0001019687-14-004145.txt : 20141110 0001019687-14-004145.hdr.sgml : 20141110 20141110144729 ACCESSION NUMBER: 0001019687-14-004145 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 11 CONFORMED PERIOD OF REPORT: 20140930 FILED AS OF DATE: 20141110 DATE AS OF CHANGE: 20141110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RadNet, Inc. CENTRAL INDEX KEY: 0000790526 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 133326724 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-33307 FILM NUMBER: 141208147 BUSINESS ADDRESS: STREET 1: 1516 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 BUSINESS PHONE: 3104787808 MAIL ADDRESS: STREET 1: 1516 COTNER AVE CITY: LOS ANGELES STATE: CA ZIP: 90025 FORMER COMPANY: FORMER CONFORMED NAME: PRIMEDEX HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19930518 FORMER COMPANY: FORMER CONFORMED NAME: CCC FRANCHISING CORP DATE OF NAME CHANGE: 19920703 10-Q 1 radnet_10q-093014.htm RADNET, INC.

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

 

FORM 10-Q

 

(Mark One)

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

 

For the quarterly period ended September 30, 2014

 

OR

 

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

 

For the transition period from                      to                     

 

Commission File Number 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)

 

(310) 478-7808

(Registrant’s telephone number, including area code)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x No o

 

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

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

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act) Yes o No x

 

The number of shares of the registrant’s common stock outstanding on November 5, 2014, was 42,710,676 shares.

 

 
 

 

RADNET, INC.

 

Table of Contents

 

 

  Page
   
PART I – FINANCIAL INFORMATION  
   
ITEM 1.  Condensed Consolidated Financial Statements (unaudited) 3
   
Condensed Consolidated Balance Sheets at September 30, 2014 and December 31, 2013 3
   
Condensed Consolidated Statements of Operations for the Three and Nine Months Ended September 30, 2014 and 2013 4
   
Condensed Consolidated Statements of Comprehensive Income (Loss) for the Three and Nine Months Ended September 30, 2014 and 2013 5
   
Condensed Consolidated Statement of Stockholders’ Equity (Deficit) for the Nine Months Ended September 30, 2014 6
   
Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2014 and 2013 7
   
Notes to Condensed Consolidated Financial Statements 9
   
ITEM 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations 20
   
ITEM 3.  Quantitative and Qualitative Disclosures About Market Risk 36
   
ITEM 4.  Controls and Procedures 37
   
PART II – OTHER INFORMATION  
   
ITEM 1.  Legal Proceedings 38
   
ITEM 1A.  Risk Factors 38
   
ITEM 2.  Unregistered Sales of Equity Securities and Use of Proceeds 38
   
ITEM 3.  Defaults Upon Senior Securities 38
   
ITEM 4.  Mine Safety Disclosures 38
   
ITEM 5.  Other Information 38
   
ITEM 6.  Exhibits 38
   
SIGNATURES 39
   
INDEX TO EXHIBITS 40

 

2
 

 

 

PART I - FINANCIAL INFORMATION

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE DATA)

 

   September 30,   December 31, 
   2014   2013 
   (unaudited)     
ASSETS
CURRENT ASSETS          
Cash and cash equivalents  $274   $8,412 
Accounts receivable, net   155,011    133,599 
Current portion of deferred tax assets   16,692    13,321 
Prepaid expenses and other current assets   25,272    21,012 
Total current assets   197,249    176,344 
PROPERTY AND EQUIPMENT, NET   225,597    218,547 
OTHER ASSETS          
Goodwill   200,304    196,395 
Other intangible assets   48,392    50,042 
Deferred financing costs, net of current portion   6,682    8,735 
Investment in joint ventures   27,474    28,949 
Deferred tax assets, net of current portion   39,004    39,914 
Deposits and other   3,817    3,650 
Total assets  $748,519   $722,576 
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES          
Accounts payable, accrued expenses and other  $100,931   $106,316 
Due to affiliates   1,120    2,655 
Deferred revenue   1,948    1,344 
Current portion of notes payable   19,558    3,103 
Current portion of deferred rent   2,256    1,896 
Current portion of obligations under capital leases   5,708    3,075 
Total current liabilities   131,521    118,389 
LONG-TERM LIABILITIES          
Deferred rent, net of current portion   19,282    18,989 
Revolving credit facility   25,100     
Notes payable, net of current portion   555,920    572,669 
Obligations under capital lease, net of current portion   7,573    2,779 
Other non-current liabilities   6,505    7,540 
Total liabilities   745,901    720,366 
           
           
STOCKHOLDERS' EQUITY          
Common stock - $.0001 par value, 200,000,000 shares authorized; 42,703,602, and 40,089,196 shares issued and outstanding at September 30, 2014 and December 31, 2013, respectively   4    4 
Paid-in-capital   177,141    173,622 
Accumulated other comprehensive loss   (88)   (50)
Accumulated deficit   (176,485)   (173,656)
Total RadNet, Inc.'s stockholders' equity (deficit)   572    (80)
Noncontrolling interests   2,046    2,290 
Total stockholders' equity   2,618    2,210 
Total liabilities and stockholders' equity  $748,519   $722,576 

 

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

 

3
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

  Three Months Ended   Nine Months Ended 
  September 30,   September 30, 
   2014   2013   2014   2013 
NET REVENUE                    
Service fee revenue, net of contractual allowances and discounts  $171,098   $165,373   $498,536   $496,424 
Provision for bad debts   (7,532)   (7,033)   (21,945)   (20,810)
Net service fee revenue   163,566    158,340    476,591    475,614 
Revenue under capitation arrangements   20,493    16,848    55,426    49,034 
Total net revenue   184,059    175,188    532,017    524,648 
OPERATING EXPENSES                    
Cost of operations, excluding depreciation and amortization   153,000    151,770    445,838    450,030 
Depreciation and amortization   14,423    14,762    45,193    44,050 
Loss on sale and disposal of equipment   1,289    (5)   1,581    357 
Severance costs   112    72    976    312 
Total operating expenses   168,824    166,599    493,588    494,749 
INCOME FROM OPERATIONS   15,235    8,589    38,429    29,899 
OTHER INCOME AND EXPENSES                    
Interest expense   10,395    11,052    32,503    34,542 
Meaningful use incentive           (1,762)    
Equity in earnings of joint ventures   (2,009)   (1,617)   (4,722)   (4,481)
Gain on sale of imaging centers               (2,108)
Loss on early extinguishment of Senior Notes           15,927     
Other expenses   6    4    4    152 
Total other expenses   8,392    9,439    41,950    28,105 
INCOME (LOSS) BEFORE INCOME TAXES   6,843    (850)   (3,521)   1,794 
(Provision for) benefit from income taxes   (2,334)   483    911    (766)
NET INCOME (LOSS)   4,509    (367)   (2,610)   1,028 
Net income attributable to noncontrolling interests   58    100    219    151 
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $4,451   $(467)  $(2,829)  $877 
                     
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.11   $(0.01)  $(0.07)  $0.02 
                     
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $0.10   $(0.01)  $(0.07)  $0.02 
                     
WEIGHTED AVERAGE SHARES OUTSTANDING                    
Basic   41,644,606    39,235,863    40,734,083    39,105,522 
Diluted   44,033,580    39,235,863    40,734,083    39,886,140 

 

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

 

4
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(IN THOUSANDS)

(unaudited)

 

  Three Months Ended   Nine Months Ended 
  September 30,   September 30, 
   2014   2013   2014   2013 
NET INCOME (LOSS)  $4,509   $(367)  $(2,610)  $1,028 
Foreign currency translation adjustments   (1)   13    (38)   (104)
COMPREHENSIVE INCOME (LOSS)   4,508    (354)   (2,648)   924 
Less comprehensive income attributable to non-controlling interests   58    100    219    151 
COMPREHENSIVE INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS  $4,450   $(454)  $(2,867)  $773 

 

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

 

5
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY (DEFICIT)

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

 

    Common Stock    Paid-in    Accumulated    Accumulated Other Comprehensive    Total Radnet, Inc.'s  Stockholders' (Deficit)    Noncontrolling    Total Stockholders' 
    Shares    Amount    Capital    Deficit    Loss    Equity    Interests    Equity 
BALANCE - JANUARY 1, 2014   40,089,196   $4   $173,622   $(173,656)  $(50)  $(80)  $2,290   $2,210 
Issuance of common stock upon exercise of options/warrants   1,572,621        1,546            1,546        1,546 
Stock-based compensation           1,854            1,854        1,854 
Issuance of restricted stock   1,041,785                             
Purchase of non-controlling interests           119            119    (315)   (196)
Dividends paid to noncontrolling interests                           (148)   (148)
Change in cumulative foreign currency translation adjustment                   (38)   (38)       (38)
Net (loss) income               (2,829)       (2,829)   219    (2,610)
BALANCE - SEPTEMBER 30, 2014   42,703,602   $4   $177,141   $(176,485)  $(88)  $572   $2,046   $2,618 

 

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

 

