EX-99.78 79 d929223dex9978.htm EX-99.78 EX-99.78

Exhibit 99.78

Akumin Inc.

Condensed Interim Consolidated

Financial Statements

(Unaudited)

June 30, 2020

(expressed in US dollars unless otherwise stated)


Akumin Inc.

Table of Contents

 

 

     Page  

Condensed Interim Consolidated Financial Statements (Unaudited)

  

Condensed Interim Consolidated Balance Sheets

     1  

Condensed Interim Consolidated Statements of Net Income (Loss) and Comprehensive Income (Loss)

     2  

Condensed Interim Consolidated Statements of Changes in Equity

     3  

Condensed Interim Consolidated Statements of Cash Flows

     4  

Notes to Condensed Interim Consolidated Financial Statements

     5 – 25  


Akumin Inc.

Condensed Interim Consolidated Balance Sheets

(Unaudited)

 

(expressed in US dollars unless otherwise stated)

 

    

June 30,

2020

$

   

December 31,

2019

$

 

Assets

    

Current assets

    

Cash

     28,075,346       23,388,916  

Accounts receivable (note 5)

     91,881,345       82,867,225  

Prepaid expenses and other current assets

     1,365,397       3,927,949  
  

 

 

   

 

 

 
     121,322,088       110,184,090  

Security deposits and other assets

     2,864,037       1,967,053  

Property and equipment (note 6)

     204,678,331       199,624,371  

Goodwill

     344,022,630       342,221,551  

Intangible assets

     8,032,591       9,387,169  
  

 

 

   

 

 

 
     680,919,677       663,384,234  
  

 

 

   

 

 

 

Liabilities

    

Current liabilities

    

Accounts payable and accrued liabilities

     29,106,385       26,262,225  

Leases (note 8)

     12,282,660       10,940,545  

Senior loans payable (note 9)

     3,715,702       3,705,952  

Earn-out liability (note 7)

     6,206,577       7,529,962  
  

 

 

   

 

 

 
     51,311,324       48,438,684  

Leases (note 8)

     136,841,734       126,159,235  

Senior loans payable (note 9)

     344,181,803       337,178,150  

Derivative financial instruments (note 9)

     5,190,000       951,702  

Subordinated notes payable – earn-out (note 10)

     192,387       184,485  

Earn-out liability (note 7)

     —         7,304,105  

Deferred tax liability

     1,560,049       1,571,664  
  

 

 

   

 

 

 
     539,277,297       521,788,025  

Shareholders’ equity

    

Common shares (note 11)

     153,309,505       151,997,555  

Warrants (note 11)

     —         734,379  

Contributed surplus

     6,729,651       6,149,186  

Deficit

     (21,688,147     (20,188,761
  

 

 

   

 

 

 

Equity attributable to shareholders of Akumin Inc.

     138,351,009       138,692,359  

Non-controlling interests

     3,291,371       2,903,850  
  

 

 

   

 

 

 
     141,642,380       141,596,209  
  

 

 

   

 

 

 
     680,919,677       663,384,234  
  

 

 

   

 

 

 

Commitments and contingencies (note 12)

Approved by the Board of Directors

 

(signed) “Riadh Zine   Director   (signed) “Tom Davies   Director

 

The accompanying notes are an integral part of these condensed interim consolidated financial statements.    (1)


Akumin Inc.

Condensed Interim Consolidated Statements of Net Income (Loss) and Comprehensive Income (Loss)

(Unaudited)

 

(expressed in US dollars unless otherwise stated)

 

    

Three-month

period ended

June 30,

2020

$

   

Three-month

period ended

June 30,

2019

$

   

Six-month

period ended

June 30,

2020

$

   

Six-month

period ended

June 30,

2019

$

 

Revenue

        

Service fees – net of allowances and discounts

     53,156,886       53,409,561       123,794,287       100,364,787  

Other revenue

     470,967       575,588       1,095,640       1,171,550  
  

 

 

   

 

 

   

 

 

   

 

 

 
     53,627,853       53,985,149       124,889,927       101,536,337  
  

 

 

   

 

 

   

 

 

   

 

 

 

Expenses

        

Employee compensation

     15,880,992       18,861,241       40,698,582       36,664,262  

Reading fees

     7,422,576       7,779,760       18,346,313       14,766,527  

Rent and utilities

     3,535,324       2,306,843       6,247,985       4,198,833  

Third party services and professional fees

     4,815,321       3,962,815       11,106,578       7,515,396  

Administrative

     2,626,123       2,932,975       6,510,482       5,644,297  

Medical supplies and other

     1,948,837       1,674,971       4,505,696       3,142,177  

Depreciation and amortization

     8,601,419       6,634,916       17,105,557       12,765,139  

Stock-based compensation

     565,504       935,341       1,158,036       1,952,953  

Interest expense

     10,401,580       5,300,276       20,226,580       8,769,757  

Settlement costs and other (recoveries)

     (549,197     (13,850     (193,610     (1,230,701

Acquisition-related costs

     80,888       1,764,003       300,222       2,549,685  

Financial instruments revaluation and other (gains) losses

     1,274,845       1,994,124       (744,137     2,051,516  
  

 

 

   

 

 

   

 

 

   

 

 

 
     56,604,212       54,133,415       125,268,284       98,789,841  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     (2,976,359     (148,266     (378,357     2,746,496  

Income tax provision (recovery)

     (425,632     269,772       19,465       545,447  
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) and comprehensive income (loss) for the period

     (2,550,727     (418,038     (397,822     2,201,049  

Non-controlling interests

     486,221       543,613       1,101,564       993,376  
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to common shareholders

     (3,036,948     (961,651     (1,499,386     1,207,673  
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) per share (note 15) Basic and diluted

     (0.04     (0.01     (0.02     0.02  

 

The accompanying notes are an integral part of these condensed interim consolidated financial statements.    (2)


Akumin Inc.

Condensed Interim Consolidated Statements of Changes in Equity

(Unaudited)

 

(expressed in US dollars unless otherwise stated)

 

    

Common

shares

$

    

Warrants

$

   

Contributed

surplus

$

   

Deficit

$

   

Non-

controlling

interest

$

   

Total

equity

$

 

Balance – December 31, 2018

     123,746,423        1,742,910       5,088,376       (26,640,173     2,467,200       106,404,736  

Net income and comprehensive income

     —          —         —         1,207,673       993,376       2,201,049  

Issuance of common shares – net of issuance costs

             

Acquisition consideration

     23,437,500        —         —         —         —         23,437,500  

RSUs and Warrants exercised

     2,593,329        (569,733     (712,450     —         —         1,311,146  

Stock-based compensation

     —          —         1,952,953       —         —         1,952,953  

Payment to non-controlling interests

     —          —         —         —         (828,936     (828,936
  

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance – June 30, 2019

     149,777,252        1,173,177       6,328,879       (25,432,500     2,631,640       134,478,448  
  

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance – December 31, 2019

     151,997,555        734,379       6,149,186       (20,188,761     2,903,850       141,596,209  

Net income and comprehensive income

     —          —         —         (1,499,386     1,101,564       (397,822

RSUs and warrants exercised

     1,311,950        —         (1,311,950     —         —         —    

Warrants expired

     —          (734,379     734,379       —         —         —    

Stock-based compensation expense

     —          —         1,158,036       —         —         1,158,036  

Payment to non-controlling interests

     —          —         —         —         (714,043     (714,043
  

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance – June 30, 2020

     153,309,505        —         6,729,651       (21,688,147     3,291,371       141,642,380  
  

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

The accompanying notes are an integral part of these condensed interim consolidated financial statements.    (3)


Akumin Inc.

