UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
FORM 10-K/A
AMENDMENT NO. 1
(Mark One)
| þ | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended December 31, 2015
OR
| ¨ | TRANSITION REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission File Number 001-33307
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) |
Registrant’s telephone number, including area code: (310) 478-7808
Securities registered pursuant to Section 12(b) of the Act:
| Title of Each Class | Name of each exchange on which registered |
| Common Stock, $.0001 par value | NASDAQ Global Market |
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ¨ No x
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the act. Yes ¨ No x
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 Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ¨
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.
| Large Accelerated Filer ¨ | Accelerated Filer x | ||
| Non-Accelerated Filer ¨ (Do not check if a smaller reporting company) | Smaller Reporting Company ¨ |
Indicate by check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2) Yes ¨ No x
The aggregate market value of the registrant’s common stock held by non-affiliates of the registrant was approximately $266,105,775 on June 30, 2015(the last business day of the registrant’s most recently completed second quarter) based on the closing price for the common stock on the NASDAQ Global Market on June 30, 2015.
The number of shares of the registrant’s common stock outstanding on March 10, 2016, was 47,193,286.
DOCUMENTS INCORPORATED BY REFERENCE
The information required by Part III of the Form 10-K, to the extent not set forth herein or in the Annual Report on Form 10-K filed on March 15, 2016, is incorporated herein by reference from the registrant’s definitive proxy statement for the Annual Meeting of Stockholders, to be filed with the Securities and Exchange Commission pursuant to Regulation 14A not later than 120 days after the close of the registrant’s fiscal year.
EXPLANATORY NOTE
We are filing this Form 10-K/A (Amendment No. 1) to our Annual Report on Form 10-K for the fiscal year ended December 31, 2015, originally filed with the U.S. Securities and Exchange Commission on March 15, 2016 (the "Original Filing"), solely for the purpose of including the financial statements of certain unconsolidated joint ventures in accordance with Rule 3-09 of Regulation S-X. Rule 3-09 requires that we file financial statements of unconsolidated joint ventures in which we hold equity interests of 50% or less and account for them under the equity method, to the extent that the unconsolidated joint ventures are individually significant. Such statements are required to be audited only for the years in which such unconsolidated joint ventures met applicable significance tests. Under Rule 3-09 of Regulation S-X, we are permitted to file the financial statements for these unconsolidated joint ventures within 90 days of the end of our fiscal year.
We determined that as of and for the year ended December 31, 2014, four of our unconsolidated joint venture interests, including Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC, and Greater Baltimore Diagnostic Imaging Partnership (collectively, the “Group”), were significant unconsolidated joint ventures under Rule 3-09 and the accompanying financial statements for the Group for the year ended December 31, 2014 have been audited accordingly. The Group did not meet the significance test for year 2015; therefore, the Group’s financial statements are required to be included for the year ended December 31, 2015, but are not required to be audited. We are permitted to file combined financial statements for individually significant joint ventures which are in the same line of business. Accordingly, we are filing this Amendment No. 1 to include the combined financial statements of the Group under Item 15 - Exhibits and Financial Statement Schedules, and are amending the list of the financial statements and exhibits being filed herewith. We are also filing an updated Exhibit Index and updated Certificates of our Chief Executive Officer and Chief Financial Officer under Sections 302 and 906 of the Sarbanes Oxley Act of 2002.
Except as described above, this Form 10-K/A does not amend or change any other items or disclosures in the Original Filing. The disclosure in this Form 10-K/A has not been updated to reflect events occurring after the Original Filing. Accordingly, this Amendment should be read in conjunction with the Original Filing and our other filings with the SEC subsequent to the Original Filing.
| 2 |
PART IV
| Item 15. Exhibits and Financial Statement Schedules |
(a)(1) Financial Statements
| The following financial statements of RadNet, Inc. and consolidated subsidiaries were filed with the Original Filing on March 15, 2016: | ||
| Report of Independent Registered Public Accounting Firm | 51 | |
| Consolidated Balance Sheets | 52 | |
| Consolidated Statements of Operations | 53 | |
| Consolidated Statements of Comprehensive Income | 54 | |
| Consolidated Statements of Equity (Deficit) | 55 | |
| Consolidated Statements of Cash Flows | 56 | |
| Notes to Consolidated Financial Statements | 58 to 90 | |
| (a)(2) Financial Statements Schedules | ||
Schedules – The following financial statement schedules of Radnet, Inc. and consolidated subsidiaries were filed with the Original Filing on March 15, 2016: | ||
| Schedule II – Valuation and Qualifying Accounts | ||
| (a)(3) Exhibit Index | ||
| See the Exhibit Index immediately preceding the signature page of this Annual Report on Form 10-K/A (Amendment No. 1). | ||
| (c) Financial Statement Schedules | ||
| The following combined financial statements of the Group are filed herewith pursuant to Rule 3-09 of Regulation S-X: | ||
Page No | ||
| Report of Independent Registered Public Accounting Firm | 5 | |
| Combined Balance Sheets of Certain RadNet, Inc. Affiliates | 6 | |
| Combined Statements of Income of Certain RadNet, Inc. Affiliates | 7 | |
| Combined Statements of Partners’ Capital of Certain RadNet, Inc. Affiliates | 8 | |
| Combined Statements of Cash Flows of Certain RadNet, Inc. Affiliates | 9 | |
| Notes to Combined Financial Statements | 10 to 14 | |
| 3 |
Report of Independent Registered Public Accounting Firm
To the partners of:
Franklin Imaging Joint Venture;
Carroll County Radiology, LLC;
MRI at St. Joseph Medical Center, LLC; and
Greater Baltimore Diagnostic Imaging Partnership
We have audited the accompanying combined balance sheets of certain RadNet, Inc. affiliates including Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC, and Greater Baltimore Diagnostic Imaging Partnership (collectively, the “Group”), as of December 31, 2014, and the related combined statements of income, partners’ capital, and cash flows for each of the two years in the period ended December 31, 2014. These financial statements are the responsibility of the Group’s management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. We were not engaged to perform an audit of the Group’s internal control over financial reporting. Our audit included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Group’s internal control over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the combined financial position of the Group at December 31, 2014, and the combined results of their operations and their cash flows for each of the two years in the period ended December 31, 2014, in conformity with U.S. generally accepted accounting principles.
/s/ Ernst & Young, LLP
March 31, 2015
Los Angeles, California
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CERTAIN RADNET, INC. AFFILIATES
COMBINED BALANCE SHEETS
(IN THOUSANDS)
| December 31, | December 31, | December 31, | ||||||||||
| 2015 | 2014 | 2013 | ||||||||||
| (unaudited) | ||||||||||||
| ASSETS | ||||||||||||
| CURRENT ASSETS | ||||||||||||
| Cash and cash equivalents | $ | – | $ | 3 | $ | 288 | ||||||
| Accounts receivable, net | 5,671 | 7,439 | 8,603 | |||||||||
| Due from affiliates | 5,260 | 5,507 | 2,788 | |||||||||
| Prepaid expenses and other current assets | 538 | 129 | 667 | |||||||||
| Total current assets | 11,469 | 13,078 | 12,346 | |||||||||
| PROPERTY AND EQUIPMENT, NET | 13,752 | 13,845 | 17,794 | |||||||||
| OTHER ASSETS | ||||||||||||
| Goodwill | 9,923 | 9,923 | 9,923 | |||||||||
| Other intangible assets | 350 | 470 | 589 | |||||||||
| Total assets | $ | 35,494 | $ | 37,316 | $ | 40,652 | ||||||
| LIABILITIES AND PARTNERS' CAPITAL | ||||||||||||
| CURRENT LIABILITIES | ||||||||||||
| Accounts payable and accrued expenses | $ | 837 | $ | 1,483 | $ | 1,942 | ||||||
| Current portion of deferred rent | 274 | 231 | 207 | |||||||||
| Current portion of equipment notes payable | 208 | 692 | 668 | |||||||||
| Current portion of obligations under capital leases | – | – | 167 | |||||||||
| Total current liabilities | 1,319 | 2,406 | 2,984 | |||||||||
| LONG-TERM LIABILITIES | ||||||||||||
| Deferred rent, net of current portion | 1,028 | 1,169 | 1,399 | |||||||||
| Equipment notes payable, net of current portion | 357 | 565 | 1,257 | |||||||||
| Total liabilities | 2,704 | 4,140 | 5,640 | |||||||||
| COMMITMENTS AND CONTINGENCIES | ||||||||||||
| PARTNERS' CAPITAL | ||||||||||||
| RadNet, Inc. | 15,123 | 15,339 | 16,833 | |||||||||
| Other partners | 17,667 | 17,837 | 18,179 | |||||||||
| Total partners' capital | 32,790 | 33,176 | 35,012 | |||||||||
| Total liabilities and partners' capital | $ | 35,494 | $ | 37,316 | $ | 40,652 | ||||||
The accompanying notes are an integral part of these financial statements.
