0001019687-13-001749.txt : 20130510 0001019687-13-001749.hdr.sgml : 20130510 20130510131052 ACCESSION NUMBER: 0001019687-13-001749 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 11 CONFORMED PERIOD OF REPORT: 20130331 FILED AS OF DATE: 20130510 DATE AS OF CHANGE: 20130510 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RadNet, Inc. CENTRAL INDEX KEY: 0000790526 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 133326724 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-33307 FILM NUMBER: 13832343 BUSINESS ADDRESS: STREET 1: 1516 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 BUSINESS PHONE: 3104787808 MAIL ADDRESS: STREET 1: 1516 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 FORMER COMPANY: FORMER CONFORMED NAME: PRIMEDEX HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19930518 FORMER COMPANY: FORMER CONFORMED NAME: CCC FRANCHISING CORP DATE OF NAME CHANGE: 19920703 10-Q 1 rdnt_10q-033113.htm FORM 10-Q

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

 

FORM 10-Q

 

(Mark One)

TQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended March 31, 2013

 

OR

 

£TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from                     to                     

 

Commission File Number 0-19019

 

RadNet, Inc.

(Exact name of registrant as specified in charter)

 

Delaware 13-3326724

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer

Identification No.)

   
   
1510 Cotner Avenue  
Los Angeles, California 90025
(Address of principal executive offices) (Zip Code)

(310) 478-7808

(Registrant’s telephone number, including area code)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes  x    No  ¨

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes  x    No  ¨

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

       
Large accelerated filer ¨ Accelerated filer  x Non-accelerated filer  ¨ Smaller reporting company  ¨
    (do not check if a smaller
reporting company)
 

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act)

Yes  ¨    No  x

 

The number of shares of the registrant’s common stock outstanding on May 6, 2013, was 40,089,196 shares.

 

 

 
 

Table of Contents

 

RADNET, INC.

 

INDEX

 

PART I – FINANCIAL INFORMATION Page
   
  ITEM 1.    Condensed Consolidated Financial Statements (unaudited)  
       
    Condensed Consolidated Balance Sheets at March 31, 2013 and December 31, 2012 3
       
    Condensed Consolidated Statements of Operations for the Three Months ended March 31, 2013 and 2012 4
       
    Condensed Consolidated Statements of Comprehensive Income (Loss) for the Three Months ended March 31, 2013 and  2012 5
       
    Condensed Consolidated Statement of Equity Deficit for the Three Months ended March 31, 2013 6
       
    Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2013 and 2012 7
       
    Notes to Condensed Consolidated Financial Statements 9
       
  ITEM 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations 27
       
  ITEM 3.    Quantitative and Qualitative Disclosures About Market Risk 37
       
  ITEM 4.    Controls and Procedures 39
       
PART II – OTHER INFORMATION  
       
  ITEM 1. Legal Proceedings 38
       
  ITEM 1A. Risk Factors 38
       
  ITEM 2.      Unregistered Sales of Equity Securities and Use of Proceeds 39
       
  ITEM 3.      Defaults Upon Senior Securities 39
       
  ITEM 4. Mine Safety Disclosures 39
       
  ITEM 5. Other Information 39
       
  ITEM 6. Exhibits 39
       
SIGNATURES 40
   
INDEX TO EXHIBITS 41

 

 

2
 

PART I - FINANCIAL INFORMATION

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE DATA)

 

   March 31,   December 31, 
   2013   2012 
   (unaudited)     
ASSETS 
CURRENT ASSETS          
Cash and cash equivalents  $431   $362 
Accounts receivable, net   134,939    129,194 
Current portion of deferred tax assets   8,792    7,607 
Prepaid expenses and other current assets   20,213    18,737 
Total current assets   164,375    155,900 
PROPERTY AND EQUIPMENT, NET   217,443    216,560 
OTHER ASSETS          
Goodwill   197,090    193,871 
Other intangible assets   52,236    51,674 
Deferred financing costs   11,387    11,977 
Investment in joint ventures   27,959    28,598 
Deferred tax assets, net of current portion   53,054    52,790 
Deposits and other   3,590    3,749 
Total assets  $727,134   $715,119 
  
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT) 
           
CURRENT LIABILITIES          
Accounts payable, accrued expenses and other  $112,808   $105,929 
Due to affiliates   1,495    1,602 
Deferred revenue   1,276    1,273 
Current portion of deferred rent   1,262    1,164 
Current portion of notes payable   5,226    4,703 
Current portion of obligations under capital leases   3,138    3,942 
Total current liabilities   125,205    118,613 
LONG-TERM LIABILITIES          
Deferred rent, net of current portion   16,185    15,850 
Line of credit   34,500    33,000 
Notes payable, net of current portion   537,799    537,009 
Obligations under capital lease, net of current portion   3,350    3,753 
Other non-current liabilities   8,481    8,895 
Total liabilities   725,520    717,120 
           
           
STOCKHOLDERS' EQUITY (DEFICIT)          
Common stock - $.0001 par value, 200,000,000 shares authorized;
39,889,196, and 38,540,482 shares issued and outstanding at March 31, 2013 and December 31, 2012, respectively
   4    4 
Paid-in-capital   172,037    168,415 
Accumulated other comprehensive income (loss)   (20)   39 
Accumulated deficit   (172,435)   (171,093)
Total RadNet, Inc.'s stockholders' equity deficit   (414)   (2,635)
Noncontrolling interests   2,028    634 
Total stockholders' equity (deficit)   1,614    (2,001)
Total liabilities and stockholders' equity (deficit)  $727,134   $715,119 

 

The accompanying notes are an integral part of these financial statements.

 

3
 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

   Three Months Ended 
   March 31, 
   2013   2012 
NET SERVICE FEE REVENUE          
Service fee revenue, net of contractual allowances and discounts  $179,762   $168,500 
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue   172,940    162,016 
           
OPERATING EXPENSES          
Cost of operations   149,562    135,400 
Depreciation and amortization   14,760    14,892 
Loss on sale and disposal of equipment   170    24 
Severance costs   123    449 
Total operating expenses   164,615    150,765 
           
INCOME FROM OPERATIONS   8,325    11,251 
           
OTHER EXPENSES          
Interest expense   12,147    13,567 
Other income   (2)   (1,147)
Total other expenses   12,145    12,420 
           
LOSS BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES   (3,820)   (1,169)
Benefit from (provision for) income taxes   1,248    (245)
Equity in earnings of joint ventures   1,206    1,262 
NET LOSS   (1,366)   (152)
Net loss attributable to noncontrolling interests   (24)   (41)
NET LOSS ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $(1,342)  $(111)
           
BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $(0.03)  $(0.00)
           
WEIGHTED AVERAGE SHARES OUTSTANDING          
Basic and diluted   39,314,447    37,669,921 

 

The accompanying notes are an integral part of these financial statements.

 

4
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(in thousands)

(unaudited)

 

   Three Months Ended
March 31,
 
   2013   2012 
           
NET LOSS  $(1,366)  $(152)
Foreign currency translation adjustments   (59)   6 
Reclassification of net cash flow hedge losses included in net loss during the period       276 
COMPREHENSIVE (LOSS) INCOME   (1,425)   130 
Less comprehensive loss attributable to non-controlling interests   (24)   (41)
COMPREHENSIVE (LOSS) INCOME ATTRIBUTIBLE TO RADNET, INC.
COMMON STOCKHOLDERS
  $(1,449)  $89 

 

 

The accompanying notes are an integral part of these financial statements.

 

 

5
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF EQUITY (DEFICIT)

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

   Common Stock   Paid-in   Accumulated   Accumulated Other Comprehensive   Total RadNet, Inc.'s Equity   Noncontrolling   Total Equity 
   Shares   Amount   Capital   Deficit   Loss   (Deficit)   Interests   (Deficit) 
BALANCE - JANUARY 1, 2013   38,540,482   $4   $168,415   $(171,093)  $39   $(2,635)  $634   $(2,001)
Issuance of common stock upon exercise of options/warrants   898,714        469            469        469 
Stock-based compensation           952            952        952 
Issuance of restricted stock   450,000                             
Sale of a noncontrolling interest in one of our consolidated joint ventures           2,201            2,201    439    2,640 
Purchase of a controlling interest in a joint venture                           979    979 
Change in cumulative foreign currency translation adjustment                   (59)   (59)       (59)
Net loss               (1,342)       (1,342)   (24)   (1,366)
BALANCE - MARCH 31, 2013   39,889,196   $4   $172,037   $(172,435)  $(20)  $(414)  $2,028   $1,614 

 

 

 

 

The accompanying notes are an integral part of these financial statements.

 

 

 

6
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (IN THOUSANDS)

(Unaudited)

 

   Three months ended 
   March 31, 
   2013   2012 
CASH FLOWS FROM OPERATING ACTIVITIES          
Net loss  $(1,366)  $(152)
Adjustments to reconcile net loss to net cash provided by operating activities:          
Depreciation and amortization   14,760    14,892 
Provision for bad debt   6,822    6,484 
Equity in earnings of joint ventures   (1,206)   (1,262)
Distributions from joint ventures   1,921    1,575 
Deferred rent amortization   433    288 
Amortization of deferred financing cost   457    602 
Amortization of bond and term loan discounts   400    234 
Loss on sale and disposal of equipment   170    24 
Amortization of cash flow hedge       276 
Stock-based compensation   952    1,175 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:          
Accounts receivable   (11,782)   (12,023)
Other current assets   (5,099)   (683)
Other assets   (105)   (64)
Deferred revenue   3    86 
Accounts payable, accrued expenses and other   8,861    3,979 
Net cash provided by operating activities   15,221    15,431 
CASH FLOWS FROM INVESTING ACTIVITIES          
Purchase of imaging facilities   (3,625)   (580)
Purchase of property and equipment   (12,926)   (13,962)
Proceeds from sale of equipment   270    410 
Proceeds from sale of noncontrolling interests   2,640     
Proceeds from sale of imaging facilities       2,300 
Purchase of equity interest in joint ventures   (724)   (920)
Net cash used in investing activities   (14,365)   (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES          
Principal payments on notes and leases payable   (2,697)   (4,479)
Proceeds from, net of payments on, line of credit   1,500    2,700 
Payments to counterparties of interest rate swaps, net of amounts received       (1,500)
Distributions to noncontrolling interests       (26)
Proceeds from issuance of common stock upon exercise of options/warrants   469     
Net cash used in financing activities   (728)   (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH   (59)   5 
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS   69    (621)
CASH AND CASH EQUIVALENTS, beginning of period   362    2,455 
CASH AND CASH EQUIVALENTS, end of period  $431   $1,834 
           
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION          
Cash paid during the period for interest  $5,531   $6,841 

 

The accompanying notes are an integral part of these financial statements.

 

7
 

 

RADNET, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

(unaudited)

 

Supplemental Schedule of Non-Cash Investing and Financing Activities

 

We acquired equipment and certain leasehold improvements for approximately $7.7 million and $12.7 million during the three months ended March 31, 2013 and 2012, respectively, that we had not paid for as of March 31, 2013 and 2012, respectively. The offsetting amount due was recorded in our consolidated balance sheet under accounts payable and accrued expenses.

 

Detail of investing activity related to acquisitions can be found in Note 2.

 

 

 

 

 

 

8
 

RADNET, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

 

At March 31, 2013, we operated directly or indirectly through joint ventures, 248 centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology, or X-ray, fluoroscopy and other related procedures. Our operations comprise a single segment for financial reporting purposes.

 

The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”).  The consolidated financial statements also include Radnet Management I, Inc., Radnet Management II, Inc.,  Radiologix, Inc., Radnet Managed Imaging Services, Inc., Delaware Imaging Partners, Inc., New Jersey Imaging Partners, Inc. and Diagnostic Imaging Services, Inc. (“DIS”), all wholly owned subsidiaries of Radnet Management.  All of these affiliated entities are referred to collectively as “RadNet”, “we”, “us”, “our” or the “Company” in this report.

 

Accounting Standards Codification (“ASC”) Section 810-10-15-14 stipulates that generally any entity with a) insufficient equity to finance its activities without additional subordinated financial support provided by any parties, or b) equity holders that, as a group, lack the characteristics specified in the ASC which evidence a controlling financial interest, is considered a Variable Interest Entity (“VIE”). We consolidate all VIEs in which we own a majority voting interest and all VIEs for which we are the primary beneficiary. We determine whether we are the primary beneficiary of a VIE through a qualitative analysis that identifies which variable interest holder has the controlling financial interest in the VIE. The variable interest holder who has both of the following has the controlling financial interest and is the primary beneficiary: (1) the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and (2) the obligation to absorb losses of, or the right to receive benefits from, the VIE that could potentially be significant to the VIE. In performing our analysis, we consider all relevant facts and circumstances, including: the design and activities of the VIE, the terms of the contracts the VIE has entered into, the nature of the VIE’s variable interests issued and how they were negotiated with or marketed to potential investors, and which parties participated significantly in the design or redesign of the entity.

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.5% of our outstanding common stock. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which are 99% or 100% owned by Dr. Berger.  

 

John V. Crues III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG. Dr. Crues also owns a controlling interest in three medical groups (“Crues Entities”) which provide professional medical services at our imaging facilities located in Manhattan, New York, which we acquired through our December 31, 2012 acquisition of Lenox Hill.

 

RadNet provides non-medical, technical and administrative services to BRMG and the Crues Entities for which it receives a management fee, per the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the Crues Entities. Through our management agreements with BRMG and the Crues Entities, we determine the annual budget of BRMG and the Crues Entities and make all physician employment decisions. BRMG and the Crues Entities both have insignificant operating assets and liabilities, and de minimis equity. Through the management agreements with us, all cash flows of both BRMG and the Crues Entities are transferred to us.

 

9
 

We have determined that BRMG and the Crues Entities are variable interest entities, and that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses of each. BRMG and the Crues Entities combined recognized $17.4 million and $12.7 million of revenue, net of management service fees to RadNet, Inc., for the three months ended March 31, 2013 and 2012, respectively, and $17.4 million and $12.7 million of operating expenses for the three months ended March 31, 2013 and 2012, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $80.6 million and $63.1 million of total billed net service fee revenue relating to these entities for the three months ended March 31, 2013 and 2012, respectively, of which $63.2 million and $50.4 million was for management services provided to BRMG and the Crues Entities relating primarily to the technical portion of total billed revenue for the three months ended March 31, 2013 and 2012, respectively. The cash flows of BRMG and the Crues Entities are included in the accompanying consolidated statements of cash flows. All intercompany balances and transactions have been eliminated in consolidation. In our consolidated balance sheets at March 31, 2013 and December 31, 2012, we have included approximately $60.5 million and $51.8 million, respectively, of accounts receivable and approximately $8.8 million and $6.3 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the Crues Entities combined.

 

The creditors of both BRMG and the Crues Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses. However, both BRMG and the Crues Entities are managed to recognize no net income or net loss and, therefore, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from centers in California and Manhattan, New York where we contract with BRMG and the Crues Entities for the provision of professional medical services, at the remaining centers in California and at all of the centers which are located outside of California except for Manhattan, New York, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities.  These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers.  The radiology practices maintain full control over the provision of professional services. The contracted radiology practices generally have outstanding physician and practice credentials and reputations; strong competitive market positions; a broad sub-specialty mix of physicians; a history of growth and potential for continued growth.  In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers.  We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures.  The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended March 31, 2013 and 2012 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2012 as amended.

 

Significant Accounting Policies

 

As of the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2012 as amended.

 

Revenues

 

Service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payers and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments. As it relates to BRMG centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG as well as the payment for all other aspects related to our providing the imaging services, for which we earn management fees from BRMG. As it relates to non-BRMG centers, this service fee revenue is earned through providing the administration of the non-medical functions relating to the professional medical practice at our non-BRMG centers, including among other functions, provision of clerical and administrative personnel, bookkeeping and accounting services, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.

 

10
 

Service fee revenues are recorded during the period the patient services are provided based upon the estimated amounts due from the patients and third-party payers. Third-party payers include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances under managed care health plans are based upon the payment terms specified in the related contractual agreements. Contractual payment terms in managed care agreements are generally based upon predetermined rates per discounted fee-for-service rates. We also record a provision for doubtful accounts (based primarily on historical collection experience) related to patients and copayment and deductible amounts for patients who have health care coverage under one of our third-party payers.

 

Our service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the three months ended March 31, are summarized in the following table (in thousands):

 

   2013   2012 
         
Commercial Insurance  $97,685   $91,745 
Managed Care Capitated Payors   22,583    21,626 
Medicare   35,713    34,077 
Medicaid   5,777    5,570 
Other   18,004    15,483 
Service fee revenue, net of contractual allowances and discounts   179,762    168,500 
           
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue  $172,940   $162,016 

 

The break-out of our service fee revenue, net of contractual allowances and discounts, is calculated based upon global payments received from consolidated imaging centers from dates of service during each respective period illustrated.

 

Provision for Bad Debts

 

Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service. We provide for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us by patients with insurance. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

Deferred Tax Assets

 

Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized.

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $431,000 and accounts receivable of $134.9 million at March 31, 2013, compared to cash and cash equivalents of $362,000 and accounts receivable of $129.2 million at December 31, 2012. We had a working capital balance of $39.2 million and $37.3 million at March 31, 2013 and December 31, 2012, respectively. We had a net loss attributable to RadNet, Inc. common stockholders for the three months ended March 31, 2013 and 2012 of $1.3 million and $111,000, respectively.  We also had a stockholders’ equity (deficit) of $1.6 million and ($2.0 million) at March 31, 2013 and December 31, 2012, respectively.

 

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We operate in a capital intensive, high fixed-cost industry that requires significant amounts of capital to fund operations.  In addition to operations, we require a significant amount of capital for the initial start-up and development of new diagnostic imaging facilities, the acquisition of additional facilities and new diagnostic imaging equipment.  Because our cash flows from operations have been insufficient to fund all of these capital requirements, we have depended on the availability of financing under credit arrangements with third parties.

 

Based on our current level of operations, we believe that cash flow from operations and available cash, together with available borrowings from our senior secured credit facilities, will be adequate to meet our short-term and long-term liquidity needs. Our future liquidity requirements will be for working capital, capital expenditures, debt service and general corporate purposes. Our ability to meet our working capital and debt service requirements, however, is subject to future economic conditions and to financial, business and other factors, many of which are beyond our control. If we are not able to meet such requirements, we may be required to seek additional financing. There can be no assurance that we will be able to obtain financing from other sources on terms acceptable to us, if at all.

 

On a continuing basis, we also consider various transactions to increase shareholder value and enhance our business results, including acquisitions, divestitures and joint ventures. These types of transactions may result in future cash proceeds or payments but the general timing, size or success of any acquisition, divestiture or joint venture effort and the related potential capital commitments cannot be predicted. We expect to fund any future acquisitions primarily with cash flow from operations and borrowings, including borrowing from amounts available under our senior secured credit facilities or through new equity or debt issuances.

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise. However, we have no formal plan of doing so at this time.

 

Included in our condensed consolidated balance sheet at March 31, 2013 are $198.1 million of senior notes (net of unamortized discounts of $1.9 million), $341.1 million of senior secured term loan debt (net of unamortized discounts of $7.2 million) and $34.5 million aggregate principal amount outstanding under the revolving credit facility.

 

Accordingly, the par values outstanding of our senior notes and senior secured term loan are $200 million and $348.25 million, respectively.

 

The following describes our most recent financing activities:

 

2010 Credit Agreement

 

On April 6, 2010, we completed a series of transactions which we refer to as our “debt refinancing plan” for an aggregate of $585.0 million.  As part of the debt refinancing plan, our wholly owned subsidiary, Radnet Management, Inc., issued and sold $200.0 million in 10 3/8% senior unsecured notes due 2018 (the “senior notes”). All payments of the senior notes, including principal and interest, are guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc. and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries. The senior notes were issued under an indenture agreement dated April 6, 2010 (the “Indenture”), by and among Radnet Management, as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee, in a private placement that was not subject to the registration requirements of the Securities Act of 1933, as amended (the “Securities Act”).  The senior notes initially issued on April 6, 2010 in a private placement were subsequently publicly offered for exchange enabling holders of the outstanding senior notes to exchange the outstanding notes for publicly registered exchange notes with nearly identical terms. The exchange offer was completed on February 14, 2011.

 

In addition to the issuance of senior notes, Radnet Management entered into a Credit and Guaranty Agreement with a syndicate of lenders (the “Credit Agreement”), whereby Radnet Management obtained $385.0 million in senior secured first-lien bank financing, consisting of (i) a $285.0 million, six-year term loan facility and (ii) a $100.0 million, five-year revolving credit facility, including a swing line subfacility and a letter of credit subfacility (collectively, the “Credit Facilities”).

 

Radnet Management’s obligations under the Credit Agreement were unconditionally guaranteed by RadNet, Inc., all of Radnet Management’s current and future domestic subsidiaries as well as certain affiliates, including Beverly Radiology Medical Group III and its equity holders (Beverly Radiology Medical Group, Inc., BreastLink Medical Group, Inc. and ProNet Imaging Medical Group, Inc.). The Credit Facilities created by the  Credit Agreement were secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

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2012 Refinancing

 

On October 10, 2012 we completed the refinancing of the Credit Facilities by entering into a new Credit and Guaranty Agreement with a syndicate of banks and other financial institutions (the “Refinance Agreement”). The total amount of refinancing was $451.25 million, consisting of (i) a $350 million senior secured term loan and (ii) a $101.25 million senior secured revolving credit facility. The obligations of Radnet Management, Inc. under the Refinance Agreement are guaranteed by RadNet, Inc. and all of Radnet Management’s current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement, including the guarantees, are secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

The termination date for the $350 million term loan is the earliest to occur of (i) the sixth anniversary of the closing date (October 10, 2012), (ii) the date on which all of the term loans shall become due and payable in full under the Refinance Agreement whether by acceleration or otherwise and (iii) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date. The termination date for the $101.25 million revolving credit facility is the earliest to occur of (i) the fifth anniversary of the closing date, (ii) the date the revolving credit facility is permanently reduced to zero pursuant to section 2.13(b) of the Refinance Agreement, (iii) the date of the termination of the revolving credit facility pursuant to section 8.01 of the Refinance Agreement and (iv) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date.

 

In connection with the refinancing of the Credit Facilities in 2012, Radnet Management used the net proceeds to repay in full its existing six year term loan facility for $277.9 million in principal amount outstanding, which would have matured on April 6, 2016, and its revolving credit facility for $59.8 million in principal amount outstanding, which would have matured on April 6, 2015.

 

Refinance Agreement

 

Interest. The Refinance Agreement bears interest through maturity at a rate determined by adding the applicable margin to either (a) the Base Rate, which is defined in the Refinance Agreement as the highest of (i) the prime rate quoted in the Wall Street Journal, (ii) the rate which is 0.5% in excess of the federal funds rate, (iii) (with respect to term loans only) 2.25% and (iv) 1.00% in excess of the one-month Adjusted Eurodollar Rate at such time, or (b) the Adjusted Eurodollar Rate, which is defined in the Refinance Agreement as the higher of (i) the London interbank offered rate, adjusted for statutory reserve requirements, for the respective interest period, as determined by the administrative agent and (ii) (with respect to term loans only) 1.25%.  As used in the Refinance Agreement, applicable margin means (i) (a) with respect to term loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to term loans that are Base Rate Loans, 3.25% per annum; and (ii) (a) with respect to revolving loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to revolving loans and swing line loans that are Base Rate Loans, 3.25% per annum.

 

Payments. Commencing on December 31, 2012 we began making quarterly amortization payments on the term loan facility under the Refinance Agreement, each in the amount of $875,000, with the remaining principal balance paid at maturity.  Under the Refinance Agreement, we are also required to make mandatory prepayments, subject to specified exceptions, from consolidated excess cash flow, and upon certain events, including, but not limited to, (i) the receipt of net cash proceeds from the sale or other disposition of any property or assets by us or any of our subsidiaries, (ii) the receipt of net cash proceeds from insurance or condemnation proceeds paid on account of any loss of any property or assets of us or any of our subsidiaries, and (iii) the receipt of net cash proceeds from the incurrence of indebtedness by us or any of our subsidiaries (other than certain indebtedness otherwise permitted under the Refinance Agreement).

 

Guarantees and Collateral. The obligations under the Refinance Agreement are guaranteed by us, all of our current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement and the guarantees are secured by a perfected first priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

Restrictive Covenants. In addition to certain customary covenants, the Refinance Agreement places limits on our ability to declare dividends or redeem or repurchase capital stock, prepay, redeem or purchase debt, incur liens and engage in sale-leaseback transactions, make loans and investments, incur additional indebtedness, amend or otherwise alter debt and other material agreements, engage in mergers, acquisitions and asset sales, enter into transactions with affiliates and alter the business we and our subsidiaries currently conduct.

 

Financial Covenants. The Refinance Agreement contains financial covenants including a maximum total leverage ratio and a limit on annual capital expenditures.

 

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Events of Default. In addition to certain customary events of default, events of default under the Refinance Agreement include failure to pay principal or interest when due, a material breach of any representation or warranty contained in the loan documents, covenant defaults, events of bankruptcy and a change of control. The occurrence of an event of default could permit the lenders under the Refinance Agreement to declare all amounts borrowed, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

 

2013 Amendment to the Refinance Agreement

 

On April 3, 2013, we entered into a first amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loans and borrowed an additional $40.0 million under the senior secured loan facility.

 

Pursuant to the amendment to the Refinance Agreement, the interest rate spread over LIBOR for the senior secured term loans has been reduced from 4.25% to 3.25% and the interest rate spread over the alternative base rate for the senior secured term loans has been reduced from 3.25% to 2.25%. The minimum LIBOR rate underlying the senior secured term loans has been reduced from 1.25% to 1.0%.

 

The other material terms of Refinance Agreement remain unchanged and are described immediately above this section under the heading “2012 Refinancing.”