Condensed Interim Consolidated Statements of Cash Flows

(Unaudited)

 

(expressed in US dollars unless otherwise stated)

 

    

Six-month

period ended

June 30,

2020

$

   

Six-month

period ended

June 30,

2019

$

 

Cash flows provided by (used in)

    

Operating activities

    

Net income (loss) for the period

     (397,822     2,201,049  

Adjustments for

    

Depreciation and amortization

     17,105,557       12,765,139  

Stock-based compensation

     1,158,036       1,952,953  

Interest expense accretion of debt and paid-in-kind interest

     2,121,149       440,780  

Deferred income tax recovery

     (11,615     —    

Financial instruments revaluation and other (gains) losses

     (744,137     2,051,516  

Changes in non-cash working capital

    

Accounts receivable

     (9,014,119     (10,961,209

Prepaid expenses, security deposits and other assets

     2,072,375       (1,335,732

Accounts payable and accrued liabilities

     2,601,955       388,799  
  

 

 

   

 

 

 
     14,891,379       7,503,295  
  

 

 

   

 

 

 

Investing activities

    

Property and equipment and intangible assets

     (4,716,122     (5,218,404

Business acquisitions – net of cash acquired

     (3,198,634     (190,095,758
  

 

 

   

 

 

 
     (7,914,756     (195,314,162
  

 

 

   

 

 

 

Financing activities

    

Loan proceeds

     6,300,000       322,600,000  

Loan repayments

     (1,850,569     (112,081,293

Issuance costs – loans

     (2,682,062     (14,781,765

Leases – principal payments

     (3,343,519     (4,217,031

Subordinated notes

     —         (1,500,000

Common shares

     —         1,311,146  

Payment to non-controlling interests

     (714,043     (828,936
  

 

 

   

 

 

 
     (2,290,193     190,502,121  
  

 

 

   

 

 

 

Increase in cash during the period

     4,686,430       2,691,254  

Cash – Beginning of period

     23,388,916       19,326,412  
  

 

 

   

 

 

 

Cash – End of period

     28,075,346       22,017,666  
  

 

 

   

 

 

 

Supplementary information

    

Interest expense paid

     18,165,395       8,418,637  

Income taxes paid

     98,780       535,193  

 

The accompanying notes are an integral part of these condensed interim consolidated financial statements.    (4)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

1

Presentation of condensed interim consolidated financial statements and nature of operations

The operations of Akumin Inc. (Akumin or the Company) and its Subsidiaries (defined below) primarily consist of operating outpatient diagnostic imaging centres located in Delaware, Florida, Georgia, Illinois, Kansas, Pennsylvania and Texas. Substantially all of the centres operated by Akumin were obtained through acquisition. Related to its imaging centre operations, Akumin also operates a medical equipment business, SyncMed, LLC (SyncMed), which provides maintenance services to Akumin’s imaging centres in Illinois, Kansas and Texas and a billing and revenue cycle management business, as a division of Akumin’s wholly owned indirect subsidiary, Akumin Corp., which was previously operated by a subsidiary, Rev Flo Inc., which was merged into Akumin Corp. on December 31, 2018.

The key services offered by the Company (through the Subsidiaries) include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, digital radiography (X-ray), fluoroscopy and other related procedures.

The Company has a diverse mix of payers, including private, managed care capitated and government payers.

The registered and Canadian head office of Akumin is located at 151 Bloor Street West, Suite 603, Toronto, Ontario, M5S 1S4. The United States head office is located at 8300 W. Sunrise Boulevard, Plantation, Florida, 33322. All operating activities are conducted through its wholly owned US subsidiary, Akumin Holdings Corp. and its wholly owned subsidiary, Akumin Corp. Akumin Corp. operates its business directly and through its key wholly owned direct and indirect subsidiaries, which include Akumin Florida Holdings, LLC, formerly known as Tri-State Imaging FL Holdings, LLC (FL Holdings), Akumin Imaging Texas, LLC, formerly known as Preferred Medical Imaging, LLC (PMI), SyncMed, Akumin FL, LLC (Akumin FL), Advanced Diagnostics Group, LLC (ADG), TIC Acquisition Holdings, LLC (TIC) and Akumin Health Illinois, LLC (Akumin IL) (collectively, the Subsidiaries), all of which are located in the United States.

 

2

Basis of preparation

These condensed interim consolidated financial statements for the three and six months ended June 30, 2020 have been prepared in accordance with International Accounting Standard (IAS) 34, Interim Financial Reporting. The disclosures contained in these condensed interim consolidated financial statements do not include all of the requirements of International Financial Reporting Standards (IFRS) for annual financial statements. The condensed interim consolidated financial statements should be read in conjunction with the audited consolidated financial statements for the year ended December 31, 2019, which have been prepared in accordance with IFRS, as issued by the International Accounting Standards Board (IASB). The condensed interim consolidated financial statements are based on accounting policies as described in the December 31, 2019 consolidated financial statements, except for changes to the accounting policies described in note 3.

The condensed interim consolidated financial statements include all of the accounts of the Company and the Subsidiaries. All intercompany transactions and balances have been eliminated on consolidation.

On August 12, 2020, the Board of Directors (the Board) authorized the condensed interim consolidated financial statements for issuance.

 

(5)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

 

(expressed in US dollars unless otherwise stated)

 

3

Summary of significant accounting policies

These condensed interim consolidated financial statements have been prepared using the significant accounting policies consistent with those applied in the Company’s December 31, 2019 consolidated financial statements, except as described below relating to the amendments to IFRS 3, IAS 1 and IAS 8 which became effective January 1, 2020.

Definition of a Business – Amendments to IFRS 3: The amended definition of a business requires an acquisition to include an input and a substantive process that together significantly contribute to the ability to create outputs. The definition of the term ‘outputs’ is amended to focus on goods and services provided to customers, generating investment income and other income, and it excludes returns in the form of lower costs and other economic benefits.

Definition of Material – Amendments to IAS 1 and IAS 8: The IASB has made amendments to IAS 1, Presentation of Financial Statements (“IAS 1”) and IAS 8, Accounting Policies, Changes in Accounting Estimates and Errors to use a consistent definition of materiality throughout IFRS and the Conceptual Framework for Financial Reporting, and clarify when information is material and incorporate some of the guidance in IAS 1 about immaterial information.