| 2 |
CERTAIN RADNET, INC. AFFILIATES
COMBINED STATEMENTS OF INCOME
(IN THOUSANDS)
| Years Ended December 31, | ||||||||||||
| 2015 | 2014 | 2013 | ||||||||||
| NET SERVICE FEE REVENUE | (unaudited) | |||||||||||
| Service fee revenue, net of contractual allowances and discounts | $ | 55,008 | $ | 55,058 | $ | 57,210 | ||||||
| Provision for bad debts | (2,824 | ) | (2,832 | ) | (2,777 | ) | ||||||
| Net service fee revenue | 52,184 | 52,226 | 54,433 | |||||||||
| OPERATING EXPENSES | ||||||||||||
| Cost of operations | 34,802 | 36,767 | 38,220 | |||||||||
| Depreciation and amortization | 4,139 | 4,718 | 4,728 | |||||||||
| Net loss (gain) on sale of equipment | 31 | 19 | (143 | ) | ||||||||
| Total operating expenses | 38,972 | 41,504 | 42,805 | |||||||||
| INCOME FROM OPERATIONS | 13,212 | 10,722 | 11,628 | |||||||||
| Net interest expense | 34 | 60 | 86 | |||||||||
| NET INCOME | $ | 13,178 | $ | 10,662 | $ | 11,542 | ||||||
The accompanying notes are an integral part of these financial statements.
| 3 |
CERTAIN RADNET, INC. AFFILIATES
COMBINED STATEMENTS OF PARTNERS' CAPITAL
(IN THOUSANDS)
| RadNet, Inc. | Other Partners | Total | ||||||||||
| BALANCE - January 1, 2013 | $ | 17,717 | $ | 18,253 | $ | 35,970 | ||||||
| Net Income | 5,369 | 6,173 | 11,542 | |||||||||
| Distributions | (6,253 | ) | (6,247 | ) | (12,500 | ) | ||||||
| BALANCE - December 31, 2013 | 16,833 | 18,179 | 35,012 | |||||||||
| Net Income | 4,949 | 5,713 | 10,662 | |||||||||
| Distributions | (6,443 | ) | (6,055 | ) | (12,498 | ) | ||||||
| BALANCE - December 31, 2014 | 15,339 | 17,837 | 33,176 | |||||||||
| Net Income (unaudited) | 6,133 | 7,045 | 13,178 | |||||||||
| Distributions (unaudited) | (6,349 | ) | (7,215 | ) | (13,564 | ) | ||||||
| BALANCE - December 31, 2015 (unaudited) | $ | 15,123 | $ | 17,667 | $ | 32,790 | ||||||
The accompanying notes are an integral part of these financial statements.
| 4 |
CERTAIN RADNET, INC. AFFILIATES
COMBINED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
| Years Ended December 31, | ||||||||||||
| 2015 | 2014 | 2013 | ||||||||||
| CASH FLOWS FROM OPERATING ACTIVITIES | (unaudited) | |||||||||||
| Net income | $ | 13,178 | $ | 10,662 | $ | 11,542 | ||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||
| Depreciation and amortization | 4,139 | 4,718 | 4,728 | |||||||||
| Provision for bad debts | 2,824 | 2,832 | 2,777 | |||||||||
| Deferred rent amortization | (98 | ) | (206 | ) | (155 | ) | ||||||
| Net loss (gain) on sale of equipment | 31 | 19 | (143 | ) | ||||||||
| Changes in operating assets and liabilities | ||||||||||||
| Accounts receivable | (1,056 | ) | (1,669 | ) | (2,783 | ) | ||||||
| Prepaid expenses and other current assets | (409 | ) | 537 | (69 | ) | |||||||
| Due from affiliates | 247 | (2,718 | ) | (1,668 | ) | |||||||
| Accounts payable and accrued expenses | (646 | ) | (459 | ) | (84 | ) | ||||||
| Net cash provided by operating activities | 18,210 | 13,716 | 14,145 | |||||||||
| CASH FLOWS FROM INVESTING ACTIVITIES | ||||||||||||
| Purchase of property and equipment | (3,958 | ) | (669 | ) | (1,965 | ) | ||||||
| Proceeds from sale of equipment | 1 | 1 | 30 | |||||||||
| Net cash used in investing activities | (3,957 | ) | (668 | ) | (1,935 | ) | ||||||
| CASH FLOWS FROM FINANCING ACTIVITIES | ||||||||||||
| Principal payments on notes and leases payable | (692 | ) | (835 | ) | (1,200 | ) | ||||||
| Distributions to partners | (13,564 | ) | (12,498 | ) | (12,500 | ) | ||||||
| Net cash used in financing activities | (14,256 | ) | (13,333 | ) | (13,700 | ) | ||||||
| NET DECREASE IN CASH AND CASH EQUIVALENTS | (3 | ) | (285 | ) | (1,490 | ) | ||||||
| CASH AND CASH EQUIVALENTS, beginning of period | 3 | 288 | 1,778 | |||||||||
| CASH AND CASH EQUIVALENTS, end of period | $ | – | $ | 3 | $ | 288 | ||||||
| SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION | ||||||||||||
| Cash paid during the period for interest | $ | 34 | $ | 60 | $ | 86 | ||||||
The accompanying notes are an integral part of these financial statements.
| 5 |
CERTAIN RADNET, INC. AFFILIATES
NOTES TO COMBINED FINANCIAL STATEMENTS
(Unaudited as of and for the year ended December 31, 2015)
NOTE 1 – DESCRIPTION OF BUSINESS
Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC, and Greater Baltimore Diagnostic Imaging Partnership (collectively, the “Group”), are joint ventures between RadNet, Inc. and, as applicable, hospitals, health systems or radiology practices operating within the state of Maryland 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. Each joint venture within the Group is an affiliate of RadNet, Inc. as follows:
| % owned by RadNet, Inc. | ||
| Franklin Imaging Joint Venture | 49% | |
| Carroll County Radiology, LLC | 40% | |
| MRI at St. Joseph Medical Center, LLC | 49% | |
| Greater Baltimore Diagnostic Imaging Partnership ("GBDIP") | 50% |
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
PRINCIPLES OF COMBINATION – Under Rule 3-09 of Regulation S-X, RadNet, Inc. is permitted to file combined financial statements for individually significant unconsolidated joint ventures which are in the same line of business. The combined financial statements include the assets, liabilities, and operations of each member of the Group. The operating activities of each of these joint ventures are completely separate from one another and are in no way affiliated with one another. Accordingly there are no intercompany transactions and balances to be eliminated when combining each together.
USE OF ESTIMATES - The preparation of these financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. These estimates and assumptions affect various matters including the Group’s reported amounts of assets and liabilities in the combined balance sheets at the dates of the financial statements; disclosure of contingent assets and liabilities at the dates of the financial statements; and reported amounts of revenues and expenses in the combined statements of income 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 materially differ from these estimates.
REVENUES – Combined service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payors and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments and discounts. This service fee revenue is earned through providing the use of diagnostic imaging equipment and the provision of technical services as well as providing administrative services such as clerical and administrative personnel, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.