 

Senior Notes

 

On April 6, 2010, we issued $200 million in aggregate amount of unsecured senior notes which have a coupon of 10.375% and were issued at a price of 98.680%. The senior notes were issued by Radnet Management, Inc. and guaranteed jointly and severally on a senior unsecured basis by us and all of our current and future wholly-owned domestic restricted subsidiaries. The senior notes were offered and sold in a private placement exempt from registration under the Securities Act to qualified institutional buyers pursuant to Rule 144A and Regulation S under the Securities Act. We pay interest on the senior notes on April 1 and October 1, commencing October 1, 2010, and they will expire on April 1, 2018. The senior notes are governed under the Indenture. Under the terms of the Indenture, we agreed to file a registration statement with the SEC relating to an offer to exchange the senior notes for registered publicly tradable notes that have substantially identical terms as the senior notes. On August 30, 2010, we filed a registration statement on Form S-4 with the SEC relating to the offer to exchange the senior notes. On January 13, 2011, our registration statement was declared effective by the SEC. On February 14, 2011, we completed an exchange offer whereby all senior notes were exchanged for registered publicly tradable notes.

 

Ranking. The senior notes and the guarantees:

 

·rank equally in right of payment with any existing and future unsecured senior indebtedness of the guarantors;
·rank senior in right of payment to all existing and future subordinated indebtedness of the guarantors;
·are effectively subordinated in right of payment to any secured indebtedness of the guarantors (including indebtedness under the Refinance Agreement) to the extent of the value of the assets securing such indebtedness; and
·are structurally subordinated in right of payment to all existing and future indebtedness and other liabilities of any of the Company’s subsidiaries that is not a guarantor of the senior notes.

 

Optional Redemption. Radnet Management may redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture.  Prior to April 1, 2013, Radnet Management may redeem up to 35% of aggregate principal amount of the senior notes issued under the Indenture from the net proceeds of one or more equity offerings at a redemption price equal to 110.375% of the senior notes redeemed, plus accrued and unpaid interest, if any.  Radnet Management is also permitted to redeem the senior notes prior to April 1, 2014, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium and accrued and unpaid interest, if any.

 

Change of Control and Asset Sales. If a change in control of Radnet Management occurs, Radnet Management must give holders of the senior notes the opportunity to sell their senior notes at 101% of their face amount, plus accrued interest.  If we or one of our restricted subsidiaries sells assets under certain circumstances, Radnet Management will be required to make an offer to purchase the senior notes at their face amount, plus accrued and unpaid interest to the purchase date.

  

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Restrictive Covenants. The Indenture contains covenants that limit, among other things, the ability of us and our restricted subsidiaries, to:

 

  · pay dividends or make certain other restricted payments or investments;
     
  · incur additional indebtedness and issue preferred stock;
     
  · create liens (other than permitted liens) securing indebtedness or trade payables unless the notes are secured on an equal and ratable basis with the obligations so secured, and, if such liens secure subordinated indebtedness, the notes are secured by a lien senior to such liens;
     
  · sell certain assets or merge with or into other companies or otherwise dispose of all or substantially all of our assets;
     
  · enter into certain transactions with affiliates;
     
  · create restrictions on dividends or other payments by our restricted subsidiaries; and
     
  · create guarantees of indebtedness by restricted subsidiaries.

 

However, these limitations are subject to a number of important qualifications and exceptions, as described in the Indenture. As of March 31, 2013, we were in compliance with all covenants.

 

NOTE 2 – FACILITY ACQUISITIONS & DISPOSITIONS

 

On February 28, 2013, we completed our acquisition of a multi-modality imaging center located in Brooklyn, New York by exercising a $1.00 purchase option to acquire an initial 50% interest (we acquired this option through our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately $2.5 million) and then by purchasing the remaining 50% interest from the existing partner for approximately $2.4 million in cash. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $813,000 of fixed assets, $4.2 million of goodwill and $124,000 of notes payable was recorded with respect to this transaction.

 

On February 8, 2013, we completed the acquisition of a multi modality imaging center located in Manhattan, New York for $1.0 million. The facility provides MRI, CT, mammography, ultrasound and X-ray services. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $1.0 million of fixed assets was recorded with respect to this transaction.

 

On February 5, 2013, we sold a 10% interest in a wholly owned limited liability company consisting of two multi-modality imaging centers located in Bel Air, Maryland for approximately $2.6 million. On the date of sale, we recorded approximately $439,000 of non-controlling interests and $2.2 million of additional paid in capital with respect to this transaction.

 

On January 30, 2013, we purchased for $430,000 an additional 20.9% interest in a joint venture multi-modality imaging center located in Manhattan, New York of which we initially held a 31.5% interest from our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately $648,000. This additional 20.9% interest gave us a 52.4% controlling interest and so accordingly, we began consolidating this imaging center, recording all of its assets and liabilities at their fair value at January 30, 2013. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $358,000 of working capital, $2.1 million of fixed assets, $2.0 million of goodwill, $2.4 million of notes payable and $979,000 of non-controlling interests was recorded with respect to this transaction.

 

On January 1, 2013, we completed our acquisition of a breast surgery practice located in Mission Viejo, California for $350,000. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $135,000 of working capital, $30,000 of fixed assets and $185,000 of goodwill was recorded with respect to this transaction.

 

On December 31, 2012, we completed our acquisition of Lenox Hill Radiology, consisting of three multi-modality imaging centers as well as three additional x-ray facilities all located in Manhattan, New York. We also acquired in this transaction a 31.5% interest in a joint venture multi-modality imaging center in Manhattan, New York and an option to purchase a 50% interest in a multi-modality imaging center located in Brooklyn, New York for $1.00. The purchase price consisted of approximately $28.4 million in cash. With the services of an external valuation expert, we have made a final fair value determination of the acquired assets and assumed liabilities and $4.5 million of working capital, $8.7 million of fixed assets, which is approximately $1.5 million higher than our initial estimate, $648,000 of joint venture interests, $2.5 million in a $1.00 joint venture purchase option, $100,000 of intangible assets, $14.0 million of goodwill and indefinite life intangibles which is approximately $1.3 million lower than our initial estimate, the assumption of approximately $650,000 of other liabilities, which is approximately $150,000 higher than our initial estimate, and $1.3 million of capital lease debt was recorded with respect to this transaction.

 

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NOTE 3 – RECENT ACCOUNTING STANDARDS

 

Reclassifications Out of Accumulated Other Comprehensive Income.  In February 2013, the Financial Accounting Standards Board (FASB) issued guidance for the reporting of amounts reclassified out of accumulated other comprehensive income. The new guidance requires entities to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under U.S. generally accepted accounting principles (GAAP) to be reclassified in its entirety to net income. The new guidance does not change the current requirements for reporting net income or other comprehensive income in financial statements and is effective prospectively for reporting periods beginning after December 15, 2012. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

 

Balance Sheet Offsetting. In December 2012, the FASB issued guidance for new disclosure requirements related to the nature of an entity’s rights of set-off and related arrangements associated with its financial instruments and derivative instruments. The new guidance is effective for annual reporting periods, and interim periods within those years, beginning on or after January 1, 2013. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

 

NOTE 4 – 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 
   March 31, 
   2013   2012 
     
Net loss attributable to RadNet, Inc.'s common stockholders  $(1,342)  $(111)
           
BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS          
Weighted average number of common shares outstanding during the period   39,314,447    37,669,921 
Basic and diluted net loss per share attributable to RadNet, Inc.'s common stockholders  $(0.03)  $(0.00)

 

For the three months ended March 31, 2013 and 2012, we excluded all options and warrants in the calculation of diluted loss per share because their effect is anti-dilutive.

 

NOTE 5 – INVESTMENT IN JOINT VENTURES

 

We have eight unconsolidated joint ventures with ownership interests ranging from 35% to 50%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers. Professional services at the joint venture diagnostic imaging centers are performed by contracted radiology practices or a radiology practice that participates in the joint venture. Our investment in these joint ventures is accounted for under the equity method. Investment in joint ventures decreased approximately $639,000 to $28.0 million at March 31, 2013 compared to $28.6 million at December 31, 2012. This decrease is primarily related to our purchase of a controlling interest in one of these investments resulting in our reclassification of approximately $648,000 out of this balance as we now consolidate this imaging center business (see Note 2 above for more details regarding this transaction). Additionally, during the three months ended March 31, 2013 we recorded equity earnings of approximately $1.2 million, made additional equity contributions of $724,000 and received our respective share of distributions of $1.9 million.

 

We received management service fees from the centers underlying these joint ventures of approximately $2.0 million and $1.9 million for the three months ended March 31, 2013 and 2012, respectively, and eliminated the uncollected portion of the fees earned associated with our ownership from our net revenue with an offsetting increase to our equity earnings.

 

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The following table is a summary of key financial data for these joint ventures as of March 31, 2013 and for the three months ended March 31, 2013 and 2012 (in thousands):

 

Balance Sheet Data:   March 31, 2013      
Current assets  $15,277      
Noncurrent assets   44,169      
Current liabilities   (5,537)     
Noncurrent liabilities   (5,871)     
Total net assets  $48,038      
           
Book value of Radnet joint venture interests  $22,422      
Cost in excess of book value of acquired joint venture interests   5,232      
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet   305      
Total value of Radnet joint venture interests  $27,959      
           
Total book value of other joint venture partner interests  $25,616      
           
Income Statement Data for the three months ended March 31,   2013    2012 
           
Net revenue  $22,281   $21,076 
Net income  $2,733   $2,533 

 

NOTE 6 – STOCK-BASED COMPENSATION

 

Options and Warrants

 

We have two long-term incentive plans which we refer to as the 2000 Plan and the 2006 Plan. The 2000 Plan was terminated as to future grants when the 2006 Plan was approved by the stockholders in 2006. As of March 31, 2013, we have reserved for issuance under the 2006 Plan 11,000,000 shares of common stock. Certain options granted under the 2006 Plan to employees are intended to qualify as incentive stock options under existing tax regulations. In addition, we may issue non-qualified stock options and warrants under the 2006 Plan from time to time to non-employees, in connection with acquisitions and for other purposes and we may also issue restricted stock under the 2006 Plan. Stock options and warrants generally vest over two to five years and expire five to ten years from date of grant.

 

As of March 31, 2013, 5,481,250, or approximately 89.4%, of the 6,131,250 outstanding stock options and warrants granted under our option plans are fully vested.  During the three months ended March 31, 2013, we did not grant options or warrants under the 2006 Plan.

 

We have issued warrants outside the 2006 Plan under various types of arrangements to employees, and in exchange for outside services. All warrants issued to employees or consultants after our February 2007 listing on the NASDAQ Global Market have been characterized as awards under the 2006 Plan. All warrants outside the 2006 Plan have been issued with an exercise price equal to the fair value of the underlying common stock on the date of grant. The warrants expire from five to seven years from the date of grant. Vesting terms are determined by the board of directors or the compensation committee of the board of directors at the date of grant.

 

As of March 31, 2013, 330,000, or 100%, of all the outstanding warrants outside the 2006 Plan are fully vested. During the three months ended March 31, 2013, we did not grant warrants outside of our 2006 Plan.

 

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The following summarizes all of our option and warrant transactions in 2013:

 

Outstanding Options and Warrants     

Weighted Average

Exercise price Per Common

   Weighted Average Remaining Contractual Life   Aggregate Intrinsic 
Under the 2006 Plan and 2000 Plan  Shares   Share   (in years)   Value 
Balance, December 31, 2012   6,231,250   $3.58           
Granted                  
Exercised                  
Canceled or expired   (100,000)   9.23           
Balance, March 31, 2013   6,131,250    3.49    1.67   $1,392,200 
Exercisable at March 31, 2013   5,481,250    3.52    1.54    1,292,317 

 

      Weighted Average Exercise price Per Common   Weighted Average Remaining Contractual Life   Aggregate Intrinsic 
Non-Plan Outstanding Warrants  Shares   Share   (in years)   Value 
Balance, December 31, 2012   1,502,898   $1.50           
Granted                  
Exercised   (1,172,898)   1.12           
Canceled or expired                  
Balance, March 31, 2013   330,000    2.87    1.85   $36,000 
Exercisable at March 31, 2013   330,000    2.87    1.85    36,000 

 

The aggregate intrinsic value in the table above represents the total pretax intrinsic value (the difference between our closing stock price on March 31, 2013 and the exercise price, multiplied by the number of in-the-money options or warrants, as applicable) that would have been received by the holder had all holders exercised their options or warrants, as applicable, on March 31, 2013. Total intrinsic value of options and warrants exercised during the three months ended March 31, 2013 and 2012 was approximately $2.3 million and $265,000, respectively. As of March 31, 2013, total unrecognized stock-based compensation expense related to non-vested employee awards was approximately $668,000, which is expected to be recognized over a weighted average period of approximately 1.0 year.

 

Restricted Stock Awards

 

The 2006 Plan permits the award of restricted stock. On January 2, 2013, we granted awards for 450,000 shares of our common stock to certain employees. Of the awards granted, 170,000 were vested on the award date, 140,000 cliff vest after one year provided that the employees remain continuously employed through the vesting date and 140,000 cliff vest after two years provided that the employees remain continuously employed through the vesting date. We valued the awards based on the closing market price of our stock on January 2, 2013 which was $2.51 per share.

 

At March 31, 2013, the total unrecognized fair value of all restricted stock awards was approximately $1.4 million, which will be recognized over the remaining vesting period of 2.0 years.

 

In sum, of the 11,000,000 shares of common stock reserved for issuance under the 2006 Plan, at March 31, 2013, we had 7,563,750 options, warrants and shares of restricted stock outstanding and 3,416,250 available for grant.

 

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NOTE 7 – FAIR VALUE MEASUREMENTS

 

FAIR VALUE MEASUREMENTS – Assets and liabilities subject to fair value measurements are required to be disclosed within a fair value hierarchy. The fair value hierarchy ranks the quality and reliability of inputs used to determine fair value. Accordingly, assets and liabilities carried at, or permitted to be carried at, fair value are classified within the fair value hierarchy in one of the following categories based on the lowest level input that is significant to a fair value measurement:

 

Level 1—Fair value is determined by using unadjusted quoted prices that are available in active markets for identical assets and liabilities.

 

Level 2—Fair value is determined by using inputs other than Level 1 quoted prices that are directly or indirectly observable. Inputs can include quoted prices for similar assets and liabilities in active markets or quoted prices for identical assets and liabilities in inactive markets. Related inputs can also include those used in valuation or other pricing models such as interest rates and yield curves that can be corroborated by observable market data.

 

Level 3—Fair value is determined by using inputs that are unobservable and not corroborated by market data. Use of these inputs involves significant and subjective judgment.

 

The table below summarizes the estimated fair value and carrying amount of our long-term debt as follows (in thousands):

 

   As of March 31, 2013 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan       351,733        351,733    348,250 
Senior Notes       209,000        209,000    200,000 

 

   As of December 31, 2012 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan  $   $352,180   $   $352,180   $349,125 
Senior Notes       204,500        204,500    200,000 

 

The carrying value of our line of credit at March 31, 2013 and December 31, 2012 of $34.5 million and $33.0 million, respectively, approximated its fair value.

 

We consider the carrying amounts of cash and cash equivalents, receivables, other current assets and current liabilities to approximate their fair value because of the relatively short period of time between the origination of these instruments and their expected realization or payment.  Additionally, we consider the carrying amount of our capital lease obligations to approximate their fair value because the weighted average interest rate used to formulate the carrying amounts approximates current market rates.

 

NOTE 8 — SUPPLEMENTAL GUARANTOR INFORMATION

 

In accordance with SEC Regulation S-X, Rule 3-10, Paragraph (d), the following tables present unaudited interim condensed consolidating financial information for: (a) RadNet, Inc. (the “Parent”) on a stand-alone basis as a guarantor of the registered senior notes due 2018 ; (b) Radnet Management, Inc., the subsidiary borrower and issuer (the “Subsidiary Issuer”) of the registered senior notes due 2018; (c) on a combined basis, the guarantor subsidiaries (the “Guarantor Subsidiaries”) of the registered senior notes due 2018, which include all other 100% owned subsidiaries of the Subsidiary Issuer; (d) on a combined basis, the non-guarantor subsidiaries, which include joint venture partnerships of which the Subsidiary Issuer holds investments of 50% or greater, as well as BRMG and the Crues Entities, which we consolidate as VIEs. Separate financial statements of the Subsidiary Issuer or the Guarantor Subsidiaries are not presented because the guarantee by the Parent and each Guarantor Subsidiary is full and unconditional, joint and several.

 

19
 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

March 31, 2013

(in thousands)

(unaudited)

 

   Parent   Subsidiary Issuer   Guarantor
Subsidiary
  

Non-Guarantor

Subsidiaries

    Eliminations    Consolidated 
ASSETS                        
CURRENT ASSETS                              
Cash and cash equivalents  $   $   $431   $   $   $431 
Accounts receivable, net           64,597    70,342        134,939 
Current deferred tax assets           8,792            8,792 
Prepaid expenses and other current assets       13,382    6,097    734        20,213 
Total current assets       13,382    79,917    71,076        164,375 
PROPERTY AND EQUIPMENT, NET       49,203    161,970    6,270        217,443 
OTHER ASSETS                              
Goodwill       49,139    143,211    4,740        197,090 
Other intangible assets       160    51,974    102        52,236 
Deferred financing costs, net       11,387                11,387 
Investment in subsidiaries   (414)   350,608    14,746        (364,940)    
Investment in joint ventures           27,959            27,959 
Deferred tax assets, net of current portion           53,054            53,054 
Deposits and other       1,596    1,935    59        3,590 
Total assets  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 
LIABILITIES AND EQUITY (DEFICIT)                              
CURRENT LIABILITIES                              
Intercompany  $   $(165,623)  $112,383   $53,240   $   $ 
Accounts payable, accrued expenses and other       56,129    48,361    8,318        112,808 
Due to affiliates           1,495            1,495 
Deferred revenue           1,276            1,276 
Current portion of deferred rent       605    611    46        1,262 
Current portion of notes payable       3,500    1,004    722        5,226 
Current portion of obligations under capital leases       947    1,301    890        3,138 
Total current liabilities       (104,442)   166,431    63,216        125,205 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,703    6,290    192        16,185 
Line of credit       34,500                34,500 
Notes payable, net of current portion       535,640    638    1,521        537,799 
Obligations under capital leases, net of current portion       488    2,318    544        3,350 
Other non-current liabilities           8,481            8,481 
Total liabilities       475,889    184,158    65,473        725,520 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (414)   (414)   350,608    14,746    (364,940)   (414)
Noncontrolling interests               2,028        2,028 
Total equity (deficit)   (414)   (414)   350,608    16,774    (364,940)   1,614 
Total liabilities and equity (deficit)  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 

 

 

20
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

December 31, 2012

(in thousands)

 

                         
       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
                         
ASSETS                              
CURRENT ASSETS                              
Cash and cash equivalents  $   $362   $   $   $   $362 
Accounts receivable, net           76,838    52,356        129,194 
Current portion of deferred tax assets           7,607            7,607 
Prepaid expenses and other current assets       9,735    8,308    694        18,737 
Total current assets       10,097    92,753    53,050        155,900 
PROPERTY AND EQUIPMENT, NET       48,025    168,401    134        216,560 
OTHER ASSETS                              
Goodwill       48,954    144,072    845        193,871 
Other intangible assets       170    51,394    110        51,674 
Deferred financing costs       11,977                11,977 
Investment in subsidiaries   (2,635)   342,796    9,217        (349,378)    
Investment in joint ventures           28,598            28,598 
Deferred tax assets, net of current portion           52,790            52,790 
Deposits and other       1,821    1,928            3,749 
Total assets  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 
LIABILITIES AND EQUITY DEFICIT                              
CURRENT LIABILITIES                              
Intercompany  $   $(176,217)  $138,223   $37,994   $   $ 
Accounts payable, accrued expenses and other       57,939    41,696    6,294        105,929 
Due to affiliates           1,602            1,602 
Deferred revenue           1,273            1,273 
Current portion of deferred rent       574    590            1,164 
Current portion of notes payable       3,500    1,203            4,703 
Current portion of obligations under capital leases       1,186    2,756            3,942 
Total current liabilities       (113,018)   187,343    44,288        118,613 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,579    6,271            15,850 
Line of Credit       33,000                33,000 
Notes payable, net of current portion       536,248    761            537,009 
Obligations under capital leases,
net of current portion
 
 
 
 
 
 
 
 
 
 
 
 
666
 
 
 
 
 
 
 
3,087
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3,753
 
 
Other non-current liabilities           8,895            8,895 
Total liabilities       466,475    206,357    44,288        717,120 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (2,635)   (2,635)   342,796    9,217    (349,378)   (2,635)
Noncontrolling interests               634        634 
Total equity (deficit)   (2,635)   (2,635)   342,796    9,851    (349,378)   (2,001)
Total liabilities and equity (deficit)  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 

 

 

21
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2013

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $37,508   $119,350   $22,904   $   $179,762 
Provision for bad debts       (1,385)   (4,217)   (1,220)       (6,822)
Net service fee revenue       36,123    115,133    21,684        172,940 
                               
OPERATING EXPENSES                              
Cost of operations       33,236    95,518    20,808        149,562 
Depreciation and amortization       3,128    11,323    309        14,760 
Loss on sale and disposal of equipment       85    85            170 
Severance costs       11    110    2        123 
Total operating expenses       36,460    107,036    21,119        164,615 
                               
(LOSS) INCOME FROM OPERATIONS       (337)   8,097    565        8,325 
                               
OTHER EXPENSES                              
Interest expense       6,673    5,391    83        12,147 
Other income           (2)           (2)
Total other expenses       6,673    5,389    83        12,145 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,010)   2,708    482        (3,820)
Benefit from (provision for) income taxes           1,254    (6)       1,248 
Equity in (losses) earnings of consolidated subsidiaries   (1,342)   5,668    500         (4,826)    
Equity in earnings of joint ventures           1,206            1,206 
NET (LOSS) INCOME   (1,342)   (1,342)   5,668    476    (4,826)   (1,366)
Net loss attributable to noncontrolling interests               (24)       (24)
NET (LOSS) INCOME ATTRIBUTABLE TO                              
RADNET, INC. COMMON STOCKHOLDERS  $(1,342)  $(1,342)  $5,668   $500   $(4,826)  $(1,342)

 

 

 

22
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $34,544   $119,581   $14,375   $   $168,500 
Provision for bad debts       (1,267)   (4,598)   (619)       (6,484)
Net service fee revenue       33,277    114,983    13,756        162,016 
                               
OPERATING EXPENSES                              
Cost of operations       30,386    91,505    13,509        135,400 
Depreciation and amortization       3,147    11,683    62        14,892 
Loss (gain) on sale of equipment       137    (113)           24 
Severance costs       33    390    26        449 
Total operating expenses       33,703    103,465    13,597        150,765 
                               
                               
(LOSS) INCOME FROM OPERATIONS       (426)   11,518    159        11,251 
                               
OTHER EXPENSES                              
Interest expense       7,978    5,589            13,567 
Other (income) expenses       (1,213)   66            (1,147)
Total other expenses       6,765    5,655            12,420 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,191)   5,863    159        (1,169)
Provision for income taxes       (2)   (243)           (245)
Equity in (losses) earnings of consolidated subsidiaries   (111)   7,082    200         (7,171)    
Equity in earnings of joint ventures           1,262            1,262 
NET (LOSS) INCOME   (111)   (111)   7,082    159    (7,171)   (152)
Net loss attributable to noncontrolling interests               (41)       (41)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $(111)  $(111)  $7,082   $200   $(7,171)  $(111)

 

23
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2013

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
  Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                        
Net (loss) income  $(1,342)  $(1,342)  $5,668   $476   $(4,826)  $(1,366)
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:                              
Depreciation and amortization       3,128    11,323    309        14,760 
Provision for bad debt       1,385    4,217    1,220        6,822 
Equity in earnings of consolidated subsidiaries   1,342    (5,668)   (500)       4,826     
Equity in earnings of joint ventures           (1,206)           (1,206)
Distributions from joint ventures           1,921            1,921 
Deferred rent amortization       156    254    23        433 
Amortization of deferred financing cost       457                457 
Amortization of term loan and bond discount       400                400 
Loss on sale and disposal of equipment       85    85            170 
Stock-based compensation       238    714            952 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           1,214    (12,996)       (11,782)
Other current assets       (3,611)   (1,606)   118        (5,099)
Other assets       225    (330)           (105)
Deferred revenue           3            3 
Accounts payable, accrued expenses and other       7,957    (10,285)   11,189        8,861 
Net cash provided by operating activities       3,410    11,472    339        15,221 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities       (350)   (3,275)           (3,625)
Purchase of property and equipment       (4,053)   (8,847)   (26)       (12,926)
Proceeds from sale of equipment       145    125            270 
Proceeds from sale of joint venture interests           2,640            2,640 
Purchase of equity interest in joint ventures           (724)           (724)
Net cash used in investing activities       (4,258)   (10,081)   (26)       (14,365)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,424)   (960)   (313)       (2,697)
Proceeds from, net of payments, on line of credit       1,500                1,500 
Proceeds from issuance of common stock       469                469 
Net provided by (cash used) in financing activities       545    (960)   (313)       (728)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        (59)               (59)
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (362)   431            69 
CASH AND CASH EQUIVALENTS, beginning of period       362                362 
CASH AND CASH EQUIVALENTS, end of period  $   $   $431   $   $   $431 

 

24
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                              
Net (loss) income  $(111)  $(111)  $7,082   $159   $(7,171)  $(152)
Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:                              
Depreciation and amortization       3,147    11,683    62        14,892 
Provision for bad debt       1,267    4,598    619        6,484 
Equity in (earnings) loss of consolidated subsidiaries   111    (7,082)   (200)       7,171     
Distributions from consolidated subsidiaries           276        (276)    
Equity in earnings of joint ventures           (1,262)           (1,262)
Distributions from joint ventures           1,575            1,575 
Deferred rent amortization       36    252            288 
Amortization of deferred financing cost       602                602 
Amortization of term loan and bond discount       234                234 
Loss (gain) on sale of equipment       137    (113)           24 
Amortization of cash flow hedge       276                276 
Stock-based compensation       294    881            1,175 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           (3,014)   (9,009)       (12,023)
Other current assets       1,286    (1,472)   (497)       (683)
Other assets       (19)   (45)           (64)
Deferred revenue           86            86 
Accounts payable, accrued expenses and other       3,175    (8,028)   8,832        3,979 
Net cash provided by (used in) operating activities       3,242    12,299    166    (276)   15,431 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities           (580)           (580)
Purchase of property and equipment       (4,445)   (9,517)           (13,962)
Proceeds from sale of equipment       43    367            410 
Proceeds from sale of imaging facilities           2,300            2,300 
Purchase of equity interest in joint ventures           (920)           (920)
Net cash used in investing activities       (4,402)   (8,350)           (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,406)   (3,073)           (4,479)
Deferred financing costs                        
Proceeds from, net of payments on, line of credit       2,700                2,700 
Payments to counterparties of interest rate swaps, net of amounts received       (1,500)               (1,500)
Distributions paid to noncontrolling interests               (302)   276    (26)
Proceeds from issuance of common stock                        
Net cash used in financing activities       (206)   (3,073)   (302)   276    (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        5             5 
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (1,366)   881    (136)       (621)
CASH AND CASH EQUIVALENTS, beginning of period       1,366        1,089        2,455 
CASH AND CASH EQUIVALENTS, end of period  $   $   $881   $953   $   $1,834 

 

25
 

 

NOTE 9 – SUBSEQUENT EVENTS

 

On April 3, 2013, we entered into an amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loan and borrowed an additional $40.0 million. More information regarding this amendment is provided under the heading “2013 Amendment to the Refinance Agreement” in Note 1 above.

