follows (in thousands):
 As of September 30, 2022
Level 1Level 2Level 3Total
Long term liabilities    
Aidence Holding B.V. milestone consideration$— $— $7,922 $7,922 
Quantib B.V. holdback of 113,303 shares of RadNet common stock
$— $— $2,306 $2,306 
The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands):
 As of September 30, 2022
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $727,510 $— $727,510 $757,938 
 As of December 31, 2021
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $766,973 $— $766,973 $767,875 
Schedule of Earnings Per Share Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):
 Three Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Net income attributable to RadNet, Inc.'s common stockholders$668 $16,220 $11,585 $28,550 
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period56,744,419 52,810,644 56,041,017 52,323,360 
Basic net income per share attributable to RadNet, Inc.'s common stockholders$0.01 $0.31 $0.21 $0.55 
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period56,744,419 52,810,644 56,041,017 52,323,360 
Add nonvested restricted stock subject only to service vesting179,268 271,964 141,492 242,523 
Add additional shares issuable upon exercise of stock options and contingently issuable shares728,074 735,232 853,908 683,815 
Weighted average number of common shares used in calculating diluted net income per share57,651,761 53,817,840 57,036,417 53,249,698 
Changes in FV associated with contingently issuable shares$— $— $(586)$— 
Net income attributable to RadNet, Inc's common stockholders for diluted share calculation$668 $— $10,999 $— 
Diluted net income per share attributable to RadNet, Inc.'s common stockholders$0.01 $0.30 $0.19 $0.54 
Fair value change for contingently available shares excluded from the computation of diluted per share amounts as its effect would be antidilutive$278 $— $— $— 
Stock options and other non vested shares excluded from the computation of diluted per share amounts as their effect would be antidilutive:
Shares issuable subject to satisfaction of certain contingencies
113,303 — — — 
Shares issuable upon the exercise of stock options:84,885 — 67,289 — 
Weighted average shares for which the exercise price exceeds average market price of common stock83,972 — 73,094 — 
Schedule of Business Acquisitions We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillRight of Use Liabilities
IFRC LLC *^1/1/20223,9222,1211,2951,801(1,295)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, two of which were purchased separately by wholly owned RadNet subsidiaries.
We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillOther AssetsRight of Use Liabilities
IFRC LLC*^1/1/20224,8002,1038572,697(857)
IFRC LLC*^1/1/20228,2002,9101,7035,27119(1,703)
Total13,0005,0132,5607,96819(2,560)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, one of which was purchased separately by a joint venture with Calvert Medical Imaging Centers, LLC.
Schedule of Investment in Joint Ventures
The following table is a summary of our investment in joint ventures during the nine months ended September 30, 2022 (in thousands):
Balance as of December 31, 2021$42,229 
Equity in earnings in these joint ventures8,350 
Equity contributions in existing joint ventures1,441 
Balance as of September 30, 2022$52,020 
Schedule of Joint Venture Investment and Financial Information
The following table is a summary of key balance sheet data for these joint ventures as of September 30, 2022 and December 31, 2021 and income statement data for the nine months ended September 30, 2022 and 2021 (in thousands):
Balance Sheet Data:September 30, 2022December 31, 2021
Current assets$48,154 $37,186 
Noncurrent assets86,123 73,592 
Current liabilities(12,211)(12,919)
Noncurrent liabilities(26,619)(22,370)
Total net assets$95,447 $75,489 
Book value of RadNet joint venture interests$43,947 $34,930 
Cost in excess of book value of acquired joint venture interests and other8,073 7,299 
Total value of RadNet joint venture interests$52,020 $42,229 
Income statement data for the nine months ended September 30,
20222021
Net revenue$107,241 $98,193 
Net income$17,034 $16,007