The Group's combined service fee revenues are recorded during the period the services are provided based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances are based on historical collection rates of pre-determined payment rates specified in the related contractual agreements. The Group also records a provision for doubtful accounts (based primarily on historical collection experience) related to patient financial responsibility including copayment and deductible amounts for patients who have health care coverage with third-party payors.
| 6 |
The Group’s service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the years ended December 31, are summarized in the following table (in thousands):
| Years Ended December 31, | ||||||||||||
| 2015 | 2014 | 2013 | ||||||||||
| (unaudited) | ||||||||||||
| Commercial Insurance | $ | 36,911 | $ | 37,384 | $ | 38,846 | ||||||
| Medicare | 12,322 | 12,003 | 12,472 | |||||||||
| Medicaid | 1,980 | 1,872 | 1,945 | |||||||||
| Workers' Compensation/Personal Injury | 2,805 | 2,643 | 2,746 | |||||||||
| Other | 990 | 1,156 | 1,201 | |||||||||
| Service fee revenue, net of contractual allowances and discounts | 55,008 | 55,058 | 57,210 | |||||||||
| Provision for bad debts | (2,824 | ) | (2,832 | ) | (2,777 | ) | ||||||
| Net service fee revenue | $ | 52,184 | $ | 52,226 | $ | 54,433 | ||||||
ACCOUNTS RECEIVABLE - Substantially all of the Group’s 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. The Group continuously monitors collections from payors and maintains an allowance for bad debts based upon specific payor collection issues that have been identified as well as historical collection experience.
PROVISION FOR BAD DEBTS - Although outcomes vary, the Group’s 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. The Group provides 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. The Group estimates this allowance based on the aging of accounts receivable by each type of payor over a minimum 18-month look-back period, and other relevant factors. A significant portion of the provision for bad debt relates to co-payments and deductibles owed to the Group 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 the Group’s estimation process. The combined allowance for bad debts at December 31, 2015 and 2014 was $365,000 (unaudited) and $351,000, respectively.
CONCENTRATION OF CREDIT RISKS - Financial instruments that potentially subject the Group to credit risk are primarily cash equivalents and accounts receivable. Each joint venture places its cash and cash equivalents with a financial institution. At times, the cash in the financial institution is temporarily in excess of the amount insured by the Federal Deposit Insurance Corporation, or FDIC. Substantially all 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. The Group continuously monitors collections from its clients and maintains an allowance for bad debts based upon any specific payor collection issues that are identified and historical experience.
CASH AND CASH EQUIVALENTS – The Group considers all highly liquid investments that mature in three months or less when purchased to be cash equivalents. The carrying amount of cash and cash equivalents approximates their fair market value.
PROPERTY AND EQUIPMENT – Property, furniture and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation and amortization of property, furniture and equipment are provided using the straight-line method over the estimated useful lives, which range from 3 to 15 years. Leasehold improvements are amortized at the shorter of the related lease term or their estimated useful lives which range from 3 to 30 years.
GOODWILL – Combined goodwill of the Group at December 31, 2015 totaled $9.9 million (unaudited). Goodwill is recorded by each member of the Group as a result of business combinations. Management of each member of the Group 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. Each member of the Group evaluated its respective share of the combined goodwill at October 1, 2015 for signs of impairment under the provisions of ASU 2011-08. By utilizing certain qualitative measures outlined in the guidance, each member determined that its respective share of the combined goodwill was not impaired.
| 7 |
INCOME TAXES - Each member of the Group is treated as a partnership for federal and state income tax purposes where all taxable income is allocated to the partners in accordance with the respective partnership agreement and so accordingly federal and state taxes on income are the responsibility of the joint venture partners individually. Accordingly, no income tax provision is recorded by any joint ventures in the Group.
Open tax years are those that are open for examination by taxing authorities, and include all returns for tax years ending on or after December 31, 2012, for federal returns and December 31, 2012, for Maryland returns. The Group has no examinations in process and has not been notified of any future examinations at this time. Management of each member of the Group has reviewed all open tax years and major jurisdictions, and has not recorded an unrecognized tax benefit relating to uncertain income tax positions taken or expected to be taken in future tax returns. The Group has recognized no interest or penalties related to uncertain tax positions taken or expected to be taken.
FAIR VALUE MEASUREMENTS –The combined balance sheets include the following financial instruments: cash and cash equivalents, receivables, trade accounts payable, capital leases, equipment notes payable and other liabilities. The Group considers 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, the Group considers the carrying amount of its equipment notes payable and 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 3 – GOODWILL AND OTHER INTANGIBLE ASSETS
Combined goodwill of the Group totaled $9.9 million (unaudited) at December 31, 2015 and 2014. Goodwill is recorded as a result of business combinations.
Other intangible assets are primarily related to the value of management service contracts on the books of MRI at St. Joseph Medical Center, LLC and covenant not to compete contracts acquired through GBDIP’s acquisition of a controlling interest of a previously held non-consolidated joint venture investment and totaled $608,138 on the date of acquisition. Accumulated amortization of the management service contract and covenant not to compete contract intangible assets through December 31, 2015 was $141,000 (unaudited) and $418,000 (unaudited), respectively. Amortization expense for the year ended December 31, 2015 was $120,000 (unaudited). The value of these covenant not to compete contracts is amortized using the straight-line method over five years. Management service contracts are amortized over 25 years.
The following table (unaudited) shows annual amortization expense, by asset classes that will be recorded over the next five years (in thousands):
| 2016 | 2017 | 2018 | 2019 | 2020 | Thereafter | Total | Weighted average amortization period remaining in years | |||||||||||||||||||||||||
| Management service contracts | $ | 16 | $ | 16 | $ | 16 | $ | 16 | $ | 16 | $ | 165 | $ | 245 | 17.0 | |||||||||||||||||
| Covenant not to compete contracts | 105 | – | – | – | – | 105 | 1.0 | |||||||||||||||||||||||||
| Total annual amortization | $ | 121 | $ | 16 | $ | 16 | $ | 16 | $ | 16 | $ | 165 | $ | 350 | ||||||||||||||||||
| 8 |
NOTE 4 - PROPERTY AND EQUIPMENT
Property and equipment and accumulated depreciation and amortization are as follows (in thousands):
| December 31, | ||||||||
| 2015 | 2014 | |||||||
| (Unaudited) | ||||||||
| Medical equipment | $ | 39,841 | $ | 36,618 | ||||
| Office equipment, furniture and fixtures | 3,280 | 3,238 | ||||||
| Leasehold improvements | 14,440 | 14,335 | ||||||
| 57,561 | 54,191 | |||||||
| Accumulated depreciation and amortization | (43,809 | ) | (40,346 | ) | ||||
| $ | 13,752 | $ | 13,845 | |||||
Depreciation and amortization expense on property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2015, 2014 and 2013 totaled $4.0 million (unaudited), $4.7 million and $4.6 million, respectively.
NOTE 5 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES
Accounts payable and accrued expenses are as follows (in thousands):
| December 31, | ||||||||
| 2015 | 2014 | |||||||
| (unaudited) | ||||||||
| Accounts payable | $ | 1 | $ | 98 | ||||
| Accrued expenses | 628 | 230 | ||||||
| Accrued payroll and vacation | 208 | 1,155 | ||||||
| Total | $ | 837 | $ | 1,483 | ||||
NOTE 6 – EQUIPMENT NOTES PAYABLE
One member of the Group, Greater Baltimore Diagnostic Imaging Partnership holds four promissory notes issued by two financing companies for the purpose of acquiring imaging equipment. These notes have interest rates between 3.5% and 4.5%, mature on or before October 2018 and are collateralized by the acquired equipment.
The following is a listing of annual principal maturities of the equipment notes discussed above for years ending December 31 (in thousands):
| (unaudited) | ||||
| 2016 | $ | 208 | ||
| 2017 | 201 | |||
| 2018 | 156 | |||
| 2019 | – | |||
| 2020 | – | |||
| Thereafter | – | |||
| $ | 565 | |||
| 9 |
NOTE 7 – COMMITMENTS AND CONTINGENCIES
Leases – The Group leases various operating facilities and certain medical equipment under operating leases with renewal options expiring through 2018. Certain leases contain renewal options from two to ten years and escalation clauses based either on the consumer price index or fixed rent escalators. Leases with fixed rent escalators are recorded on a straight-line basis. The Group records deferred rent for tenant leasehold improvement allowances received from a lessor and amortizes the deferred rent expense over the term of the lease agreement. Minimum annual payments under operating leases for future years ending December 31 (in thousands):
| Facilities | Equipment | Total | ||||||||||
| (unaudited) | (unaudited) | (unaudited) | ||||||||||
| 2016 | $ | 1,923 | $ | 282 | $ | 2,205 | ||||||
| 2017 | 1,457 | 39 | 1,496 | |||||||||
| 2018 | 1,189 | 35 | 1,224 | |||||||||
| 2019 | 938 | 18 | 956 | |||||||||
| 2020 | 496 | – | 496 | |||||||||
| Thereafter | 549 | – | 549 | |||||||||
| $ | 6,552 | $ | 374 | $ | 6,926 | |||||||
Total rent expense, including equipment rentals, for the years ended December 31, 2015, 2014 and 2013 was $2.7 million (unaudited), $3.5 million and $3.9 million, respectively.