 

 

 

 

26
 

 

ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

Forward-Looking Statements

 

This quarterly report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements reflect current views about future events and are based on our currently available financial, economic and competitive data and on current business plans.  Actual events or results may differ materially depending on risks and uncertainties that may affect our operations, markets, services, prices and other factors.

 

Statements in this quarterly report concerning our ability to successfully acquire and integrate new operations, to grow our contract management business, our financial guidance, our future cost saving efforts, our increased business from new equipment or operations and our ability to finance our operations are forward-looking statements.  In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “potential,” “continue,” “assumption” or the negative of these terms or other comparable terminology.

 

Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements.  

 

The factors included in “Risk Factors,” in our annual report on Form 10-K for the fiscal year ended December 31, 2012, as amended or supplemented by the information, if any, in Part II – Item 1A below, among others, could cause our actual results to differ materially from those expressed in, or implied by, the forward-looking statements. You should consider the inherent limitations on, and risks associated with, forward-looking statements and not unduly rely on the accuracy of predictions contained in such forward-looking statements. These forward-looking statements speak only as of the date when they are made. Except as required under the federal securities laws or by the rules and regulations of the Securities and Exchange Commission (“SEC”), we do not undertake any obligation to update forward-looking statements to reflect events, circumstances, changes in expectations, or the occurrence of unanticipated events after the date of those statements. Moreover, in the future, the Company, through senior management, may make forward-looking statements that involve the risk factors and other matters described in this Form 10-Q as well as other risk factors subsequently identified, including, among others, those identified in the Company’s filings with the SEC on Form 10-K, Form 10-Q and Form 8-K.

 

We do not undertake any responsibility to release publicly any revisions to these forward-looking statements to take into account events or circumstances that occur after the date of this quarterly report. Additionally, we do not undertake any responsibility to update you on the occurrence of any unanticipated events which may cause actual results to differ from those expressed or implied by the forward-looking statements contained in this quarterly report.

 

Overview

 

We are the leading national provider of freestanding, fixed-site outpatient diagnostic imaging services in the United States based on number of locations and annual imaging revenue. At March 31, 2013, we operated directly or indirectly through joint ventures, 248 centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York. Our centers provide physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders and may reduce unnecessary invasive procedures, often reducing the cost and amount of care for patients. Our services include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures.

 

We seek to develop leading positions in regional markets in order to leverage operational efficiencies. Our scale and density within selected geographies provides close, long-term relationships with key payors, radiology groups and referring physicians. Each of our facility managers is responsible for managing relationships with local physicians and payors, meeting our standards of patient service and maintaining profitability. We provide corporate training programs, standardized policies and procedures and sharing of best practices among the physicians in our regional networks.

 

We derive substantially all of our revenue, directly or indirectly, from fees charged for the diagnostic imaging services performed at our facilities. For the three months ended March 31, 2013, we performed 1,112,967 diagnostic imaging procedures and generated total net service fee revenue of $172.9 million.

 

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The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”).  The consolidated financial statements also include Radnet Management I, Inc., Radnet Management II, Inc.,  Radiologix, Inc., Radnet Managed Imaging Services, Inc., Delaware Imaging Partners, Inc., New Jersey Imaging Partners, Inc. and Diagnostic Imaging Services, Inc. (“DIS”), all wholly owned subsidiaries of Radnet Management.  All of these affiliated entities are referred to collectively as “RadNet”, “we”, “us”, “our” or the “Company” in this report.

 

Accounting Standards Codification (“ASC”) Section 810-10-15-14 stipulates that generally any entity with a) insufficient equity to finance its activities without additional subordinated financial support provided by any parties, or b) equity holders that, as a group, lack the characteristics specified in the ASC which evidence a controlling financial interest, is considered a Variable Interest Entity (“VIE”). We consolidate all VIEs in which we own a majority voting interest and all VIEs for which we are the primary beneficiary. We determine whether we are the primary beneficiary of a VIE through a qualitative analysis that identifies which variable interest holder has the controlling financial interest in the VIE. The variable interest holder who has both of the following has the controlling financial interest and is the primary beneficiary: (1) the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and (2) the obligation to absorb losses of, or the right to receive benefits from, the VIE that could potentially be significant to the VIE. In performing our analysis, we consider all relevant facts and circumstances, including: the design and activities of the VIE, the terms of the contracts the VIE has entered into, the nature of the VIE’s variable interests issued and how they were negotiated with or marketed to potential investors, and which parties participated significantly in the design or redesign of the entity.

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.5% of our outstanding common stock. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which are 99% or 100% owned by Dr. Berger.  

 

John V. Crues III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG. Dr. Crues also owns a controlling interest in three medical groups (“Crues Entities”) which provide professional medical services at our imaging facilities located in Manhattan, New York, which we acquired through our December 31, 2012 acquisition of Lenox Hill.

 

RadNet provides non-medical, technical and administrative services to BRMG and the Crues Entities for which it receives a management fee, per the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the Crues Entities. Through our management agreements with BRMG and the Crues Entities, we determine the annual budget of BRMG and the Crues Entities and make all physician employment decisions. BRMG and the Crues Entities both have insignificant operating assets and liabilities, and de minimis equity. Through the management agreements with us, all cash flows of both BRMG and the Crues Entities are transferred to us.

 

We have determined that BRMG and the Crues Entities are variable interest entities, and that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses of each. BRMG and the Crues Entities combined recognized $17.4 million and $12.7 million of revenue, net of management service fees to RadNet, Inc., for the three months ended March 31, 2013 and 2012, respectively, and $17.4 million and $12.7 million of operating expenses for the three months ended March 31, 2013 and 2012, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $80.6 million and $63.1 million of total billed net service fee revenue relating to these entities for the three months ended March 31, 2013 and 2012, respectively, of which $63.2 million and $50.4 million was for management services provided to BRMG and the Crues Entities relating primarily to the technical portion of total billed revenue for the three months ended March 31, 2013 and 2012, respectively. The cash flows of BRMG and the Crues Entities are included in the accompanying consolidated statements of cash flows. All intercompany balances and transactions have been eliminated in consolidation. In our consolidated balance sheets at March 31, 2013 and December 31, 2012, we have included approximately $60.5 million and $51.8 million, respectively, of accounts receivable and approximately $8.8 million and $6.3 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the Crues Entities combined.

 

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The creditors of both BRMG and the Crues Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses. However, both BRMG and the Crues Entities are managed to recognize no net income or net loss and, therefore, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from centers in California and Manhattan, New York where we contract with BRMG and the Crues Entities for the provision of professional medical services, at the remaining centers in California and at all of the centers which are located outside of California except for Manhattan, New York, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities.  These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers.  The radiology practices maintain full control over the provision of professional services. The contracted radiology practices generally have outstanding physician and practice credentials and reputations; strong competitive market positions; a broad sub-specialty mix of physicians; a history of growth and potential for continued growth.  In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers.  We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures.  The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

 The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended March 31, 2013 and 2012 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2012 as amended.

 

Critical Accounting Policies

 

Use of Estimates

 

Our discussion and analysis of financial condition and results of operations are based on our consolidated financial statements that were prepared in accordance with U.S. generally accepted accounting principles, or GAAP.  Management makes estimates and assumptions when preparing financial statements.  These estimates and assumptions affect various matters, including:

 

  · our reported amounts of assets and liabilities in our consolidated balance sheets at the dates of the financial statements;
     
  · our disclosure of contingent assets and liabilities at the dates of the financial statements; and
     
  ·

our reported amounts of net revenue and expenses in our consolidated statements of operations during the

reporting periods.

 

These estimates involve judgments with respect to numerous factors that are difficult to predict and are beyond management’s control.  As a result, actual amounts could differ materially from these estimates.

 

The Securities and Exchange Commission, or SEC, defines critical accounting estimates as those that are both most important to the portrayal of a company’s financial condition and results of operations and require management’s most difficult, subjective or complex judgment, often as a result of the need to make estimates about the effect of matters that are inherently uncertain and may change in subsequent periods.  In Note 2 to our consolidated financial statements in our annual report on Form 10-K for the year ended December 31, 2012 as amended, we discuss our significant accounting policies, including those that do not require management to make difficult, subjective or complex judgments or estimates.  The most significant areas involving management’s judgments and estimates are described below.

 

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During the period covered in this report, there were no material changes to the critical accounting estimates we use, and have described in our annual report on Form 10-K for the fiscal year ended December 31, 2012 as amended.

 

Revenues

 

Service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payers and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments. As it relates to BRMG centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG as well as the payment for all other aspects related to our providing the imaging services, for which we earn management fees from BRMG. As it relates to non-BRMG centers, this service fee revenue is earned through providing the administration of the non-medical functions relating to the professional medical practice at our non-BRMG centers, including among other functions, provision of clerical and administrative personnel, bookkeeping and accounting services, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.

 

Service fee revenues are recorded during the period the patient services are provided based upon the estimated amounts due from the patients and third-party payers. Third-party payers include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances under managed care health plans are based upon the payment terms specified in the related contractual agreements. Contractual payment terms in managed care agreements are generally based upon predetermined rates per discounted fee-for-service rates. We also record a provision for doubtful accounts (based primarily on historical collection experience) related to patients and copayment and deductible amounts for patients who have health care coverage under one of our third-party payers.

 

Our service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the three months ended March 31, are summarized in the following table (in thousands):

 

   2013   2012 
         
Commercial Insurance  $97,685   $91,745 
Managed Care Capitated Payors   22,583    21,626 
Medicare   35,713    34,077 
Medicaid   5,777    5,570 
Other   18,004    15,483 
Service fee revenue, net of contractual allowances and discounts   179,762    168,500 
           
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue  $172,940   $162,016 

 

The break-out of our service fee revenue, net of contractual allowances and discounts, is calculated based upon global payments received from consolidated imaging centers from dates of service during each respective period illustrated.

 

Accounts Receivable

 

Substantially all of our accounts receivable are due under fee-for-service contracts from third party payors, such as insurance companies and government-sponsored healthcare programs, or directly from patients. Services are generally provided pursuant to one-year contracts with healthcare providers.  Receivables generally are collected within industry norms for third-party payors. We continuously monitor collections from our payors and maintain an allowance for bad debts based upon specific payor collection issues that we have identified and our historical experience.

 

Provision for Bad Debts

 

Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service. We provide for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us by patients with insurance. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

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Depreciation and Amortization of Long-Lived Assets

 

We depreciate our long-lived assets over their estimated economic useful lives with the exception of leasehold improvements where we use the shorter of the assets useful lives or the lease term of the facility for which these assets are associated.

 

Deferred Tax Assets

 

Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized. At March 31, 2013, we determined that approximately $61.8 million of our net deferred tax assets are more likely than not to be realized.

 

Valuation of Goodwill and Long-Lived Assets

 

Goodwill at March 31, 2013 totaled $197.1 million. Goodwill is recorded as a result of business combinations. Management evaluates goodwill, at a minimum, on an annual basis and whenever events and changes in circumstances suggest that the carrying amount may not be recoverable in accordance with ASC 350, Intangibles – Goodwill and Other.   Impairment of goodwill is tested at the reporting unit level by comparing the reporting unit’s carrying amount, including goodwill, to the fair value of the reporting unit. The fair value of a reporting unit is estimated using a combination of the income or discounted cash flows approach and the market approach, which uses comparable market data. If the carrying amount of the reporting unit exceeds its fair value, goodwill is considered impaired and a second step is performed to measure the amount of impairment loss, if any.  We tested goodwill for impairment on October 1, 2012.  Based on our test, we noted no impairment related to goodwill as of October 1, 2012. However, if estimates or the related assumptions change in the future, we may be required to record impairment charges to reduce the carrying amount of goodwill.

 

We evaluate our long-lived assets (property and equipment) and intangibles, other than goodwill, for impairment whenever indicators of impairment exist. The accounting standards require that if the sum of the undiscounted expected future cash flows from a long-lived asset or definite-lived intangible is less than the carrying value of that asset, an asset impairment charge must be recognized. The amount of the impairment charge is calculated as the excess of the asset’s carrying value over its fair value, which generally represents the discounted future cash flows from that asset or in the case of assets we expect to sell, at fair value less costs to sell. No indicators of impairment were identified with respect to our long-lived assets as of March 31, 2013.

 

Recent Accounting Standards

 

Reclassifications Out of Accumulated Other Comprehensive Income.  In February 2013, the Financial Accounting Standards Board (FASB) issued guidance for the reporting of amounts reclassified out of accumulated other comprehensive income. The new guidance requires entities to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under U.S. generally accepted accounting principles (GAAP) to be reclassified in its entirety to net income. The new guidance does not change the current requirements for reporting net income or other comprehensive income in financial statements and is effective prospectively for reporting periods beginning after December 15, 2012. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

 

Balance Sheet Offsetting. In December 2012, the FASB issued guidance for new disclosure requirements related to the nature of an entity’s rights of set-off and related arrangements associated with its financial instruments and derivative instruments. The new guidance is effective for annual reporting periods, and interim periods within those years, beginning on or after January 1, 2013. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

 

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Recent Developments

 

On April 3, 2013, we entered into an amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loan and borrowed an additional $40.0 million under the senior secured loan facility. . More information regarding this amendment is provided under the heading “Liquidity and Capital Resources” below and more information regarding the Refinance Agreement is provided in Note 1 to our unaudited condensed consolidated financial statements included in Item 1, Part I of this quarterly report.

 

On April 1, 2013, the Centers for Medicare and Medicaid Services (“CMS”) published its Contract Year 2014 Final Call Letter. In the Final Call Letter, CMS made the assumption that Congressional action would be taken to prospectively fix the Medicare physician fee schedule’s sustainable growth rate formula and that there would be a 0% change in the Medicare physician fee schedule rates for 2014. Based on these assumptions, CMS estimated a 3.3% increase in the 2014 Medicare Advantage rates.

 

Facility Acquisitions and Dispositions

 

On February 28, 2013, we completed our acquisition of a multi-modality imaging center located in Brooklyn, New York by exercising a $1.00 purchase option to acquire an initial 50% interest (we acquired this option through our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately$2.5 million) and then by purchasing the remaining 50% interest from the existing partner for approximately $2.4 million in cash. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $813,000 of fixed assets, $4.2 million of goodwill and $124,000 of notes payable was recorded with respect to this transaction.

 

On February 8, 2013, we completed the acquisition of a multi modality imaging center located in Manhattan, New York for $1.0 million. The facility provides MRI, CT, mammography, ultrasound and X-ray services. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $1.0 million of fixed assets was recorded with respect to this transaction.

 

On February 5, 2013, we sold a 10% interest in a wholly owned limited liability company consisting of two multi-modality imaging centers located in Bel Air, Maryland for approximately $2.6 million. On the date of sale, we recorded approximately $439,000 of non-controlling interests and $2.2 million of additional paid in capital with respect to this transaction.

 

On January 30, 2013, we purchased for $430,000 an additional 20.9% interest in a joint venture multi-modality imaging center located in Manhattan, New York of which we initially held a 31.5% interest from our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately $648,000. This additional 20.9% interest gave us a 52.4% controlling interest and so accordingly, we began consolidating this imaging center, recording all of its assets and liabilities at their fair value at January 30, 2013. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $358,000 of working capital, $2.1 million of fixed assets, $2.0 million of goodwill, $2.4 million of notes payable and $979,000 of non-controlling interests was recorded with respect to this transaction.

 

On January 1, 2013, we completed our acquisition of a breast surgery practice located in Mission Viejo, California for $350,000. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $135,000 of working capital, $30,000 of fixed assets and $185,000 of goodwill was recorded with respect to this transaction.

 

On December 31, 2012, we completed our acquisition of Lenox Hill Radiology, consisting of three multi-modality imaging centers as well as three additional x-ray facilities all located in Manhattan, New York. We also acquired in this transaction a 31.5% interest in a joint venture multi-modality imaging center in Manhattan, New York and an option to purchase a 50% interest in a multi-modality imaging center located in Brooklyn, New York for $1.00. The purchase price consisted of approximately $28.4 million in cash. With the services of an external valuation expert, we have made a final fair value determination of the acquired assets and assumed liabilities and $4.5 million of working capital, $8.7 million of fixed assets, which is approximately $1.5 million higher than our initial estimate, $648,000 of joint venture interests, $2.5 million in a $1.00 joint venture purchase option, $100,000 of intangible assets , $14.0 million of goodwill and indefinite life intangibles which is approximately $1.3 million lower than our initial estimate, the assumption of approximately $650,000 of other liabilities, which is approximately $150,000 higher than our initial estimate, and $1.3 million of capital lease debt was recorded with respect to this transaction.

 

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Results of Operations

 

The following table sets forth, for the periods indicated, the percentage that certain items in the statements of operations bears to service fee revenue, net of contractual allowances and discounts.

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

 

   Three Months Ended 
   March 31, 
   2013   2012 
NET SERVICE FEE REVENUE          
Service fee revenue, net of contractual allowances and discounts   100.0%    100.0% 
Provision for bad debts   -3.8%    -3.8% 
Net service fee revenue   96.2%    96.2% 
           
OPERATING EXPENSES          
Cost of operations   83.2%    80.4% 
Depreciation and amortization   8.2%    8.8% 
Loss on sale and disposal of equipment   0.1%    0.0% 
Severance costs   0.1%    0.3% 
Total operating expenses   91.6%    89.5% 
           
           
INCOME FROM OPERATIONS   4.6%    6.7% 
           
OTHER EXPENSES          
Interest expense   6.8%    8.1% 
Other income   0.0%    -0.7% 
Total other expenses   6.8%    7.4% 
           
LOSS BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES   -2.1%    -0.7% 
Benefit from (provision for) income taxes   0.7%    -0.1% 
Equity in earnings of joint ventures   0.7%    0.7% 
NET LOSS   -0.8%    -0.1% 
Net loss attributable to noncontrolling interests   0.0%    0.0% 
NET LOSS ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   -0.7%    -0.1% 

 

Three Months Ended March 31, 2013 Compared to the Three Months Ended March 31, 2012

 

Service Fee Revenue

 

Service fee revenue for the three months ended March 31, 2013 was $179.8 million compared to $168.5 million for the three months ended March 31, 2012, an increase of $11.3 million, or 6.7%.

 

Service fee revenue, including only those centers which were in operation throughout the first quarters of both 2013 and 2012 decreased $11.9 million, or 7.1%. The comparison of this year’s first quarter to the same quarter last year was greatly affected by certain factors that made last year’s first quarter performance comparatively stronger.  One of these is the fact that last year’s first quarter had one additional workday associated with the leap year. Another is the fact that last year’s first quarter was operated during an exceptionally mild winter in the northeast, allowing our centers in the northeast to remain open without incident throughout that period. This comparison excludes revenue contributions from centers that were acquired or divested subsequent to January 1, 2012. For the three months ended March 31, 2013, service fee revenue from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was $24.1 million. For the three months ended March 31, 2012, service fee revenue from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was $921,000.

 

Provision for Bad Debts

 

Provision for bad debts increased $338,000, or 5.2%, to $6.8 million, or 3.8% of service fee revenue, for the three months ended March 31, 2013 compared to $6.5 million, or 3.8% of service fee revenue, for the three months ended March 31, 2012. This increase is in line with the increase in service fee revenues.

 

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Operating Expenses

 

Cost of operations for the three months ended March 31, 2013 increased approximately $14.2 million, or 10.5%, from $135.4 million for the three months ended March 31, 2012 to $149.6 million for the three months ended March 31, 2013. The following table sets forth our cost of operations and total operating expenses for the three months ended March 31, 2013 and 2012 (in thousands):

 

   Three Months Ended 
   March 31, 
   2013   2012 
         
Salaries and professional reading fees, excluding stock-based compensation  $81,691   $74,184 
Stock-based compensation   952    1,175 
Building and equipment rental   16,303    14,908 
Medical supplies   9,178    9,999 
Other operating expenses  *   41,438    35,134 
Cost of operations   149,562    135,400 
           
Depreciation and amortization   14,760    14,892 
Loss on sale and disposal of equipment   170    24 
Severance costs   123    449 
Total operating expenses  $164,615   $150,765 

 

*Includes billing fees, office supplies, repairs and maintenance, insurance, business tax and license, outside services, utilities, marketing, travel and other expenses.

 

Salaries and professional reading fees, excluding stock-based compensation and severance

 

Salaries and professional reading fees increased $7.5 million, or 10.2%, to $81.7 million for the three months ended March 31, 2012 compared to $74.2 million for the three months ended March 31, 2012.

 

Salaries and professional reading fees, including only those centers which were in operation throughout the first quarters of both 2013 and 2012, decreased $1.1 million, or 1.4%. This 1.4% decrease is in line with our decrease in procedure volumes at these centers. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2012. For the three months ended March 31, 2013, salaries and professional reading fees from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was approximately $8.6 million. For the three months ended March 31, 2012, salaries and professional reading fees from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was approximately $65,000.

 

Stock-based compensation

 

Stock-based compensation decreased $223,000, or 19.0%, to approximately $952,000 for the three months ended March 31, 2013 compared to $1.2 million for the three months ended March 31, 2012. The decrease is due to fewer equity compensation instruments being issued during the three months ended March 31, 2013 compared to the same period last year.

 

Building and equipment rental

 

Building and equipment rental expenses increased $1.4 million, or 9.4%, to $16.3 million for the three months ended March 31, 2013 compared to $14.9 million for the three months ended March 31, 2012.

 

Building and equipment rental expenses, including only those centers which were in operation throughout the first quarters of both 2013 and 2012, decreased $180,000, or 1.2%. This 1.2% decrease is primarily due to equipment lease buy-outs occurring subsequent to March 31, 2012. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2012. For the three months ended March 31, 2013, building and equipment rental expenses from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was approximately $1.6 million. For the three months ended March 31, 2012, building and equipment rental expenses from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was $44,000.

 

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Medical supplies

 

Medical supplies expense decreased $821,000, or 8.2%, to $9.2 million for the three months ended March 31, 2013 compared to $10.0 million for the three months ended March 31, 2012.

 

Medical supplies expenses, including only those centers which were in operation throughout the first quarters of both 2013 and 2012, decreased $1.7 million, or 17.5%. This 17.5% decrease is due to the reduction in our procedure volumes as well as an increase in rebates we receive from certain vendors. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2012. For the three months ended March 31, 2013, medical supplies expense from centers that were acquired subsequent to January 1, 2012 and excluded from the above comparison was $931,000.

 

Depreciation and amortization

 

Depreciation and amortization decreased $132,000, or 0.9%, to $14.8 million for the three months ended March 31, 2013 compared to the same period last year. The decrease is primarily due to several of our assets completing their depreciation schedules subsequent to the end of our first quarter of 2012.

 

Interest expense

 

Interest expense for the three months ended March 31, 2013 decreased approximately $1.4 million, or 10.5%, to $12.1 million for the three months ended March 31, 2013 compared to $13.6 million for the three months ended March 31, 2012. Interest expense for the three months ended March 31, 2013 included $857,000 of amortization of deferred loan costs and discount on issuance of debt. Interest expense for the three months ended March 31, 2012 included $836,000 of amortization of deferred loan costs and discount on issuance of debt as well as $276,000 of amortization of Accumulated Other Comprehensive Loss associated with fair value adjustments to our interest rate swaps accumulated prior to April 6, 2010, the date of our debt refinancing. See “Liquidity and Capital Resources” below for more details on our debt refinancing. Excluding these adjustments to interest expense for each period, interest expense decreased approximately $1.3 million for the three months ended March 31, 2013 compared to the three months ended March 31, 2012. This decrease was primarily due to a reduction in interest relating to our interest rate swaps, which contractually ended in November 2012. 

 

Other income

 

For the three months ended March 31, 2012, we recorded approximately $1.2 million of other income primarily related to fair value adjustments on our interest rate swaps.

 

Equity in earnings from unconsolidated joint ventures

 

For the three months ended March 31, 2013, we recognized equity in earnings from unconsolidated joint ventures of $1.2 million compared to $1.3 million for the three months ended March 31, 2012. This decrease is primarily due to a change in estimated collection rates applied to revenue recognized subsequent to March 31, 2012.

 

Adjusted EBITDA

 

We use both GAAP and non-GAAP metrics to measure our financial results. We believe that, in addition to GAAP metrics, these non-GAAP metrics assist us in measuring our cash generated from operations and ability to service our debt obligations. We believe this information is useful to investors and other interested parties because we are highly leveraged and our non-GAAP metrics removes non-cash and certain other charges that occur in the affected period and provides a basis for measuring the Company's financial condition against other quarters.

 

One non-GAAP measure we believe assists us is Adjusted EBITDA. We define Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, each from continuing operations and exclude losses or gains on the disposal of equipment, other income or loss, loss on debt extinguishments, bargain purchase gains and non-cash equity compensation.  Adjusted EBITDA includes equity earnings in unconsolidated operations and subtracts allocations of earnings to non-controlling interests in subsidiaries, and is adjusted for non-cash or extraordinary and one-time events taking place during the period.