The adoption of the amendments to these standards did not have a material impact on the interim consolidated financial statements in the current or comparative periods. The Company was not required to make retrospective adjustments as a result of adopting these standards.

 

(6)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

 

(expressed in US dollars unless otherwise stated)

4

Business combinations

 

  i)

On January 1, 2020, the Company acquired, through a subsidiary, a single outpatient diagnostic imaging centre in Coral Springs, Florida, for cash consideration of approximately $2.1 million (Coral Springs Acquisition). In accordance with the transaction agreement, $100,000 of this purchase price (Holdback Fund) was withheld as security for indemnity obligations and was released to the seller during June 2020. This asset acquisition was considered a business combination under IFRS 3. The Company has made a preliminary fair value determination of the acquired assets and assumed liabilities as follows:

 

     $  

Assets acquired

  

Current assets

  

Prepaid expenses

     32,961  

Non-current assets

  

Security deposits

     368,601  

Property and equipment

     412,400  

Right-of-use property and equipment

     2,427,618  
  

 

 

 
     3,241,580  
  

 

 

 

Liabilities assumed

  

Non-current liabilities

  

Leases

     2,427,618  
  

 

 

 

Net assets acquired

     813,962  

Goodwill

     1,274,764  
  

 

 

 

Purchase price

     2,088,726  
  

 

 

 

This acquisition was an opportunity for the Company to increase its economies of scale across Florida. The goodwill assessed on acquisition, expected to be deductible for income tax purposes, reflects the Company’s expectation of future benefits from the acquired business and workforce, and potential synergies from cost savings. The results of operations of this acquisition have been included in the Company’s condensed interim consolidated statements of net income (loss) and comprehensive income (loss) from the acquisition date. Since the acquisition date, this acquisition contributed revenue of approximately $1.5 million and income before tax of approximately $0.2 million to the Company’s consolidated results for the six months ended June 30, 2020.

 

(7)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

 

(expressed in US dollars unless otherwise stated)

 

  ii)

On January 1, 2020, the Company acquired, through a subsidiary, a single outpatient diagnostic imaging centre in Crystal Lake, Illinois, for cash consideration of approximately $1.2 million (Crystal Lake Acquisition). In accordance with the transaction agreement, $60,000 of this purchase price (Holdback Fund) was withheld as security for indemnity obligations and was released to the seller during June 2020. This asset acquisition was considered a business combination under IFRS 3. The Company has made a preliminary fair value determination of the acquired assets and assumed liabilities as follows:

 

     $  

Assets acquired

  

Non-current assets

  

Security deposits

     5,799  

Property and equipment

     820,000  

Right-of-use property

     554,830  
  

 

 

 
     1,380,629  
  

 

 

 

Liabilities assumed

  

Non-current liabilities

  

Leases

     554,830  
  

 

 

 

Net assets acquired

     825,799  

Goodwill

     400,000  
  

 

 

 

Purchase price

     1,225,799  
  

 

 

 

This acquisition was an opportunity for the Company to increase its presence in Illinois. The goodwill assessed on acquisition, expected to be deductible for income tax purposes, reflects the Company’s expectation of future benefits from the acquired business and workforce, and potential synergies from cost savings. The results of operations of this acquisition have been included in the Company’s condensed interim consolidated statements of net income (loss) and comprehensive income (loss) from the acquisition date. Since the acquisition date, this acquisition contributed revenue of approximately $0.5 million and income before tax of approximately $90 thousand to the Company’s consolidated results for the six months ended June 30, 2020.

 

  iii)

On August 16, 2019, the Company acquired, through a subsidiary, five outpatient diagnostic imaging centres in El Paso, Texas, for cash consideration of $11 million (El Paso Acquisition). The cash purchase price was decreased during 2020 by approximately $16 thousand due to working capital adjustments in accordance with the purchase agreement. The Company has made a fair value determination of the acquired assets and assumed liabilities as at the date of acquisition, as follows. The intangible assets consist of the trade name and covenants not to compete.

 

(8)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

 

(expressed in US dollars unless otherwise stated)

 

     2020      2019  
     $      $  

Assets acquired

     

Current assets

     

Accounts receivable

     1,275,726        1,275,726  

Prepaid expenses

     19,789        19,789  
  

 

 

    

 

 

 
     1,295,515        1,295,515  

Non-current assets

     

Property and equipment

     3,922,481        3,922,481  

Real estate (right-of-use)

     3,683,989        3,683,989  

Intangible assets

     720,000        720,000  
  

 

 

    

 

 

 
     9,621,985        9,621,985  
  

 

 

    

 

 

 

Liabilities assumed

     

Current liabilities

     

Accounts payable and accrued liabilities

     1,174,040        1,024,631  

Non-current liabilities

     

Leases

     3,683,989        3,683,989  
  

 

 

    

 

 

 
     4,858,029        4,708,620  
  

 

 

    

 

 

 

Net assets acquired

     4,763,956        4,913,365  

Goodwill

     6,220,153        6,086,635  
  

 

 

    

 

 

 

Purchase price

     10,984,109        11,000,000  
  

 

 

    

 

 

 

 

  iv)

On October 4, 2019, the Company acquired, through a subsidiary, three outpatient diagnostic imaging centres in West Palm Beach, Florida, for cash consideration of approximately $18 million (West Palm Beach Acquisition). The cash purchase price was decreased during 2020 by approximately $0.1 million due to working capital adjustments in accordance with the purchase agreement. The Company has made a fair value determination of the acquired assets and assumed liabilities as at the date of acquisition, as follows. The intangible assets consist of the trade name and covenants not to compete.

 

(9)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

 

(expressed in US dollars unless otherwise stated)

 

     2020      2019  
     $      $  

Assets acquired

     

Current assets

     

Accounts receivable

     2,085,491        2,085,491  

Prepaid expenses

     90,454        90,454  
  

 

 

    

 

 

 
     2,175,945        2,175,945  

Non-current assets

     

Security deposits

     9,000        9,000  

Property and equipment

     2,432,234        2,432,234  

Real estate (right-of-use)

     13,625,521        13,625,521  

Intangible assets

     1,080,000        1,080,000  
  

 

 

    

 

 

 
     19,322,700        19,322,700  
  

 

 

    

 

 

 

Liabilities assumed

     

Current liabilities

     

Accounts payable and accrued liabilities

     1,404,268        1,311,471  

Non-current liabilities

     

Finance leases

     587,434        587,434  

Leases (right-of-use)

     13,625,521        13,625,521  
  

 

 

    

 

 

 
     15,617,223        15,524,426  
  

 

 

    

 

 

 

Net assets acquired

     3,705,477        3,798,274  

Goodwill

     14,064,109        14,071,312  
  

 

 

    

 

 

 

Purchase price

     17,769,586        17,869,586  
  

 

 

    

 

 

 

 

5

Accounts receivable

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Accounts receivable

     119,324,065        99,764,858  

Less: Allowance for credit losses

     (27,442,720      (16,897,633
  

 

 

    

 

 

 
     91,881,345        82,867,225  
  

 

 

    

 

 

 

The allowance for credit losses includes a provision for credit losses expense for the three and six months ended June 30, 2020 of $2,914,362 and $10,545,087, respectively (2019 – $2,226,147 and $4,182,615).