NOTE 8 – RELATED PARTY TRANSACTIONS
RadNet, Inc. contracts with each joint venture within the Group to provide certain administrative services including assistance with accounting, payroll and employee benefits processing, and billing and collection functions on behalf of these joint ventures. RadNet Inc. remits to the joint ventures all amounts collected through its administration of the billing and collection functions.
RadNet, Inc., as administrator over payroll and employee benefits, pays salary and benefit obligations on behalf of these joint ventures and then bills each joint venture for its respective portion.
RadNet, Inc. contracts with certain members of its contracted radiologist groups to perform professional services for the joint ventures. RadNet, Inc. assures that these radiologists are adequately covered under medical malpractice insurance policies. RadNet, Inc., on behalf of its contracted radiologist groups, bills each joint venture for its respective share of the professional fees incurred through its utilization of these contracted radiologists. RadNet, Inc. remits to its contracted radiologist groups all amounts collected from the joint ventures for the billed professional fees.
Amounts receivable from and payable to RadNet Inc. for the activities listed above are summarized in due from affiliates on the Group’s combined balance sheets and were $5.3 million (unaudited) and $5.5 million at December 31, 2015 and 2014, respectively.
NOTE 9 – SUBSEQUENT EVENTS
The members of the Group evaluated subsequent events through March 30, 2016 and concluded that no additional disclosures were required.
| 10 |
Exhibit Index
The following exhibits are filed, or incorporated by reference into this Annual Report on Form 10-K/A (Amendment No. 1):
| Exhibit No. | Description of Exhibit | ||
| 3.1 | Certificate of Incorporation of RadNet, Inc., a Delaware corporation (incorporated by reference to exhibit filed with Form 8-K on September 4, 2008). | ||
| 3.2 | Certificate of Amendment to Certificate of Incorporation of RadNet, Inc., a Delaware corporation, dated September 2, 2008 (incorporated by reference to exhibit filed with Form 8-K on September 4, 2008). | ||
| 3.3 | Bylaws of RadNet, Inc., a Delaware corporation (incorporated by reference to exhibit filed with Form 8-K on September 4, 2008). | ||
| 10.1 | Credit and Guaranty Agreement, dated October 10, 2012, by and among Radnet Management, Inc., RadNet, Inc., the guarantors thereunder, General Electric Capital Corporation, Deutsche Bank Securities, Inc., RBC Capital Markets and Barclays Bank PLC (incorporated by reference to exhibit filed with Form 8-K on October 12, 2012). | ||
| 10.2 |
Pledge and Security Agreement, dated October 10, 2012, by and among Radnet Management, Inc., RadNet, Inc., the guarantors thereunder, and Barclays Bank PLC (incorporated by reference to exhibit filed with Form 8-K on October 12, 2012). |
||
| 10.3 |
Form of Trademark Security Agreement by and among the guarantors thereunder and Barclays Bank PLC (filed as an exhibit to the Pledge and Security Agreement, dated October 10, 2012, by among the guarantors thereunder and Barclays Bank PLC, included as Exhibit 10.2). |
||
| 10.4 | First Amendment Agreement dated as of April 3, 2013 to the Credit and Guaranty Agreement dated as of October 10, 2012, by and among Radnet Management, Inc., RadNet, Inc., the guarantors thereunder, Barclays Bank PLC, General Electric Capital Corporation and deutsche Bank Securities Inc. and RBC Capital Markets (incorporated by reference to Exhibit 99.1 filed with Form 8-K on April 4, 2013). |
||
| 10.5 |
Second Amendment Agreement dated March 25, 2014 to the Credit and Guaranty Agreement, dated as of October 10, 2012 (as amended, by the First Amendment Agreement, dated as of April 3, 2013), by and among RadNet, Inc., Radnet Management, Inc., certain subsidiaries and affiliates of Radnet Management, Inc., certain lenders identified therein, and Barclays Bank PLC, as administrative agent and collateral agent (incorporated by reference to Exhibit 99.1 filed with Form 8-K on March 31, 2014). |
||
| 10.6 | Second Lien Credit and Guaranty Agreement, dated as of March 25, 2014, by and among Radnet Management, Inc., RadNet, Inc., certain subsidiaries and affiliates of Radnet Management, Inc., the lenders party thereto from time to time, certain other financial institutions and Barclays Bank PLC, as administrative agent and collateral agent (incorporated by reference to Exhibit 99.2 filed with Form 8-K on March 31, 2014). |
||
| 10.7 | Second Lien Pledge and Security Agreement, dated as of March 25, 2014, by and among Radnet Management, Inc., the Grantors identified therein, and Barclays Bank PLC (incorporated by reference to Exhibit 99.3 filed with Form 8-K on March 31, 2014). |
| 11 |
|
10.8 |
Joinder Agreement, dated as of April 30, 2015, by and among Barclays Bank Plc, Radnet Management, Inc., a California Corporation, Radnet Inc., a Delaware Corporation, and certain affiliates and subsidiaries of Radnet Management Inc. (Incorporated by reference to exhibit filed with Form 8-K on May 1, 2015). |
||
| 10.9 | 2006 Equity Incentive Plan, amended and restated as of April 19, 2011 (incorporated by reference to exhibit filed with Form S-8 registration statement on August 15, 2011).* | ||
|
10.10
|
Form of Stock Option Agreement for the 2006 Equity Incentive Plan (incorporated by reference to exhibit filed with Form S-8 registration statement on August 15, 2011).* | ||
| 10.11 | Form of Restricted Stock Award for the 2006 Equity Incentive Plan (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended March 31, 2012).* | ||
| 10.12 | Form of Warrant recharacterized as under the 2006 Equity Incentive Plan – Form A (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended June 30, 2008).* | ||
| 10.13 | Form of Warrant recharacterized as under the 2006 Equity Incentive Plan – Form B (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended June 30, 2008).* | ||
| 10.14 | Form of Indemnification Agreement between the registrant and each of its officers and directors (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended March 31, 2008).* | ||
| 10.15 | Employment Agreement dated as of June 12, 1992 with Howard G. Berger, M.D. (incorporated by reference to exhibit filed with an amendment to Form 8-K report for June 12, 1992).* | ||
| 10.16 | Amendment to Employment Agreement dated January 30, 2004 with Howard G. Berger, M.D. (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended January 31, 2004).* | ||
|
10.17 |
Second Amendment to Employment Agreement dated November 16, 2015 with Howard G. Berger, M.D. (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015).* |
||
| 10.18 | Employment Agreement dated as of April 16, 2001 with Jeffrey L. Linden (incorporated by reference to exhibit filed with Form 10-K for the year ended October 31, 2001).* | ||
|
10.19 |
Amendment to Employment Agreement dated January 30, 2004 with Jeffrey L. Linden (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended January 31, 2004).* |
||
| 10.20 | Second Amendment to Employment Agreement dated November 16, 2015 with Jeffrey L. Linden (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015).* | ||
| 10.21 | Employment Agreement dated as of May 1, 2001 with Norman R. Hames (incorporated by reference to exhibit filed with Form 10-K for the year ended October 31, 2001).* | ||
|
10.22 |
Amendment to Employment Agreement dated January 30, 2004 with Norman R. Hames (incorporated by reference to exhibit filed with Form 10-Q for the quarter ended January 31, 2004).* |
||
| 10.23 | Second Amendment to Employment Agreement dated November 16, 2015 with Normal R. Hames (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015).* | ||
| 10.24 | Employment Agreement with Mark Stolper effective January 1, 2009 (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2009).* | ||
|
10.25 |
First Amendment to Employment Agreement dated November 16, 2015 with Mark Stopler (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015).* |
||
| 10.26 | Retention Agreement with Stephen Forthuber dated November 15, 2006 (incorporated by reference to exhibit filed with Form 10-K/T for the year ended December 31, 2006).* | ||
| 10.27 | First Amendment to Retention Agreement dated November 16, 2015 with Stephen Forthuber (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015).* | ||
| 10.28 |
Amended and Restated Management and Service Agreement between Radnet Management, Inc. and Beverly Radiology Medical Group III dated January 1, 2004 (incorporated by reference to exhibit filed with Form 10-K for the year ended October 31, 2003).