6
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(unaudited)

 

  Nine Months Ended 
  September 30, 
   2014   2013 
CASH FLOWS FROM OPERATING ACTIVITIES          
Net (loss) income  $(2,610)  $1,028
Adjustments to reconcile net (loss) income to net cash provided by operating activities:          
Depreciation and amortization   45,193   44,050
Provision for bad debts   21,945   20,810
Equity in earnings of joint ventures   (4,722)   (4,481)
Distributions from joint ventures   7,358    5,624 
Deferred rent amortization   653    2,893 
Amortization of deferred financing costs   1,708    1,676 
Write off of deferred loan costs due to refinance   665     
Amortization of bond and term loan discounts   2,071    1,651 
Loss on sale and disposal of equipment   1,581   357
Loss on early extinguishment of Senior Notes   15,927     
Gain on Sale of Imaging Centers       (2,108)
Stock-based compensation   2,069   2,045 
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:          
Accounts receivable   (42,887)   (25,096)
Other current assets   (4,754)   (1,504)
Other assets   (72)   172 
Deferred taxes   (2,461)   575 
Deferred revenue   604    175 
Accounts payable, accrued expenses and other   (8,225)   (5,357)
Net cash provided by operating activities   34,043    42,510 
CASH FLOWS FROM INVESTING ACTIVITIES          
Purchase of imaging facilities   (9,428)   (5,918)
Purchase of noncontrolling interests   (196)    
Purchase of property and equipment   (33,895)   (39,291)
Proceeds from sale of equipment   766    510 
Proceeds from sale of imaging facilities       3,290 
Proceeds from sale of joint venture interests       2,640 
Equity contributions in existing joint ventures   (1,161)   (1,803)
Net cash used in investing activities   (43,914)   (40,572)
CASH FLOWS FROM FINANCING ACTIVITIES          
Principal payments on notes and leases payable   (16,733)   (7,476)
Proceeds from borrowings   210,000    35,122 
Payments on Senior Notes   (211,344)    
Deferred financing costs   (6,650)   (432)
Net proceeds (payments) on revolving credit facility   25,100    (29,600)
Distributions to noncontrolling interests   (148)   (11)
Proceeds from issuance of common stock upon exercise of options/warrants   1,546    469 
Net cash provided by (used in) financing activities   1,771    (1,928)
EFFECT OF EXCHANGE RATE CHANGES ON CASH   (38)   (104)
NET DECREASE IN CASH AND CASH EQUIVALENTS   (8,138)   (94)
CASH AND CASH EQUIVALENTS, beginning of period   8,412    362 
CASH AND CASH EQUIVALENTS, end of period  $274   $268 
           
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION          
Cash paid during the period for interest  $32,389   $26,614 

 

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

 

7
 

 

RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

(unaudited)

 

Supplemental Schedule of Non-Cash Investing and Financing Activities

 

We acquired equipment and certain leasehold improvements for approximately $16.6 million and $11.3 million during the nine months ended September 30, 2014 and 2013, respectively, which were not paid for as of September 30, 2014 and 2013, respectively.  The offsetting amounts due were recorded in our consolidated balance sheet under accounts payable, accrued expenses and other.

 

During the nine months ended September 30, 2014, we added capital lease debt of approximately $12.6 million relating to radiology equipment.

 

Detail of non-cash investing activities related to acquisitions can be found in Note 2.

 

 

8
 

 

RADNET, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

 

We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. At September 30, 2014, we operated directly or indirectly through joint ventures, 263 imaging centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  Our operations comprise a single segment for financial reporting purposes.

 

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

 

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

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.1% of our outstanding common stock as of September 30, 2014. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which is 99% or 100% owned by Dr. Berger.  

 

John V Crues, III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG.  Dr. Crues owns a controlling interest in four medical groups (“Crues Entities”) which provide professional medical services at some of our facilities in Manhattan and Brooklyn, New York while Dr. Berger owns a controlling interest in two medical groups (“NY Berger Entities”) which provide professional medical services at one of our Manhattan, New York facilities.  The Crues Entities and the NY Berger Entities are collectively hereinafter referred to as the “B&C Entities.”

 

RadNet provides non-medical, technical and administrative services to BRMG and the B&C Entities for which it receives a management fee, pursuant to the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision-making related to the ongoing business operations of BRMG and the B&C Entities and we determine the annual budget of BRMG and the B&C Entities. BRMG and the B&C Entities both have insignificant operating assets and liabilities, and de minimis equity. Through these management agreements, we are paid the fair market value of our services, the result of which is that generally all net cash flows of both BRMG and the B&C Entities are transferred to us.

 

9
 

 

We have determined that BRMG and the B&C Entities are VIEs, and that we are the primary beneficiary, and consequently, we consolidate the revenue, expenses, assets and liabilities of each such entity.  BRMG and the B&C Entities on a combined basis recognized $23.6 million and $24.7 million of revenue, net of management service fees to RadNet for the three months ended September 30, 2014 and 2013, respectively, and $23.6 million and $24.7 million of operating expenses for the three months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $98.0 million and $98.3 million of total billed net service fee revenue relating to these VIE’s for the three months ended September 30, 2014 and 2013, respectively, of which $74.4 million and $73.6 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the three months ended September 30, 2014 and 2013, respectively.

 

BRMG and the B&C Entities on a combined basis recognized $65.6 million and $58.2 million of revenue, net of management service fees to RadNet for the nine months ended September 30, 2014 and 2013, respectively, and $65.6 million and $58.2 million of operating expenses for the nine months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $279.6 million and $256.6 million of total billed net service fee revenue relating to these VIE’s for the nine months ended September 30, 2014 and 2013, respectively, of which $213.9 million and $198.4 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the nine months ended September 30, 2014 and 2013, respectively.

 

The cash flows of BRMG and the B&C Entities are included in the accompanying consolidated statements of cash flows.  All intercompany balances and transactions have been eliminated in consolidation.  In our consolidated balance sheets at September 30, 2014 and December 31, 2013, we have included approximately $80.3 million and $65.2 million, respectively, of accounts receivable and approximately $9.4 million and $11.9 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the B&C Entities combined.

 

The creditors of both BRMG and the B&C Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses on behalf of BRMG and the B&C Entities. However, because of the relationship RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from certain centers in California and all of our centers in New York City where we contract with BRMG and the B&C Entities, respectively, for the provision of professional medical services, at all of our other centers, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities. These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers. The radiology practices maintain full control over the provision of professional services. In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee intended to compensate us for the fair market value of our services which in some instances may be based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers. We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures. The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG or non-B&C Entities) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles for complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended September 30, 2014 and 2013 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2013 filed on March 17, 2014, as amended.

 

Significant Accounting Policies

 

During the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended. The information below is intended only to supplement the disclosure in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

10
 

 

Revenues

 

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

 

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

 

Under capitation arrangements with various health plans, we earn a per-enrollee amount each month for making available diagnostic imaging services to all plan enrollees under the capitation arrangement. Revenue under capitation arrangements is recognized in the period in which we are obligated to provide services to plan enrollees under contracts with various health plans.

 

Our revenue, net of contractual allowances, discounts and provision for bad debts for the three and nine months ended September 30, 2014 and 2013 is summarized in the following table (in thousands):

 

  Three Months Ended    Nine Months Ended 
  September 30,    September 30, 
   2014   2013   2014   2013 
Commercial Insurance  $109,472   $103,934   $314,300   $310,147 
Medicare   41,203    38,276    118,627    113,916 
Medicaid   6,248    5,869    18,214    18,358 
Workers' Compensation/Personal Injury   7,821    8,566    22,708    27,666 
Other   6,354    8,727    24,688    26,337 
Service fee revenue, net of contractual allowances and discounts   171,098    165,373    498,536    496,424 
Provision for bad debts   (7,532)   (7,033)   (21,945)   (20,810)
Net service fee revenue   163,566    158,340    476,591    475,614 
Revenue under capitation arrangements   20,493    16,848    55,426    49,034 
Total net revenue  $184,059   $175,188   $532,017   $524,648 

 

Provision for Bad Debts

 

We provide for an allowance against accounts receivable that could become uncollectible to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us from patients with insurance. Although we attempt to collect deductibles and co-payments due from patients with insurance at the time of service, this attempt to collect at the time of service is not an assessment of the patient’s ability to pay nor are revenues recognized based on an assessment of the patient’s ability to pay. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

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Deferred Tax Assets

 

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

 

Deferred Financing Costs

 

Costs of financing are deferred and amortized on a straight-line basis over the life of the associated loan, which approximates the effective interest rate method.