 

35
 

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure, net income (loss) attributable to RadNet, Inc. common stockholders.   Adjusted EBITDA is a non-GAAP financial measure used as an analytical indicator by us and the healthcare industry to assess business performance, and is a measure of leverage capacity and ability to service debt.  Adjusted EBITDA should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

The following is a reconciliation of GAAP net loss to Adjusted EBITDA for the three months ended March 31, 2013 and 2012, respectively:

 

   Three Months Ended
March 31,
 
   2013   2012 
         
Net Loss Attributable to RadNet, Inc. Common Stockholders  $(1,342)  $(111)
Plus (Benefit from) provision for Income Taxes   (1,248)   245 
Minus Other Income   (2)   (1,147)
Plus Interest Expense   12,147    13,567 
Plus Severence Costs   123    449 
Plus Loss on Sale and Disposal of Equipment   170    24 
Plus Depreciation and Amortization   14,760    14,892 
Plus Non Cash Employee Stock-Based Compensation   952    1,175 
Adjusted EBITDA  $25,560   $29,094 

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $431,000 and accounts receivable of $134.9 million at March 31, 2013, compared to cash and cash equivalents of $362,000 and accounts receivable of $129.2 million at December 31, 2012. We had a working capital balance of $37.8 million and $37.3 million at March 31, 2013 and December 31, 2012, respectively.  We had a net loss attributable to RadNet, Inc. common stockholders for the three months ended March 31, 2013 and 2012 of $3.0 million and 111,000, respectively.  We also had a stockholders’ equity deficit of $19,000 and $2.0 million at March 31, 2013 and December 31, 2012, respectively.

 

We operate in a capital intensive, high fixed-cost industry that requires significant amounts of capital to fund operations.  In addition to operations, we require a significant amount of capital for the initial start-up and development of new diagnostic imaging facilities, the acquisition of additional facilities and new diagnostic imaging equipment.  Because our cash flows from operations have been insufficient to fund all of these capital requirements, we have depended on the availability of financing under credit arrangements with third parties.

 

Based on our current level of operations, we believe that cash flow from operations and available cash, together with available borrowings from our senior secured credit facilities, will be adequate to meet our short-term and long-term liquidity needs. Our future liquidity requirements will be for working capital, capital expenditures, debt service and general corporate purposes. Our ability to meet our working capital and debt service requirements, however, is subject to future economic conditions and to financial, business and other factors, many of which are beyond our control. If we are not able to meet such requirements, we may be required to seek additional financing. There can be no assurance that we will be able to obtain financing from other sources on terms acceptable to us, if at all.

 

On a continuing basis, we also consider various transactions to increase shareholder value and enhance our business results, including acquisitions, divestitures and joint ventures. These types of transactions may result in future cash proceeds or payments but the general timing, size or success of any acquisition, divestiture or joint venture effort and the related potential capital commitments cannot be predicted. We expect to fund any future acquisitions primarily with cash flow from operations and borrowings, including borrowing from amounts available under our senior secured credit facilities or through new equity or debt issuances.

 

36
 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise. However, we have no formal plan of doing so at this time.

 

Included in our condensed consolidated balance sheet at March 31, 2013 are $198.1 million of senior notes (net of unamortized discounts of $1.9 million), $341.1 million of senior secured term loan debt (net of unamortized discounts of $7.2 million) and $34.5 million aggregate principal amount outstanding under the revolving credit facility.

 

Accordingly, the par values outstanding of our senior notes and senior secured term loan are $200 million and $348.25 million, respectively.

 

Sources and Uses of Cash

 

Cash provided by operating activities was $15.2 million and $15.4 million for the three months ended March 31, 2013 and 2012, respectively.

 

Cash used in investing activities was $14.4 million and $12.8 million for the three months ended March 31, 2013 and 2012, respectively.  For the three months ended March 31, 2013, we purchased property and equipment for approximately $12.9 million, acquired the assets and businesses of additional imaging facilities for approximately $3.6 million (see Note 2 to the condensed consolidated financial statements of this quarterly report), and purchased additional equity interests in non-consolidated joint ventures for $724,000. Offsetting our cash used in investing activities was $2.6 million in proceeds from the sale of a non-controlling interest in one of our consolidated joint ventures, and $270,000 of proceeds from the sale of imaging equipment.

   

Cash used in financing activities was $728,000 and $3.3 million for the three months ended March 31, 2013 and 2012, respectively.  The cash used in financing activities for the three months ended March 31, 2013, was primarily due to principal payments on our notes offset in part by net proceeds from borrowings under our line of credit.

 

Financing Activities

 

In April 2010, we completed a series of transactions for an aggregate of $585 million. As part of the transactions that were completed, our wholly owned subsidiary, Radnet Management, Inc., issued and sold $200.0 million in 10 3/8% senior unsecured notes due 2018 (the “senior notes”). The senior notes initially issued on April 6, 2010 in a private placement were subsequently publicly offered for exchange enabling holders of the outstanding senior notes to exchange the outstanding notes for publicly registered exchange notes with nearly identical terms. The exchange offer was completed on February 14, 2011. Additional information regarding the senior notes is provided in Note 1 to our unaudited condensed consolidated financial statements included in Item 1, Part 1 of this quarterly report.

 

In addition to the issuance of senior notes, Radnet Management entered into a Credit and Guaranty Agreement with a syndicate of lenders (the “Credit Agreement”), whereby Radnet Management obtained $385.0 million in senior secured first-lien bank financing, consisting of (i) a $285.0 million, six-year term loan facility and (ii) a $100.0 million, five-year revolving credit facility, including a swing line subfacility and a letter of credit subfacility (collectively, the “Credit Facilities”).

 

In October 2012, we completed a refinancing of the Credit Facility by entering into a new Credit and Guaranty Agreement with a syndicate of banks and other financial institutions (the “Refinance Agreement”). The total amount of refinancing was $451.25 million, consisting of (i) a $350 million senior secured term loan and (ii) a $101.25 million senior secured revolving credit facility. The obligations of Radnet Management, Inc. under the Refinance Agreement are guaranteed by RadNet, Inc. and all of Radnet Management’s current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement, including the guarantees, are secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

The termination date for the $350 million term loan is the earliest to occur of (i) the sixth anniversary of the closing date (October 10, 2012), (ii) the date on which all of the term loans shall become due and payable in full under the Refinance Agreement whether by acceleration or otherwise and (iii) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date. The termination date for the $101.25 million revolving credit facility is the earliest to occur of (i) the fifth anniversary of the closing date, (ii) the date the revolving credit facility is permanently reduced to zero pursuant to section 2.13(b) of the Refinance Agreement, (iii) the date of the termination of the revolving credit facility pursuant to section 8.01 of the Refinance Agreement and (iv) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date.

 

37
 

In connection with the refinancing of the Credit Facilities, Radnet Management used the net proceeds to repay in full its existing six year term loan facility for $277.9 million in principal amount outstanding, which would have matured on April 6, 2016, and its revolving credit facility for $59.8 million in principal amount outstanding, which would have matured on April 6, 2015.

 

The terms and conditions of the Refinance Agreement are more fully described in Note 1 to our unaudited condensed consolidated financial statements included above in Item 1, Part I of this quarterly report.

 

On April 3, 2013, we entered into a first amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loans and borrowed an additional $40.0 million under the senior secured loan facility. Pursuant to the amendment to the Refinance Agreement, the interest rate spread over LIBOR for the senior secured term loans has been reduced from 4.25% to 3.25% and the interest rate spread over the alternative base rate for the senior secured term loans has been reduced from 3.25% to 2.25%. The minimum LIBOR rate underlying the senior secured term loans has been reduced from 1.25% to 1.0%. The other material terms of Refinance Agreement remain unchanged and are described in Note 1 to our unaudited condensed consolidated financial statements included above in Item 1, Part I of this quarterly report.

 

ITEM 3. Quantitative and Qualitative Disclosures about Market Risk

 

Foreign Currency Exchange Risk.   We sell our services exclusively in the United States and receive payment for our services exclusively in United States dollars.  As a result, our financial results are unlikely to be affected by factors such as changes in foreign currency, exchange rates or weak economic conditions in foreign markets.

 

After the completion of the acquisition of Image Medical Corporation, the parent of eRAD, Inc. on October 1, 2010, we maintain research and development facilities in Prince Edward Island, Canada and Budapest, Hungary for which expenses are paid in the local currency. Accordingly, we do have currency risk resulting from fluctuations between such local currency and the United States Dollar. At the present time, we do not have any foreign exchange currency contracts to mitigate this risk. Fluctuations in foreign exchange rates could impact future operating results. A hypothetical 1% increase in the rate of exchange of foreign currencies against the dollar for 2013 would have resulted in an increase of approximately $10,000 in our operating expenses for the year.

 

Interest Rate Sensitivity.   RadNet Inc. pays interest on various types of debt instruments to its suppliers, investors and lending institutions.  The agreements entail either fixed or variable interest rates.  Instruments which have fixed rates include leases on equipment and interest due on our $200 million outstanding senior notes.  Variable rate interest obligations relate primarily to amounts borrowed under our outstanding credit facilities, which allows elections of either LIBOR or prime rates of interest.  Under the Refinance Agreement’s LIBOR election facility, borrowed funds bear a 1.25% floor or 6 month LIBOR plus an applicable margin of 4.25%.  At March 31, 2013, we had $348.3 million outstanding subject to a LIBOR election.  As the LIBOR floor exceeds the current spot rate of 6 month LIBOR, the spot rate would have to increase more than 81 basis points before an additional interest expense would be accrued.  An increase of 181 basis points would be necessary to realize a hypothetical 1% increase in the borrowing rate and an annual increase of $3.5 million of interest expense.  At March 31, 2013, an additional $35.4 million was tied to the prime rate.  A hypothetical 1% increase in the prime rate for 2012-2013 would have resulted in an annual increase of approximately $354,000.

 

ITEM 4. Controls and Procedures

 

We maintain disclosure controls and procedures that are designed to provide reasonable assurance that material information is: (1) gathered and communicated to our management, including our principal executive and financial officers, on a timely basis; and (2) recorded, processed, summarized, reported and filed with the SEC as required under the Securities Exchange Act of 1934, as amended.

 

Our management, with the participation of our chief executive officer and chief financial officer, evaluated the effectiveness of our disclosure controls and procedures as of March 31, 2013. Based on such evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective for their intended purpose described above.

 

Changes in Internal Control over Financial Reporting

 

No changes were made in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) during our most recent fiscal quarter that has materially affected, or is likely to materially affect, our internal control over financial reporting.

 

38
 

Limitations on Disclosure Controls and Procedures.

 

Our management, including our chief executive officer and chief financial officer, does not expect that our disclosure controls or internal controls over financial reporting will prevent all errors or all instances of fraud. A control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within our company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of simple error or mistake. Controls can also be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. The design of any system of controls is based in part upon certain assumptions about the likelihood of future events, and any design may not succeed in achieving its stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions or deterioration in the degree of compliance with policies or procedures. Because of the inherent limitation of a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

 

PART II – OTHER INFORMATION

 

ITEM 1 Legal Proceedings

 

We are engaged from time to time in the defense of lawsuits arising out of the ordinary course and conduct of our business. We believe that the outcome of our current litigation will not have a material adverse impact on our business, financial condition and results of operations. However, we could be subsequently named as a defendant in other lawsuits that could adversely affect us.

 

ITEM 1A Risk Factors

 

The following is an update to a risk factor described in our annual report on Form 10-K for the year ended December 31, 2012, as amended, and should be read in conjunction with the other risk factors therein. The risks described below and in our Form 10-K, as amended, are not the only risks facing our Company. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition and/or operating results.

 

Changes in the method or rates of third-party reimbursement could have a negative impact on our results.

 

From time to time, changes designed to contain healthcare costs have been implemented, some of which have resulted in decreased reimbursement rates for diagnostic imaging services that impact our business.  For services for which we bill Medicare directly, we are paid under the Medicare Physician Fee Schedule, which is updated on an annual basis.  Under the Medicare statutory formula, payments under the Physician Fee Schedule would have decreased for the past several years if Congress failed to intervene. 

 

Medicare program reimbursements for physician services as well as other services to Medicare beneficiaries who are not enrolled in Medicare Advantage plans are based upon the fee-for-service rates set forth in the Medicare Physician Fee Schedule, which relies, in part, on a target-setting formula system called the SGR. Each year, on January 1st, the Medicare program updates the Medicare Physician Fee Schedule reimbursement rates.  Many private payors use the Medicare Physician Fee Schedule to determine their own reimbursement rates. Based on the SGR, the annual fee schedule update is adjusted to reflect the comparison of actual expenditures to target expenditures. Because one of the factors for calculating the SGR is linked to the growth in the U.S. gross domestic product (“GDP”), the SGR formula may result in a negative payment update if growth in Medicare beneficiaries’ use of services exceeds GDP growth, a situation which has occurred every year since 2002 and the reoccurrence of which we cannot predict.

 

CMS determined that, effective January 1, 2013, the SGR formula results in a decrease to the physician Medicare fee schedule reimbursement by 26.5%.  Congress, however, enacted ATRA which provides, in part, that Medicare physician fee schedule rates for 2012 are extended through December 31, 2013.  Therefore, the Medicare fee schedule rates for 2013 are neither subject to the 26.5% SGR formula-driven reduction nor are they subject to any increase over and above the 2012 fee schedule rates.

 

While Congress has repeatedly intervened to mitigate the negative reimbursement impact associated with the SGR formula, there is no guarantee that Congress will continue to do so in the future. Moreover, the existing methodology may result in significant yearly fluctuations in the Medicare Physician Fee Schedule amounts, which may be unrelated to changes in the actual costs of providing physician services. Unless Congress enacts a change to the SGR methodology, the uncertainty regarding reimbursement rates and fluctuation will continue to exist. Moreover, if Congress does change the SGR methodology or substitute a new system for physician fee-for-service payments, it may require reductions in other Medicare programs including Medicare Advantage to offset such additional costs.

 

39
 

On April 1, 2013, CMS published its Contract Year 2014 Final Call Letter. In the Final Call Letter, CMS made the assumption that Congressional action would be taken to prospectively fix the Medicare physician fee schedule’s sustainable growth rate formula and that there would be a 0% change in the Medicare physician fee schedule rates for 2014. Based on these assumptions, CMS estimated a 3.3% increase in the 2014 Medicare Advantage rates. An increase in the 2014 Medicare Advantage rates would increase our revenues derived from serviced rendered by Medicare Advantage enrolleees. However, we cannot predict how future Congressional action relating to the SGR fomula will impact our revenues and there continues to be a risk that Congress will be unable to resolve the SGR formulat’s automatic rate reductions which could subsequently reduce Medicare Advantage plan payments and could have a negative impact on our revenues.

 

Another provision that affects physician payments under the Medicare Physician Fee Schedule is an adjustment under the Medicare statute to reflect the geographic variation in the cost of delivering physician services, by comparing those costs to the national average. Medicare payments to physicians under the Medicare Physician Fee Schedule are geographically adjusted to reflect the varying cost of delivering physician services across areas. The adjustments are made by indices, known as the Geographic Practice Cost Indices (“GPCI”) that reflect how each geographic area compares to the national average. In 2003, Congress established that for three years there would be a floor of 1.0 on the work component of the Medicare Physician Fee Schedule formula used to determine physician payments, which meant that physician payments would not be reduced in a geographic area just because the relative cost of physician work in that area fell below the national average. Congress extended the GPCI work floor several times since its enactment in 2003. ATRA provides another extension through December 31, 2013. Although Congress has extended the GPCI work floor several times, there is no guarantee that Congress will block the adjustment in the future, which could result in a decrease in payments for physician services.

 

The 2013 Medicare Physician Fee Schedule also expanded a reduction in reimbursement for multiple images on contiguous body parts to new services, namely diagnostic cardiovascular services and ophthalmology services.  Medicare has a longstanding policy to reduce payment by 50% for the second and subsequent procedures furnished to the same beneficiary by a single physician or physicians in the same group practice on the same day, largely based on the presence of efficiencies in the practice expense and physician work.  This policy already applies to the technical and professional component of advanced imaging services.  Under the new expansion CMS shall apply a 25% reduction to the technical component of second and subsequent diagnostic cardiovascular services, and a 20% reduction to the technical component of second and subsequent diagnostic ophthalmology services, furnished by the same physician (or physicians in the same group practice) to the same beneficiary, on the same day.  This further reduces payments for physician services relating to diagnostic imaging, and our associated revenues.  Regulatory updates to payment rates for which we bill the Medicare program directly are published annually by CMS in the Federal Register.  Current payment rates for certain diagnostic services using equipment costing more than $1 million are subject to usage assumptions at a usage rate of 75%.  However, as part of ATRA, Congress paid for part of the SGR freeze by increasing the equipment utilization threshold for advanced imaging modalities from the current 75% to 90% beginning January 2014.

 

ITEM 2 Unregistered Sales of Equity Securities and Use of Proceeds

 

None

 

ITEM 3 Defaults Upon Senior Securities

 

None

 

5
ITEM 4Mine Safety Disclosures

 

Not applicable.

 

ITEM 5 Other Information

 

None

 

ITEM 6 Exhibits

 

Reference is made to the Exhibit Index included herein.

 

40
 

 

SIGNATURES

 

 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  RADNET, INC.  
     
    (Registrant)  
       
Date:  May 10, 2013 By: /s/ Howard G. Berger, M.D.  
    Howard G. Berger, M.D., President and  
   

Chief Executive Officer

(Principal Executive Officer)

 
       

 

Date:  May 10, 2013 By: /s/ Mark D. Stolper  
    Mark D. Stolper, Chief Financial Officer  
    (Principal Financial and Accounting Officer)  
       

 

 

41
 

INDEX TO EXHIBITS

 

Exhibit
Number
  Description
     
     
31.1   Certification of Howard G. Berger, M.D. pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
31.2   Certification of Mark D. Stolper pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
32.1   Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of The Sarbanes-Oxley Act of 2002 of Howard G. Berger, M.D.
     
32.2   Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of The Sarbanes-Oxley Act of 2002 of Mark D. Stolper.
     
101.INS**   XBRL Instance Document
     
101.SCH**   XBRL Schema Document
     
101.CAL**   XBRL Calculation Linkbase Document
     
101.LAB**   XBRL Label Linkbase Document
     
101.PRE**   XBRL Presentation Linkbase Document
     
101.DEF**   XBRL Definition Linkbase Document

 

**Pursuant to Rule 406T of Regulation S-T, the Incentive Data Files on Exhibit 101 hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

 

 

 

42

 

 

 

 

EX-31. 2 rdnt_10q-ex3101.htm CERTIFICATION

EXHIBIT 31. 1

 

CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

I, Howard G. Berger, M.D., certify that:

 

1.          I have reviewed this quarterly report on Form 10-Q of RadNet, Inc.;

 

2.          Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.          Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.          The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15(d) –15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5.          The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Dated: May 10, 2013

 

  /s/ Howard G. Berger, M.D.
  Howard G. Berger, M.D.
 

President, Chief Executive Officer and
Chairman of the Board of Directors

(Principal Executive Officer)

EX-31.2 3 rdnt_10q-ex3102.htm CERTIFICATION

EXHIBIT 31.2

 

CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

I, Mark D. Stolper, certify that:

 

1.          I have reviewed this quarterly report on Form 10-Q of RadNet, Inc.;

 

2.          Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.          Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.          The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15(d) –15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5.          The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Dated: May 10, 2013

 

  /s/ Mark D. Stolper
  Mark D. Stolper
 

Executive Vice President and

Chief Financial Officer

(Principal Financial Officer)

EX-32.1 4 rdnt_10q-ex3201.htm CERTIFICATION

EXHIBIT 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of RadNet, Inc. (the “Company”) on Form 10-Q for the quarterly period ended March 31, 2013, as filed with the Securities and Exchange Commission on May 10, 2013 (the “Report”), I, Howard G. Berger, M.D., Chairman of the Board of Directors and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

1.          The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

2.          The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company as of, and for the periods presented in the Report.

 

  /s/ Howard G. Berger, M.D.
  Howard G. Berger, M.D.
 

Chairman, President and Chief Executive Officer

(Principal Executive Officer)

   
  May 10, 2013

 

 

A signed original of this written statement required by Section 906 has been provided to the Company and will be furnished to the Securities and Exchange Commission or its staff upon request.

 

EX-32.2 5 rdnt_10q-ex3202.htm CERTIFICATION

EXHIBIT 32.2

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of RadNet, Inc. (the “Company”) on Form 10-Q for the quarterly period ended March 31, 2013, as filed with the Securities and Exchange Commission on May 10, 2013 (the “Report”), I, Mark D. Stolper, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

1.          The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

2.          The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company as of, and for the periods presented in the Report.

 

  /s/ Mark D. Stolper
  Mark D. Stolper
 

Chief Financial Officer

(Principal Financial Officer)

May 10, 2013

 

 

A signed original of this written statement required by Section 906 has been provided to the Company and will be furnished to the Securities and Exchange Commission or its staff upon request.

 

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7. FAIR VALUE MEASUREMENTS (Details Narrative) (USD $)
Mar. 31, 2013
Dec. 31, 2012
Fair Value Measurements Details Narrative    
Line of credit $ 34,500,000 $ 33,000,000
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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details Narrative) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Dec. 31, 2012
Nature Of Business And Basis Of Presentation Details Narrative      
Howard G. Berger, M.D.- President and Chief Executive Officer RadNet stock ownership 0.135    
Howard G. Berger, M.D.- President and Chief Executive Officer BRMG stock ownership 0.99    
BRMG revenues $ 17,400 $ 12,700  
BRMG operating expenses 80,600 63,100  
Management services provided to BRMG 63,200 50,400  
BRMG accounts receivable 60,500   51,800
BRMG accounts payable 8,800   6,300
Working capital $ 39,200   $ 37,300
XML 15 R9.htm IDEA: XBRL DOCUMENT v2.4.0.6
2. FACILITY ACQUISITIONS
3 Months Ended
Mar. 31, 2013
Facility Acquisitions  
Property, Plant and Equipment, Schedule of Significant Acquisitions and Disposals [Table Text Block]

On February 28, 2013, we completed our acquisition of a multi-modality imaging center located in Brooklyn, New York by exercising a $1.00 purchase option to acquire an initial 50% interest (we acquired this option through our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately $2.5 million) and then by purchasing the remaining 50% interest from the existing partner for approximately $2.4 million in cash. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $813,000 of fixed assets, $4.2 million of goodwill and $124,000 of notes payable was recorded with respect to this transaction.

 

On February 8, 2013, we completed the acquisition of a multi modality imaging center located in Manhattan, New York for $1.0 million. The facility provides MRI, CT, mammography, ultrasound and X-ray services. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $1.0 million of fixed assets was recorded with respect to this transaction.

 

On February 5, 2013, we sold a 10% interest in a wholly owned limited liability company consisting of two multi-modality imaging centers located in Bel Air, Maryland for approximately $2.6 million. On the date of sale, we recorded approximately $439,000 of non-controlling interests and $2.2 million of additional paid in capital with respect to this transaction.

 

On January 30, 2013, we purchased for $430,000 an additional 20.9% interest in a joint venture multi-modality imaging center located in Manhattan, New York of which we initially held a 31.5% interest from our December 31, 2012 acquisition of Lenox Hill Radiology which we valued at approximately $648,000. This additional 20.9% interest gave us a 52.4% controlling interest and so accordingly, we began consolidating this imaging center, recording all of its assets and liabilities at their fair value at January 30, 2013. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $358,000 of working capital, $2.1 million of fixed assets, $2.0 million of goodwill, $2.4 million of notes payable and $979,000 of non-controlling interests was recorded with respect to this transaction.

 

On January 1, 2013, we completed our acquisition of a breast surgery practice located in Mission Viejo, California for $350,000. We have made a fair value determination of the acquired assets and assumed liabilities and approximately $135,000 of working capital, $30,000 of fixed assets and $185,000 of goodwill was recorded with respect to this transaction.

 

On December 31, 2012, we completed our acquisition of Lenox Hill Radiology, consisting of three multi-modality imaging centers as well as three additional x-ray facilities all located in Manhattan, New York. We also acquired in this transaction a 31.5% interest in a joint venture multi-modality imaging center in Manhattan, New York and an option to purchase a 50% interest in a multi-modality imaging center located in Brooklyn, New York for $1.00. The purchase price consisted of approximately $28.4 million in cash. With the services of an external valuation expert, we have made a final fair value determination of the acquired assets and assumed liabilities and $4.5 million of working capital, $8.7 million of fixed assets, which is approximately $1.5 million higher than our initial estimate, $648,000 of joint venture interests, $2.5 million in a $1.00 joint venture purchase option, $100,000 of intangible assets, $14.0 million of goodwill and indefinite life intangibles which is approximately $1.3 million lower than our initial estimate, the assumption of approximately $650,000 of other liabilities, which is approximately $150,000 higher than our initial estimate, and $1.3 million of capital lease debt was recorded with respect to this transaction.