|
| 12 |
| 12.1 | Computation of Ratio of Earnings to Fixed Charges (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015). | ||
| 14.1 | Code of Financial Ethics (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015). | ||
| 21.1 | List of Subsidiaries (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015. | ||
| 23.1 | Consent of Registered Independent Public Accounting Firm (incorporated by reference to exhibit filed with Form 10-K for the year ended December 31, 2015). | ||
| 23.2 | Consent of Registered Independent Public Accounting Firm. | ||
| 24.1 | Power of Attorney (included on signature page to the Form 10-K for the year ended December 31, 2015). | ||
| 31.1 | CEO Certification pursuant to Section 302. | ||
| 31.2 | CFO Certification pursuant to Section 302. | ||
| 32.1 | CEO Certification pursuant to Section 906. | ||
| 32.2 | CFO Certification pursuant to Section 906. | ||
| 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 |
* Indicates management contract or compensatory plan.
| 13 |
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. | |||
| Date: March 30, 2016 | / s/ HOWARD G . BERGER, M.D. | ||
| Howard G. Berger, M.D., President, | |||
| Chief Executive Officer and Director | |||
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of registrant in the capacities and on the dates indicated.
| By | / s/ HOWARD G . BERGER, M.D. | Date: March 30, 2016 | |||
| Howard G. Berger, M.D., Director, Chief Executive Officer and President | |||||
| By | /s/ MARVIN S. CADWELL * | Date: March 30, 2016 | |||
| Marvin S. Cadwell, Director | |||||
| By | /s/ JOHN V. CRUES, III, M.D. * | Date: March 30, 2016 | |||
| John V. Crues, III, M.D., Director | |||||
| By | /s/ NORMAN R. HAMES * | Date: March 30, 2016 | |||
| Norman R. Hames, Director | |||||
| By | /s/ DAVID L. SWARTZ * | Date: March 30, 2016 | |||
| David L. Swartz, Director | |||||
| By | /s/ LAWRENCE L. LEVITT * | Date: March 30, 2016 | |||
| Lawrence L. Levitt, Director | |||||
| By | /s/ MICHAEL L. SHERMAN, M.D. * | Date: March 30, 2016 | |||
| Michael L. Sherman, M.D., Director | |||||
| By | /s/ MARK D. STOLPER | Date: March 30, 2016 | |||
| Mark D. Stolper, Chief Financial Officer (Principal Accounting Officer) | |||||
* By Mark D. Stolper, as attorney- in-fact
| 14 |
EXHIBIT 23.2
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
We consent to the incorporation by reference in the following Registration Statements:
| (1) | Registration Statement (Form S-3 No. 333-201310) of RadNet, Inc., |
| (2) | Registration Statements (Form S-8 Nos. 333-176324, 333-160100, and 333-206311) pertaining to the 2006 Equity Incentive Plan, and |
| (3) | Registration Statements (Form S-8 Nos. 333-61876, 333-143652, 333-153228) pertaining to the 2006 Equity Incentive Plan, 2000 Long-Term Incentive Plan and certain warrants; |
of our report dated March 31, 2015 with respect to the combined financial statements of certain RadNet, Inc. affiliates including Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC and Greater Baltimore Diagnostic Imaging Partnership, included in this Annual Report (Form 10-K/A) for the year ended December 31, 2015.
/s/ Ernst & Young LLP
Los Angeles, California
March 30, 2016
EXHIBIT 31.1
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Howard G. Berger, M.D., certify that:
1. I have reviewed this report on Form 10-K/A (Amendment No. 1) to the Annual Report 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 15d-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: March 30, 2016
/s/ Howard G. Berger, M.D.
Howard G. Berger, M.D.
President, Chief Executive Officer and Chairman of the Board of Directors
EXHIBIT 31.2
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Howard G. Berger, M.D., certify that:
1. I have reviewed this report on Form 10-K/A (Amendment No. 1) to the Annual Report 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 15d-(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: March 30, 2016
/s/ Mark D. Stolper
Mark D. Stolper
Executive Vice President And Chief Financial Officer
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 Annual Report of RadNet, Inc. (the “Company”) on Form 10-K/A (Amendment No. 1) for the twelve month period ended December 31, 2015, as filed with the Securities and Exchange Commission on March 30, 2016 (the “Report”), I, Howard G. Berger, M.D., Chairman and Chief Executive Officer of the Company, certify, 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) |
| March 30, 2016 |
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.
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 Annual Report of RadNet, Inc. (the “Company”) on Form 10-K/A (Amendment No. 1) for the twelve month period ended December 31, 2015, as filed with the Securities and Exchange Commission on March 30, 2016 (the “Report”), I, Mark D. Stolper, Chief Financial Officer of the Company, certify, 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) |
| March 30, 2016 |
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.
Document and Entity Information - USD ($) |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Mar. 10, 2016 |
Jun. 30, 2015 |
|
| Document And Entity Information | |||
| Entity Registrant Name | RadNet, Inc. | ||
| Entity Central Index Key | 0000790526 | ||
| Document Type | 10-K/A | ||
| Document Period End Date | Dec. 31, 2015 | ||
| Amendment Flag | true | ||
| Amendment Description | We are filing this Form 10-K/A (Amendment No. 1) to our Annual Report on Form 10-K for the fiscal year ended December 31, 2015, originally filed with the U.S. Securities and Exchange Commission on March 15, 2016 (the "Original Filing"), solely for the purpose of including the financial statements of certain unconsolidated joint ventures in accordance with Rule 3-09 of Regulation S-X. Rule 3-09 requires that we file financial statements of unconsolidated joint ventures in which we hold equity interests of 50% or less and account for them under the equity method, to the extent that the unconsolidated joint ventures are individually significant. Such statements are required to be audited only for the years in which such unconsolidated joint ventures met applicable significance tests. Under Rule 3-09 of Regulation S-X, we are permitted to file the financial statements for these unconsolidated joint ventures within 90 days of the end of our fiscal year.
We determined that as of and for the year ended December 31, 2014, four of our unconsolidated joint venture interests, including Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC, and Greater Baltimore Diagnostic Imaging Partnership (collectively, the “Group”), were significant unconsolidated joint ventures under Rule 3-09 and the accompanying financial statements for the Group for the year ended December 31, 2014 have been audited accordingly. The Group did not meet the significance test for year 2015; therefore, the Group’s financial statements are required to be included for the year ended December 31, 2015, but are not required to be audited. We are permitted to file combined financial statements for individually significant joint ventures which are in the same line of business. Accordingly, we are filing this Amendment No. 1 to include the combined financial statements of the Group under Item 15 - Exhibits and Financial Statement Schedules, and are amending the list of the financial statements and exhibits being filed herewith. We are also filing an updated Exhibit Index and updated Certificates of our Chief Executive Officer and Chief Financial Officer under Sections 302 and 906 of the Sarbanes Oxley Act of 2002.