 

Meaningful Use Incentive

 

Under the American Recovery and Reinvestment Act of 2009, a program was enacted that provides financial incentives for providers that successfully implement and utilize electronic health record technology to improve patient care. Our software development team in Canada established an objective to build a Radiology Information System (RIS) software platform that has been awarded Meaningful Use certification. As this certified RIS system is implemented throughout our imaging centers, the radiologists that utilize this software will be eligible for the available financial incentives. In order to receive such incentive payments providers must attest that they have demonstrated meaningful use of the certified RIS in each stage of the program. Once an attestation is accepted by Medicare, payments will be made in four to eight weeks to the same taxpayer identification number and through the same channels as their claims payments are made. We account for this meaningful use incentive under the Gain Contingency Model outlined in ASC 450-30. Under this model, we record within non-operating income, meaningful use incentive only after Medicare accepts an attestation from the qualified eligible professional demonstrating meaningful use. We recorded approximately $1.8 million during the nine months ended September 30, 2014 relating to this incentive. This amount was earned under a Medicare program to promote the use of electronic health record technology.

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $274,000 and accounts receivable of $155.0 million at September 30, 2014, compared to cash and cash equivalents of $8.4 million and accounts receivable of $133.6 million at December 31, 2013. We had a working capital balance of $65.7 million and $58.0 million at September 30, 2014 and December 31, 2013, respectively. We had net income (loss) attributable to RadNet, Inc. common stockholders for the three months ended September 30, 2014 and 2013 of $4.5 million and ($467,000) respectively, and net (loss) income attributable to RadNet, Inc. common stockholders for the nine months ended September 30, 2014 and 2013 of ($2.8 million) and $877,000, respectively.  We also had stockholders’ equity of $2.6 million and $2.2 million at September 30, 2014 and December 31, 2013, respectively.

 

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

 

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

 

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

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise.

 

Included in our condensed consolidated balance sheet at September 30, 2014 are $572.2 million of senior secured term loan debt (net of unamortized discounts of $12.7 million), broken down by loan agreement as follows (in thousands):

 

  Face Value   Discount   Total Carrying Value 
2014 First Lien Term Loans  $404,942   $(9,922)  $395,020 
Second Lien Term Loans  $180,000   $(2,772)  $177,228 
Total  $584,942   $(12,694)  $572,248 

 

Our revolving credit facility has a $25.1 million aggregate principal amount outstanding as of September 30, 2014.

 

The following describes our most recent financing activities:

 

2014 Amendment to the Refinance Agreement and Second Lien Credit and Guaranty Agreement:

 

On March 25, 2014, Radnet Management simultaneously entered into two agreements which resulted in the creation of a direct financial obligation as follows:

 

2014 Amendment of the Refinance Agreement. Radnet Management amended that certain Credit and Guaranty Agreement dated October 10, 2012, by that certain first amendment dated April 3, 2013 (the “2013 Amendment”) (collectively, the Refinance Agreement”), by entering into a second amendment to the Refinance Agreement (the “2014 Amendment”) to provide for, among other things, the borrowing by Radnet Management of $30.0 million of additional first lien term loans (the “2014 First Lien Term Loans”).

 

Second Lien Credit and Guaranty Agreement. Radnet Management entered into a Second Lien Credit and Guaranty Agreement (the “Second Lien Credit Agreement”) to provide for, among other things, the borrowing by Radnet Management of $180.0 million of second lien term loans (the “Second Lien Term Loans”). The proceeds from the Second Lien Term Loans and the 2014 First Lien Term Loans were used to redeem the senior notes, as more fully described below under the heading “Senior Notes”, to pay the expenses related to the transaction and for general corporate purposes.

 

Revolving Credit Facility. The $101.25 million revolving credit line established in the Credit and Guaranty Agreement dated October 10, 2012 was unaltered by the agreements above and remains in place.

 

The 2014 Amendment provides for the following:

 

Interest. The interest rates payable on the 2014 First Lien Term Loans are the same as the rates currently payable under the Refinance Agreement, as amended by the 2013 Amendment, which are (a) the Adjusted Eurodollar Rate plus 3.25% or (b) the Base Rate (as defined in the Refinance Agreement) plus 2.25%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on all of the term loans under the Refinance Agreement. The Adjusted Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. The scheduled amortization of the term loans under the Refinance Agreement has been increased from quarterly payments of $975,000 to quarterly payments of $5.2 million which started in June 2014, with the remaining balance to be paid at maturity.

 

The other material terms of the Refinance Agreement remain unchanged as described in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

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The Second Lien Credit Agreement provides for the following:

 

Interest. The interest rates payable on the Second Lien Term Loans are (a) the Adjusted Eurodollar Rate plus 7.0% or (b) the Base Rate plus 6.0%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on the Second Lien Term Loans. The Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. There is no scheduled amortization of the principal of the Second Lien Term Loans. All principal will be due and payable on the termination date described below.

 

Termination. The termination date for the Second Lien Term Loans is the earlier to occur of (i) March 25, 2021, and (ii) the date on which the Second Lien Term Loans shall otherwise become due and payable in full under the Second Lien Credit Agreement, whether by acceleration or otherwise.

 

Restrictive Covenants. In addition to certain customary covenants, the Second Lien Credit Agreement places restrictions on indebtedness, liens, and investments, and places limits on distributions to stockholders (including the repurchase of shares) and other junior payments.

 

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

 

Events of Default. In addition to certain customary events of default, events of default under the Second Lien Credit Agreement include failure to pay principal of any loans as and on the date when due, failure to pay any interest on any loan or any fee or other amount payable under the Second Lien Term Loans within five days after the due date, failure of any loan party to comply with any covenant or agreements, subject to applicable grace periods and/or notice requirements, or a material breach of any representation or warranty contained in the loan documents. The occurrence of an event of default could permit the lenders under the Second Lien 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.

 

These limitations are subject to a number of important qualifications and exceptions, as described in the Second Lien Credit Agreement. As of September 30, 2014, we were in compliance with all covenants.

 

Senior Notes

 

On April 6, 2010, we issued and sold $200 million of 10 3/8% senior unsecured notes due 2018 at a price of 98.680% (the “senior notes”).  All payments of the senior notes, including principal and interest, were guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc., and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries.  The senior notes were issued under an indenture dated April 6, 2010 (the “Indenture”), by and among Radnet Management, Inc., as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee.” We paid interest on the senior notes on April 1 and October 1 of each year, commencing October 1, 2010, and they were scheduled to expire on April 1, 2018.

 

Optional Redemption. Under the Indenture, Radnet Management could redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture. Prior to April 1, 2014, Radnet Management was also permitted to redeem the senior notes, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium established by the Indenture and accrued and unpaid interest, if any.

 

Senior Notes Tender Offer and Exercise of Optional Redemption

 

Radnet Management completed the retirement of its $200 million in Senior Notes on April 24, 2014 and following such retirement the Company completed the satisfaction and discharge of the Indenture. The transactions leading to the retirement of the Senior Notes are described below:

 

Tender Offer and Exercise of Optional Redemption on March 7, 2014. On March 7, 2014, Radnet Management commenced a tender offer to purchase for cash any and all outstanding senior notes. In connection with the tender offer, Radnet Management also commenced a consent solicitation to amend the Indenture to eliminate or modify certain restrictive covenants. On March 25, 2014 (the “Initial Payment Date”), Radnet Management made a payment in cash for all senior notes tendered prior to 5:00 P.M., New York City time, on March 20, 2014 (the “Consent Payment Deadline”). As of the Consent Payment Deadline, Radnet Management had received tenders and consents in respect of $193,464,000 aggregate principal amount of the senior notes, representing 96.73% of the outstanding senior notes, all of which were accepted for purchase. The total consideration for each $1,000 principal amount of senior notes validly tendered and not withdrawn at or prior to the Consent Payment Deadline and accepted for purchase was $1,056.88 (the “Total Consideration”), which amount included a consent payment (the “Consent Payment”) of $30.00 per $1,000 principal amount of senior notes. In addition, all senior notes accepted for payment received accrued and unpaid interest in respect of such notes from the last interest payment date prior to the applicable settlement date to, but not including, the applicable settlement date. The tender offer expired on April 3, 2014 and between the Consent Payment Deadline and the expiration of the tender offer, no additional senior notes were tendered. With a net carrying amount including discount and unamortized issue costs of $189.2 million, a loss on early extinguishment of debt of $15.5 million was recorded in the first quarter of 2014.

  

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Tender Offer and Exercise on Optional Redemption of March 25, 2014. On March 25, 2014, Radnet Management called for redemption all of its remaining outstanding senior notes not purchased prior to the expiration of the tender offer described above, with a redemption date of April 24, 2014 (the “Redemption Date”). Upon redemption on April 24, 2014, the holders of the senior notes being redeemed received a redemption price equal to 105.188% of the outstanding principal amount of the senior notes being redeemed (or $1,051.88 per $1,000 in principal amount of the senior notes) in accordance with the terms of the Indenture, or approximately $6.9 million in total, including approximately $43,000 of accrued and unpaid interest up to, but excluding the Redemption Date.  As of that date, Radnet Management completed the satisfaction and discharge of the Indenture in accordance with its terms and no senior notes remained outstanding.  With a net carrying amount including discount and unamortized issue costs of $6.4 million, a loss on early extinguishment of debt of $471,000 was recorded in the second quarter of 2014.