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5. INVESTMENT IN JOINT VENTURES (Details Narrative) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Investment In Joint Ventures    
Management service fees from centers underlying joint ventures $ 2,000 $ 1,900

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5. INVESTMENT IN JOINT VENTURES (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Key financial data for joint ventures    
Current assets - joint ventures $ 15,277  
Noncurrent assets - joint ventures 44,169  
Current liabilities - joint ventures (5,537)  
Noncurrent liabilities - joint ventures (5,871)  
Total net assets -joint ventures 48,038  
Book value of Radnet joint venture interests 22,422  
Cost in excess of book value of acquired joint venture interests 5,232  
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet 305  
Total value of Radnet joint venture interests 27,959  
Total book value of other joint venture partner interests 25,616  
Net revenue 22,281 21,076
Net income $ 2,733 $ 2,533
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6. STOCK-BASED COMPENSATION (Details) (USD $)
3 Months Ended
Mar. 31, 2013
STOCK BASED COMPENSATION  
Exercisable at the end 5,481,250
OutstandingOptionsandWarrantsUnderthe2006Planand2000PlanMember
 
STOCK BASED COMPENSATION  
Begining Balance 6,231,250
Granted   
Exercised   
Canceled or expired (100,000)
Ending Balance 6,131,250
Exercisable at the end 5,481,250
Weighted Average Exercise price Per Common Share  
Begining Balance $ 3.58
Granted   
Exercised   
Canceled or expired $ 9.23
Ending Balance $ 3.49
Exercisable at the end $ 3.52
Weighted Average Remaining Contractual Life  
Ending Balance 1 year 8 months 1 day
Exercisable at the end 1 year 6 months 15 days
Aggregate Intrinsic Value  
Ending Balance $ 1,392,200
Exercisable at the end 1,292,317
NonPlanOutstandingWarrantsMember
 
STOCK BASED COMPENSATION  
Begining Balance 1,502,898
Granted   
Exercised (1,172,898)
Canceled or expired   
Ending Balance 330,000
Exercisable at the end 330,000
Weighted Average Exercise price Per Common Share  
Begining Balance $ 1.50
Granted   
Exercised $ 1.12
Canceled or expired   
Ending Balance $ 2.87
Exercisable at the end $ 2.87
Weighted Average Remaining Contractual Life  
Ending Balance 1 year 10 months 6 days
Exercisable at the end 1 year 10 months 6 days
Aggregate Intrinsic Value  
Ending Balance 36,000
Exercisable at the end $ 36,000
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6. STOCK-BASED COMPENSATION (Details Narrative) (USD $)
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Fully vested outstanding stock options and warrants 5,481,250  
Percentage of total outstanding stock options and warrants granted fully vested 89.40%  
Options and warrants outstanding 6,131,250  
Total intrinsic value of options and warrants $ 2,300,000 $ 265,000
Total unrecognized stock-based compensation expense related to non-vested employee awards 668,000  
Expected period of recognition over a weighted average period 1 year  
Warrant [Member]
   
Fully vested outstanding stock options and warrants 330,000  
Percentage of total outstanding stock options and warrants granted fully vested 100.00%  
Options and warrants outstanding 330,000  
RestrictedStockMember
   
Common stock reserved for issuance 11,000,000  
Total unrecognized stock-based compensation expense related to non-vested employee awards $ 1,400,000  
Expected period of recognition over a weighted average period 2 years  
Common stock reserved for issuance under the 2006 Plan 11,000,000  
Options, warrants and shares of restricted stock outstanding 7,563,750  
Common stock available for grant under 2006 Plan 3,416,250  
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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION
3 Months Ended
Mar. 31, 2013
Nature Of Business And Basis Of Presentation  
Business Description and Basis of Presentation [Text Block]

At March 31, 2013, we operated directly or indirectly through joint ventures, 248 centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology, or X-ray, fluoroscopy and other related procedures. Our operations comprise a single segment for financial reporting purposes.

 

The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”).  The consolidated financial statements also include Radnet Management I, Inc., Radnet Management II, Inc.,  Radiologix, Inc., Radnet Managed Imaging Services, Inc., Delaware Imaging Partners, Inc., New Jersey Imaging Partners, Inc. and Diagnostic Imaging Services, Inc. (“DIS”), all wholly owned subsidiaries of Radnet Management.  All of these affiliated entities are referred to collectively as “RadNet”, “we”, “us”, “our” or the “Company” in this report.

 

Accounting Standards Codification (“ASC”) Section 810-10-15-14 stipulates that generally any entity with a) insufficient equity to finance its activities without additional subordinated financial support provided by any parties, or b) equity holders that, as a group, lack the characteristics specified in the ASC which evidence a controlling financial interest, is considered a Variable Interest Entity (“VIE”). We consolidate all VIEs in which we own a majority voting interest and all VIEs for which we are the primary beneficiary. We determine whether we are the primary beneficiary of a VIE through a qualitative analysis that identifies which variable interest holder has the controlling financial interest in the VIE. The variable interest holder who has both of the following has the controlling financial interest and is the primary beneficiary: (1) the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and (2) the obligation to absorb losses of, or the right to receive benefits from, the VIE that could potentially be significant to the VIE. In performing our analysis, we consider all relevant facts and circumstances, including: the design and activities of the VIE, the terms of the contracts the VIE has entered into, the nature of the VIE’s variable interests issued and how they were negotiated with or marketed to potential investors, and which parties participated significantly in the design or redesign of the entity.

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.5% of our outstanding common stock. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which are 99% or 100% owned by Dr. Berger.  

 

John V. Crues III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG. Dr. Crues also owns a controlling interest in three medical groups (“Crues Entities”) which provide professional medical services at our imaging facilities located in Manhattan, New York, which we acquired through our December 31, 2012 acquisition of Lenox Hill.

 

RadNet provides non-medical, technical and administrative services to BRMG and the Crues Entities for which it receives a management fee, per the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the Crues Entities. Through our management agreements with BRMG and the Crues Entities, we determine the annual budget of BRMG and the Crues Entities and make all physician employment decisions. BRMG and the Crues Entities both have insignificant operating assets and liabilities, and de minimis equity. Through the management agreements with us, all cash flows of both BRMG and the Crues Entities are transferred to us.

  

We have determined that BRMG and the Crues Entities are variable interest entities, and that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses of each. BRMG and the Crues Entities combined recognized $17.4 million and $12.7 million of revenue, net of management service fees to RadNet, Inc., for the three months ended March 31, 2013 and 2012, respectively, and $17.4 million and $12.7 million of operating expenses for the three months ended March 31, 2013 and 2012, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $80.6 million and $63.1 million of total billed net service fee revenue relating to these entities for the three months ended March 31, 2013 and 2012, respectively, of which $63.2 million and $50.4 million was for management services provided to BRMG and the Crues Entities relating primarily to the technical portion of total billed revenue for the three months ended March 31, 2013 and 2012, respectively. The cash flows of BRMG and the Crues Entities are included in the accompanying consolidated statements of cash flows. All intercompany balances and transactions have been eliminated in consolidation. In our consolidated balance sheets at March 31, 2013 and December 31, 2012, we have included approximately $60.5 million and $51.8 million, respectively, of accounts receivable and approximately $8.8 million and $6.3 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the Crues Entities combined.

 

The creditors of both BRMG and the Crues Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses. However, both BRMG and the Crues Entities are managed to recognize no net income or net loss and, therefore, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from centers in California and Manhattan, New York where we contract with BRMG and the Crues Entities for the provision of professional medical services, at the remaining centers in California and at all of the centers which are located outside of California except for Manhattan, New York, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities.  These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers.  The radiology practices maintain full control over the provision of professional services. The contracted radiology practices generally have outstanding physician and practice credentials and reputations; strong competitive market positions; a broad sub-specialty mix of physicians; a history of growth and potential for continued growth.  In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers.  We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures.  The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended March 31, 2013 and 2012 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2012 as amended.

 

Significant Accounting Policies

 

As of the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2012 as amended.

 

Revenues

 

Service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payers and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments. As it relates to BRMG centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG as well as the payment for all other aspects related to our providing the imaging services, for which we earn management fees from BRMG. As it relates to non-BRMG centers, this service fee revenue is earned through providing the administration of the non-medical functions relating to the professional medical practice at our non-BRMG centers, including among other functions, provision of clerical and administrative personnel, bookkeeping and accounting services, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.

  

Service fee revenues are recorded during the period the patient services are provided based upon the estimated amounts due from the patients and third-party payers. Third-party payers include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances under managed care health plans are based upon the payment terms specified in the related contractual agreements. Contractual payment terms in managed care agreements are generally based upon predetermined rates per discounted fee-for-service rates. We also record a provision for doubtful accounts (based primarily on historical collection experience) related to patients and copayment and deductible amounts for patients who have health care coverage under one of our third-party payers.

 

Our service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the three months ended March 31, are summarized in the following table (in thousands):

 

   2013   2012 
         
Commercial Insurance  $97,685   $91,745 
Managed Care Capitated Payors   22,583    21,626 
Medicare   35,713    34,077 
Medicaid   5,777    5,570 
Other   18,004    15,483 
Service fee revenue, net of contractual allowances and discounts   179,762    168,500 
           
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue  $172,940   $162,016 

 

The break-out of our service fee revenue, net of contractual allowances and discounts, is calculated based upon global payments received from consolidated imaging centers from dates of service during each respective period illustrated.

 

Provision for Bad Debts

 

Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and

deductibles due from patients with insurance, at the time of service. We provide for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us by patients with insurance. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

Deferred Tax Assets

 

Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized.

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $431,000 and accounts receivable of $134.9 million at March 31, 2013, compared to cash and cash equivalents of $362,000 and accounts receivable of $129.2 million at December 31, 2012. We had a working capital balance of $39.2 million and $37.3 million at March 31, 2013 and December 31, 2012, respectively.  We had a net loss attributable to RadNet, Inc. common stockholders for the three months ended March 31, 2013 and 2012 of $1.3 million and $111,000, respectively.  We also had a stockholders’ equity (deficit) of $1.6 million and ($2.0 million) at March 31, 2013 and December 31, 2012, respectively.

  

We operate in a capital intensive, high fixed-cost industry that requires significant amounts of capital to fund operations.  In addition to operations, we require a significant amount of capital for the initial start-up and development of new diagnostic imaging facilities, the acquisition of additional facilities and new diagnostic imaging equipment.  Because our cash flows from operations have been insufficient to fund all of these capital requirements, we have depended on the availability of financing under credit arrangements with third parties.

 

Based on our current level of operations, we believe that cash flow from operations and available cash, together with available borrowings from our senior secured credit facilities, will be adequate to meet our short-term and long-term liquidity needs. Our future liquidity requirements will be for working capital, capital expenditures, debt service and general corporate purposes. Our ability to meet our working capital and debt service requirements, however, is subject to future economic conditions and to financial, business and other factors, many of which are beyond our control. If we are not able to meet such requirements, we may be required to seek additional financing. There can be no assurance that we will be able to obtain financing from other sources on terms acceptable to us, if at all.

 

On a continuing basis, we also consider various transactions to increase shareholder value and enhance our business results, including acquisitions, divestitures and joint ventures. These types of transactions may result in future cash proceeds or payments but the general timing, size or success of any acquisition, divestiture or joint venture effort and the related potential capital commitments cannot be predicted. We expect to fund any future acquisitions primarily with cash flow from operations and borrowings, including borrowing from amounts available under our senior secured credit facilities or through new equity or debt issuances.

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise. However, we have no formal plan of doing so at this time.

 

Included in our condensed consolidated balance sheet at March 31, 2013 are $198.1 million of senior notes (net of unamortized discounts of $1.9 million), $341.1 million of senior secured term loan debt (net of unamortized discounts of $7.2 million) and $34.5 million aggregate principal amount outstanding under the revolving credit facility.

 

Accordingly, the par values outstanding of our senior notes and senior secured term loan are $200 million and $348.25 million, respectively.

 

The following describes our most recent financing activities:

 

2010 Credit Agreement

 

On April 6, 2010, we completed a series of transactions which we refer to as our “debt refinancing plan” for an aggregate of $585.0 million.  As part of the debt refinancing plan, our wholly owned subsidiary, Radnet Management, Inc., issued and sold $200.0 million in 10 3/8% senior unsecured notes due 2018 (the “senior notes”). All payments of the senior notes, including principal and interest, are guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc. and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries. The senior notes were issued under an indenture agreement dated April 6, 2010 (the “Indenture”), by and among Radnet Management, as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee, in a private placement that was not subject to the registration requirements of the Securities Act of 1933, as amended (the “Securities Act”).  The senior notes initially issued on April 6, 2010 in a private placement were subsequently publicly offered for exchange enabling holders of the outstanding senior notes to exchange the outstanding notes for publicly registered exchange notes with nearly identical terms. The exchange offer was completed on February 14, 2011.

 

In addition to the issuance of senior notes, Radnet Management entered into a Credit and Guaranty Agreement with a syndicate of lenders (the “Credit Agreement”), whereby Radnet Management obtained $385.0 million in senior secured first-lien bank financing, consisting of (i) a $285.0 million, six-year term loan facility and (ii) a $100.0 million, five-year revolving credit facility, including a swing line subfacility and a letter of credit subfacility (collectively, the “Credit Facilities”).

 

Radnet Management’s obligations under the Credit Agreement were unconditionally guaranteed by RadNet, Inc., all of Radnet Management’s current and future domestic subsidiaries as well as certain affiliates, including Beverly Radiology Medical Group III and its equity holders (Beverly Radiology Medical Group, Inc., BreastLink Medical Group, Inc. and ProNet Imaging Medical Group, Inc.). The Credit Facilities created by the Credit Agreement were secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

  

2012 Refinancing

 

On October 10, 2012 we completed the refinancing of the Credit Facilities by entering into a new Credit and Guaranty Agreement with a syndicate of banks and other financial institutions (the “Refinance Agreement”). The total amount of refinancing was $451.25 million, consisting of (i) a $350 million senior secured term loan and (ii) a $101.25 million senior secured revolving credit facility. The obligations of Radnet Management, Inc. under the Refinance Agreement are guaranteed by RadNet, Inc. and all of Radnet Management’s current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement, including the guarantees, are secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

The termination date for the $350 million term loan is the earliest to occur of (i) the sixth anniversary of the closing date (October 10, 2012), (ii) the date on which all of the term loans shall become due and payable in full under the Refinance Agreement whether by acceleration or otherwise and (iii) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date. The termination date for the $101.25 million revolving credit facility is the earliest to occur of (i) the fifth anniversary of the closing date, (ii) the date the revolving credit facility is permanently reduced to zero pursuant to section 2.13(b) of the Refinance Agreement, (iii) the date of the termination of the revolving credit facility pursuant to section 8.01 of the Refinance Agreement and (iv) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date.

 

In connection with the refinancing of the Credit Facilities in 2012, Radnet Management used the net proceeds to repay in full its existing six year term loan facility for $277.9 million in principal amount outstanding, which would have matured on April 6, 2016, and its revolving credit facility for $59.8 million in principal amount outstanding, which would have matured on April 6, 2015.

 

Refinance Agreement

 

Interest. The Refinance Agreement bears interest through maturity at a rate determined by adding the applicable margin to either (a) the Base Rate, which is defined in the Refinance Agreement as the highest of (i) the prime rate quoted in the Wall Street Journal, (ii) the rate which is 0.5% in excess of the federal funds rate, (iii) (with respect to term loans only) 2.25% and (iv) 1.00% in excess of the one-month Adjusted Eurodollar Rate at such time, or (b) the Adjusted Eurodollar Rate, which is defined in the Refinance Agreement as the higher of (i) the London interbank offered rate, adjusted for statutory reserve requirements, for the respective interest period, as determined by the administrative agent and (ii) (with respect to term loans only) 1.25%.  As used in the Refinance Agreement, applicable margin means (i) (a) with respect to term loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to term loans that are Base Rate Loans, 3.25% per annum; and (ii) (a) with respect to revolving loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to revolving loans and swing line loans that are Base Rate Loans, 3.25% per annum.

 

Payments. Commencing on December 31, 2012 we began making quarterly amortization payments on the term loan facility under the Refinance Agreement, each in the amount of $875,000, with the remaining principal balance paid at maturity.  Under the Refinance Agreement, we are also required to make mandatory prepayments, subject to specified exceptions, from consolidated excess cash flow, and upon certain events, including, but not limited to, (i) the receipt of net cash proceeds from the sale or other disposition of any property or assets by us or any of our subsidiaries, (ii) the receipt of net cash proceeds from insurance or condemnation proceeds paid on account of any loss of any property or assets of us or any of our subsidiaries, and (iii) the receipt of net cash proceeds from the incurrence of indebtedness by us or any of our subsidiaries (other than certain indebtedness otherwise permitted under the Refinance Agreement).

 

Guarantees and Collateral. The obligations under the Refinance Agreement are guaranteed by us, all of our current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement and the guarantees are secured by a perfected first priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

Restrictive Covenants. In addition to certain customary covenants, the Refinance Agreement places limits on our ability to declare dividends or redeem or repurchase capital stock, prepay, redeem or purchase debt, incur liens and engage in sale-leaseback transactions, make loans and investments, incur additional indebtedness, amend or otherwise alter debt and other material agreements, engage in mergers, acquisitions and asset sales, enter into transactions with affiliates and alter the business we and our subsidiaries currently conduct.

 

Financial Covenants. The Refinance Agreement contains financial covenants including a maximum total leverage ratio and a limit on annual capital expenditures.

  

Events of Default. In addition to certain customary events of default, events of default under the Refinance Agreement include failure to pay principal or interest when due, a material breach of any representation or warranty contained in the loan documents, covenant defaults, events of bankruptcy and a change of control. The occurrence of an event of default could permit the lenders under the Refinance Agreement to declare all amounts borrowed, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

 

2013 Amendment to the Refinance Agreement

 

On April 3, 2013, we entered into a first amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loans and borrowed an additional $40.0 million under the senior secured loan facility.

 

Pursuant to the amendment to the Refinance Agreement, the interest rate spread over LIBOR for the senior secured term loans has been reduced from 4.25% to 3.25% and the interest rate spread over the alternative base rate for the senior secured term loans has been reduced from 3.25% to 2.25%. The minimum LIBOR rate underlying the senior secured term loans has been reduced from 1.25% to 1.0%.

 

The other material terms of Refinance Agreement remain unchanged and are described immediately above this section under the heading “2012 Refinancing.”

 

Senior Notes

 

On April 6, 2010, we issued $200 million in aggregate amount of unsecured senior notes which have a coupon of 10.375% and were issued at a price of 98.680%. The senior notes were issued by Radnet Management, Inc. and guaranteed jointly and severally on a senior unsecured basis by us and all of our current and future wholly-owned domestic restricted subsidiaries. The senior notes were offered and sold in a private placement exempt from registration under the Securities Act to qualified institutional buyers pursuant to Rule 144A and Regulation S under the Securities Act. We pay interest on the senior notes on April 1 and October 1, commencing October 1, 2010, and they will expire on April 1, 2018. The senior notes are governed under the Indenture. Under the terms of the Indenture, we agreed to file a registration statement with the SEC relating to an offer to exchange the senior notes for registered publicly tradable notes that have substantially identical terms as the senior notes. On August 30, 2010, we filed a registration statement on Form S-4 with the SEC relating to the offer to exchange the senior notes. On January 13, 2011, our registration statement was declared effective by the SEC. On February 14, 2011, we completed an exchange offer whereby all senior notes were exchanged for registered publicly tradable notes.

 

Ranking. The senior notes and the guarantees:

 

·rank equally in right of payment with any existing and future unsecured senior indebtedness of the guarantors;
·rank senior in right of payment to all existing and future subordinated indebtedness of the guarantors;
·are effectively subordinated in right of payment to any secured indebtedness of the guarantors (including indebtedness under the Refinance Agreement) to the extent of the value of the assets securing such indebtedness; and
·are structurally subordinated in right of payment to all existing and future indebtedness and other liabilities of any of the Company’s subsidiaries that is not a guarantor of the senior notes.

 

Optional Redemption. Radnet Management may redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture.  Prior to April 1, 2013, Radnet Management may redeem up to 35% of aggregate principal amount of the senior notes issued under the Indenture from the net proceeds of one or more equity offerings at a redemption price equal to 110.375% of the senior notes redeemed, plus accrued and unpaid interest, if any.  Radnet Management is also permitted to redeem the senior notes prior to April 1, 2014, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium and accrued and unpaid interest, if any.

 

Change of Control and Asset Sales. If a change in control of Radnet Management occurs, Radnet Management must give holders of the senior notes the opportunity to sell their senior notes at 101% of their face amount, plus accrued interest.  If we or one of our restricted subsidiaries sells assets under certain circumstances, Radnet Management will be required to make an offer to purchase the senior notes at their face amount, plus accrued and unpaid interest to the purchase date.

   

Restrictive Covenants. The Indenture contains covenants that limit, among other things, the ability of us and our restricted subsidiaries, to:

 

  · pay dividends or make certain other restricted payments or investments;
     
  · incur additional indebtedness and issue preferred stock;
     
  · create liens (other than permitted liens) securing indebtedness or trade payables unless the notes are secured on an equal and ratable basis with the obligations so secured, and, if such liens secure subordinated indebtedness, the notes are secured by a lien senior to such liens;
     
  · sell certain assets or merge with or into other companies or otherwise dispose of all or substantially all of our assets;
     
  · enter into certain transactions with affiliates;
     
  · create restrictions on dividends or other payments by our restricted subsidiaries; and
     
  · create guarantees of indebtedness by restricted subsidiaries.

 

However, these limitations are subject to a number of important qualifications and exceptions, as described in the Indenture. As of March 31, 2013, we were in compliance with all covenants.

XML 22 R32.htm IDEA: XBRL DOCUMENT v2.4.0.6
7. FAIR VALUE MEASUREMENTS (Details) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2013
Dec. 31, 2012
FAIR VALUE MEASUREMENTS    
Senior Secured Term Loan $ 348,250 $ 349,125
Senior Notes 200,000 200,000
Level 2
   
FAIR VALUE MEASUREMENTS    
Senior Secured Term Loan 351,733 352,180
Senior Notes 209,000 204,500
Total Fair Value
   
FAIR VALUE MEASUREMENTS    
Senior Secured Term Loan 351,733 352,180
Senior Notes $ 209,000 $ 204,500
XML 23 R2.htm IDEA: XBRL DOCUMENT v2.4.0.6
CONDENSED CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2013
Dec. 31, 2012
CURRENT ASSETS    
Cash and cash equivalents $ 431 $ 362
Accounts receivable, net 134,939 129,194
Current portion of deferred tax assets 8,792 7,607
Prepaid expenses and other current assets 20,213 18,737
Total current assets 164,375 155,900
PROPERTY AND EQUIPMENT, NET 217,443 216,560
OTHER ASSETS    
Goodwill 197,090 193,871
Other intangible assets 52,236 51,674
Deferred financing costs 11,387 11,977
Investment in joint ventures 27,959 28,598
Deferred tax assets, net of current portion 53,054 52,790
Deposits and other 3,590 3,749
Total assets 727,134 715,119
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)    
Accounts payable, accrued expenses and other 112,808 105,929
Due to affiliates 1,495 1,602
Deferred revenue 1,276 1,273
Current portion of deferred rent 1,262 1,164
Current portion of notes payable 5,226 4,703
Current portion of obligations under capital leases 3,138 3,942
Total current liabilities 125,205 118,613
LONG-TERM LIABILITIES    
Deferred rent, net of current portion 16,185 15,850
Line of credit 34,500 33,000
Notes payable, net of current portion 537,799 537,009
Obligations under capital lease, net of current portion 3,350 3,753
Other non-current liabilities 8,481 8,895
Total liabilities 725,520 717,120
STOCKHOLDERS' EQUITY (DEFICIT)    
Common stock - $.0001 par value, 200,000,000 shares authorized; 39,889,196, and 38,540,482 shares issued and outstanding at March 31, 2013 and December 31, 2012, respectively 4 4
Paid-in-capital 172,037 168,415
Accumulated other comprehensive income (loss) (20) 39
Accumulated deficit (172,435) (171,093)
Total Radnet, Inc.'s stockholders' equity (deficit) (414) (2,635)
Noncontrolling interests 2,028 634
Total stockholders' equity (deficit) 1,614 (2,001)
Total liabilities and stockholders' equity (deficit $ 727,134 $ 715,119
XML 24 R6.htm IDEA: XBRL DOCUMENT v2.4.0.6
CONDENSED CONSOLIDATED STATEMENT OF EQUITY DEFICIT (Unaudited) (USD $)
In Thousands, except Share data
Common Stock
Paid-in-Capital
Accumulated Deficit
Accumulated Other Comprehensive Loss
Total RadNet, Inc.'s Equity
Noncontrolling Interests
Total
Beginning Balance, Amount at Dec. 31, 2012 $ 4 $ 168,415 $ (171,093) $ 39 $ (2,635) $ 634 $ (2,001)
Beginning Balance, Shares at Dec. 31, 2012 38,540,482             
Issuance of common stock upon exercise of options/warrants, Amount   469     469   469
Issuance of common stock upon exercise of options/warrants, Shares 898,714            
Stock-based compensation   952     952    
Issuance of restricted stock, Shares 450,000            
Sale of a noncontrolling interest in one of our consolidated joint ventures   2,201     2,201 439 (2,640)
Purchase of a controlling interest in a joint venture           979 979
Change in cumulative foreign currency translation adjustment       (59) (59)   (9)
Net loss     (1,342)   (1,342) (24) (1,366)
Ending Balance, Amount at Mar. 31, 2013 $ 4 $ 172,037 $ (172,435) $ (20) $ (414) $ 2,028 $ 1,614
Ending Balance, Shares at Mar. 31, 2013 39,889,196            
XML 25 R35.htm IDEA: XBRL DOCUMENT v2.4.0.6
8. SUPPLEMENTAL GUARANTOR INFORMATION (Details 2) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
NET SERVICE FEE REVENUE    
Service fee revenue, net of contractual allowances and discounts $ 179,762 $ 168,500
Provision for bad debts (6,822) (6,484)
Net service fee revenue 172,940 162,016
OPERATING EXPENSES    
Cost of operations 149,562 135,400
Depreciation and amortization 14,760 14,892
Loss (gain) on sale and disposal of equipment 170 24
Severance costs 123 449
Total operating expenses 164,615 150,765
(LOSS) INCOME FROM OPERATIONS 8,325 11,251
OTHER EXPENSES    
Interest expense 12,147 13,567
Other (income) expenses (2) (1,147)
Total other expenses 12,145 12,420
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES (3,820) (1,169)
Provision for income taxes 1,248 (245)
Equity in earnings of joint ventures 1,206 1,262
NET LOSS (1,366) (152)
Net loss attributable to noncontrolling interests (24) (41)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (1,342) (111)
Parent [Member]
   
OTHER EXPENSES    
Equity in (losses) earnings of consolidated subsidiaries (1,342) (111)
NET LOSS (1,342) (111)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (1,342) (111)
Subsidiary Issuer [Member]
   
NET SERVICE FEE REVENUE    
Service fee revenue, net of contractual allowances and discounts 37,508 34,544
Provision for bad debts (1,385) (1,267)
Net service fee revenue 36,123 33,277
OPERATING EXPENSES    
Cost of operations 33,236 30,386
Depreciation and amortization 3,128 3,147
Loss (gain) on sale and disposal of equipment 85 37
Severance costs 11 33
Total operating expenses 36,460 33,703
(LOSS) INCOME FROM OPERATIONS (337) (426)
OTHER EXPENSES    
Interest expense 6,673 7,978
Other (income) expenses   (1,213)
Total other expenses 6,673 6,765
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES (7,010) (7,191)
Provision for income taxes (21) (2)
Equity in (losses) earnings of consolidated subsidiaries 5,668 7,082
NET LOSS (1,342) (111)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (1,342) (111)
Guarantor Subsidiaries [Member]
   