Except as described above, this Form 10-K/A does not amend or change any other items or disclosures in the Original Filing. The disclosure in this Form 10-K/A has not been updated to reflect events occurring after the Original Filing. Accordingly, this Amendment should be read in conjunction with the Original Filing and our other filings with the SEC subsequent to the Original Filing. |
||
| 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 Public Float | $ 266,105,775 | ||
| Entity Common Stock, Shares Outstanding | 47,193,286 | ||
| Document Fiscal Period Focus | FY | ||
| Document Fiscal Year Focus | 2015 |
COMBINED STATEMENTS OF INCOME - USD ($) $ in Thousands |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| NET SERVICE FEE REVENUE | |||
| Service fee revenue, net of contractual allowances and discounts | $ 55,008 | $ 55,058 | $ 57,210 |
| Provision for bad debts | (2,824) | (2,832) | (2,777) |
| Net service fee revenue | 52,184 | 52,226 | 54,433 |
| OPERATING EXPENSES | |||
| Cost of operations | 34,802 | 36,767 | 38,220 |
| Depreciation and amortization | 4,139 | 4,718 | 4,728 |
| Net loss (gain) on sale of equipment | 31 | 19 | (143) |
| Total operating expenses | 38,972 | 41,504 | 42,805 |
| INCOME FROM OPERATIONS | 13,212 | 10,722 | 11,628 |
| Net interest expense | 34 | 60 | 86 |
| NET INCOME | $ 13,178 | $ 10,662 | $ 11,542 |
COMBINED STATEMENTS OF PARTNERS' CAPITAL - USD ($) $ in Thousands |
Radnet, Inc. |
Other Partners |
Total |
|---|---|---|---|
| Partners capital, beginning balance at Dec. 31, 2012 | $ 17,717 | $ 18,253 | $ 35,970 |
| Net income | 5,369 | 6,173 | 11,542 |
| Distributions | (6,253) | (6,247) | (12,500) |
| Partners capital, ending balance at Dec. 31, 2013 | 16,833 | 18,179 | 35,012 |
| Net income | 4,949 | 5,713 | 10,662 |
| Distributions | (6,443) | (6,055) | (12,498) |
| Partners capital, ending balance at Dec. 31, 2014 | 15,339 | 17,837 | 33,176 |
| Net income | 6,133 | 7,045 | 13,178 |
| Distributions | (6,349) | (7,215) | (13,564) |
| Partners capital, ending balance at Dec. 31, 2015 | $ 15,123 | $ 17,667 | $ 32,790 |
1. DESCRIPTION OF BUSINESS |
12 Months Ended | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dec. 31, 2015 | |||||||||||||||||||
| Organization, Consolidation and Presentation of Financial Statements [Abstract] | |||||||||||||||||||
| DESCRIPTION OF BUSINESS |
Franklin Imaging Joint Venture, Carroll County Radiology, LLC, MRI at St. Joseph Medical Center, LLC, and Greater Baltimore Diagnostic Imaging Partnership (collectively, the “Group”), are joint ventures between RadNet, Inc. and, as applicable, hospitals, health systems or radiology practices operating within the state of Maryland 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. Each joint venture within the Group is an affiliate of RadNet, Inc. as follows:
|
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
12 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dec. 31, 2015 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Accounting Policies [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
PRINCIPLES OF COMBINATION – Under Rule 3-09 of Regulation S-X, RadNet, Inc. is permitted to file combined financial statements for individually significant unconsolidated joint ventures which are in the same line of business. The combined financial statements include the assets, liabilities, and operations of each member of the Group. The operating activities of each of these joint ventures are completely separate from one another and are in no way affiliated with one another. Accordingly there are no intercompany transactions and balances to be eliminated when combining each together.
USE OF ESTIMATES - The preparation of these financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. These estimates and assumptions affect various matters including the Group’s reported amounts of assets and liabilities in the combined balance sheets at the dates of the financial statements; disclosure of contingent assets and liabilities at the dates of the financial statements; and reported amounts of revenues and expenses in the combined statements of income 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 materially differ from these estimates.
REVENUES – Combined service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payors and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments and discounts. This service fee revenue is earned through providing the use of diagnostic imaging equipment and the provision of technical services as well as providing administrative services such as clerical and administrative personnel, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.
The Group's combined service fee revenues are recorded during the period the services are provided based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances are based on historical collection rates of pre-determined payment rates specified in the related contractual agreements. The Group also records a provision for doubtful accounts (based primarily on historical collection experience) related to patient financial responsibility including copayment and deductible amounts for patients who have health care coverage with third-party payors.
The Group’s service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the years ended December 31, are summarized in the following table (in thousands):
ACCOUNTS RECEIVABLE - Substantially all of the Group’s 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. The Group continuously monitors collections from payors and maintains an allowance for bad debts based upon specific payor collection issues that have been identified as well as historical collection experience.
PROVISION FOR BAD DEBTS - Although outcomes vary, the Group’s 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. The Group provides 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. The Group estimates this allowance based on the aging of accounts receivable by each type of payor over a minimum 18-month look-back period, and other relevant factors. A significant portion of the provision for bad debt relates to co-payments and deductibles owed to the Group 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 the Group’s estimation process. The combined allowance for bad debts at December 31, 2015 and 2014 was $365,000 (unaudited) and $351,000, respectively.
CONCENTRATION OF CREDIT RISKS - Financial instruments that potentially subject the Group to credit risk are primarily cash equivalents and accounts receivable. Each joint venture places its cash and cash equivalents with a financial institution. At times, the cash in the financial institution is temporarily in excess of the amount insured by the Federal Deposit Insurance Corporation, or FDIC. Substantially all 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. The Group continuously monitors collections from its clients and maintains an allowance for bad debts based upon any specific payor collection issues that are identified and historical experience.
CASH AND CASH EQUIVALENTS – The Group considers all highly liquid investments that mature in three months or less when purchased to be cash equivalents. The carrying amount of cash and cash equivalents approximates their fair market value.
PROPERTY AND EQUIPMENT – Property, furniture and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation and amortization of property, furniture and equipment are provided using the straight-line method over the estimated useful lives, which range from 3 to 15 years. Leasehold improvements are amortized at the shorter of the related lease term or their estimated useful lives which range from 3 to 30 years.
GOODWILL – Combined goodwill of the Group at December 31, 2015 totaled $9.9 million (unaudited). Goodwill is recorded by each member of the Group as a result of business combinations. Management of each member of the Group 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. Each member of the Group evaluated its respective share of the combined goodwill at October 1, 2015 for signs of impairment under the provisions of ASU 2011-08. By utilizing certain qualitative measures outlined in the guidance, each member determined that its respective share of the combined goodwill was not impaired.
INCOME TAXES - Each member of the Group is treated as a partnership for federal and state income tax purposes where all taxable income is allocated to the partners in accordance with the respective partnership agreement and so accordingly federal and state taxes on income are the responsibility of the joint venture partners individually. Accordingly, no income tax provision is recorded by any joint ventures in the Group.
Open tax years are those that are open for examination by taxing authorities, and include all returns for tax years ending on or after December 31, 2012, for federal returns and December 31, 2012, for Maryland returns. The Group has no examinations in process and has not been notified of any future examinations at this time. Management of each member of the Group has reviewed all open tax years and major jurisdictions, and has not recorded an unrecognized tax benefit relating to uncertain income tax positions taken or expected to be taken in future tax returns. The Group has recognized no interest or penalties related to uncertain tax positions taken or expected to be taken.
FAIR VALUE MEASUREMENTS –The combined balance sheets include the following financial instruments: cash and cash equivalents, receivables, trade accounts payable, capital leases, equipment notes payable and other liabilities. The Group considers 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, the Group considers the carrying amount of its equipment notes payable and capital lease obligations to approximate their fair value because the weighted average interest rate used to formulate the carrying amounts approximates current market rates. |
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3. GOODWILL AND OTHER INTANGIBLE ASSETS |
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| Goodwill and Intangible Assets Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GOODWILL AND OTHER INTANGIBLE ASSETS |
Combined goodwill of the Group totaled $9.9 million (unaudited) at December 31, 2015 and 2014. Goodwill is recorded as a result of business combinations.
Other intangible assets are primarily related to the value of management service contracts on the books of MRI at St. Joseph Medical Center, LLC and covenant not to compete contracts acquired through GBDIP’s acquisition of a controlling interest of a previously held non-consolidated joint venture investment and totaled $608,138 on the date of acquisition. Accumulated amortization of the management service contract and covenant not to compete contract intangible assets through December 31, 2015 was $141,000 (unaudited) and $418,000 (unaudited), respectively. Amortization expense for the year ended December 31, 2015 was $120,000 (unaudited). The value of these covenant not to compete contracts is amortized using the straight-line method over five years. Management service contracts are amortized over 25 years.
The following table (unaudited) shows annual amortization expense, by asset classes that will be recorded over the next five years (in thousands):
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4. PROPERTY AND EQUIPMENT |
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Dec. 31, 2015 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Property, Plant and Equipment [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PROPERTY AND EQUIPMENT |
Property and equipment and accumulated depreciation and amortization are as follows (in thousands):
Depreciation and amortization expense on property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2015, 2014 and 2013 totaled $4.0 million (unaudited), $4.7 million and $4.6 million, respectively. |
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5. ACCOUNTS PAYABLE AND ACCRUED EXPENSES |
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| Payables and Accruals [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ACCOUNTS PAYABLE AND ACCRUED EXPENSES |
Accounts payable and accrued expenses are as follows (in thousands):
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6. EQUIPMENT NOTES PAYABLE |
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Dec. 31, 2015 | |||||||||||||||||||||||||||||||||||||||||
| Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||
| EQUIPMENT NOTES PAYABLE |
One member of the Group, Greater Baltimore Diagnostic Imaging Partnership holds four promissory notes issued by two financing companies for the purpose of acquiring imaging equipment. These notes have interest rates between 3.5% and 4.5%, mature on or before October 2018 and are collateralized by the acquired equipment.