 

(10)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

6

Property and equipment and real estate and equipment (right-of-use assets)

Property and equipment

 

    

Furniture

and

fixtures

$

   

Office

equipment

$

   

Leasehold

improvements

$

   

Medical

equipment

$

   

Equipment

under finance

leases

$

   

Computer

equipment

$

    

Total

$

 

Cost

               

Balance – December 31, 2018

     677,354       188,237       10,081,484       55,559,558       9,662,230       109,326        76,278,189  

Additions

     403,232       3,123       3,337,565       8,560,670       4,722,252       71,915        17,098,757  

Business acquisitions

     7,650       23,252       3,974,790       13,722,000       587,434       13,529        18,328,655  

Disposals

     —         —         —         (2,176,457     —         —          (2,176,457
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Balance – December 31, 2019

     1,088,236       214,612       17,393,839       75,665,771       14,971,916       194,770        109,529,144  

Additions

     69,972       12,640       209,481       4,528,424       5,863,076       46,149        10,729,742  

Business acquisitions

     —         —         —         1,232,400       —         —          1,232,400  

Disposals

     (9,543     (16,220     (52,006     (923,822     (333,334     —          (1,334,925
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Balance – June 30, 2020

     1,148,665       211,032       17,551,314       80,502,773       20,501,658       240,919        120,156,361  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Accumulated depreciation

               

Balance – December 31, 2018

     176,818       117,287       1,815,737       15,059,057       3,479,107       62,595        20,710,601  

Depreciation

     100,866       33,790       1,342,980       10,811,469       1,654,528       28,471        13,972,104  

Disposals

     —         —         —         (1,146,451     —         —          (1,146,451
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Balance – December 31, 2019

     277,684       151,077       3,158,717       24,724,075       5,133,635       91,066        33,536,254  

Depreciation

     65,750       18,235       830,860       6,369,958       1,489,013       24,392        8,798,208  

Disposals

     (1,541     (3,039     (12,292     (333,210     (203,938     —          (554,020
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Balance – June 30, 2020

     341,893       166,273       3,977,285       30,760,823       6,418,710       115,458        41,780,442  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Net book value

               

December 31, 2018

     500,536       70,950       8,265,747       40,500,501       6,183,123       46,731        55,567,588  

December 31, 2019

     810,552       63,535       14,235,122       50,941,696       9,838,281       103,704        75,992,890  

June 30, 2020

     806,772       44,759       13,574,029       49,741,950       14,082,948       125,461        78,375,919  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

 

(11)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

Depreciation expense for the three and six months ended June 30, 2020 was $4,500,783 and $8,798,208, respectively (2019 – $3,274,858 and $6,152,233). During the three and six months ended June 30, 2020, the Company had net disposals of $414,848 and $780,905, respectively (2019 – $nil and $98,162).

Real estate and equipment (right-of-use assets)

 

    

Equipment

$

    

Real estate

$

    

Total

$

 

Cost

        

Balance – December 31, 2019

     4,301,981        131,363,021        135,665,002  

Additions

     58,751        8,529,129        8,587,880  

Business acquisitions

     27,871        2,954,577        2,982,448  

Disposals

     (142,663      (2,314,029      (2,456,692
  

 

 

    

 

 

    

 

 

 

Balance – June 30, 2020

     4,245,940        140,532,698        144,778,638  
  

 

 

    

 

 

    

 

 

 

Accumulated depreciation

        

Balance – December 31, 2019

     1,055,984        10,977,537        12,033,521  

Depreciation

     634,868        6,312,492        6,947,360  

Disposals

     (142,663      (361,992      (504,655
  

 

 

    

 

 

    

 

 

 

Balance – June 30, 2020

     1,548,189        16,928,037        18,476,226  
  

 

 

    

 

 

    

 

 

 

Net book value

        

December 31, 2019

     3,245,997        120,385,484        123,631,481  

June 30, 2020

     2,697,751        123,604,661        126,302,412  
  

 

 

    

 

 

    

 

 

 

Depreciation expense for the three and six months ended June 30, 2020 was $3,429,918 and $6,947,360, respectively (2019 – $3,109,580 and $6,106,075). During the three and six months ended June 30, 2020, the Company had net disposals of $1,517,542 and $1,952,037, respectively (2019 – $ 207,777 in each period).

 

7

Earn-out liability (ADG Acquisition)

 

    

June 30,

2020

$

    

December 31,

2019

$

 

ADG Acquisition – earn-out

     6,206,577        14,834,067  

Less: Current portion of ADG Acquisition – earn-out

     (6,206,577      (7,529,962
  

 

 

    

 

 

 

Non-current portion of ADG Acquisition – earn-out

     —          7,304,105  
  

 

 

    

 

 

 

A portion of the purchase price payable in respect of the ADG Acquisitions in 2019, specifically for SFL Radiology Holdings, LLC (Georgia business), is subject to an earn-out (the ADG Acquisition – earn-out liability) based on its annualized revenues earned in the first two quarters of 2020 less certain costs including certain operating expenses, capital expenditures and incremental working capital. In accordance with the purchase agreement, 50% of this liability is expected to be settled in the latter half of 2020 and the balance in the first half of 2021.

 

(12)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

The value of the ADG Acquisition – earn-out liability was estimated by management using a probability weighted valuation technique; changes in the fair value of this liability are recognized in the consolidated statements of net income (loss) and comprehensive income (loss). Management estimated the fair value of the ADG Acquisition – earn-out liability as at May 31, 2019 at approximately $15 million based on a discount rate of approximately 7% and management’s estimated probability weighted range of the ADG Acquisition – earn-out liability (it is considered a Level 3 liability as described in note 14). Subsequently, the ADG Acquisition – earn-out liability estimate was revalued at approximately $15 million as at December 31, 2019 and at approximately $8 million as at March 31, 2020 and the respective changes in fair value were recognized in financial instruments revaluation in the related consolidated statements of net income (loss) and comprehensive income (loss). The ADG Acquisition – earn-out liability estimate has been revalued at approximately $6 million as at June 30, 2020 and the change in fair value was recognized in financial instruments revaluation in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss). The final value of the ADG Acquisition earn-out is subject to review by the sellers of the Georgia business in accordance with the terms of the purchase agreement between the parties.

 

8

Lease liabilities

Finance

As at June 30, 2020, the Company’s finance lease liabilities were $13,802,580 (December 31, 2019 – $8,415,404). Of these obligations, the liabilities due within one year were $2,590,271. Interest expense accrued and paid during the three and six months ended June 30, 2020 was $167,211 and $296,453, respectively (2019 – $56,019 and $116,282) and lease payments were $91,328 and $514,356, respectively (2019 – $222,607 and $424,477).