NET SERVICE FEE REVENUE    
Service fee revenue, net of contractual allowances and discounts 119,350 119,581
Provision for bad debts (4,217) (4,598)
Net service fee revenue 115,133 114,983
OPERATING EXPENSES    
Cost of operations 95,518 91,505
Depreciation and amortization 11,323 11,683
Loss (gain) on sale and disposal of equipment 85 (113)
Severance costs 110 390
Total operating expenses 107,036 103,465
(LOSS) INCOME FROM OPERATIONS 8,097 11,518
OTHER EXPENSES    
Interest expense 5,391 5,589
Other (income) expenses (2) 66
Total other expenses 5,389 5,655
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES 2,708 5,863
Provision for income taxes 59,936 (243)
Equity in (losses) earnings of consolidated subsidiaries 500 200
Equity in earnings of joint ventures 1,206 1,262
NET LOSS 5,668 7,082
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS 5,668 7,082
Non-Guarantor Subsidiaries [Member]
   
NET SERVICE FEE REVENUE    
Service fee revenue, net of contractual allowances and discounts 22,904 14,375
Provision for bad debts (1,220) (619)
Net service fee revenue 21,684 13,756
OPERATING EXPENSES    
Cost of operations 20,808 13,509
Depreciation and amortization 309 62
Loss (gain) on sale and disposal of equipment     
Severance costs 2 26
Total operating expenses 21,119 13,597
(LOSS) INCOME FROM OPERATIONS 565 159
OTHER EXPENSES    
Interest expense 83  
Total other expenses 83  
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES 482 159
Provision for income taxes (5)  
NET LOSS 476 159
Net loss attributable to noncontrolling interests (24) (41)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS 500 200
Eliminations [Member]
   
OTHER EXPENSES    
Equity in (losses) earnings of consolidated subsidiaries (4,826) (7,171)
NET LOSS (4,826) (7,171)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ (4,826) $ (7,171)
XML 26 R22.htm IDEA: XBRL DOCUMENT v2.4.0.6
7. FAIR VALUE MEASUREMENTS (Tables)
3 Months Ended
Mar. 31, 2013
Fair Value Measurements  
FAIR VALUE MEASUREMENTS

   As of March 31, 2013 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan       351,733        351,733    348,250 
Senior Notes       209,000        209,000    200,000 

 

   As of December 31, 2012 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan  $   $352,180   $   $352,180   $349,125 
Senior Notes       204,500        204,500    200,000 

 

XML 27 R36.htm IDEA: XBRL DOCUMENT v2.4.0.6
8. SUPPLEMENTAL GUARANTOR INFORMATION (Details 3) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income $ (1,366) $ (152)
Depreciation and amortization 14,760 14,892
Provision for bad debt 6,822 6,484
Equity in earnings of joint ventures (1,206) (1,262)
Distributions from joint ventures 1,921 1,575
Deferred rent amortization 433 288
Amortization of deferred financing cost 457 602
Amortization of bond discount 400 234
Loss on sale and disposal of equipment 170 24
Amortization of cash flow hedge    276
Stock-based compensation 952 1,175
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Accounts receivable (11,782) (12,023)
Other current assets (5,099) (683)
Other assets (105) (64)
Deferred revenue 3 86
Accounts payable, accrued expenses and other 8,861 3,979
Net cash provided by operating activities 15,221 15,431
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of imaging facilities (3,625) (580)
Purchase of property and equipment (12,926) (13,962)
Proceeds from sale of equipment 270 410
Proceeds from sale of noncontrolling interests 2,640   
Proceeds from sale of imaging facilities    2,300
Purchase of equity interest in joint ventures (724) (920)
Net cash used in investing activities (14,365) (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (2,697) (4,479)
Proceeds from, net of payments on, line of credit 1,500 2,700
Payments to counterparties of interest rate swaps, net of amounts received    (1,500)
Distributions to noncontrolling interests    (26)
Proceeds from issuance of common stock upon exercise of options/warrants 469   
Net cash used in financing activities (728) (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH (59) 5
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 69 (621)
CASH AND CASH EQUIVALENTS, beginning of period 362 2,455
CASH AND CASH EQUIVALENTS, end of period 431 1,834
Parent [Member]
   
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income (1,342) (111)
Equity in earnings of consolidated subsidiaries 1,342 111
Subsidiary Issuer [Member]
   
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income (1,342) (111)
Depreciation and amortization 3,128 3,147
Provision for bad debt 1,385 1,267
Equity in earnings of consolidated subsidiaries (5,668) (7,082)
Deferred rent amortization 156 36
Amortization of deferred financing cost 457 602
Amortization of bond discount 400 234
Loss on sale and disposal of equipment 85 137
Amortization of cash flow hedge   276
Stock-based compensation 238 294
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Other current assets (3,611) 1,286
Other assets 225 (19)
Accounts payable, accrued expenses and other 7,957 3,175
Net cash provided by operating activities 3,410 3,242
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of imaging facilities (350)  
Purchase of property and equipment (4,053) (4,445)
Proceeds from sale of equipment 145 43
Net cash used in investing activities (4,258) (4,402)
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (1,424) (1,406)
Proceeds from, net of payments on, line of credit 1,500 2,700
Payments to counterparties of interest rate swaps, net of amounts received   (1,500)
Proceeds from issuance of common stock upon exercise of options/warrants 469  
Net cash used in financing activities 545 (206)
EFFECT OF EXCHANGE RATE CHANGES ON CASH (59) 5
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS (362) (1,366)
CASH AND CASH EQUIVALENTS, beginning of period 362 1,366
Guarantor Subsidiaries [Member]
   
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income 5,668 7,082
Depreciation and amortization 11,323 11,683
Provision for bad debt 4,217 4,598
Equity in earnings of consolidated subsidiaries (500) (200)
Distributions from consolidated subsidiaries   276
Equity in earnings of joint ventures (1,206) (1,262)
Distributions from joint ventures 1,921 1,575
Deferred rent amortization 254 252
Loss on sale and disposal of equipment 85 (113)
Stock-based compensation 714 881
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Accounts receivable 1,214 (3,018)
Other current assets (1,606) (1,472)
Other assets (330) (45)
Deferred revenue 3 86
Accounts payable, accrued expenses and other (10,285) (8,028)
Net cash provided by operating activities 11,472 12,299
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of imaging facilities (3,275) (580)
Purchase of property and equipment (8,847) (9,517)
Proceeds from sale of equipment 125 367
Proceeds from sale of noncontrolling interests 2,640  
Proceeds from sale of imaging facilities   2,300
Purchase of equity interest in joint ventures (724) (920)
Net cash used in investing activities (10,081) (8,350)
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (960) (3,073)
Distributions to noncontrolling interests   (302)
Net cash used in financing activities (960) (3,073)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 431 881
CASH AND CASH EQUIVALENTS, end of period 431 881
Non-Guarantor Subsidiaries [Member]
   
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income 476 159
Depreciation and amortization 309 62
Provision for bad debt 1,220 519
Deferred rent amortization 23  
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Accounts receivable (12,996) (9,009)
Other current assets 118 (497)
Accounts payable, accrued expenses and other 11,189 8,832
Net cash provided by operating activities 339 166
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of property and equipment (26)  
Net cash used in investing activities (26)  
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (313)  
Distributions to noncontrolling interests   276
Net cash used in financing activities (313) (302)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS   (136)
CASH AND CASH EQUIVALENTS, beginning of period   1,089
CASH AND CASH EQUIVALENTS, end of period   953
Eliminations [Member]
   
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income (4,826) (7,171)
Equity in earnings of consolidated subsidiaries 4,826 7,171
Distributions from consolidated subsidiaries   (276)
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Net cash provided by operating activities   (276)
CASH FLOWS FROM FINANCING ACTIVITIES    
Net cash used in financing activities   $ 276
XML 28 R24.htm IDEA: XBRL DOCUMENT v2.4.0.6
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Nature Of Business And Basis Of Presentation    
Commercial Insurance/Managed Care Capitation $ 97,685 $ 91,745
Medicare 22,583 21,626
Medicaid 35,713 34,077
Workers Compensation/Personal Injury 5,777 5,570
Other 18,004 15,483
Service fee revenue, net of contractual allowances and discounts 179,762 168,500
Provision for bad debts (6,822) (6,484)
Net service fee revenue $ 172,940 $ 162,016
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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
CASH FLOWS FROM OPERATING ACTIVITIES    
Net loss $ (1,366) $ (152)
Depreciation and amortization 14,760 14,892
Provision for bad debt 6,822 6,484
Equity in earnings of joint ventures (1,206) (1,262)
Distributions from joint ventures 1,921 1,575
Deferred rent amortization 433 288
Amortization of deferred financing cost 457 602
Amortization of bond discount 400 234
Loss on sale and disposal of equipment 170 24
Amortization of cash flow hedge    276
Stock-based compensation 952 1,175
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Accounts receivable (11,782) (12,023)
Other current assets (5,099) (683)
Other assets (105) (64)
Deferred revenue 3 86
Accounts payable, accrued expenses and other 8,861 3,979
Net cash provided by operating activities 15,221 15,431
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of imaging facilities (3,625) (580)
Purchase of property and equipment (12,926) (13,962)
Proceeds from sale of equipment 270 410
Proceeds from sale of noncontrolling interests 2,640   
Proceeds from sale of imaging facilities    2,300
Purchase of equity interest in joint ventures (724) (920)
Net cash used in investing activities (14,365) (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (2,697) (4,479)
Proceeds from, net of payments on, line of credit 1,500 2,700
Payments to counterparties of interest rate swaps, net of amounts received    (1,500)
Distributions to noncontrolling interests    (26)
Proceeds from issuance of common stock upon exercise of options/warrants 469   
Net cash used in financing activities (728) (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH (59) 5
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 69 (621)
CASH AND CASH EQUIVALENTS, beginning of period 362 2,455
CASH AND CASH EQUIVALENTS, end of period 431 1,834
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION    
Cash paid during the period for interest $ 5,531 $ 6,841
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CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)
Mar. 31, 2013
Dec. 31, 2012
Statement of Financial Position [Abstract]    
Common stock - par value (in Dollars per share) $ 0.0001 $ 0.0001
Common stock - shares authorized 200,000,000 200,000,000
Common stock - shares issued 39,889,196 38,540,482
Common stock - shares outstanding 39,889,196 38,540,482
XML 32 R17.htm IDEA: XBRL DOCUMENT v2.4.0.6
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Policies)
3 Months Ended
Mar. 31, 2013
Nature Of Business And Basis Of Presentation Policies  
NATURE OF BUSINESS AND BASIS OF PRESENTATION

At March 31, 2013, we operated directly or indirectly through joint ventures, 248 centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology, or X-ray, fluoroscopy and other related procedures. Our operations comprise a single segment for financial reporting purposes.

 

The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”).  The consolidated financial statements also include Radnet Management I, Inc., Radnet Management II, Inc.,  Radiologix, Inc., Radnet Managed Imaging Services, Inc., Delaware Imaging Partners, Inc., New Jersey Imaging Partners, Inc. and Diagnostic Imaging Services, Inc. (“DIS”), all wholly owned subsidiaries of Radnet Management.  All of these affiliated entities are referred to collectively as “RadNet”, “we”, “us”, “our” or the “Company” in this report.

 

Accounting Standards Codification (“ASC”) Section 810-10-15-14 stipulates that generally any entity with a) insufficient equity to finance its activities without additional subordinated financial support provided by any parties, or b) equity holders that, as a group, lack the characteristics specified in the ASC which evidence a controlling financial interest, is considered a Variable Interest Entity (“VIE”). We consolidate all VIEs in which we own a majority voting interest and all VIEs for which we are the primary beneficiary. We determine whether we are the primary beneficiary of a VIE through a qualitative analysis that identifies which variable interest holder has the controlling financial interest in the VIE. The variable interest holder who has both of the following has the controlling financial interest and is the primary beneficiary: (1) the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and (2) the obligation to absorb losses of, or the right to receive benefits from, the VIE that could potentially be significant to the VIE. In performing our analysis, we consider all relevant facts and circumstances, including: the design and activities of the VIE, the terms of the contracts the VIE has entered into, the nature of the VIE’s variable interests issued and how they were negotiated with or marketed to potential investors, and which parties participated significantly in the design or redesign of the entity.

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.5% of our outstanding common stock. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which are 99% or 100% owned by Dr. Berger.  

 

John V. Crues III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG. Dr. Crues also owns a controlling interest in three medical groups (“Crues Entities”) which provide professional medical services at our imaging facilities located in Manhattan, New York, which we acquired through our December 31, 2012 acquisition of Lenox Hill.

 

RadNet provides non-medical, technical and administrative services to BRMG and the Crues Entities for which it receives a management fee, per the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the Crues Entities. Through our management agreements with BRMG and the Crues Entities, we determine the annual budget of BRMG and the Crues Entities and make all physician employment decisions. BRMG and the Crues Entities both have insignificant operating assets and liabilities, and de minimis equity. Through the management agreements with us, all cash flows of both BRMG and the Crues Entities are transferred to us.

 

We have determined that BRMG and the Crues Entities are variable interest entities, and that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses of each. BRMG and the Crues Entities combined recognized $17.4 million and $12.7 million of revenue, net of management service fees to RadNet, Inc., for the three months ended March 31, 2013 and 2012, respectively, and $17.4 million and $12.7 million of operating expenses for the three months ended March 31, 2013 and 2012, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $80.6 million and $63.1 million of total billed net service fee revenue relating to these entities for the three months ended March 31, 2013 and 2012, respectively, of which $63.2 million and $50.4 million was for management services provided to BRMG and the Crues Entities relating primarily to the technical portion of total billed revenue for the three months ended March 31, 2013 and 2012, respectively. The cash flows of BRMG and the Crues Entities are included in the accompanying consolidated statements of cash flows. All intercompany balances and transactions have been eliminated in consolidation. In our consolidated balance sheets at March 31, 2013 and December 31, 2012, we have included approximately $60.5 million and $51.8 million, respectively, of accounts receivable and approximately $8.8 million and $6.3 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the Crues Entities combined.

 

The creditors of both BRMG and the Crues Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses. However, both BRMG and the Crues Entities are managed to recognize no net income or net loss and, therefore, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from centers in California and Manhattan, New York where we contract with BRMG and the Crues Entities for the provision of professional medical services, at the remaining centers in California and at all of the centers which are located outside of California except for Manhattan, New York, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities.  These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers.  The radiology practices maintain full control over the provision of professional services. The contracted radiology practices generally have outstanding physician and practice credentials and reputations; strong competitive market positions; a broad sub-specialty mix of physicians; a history of growth and potential for continued growth.  In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers.  We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures.  The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended March 31, 2013 and 2012 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2012 as amended.

 

Significant Accounting Policies

 

As of the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2012 as amended.

Revenues

Revenues

 

Service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payers and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments. As it relates to BRMG centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG as well as the payment for all other aspects related to our providing the imaging services, for which we earn management fees from BRMG. As it relates to non-BRMG centers, this service fee revenue is earned through providing the administration of the non-medical functions relating to the professional medical practice at our non-BRMG centers, including among other functions, provision of clerical and administrative personnel, bookkeeping and accounting services, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.

  

Service fee revenues are recorded during the period the patient services are provided based upon the estimated amounts due from the patients and third-party payers. Third-party payers include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances under managed care health plans are based upon the payment terms specified in the related contractual agreements. Contractual payment terms in managed care agreements are generally based upon predetermined rates per discounted fee-for-service rates. We also record a provision for doubtful accounts (based primarily on historical collection experience) related to patients and copayment and deductible amounts for patients who have health care coverage under one of our third-party payers.

 

Our service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the three months ended March 31, are summarized in the following table (in thousands):

 

   2013   2012 
         
Commercial Insurance  $97,685   $91,745 
Managed Care Capitated Payors   22,583    21,626 
Medicare   35,713    34,077 
Medicaid   5,777    5,570 
Other   18,004    15,483 
Service fee revenue, net of contractual allowances and discounts   179,762    168,500 
           
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue  $172,940   $162,016 

 

The break-out of our service fee revenue, net of contractual allowances and discounts, is calculated based upon global payments received from consolidated imaging centers from dates of service during each respective period illustrated.

Provision for Bad Debts

Provision for Bad Debts

 

Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service. We provide for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us by patients with insurance. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

Deferred Tax Assets

Deferred Tax Assets

 

Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized.

Liquidity and Capital Resources

Liquidity and Capital Resources

 

We had cash and cash equivalents of $431,000 and accounts receivable of $134.9 million at March 31, 2013, compared to cash and cash equivalents of $362,000 and accounts receivable of $129.2 million at December 31, 2012. We had a working capital balance of $39.2 million and $37.3 million at March 31, 2013 and December 31, 2012, respectively.  We had a net loss attributable to RadNet, Inc. common stockholders for the three months ended March 31, 2013 and 2012 of $1.3 million and $111,000, respectively.  We also had a stockholders’ equity (deficit) of $1.6 million and ($2.0 million) at March 31, 2013 and December 31, 2012, respectively.

 

We operate in a capital intensive, high fixed-cost industry that requires significant amounts of capital to fund operations.  In addition to operations, we require a significant amount of capital for the initial start-up and development of new diagnostic imaging facilities, the acquisition of additional facilities and new diagnostic imaging equipment.  Because our cash flows from operations have been insufficient to fund all of these capital requirements, we have depended on the availability of financing under credit arrangements with third parties.

 

Based on our current level of operations, we believe that cash flow from operations and available cash, together with available borrowings from our senior secured credit facilities, will be adequate to meet our short-term and long-term liquidity needs. Our future liquidity requirements will be for working capital, capital expenditures, debt service and general corporate purposes. Our ability to meet our working capital and debt service requirements, however, is subject to future economic conditions and to financial, business and other factors, many of which are beyond our control. If we are not able to meet such requirements, we may be required to seek additional financing. There can be no assurance that we will be able to obtain financing from other sources on terms acceptable to us, if at all.

 

On a continuing basis, we also consider various transactions to increase shareholder value and enhance our business results, including acquisitions, divestitures and joint ventures. These types of transactions may result in future cash proceeds or payments but the general timing, size or success of any acquisition, divestiture or joint venture effort and the related potential capital commitments cannot be predicted. We expect to fund any future acquisitions primarily with cash flow from operations and borrowings, including borrowing from amounts available under our senior secured credit facilities or through new equity or debt issuances.

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise. However, we have no formal plan of doing so at this time.

 

Included in our condensed consolidated balance sheet at March 31, 2013 are $198.1 million of senior notes (net of unamortized discounts of $1.9 million), $341.1 million of senior secured term loan debt (net of unamortized discounts of $7.2 million) and $34.5 million aggregate principal amount outstanding under the revolving credit facility.

 

Accordingly, the par values outstanding of our senior notes and senior secured term loan are $200 million and $348.25 million, respectively.

 

The following describes our most recent financing activities:

 

2010 Credit Agreement

 

On April 6, 2010, we completed a series of transactions which we refer to as our “debt refinancing plan” for an aggregate of $585.0 million.  As part of the debt refinancing plan, our wholly owned subsidiary, Radnet Management, Inc., issued and sold $200.0 million in 10 3/8% senior unsecured notes due 2018 (the “senior notes”). All payments of the senior notes, including principal and interest, are guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc. and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries. The senior notes were issued under an indenture agreement dated April 6, 2010 (the “Indenture”), by and among Radnet Management, as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee, in a private placement that was not subject to the registration requirements of the Securities Act of 1933, as amended (the “Securities Act”).  The senior notes initially issued on April 6, 2010 in a private placement were subsequently publicly offered for exchange enabling holders of the outstanding senior notes to exchange the outstanding notes for publicly registered exchange notes with nearly identical terms. The exchange offer was completed on February 14, 2011.

 

In addition to the issuance of senior notes, Radnet Management entered into a Credit and Guaranty Agreement with a syndicate of lenders (the “Credit Agreement”), whereby Radnet Management obtained $385.0 million in senior secured first-lien bank financing, consisting of (i) a $285.0 million, six-year term loan facility and (ii) a $100.0 million, five-year revolving credit facility, including a swing line subfacility and a letter of credit subfacility (collectively, the “Credit Facilities”).

 

Radnet Management’s obligations under the Credit Agreement were unconditionally guaranteed by RadNet, Inc., all of Radnet Management’s current and future domestic subsidiaries as well as certain affiliates, including Beverly Radiology Medical Group III and its equity holders (Beverly Radiology Medical Group, Inc., BreastLink Medical Group, Inc. and ProNet Imaging Medical Group, Inc.). The Credit Facilities created by the  Credit Agreement were secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

  

2012 Refinancing

 

On October 10, 2012 we completed the refinancing of the Credit Facilities by entering into a new Credit and Guaranty Agreement with a syndicate of banks and other financial institutions (the “Refinance Agreement”). The total amount of refinancing was $451.25 million, consisting of (i) a $350 million senior secured term loan and (ii) a $101.25 million senior secured revolving credit facility. The obligations of Radnet Management, Inc. under the Refinance Agreement are guaranteed by RadNet, Inc. and all of Radnet Management’s current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement, including the guarantees, are secured by a perfected first-priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

The termination date for the $350 million term loan is the earliest to occur of (i) the sixth anniversary of the closing date (October 10, 2012), (ii) the date on which all of the term loans shall become due and payable in full under the Refinance Agreement whether by acceleration or otherwise and (iii) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date. The termination date for the $101.25 million revolving credit facility is the earliest to occur of (i) the fifth anniversary of the closing date, (ii) the date the revolving credit facility is permanently reduced to zero pursuant to section 2.13(b) of the Refinance Agreement, (iii) the date of the termination of the revolving credit facility pursuant to section 8.01 of the Refinance Agreement and (iv) October 1, 2017 if our senior notes due 2018 have not been refinanced by such date.

 

In connection with the refinancing of the Credit Facilities in 2012, Radnet Management used the net proceeds to repay in full its existing six year term loan facility for $277.9 million in principal amount outstanding, which would have matured on April 6, 2016, and its revolving credit facility for $59.8 million in principal amount outstanding, which would have matured on April 6, 2015.

Refinance Agreement

Refinance Agreement

 

Interest. The Refinance Agreement bears interest through maturity at a rate determined by adding the applicable margin to either (a) the Base Rate, which is defined in the Refinance Agreement as the highest of (i) the prime rate quoted in the Wall Street Journal, (ii) the rate which is 0.5% in excess of the federal funds rate, (iii) (with respect to term loans only) 2.25% and (iv) 1.00% in excess of the one-month Adjusted Eurodollar Rate at such time, or (b) the Adjusted Eurodollar Rate, which is defined in the Refinance Agreement as the higher of (i) the London interbank offered rate, adjusted for statutory reserve requirements, for the respective interest period, as determined by the administrative agent and (ii) (with respect to term loans only) 1.25%.  As used in the Refinance Agreement, applicable margin means (i) (a) with respect to term loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to term loans that are Base Rate Loans, 3.25% per annum; and (ii) (a) with respect to revolving loans that are Eurodollar Rate Loans, 4.25% per annum and (b) with respect to revolving loans and swing line loans that are Base Rate Loans, 3.25% per annum.

 

Payments. Commencing on December 31, 2012 we began making quarterly amortization payments on the term loan facility under the Refinance Agreement, each in the amount of $875,000, with the remaining principal balance paid at maturity.  Under the Refinance Agreement, we are also required to make mandatory prepayments, subject to specified exceptions, from consolidated excess cash flow, and upon certain events, including, but not limited to, (i) the receipt of net cash proceeds from the sale or other disposition of any property or assets by us or any of our subsidiaries, (ii) the receipt of net cash proceeds from insurance or condemnation proceeds paid on account of any loss of any property or assets of us or any of our subsidiaries, and (iii) the receipt of net cash proceeds from the incurrence of indebtedness by us or any of our subsidiaries (other than certain indebtedness otherwise permitted under the Refinance Agreement).

 

Guarantees and Collateral. The obligations under the Refinance Agreement are guaranteed by us, all of our current and future domestic subsidiaries and certain of our affiliates. The obligations under the Refinance Agreement and the guarantees are secured by a perfected first priority security interest in all of Radnet Management’s and the guarantors’ tangible and intangible assets, including, but not limited to, pledges of equity interests of Radnet Management and all of our current and future domestic subsidiaries.

 

Restrictive Covenants. In addition to certain customary covenants, the Refinance Agreement places limits on our ability to declare dividends or redeem or repurchase capital stock, prepay, redeem or purchase debt, incur liens and engage in sale-leaseback transactions, make loans and investments, incur additional indebtedness, amend or otherwise alter debt and other material agreements, engage in mergers, acquisitions and asset sales, enter into transactions with affiliates and alter the business we and our subsidiaries currently conduct.

 

Financial Covenants. The Refinance Agreement contains financial covenants including a maximum total leverage ratio and a limit on annual capital expenditures.

  

Events of Default. In addition to certain customary events of default, events of default under the Refinance Agreement include failure to pay principal or interest when due, a material breach of any representation or warranty contained in the loan documents, covenant defaults, events of bankruptcy and a change of control. The occurrence of an event of default could permit the lenders under the Refinance Agreement to declare all amounts borrowed, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

 

2013 Amendment to the Refinance Agreement

 

On April 3, 2013, we entered into a first amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loans and borrowed an additional $40.0 million under the senior secured loan facility.

 

Pursuant to the amendment to the Refinance Agreement, the interest rate spread over LIBOR for the senior secured term loans has been reduced from 4.25% to 3.25% and the interest rate spread over the alternative base rate for the senior secured term loans has been reduced from 3.25% to 2.25%. The minimum LIBOR rate underlying the senior secured term loans has been reduced from 1.25% to 1.0%.

 

The other material terms of Refinance Agreement remain unchanged and are described immediately above this section under the heading “2012 Refinancing.”