The following is a listing of annual principal maturities of the equipment notes discussed above for years ending December 31 (in thousands):
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7. COMMITMENTS AND CONTINGENCIES |
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| Commitments and Contingencies Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| COMMITMENTS AND CONTINGENCIES |
Leases – The Group leases various operating facilities and certain medical equipment under operating leases with renewal options expiring through 2018. Certain leases contain renewal options from two to ten years and escalation clauses based either on the consumer price index or fixed rent escalators. Leases with fixed rent escalators are recorded on a straight-line basis. The Group records deferred rent for tenant leasehold improvement allowances received from a lessor and amortizes the deferred rent expense over the term of the lease agreement. Minimum annual payments under operating leases for future years ending December 31 (in thousands):
Total rent expense, including equipment rentals, for the years ended December 31, 2015, 2014 and 2013 was $2.7 million (unaudited), $3.5 million and $3.9 million, respectively. |
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8. RELATED PARTY TRANSACTIONS |
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Dec. 31, 2015 | |
| Related Party Transactions [Abstract] | |
| RELATED PARTY TRANSACTIONS |
RadNet, Inc. contracts with each joint venture within the Group to provide certain administrative services including assistance with accounting, payroll and employee benefits processing, and billing and collection functions on behalf of these joint ventures. RadNet Inc. remits to the joint ventures all amounts collected through its administration of the billing and collection functions.
RadNet, Inc., as administrator over payroll and employee benefits, pays salary and benefit obligations on behalf of these joint ventures and then bills each joint venture for its respective portion.
RadNet, Inc. contracts with certain members of its contracted radiologist groups to perform professional services for the joint ventures. RadNet, Inc. assures that these radiologists are adequately covered under medical malpractice insurance policies. RadNet, Inc., on behalf of its contracted radiologist groups, bills each joint venture for its respective share of the professional fees incurred through its utilization of these contracted radiologists. RadNet, Inc. remits to its contracted radiologist groups all amounts collected from the joint ventures for the billed professional fees.
Amounts receivable from and payable to RadNet Inc. for the activities listed above are summarized in due from affiliates on the Group’s combined balance sheets and were $5.3 million (unaudited) and $5.5 million at December 31, 2015 and 2014, respectively.
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9. SUBSEQUENT EVENTS |
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Dec. 31, 2015 | |
| Subsequent Events [Abstract] | |
| SUBSEQUENT EVENTS |
The members of the Group evaluated subsequent events through March 30, 2016 and concluded that no additional disclosures were required. |
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies) |
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| Summary Of Significant Accounting Policies Policies | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PRINCIPLES OF COMBINATION |
PRINCIPLES OF COMBINATION – Under Rule 3-09 of Regulation S-X, RadNet, Inc. is permitted to file combined financial statements for individually significant unconsolidated joint ventures which are in the same line of business. The combined financial statements include the assets, liabilities, and operations of each member of the Group. The operating activities of each of these joint ventures are completely separate from one another and are in no way affiliated with one another. Accordingly there are no intercompany transactions and balances to be eliminated when combining each together. |
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| USE OF ESTIMATES |
USE OF ESTIMATES - The preparation of these financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. These estimates and assumptions affect various matters including the Group’s reported amounts of assets and liabilities in the combined balance sheets at the dates of the financial statements; disclosure of contingent assets and liabilities at the dates of the financial statements; and reported amounts of revenues and expenses in the combined statements of income 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 materially differ from these estimates. |
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| REVENUES |
REVENUES – Combined service fee revenue, net of contractual allowances and discounts, consists of net patient fees received from various payors and patients themselves based mainly upon established contractual billing rates, less allowances for contractual adjustments and discounts. This service fee revenue is earned through providing the use of diagnostic imaging equipment and the provision of technical services as well as providing administrative services such as clerical and administrative personnel, billing and collection, provision of medical and office supplies, secretarial, reception and transcription services, maintenance of medical records, and advertising, marketing and promotional activities.
The Group's combined service fee revenues are recorded during the period the services are provided based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies and employers. Estimates of contractual allowances are based on historical collection rates of pre-determined payment rates specified in the related contractual agreements. The Group also records a provision for doubtful accounts (based primarily on historical collection experience) related to patient financial responsibility including copayment and deductible amounts for patients who have health care coverage with third-party payors.
The Group’s service fee revenue, net of contractual allowances and discounts less the provision for bad debts for the years ended December 31, are summarized in the following table (in thousands):
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| ACCOUNTS RECEIVABLE |
ACCOUNTS RECEIVABLE - Substantially all of the Group’s 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. The Group continuously monitors collections from payors and maintains an allowance for bad debts based upon specific payor collection issues that have been identified as well as historical collection experience. |
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| PROVISION FOR BAD DEBTS |
PROVISION FOR BAD DEBTS - Although outcomes vary, the Group’s 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. The Group provides 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. The Group estimates this allowance based on the aging of accounts receivable by each type of payor over a minimum 18-month look-back period, and other relevant factors. A significant portion of the provision for bad debt relates to co-payments and deductibles owed to the Group 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 the Group’s estimation process. The combined allowance for bad debts at December 31, 2015 and 2014 was $365,000 (unaudited) and $351,000, respectively. |
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| CONCENTRATION OF CREDIT RISKS |
CONCENTRATION OF CREDIT RISKS - Financial instruments that potentially subject the Group to credit risk are primarily cash equivalents and accounts receivable. Each joint venture places its cash and cash equivalents with a financial institution. At times, the cash in the financial institution is temporarily in excess of the amount insured by the Federal Deposit Insurance Corporation, or FDIC. Substantially all 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. The Group continuously monitors collections from its clients and maintains an allowance for bad debts based upon any specific payor collection issues that are identified and historical experience. |
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| CASH AND CASH EQUIVALENTS |
CASH AND CASH EQUIVALENTS – The Group considers all highly liquid investments that mature in three months or less when purchased to be cash equivalents. The carrying amount of cash and cash equivalents approximates their fair market value. |
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| PROPERTY AND EQUIPMENT |
PROPERTY AND EQUIPMENT – Property, furniture and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation and amortization of property, furniture and equipment are provided using the straight-line method over the estimated useful lives, which range from 3 to 15 years. Leasehold improvements are amortized at the shorter of the related lease term or their estimated useful lives which range from 3 to 30 years. |
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| GOODWILL |
GOODWILL – Combined goodwill of the Group at December 31, 2015 totaled $9.9 million (unaudited). Goodwill is recorded by each member of the Group as a result of business combinations. Management of each member of the Group 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. Each member of the Group evaluated its respective share of the combined goodwill at October 1, 2015 for signs of impairment under the provisions of ASU 2011-08. By utilizing certain qualitative measures outlined in the guidance, each member determined that its respective share of the combined goodwill was not impaired. |
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| INCOME TAXES |
INCOME TAXES - Each member of the Group is treated as a partnership for federal and state income tax purposes where all taxable income is allocated to the partners in accordance with the respective partnership agreement and so accordingly federal and state taxes on income are the responsibility of the joint venture partners individually. Accordingly, no income tax provision is recorded by any joint ventures in the Group.