 

Capital Lease Investments

 

During the nine months ended September 30, 2014, we added capital lease debt of approximately $12.6 million relating to radiology equipment.

 

NOTE 2 – FACILITY ACQUISITIONS

 

On September 1, 2014 we completed our acquisition of Hematology Oncology Consultants located in Van Nuys, CA for cash consideration of $553,000. We have made a preliminary fair value determination of the acquired assets and approximately $15,000 of fixed assets, $163,000 of medical supplies inventory, $39,000 of other assets, $100,000 covenant not to compete intangible asset, and $235,000 of goodwill were recorded with respect to this transaction.

 

On September 1, 2014 we completed our acquisition of Imaging Centers of Pasadena consisting of a single multi-modality imaging center located in Pasadena, CA for cash consideration of $1.8 million. The facility provides MRI, PET/CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and approximately $1.7 million of fixed assets and $105,000 of a covenant not to compete intangible asset were recorded with respect to this transaction.

 

On July 3, 2014 we completed our acquisition of certain imaging center equipment from Healthcare Partners for which we agreed to pay $2.1 million. We paid cash of $300,000 and a promissory note in the amount of $1.8 million.

 

On July 1, 2014 we completed our acquisition of Moreno Valley Imaging consisting of a single multi-modality imaging center located in Moreno Valley, CA for cash consideration of $700,000. The facility provides MRI, CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and approximately $285,000 of fixed assets, $3,000 of other assets, $50,000 for a non compete covenant and $362,000 of goodwill were recorded with respect to this transaction.

 

On July 1, 2014 we completed our acquisition of Liberty Pacific Imaging Long Beach consisting of a single multi-modality imaging center located in Signal Hill, CA for cash consideration of $1.9 million and assumed liabilities of $65,000. The facility provides MRI, CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and assumed liabilities and $577,000 of fixed assets, $100,000 for a covenant not to compete and $1.3 million of goodwill were recorded with respect to this transaction. We also assumed capital lease debt of $65,000.

 

On July 1, 2014 we completed our acquisition of Medical Imaging of Manhattan consisting of a single modality mammography center located in New York, New York for cash consideration of $2.4 million. We have made a preliminary fair value determination of the acquired assets and approximately $672,000 of fixed assets, $139,000 of other assets, a covenant not to compete of $150,000 and $1.4 million of goodwill were recorded with respect to this transaction.

 

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On April 1, 2014, we acquired the diagnostic imaging practice of Sidney Friedman, M.D. located in Westchester, CA for $1.4 million. We have made a fair value determination of the assets acquired and have allocated $600,000 to Imaging equipment, $470,000 to accounts receivable, a covenant not to compete of $100,000 and $231,000 to goodwill.

 

On January 2, 2014, we acquired the diagnostic imaging practice of Leslie A. Saint-Louis, MD located in New York, New York for $360,000. Upon acquisition, we relocated the practice to a nearby existing center in New York, New York. We have made a fair value determination of the assets acquired and have allocated $310,000 to goodwill and $50,000 to other intangible assets related to a covenant not to compete contract with Dr. Saint-Louis.

 

 

NOTE 3 – NEW ACCOUNTING STANDARDS

 

In May 2014, the Financial Accounting Standard Board issued a GAAP update "Revenue from Contracts with Customers". This GAAP update requires an entity to recognize revenue when it transfers promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. This GAAP update also requires more detailed disclosures to enable users of the financial statements to understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. The GAAP update is effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2016. We are currently evaluating the impact of the GAAP update on our consolidated financial position, results of operations and cash flows.

 

 

NOTE 4 – EARNINGS PER SHARE

 

Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):

 

  Three Months Ended   Nine Months Ended 
  September 30,   September 30, 
   2014   2013   2014   2013 
Net income (loss) attributable to RadNet, Inc.'s common stockholders  $4,451   $(467)  $(2,829)  $877 
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                    
Weighted average number of common shares outstanding during the period   41,644,606    39,235,863    40,734,083    39,105,522 
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders  $0.11   $(0.01)  $(0.07)  $0.02 
                     
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                    
Weighted average number of common shares outstanding during the period   41,644,606    39,235,863    40,734,083    39,105,522 
Add nonvested restricted stock subject only to service vesting   1,001,190            311,419 
Add additional shares issuable upon exercise of stock options and warrants   1,387,784            469,199 
Weighted average number of common shares used in calculating diluted net income per share   44,033,580    39,235,863    40,734,083    39,886,140 
Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders  $0.10   $(0.01)  $(0.07)  $0.02 

 

For the three months ended September 30, 2013 and the nine months ended September 30, 2014 we excluded all outstanding options, warrants and restricted stock awards in the calculation of diluted earnings per share because their effect would be antidilutive.

 

 

NOTE 5 – INVESTMENT IN JOINT VENTURES

 

We have nine unconsolidated joint ventures with ownership interests ranging from 35% to 50%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers.  Professional services at the joint venture diagnostic imaging centers are performed by contracted radiology practices or a radiology practice that participates in the joint venture.  Our investment in these joint ventures is accounted for under the equity method.   

 

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The following table is a roll forward of our investment in joint ventures during the nine months ended September 30, 2014 (in thousands):

 

Balance as of December 31, 2013  $28,949 
Equity contributions in existing joint ventures   1,161 
Equity earnings in these joint ventures   4,722 
Distribution of earnings   (7,358)
Balance as of September 30, 2014  $27,474 

 

We earned management service fees from the centers underlying these joint ventures of approximately $2.3 million in each of the three months ended September 30, 2014 and 2013, and $6.9 million and $7.0 million for the nine months ended September 30, 2014 and 2013, respectively.

 

The following table is a summary of key financial data for these joint ventures as of and for the nine months ended September 30, 2014 and 2013 (in thousands):

 

Balance Sheet Data:  September 30, 2014 
Current assets  $14,181 
Noncurrent assets   48,306 
Current liabilities   (5,623)
Noncurrent liabilities   (6,944)
Total net assets  $49,920 
Book value of Radnet joint venture interests  $23,232 
Cost in excess of book value of acquired joint venture interests   3,857 
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet   385 
Total value of Radnet joint venture interests  $27,474 
Total book value of other joint venture partner interests  $26,688 

 

Income Statement Data for the nine months ended September 30,  2014   2013 
Net revenue  $73,859   $68,912 
Net income  $9,801   $9,819 

 

 

NOTE 6 – STOCK-BASED COMPENSATION

 

Stock Incentive Plans

 

Options and Warrants

 

We have two long-term incentive plans which we refer to as the 2000 Plan and the 2006 Plan. The 2000 Plan was terminated as to future grants when the 2006 Plan was approved by the stockholders in 2006 and as of September 30, 2014 no options or warrants were outstanding under our 2000 Plan. As of September 30, 2014, we have reserved for issuance under the 2006 Plan 11,000,000 shares of common stock. Certain options granted under the 2006 Plan to employees are intended to qualify as incentive stock options under existing tax regulations. In addition, we may issue non-qualified stock options and warrants under the 2006 Plan from time to time to non-employees, in connection with acquisitions and for other purposes and we may also issue restricted stock under the 2006 Plan. Stock options and warrants generally vest over two to five years and expire five to ten years from date of grant.

 

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As of September 30, 2014, 2,037,509, or approximately 96.9%, of the 2,102,509 outstanding stock options and warrants granted under our 2006 Plan are fully vested. During the nine months ended September 30, 2014, we did not grant options or warrants under our 2006 Plan.

 

We have issued warrants outside the 2006 Plan under various types of arrangements to employees, and in exchange for outside services. All warrants issued to employees or consultants after our February 2007 listing on the NASDAQ Global Market have been characterized as awards under the 2006 Plan. All warrants outside the 2006 Plan have been issued with an exercise price equal to the fair value of the underlying common stock on the date of grant.

 

As of September 30, 2014, no warrants remain outstanding outside the 2006 Plan.

 

The following summarizes all of our option and warrant transactions during the nine months ended September 30, 2014:

 

Outstanding Options and Warrants Under the 2006 Plan and 2000 Plan  Shares   Weighted Average Exercise price Per Common Share   Weighted Average Remaining Contractual Life (in years)   Aggregate Intrinsic Value 
                 
Balance, December 31, 2013   4,701,250   $3.15           
Granted                  
Exercised   (2,283,741)   2.38           
Canceled or expired   (315,000)   5.91           
Balance, September 30, 2014   2,102,509    3.57    1.44   $7,017,488 
Exercisable at September 30, 2014   2,037,509    3.62    1.36    6,719,788 

 

Non-Plan Outstanding Warrants   Shares    Weighted Average Exercise price Per Common Share    Weighted Average  Remaining  Contractual Life  (in years)    Aggregate Intrinsic Value 
Balance, December 31, 2013   200,000   $2.62           
Granted                  
Exercised   (200,000)   2.62           
Canceled or expired                  
Balance, September 30, 2014              $ 
Exercisable at September 30, 2014                

 

Aggregate intrinsic value in the table above represents the total pretax intrinsic value (the difference between our closing stock price on September 30, 2014 and the exercise price, multiplied by the number of in-the-money options or warrants, as applicable) that would have been received by the holder had all holders exercised their options or warrants, as applicable, on September 30, 2014. Total intrinsic value of options and warrants exercised during the nine months ended September 30, 2014 and 2013 was approximately $5.9 million and $2.3 million, respectively. As of September 30, 2014, total unrecognized stock-based compensation expense related to non-vested employee awards was $39,000, which is expected to be recognized over a weighted average period of approximately 2.1 years.