Other

As at June 30, 2020, the Company’s other lease liabilities were $135,321,814 (December 31, 2019 – $128,684,376). Of these obligations, the liabilities due within one year are $9,692,389. Interest expense accrued and paid during the three and six months ended June 30, 2020 was $2,438,554 and $4,851,857, respectively (2019 – $1,683,172 and $3,277,192) and lease payments were $751,278 and $2,829,163, respectively (2019 – $1,949,935 and $3,792,554).

 

9

Senior loans payable

The Amended May 2019 Loans and Wesley Chapel Loan are collectively referred to as the Senior Loans.

Amended May 2019 Loans

On June 2, 2020, the Company entered into an amendment to its senior credit agreement which amended the credit agreement signed effective May 31, 2019 (such amended credit agreement, the Amended May 2019 Credit Agreement). Under the terms of the Amended May 2019 Credit Agreement, the Company received in May 2019 a term loan A and term loan B (Term Loan A, Term Loan B and collectively, Term Loans) of $66,000,000 and $266,000,000, respectively (face value) and a revolving credit facility of $50,000,000, which was increased to $69,000,000 on June 2, 2020 (the Revolving Facility, and together with the Term Loans, the Amended May 2019 Loans). In addition, among other things, the amendment adjusted Akumin’s leverage and fixed charge ratios for the four quarters ended March 31, 2021, providing the Company with greater flexibility in its financial ratio covenants. Sixteen million dollars of the Term Loan A was subject to a delayed draw, which was drawn by the Company in October 2019 to partly finance the West Palm Beach Acquisition. The term of

 

(13)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

the Amended May 2019 Loans is five years from May 31, 2019. The Amended May 2019 Loans can be increased by an additional $100,000,000 subject to certain conditions. The proceeds of the Term Loans were used during 2019 to settle the Syndicated Loans for $112,482,181, the principal outstanding under Subordinated Note and related accrued and unpaid interest for $1,596,250, partly finance the ADG Acquisitions and Deltona Acquisition in May 2019 and pay related debt issuance costs. On May 31, 2019, management determined the fair value of the Amended May 2019 Loans to be their face value of $319,300,000 net of debt issuance costs of approximately $14.8 million. The fair value of the Amended May 2019 Loans was determined based on management’s estimation of assumptions that market participants would use in pricing similar liabilities (it is considered a Level 3 liability as described in note 14). As at December 31, 2019, the Amended May 2019 Loans had a balance of approximately, $339.4 million. In June 2020, the amendment costs related to the Amended May 2019 Credit Agreement were netted against the balance of the Amended May 2019 Loans. The above-noted amendment to the senior credit agreement in June 2020 was considered debt modification for accounting purposes and a loss of approximately $3.1 million was recognized as a result of this amendment in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss). As at June 30, 2020, the Amended May 2019 Loans had an amortized cost balance of approximately, $346.6 million.

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Term Loan A and Revolving Facility

     93,794,000        87,824,000  

Term Loan B

     252,837,592        251,612,775  

Less: Current portion

     (3,320,000      (3,320,000
  

 

 

    

 

 

 
     343,311,592        336,116,775  
  

 

 

    

 

 

 

Subject to the provisions described below, the minimum annual principal payments with respect to the Amended May 2019 Loans (face value) are as follows.

 

  a)

Term Loan A and Revolving Facility

 

     $  

July 1, 2020 to December 31, 2020

     330,000  

2021

     1,980,000  

2022

     3,795,000  

2023

     4,290,000  

2024

     83,399,000  
  

 

 

 
     93,794,000  
  

 

 

 

 

  b)

Term Loan B

 

     $  

July 1, 2020 to December 31, 2020

     1,330,000  

2021

     2,660,000  

2022

     2,660,000  

2023

     2,660,000  

2024

     258,472,780  
  

 

 

 
     267,782,780  
  

 

 

 

 

(14)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

Effective November 14, 2018, the Company entered into a derivative financial instrument contract with a financial institution in order to mitigate interest rate risk under the variable interest rate Syndicated Loans (which were settled in 2019). The derivative financial instrument is an interest rate cap rate of 3.75% (LIBOR) per annum on a notional amount of 50% of the face value of the Syndicated Term Loan ($50,000,000 as at November 14, 2018). The termination date of this arrangement is August 31, 2021. The cost of this derivative financial instrument was $155,000. The Company has not designated this interest rate cap agreement as a cash flow hedge for accounting purposes. The fair value of this derivative as determined by the financial institution as at June 30, 2020 represented an asset to the Company of $43.

In addition, effective July 31, 2019, the Company entered into a derivative financial instrument, an interest rate collar contract (further amended in November 2019 and February 2020), with a financial institution in order to mitigate interest rate risk under the variable interest rate Term Loans. This derivative financial instrument has an underlying notional amount of 100% of the face value of Term Loan B ($266,000,000 as at July 31, 2019) and a termination date of July 31, 2022 with (i) a cap rate of 3.00% (LIBOR) per annum, and (ii) a floor rate of 1.1475% (LIBOR) per annum. There was no upfront cost of this derivative financial instrument. The Company has not designated this interest rate cap agreement as a cash flow hedge for accounting purposes. The fair value of this derivative as determined by the Company as at June 30, 2020 represented a liability to the Company of $5,190,000.

Changes in the fair value of these derivatives are recognized in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss).

The Amended May 2019 Credit Agreement provides for the following (capitalized terms used below in this note and not defined elsewhere in these notes have the respective meanings given to them in the Amended May 2019 Credit Agreement):

 

   

Interest

The interest rates payable on the Amended May 2019 Loans are as follows: (i) each Eurodollar Rate Loan shall bear interest on the outstanding principal amount at one-month LIBOR plus Applicable Rate; and (ii) each Base Rate Loan shall bear interest on the outstanding principal amount at the Base Rate (the highest of (a) the Federal Funds Rate plus 0.5%, (b) the prime rate and (c) Eurodollar Rate plus 1.0%) plus Applicable Rate. As part of the amendments on June 2, 2020, an additional paid-in-kind interest accrues on the outstanding Term B Loans from time to time, which interest rate shall be (i) 2.00% per annum from June 2, 2020 to March 31, 2021, and (ii) thereafter the applicable percentage per annum will be determined by reference to the leverage ratio thresholds in the Amended May 2019 Credit Agreement. All advances under the Amended May 2019 Loans are currently classified as Eurodollar Rate Loans. The annualized effective interest rate under the Amended May 2019 Credit Agreement as at June 30, 2020 was approximately 7.3% per annum (June 30, 2019 – 7.7%). With respect to interest rate sensitivity as at June 30, 2020, a 1% increase in variable interest rates would have increased interest expense for the six-month period ended June 30, 2020 by approximately $0.3 million (2019 – $0.3 million).

 

   

Payments

The minimum principal payment schedule for the Amended May 2019 Loans is noted herein.

 

(15)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

   

Termination

The termination date of the Amended May 2019 Loans is the earliest of (i) May 31, 2024 and (ii) the date on which the obligations become due and payable pursuant to the Amended May 2019 Credit Agreement.