 

Senior Notes

 

On April 6, 2010, we issued $200 million in aggregate amount of unsecured senior notes which have a coupon of 10.375% and were issued at a price of 98.680%. The senior notes were issued by Radnet Management, Inc. and guaranteed jointly and severally on a senior unsecured basis by us and all of our current and future wholly-owned domestic restricted subsidiaries. The senior notes were offered and sold in a private placement exempt from registration under the Securities Act to qualified institutional buyers pursuant to Rule 144A and Regulation S under the Securities Act. We pay interest on the senior notes on April 1 and October 1, commencing October 1, 2010, and they will expire on April 1, 2018. The senior notes are governed under the Indenture. Under the terms of the Indenture, we agreed to file a registration statement with the SEC relating to an offer to exchange the senior notes for registered publicly tradable notes that have substantially identical terms as the senior notes. On August 30, 2010, we filed a registration statement on Form S-4 with the SEC relating to the offer to exchange the senior notes. On January 13, 2011, our registration statement was declared effective by the SEC. On February 14, 2011, we completed an exchange offer whereby all senior notes were exchanged for registered publicly tradable notes.

 

Ranking. The senior notes and the guarantees:

 

·rank equally in right of payment with any existing and future unsecured senior indebtedness of the guarantors;
·rank senior in right of payment to all existing and future subordinated indebtedness of the guarantors;
·are effectively subordinated in right of payment to any secured indebtedness of the guarantors (including indebtedness under the Refinance Agreement) to the extent of the value of the assets securing such indebtedness; and
·are structurally subordinated in right of payment to all existing and future indebtedness and other liabilities of any of the Company’s subsidiaries that is not a guarantor of the senior notes.

 

Optional Redemption. Radnet Management may redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture.  Prior to April 1, 2013, Radnet Management may redeem up to 35% of aggregate principal amount of the senior notes issued under the Indenture from the net proceeds of one or more equity offerings at a redemption price equal to 110.375% of the senior notes redeemed, plus accrued and unpaid interest, if any.  Radnet Management is also permitted to redeem the senior notes prior to April 1, 2014, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium and accrued and unpaid interest, if any.

 

Change of Control and Asset Sales. If a change in control of Radnet Management occurs, Radnet Management must give holders of the senior notes the opportunity to sell their senior notes at 101% of their face amount, plus accrued interest.  If we or one of our restricted subsidiaries sells assets under certain circumstances, Radnet Management will be required to make an offer to purchase the senior notes at their face amount, plus accrued and unpaid interest to the purchase date.

   

Restrictive Covenants. The Indenture contains covenants that limit, among other things, the ability of us and our restricted subsidiaries, to:

 

  · pay dividends or make certain other restricted payments or investments;
     
  · incur additional indebtedness and issue preferred stock;
     
  · create liens (other than permitted liens) securing indebtedness or trade payables unless the notes are secured on an equal and ratable basis with the obligations so secured, and, if such liens secure subordinated indebtedness, the notes are secured by a lien senior to such liens;
     
  · sell certain assets or merge with or into other companies or otherwise dispose of all or substantially all of our assets;
     
  · enter into certain transactions with affiliates;
     
  · create restrictions on dividends or other payments by our restricted subsidiaries; and
     
  · create guarantees of indebtedness by restricted subsidiaries.

 

However, these limitations are subject to a number of important qualifications and exceptions, as described in the Indenture. As of March 31, 2013, we were in compliance with all covenants.

XML 33 R1.htm IDEA: XBRL DOCUMENT v2.4.0.6
Document and Entity Information
3 Months Ended
Mar. 31, 2013
May 06, 2013
Document And Entity Information    
Entity Registrant Name RadNet, Inc.  
Entity Central Index Key 0000790526  
Document Type 10-Q  
Document Period End Date Mar. 31, 2013  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Is Entity a Well-known Seasoned Issuer? No  
Is Entity a Voluntary Filer? No  
Is Entity's Reporting Status Current? Yes  
Entity Filer Category Accelerated Filer  
Entity Common Stock, Shares Outstanding   40,089,196
Document Fiscal Period Focus Q1  
Document Fiscal Year Focus 2013  
XML 34 R18.htm IDEA: XBRL DOCUMENT v2.4.0.6
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Tables)
3 Months Ended
Mar. 31, 2013
Nature Of Business And Basis Of Presentation Tables  
Service fee revenue
   2013   2012 
         
Commercial Insurance  $97,685   $91,745 
Managed Care Capitated Payors   22,583    21,626 
Medicare   35,713    34,077 
Medicaid   5,777    5,570 
Other   18,004    15,483 
Service fee revenue, net of contractual allowances and discounts   179,762    168,500 
           
Provision for bad debts   (6,822)   (6,484)
Net service fee revenue  $172,940   $162,016 
XML 35 R4.htm IDEA: XBRL DOCUMENT v2.4.0.6
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
NET SERVICE FEE REVENUE    
Service fee revenue, net of contractual allowances and discounts $ 179,762 $ 168,500
Provision for bad debts (6,822) (6,484)
Net service fee revenue 172,940 162,016
OPERATING EXPENSES    
Cost of operations 149,562 135,400
Depreciation and amortization 14,760 14,892
Loss on sale and disposal of equipment 170 24
Severance costs 123 449
Total operating expenses 164,615 150,765
INCOME FROM OPERATIONS 8,325 11,251
OTHER EXPENSES    
Interest expense 12,147 13,567
Other income (2) (1,147)
Total other expenses 12,145 12,420
INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES (3,820) (1,169)
Benefit from (provision for) income taxes 1,248 (245)
Equity in earnings of joint ventures 1,206 1,262
NET LOSS (1,366) (152)
Net loss attributable to noncontrolling interests (24) (41)
NET LOSS ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ (1,342) $ (111)
BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ (0.03) $ 0.00
WEIGHTED AVERAGE SHARES OUTSTANDING    
Basic and diluted 39,314,447 37,669,921
XML 36 R12.htm IDEA: XBRL DOCUMENT v2.4.0.6
5. INVESTMENT IN JOINT VENTURES
3 Months Ended
Mar. 31, 2013
Investment In Joint Ventures  
Equity Method Investments and Joint Ventures Disclosure [Text Block]

We have eight unconsolidated joint ventures with ownership interests ranging from 35% to 50%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers.  Professional services at the joint venture diagnostic imaging centers are performed by contracted radiology practices or a radiology practice that participates in the joint venture.  Our investment in these joint ventures is accounted for under the equity method.   Investment in joint ventures decreased approximately $639,000 to $28.0 million at March 31, 2013 compared to $28.6 million at December 31, 2012.  This decrease is primarily related to our purchase of a controlling interest in one of these investments resulting in our reclassification of approximately $648,000 out of this balance as we now consolidate this imaging center business (see Note 2 above for more details regarding this transaction). Additionally, during the three months ended March 31, 2013 we recorded equity earnings of approximately $1.2 million, made additional equity contributions of $724,000 and received our respective share of distributions of $1.9 million.  

 

We received management service fees from the centers underlying these joint ventures of approximately $2.0 million and $1.9 million for the three months ended March 31, 2013 and 2012, respectively, and eliminated the uncollected portion of the fees earned associated with our ownership from our net revenue with an offsetting increase to our equity earnings.

 

The following table is a summary of key financial data for these joint ventures as of March 31, 2013 and for the three months ended March 31, 2013 and 2012 (in thousands):

 

Balance Sheet Data:   March 31, 2013      
Current assets  $15,277      
Noncurrent assets   44,169      
Current liabilities   (5,537)     
Noncurrent liabilities   (5,871)     
Total net assets  $48,038      
           
Book value of Radnet joint venture interests  $22,422      
Cost in excess of book value of acquired joint venture interests   5,232      
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet   305      
Total value of Radnet joint venture interests  $27,959      
           
Total book value of other joint venture partner interests  $25,616      
           
Income Statement Data for the three months ended March 31,   2013    2012 
           
Net revenue  $22,281   $21,076 
Net income  $2,733   $2,533 

 

XML 37 R11.htm IDEA: XBRL DOCUMENT v2.4.0.6
4. EARNINGS PER SHARE
3 Months Ended
Mar. 31, 2013
Earnings Per Share [Abstract]  
Earnings Per Share [Text Block]

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 
   March 31, 
   2013   2012 
     
Net loss attributable to RadNet, Inc.'s common stockholders  $(1,342)  $(111)
           
BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS          
Weighted average number of common shares outstanding during the period   39,314,447    37,669,921 
Basic and diluted net loss per share attributable to RadNet, Inc.'s common stockholders  $(0.03)  $(0.00)

 

For the three months ended March 31, 2013 and 2012, we excluded all options and warrants in the calculation of diluted loss per share because their effect is anti-dilutive.

XML 38 R23.htm IDEA: XBRL DOCUMENT v2.4.0.6
8. SUPPLEMENTAL GUARANTOR INFORMATION (Tables)
3 Months Ended
Mar. 31, 2013
Supplemental Guarantor Information  
SUPPLEMENTAL GUARANTOR INFORMATION [Table Text Block]

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

March 31, 2013

(in thousands)

(unaudited)

 

   Parent   Subsidiary Issuer   Guarantor
Subsidiary
  

Non-Guarantor

Subsidiaries

    Eliminations    Consolidated 
ASSETS                        
CURRENT ASSETS                              
Cash and cash equivalents  $   $   $431   $   $   $431 
Accounts receivable, net           64,597    70,342        134,939 
Current deferred tax assets           8,792            8,792 
Prepaid expenses and other current assets       13,382    6,097    734        20,213 
Total current assets       13,382    79,917    71,076        164,375 
PROPERTY AND EQUIPMENT, NET       49,203    161,970    6,270        217,443 
OTHER ASSETS                              
Goodwill       49,139    143,211    4,740        197,090 
Other intangible assets       160    51,974    102        52,236 
Deferred financing costs, net       11,387                11,387 
Investment in subsidiaries   (414)   350,608    14,746        (364,940)    
Investment in joint ventures           27,959            27,959 
Deferred tax assets, net of current portion           53,054            53,054 
Deposits and other       1,596    1,935    59        3,590 
Total assets  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 
LIABILITIES AND EQUITY (DEFICIT)                              
CURRENT LIABILITIES                              
Intercompany  $   $(165,623)  $112,383   $53,240   $   $ 
Accounts payable, accrued expenses and other       56,129    48,361    8,318        112,808 
Due to affiliates           1,495            1,495 
Deferred revenue           1,276            1,276 
Current portion of deferred rent       605    611    46        1,262 
Current portion of notes payable       3,500    1,004    722        5,226 
Current portion of obligations under capital leases       947    1,301    890        3,138 
Total current liabilities       (104,442)   166,431    63,216        125,205 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,703    6,290    192        16,185 
Line of credit       34,500                34,500 
Notes payable, net of current portion       535,640    638    1,521        537,799 
Obligations under capital leases, net of current portion       488    2,318    544        3,350 
Other non-current liabilities           8,481            8,481 
Total liabilities       475,889    184,158    65,473        725,520 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (414)   (414)   350,608    14,746    (364,940)   (414)
Noncontrolling interests               2,028        2,028 
Total equity (deficit)   (414)   (414)   350,608    16,774    (364,940)   1,614 
Total liabilities and equity (deficit)  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

December 31, 2012

(in thousands)

 

                         
       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
                         
ASSETS                              
CURRENT ASSETS                              
Cash and cash equivalents  $   $362   $   $   $   $362 
Accounts receivable, net           76,838    52,356        129,194 
Current portion of deferred tax assets           7,607            7,607 
Prepaid expenses and other current assets       9,735    8,308    694        18,737 
Total current assets       10,097    92,753    53,050        155,900 
PROPERTY AND EQUIPMENT, NET       48,025    168,401    134        216,560 
OTHER ASSETS                              
Goodwill       48,954    144,072    845        193,871 
Other intangible assets       170    51,394    110        51,674 
Deferred financing costs       11,977                11,977 
Investment in subsidiaries   (2,635)   342,796    9,217        (349,378)    
Investment in joint ventures           28,598            28,598 
Deferred tax assets, net of current portion           52,790            52,790 
Deposits and other       1,821    1,928            3,749 
Total assets  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 
LIABILITIES AND EQUITY DEFICIT                              
CURRENT LIABILITIES                              
Intercompany  $   $(176,217)  $138,223   $37,994   $   $ 
Accounts payable, accrued expenses and other       57,939    41,696    6,294        105,929 
Due to affiliates           1,602            1,602 
Deferred revenue           1,273            1,273 
Current portion of deferred rent       574    590            1,164 
Current portion of notes payable       3,500    1,203            4,703 
Current portion of obligations under capital leases       1,186    2,756            3,942 
Total current liabilities       (113,018)   187,343    44,288        118,613 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,579    6,271            15,850 
Line of Credit       33,000                33,000 
Notes payable, net of current portion       536,248    761            537,009 
Obligations under capital leases,
net of current portion
 
 
 
 
 
 
 
 
 
 
 
 
666
 
 
 
 
 
 
 
3,087
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3,753
 
 
Other non-current liabilities           8,895            8,895 
Total liabilities       466,475    206,357    44,288        717,120 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (2,635)   (2,635)   342,796    9,217    (349,378)   (2,635)
Noncontrolling interests               634        634 
Total equity (deficit)   (2,635)   (2,635)   342,796    9,851    (349,378)   (2,001)
Total liabilities and equity (deficit)  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2013

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $37,508   $119,350   $22,904   $   $179,762 
Provision for bad debts       (1,385)   (4,217)   (1,220)       (6,822)
Net service fee revenue       36,123    115,133    21,684        172,940 
                               
OPERATING EXPENSES                              
Cost of operations       33,236    95,518    20,808        149,562 
Depreciation and amortization       3,128    11,323    309        14,760 
Loss on sale and disposal of equipment       85    85            170 
Severance costs       11    110    2        123 
Total operating expenses       36,460    107,036    21,119        164,615 
                               
(LOSS) INCOME FROM OPERATIONS       (337)   8,097    565        8,325 
                               
OTHER EXPENSES                              
Interest expense       6,673    5,391    83        12,147 
Other income           (2)           (2)
Total other expenses       6,673    5,389    83        12,145 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,010)   2,708    482        (3,820)
Benefit from (provision for) income taxes           1,254    (6)       1,248 
Equity in (losses) earnings of consolidated subsidiaries   (1,342)   5,668    500         (4,826)    
Equity in earnings of joint ventures           1,206            1,206 
NET (LOSS) INCOME   (1,342)   (1,342)   5,668    476    (4,826)   (1,366)
Net loss attributable to noncontrolling interests               (24)       (24)
NET (LOSS) INCOME ATTRIBUTABLE TO                              
RADNET, INC. COMMON STOCKHOLDERS  $(1,342)  $(1,342)  $5,668   $500   $(4,826)  $(1,342)

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $34,544   $119,581   $14,375   $   $168,500 
Provision for bad debts       (1,267)   (4,598)   (619)       (6,484)
Net service fee revenue       33,277    114,983    13,756        162,016 
                               
OPERATING EXPENSES                              
Cost of operations       30,386    91,505    13,509        135,400 
Depreciation and amortization       3,147    11,683    62        14,892 
Loss (gain) on sale of equipment       137    (113)           24 
Severance costs       33    390    26        449 
Total operating expenses       33,703    103,465    13,597        150,765 
                               
                               
(LOSS) INCOME FROM OPERATIONS       (426)   11,518    159        11,251 
                               
OTHER EXPENSES                              
Interest expense       7,978    5,589            13,567 
Other (income) expenses       (1,213)   66            (1,147)
Total other expenses       6,765    5,655            12,420 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,191)   5,863    159        (1,169)
Provision for income taxes       (2)   (243)           (245)
Equity in (losses) earnings of consolidated subsidiaries   (111)   7,082    200         (7,171)    
Equity in earnings of joint ventures           1,262            1,262 
NET (LOSS) INCOME   (111)   (111)   7,082    159    (7,171)   (152)
Net loss attributable to noncontrolling interests               (41)       (41)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $(111)  $(111)  $7,082   $200   $(7,171)  $(111)

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2013

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
  Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                        
Net (loss) income  $(1,342)  $(1,342)  $5,668   $476   $(4,826)  $(1,366)
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:                              
Depreciation and amortization       3,128    11,323    309        14,760 
Provision for bad debt       1,385    4,217    1,220        6,822 
Equity in earnings of consolidated subsidiaries   1,342    (5,668)   (500)       4,826     
Equity in earnings of joint ventures           (1,206)           (1,206)
Distributions from joint ventures           1,921            1,921 
Deferred rent amortization       156    254    23        433 
Amortization of deferred financing cost       457                457 
Amortization of term loan and bond discount       400                400 
Loss on sale and disposal of equipment       85    85            170 
Stock-based compensation       238    714            952 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           1,214    (12,996)       (11,782)
Other current assets       (3,611)   (1,606)   118        (5,099)
Other assets       225    (330)           (105)
Deferred revenue           3            3 
Accounts payable, accrued expenses and other       7,957    (10,285)   11,189        8,861 
Net cash provided by operating activities       3,410    11,472    339        15,221 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities       (350)   (3,275)           (3,625)
Purchase of property and equipment       (4,053)   (8,847)   (26)       (12,926)
Proceeds from sale of equipment       145    125            270 
Proceeds from sale of joint venture interests           2,640            2,640 
Purchase of equity interest in joint ventures           (724)           (724)
Net cash used in investing activities       (4,258)   (10,081)   (26)       (14,365)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,424)   (960)   (313)       (2,697)
Proceeds from, net of payments, on line of credit       1,500                1,500 
Proceeds from issuance of common stock       469                469 
Net provided by (cash used) in financing activities       545    (960)   (313)       (728)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        (59)               (59)
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (362)   431            69 
CASH AND CASH EQUIVALENTS, beginning of period       362                362 
CASH AND CASH EQUIVALENTS, end of period  $   $   $431   $   $   $431 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                              
Net (loss) income  $(111)  $(111)  $7,082   $159   $(7,171)  $(152)
Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:                              
Depreciation and amortization       3,147    11,683    62        14,892 
Provision for bad debt       1,267    4,598    619        6,484 
Equity in (earnings) loss of consolidated subsidiaries   111    (7,082)   (200)       7,171     
Distributions from consolidated subsidiaries           276        (276)    
Equity in earnings of joint ventures           (1,262)           (1,262)
Distributions from joint ventures           1,575            1,575 
Deferred rent amortization       36    252            288 
Amortization of deferred financing cost       602                602 
Amortization of term loan and bond discount       234                234 
Loss (gain) on sale of equipment       137    (113)           24 
Amortization of cash flow hedge       276                276 
Stock-based compensation       294    881            1,175 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           (3,014)   (9,009)       (12,023)
Other current assets       1,286    (1,472)   (497)       (683)
Other assets       (19)   (45)           (64)
Deferred revenue           86            86 
Accounts payable, accrued expenses and other       3,175    (8,028)   8,832        3,979 
Net cash provided by (used in) operating activities       3,242    12,299    166    (276)   15,431 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities           (580)           (580)
Purchase of property and equipment       (4,445)   (9,517)           (13,962)
Proceeds from sale of equipment       43    367            410 
Proceeds from sale of imaging facilities           2,300            2,300 
Purchase of equity interest in joint ventures           (920)           (920)
Net cash used in investing activities       (4,402)   (8,350)           (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,406)   (3,073)           (4,479)
Deferred financing costs                        
Proceeds from, net of payments on, line of credit       2,700                2,700 
Payments to counterparties of interest rate swaps, net of amounts received       (1,500)               (1,500)
Distributions paid to noncontrolling interests               (302)   276    (26)
Proceeds from issuance of common stock                        
Net cash used in financing activities       (206)   (3,073)   (302)   276    (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        5             5 
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (1,366)   881    (136)       (621)
CASH AND CASH EQUIVALENTS, beginning of period       1,366        1,089        2,455 
CASH AND CASH EQUIVALENTS, end of period  $   $   $881   $953   $   $1,834 

 

XML 39 R19.htm IDEA: XBRL DOCUMENT v2.4.0.6
4. EARNINGS PER SHARE (Tables)
3 Months Ended
Mar. 31, 2013
Earnings Per Share [Abstract]  
EARNINGS PER SHARE
   Three Months Ended 
   March 31, 
   2013   2012 
     
Net loss attributable to RadNet, Inc.'s common stockholders  $(1,342)  $(111)
           
BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS          
Weighted average number of common shares outstanding during the period   39,314,447    37,669,921 
Basic and diluted net loss per share attributable to RadNet, Inc.'s common stockholders  $(0.03)  $(0.00)
XML 40 R15.htm IDEA: XBRL DOCUMENT v2.4.0.6
8. SUPPLEMENTAL GUARANTOR INFORMATION
3 Months Ended
Mar. 31, 2013
Supplemental Guarantor Information  
SupplementalGuarantorInformation [TextBlock]

In accordance with SEC Regulation S-X, Rule 3-10, Paragraph (d), the following tables present unaudited interim condensed consolidating financial information for: (a) RadNet, Inc. (the “Parent”) on a stand-alone basis as a guarantor of the registered senior notes due 2018 ; (b) Radnet Management, Inc., the subsidiary borrower and issuer (the “Subsidiary Issuer”) of the registered senior notes due 2018; (c) on a combined basis, the guarantor subsidiaries (the “Guarantor Subsidiaries”) of the registered senior notes due 2018, which include all other 100% owned subsidiaries of the Subsidiary Issuer; (d) on a combined basis, the non-guarantor subsidiaries, which include joint venture partnerships of which the Subsidiary Issuer holds investments of 50% or greater, as well as BRMG and the Crues Entities, which we consolidate as VIEs. Separate financial statements of the Subsidiary Issuer or the Guarantor Subsidiaries are not presented because the guarantee by the Parent and each Guarantor Subsidiary is full and unconditional, joint and several.

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

March 31, 2013

(in thousands)

(unaudited)

 

   Parent   Subsidiary Issuer   Guarantor
Subsidiary
  

Non-Guarantor

Subsidiaries

    Eliminations    Consolidated 
ASSETS                        
CURRENT ASSETS                              
Cash and cash equivalents  $   $   $431   $   $   $431 
Accounts receivable, net           64,597    70,342        134,939 
Current deferred tax assets           8,792            8,792 
Prepaid expenses and other current assets       13,382    6,097    734        20,213 
Total current assets       13,382    79,917    71,076        164,375 
PROPERTY AND EQUIPMENT, NET       49,203    161,970    6,270        217,443 
OTHER ASSETS                              
Goodwill       49,139    143,211    4,740        197,090 
Other intangible assets       160    51,974    102        52,236 
Deferred financing costs, net       11,387                11,387 
Investment in subsidiaries   (414)   350,608    14,746        (364,940)    
Investment in joint ventures           27,959            27,959 
Deferred tax assets, net of current portion           53,054            53,054 
Deposits and other       1,596    1,935    59        3,590 
Total assets  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 
LIABILITIES AND EQUITY (DEFICIT)                              
CURRENT LIABILITIES                              
Intercompany  $   $(165,623)  $112,383   $53,240   $   $ 
Accounts payable, accrued expenses and other       56,129    48,361    8,318        112,808 
Due to affiliates           1,495            1,495 
Deferred revenue           1,276            1,276 
Current portion of deferred rent       605    611    46        1,262 
Current portion of notes payable       3,500    1,004    722        5,226 
Current portion of obligations under capital leases       947    1,301    890        3,138 
Total current liabilities       (104,442)   166,431    63,216        125,205 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,703    6,290    192        16,185 
Line of credit       34,500                34,500 
Notes payable, net of current portion       535,640    638    1,521        537,799 
Obligations under capital leases, net of current portion       488    2,318    544        3,350 
Other non-current liabilities           8,481            8,481 
Total liabilities       475,889    184,158    65,473        725,520 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (414)   (414)   350,608    14,746    (364,940)   (414)
Noncontrolling interests               2,028        2,028 
Total equity (deficit)   (414)   (414)   350,608    16,774    (364,940)   1,614 
Total liabilities and equity (deficit)  $(414)  $475,475   $534,766   $82,247   $(364,940)  $727,134 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEET

December 31, 2012

(in thousands)

 

                         
       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
                         
ASSETS                              
CURRENT ASSETS                              
Cash and cash equivalents  $   $362   $   $   $   $362 
Accounts receivable, net           76,838    52,356        129,194 
Current portion of deferred tax assets           7,607            7,607 
Prepaid expenses and other current assets       9,735    8,308    694        18,737 
Total current assets       10,097    92,753    53,050        155,900 
PROPERTY AND EQUIPMENT, NET       48,025    168,401    134        216,560 
OTHER ASSETS                              
Goodwill       48,954    144,072    845        193,871 
Other intangible assets       170    51,394    110        51,674 
Deferred financing costs       11,977                11,977 
Investment in subsidiaries   (2,635)   342,796    9,217        (349,378)    
Investment in joint ventures           28,598            28,598 
Deferred tax assets, net of current portion           52,790            52,790 
Deposits and other       1,821    1,928            3,749 
Total assets  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 
LIABILITIES AND EQUITY DEFICIT                              
CURRENT LIABILITIES                              
Intercompany  $   $(176,217)  $138,223   $37,994   $   $ 
Accounts payable, accrued expenses and other       57,939    41,696    6,294        105,929 
Due to affiliates           1,602            1,602 
Deferred revenue           1,273            1,273 
Current portion of deferred rent       574    590            1,164 
Current portion of notes payable       3,500    1,203            4,703 
Current portion of obligations under capital leases       1,186    2,756            3,942 
Total current liabilities       (113,018)   187,343    44,288        118,613 
LONG-TERM LIABILITIES                              
Deferred rent, net of current portion       9,579    6,271            15,850 
Line of Credit       33,000                33,000 
Notes payable, net of current portion       536,248    761            537,009 
Obligations under capital leases,
net of current portion
 
 
 
 
 
 
 
 
 
 
 
 
666
 
 
 
 
 
 
 
3,087
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3,753
 
 
Other non-current liabilities           8,895            8,895 
Total liabilities       466,475    206,357    44,288        717,120 
                               
EQUITY (DEFICIT)                              
Total Radnet, Inc.'s equity (deficit)   (2,635)   (2,635)   342,796    9,217    (349,378)   (2,635)
Noncontrolling interests               634        634 
Total equity (deficit)   (2,635)   (2,635)   342,796    9,851    (349,378)   (2,001)
Total liabilities and equity (deficit)  $(2,635)  $463,840   $549,153   $54,139   $(349,378)  $715,119 