 

Restricted Stock Awards (“RSA’s”)

 

The 2006 Plan permits the award of restricted stock. On January 2, 2014, we granted awards for 1,011,785 shares of our common stock to certain employees and outside directors. Of these awards granted, 337,262 shares vested on the award date, with the remaining 674,524 shares vesting at the completion of each year’s service by 337,262 shares per year over the next two years. We valued this award based on the closing market price of our stock on January 2, 2014 which was $1.62 per share.

 

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At September 30, 2014, the total unrecognized fair value of all restricted stock awards was approximately $1.1 million, which will be recognized over the remaining vesting period of 2.50 years.

 

In sum, of the 11,000,000 shares of common stock reserved for issuance under the 2006 Plan, at September 30, 2014, we had 4,834,294 options, warrants and shares of restricted stock outstanding, 2,296,241 options exercised and 3,869,465 shares of common stock available for grant.

 

NOTE 7 – FAIR VALUE MEASUREMENTS

 

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

 

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

 

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

 

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

 

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

 

   As of September 30, 2014 
   Level 1   Level 2   Level 3   Total Fair Value   Total Face Value 
2014 First Lien Term Loans  $   $402,411   $   $402,411   $404,942 
Second Lien Term Loans       $180,000   $    180,000   $180,000 
                          
    As of December 31, 2013 
   Level 1   Level 2   Level 3   Total   Total Face Value 
Senior Term Loan  $   $380,508   $   $380,508   $349,125 
Senior Notes       199,000        199,000    200,000 

  

The carrying value of our revolving credit facility at September 30, 2014 and December 31, 2013 of $25.1 million and $0, respectively, approximated its fair value.

 

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

 

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

 

The following discussion of our financial condition and results of operations should be read in conjunction with our consolidated financial statements and the related notes and other financial information appearing elsewhere in this quarterly report.

 

Forward-Looking Statements

 

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

 

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

 

The factors included in “Risk Factors,” in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended or supplemented by the information, if any, in Part II – Item 1A in our quarterly reports on Form 10-Q for the quarters ended March 31, 2014 and June 30, 2014, and in Part II – Item 1A below, among others, could cause our actual results to differ materially from those expressed in, or implied by, the forward-looking statements. You should consider the inherent limitations on, and risks associated with, forward-looking statements and not unduly rely on the accuracy of predictions contained in such forward-looking statements. These forward-looking statements speak only as of the date when they are made. Except as required under the federal securities laws or by the rules and regulations of the Securities and Exchange Commission, we do not undertake any responsibility to release publicly any revisions to these forward-looking statements to take into account events or circumstances that occur after the date of those statements. Additionally, we do not undertake any responsibility to update you on the occurrence of any unanticipated events which may cause actual results to differ from those expressed or implied by the forward-looking statements contained in this quarterly report.

 

Overview

 

We are the leading national provider of freestanding, fixed-site outpatient diagnostic imaging services in the United States based on number of locations and annual imaging revenue. At September 30, 2014, we operated directly or indirectly through joint ventures, 263 centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York. Our centers provide physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders and may reduce unnecessary invasive procedures, often reducing the cost and amount of care for patients. Our services include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures.

 

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

 

We derive substantially all of our revenue, directly or indirectly, from fees charged for the diagnostic imaging services performed at our facilities. For the nine months ended September 30, 2014 and 2013, we performed 3,570,949 and 3,387,665 diagnostic imaging procedures, respectively, and generated total net revenue of $532.0 million and $524.6 million, respectively.

 

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

 

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

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.1% of our outstanding common stock as of September 30, 2014. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which is 99% or 100% owned by Dr. Berger.  

 

John V Crues, III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG. Dr. Crues owns a controlling interest in four medical groups (“Crues Entities”) which provide professional medical services at some of our facilities in Manhattan and Brooklyn, New York while Dr. Berger owns a controlling interest in two medical groups (“NY Berger Entities”) which provide professional medical services at one of our Manhattan, New York facilities. The Crues Entities and the NY Berger Entities are collectively hereinafter referred to as the “B&C Entities.”

 

RadNet provides non-medical, technical and administrative services to BRMG and the B&C Entities for which it receives a management fee, pursuant to the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision-making related to the ongoing business operations of BRMG and the B&C Entities and we determine the annual budget of BRMG and the B&C Entities. BRMG and the B&C Entities both have insignificant operating assets and liabilities, and de minimis equity. Through these management agreements, we are paid the fair market value of our services, the result of which is that generally all net cash flows of both BRMG and the B&C Entities are transferred to us.

 

We have determined that BRMG and the B&C Entities are VIEs, and that we are the primary beneficiary, and consequently, we consolidate the revenue, expenses, assets and liabilities of each such entity.  BRMG and the B&C Entities on a combined basis recognized $23.6 million and $24.7 million of revenue, net of management service fees to RadNet for the three months ended September 30, 2014 and 2013, respectively, and $23.6 million and $24.7 million of operating expenses for the three months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $98.0 million and $98.3 million of total billed net service fee revenue relating to these VIE’s for the three months ended September 30, 2014 and 2013, respectively, of which $74.4 million and $73.6 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the three months ended September 30, 2014 and 2013, respectively.

 

BRMG and the B&C Entities on a combined basis recognized $65.6 million and $58.2 million of revenue, net of management service fees to RadNet for the nine months ended September 30, 2014 and 2013, respectively, and $65.6 million and $58.2 million of operating expenses for the nine months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $279.6 million and $256.6 million of total billed net service fee revenue relating to these VIE’s for the nine months ended September 30, 2014 and 2013, respectively, of which $213.9 million and $198.4 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the nine months ended September 30, 2014 and 2013, respectively.

 

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The cash flows of BRMG and the B&C Entities are included in the accompanying consolidated statements of cash flows.  All intercompany balances and transactions have been eliminated in consolidation.  In our consolidated balance sheets at September 30, 2014 and December 31, 2013, we have included approximately $80.3 million and $65.2 million, respectively, of accounts receivable and approximately $9.4 million and $11.9 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the B&C Entities combined.

 

The creditors of both BRMG and the B&C Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses on behalf of BRMG and the B&C Entities. However, because of the relationship RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

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

 

We typically experience some seasonality to our business. During the first quarter of each year we generally experience the lowest volumes of procedures and the lowest level of revenue for any quarter during the year.  This is primarily the result of two factors.  First, our volumes and revenue are typically impacted by winter weather conditions in our northeastern operations.  It is common for snowstorms and other inclement weather to result in patient appointment cancellations and, in some cases, imaging center closures.  Second, in recent years, we have observed greater participation in high deductible health plans by patients.  As these high deductibles reset in January for most of these patients, we have observed that patients utilize medical services less during the first quarter, when securing medical care will result in significant out-of-pocket expenditures.

 

Critical Accounting Policies

 

Use of Estimates

 

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

 

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

 

  · our disclosure of contingent assets and liabilities at the dates of the financial statements; and

 

  · our reported amounts of net revenue and expenses in our consolidated statements of operations during the reporting periods.

 

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

 

The Securities and Exchange Commission defines critical accounting estimates as those that are both most important to the portrayal of a company’s financial condition and results of operations and require management’s most difficult, subjective or complex judgment, often as a result of the need to make estimates about the effect of matters that are inherently uncertain and may change in subsequent periods. In Note 2 to our consolidated financial statements in our annual report on Form 10-K for the year ended December 31, 2013, as amended, we discuss our significant accounting policies, including those that do not require management to make difficult, subjective or complex judgments or estimates. The most significant areas involving management’s judgments and estimates are described below.

 

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During the period covered in this report, there were no material changes to the critical accounting estimates we use, and have described in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

Revenues

 

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

 

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

 

Under capitation arrangements with various health plans, we earn a per-enrollee amount each month for making available diagnostic imaging services to all plan enrollees under the capitation arrangement. Revenue under capitation arrangements is recognized in the period in which we are obligated to provide services to plan enrollees under contracts with various health plans.