 

   

Restrictive covenants

In addition to certain covenants, the Amended May 2019 Credit Agreement places limits on the Company’s ability to declare dividends or redeem or repurchase capital stock (including options or warrants), prepay, redeem or purchase debt, incur liens and engage in sale-leaseback transactions, make loans and investments, incur additional indebtedness, amend or otherwise alter debt and other material agreements, engage in mergers, acquisitions, capital expenditures and asset sales, enter into transactions with affiliates and alter the business the Company and the Subsidiaries currently conduct.

 

   

Financial covenants

The Amended May 2019 Credit Agreement contains financial covenants including certain leverage ratios and a limit on annual capital expenditures.

The Company is in compliance with the financial covenants and has no events of default under the Amended May 2019 Credit Agreement as at June 30, 2020.

 

   

Events of default

In addition to the above noted financial covenants, events of default under the Amended May 2019 Credit Agreement include, among others, failure to pay principal of or interest on any Amended May 2019 Loans when due, failure to pay any fee or other amount due within two days after the same comes due, failure of any loan party to comply with any covenants or agreements in the loan documents (subject to applicable grace periods and/or notice requirements), a representation or warranty contained in the loan documents is incorrect or misleading when made, events of bankruptcy and a change of control. The occurrence of an event of default would permit the lenders under the Amended May 2019 Credit Agreement to declare all amounts borrowed, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

 

   

Security

The Company has, subject to limited exceptions, granted general security over all assets of the Company and the Subsidiaries in connection with the Amended May 2019 Loans.

Wesley Chapel Loan

As part of the Rose Acquisition in 2018, the Company, through a subsidiary, assumed a senior secured loan (Wesley Chapel Loan) of $2,000,000 (face value) as of August 15, 2018 to finance the purchase of equipment and related development for a new clinic location around Tampa Bay, Florida. It has an annual interest rate of 5.0%, matures on August 15, 2023 and has monthly repayments of $37,742. The Wesley Chapel Loan was

 

(16)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

recognized at fair value of $1,908,456 on August 15, 2018 using an effective interest rate. The fair value was determined based on management’s estimation of assumptions that market participants would use in pricing similar liabilities (it is considered a Level 3 liability as described in note 14). As at June 30, 2020, the Wesley Chapel Loan had an amortized cost balance of approximately, $1.3 million.

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Wesley Chapel Loan

     1,265,913        1,447,327  

Less: Current portion

     (395,702      (385,952
  

 

 

    

 

 

 
     870,211        1,061,375  
  

 

 

    

 

 

 

Subject to the provisions described below, the minimum annual principal payments with respect to the Wesley Chapel Loan (face value) are as follows:

 

     $  

July 1, 2020 to March 31, 2020

     195,383  

2021

     405,698  

2022

     426,454  

2023

     296,356  
  

 

 

 
     1,323,891  
  

 

 

 

The Wesley Chapel Loan provides for the following terms:

 

   

Interest

5.0%.

 

   

Payments

Monthly payments (principal and interest) of $37,742. The minimum principal payment schedule for the Wesley Chapel Loan is noted herein.

 

   

Termination

August 15, 2023.

 

   

Restrictive covenants

In addition to certain covenants, the Wesley Chapel Loan limits the Company’s ability to dispose of the assets of Akumin Corp., which is the guarantor to the Wesley Chapel Loan.

 

   

Financial covenants

None.

 

   

Events of default

 

(17)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

Events of default under the Wesley Chapel Loan include, among others, failure to repay the Wesley Chapel Loan in full at maturity, or to pay any other sum due hereunder within ten days of the date when the payment is due, events of insolvency or disposition of all or substantially all of the assets related to the Rose Acquisition. The occurrence of an event of default would permit the lender to declare all amounts borrowed, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

The Company has no events of default under the Wesley Chapel Loan as at June 30, 2020.

 

   

Security

The Company has granted first security interest to the lender over the equipment and leasehold improvements acquired using the proceeds of the Wesley Chapel Loan.

 

10

Subordinated notes payable – earn-out

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Subordinated note – earn-out

     192,387        184,485  
  

 

 

    

 

 

 

As part of the Tampa Acquisition, Akumin FL entered into a subordinated 6% note and security agreement with the seller’s secured lender on May 11, 2018 (the Subordinated Note and Subordinated Note Lender, respectively) with a face value of $1,500,000 and a term of four years. The Subordinated Note was recognized at fair value of $1,490,932 on May 11, 2018 using an effective interest rate. The fair value was determined based on management’s estimation of assumptions that market participants would use in pricing similar liabilities (it is considered a Level 3 liability as described in note 14).

In accordance with the terms of the Subordinated Note, the Company used part of the proceeds of the Term Loans to settle the principal outstanding under the Subordinated Note on May 31, 2019, together with accrued and unpaid interest, for $1,596,250 (face value of $1,500,000 and accrued interest of $96,250). The Company also recorded a fair value loss of $6,830 on the extinguishment of the Subordinated Note, which was reflected in the 2019 consolidated statements of net income (loss) and comprehensive income (loss).

According to the Subordinated Note, the Company is subject to an earn-out liability (Subordinated Note – Earn-out) of up to $4.0 million during the three-calendar year period beginning on January 1, 2019 and ending on December 31, 2021 (the Subordinated Note – Earn-out Period), subject to the satisfaction of certain revenue-based milestones, as follows:

 

  a)

The Subordinated Note – Earn-out for any given calendar year during the Subordinated Note – Earn-out Period shall be equal to 50% of any positive difference calculated by subtracting the Base Revenue ($16,000,000) for such calendar year from the Subordinated Note – Earn-out Revenue (defined below) for such calendar year.

 

  b)

The Subordinated Note – Earn-out Revenue for any calendar year during the Subordinated Note – Earn-out Period shall be the gross revenue generated by the centres related to the Tampa Acquisition during such calendar year.

 

(18)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

  c)

If Subordinated Note – Earn-out Revenue for any calendar year of the Subordinated Note – Earn-out Period is less than or equal to $16,000,000, no Subordinated Note – Earn-out shall be payable for such calendar year.

 

  d)

The maximum aggregate amount of the Subordinated Note – Earn-out that may be earned over the Subordinated Note – Earn-out Period is $4,000,000.

The value of Subordinated Note – Earn-out has been estimated by management using a probability-weighted valuation technique; changes in the fair value of this liability are recognized in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss). Management estimated the fair value of Subordinated Note – Earn-out as at May 11, 2018 of $160,790 based on a discount rate of 8.75% and management’s estimated probability-weighted range of Subordinated Note – Earn-out Revenue during the Subordinated Note – Earn-out Period (it is considered a Level 3 liability as described in note 14). The Subordinated Note – Earn-out was revalued at $192,387 as at June 30, 2020 based on a discount rate of 8.75% and management’s estimated probability-weighted range of Subordinated Note – Earn-out Revenue during the Subordinated Note – Earn-out Period and the change in fair value was recognized in financial instruments revaluation in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss). As at June 30, 2020, the range of estimated undiscounted Subordinated Note – Earn-out payable is between $nil and $218,183.

