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SIGNIFICANT ACCOUNTING POLICIES (Tables)
3 Months Ended
Mar. 31, 2022
Accounting Policies [Abstract]  
Schedule of Service Fee Revenue
Our total service revenues during the three months ended March 31, 2022 and 2021 are presented in the table below based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage (in thousands):
 Three Months Ended
March 31,
20222021
Commercial insurance$188,465 $182,096 
Medicare70,999 63,589 
Medicaid9,087 8,451 
Workers' compensation/personal injury12,449 10,399 
Other patient revenue7,123 4,775 
Management fee revenue5,508 5,219 
Software revenue3,399 2,426 
AI revenue599 — 
Other5,647 2,622 
Service fee revenue303,276 279,577 
Revenue under capitation arrangements38,491 35,742 
Total service revenue$341,767 $315,319 
Schedule of Goodwill and Other Intangible Assets Activity in goodwill for the three months ended March 31, 2022 is provided below (in thousands):
Balance as of December 31, 2021$513,820 
Goodwill from acquisitions57,215 
Valuation adjustment(296)
Currency translation(551)
Balance as of March 31, 2022$570,188 
Goodwill balances at March 31, 2022 reflect additional goodwill arising from deferred tax liabilities recorded on our acquisitions of Aidence Holding B.V. and Quantib B.V. of $7.3 million. See Note 4, Business Combinations and Related Activity for more information.
Schedule of Effect of Derivative Instruments on Comprehensive Loss
A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended March 31, 2022
AccountDecember 31, 2021 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesMarch 31, 2022 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(18,886)$— $923 $(17,963)Equity

For the twelve months ended December 31, 2021
AccountDecember 31, 2020 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesDecember 31, 2021 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(22,581)$— $3,695 $(18,886)Equity
A tabular presentation of the effect of derivative instruments on our statement of operations of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended March 31, 2022
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Gross amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$20,819 Other income (expense)$(923)Interest Expense
Schedule of Business Acquisitions by Acquisition, Contingent Consideration
A tabular presentation of the effect of contingent consideration on our condensed consolidated balance sheet is as follows (amounts in thousands):
For the three months ended March 31, 2022
AccountJanuary 20, 2022 BalanceAmount of other non operating income recognized on contingent considerationMarch 31, 2022 BalanceLocation
Accrued Expenses$— $(501)$501 Liabilities and Non Operating Income
Schedule of Fair Value of Assets and Liabilities The tables below summarize the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our condensed consolidated balance sheets, as follows (in thousands):
 As of March 31, 2022
Level 1Level 2Level 3Total
Current and long term assets    
2019 Swaps - Interest Rate Contracts$— $4,500 $— $4,500 
 As of December 31, 2021
Level 1Level 2Level 3Total
Current and long term liabilities    
2019 Swaps - Interest Rate Contracts$— $16,319 $— $16,319 
The table below summarize the estimated fair values of certain of our shares of common stock issued in our Quantib B.V. acquisition on January 20, 2022, and held back for indemnification purposes that are subject to fair value measurements and the classification of these liabilities on our condensed consolidated balance sheets, as follows (in thousands):
 As of March 31, 2022
Level 1Level 2Level 3Total
Long term liabilities    
113,303 shares of RadNet common stock
$— $— $2,535 $2,535 
The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands):
 As of March 31, 2022
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $753,769 $— $753,769 $764,563 
 As of December 31, 2021
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $766,973 $— $766,973 $767,875 
Schedule of Earnings Per Share Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):
 Three Months Ended March 31,
20222021
Net income attributable to RadNet, Inc.'s common stockholders$3,013 $9,458 
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period55,303,007 51,951,506 
Basic net income per share attributable to RadNet, Inc.'s common stockholders$0.05 $0.18 
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period55,303,007 51,951,506 
Add nonvested restricted stock subject only to service vesting197,911 253,265 
Add additional shares issuable upon exercise of stock options and contingently issuable shares861,275 624,170 
Weighted average number of common shares used in calculating diluted net income per share56,362,193 52,828,941 
Diluted net income per share attributable to RadNet, Inc.'s common stockholders$0.05 $0.18 
Stock options and non vested restricted awards excluded from the computation of diluted per share amounts as their effect would be antidilutive:
Shares issuable upon the exercise of stock options:46,912 82,595 
Schedule of Business Acquisitions We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillRight of Use Liabilities
IFRC LLC *^1/1/20223,9222,1211,2951,801(1,295)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, two of which were purchased separately by wholly owned RadNet subsidiaries.
We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillOther AssetsRight of Use Liabilities
IFRC LLC*^1/1/20224,8002,1038572,697(857)
IFRC LLC*^1/1/20228,2002,9101,7035,27119(1,703)
Total13,0005,0132,5607,96819(2,560)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, one of which was purchased separately by a joint venture with Calvert Medical Imaging Centers, LLC.
Schedule of Investment in Joint Ventures
The following table is a summary of our investment in joint ventures during the three months ended March 31, 2022 (in thousands):
Balance as of December 31, 2021$42,229 
Equity in earnings in these joint ventures2,517 
Balance as of March 31, 2022$44,746 
Schedule of Joint Venture Investment and Financial Information
The following table is a summary of key balance sheet data for these joint ventures as of March 31, 2022 and December 31, 2021 and income statement data for the three months ended March 31, 2022 and 2021 (in thousands):
Balance Sheet Data:March 31, 2022December 31, 2021
Current assets$37,119 $37,186 
Noncurrent assets83,407 73,592 
Current liabilities(12,722)(12,919)
Noncurrent liabilities(27,298)(22,370)
Total net assets$80,506 $75,489 
Book value of RadNet joint venture interests$37,214 $34,930 
Cost in excess of book value of acquired joint venture interests and other7,532 7,299 
Total value of RadNet joint venture interests$44,746 $42,229 
Income statement data for the three months ended March 31,
20222021
Net revenue$34,411 $31,718 
Net income$5,035 $4,803