 

Our revenue, net of contractual allowances, discounts and provision for bad debts for the three and nine months ended September 30, 2014 and 2013 is summarized in the following table (in thousands):

 

   Three Months Ended   Nine Months Ended 
   September 30,   September 30, 
   2014   2013   2014   2013 
                 
Commercial Insurance  $109,472   $103,934   $314,300   $310,147 
Medicare   41,203    38,276    118,627    113,916 
Medicaid   6,248    5,869    18,214    18,358 
Workers' Compensation/Personal Injury   7,821    8,566    22,708    27,666 
Other   6,354    8,727    24,688    26,337 
Service fee revenue, net of contractual allowances and discounts   171,098    165,373    498,536    496,424 
Provision for bad debts   (7,532)   (7,033)   (21,945)   (20,810)
Net service fee revenue   163,566    158,340    476,591    475,614 
Revenue under capitation arrangements   20,493    16,848    55,426    49,034 
Total net revenue  $184,059   $175,188   $532,017   $524,648 

 

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Provision for Bad Debts

 

We provide for an allowance against accounts receivable that could become uncollectible to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us from patients with insurance. Although we attempt to collect deductibles and co-payments due from patients with insurance at the time of service, this attempt to collect at the time of service is not an assessment of the patient’s ability to pay nor are revenues recognized based on an assessment of the patient’s ability to pay. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

Accounts Receivable

 

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

 

Depreciation and Amortization of Long-Lived Assets

 

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

 

Deferred Tax Assets

 

Income tax expense is computed using an asset and liability method and using expected annual effective tax rates. Under this method, deferred income tax assets and liabilities result from temporary differences in the financial reporting bases and the income tax reporting bases of assets and liabilities. The measurement of deferred tax assets is reduced, if necessary, by the amount of any tax benefit that, based on available evidence, is not expected to be realized. When it appears more likely than not that deferred taxes will not be realized, a valuation allowance is recorded to reduce the deferred tax asset to its estimated realizable value. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized. At September 30, 2014, we determined that approximately $55.7 million of our net deferred tax assets are more likely than not to be realized.

 

Valuation of Goodwill and Long-Lived Assets

 

Goodwill at September 30, 2014 totaled $200.3 million. Goodwill is recorded as a result of business combinations. Management evaluates goodwill, at a minimum, on an annual basis and whenever events and changes in circumstances suggest that the carrying amount may not be recoverable in accordance with ASC 350, Intangibles – Goodwill and Other. Impairment of goodwill is tested at the reporting unit level by comparing the reporting unit’s carrying amount, including goodwill, to the fair value of the reporting unit. The fair value of a reporting unit is estimated using a combination of the income or discounted cash flows approach and the market approach, which uses comparable market data. If the carrying amount of the reporting unit exceeds its fair value, goodwill is considered impaired and a second step is performed to measure the amount of impairment loss, if any. We tested goodwill for impairment on October 1, 2013.  Based on our test, we noted no impairment related to goodwill as of October 1, 2013. However, if estimates or the related assumptions change in the future, we may be required to record impairment charges to reduce the carrying amount of goodwill.

 

We evaluate our long-lived assets (property and equipment) and intangibles, other than goodwill, for impairment whenever indicators of impairment exist. The accounting standards require that if the sum of the undiscounted expected future cash flows from a long-lived asset or definite-lived intangible is less than the carrying value of that asset, an asset impairment charge must be recognized. The amount of the impairment charge is calculated as the excess of the asset’s carrying value over its fair value, which generally represents the discounted future cash flows from that asset or in the case of assets we expect to sell, at fair value less costs to sell. No indicators of impairment were identified with respect to our long-lived assets as of September 30, 2014.

 

 

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New Accounting Standards

 

In May 2014, the Financial Accounting Standard Board issued a GAAP update "Revenue from Contracts with Customers". This GAAP update requires an entity to recognize revenue when it transfers promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. This GAAP update also requires more detailed disclosures to enable users of the financial statements to understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. The GAAP update is effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2016. We are currently evaluating the impact of the GAAP update on our consolidated financial position, results of operations and cash flows.

 

Industry Updates

 

Sequestration spending cuts took effect on April 1, 2013, which reduced our Medicare payments by 2%. These spending cuts were extended through 2014 and 2015 by a two-year funding bill signed into law on December 26, 2013, which will continue to negatively impact our condensed consolidated financial results.

 

On March 31, 2014, Congress passed its seventeenth delay to the implementation of the SGR formula, which would have led to a 24% reduction in Medicare payments to physicians.  This delay extends implementation for an additional twelve months, during which time Congress hopes to be able to pass a more permanent solution to the SGR formula.

 

On October 31, 2014, CMS published its final Medicare Physician Fee Schedule rule for 2015.

 

Results of Operations

 

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

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

   

 

    Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
    2014    2013    2014    2013 
NET REVENUE                    
Service fee revenue, net of contractual allowances and discounts   89.3%   90.8%   90.0%   91.0%
Provision for bad debts   -3.9%   -3.9%   -4.0%   -3.8%
Net service fee revenue   85.4%   86.9%   86.0%   87.2%
Revenue under capitation arrangements   10.7%   9.2%   10.0%   9.0%
Total net revenue   96.1%   96.1%   96.0%   96.2%
OPERATING EXPENSES                    
Cost of operations, excluding depreciation and amortization   79.9%   83.3%   80.5%   82.5%
Depreciation and amortization   7.5%   8.1%   8.2%   8.1%
Loss on sale and disposal of equipment   0.7%   0.0%   0.3%   0.1%
Severance costs   0.1%   0.0%   0.2%   0.1%
Total operating expenses   88.1%   91.4%   89.1%   90.7%
                     
INCOME FROM OPERATIONS   8.0%   4.7%   6.9%   5.5%
                     
OTHER INCOME AND EXPENSES                    
Interest expense   5.4%   6.1%   5.9%   6.3%
Meaningful use incentive   0.0%   0.0%   -0.3%   0.0%
Equity in earnings of joint ventures   -1.0%   -0.9%   -0.9%   -0.8%
Gain on sale of imaging centers   0.0%   0.0%   0.0%   -0.4%
Loss on early extinguishment of Senior Notes   0.0%   0.0%   2.9%   0.0%
Other expenses   0.0%   0.0%   0.0%   0.0%
Total other expenses   4.4%   5.2%   7.6%   5.2%
                     
INCOME (LOSS) BEFORE INCOME TAXES   3.6%   -0.5%   -0.6%   0.3%
(Provision for) Benefit from income taxes   -1.2%   0.3%   0.2%   -0.1%
NET INCOME (LOSS)   2.4%   -0.2%   -0.5%   0.2%
Net income (loss) attributable to noncontrolling interests   0.0%   0.1%   0.0%   0.0%
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   2.3%   -0.3%   -0.5%   0.2%

 

Three Months Ended September 30, 2014 Compared to the Three Months Ended September 30, 2013

 

Service Fee Revenue

 

Service fee revenue for the three months ended September 30, 2014 was $171.1 million compared to $165.4 million for the three months ended September 30, 2013, an increase of $5.7 million, or 3.5%.

 

Service fee revenue, including only those centers which were in operation throughout the third quarters of both 2014 and 2013 increased $973,000, or 0.6%. This comparison excludes revenue contributions from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 30, 2014, service fee revenue from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $5.9 million. For the three months ended September 30, 2013, service fee revenue from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $1.2 million.

 

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Provision for Bad Debts

 

Provision for bad debts increased $499,000, or 7.1%, to approximately $7.5 million, or 3.9% of gross revenue, for the three months ended September 30, 2014 compared to $7.0 million, or 3.9% of gross revenue, for the three months ended September 30, 2013.

 

Revenue Under Capitation Arrangements

 

Revenue under capitation arrangements for the three months ended September 30, 2014 was $20.5 million compared to $16.8 million for the three months ended September 30, 2013, an increase of $3.6 million or 21.6%.

 

Revenue under capitation arrangements, including only those centers which were in operation throughout the third quarters of both 2014 and 2013 increased $2.6 million, or 15.6%. This 15.6% increase was mainly due to new contractual relationships with private insurers. This comparison excludes revenue contributions from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 31, 2014, revenue under capitation arrangements from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $1.0 million.

 

Operating Expenses

 

Cost of operations for the three months ended September 30, 2014 increased approximately $1.2 million, or 0.8%, from $151.8 million for the three months ended September 30, 2013 to $153.0 million for the three months ended September 30, 2014. The following table sets forth our cost of operations and total operating expenses for the three months ended September 30, 2014 and 2013 (in thousands):

 

  Three Months Ended September 30, 
   2014   2013 
Salaries and professional reading fees, excluding stock-based compensation  $84,422   $80,128 
Stock-based compensation   432   $463 
Building and equipment rental   16,088   $16,630 
Medical supplies   10,314   $9,260 
Other operating expenses  *   41,744    45,289 
Cost of operations   153,000    151,770 
Depreciation and amortization   14,423    14,762 
Loss (gain) on sale and disposal of equipment   1,289    (5)
Severance costs   112    72 
Total operating expenses  $168,824   $166,599 

 

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

 

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

 

Salaries and professional reading fees increased $4.3 million, or 5.4%, to $84.4 million for the three months ended September 30, 2014 compared to $80.1 million for the three months ended September 30, 2013.