Open tax years are those that are open for examination by taxing authorities, and include all returns for tax years ending on or after December 31, 2012, for federal returns and December 31, 2012, for Maryland returns. The Group has no examinations in process and has not been notified of any future examinations at this time. Management of each member of the Group has reviewed all open tax years and major jurisdictions, and has not recorded an unrecognized tax benefit relating to uncertain income tax positions taken or expected to be taken in future tax returns. The Group has recognized no interest or penalties related to uncertain tax positions taken or expected to be taken. |
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| FAIR VALUE MEASUREMENTS |
FAIR VALUE MEASUREMENTS –The combined balance sheets include the following financial instruments: cash and cash equivalents, receivables, trade accounts payable, capital leases, equipment notes payable and other liabilities. The Group considers 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, the Group considers the carrying amount of its equipment notes payable and capital lease obligations to approximate their fair value because the weighted average interest rate used to formulate the carrying amounts approximates current market rates. |
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1. DESCRIPTION OF BUSINESS (Tables) |
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Dec. 31, 2015 | |||||||||||||||||||
| Organization, Consolidation and Presentation of Financial Statements [Abstract] | |||||||||||||||||||
| Affiliates of Radnet |
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2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables) |
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| Health Care Organization Revenue and Expense [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Service fee revenue |
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3. GOODWILL AND OTHER INTANGIBLE ASSETS (Tables) |
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| Goodwill and Intangible Assets Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Schedule of amortization expense |
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4. PROPERTY AND EQUIPMENT (Tables) |
12 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Dec. 31, 2015 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Property, Plant and Equipment [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Schedule of property and equipment |
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5. ACCOUNTS PAYABLE AND ACCRUED EXPENSES (IN THOUSANDS) (Tables) |
12 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Dec. 31, 2015 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Payables and Accruals [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ACCOUNTS PAYABLE AND ACCRUED EXPENSES |
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6. EQUIPMENT NOTES PAYABLE (Tables) |
12 Months Ended | ||||||||||||||||||||||||||||||||||||||||
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Dec. 31, 2015 | |||||||||||||||||||||||||||||||||||||||||
| Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||
| Maturities of notes payable |
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7. COMMITMENTS AND CONTINGENCIES (Tables) |
12 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Commitments and Contingencies Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Minimum annual payments under operating leases |
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1. DESCRIPTION OF BUSINESS (Details) |
Dec. 31, 2015 |
|---|---|
| Franklin Imaging Joint Venture [Member] | |
| Percent owned by Radnet, Inc. | 49.00% |
| Carroll County Radiology, LLC [Member] | |
| Percent owned by Radnet, Inc. | 40.00% |
| MRI at St. Joseph Medical Center, LLC [Member] | |
| Percent owned by Radnet, Inc. | 49.00% |
| Greater Baltimore Diagnostic Imaging Partnership [Member] | |
| Percent owned by Radnet, Inc. | 50.00% |
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details) - USD ($) $ in Thousands |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| Revenue | |||
| Commercial Insurance | $ 36,911 | $ 37,384 | $ 38,846 |
| Medicare | 12,322 | 12,003 | 12,472 |
| Medicaid | 1,980 | 1,872 | 1,945 |
| Workers Compensation/Personal Injury | 2,805 | 2,643 | 2,746 |
| Other | 990 | 1,156 | 1,201 |
| Service fee revenue, net of contractual allowances and discounts | 55,008 | 55,058 | 57,210 |
| Provision for bad debts | (2,824) | (2,832) | (2,777) |
| Net service fee revenue | $ 52,184 | $ 52,226 | $ 54,433 |
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details Narrative) - USD ($) |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| Allowance for bad debts | $ 365,000 | $ 351,000 | |
| Goodwill | $ 9,923,000 | $ 9,923,000 | $ 9,923,000 |
| Property, furniture and equipment | |||
| Useful lives | 3 to 15 years | ||
| Leasehold Improvements [Member] | |||
| Useful lives | 3 to 30 years |
3. GOODWILL AND OTHER INTANGIBLE ASSETS (Details) - USD ($) $ in Thousands |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| 2016 | $ 121 | ||
| 2017 | 16 | ||
| 2018 | 16 | ||
| 2019 | 16 | ||
| 2020 | 16 | ||
| Thereafter | 165 | ||
| Total goodwill and other intangible assets | 350 | $ 470 | $ 589 |
| Management service contracts [Member] | |||
| 2016 | 16 | ||
| 2017 | 16 | ||
| 2018 | 16 | ||
| 2019 | 16 | ||
| 2020 | 16 | ||
| Thereafter | 165 | ||
| Total goodwill and other intangible assets | $ 245 | ||
| Weighted average amortization period remaining in years | 17 years | ||
| Noncompete Agreements [Member] | |||
| 2016 | $ 105 | ||
| 2017 | 0 | ||
| 2018 | 0 | ||
| 2019 | 0 | ||
| 2020 | 0 | ||
| Thereafter | 0 | ||
| Total goodwill and other intangible assets | $ 105 | ||
| Weighted average amortization period remaining in years | 1 year |
3. GOODWILL AND OTHER INTANGIBLE ASSETS (Details Narrative) - USD ($) $ in Thousands |
12 Months Ended | |
|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
|
| Goodwill and Intangible Assets Disclosure [Abstract] | ||
| Accumulated amortization | $ 141,000 | $ 418,000 |
| Amortization expense | $ 120,000 |
4. PROPERTY AND EQUIPMENT (Details) - USD ($) $ in Thousands |
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|---|---|---|---|
| Property and equipment, gross | $ 57,561 | $ 54,191 | |
| Accumulated depreciation and amortization | (43,809) | (40,346) | |
| Property and equipment, net | 13,752 | 13,845 | $ 17,794 |
| Medical equipment [Member] | |||
| Property and equipment, gross | 39,841 | 36,618 | |
| Office equipment, furniture and fixtures [Member] | |||
| Property and equipment, gross | 3,280 | 3,238 | |
| Leasehold improvements [Member] | |||
| Property and equipment, gross | $ 14,440 | $ 14,335 |
4. PROPERTY AND EQUIPMENT (Details Narrative) - USD ($) $ in Thousands |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| Property, Plant and Equipment [Abstract] | |||
| Depreciation and amortization | $ 4,000 | $ 4,700 | $ 4,600 |
5. ACCOUNTS PAYABLE AND ACCRUED EXPENSES (Detalis) - USD ($) $ in Thousands |
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|---|---|---|---|
| Payables and Accruals [Abstract] | |||
| Accounts payable | $ 1 | $ 98 | |
| Accrued expenses | 628 | 230 | |
| Accrued payroll and vacation | 208 | 1,155 | |
| Total | $ 837 | $ 1,483 | $ 1,942 |
6. EQUIPMENT NOTES PAYABLE (Details) $ in Thousands |
12 Months Ended |
|---|---|
|
Dec. 31, 2015
USD ($)
| |
| Debt Disclosure [Abstract] | |
| 2016 | $ 208 |
| 2017 | 201 |
| 2018 | 156 |
| 2019 | 0 |
| 2020 | 0 |
| Thereafter | 0 |
| Total equipment note | $ 565 |
| Interest rates on notes | Interest rates between 3.5% and 4.5% |
| Maturity description | On or before October 2018 |
7. COMMITMENTS AND CONTINGENCIES (Details) - USD ($) $ in Thousands |
Dec. 31, 2015 |
Dec. 31, 2014 |
|---|---|---|
| 2016 | $ 2,205 | |
| 2017 | 1,496 | |
| 2018 | 1,224 | |
| 2019 | 956 | |
| 2020 | 496 | |
| Thereafter | 549 | |
| Total minimum annual payments under operating leases | $ 6,926 | |
| Facilities | ||
| 2016 | $ 1,923 | |
| 2017 | 1,457 | |
| 2018 | 1,189 | |
| 2019 | 938 | |
| 2020 | 496 | |
| Thereafter | 549 | |
| Total minimum annual payments under operating leases | 6,552 | |
| Equipment | ||
| 2016 | 282 | |
| 2017 | 39 | |
| 2018 | 35 | |
| 2019 | 18 | |
| 2020 | 0 | |
| Thereafter | 0 | |
| Total minimum annual payments under operating leases | $ 374 |
7. COMMITMENTS AND CONTINGENCIES (Details Narrative) - USD ($) $ in Thousands |
12 Months Ended | ||
|---|---|---|---|
Dec. 31, 2015 |
Dec. 31, 2014 |
Dec. 31, 2013 |
|
| Commitments and Contingencies Disclosure [Abstract] | |||
| Rent expense | $ 2,700 | $ 3,500 | $ 3,900 |
8. RELATED PARTY TRANSACTIONS (Details Narrative) - USD ($) $ in Thousands |
Dec. 31, 2015 |
Dec. 31, 2014 |
|---|---|---|
| Related Party Transactions [Abstract] | ||
| Due from affiliates | $ 5,300 | $ 5,500 |
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