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2013

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $37,508   $119,350   $22,904   $   $179,762 
Provision for bad debts       (1,385)   (4,217)   (1,220)       (6,822)
Net service fee revenue       36,123    115,133    21,684        172,940 
                               
OPERATING EXPENSES                              
Cost of operations       33,236    95,518    20,808        149,562 
Depreciation and amortization       3,128    11,323    309        14,760 
Loss on sale and disposal of equipment       85    85            170 
Severance costs       11    110    2        123 
Total operating expenses       36,460    107,036    21,119        164,615 
                               
(LOSS) INCOME FROM OPERATIONS       (337)   8,097    565        8,325 
                               
OTHER EXPENSES                              
Interest expense       6,673    5,391    83        12,147 
Other income           (2)           (2)
Total other expenses       6,673    5,389    83        12,145 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,010)   2,708    482        (3,820)
Benefit from (provision for) income taxes           1,254    (6)       1,248 
Equity in (losses) earnings of consolidated subsidiaries   (1,342)   5,668    500         (4,826)    
Equity in earnings of joint ventures           1,206            1,206 
NET (LOSS) INCOME   (1,342)   (1,342)   5,668    476    (4,826)   (1,366)
Net loss attributable to noncontrolling interests               (24)       (24)
NET (LOSS) INCOME ATTRIBUTABLE TO                              
RADNET, INC. COMMON STOCKHOLDERS  $(1,342)  $(1,342)  $5,668   $500   $(4,826)  $(1,342)

 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
NET SERVICE FEE REVENUE                              
Service fee revenue, net of contractual allowances and discounts  $   $34,544   $119,581   $14,375   $   $168,500 
Provision for bad debts       (1,267)   (4,598)   (619)       (6,484)
Net service fee revenue       33,277    114,983    13,756        162,016 
                               
OPERATING EXPENSES                              
Cost of operations       30,386    91,505    13,509        135,400 
Depreciation and amortization       3,147    11,683    62        14,892 
Loss (gain) on sale of equipment       137    (113)           24 
Severance costs       33    390    26        449 
Total operating expenses       33,703    103,465    13,597        150,765 
                               
                               
(LOSS) INCOME FROM OPERATIONS       (426)   11,518    159        11,251 
                               
OTHER EXPENSES                              
Interest expense       7,978    5,589            13,567 
Other (income) expenses       (1,213)   66            (1,147)
Total other expenses       6,765    5,655            12,420 
                               
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN EARNINGS OF JOINT VENTURES       (7,191)   5,863    159        (1,169)
Provision for income taxes       (2)   (243)           (245)
Equity in (losses) earnings of consolidated subsidiaries   (111)   7,082    200         (7,171)    
Equity in earnings of joint ventures           1,262            1,262 
NET (LOSS) INCOME   (111)   (111)   7,082    159    (7,171)   (152)
Net loss attributable to noncontrolling interests               (41)       (41)
NET (LOSS) INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $(111)  $(111)  $7,082   $200   $(7,171)  $(111)

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2013

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
  Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                        
Net (loss) income  $(1,342)  $(1,342)  $5,668   $476   $(4,826)  $(1,366)
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:                              
Depreciation and amortization       3,128    11,323    309        14,760 
Provision for bad debt       1,385    4,217    1,220        6,822 
Equity in earnings of consolidated subsidiaries   1,342    (5,668)   (500)       4,826     
Equity in earnings of joint ventures           (1,206)           (1,206)
Distributions from joint ventures           1,921            1,921 
Deferred rent amortization       156    254    23        433 
Amortization of deferred financing cost       457                457 
Amortization of term loan and bond discount       400                400 
Loss on sale and disposal of equipment       85    85            170 
Stock-based compensation       238    714            952 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           1,214    (12,996)       (11,782)
Other current assets       (3,611)   (1,606)   118        (5,099)
Other assets       225    (330)           (105)
Deferred revenue           3            3 
Accounts payable, accrued expenses and other       7,957    (10,285)   11,189        8,861 
Net cash provided by operating activities       3,410    11,472    339        15,221 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities       (350)   (3,275)           (3,625)
Purchase of property and equipment       (4,053)   (8,847)   (26)       (12,926)
Proceeds from sale of equipment       145    125            270 
Proceeds from sale of joint venture interests           2,640            2,640 
Purchase of equity interest in joint ventures           (724)           (724)
Net cash used in investing activities       (4,258)   (10,081)   (26)       (14,365)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,424)   (960)   (313)       (2,697)
Proceeds from, net of payments, on line of credit       1,500                1,500 
Proceeds from issuance of common stock       469                469 
Net provided by (cash used) in financing activities       545    (960)   (313)       (728)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        (59)               (59)
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (362)   431            69 
CASH AND CASH EQUIVALENTS, beginning of period       362                362 
CASH AND CASH EQUIVALENTS, end of period  $   $   $431   $   $   $431 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For The Three Months Ended March 31, 2012

(in thousands)

(unaudited)

 

       Subsidiary   Guarantor   Non-Guarantor         
   Parent   Issuer   Subsidiaries   Subsidiaries   Eliminations   Consolidated 
CASH FLOWS FROM OPERATING ACTIVITIES                              
Net (loss) income  $(111)  $(111)  $7,082   $159   $(7,171)  $(152)
Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:                              
Depreciation and amortization       3,147    11,683    62        14,892 
Provision for bad debt       1,267    4,598    619        6,484 
Equity in (earnings) loss of consolidated subsidiaries   111    (7,082)   (200)       7,171     
Distributions from consolidated subsidiaries           276        (276)    
Equity in earnings of joint ventures           (1,262)           (1,262)
Distributions from joint ventures           1,575            1,575 
Deferred rent amortization       36    252            288 
Amortization of deferred financing cost       602                602 
Amortization of term loan and bond discount       234                234 
Loss (gain) on sale of equipment       137    (113)           24 
Amortization of cash flow hedge       276                276 
Stock-based compensation       294    881            1,175 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                              
Accounts receivable           (3,014)   (9,009)       (12,023)
Other current assets       1,286    (1,472)   (497)       (683)
Other assets       (19)   (45)           (64)
Deferred revenue           86            86 
Accounts payable, accrued expenses and other       3,175    (8,028)   8,832        3,979 
Net cash provided by (used in) operating activities       3,242    12,299    166    (276)   15,431 
CASH FLOWS FROM INVESTING ACTIVITIES                              
Purchase of imaging facilities           (580)           (580)
Purchase of property and equipment       (4,445)   (9,517)           (13,962)
Proceeds from sale of equipment       43    367            410 
Proceeds from sale of imaging facilities           2,300            2,300 
Purchase of equity interest in joint ventures           (920)           (920)
Net cash used in investing activities       (4,402)   (8,350)           (12,752)
CASH FLOWS FROM FINANCING ACTIVITIES                              
Principal payments on notes and leases payable       (1,406)   (3,073)           (4,479)
Deferred financing costs                        
Proceeds from, net of payments on, line of credit       2,700                2,700 
Payments to counterparties of interest rate swaps, net of amounts received       (1,500)               (1,500)
Distributions paid to noncontrolling interests               (302)   276    (26)
Proceeds from issuance of common stock                        
Net cash used in financing activities       (206)   (3,073)   (302)   276    (3,305)
EFFECT OF EXCHANGE RATE CHANGES ON CASH        5             5 
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS       (1,366)   881    (136)       (621)
CASH AND CASH EQUIVALENTS, beginning of period       1,366        1,089        2,455 
CASH AND CASH EQUIVALENTS, end of period  $   $   $881   $953   $   $1,834 

 

XML 41 R13.htm IDEA: XBRL DOCUMENT v2.4.0.6
6. STOCK-BASED COMPENSATION
3 Months Ended
Mar. 31, 2013
Stock-Based Compensation  
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]

Options and Warrants

 

We have two long-term incentive plans which we refer to as the 2000 Plan and the 2006 Plan. The 2000 Plan was terminated as to future grants when the 2006 Plan was approved by the stockholders in 2006. As of March 31, 2013, we have reserved for issuance under the 2006 Plan 11,000,000 shares of common stock. Certain options granted under the 2006 Plan to employees are intended to qualify as incentive stock options under existing tax regulations. In addition, we may issue non-qualified stock options and warrants under the 2006 Plan from time to time to non-employees, in connection with acquisitions and for other purposes and we may also issue restricted stock under the 2006 Plan. Stock options and warrants generally vest over two to five years and expire five to ten years from date of grant.

 

As of March 31, 2013, 5,481,250, or approximately 89.4%, of the 6,131,250 outstanding stock options and warrants granted under our option plans are fully vested.  During the three months ended March 31, 2013, we did not grant options or warrants under the 2006 Plan.

 

We have issued warrants outside the 2006 Plan under various types of arrangements to employees, and in exchange for outside services. All warrants issued to employees or consultants after our February 2007 listing on the NASDAQ Global Market have been characterized as awards under the 2006 Plan.  All warrants outside the 2006 Plan have been issued with an exercise price equal to the fair value of the underlying common stock on the date of grant. The warrants expire from five to seven years from the date of grant.  Vesting terms are determined by the board of directors or the compensation committee of the board of directors at the date of grant.

 

As of March 31, 2013, 330,000, or 100%, of all the outstanding warrants outside the 2006 Plan are fully vested. During the three months ended March 31, 2013, we did not grant warrants outside of our 2006 Plan.

 

The following summarizes all of our option and warrant transactions in 2013:

 

Outstanding Options and Warrants      Weighted Average Exercise price Per Common   Weighted Average Remaining Contractual Life   Aggregate Intrinsic 
Under the 2006 Plan and 2000 Plan  Shares   Share   (in years)   Value 
Balance, December 31, 2012   6,231,250   $3.58           
Granted                  
Exercised                  
Canceled or expired   (100,000)   9.23           
Balance, March 31, 2013   6,131,250    3.49    1.67   $1,392,200 
Exercisable at March 31, 2013   5,481,250    3.52    1.54    1,292,317 

 

      Weighted Average Exercise price Per   Weighted Average Remaining Contractual Life   Aggregate Intrinsic 
Non-Plan Outstanding Warrants  Shares   Common Share   (in years)   Value 
Balance, December 31, 2012   1,502,898   $1.50           
Granted                  
Exercised   (1,172,898)   1.12           
Canceled or expired                  
Balance, March 31, 2013   330,000    2.87    1.85   $36,000 
Exercisable at March 31, 2013   330,000    2.87    1.85    36,000 

 

The aggregate intrinsic value in the table above represents the total pretax intrinsic value (the difference between our closing stock price on March 31, 2013 and the exercise price, multiplied by the number of in-the-money options or warrants, as applicable) that would have been received by the holder had all holders exercised their options or warrants, as applicable, on March 31, 2013. Total intrinsic value of options and warrants exercised during the three months ended March 31, 2013 and 2012 was approximately $2.3 million and $265,000, respectively. As of March 31, 2013, total unrecognized stock-based compensation expense related to non-vested employee awards was approximately $668,000, which is expected to be recognized over a weighted average period of approximately 1.0 year.

 

Restricted Stock Awards

 

The 2006 Plan permits the award of restricted stock. On January 2, 2013, we granted awards for 450,000 shares of our common stock to certain employees. Of the awards granted, 170,000 were vested on the award date, 140,000 cliff vest after one year provided that the employees remain continuously employed through the vesting date and 140,000 cliff vest after two years provided that the employees remain continuously employed through the vesting date. We valued the awards based on the closing market price of our stock on January 2, 2013 which was $2.51 per share.

 

At March 31, 2013, the total unrecognized fair value of all restricted stock awards was approximately $1.4 million, which will be recognized over the remaining vesting period of 2.0 years.

 

In sum, of the 11,000,000 shares of common stock reserved for issuance under the 2006 Plan, at March 31, 2013, we had 7,563,750 options, warrants and shares of restricted stock outstanding and 3,416,250 available for grant.

XML 42 R14.htm IDEA: XBRL DOCUMENT v2.4.0.6
7. FAIR VALUE MEASUREMENTS
3 Months Ended
Mar. 31, 2013
Fair Value Measurements  
Fair Value Disclosures [Text Block]

FAIR VALUE MEASUREMENTS – Assets and liabilities subject to fair value measurements are required to be disclosed within a fair value hierarchy. The fair value hierarchy ranks the quality and reliability of inputs used to determine fair value. Accordingly, assets and liabilities carried at, or permitted to be carried at, fair value are classified within the fair value hierarchy in one of the following categories based on the lowest level input that is significant to a fair value measurement:

 

Level 1—Fair value is determined by using unadjusted quoted prices that are available in active markets for identical assets and liabilities.

 

Level 2—Fair value is determined by using inputs other than Level 1 quoted prices that are directly or indirectly observable. Inputs can include quoted prices for similar assets and liabilities in active markets or quoted prices for identical assets and liabilities in inactive markets. Related inputs can also include those used in valuation or other pricing models such as interest rates and yield curves that can be corroborated by observable market data.

 

Level 3—Fair value is determined by using inputs that are unobservable and not corroborated by market data. Use of these inputs involves significant and subjective judgment.

 

The table below summarizes the estimated fair value and carrying amount of our long-term debt as follows (in thousands):

 

   As of March 31, 2013 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan       351,733        351,733    348,250 
Senior Notes       209,000        209,000    200,000 

 

   As of December 31, 2012 
   Level 1   Level 2   Level 3   Total Fair Value   Total Carrying Value 
Senior Secured Term Loan  $   $352,180   $   $352,180   $349,125 
Senior Notes       204,500        204,500    200,000 

 

The carrying value of our line of credit at March 31, 2013 and December 31, 2012 of $34.5 million and $33.0 million, respectively, approximated its fair value.

 

We consider the carrying amounts of cash and cash equivalents, receivables, other current assets and current liabilities to approximate their fair value because of the relatively short period of time between the origination of these instruments and their expected realization or payment.  Additionally, we consider the carrying amount of our capital lease obligations to approximate their fair value because the weighted average interest rate used to formulate the carrying amounts approximates current market rates.

XML 43 R16.htm IDEA: XBRL DOCUMENT v2.4.0.6
9. SUBSEQUENT EVENTS
3 Months Ended
Mar. 31, 2013
Subsequent Events [Abstract]  
Subsequent Events [Text Block]

On April 3, 2013, we entered into an amendment to the Refinance Agreement.  Pursuant to this amendment, we re-priced our current senior secured term loan and borrowed an additional $40.0 million. More information regarding this amendment is provided under the heading “2013 Amendment to the Refinance Agreement” in Note 1 above.

XML 44 R34.htm IDEA: XBRL DOCUMENT v2.4.0.6
8. SUPPLEMENTAL GUARANTOR INFORMATION (Details 1) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2013
Dec. 31, 2012
Mar. 31, 2012
Dec. 31, 2011
CURRENT ASSETS        
Cash and cash equivalents $ 431 $ 362 $ 1,834 $ 2,455
Accounts receivable, net 134,939 129,194    
Current deferred tax assets 8,792 7,607    
Prepaid expenses and other current assets 20,213 18,737    
Total current assets 164,375 155,900    
PROPERTY AND EQUIPMENT, NET 217,443 216,560    
OTHER ASSETS        
Goodwill 197,090 193,871    
Other intangible assets 52,236 51,674    
Deferred financing costs, net 11,387 11,977    
Investment in joint ventures 27,959 28,598    
Deferred tax assets, net of current portion 53,054 52,790    
Deposits and other 3,590 3,749    
Total assets 727,134 715,119    
LIABILITIES AND STOCKHOLDERS' EQUITY DEFICIT        
Accounts payable, accrued expenses and other 112,808 105,929    
Due to affiliates 1,495 1,602    
Deferred revenue 1,276 1,273    
Current portion of deferred rent 1,262 1,164    
Current portion of notes payable 5,226 4,703    
Current portion of obligations under capital leases 3,138 3,942    
Total current liabilities 125,205 118,613    
LONG-TERM LIABILITIES        
Deferred rent, net of current portion 16,185 15,850    
Line of credit 34,500 33,000    
Notes payable, net of current portion 537,799 537,009    
Obligations under capital lease, net of current portion 3,350 3,753    
Other non-current liabilities 8,481 8,895    
Total liabilities 725,520 717,120    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) (414) (2,635)    
Noncontrolling interests 2,028 634    
Total equity (deficit) 1,614 (2,001)    
Total liabilities and stockholders' equity (deficit) 727,134 715,119    
Parent [Member]
       
OTHER ASSETS        
Investment in subsidiaries (414) (2,635)    
Total assets (414) (2,635)    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) (414) (2,635)    
Total equity (deficit) (414) (2,635)    
Total liabilities and stockholders' equity (deficit) (414) (2,635)    
Subsidiary Issuer [Member]
       
CURRENT ASSETS        
Cash and cash equivalents   362   1,366
Prepaid expenses and other current assets 13,382 9,735    
Total current assets 13,382 10,097    
PROPERTY AND EQUIPMENT, NET 49,203 48,025    
OTHER ASSETS        
Goodwill 49,139 48,954    
Other intangible assets 160 170    
Deferred financing costs, net 11,387 11,977    
Investment in subsidiaries 350,608 342,796    
Deposits and other 1,596 1,821    
Total assets 475,475 463,840    
LIABILITIES AND STOCKHOLDERS' EQUITY DEFICIT        
Intercompany (165,623) (176,217)    
Accounts payable, accrued expenses and other 56,129 57,939    
Current portion of deferred rent 605 574    
Current portion of notes payable 3,500 3,500    
Current portion of obligations under capital leases 947 1,186    
Total current liabilities (104,442) (113,018)    
LONG-TERM LIABILITIES        
Deferred rent, net of current portion 9,703 9,579    
Line of credit 34,500 33,000    
Notes payable, net of current portion 535,640 536,248    
Obligations under capital lease, net of current portion 488 666    
Total liabilities 475,889 466,475    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) (414) (2,635)    
Total equity (deficit) (414) (2,635)    
Total liabilities and stockholders' equity (deficit) 475,475 463,840    
Guarantor Subsidiaries [Member]
       
CURRENT ASSETS        
Cash and cash equivalents 431   881  
Accounts receivable, net 64,597 76,838    
Current deferred tax assets 8,792 7,607    
Prepaid expenses and other current assets 6,097 8,308    
Total current assets 79,917 92,753    
PROPERTY AND EQUIPMENT, NET 161,970 168,401    
OTHER ASSETS        
Goodwill 143,211 144,072    
Other intangible assets 51,974 51,394    
Investment in subsidiaries 14,746 9,217    
Investment in joint ventures 27,959 28,598    
Deferred tax assets, net of current portion 53,054 52,790    
Deposits and other 1,935 1,928    
Total assets 534,766 549,153    
LIABILITIES AND STOCKHOLDERS' EQUITY DEFICIT        
Intercompany 112,383 138,223    
Accounts payable, accrued expenses and other 48,361 41,696    
Due to affiliates 1,495 1,602    
Deferred revenue 1,276 1,273    
Current portion of deferred rent 611 590    
Current portion of notes payable 1,004 1,203    
Current portion of obligations under capital leases 1,301 2,756    
Total current liabilities 166,431 187,343    
LONG-TERM LIABILITIES        
Deferred rent, net of current portion 6,290 6,271    
Notes payable, net of current portion 638 761    
Obligations under capital lease, net of current portion 2,318 3,087    
Other non-current liabilities 8,481 8,895    
Total liabilities 184,158 206,357    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) 350,608 342,796    
Total equity (deficit) 350,608 342,796    
Total liabilities and stockholders' equity (deficit) 534,766 549,153    
Non-Guarantor Subsidiaries [Member]
       
CURRENT ASSETS        
Cash and cash equivalents     953 1,089
Accounts receivable, net 70,342 52,356    
Prepaid expenses and other current assets 734 694    
Total current assets 71,076 53,050    
PROPERTY AND EQUIPMENT, NET 6,270 134    
OTHER ASSETS        
Goodwill 4,740 845    
Other intangible assets 102 110    
Deposits and other 59      
Total assets 82,247 54,139    
LIABILITIES AND STOCKHOLDERS' EQUITY DEFICIT        
Intercompany 53,240 37,994    
Accounts payable, accrued expenses and other 8,318 6,294    
Current portion of deferred rent 46      
Current portion of notes payable 722      
Current portion of obligations under capital leases 890      
Total current liabilities 63,216 44,288    
LONG-TERM LIABILITIES        
Deferred rent, net of current portion 192      
Notes payable, net of current portion 1,521      
Obligations under capital lease, net of current portion 544      
Total liabilities 65,473 44,288    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) 14,746 9,217    
Noncontrolling interests 2,028 634    
Total equity (deficit) 16,774 9,851    
Total liabilities and stockholders' equity (deficit) 82,247 54,139    
Eliminations [Member]
       
OTHER ASSETS        
Investment in subsidiaries (364,940) (349,378)    
Total assets (364,940) (349,378)    
EQUITY (DEFICIT)        
Total RadNet, Inc.'s equity (deficit) (364,940) (349,378)    
Total equity (deficit) (364,940) (349,378)    
Total liabilities and stockholders' equity (deficit) $ (364,940) $ (349,378)    
XML 45 R21.htm IDEA: XBRL DOCUMENT v2.4.0.6
6. STOCK-BASED COMPENSATION (Tables)
3 Months Ended
Mar. 31, 2013
Stock-Based Compensation  
STOCK-BASED COMPENSATION

Outstanding Options and Warrants      Weighted Average Exercise price Per Common    Weighted Average Remaining Contractual Life   Aggregate 
Under the 2006 Plan and 2000 Plan  Shares   Share   (in years)   Intrinsic Value 
Balance, December 31, 2012   6,231,250   $3.58           
Granted                  
Exercised                  
Canceled or expired   (100,000)   9.23           
Balance, March 31, 2013   6,131,250    3.49    1.67   $1,392,200 
Exercisable at March 31, 2013   5,481,250    3.52    1.54    1,292,317 

 

      Weighted Average Exercise price Per   Weighted Average Remaining Contractual Life   Aggregate 
Non-Plan Outstanding Warrants  Shares   Common Share   (in years)   Intrinsic Value 
Balance, December 31, 2012   1,502,898   $1.50           
Granted                  
Exercised   (1,172,898)   1.12           
Canceled or expired                  
Balance, March 31, 2013   330,000    2.87    1.85   $36,000 
Exercisable at March 31, 2013   330,000    2.87    1.85    36,000 

 

XML 46 R26.htm IDEA: XBRL DOCUMENT v2.4.0.6
2. FACILITY ACQUISITIONS (Details Narrative) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Brooklyn, NY
 
Acquisition, cash paid $ 2,400
Fair value acquired fixed assets 813
Fair value acquired goodwill 4,200
Fair value acquired notes payable 124
Manhattan, NY
 
Acquisition, cash paid 1,000
Fair value acquired fixed assets 1,000
Bel Air, MD
 
Divestiture, cash received 2,600
Manhattan additional interest
 
Acquisition, cash paid 430
Fair value acquired fixed assets 2,100
Fair value acquired goodwill 2,000
Fair value acquired notes payable 2,400
Fair value acquired working capital 358
Mission Viejo, CA
 
Acquisition, cash paid 350
Fair value acquired fixed assets 30
Fair value acquired goodwill 185
Fair value acquired working capital 135
Lenox Hill Radiology
 
Acquisition, cash paid 28,400
Fair value acquired fixed assets 8,700
Fair value acquired goodwill 1,400
Fair value acquired working capital 4,500
Fair value acquired joint venture interest 648
Fair value acquired other liabilities 650
Fair value acquired intangible assets $ 100
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CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Condensed Consolidated Statements Of Comprehensive Income    
NET LOSS $ (1,366) $ (152)
Foreign currency translation adjustments (59) 6
Reclassification of net cash flow hedge losses included in net loss during the period    276
COMPREHENSIVE (LOSS) INCOME (1,425) 130
Less comprehensive loss attributible to non-controlling interests (24) (41)
COMPREHENSIVE (LOSS) INCOME ATTRIBUTIBLE TO RADNET, INC. COMMON STOCKHOLDERS $ (1,449) $ 89
XML 49 R10.htm IDEA: XBRL DOCUMENT v2.4.0.6
3. RECENT ACCOUNTING STANDARDS
3 Months Ended
Mar. 31, 2013
Recent Accounting Standards  
New Accounting Pronouncements, Policy [Policy Text Block]

Reclassifications Out of Accumulated Other Comprehensive Income.  In February 2013, the Financial Accounting Standards Board (FASB) issued guidance for the reporting of amounts reclassified out of accumulated other comprehensive income. The new guidance requires entities to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under U.S. generally accepted accounting principles (GAAP) to be reclassified in its entirety to net income. The new guidance does not change the current requirements for reporting net income or other comprehensive income in financial statements and is effective prospectively for reporting periods beginning after December 15, 2012. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

 

Balance Sheet Offsetting. In December 2012, the FASB issued guidance for new disclosure requirements related to the nature of an entity’s rights of set-off and related arrangements associated with its financial instruments and derivative instruments. The new guidance is effective for annual reporting periods, and interim periods within those years, beginning on or after January 1, 2013. The adoption of this new guidance in 2013 did not impact our financial position, results of operations or cash flows.

XML 50 R27.htm IDEA: XBRL DOCUMENT v2.4.0.6
4. EARNINGS PER SHARE (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Earning Per Share    
Net loss attributable to Radnet, Inc.'s common stockholders $ (1,342) $ (111)
Weighted average number of common shares outstanding during the year 39,314,447 37,669,921
Basic and diluted net loss per share attributable to Radnet, Inc.'s common stockholders $ (0.03) $ 0.00
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5. INVESTMENT IN JOINT VENTURES (Tables)
3 Months Ended
Mar. 31, 2013
Investment In Joint Ventures  
Key financial data in joint ventures
Balance Sheet Data:   March 31, 2013      
Current assets  $15,277      
Noncurrent assets   44,169      
Current liabilities   (5,537)     
Noncurrent liabilities   (5,871)     
Total net assets  $48,038      
           
Book value of Radnet joint venture interests  $22,422      
Cost in excess of book value of acquired joint venture interests   5,232      
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet   305      
Total value of Radnet joint venture interests  $27,959      
           
Total book value of other joint venture partner interests  $25,616      
           
Income Statement Data for the three months ended March 31,   2013    2012 
           
Net revenue  $22,281   $21,076 
Net income  $2,733   $2,533