 

Salaries and professional reading fees, including only those centers which were in operation throughout the third quarters of both 2014 and 2013, increased $1.4, or 1.7%. This comparison excludes expenses from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 30, 2014, salaries and professional reading fees from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $3.7 million. For the three months ended September 30, 2013, salaries and professional reading fees from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was approximately $786,000.

 

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Stock-based compensation

 

Stock-based compensation decreased $31,000, or 6.7%, to approximately $432,000 for the three months ended September 30, 2014 compared to $463,000 for the three months ended September 30, 2013.

  

Building and equipment rental

 

Building and equipment rental expenses decreased $542,000, or 3.3%, to $16.1 million for the three months ended September 30, 2014 compared to $16.6 million for the three months ended September 30, 2013.

 

Building and equipment rental expenses, including only those centers which were in operation throughout the third quarters of both 2014 and 2013, decreased $1.0 million, or 6.3%. This 6.3% decrease mainly related to the re-negotiation of radiology equipment operating leases into capital leases, thus reducing equipment rental expense. This comparison excludes expenses from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 30, 2014, building and equipment rental expenses from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $678,000. For the three months ended September 30, 2013, building and equipment rental expenses from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was approximately $183,000.

 

Medical supplies

 

Medical supplies expense increased $1.1 million, or 11.4%, to $10.3 million for the three months ended September 30, 2014 compared to $9.3 million for the three months ended September 30, 2013.

 

Medical supplies expenses, including only those centers which were in operation throughout the second quarter of both 2014 and 2013, increased $784,000, or 8.5%. This 8.5% increase is primarily due to higher film prices over the three months ended September 30, 2014 compared to the three months ended September 30, 2013 as a result of a decrease in price rebates. This comparison excludes expenses from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 31, 2014, medical supplies expenses from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $329,000. For the three months ended September 30, 2013, medical supplies expense from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $59,000.

 

Other operating expenses

 

Other operating expenses decreased $3.5 million, or 7.8%, to $41.7 million for the three months ended September 30, 2014 compared to $45.3 million for the three months ended September 30, 2013.

 

Other operating expenses, including only those centers which were in operation throughout the third quarters of both 2014 and 2013, decreased $4.0 million, or 8.9%. This 8.9% decrease is primarily due to reduced rates on certain of our maintenance contracts along with decreased license fees and insurance expense. This comparison excludes expenses from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 30, 2014, other operating expense from centers that were acquired or divested subsequent July 1, 2013 and excluded from the above comparison was $1.0 million. For the three months ended September 30, 2013, other operating expense from centers that were acquired or divested subsequent to July 1, 2013 was $556,000.

 

Depreciation and amortization

 

Depreciation and amortization decreased $339,000, or 2.3%, to $14.4 million for the three months ended September 30, 2014 compared to $14.8 million for the three months ended September 30, 2013.

 

Depreciation and amortization, including only those centers which were in operation throughout the third quarter of both 2014 and 2013, decreased $936,000, or 6.4%. This comparison excludes expenses from centers that were acquired or divested subsequent to July 1, 2013. For the three months ended September 30, 2014, depreciation expense from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $707,000. For the three months ended September 30, 2013, depreciation and amortization from centers that were acquired or divested subsequent to July 1, 2013 and excluded from the above comparison was $110,000.

 

 

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Loss on sale and disposal of equipment

 

We recorded a net loss on sale of equipment of approximately $1.3 million for the three months ended September 30, 2014. The loss on disposal of equipment primarily relates to the write-off of certain leasehold improvements due to the closing of certain centers during the period.

 

Interest expense

 

Interest expense for the three months ended September 30, 2014 decreased approximately $0.7 million, or 6.3%, to $10.4 million for the three months ended September 30, 2014 compared to $11.1 million for the three months ended September 30, 2013. Interest expense for the three months ended September 30, 2014 included $1.3 million of combined non-cash amortization and write- off of deferred loan costs as well as discount on issuance and refinance of debt. Interest expense for the three months ended September 30, 2013 included $1.2 million of non-cash amortization of deferred loan costs and discount on issuance of debt. Excluding these non-cash amounts for each period, interest expense decreased approximately $0.8 million for the three months ended September 30, 2014 compared to the three months ended September 30, 2013. This decrease was primarily due to a reduction in interest expense stemming from the redemption of the $200 million Senior Notes. See “Liquidity and Capital Resources” below for more details on our debt refinancing.

 

Equity in earnings from unconsolidated joint ventures

 

For the three months ended September 30, 2014 and 2013, we recognized equity in earnings from unconsolidated joint ventures of $2.0 million and $1.6 million respectively.

 

 

Nine Months Ended September 30, 2014 Compared to the Nine Months Ended September 30, 2013

 

Service Fee Revenue

 

Service fee revenue for the nine months ended September 30, 2014 was $498.5 million compared to $496.4 million for the nine months ended September 30, 2013, an increase of $2.1 million, or 0.4%.

 

Service fee revenue, including only those centers which were in operation throughout the first nine months of both 2014 and 2013 decreased $9.2 million, or 1.9%. This 1.9% decrease is primarily due to a reduction in procedure volumes experienced at these centers. This comparison excludes revenue contributions from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, service fee revenue from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $13.4 million. For the nine months ended September 30, 2013, service fee revenue from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $2.1 million.

 

Provision for Bad Debts

 

Provision for bad debts increased $1.1 million, or 5.5%, to $21.9 million, or 4.0% of gross revenue, for the nine months ended September 30, 2014 compared to $20.8 million, or 3.8% of gross revenue, for the nine months ended September 30, 2013.

 

Revenue Under Capitation Arrangements

 

Revenue under capitation arrangements for the nine months ended September 30, 2014 was $55.4 million compared to $49.0 million for the nine months ended September 30, 2013, an increase of $6.4 million or 13.0%.

 

Revenue under capitation arrangements, including only those centers which were in operation throughout the first nine months of both 2014 and 2013 increased $6.4 million, or 13.0%. This 13.0% increase was mainly due to new contractual relationships with private insurers. For the nine months ended September 30, 2014, revenue under capitation arrangements from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was approximately $1.6 million.

 

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Operating Expenses

 

Cost of operations for the nine months ended September 30, 2014 decreased approximately $4.2 million, or 0.9%, from $450.0 million for the nine months ended September 30, 2013 to $445.8 million for the nine months ended September 30, 2014. The following table sets forth our cost of operations and total operating expenses for the nine months ended September 30, 2014 and 2013 (in thousands):

 

  Nine Months Ended September 30, 
   2014   2013 
Salaries and professional reading fees, excluding stock-based compensation  $244,479   $241,349 
Stock-based compensation   2,068    2,045 
Building and equipment rental   47,374    49,421 
Medical supplies   30,620    27,553 
Other operating expenses  *   121,297    129,662 
Cost of operations   445,838    450,030 
Depreciation and amortization   45,193    44,050 
Loss on sale and disposal of equipment   1,581    357 
Severance costs   976    312 
Total operating expenses  $493,588   $494,749 

 

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

 

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

 

Salaries and professional reading fees increased $3.1 million, or 1.3%, to $244.5 million for the nine months ended September 30, 2014 compared to $241.3 million for the nine months ended September 30, 2013.

 

Salaries and professional reading fees, including only those centers which were in operation throughout the first nine months of both 2014 and 2013, decreased $4.1 million, or 1.7%. This 1.7% decrease is in line with our decrease in procedure volumes at these centers coupled with employee headcount reduction. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, salaries and professional reading fees from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was approximately $7.7 million. For the nine months ended September 30, 2013, salaries and professional reading fees from centers that were acquired subsequent to January 1, 2013 and excluded from the above comparison was approximately $541,000.

 

Stock-based compensation

 

Stock-based compensation increased approximately $23,000 to $2.1 million or 1.1% for the nine months ended September 30, 2014 compared to $2.0 million for the nine months ended September 30, 2013.

 

Building and equipment rental

 

Building and equipment rental expenses decreased $2.0 million, or 4.1%, to $47.4 million for the nine months ended September 30, 2014 compared to $49.4 million for the nine months ended September 30, 2013.

 

Building and equipment rental expenses, including only those centers which were in operation throughout the first nine months of both 2014 and 2013, decreased $4.2 million, or 8.6%. This 8.6% decrease is primarily due to equipment operating leases being converted to capital leases. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, building and equipment rental expenses from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was approximately $2.4 million. For the nine months ended September 30, 2013, building and equipment rental expenses from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $253,000.

 

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Medical supplies

 

Medical supplies expense increased $3.1 million, or 11.1%, to $30.6 million for the nine months ended September 30, 2014 compared to $27.6 million for the nine months ended September 30, 2013.

 

Medical supplies expenses, including only those centers which were in operation throughout the first nine months of both 2014 and 2013, increased $3.2 million, or 12.1%. This 12.1% increase is primarily due to increases in the cost of film and other key medical supplies over the nine months ended September 30, 2014 compared to the nine months ended September 30, 2013 as a result of decreases in rebates. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, medical supplies expense from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $683,000. For the nine months ended September 30, 2013, medical supplies expense from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $853,000

 

Other operating expenses

 

Other operating expenses decreased $8.4 million, or 6.5%, to $121.3 million for the nine months ended September 30, 2014 compared to $129.7 million for the three months ended September 30, 2013.