Payments and termination

Under the Subordinated Note agreement, prior to May 11, 2022 (the Maturity Date), the Company may repay, without penalty, all or any portion of the Subordinated Note – Earn-out, and accrued but unpaid interest.

Restrictive covenants

The Subordinated Note agreement places certain limits on Akumin FL’s ability to declare dividends or other distributions, incur liens or indebtedness, make investments, undertake mergers or reorganizations or dispose of assets outside the ordinary course of business.

Financial covenants

None.

Events of default

Events of default under the Subordinated Note agreement include failure to pay any Subordinated Note – Earn-out, once earned, together with interest when due, defaults in complying with terms of the Subordinated Note agreement, and the occurrence of bankruptcy events relating to Akumin FL. The occurrence of an event of default would permit the Subordinated Note Lender to declare any Subordinated Note – Earn-out, once earned, together with accrued interest and fees, to be immediately due and payable and to exercise other default remedies.

Security

The Company has granted a security interest over all assets of Akumin FL as security for its obligations under the Subordinated Note. The Subordinated Note – Earn-out is subordinate to the intercompany loan from the Company to Akumin FL.

The Company is in compliance with the terms of the Subordinated Note agreement as at June 30, 2020.

 

(19)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

11

Capital stock and warrants

The authorized share capital of the Company consists of an unlimited number of voting common shares, with no par value.

 

     Common shares      Warrants     RSUs     Total  
     Number     

Amount

$

     Number    

Amount

$

    Number    

Amount

$

    Number    

Amount

$

 

December 31, 2018

     62,371,275        123,746,423        1,249,512       1,742,910       1,120,656       2,671,147       64,741,443       128,160,480  

Issuance (i)

     6,250,000        23,437,500        —         —         —         1,559,418       6,250,000       24,996,918  

RSUs and warrants exercised

     1,219,653        4,813,632        (436,497     (569,733     (783,156     (2,932,753     —         1,311,146  

Warrants expired

     —          —          (288,015     (438,798     —         —         (288,015     (438,798
  

 

 

    

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

December 31, 2019

     69,840,928        151,997,555        525,000       734,379       337,500       1,297,812       70,703,428       154,029,746  

Issuance (i)

     —          —          —         —         —         14,138       —         14,138  

RSUs and warrants exercised

     337,500        1,311,950        —         —         (337,500     (1,311,950     —         —    

Warrants expired

     —          —          (525,000     (734,379     —         —         (525,000     (734,379
  

 

 

    

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

June 30, 2020

     70,178,428        153,309,505        —         —         —         —         70,178,428       153,309,505  
  

 

 

    

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(i)

RSU issuance amount includes stock-based compensation and costs related to RSUs during the period of the condensed interim consolidated financial statements.

 

(20)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

During the six months ended June 30, 2019, the following equity issuances occurred at the Company.

 

  a)

During the three months ended March 31, 2019, the following equity issuances occurred at the Company:

 

  i)

During March 2017, the Company issued 300,825 warrants to purchase common shares on a 1:1 basis at an exercise price of $2.30 per common share. These warrants were scheduled to expire on March 10 and 17, 2019. During the three months ended September 30, 2018, 120,330 of these warrants were exercised into common shares. The remaining 180,495 warrants were exercised into common shares prior to expiry during the three months ended March 31, 2019.

 

  ii)

The Board had granted 315,000 RSUs to certain employees of the Company between January 1 and March 12, 2018. Fifty percent of these RSUs vested between January 1 and March 12, 2019 in accordance with the terms of the RSU Plan and 25,000 of these vested RSUs were settled for common shares prior to March 31, 2019.

 

  b)

During the three months ended June 30, 2019, the following equity issuances occurred at the Company:

 

  i)

The Company issued approximately $23 million in equity (6,250,000 common shares at $3.75 per share, the closing price as of May 31, 2019) to certain sellers in connection with the ADG Acquisitions.

 

  ii)

During August 2017, the Company issued 512,004 warrants to purchase common shares on a 1:1 basis at an exercise price of $3.50 per common share. The expiry date for these warrants was August 8, 2019. During the three months ended June 30, 2019, 256,002 of these warrants were exercised into common shares.

 

  iii)

The Board had granted 315,000 RSUs to certain employees of the Company between January 1 and March 12, 2018. Fifty percent of these RSUs vested between January 1 and March 12, 2019 in accordance with the terms of the RSU Plan and 25,000 of these vested RSUs were settled for common shares prior to March 31, 2019. The remaining 132,500 of these vested RSUs were settled for common shares prior to June 30, 2019.

During the six months ended June 30, 2020, the following equity issuances occurred at the Company.

 

  a)

During the three months ended March 31, 2020, the following equity issuances occurred at the Company:

 

  i)

As at December 31, 2019, the Company had 337,500 RSUs outstanding. All of these RSUs vested between January 1, 2020 and March 12, 2020. 285,000 of these RSUs were settled for common shares on March 12, 2020 in accordance with the terms of the RSU Plan. As at March 31, 2020, the Company had 52,500 RSUs outstanding.

 

  b)

During the three months ended June 30, 2020, the following equity issuances occurred at the Company:

 

  i)

As at March 31, 2020, the Company had 52,500 RSUs outstanding. All of these RSUs vested between January 1, 2020 and March 12, 2020 and they were settled for common shares in accordance with the terms of the RSU Plan as follows. 10,000 of these RSUs were settled for common shares in April 2020 and the remaining RSUs were settled for common shares in June 2020. As at June 30, 2020, the Company had no RSUs outstanding.

 

(21)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

  ii)

During May 2018, the Company had issued 525,000 warrants to purchase common shares on a 1:1 basis at an exercise price of $4.00 per common share. These warrants were not exercised into common shares and expired on May 2, 2020.

The stock-based compensation related to RSUs, recognized in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss) for the three and six months ended June 30, 2020 was $nil and $14,138, respectively (2019 – $441,532 and $911,338).

The stock-based compensation related to stock options, recognized in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss) for the three and six months ended June 30, 2020, was $565,504 and $1,143,898, respectively (2019 – $493,809 and $1,041,615).

 

12

Commitments and contingencies

The Company is party to various legal proceedings, claims, and regulatory, tax or government inquiries and investigations that arise in the ordinary course of business. With respect to these matters, the management evaluates the developments on a regular basis and accrues a liability when it believes a loss is probable and the amount can be reasonably estimated. We believe that the amount or any estimable range of reasonably possible or probable loss will not, either individually or in the aggregate, have a material adverse effect on our business and consolidated financial statements. However, the outcome of these matters is inherently uncertain. Therefore, if one or more of these matters were resolved against the Company for amounts in excess of management’s expectations, our results of operations and financial condition, including in a particular reporting period in which any such outcome becomes probable and estimable, could be materially adversely affected.

Commencing during Q1 2020 and continuing through Q2 2020 and beyond, a pandemic relating to a novel coronavirus known as COVID-19 occurred causing significant financial market disruption and social dislocation. The pandemic is dynamic with various cities, counties, states and countries around the world responding in different ways to address and contain the outbreak, including the declaration of a global pandemic by the World Health Organization, a National State of Emergency in the United States and state and local executive orders and ordinances forcing the closure of non essential businesses and persons not employed in or using essential services to “stay at home” or “shelter in place”. At this stage, we have no certainty as to how long the pandemic, or a more limited epidemic, will last, what regions will be most affected or to what extent containment measures will be applied.

Imaging centers are healthcare facilities and as such are generally considered an essential service and expected to continue to operate during any epidemic or pandemic. However, there is potential that actions taken by government, or individual actions, in response to containment or avoidance of this coronavirus could impact a patient’s ability or decision to seek imaging services at a given time which could have a significant impact on volume at our imaging centers leading to temporary or prolonged staff layoffs, reduced hours, closures and other cost containment efforts. Further, there is potential that certain services which are not urgent and can be deferred without significant harm to a patient’s health may be delayed, either by the Company in response to local laws or good public health practice or voluntarily by the patient. In addition, there is potential that the outbreak of the coronavirus could impact supply chains, including the Company’s supply of

 

(22)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

personal protective equipment, and lead to personnel shortages, each of which could impact the ability of the Company to safely perform imaging services. It is also possible that social distancing efforts and sanitization and decontamination procedures could cause delays in the performance of imaging services. Depending on the severity and duration of the COVID-19 pandemic, there is potential for the Company to incur incremental credit losses beyond what is currently expected and potential future reduction in revenue and income and asset impairments.

 

13

Segmented financial information

Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating decision maker. The chief operating decision maker, who is responsible for allocating resources and assessing performance of the operating segments, has been identified as the Chief Executive Officer. The Company has one reportable segment, which is outpatient diagnostic imaging services.

 

14

Risk management arising from financial instruments

The carrying value of cash, accounts receivable, accounts payable and accrued liabilities and leases (current portion) approximates their fair value given their short-term nature.

The carrying value of the non-current portion of leases approximates their fair value given the difference between the discount rates used to recognize the liabilities in the condensed interim consolidated balance sheets and the normalized expected market rates of interest is insignificant. The estimated fair values of other non-current liabilities were as follows:

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Amended May 2019 loans payable

     372,896,500        360,596,500  

Wesley Chapel Loan payable

     1,311,200        1,483,830  

Subordinated notes – earn-out

     192,387        184,485  

ADG Acquisition – earn-out

     6,206,577        14,834,067  

Derivative financial instruments

     5,189,957        951,105  
  

 

 

    

 

 

 
     385,796,621        378,049,987  
  

 

 

    

 

 

 

Financial instruments recorded at fair value on the condensed interim consolidated balance sheets are classified using a fair value hierarchy that reflects the significance of the inputs used in making the measurements. The fair value hierarchy has the following levels:

 

   

Level 1 – quoted prices (unadjusted) in active markets for identical assets or liabilities;

 

   

Level 2 – inputs other than quoted prices included in Level 1 that are observable for the asset or liability; either directly (i.e., as prices) or indirectly (i.e., derived from prices); and

 

   

Level 3 – inputs for the asset or liability that are not based on observable market data (unobservable inputs).

The Amended May 2019 Loans, Wesley Chapel Loan, Subordinated Notes – Earn-out and ADG Acquisition – Earn-out were measured at fair value under the Level 3 category on recognition. The Subordinated Notes – Earn-out and ADG Acquisition – Earn-out were subsequently remeasured at fair value under the Level 3 category.

 

(23)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

There were no transfers between levels during the three months ended June 30, 2020 and the twelve months ended December 31, 2019.

Financial instruments are classified into one of the following categories: amortized cost, fair value through profit or loss and fair value through other comprehensive income.

The following table summarizes information regarding the carrying value of the Company’s financial instruments:

 

    

June 30,

2020

$

    

December 31,

2019

$

 

Cash

     28,075,346        23,388,916  

Accounts receivable

     91,881,345        82,867,225  
  

 

 

    

 

 

 

Financial assets measured at amortized cost

     119,956,691        106,256,141  
  

 

 

    

 

 

 

Accounts payable and accrued liabilities

     29,106,385        26,262,225  

Short-term portion of senior loans payable

     3,715,702        3,705,952  

Short-term portion of leases

     12,282,660        10,940,545  

Long-term portion of senior loans payable

     344,181,803        337,178,150  

Long-term portion of leases

     136,841,734        126,159,235  
  

 

 

    

 

 

 

Financial liabilities measured at amortized cost

     526,128,284        504,246,107  
  

 

 

    

 

 

 

Subordinated notes – earn-out

     192,387        184,485  

ADG Acquisition – earn-out

     6,206,577        14,834,067  

Derivative financial instruments

     5,189,957        951,105  
  

 

 

    

 

 

 

Measured at fair value through profit or loss

     11,588,921        15,969,657  
  

 

 

    

 

 

 

 

15

Basic and diluted income per share

 

    

Three-month

period ended

June 30,

2020

$

    

Three-month

period ended

June 30,

2019

$

    

Six-month

period ended

June 30,

2020

$

    

Six-month

period ended

June 30,

2019

$

 

Net income (loss) attributable to common shareholders

     (3,036,948      (961,651      (1,499,386      1,207,673  
  

 

 

    

 

 

    

 

 

    

 

 

 

Weighted average common shares outstanding

           

Basic

     70,144,362        64,838,930        70,023,964        63,637,567  

Diluted

     70,144,362        64,838,930        70,023,964        65,353,046  

Income (loss) per share

           

Basic and diluted

     (0.04      (0.01      (0.02      0.02  

 

(24)


Akumin Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Unaudited)

June 30, 2020

 

(expressed in US dollars unless otherwise stated)

 

16

CARES Act

 

  i)

During April 2020, the Company received approximately $1 million in grant under the first appropriation made by the U.S. Health and Human Services (HHS) to Medicare providers pursuant to the CARES Act. Additional grants may be available to the Company through subsequent appropriations under this program. The grants received are recorded in the condensed interim consolidated statements of net income (loss) and comprehensive income (loss) in the category “Settlement costs and other (recoveries)”.

 

  ii)

During April 2020, the Company received approximately $3 million of accelerated Medicare payments under the expanded Accelerated and Advance Payments Program from Centers for Medicare & Medicaid Service (CMS). These payments are required to be repaid beginning 120 days after their receipt through the adjudication of Medicare claims over a future period. These payments to the Company are recorded in the condensed interim consolidated balance sheets in the category “Accounts payable and accrued liabilities” until earned.

 

  iii)

The CARES Act allows employers to defer the deposit and payment of the employer’s share of Social Security taxes. As of June 30, 2020, such taxes were approximately $0.6 million and are recorded in the condensed interim consolidated balance sheets in the category “Accounts payable and accrued liabilities”.

 

(25)