 

Other operating expenses, including only those centers which were in operation throughout the first nine months of both 2014 and 2013, decreased $10.7 million, or 8.3%. This 8.3% decrease is primarily due to reduced rates on certain of our maintenance contracts along with decreased license fees and insurance costs. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, other operating expense from centers that were acquired or divested subsequent January 1, 2013 and excluded from the above comparison was $3.0 million. For the nine months ended September 30, 2013, other operating expense from centers that were acquired or divested subsequent to January 1, 2013 was $674,000.

 

Depreciation and amortization

 

Depreciation and amortization increased $1.1 million, or 2.6%, to $45.2 million for the nine months ended September 30, 2014 compared to $44.1 million for the same period last year.

 

Depreciation and amortization, including only those centers which were in operation throughout the first nine months of both 2014 and 2013, decreased $502,000, or 1.1%. This comparison excludes expenses from centers that were acquired or divested subsequent to January 1, 2013. For the nine months ended September 30, 2014, depreciation and amortization from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $1.8 million. For the nine months ended September 30, 2013, depreciation and amortization from centers that were acquired or divested subsequent to January 1, 2013 and excluded from the above comparison was $201,000.

 

Loss on sale and disposal of equipment

 

We recorded a net loss on sale and disposal of equipment of approximately $1.6 million and $357,000 for the nine months ended September 30, 2014 and 2013, respectively. The loss on disposal of equipment for the nine months ended September 30, 2014 primarily relates to the write-off of certain leasehold improvements due to the closing of certain centers during the period.

 

Interest expense

 

Interest expense for the nine months ended September 30, 2014 decreased approximately $2.0 million, or 5.8%, to $32.5 million for the nine months ended September 30, 2014 compared to $34.5 million for the nine months ended September 30, 2013. Interest expense for the nine months ended September 30, 2014 included $4.4 million of combined non-cash amortization and write- off of deferred loan costs as well as discount on issuance and refinance of debt.  Interest expense for the nine months ended September 30, 2013 included $3.3 million of non-cash amortization of deferred loan costs and discount on issuance of debt.  Excluding these non-cash amounts for each period, interest expense decreased approximately $3.1 million for the nine months ended September 30, 2014 compared to the nine months ended September 30, 2013. This decrease was primarily due to a reduction in interest expense stemming from the redemption of the $200 million Senior Notes. See “Liquidity and Capital Resources” below for more details on our debt refinancing.

 

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Meaningful use incentive

 

For the nine months ended September 30, 2014, we recognized other income from meaningful use incentive in the amount of $1.8 million. This amount was earned under a Medicare program to promote the use of electronic health record technology. See Note 1 to the condensed consolidated financial statements contain herein for more detail regarding this meaningful use incentive.

 

Equity in earnings from unconsolidated joint ventures

 

For the nine months ended September 30, 2014, we recognized equity in earnings from unconsolidated joint ventures of $4.7 million compared to $4.5 million for the nine months ended September 30, 2013, a 5.4% increase of $241,000.

 

Loss on early extinguishment of Senior Notes

 

For the nine months ended September 30, 2014, we recognized a $15.9 million loss on early extinguishment of debt through our tender offers for our senior notes. Completion of the tenders was conditioned on the closing of the amendment to the First Lien and the Second Lien Credit and Guaranty Agreement. See “Liquidity and Capital Resources” below and Note 1 to the condensed consolidated financial statements contained herein for more details on our debt refinancing.

 

Adjusted EBITDA

 

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

 

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

 

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

 

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure, net income (loss) attributable to RadNet, Inc. common stockholders. The following is a reconciliation of GAAP net income (loss) attributable to Radnet, Inc. common stockholders to Adjusted EBITDA for the three and nine months ended September 30, 2014 and 2013, respectively: 

 

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  Three Months Ended   Nine Months Ended 
  September 30,   September 30, 
   2014   2013   2014   2013 
Net income (loss) attributable to RadNet, Inc. common stockholders  $4,451  $(467)  $(2,829)  $877 
Plus provision for (benefit from) income taxes   2,334   (483)   (911)   766 
Plus other (income) expense   6   4    4    152 
Plus loss on early extinguishment of Senior Notes           15,927     
Plus interest expense   10,395   11,052    32,503    34,542 
Plus severance costs   112   72    976    312 
Plus loss on sale and disposal of equipment   1,289   (5)   1,581    357 
Less gain on sale of imaging centers              (2,108)
Plus depreciation and amortization   14,423   14,762    45,193    44,050 
Plus non-cash employee stock-based compensation   433    463    2,069    2,045 
Adjusted EBITDA  $33,443   $25,398   $94,513   $80,993 

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $274,000 and accounts receivable of $155.0 million at September 30, 2014, compared to cash and cash equivalents of $8.4 million and accounts receivable of $133.6 million at December 31, 2013. We had a working capital balance of $65.7 million and $58.0 million at September 30, 2014 and December 31, 2013, respectively. We had net income (loss) attributable to RadNet, Inc. common stockholders for the three months ended September 30 and 2013 of $4.5 million and ($467,000) respectively, and net (loss) income attributable to RadNet, Inc. common stockholders for the nine months ended September 30, 2014 and 2013 of ($2.8 million) and $877,000, respectively.  We also had stockholders’ equity of $2.6 million and $2.2 million at September 30, 2014 and December 31, 2013, respectively.

 

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

  

Under the 2014 Amendment to the Refinance Agreement explained in further detail below, the scheduled annual amortization payments on the First Lien Term Loan increased from 1% per annum to 5% per annum. As a result, scheduled amortization increased by $16.8 million from pre-amendment terms. This $16.8 million additional cash obligation will be partially offset by annual interest savings of approximately $5.0 million under the terms of the Second Lien Term Loan as compared to that under the retired Senior Notes. We expect to fund this approximately $11.8 million net increase in amortization payments from cash provided by operating activities.

 

At September 30, 2014 we had borrowed $25.1 million under our $101 million revolving credit facility, which expires in October 2017. Based on our current level of operations, we believe that cash flow from operations and available cash, together with available borrowings from our senior secured credit facilities, will be adequate to meet our liquidity needs. Our future liquidity requirements will be for working capital, capital expenditures, debt service and general corporate purposes. Our ability to meet our working capital and debt service requirements, however, is subject to future economic conditions and to financial, business and other factors, many of which are beyond our control. If we are not able to meet such requirements, we may be required to seek additional financing. There can be no assurance that we will be able to obtain financing from other sources on terms acceptable to us, if at all.

 

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

 

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

 

Included in our condensed consolidated balance sheet at September 30, 2014 are $572.2 million of senior secured term loan debt (net of unamortized discounts of $12.7 million), broken down by loan agreement as follows (in thousands):

 

   Face Value   Discount   Total Carrying Value 
2014 First Lien Term Loans  $404,942   $(9,922)  $395,020 
Second Lien Term Loans  $180,000   $(2,772)  $177,228 
Total  $584,942   $(12,694)  $572,248 

 

Sources and Uses of Cash

 

Cash provided by operating activities was $34.0 million for the nine months ended September 30, 2014 compared to $42.5 million for the nine months ended September 30, 2013.

 

Cash used in investing activities was $43.9 million and $40.6 million for the nine months ended September 30, 2014 and 2013, respectively. For the nine months ended September 30, 2014, we purchased property and equipment for approximately $33.9 million, acquired the assets and businesses of an additional imaging facilities for $9.4 million (see Note 2 to the condensed consolidated financial statements contained herein), and purchased additional equity interests in non-consolidated joint ventures for $1.2 million.

   

Cash provided by financing activities was $1.8 million for the nine months ended September 30, 2014 compared to cash used in financing activities of $1.9 million for the nine months ended September 30, 2013.  The cash provided by financing activities for the nine months ended September 30, 2014, was primarily due to amounts received through the First and Second Lien Credit and Guaranty Agreements and borrowings under our revolving line of credit, offset by the redemption of $200.0 million face value senior notes and principal payments on our notes and capital leases. (See Note 1 to the condensed consolidated financial statements herein).

 

The following describes our most recent financing activities:

 

2014 Amendment to the Refinance Agreement and Second Lien Credit and Guaranty Agreement:

 

On March 25, 2014, Radnet Management simultaneously entered into two agreements which resulted in the creation of a direct financial obligation as follows:

 

2014 Amendment of the Refinance Agreement. Radnet Management amended that certain Credit and Guaranty Agreement dated October 10, 2012, as amended by that certain first amendment date April 3, 2013 (the “2013 Amendment”) (collectively, the “Refinance Agreement”), by entering into a second amendment to the Refinance Agreement (the “2014 Amendment”) to provide for, among other things, the borrowing by Radnet Management of $30.0 million of additional first lien term loans (the “2014 First Lien Term Loans”).

 

Second Lien Credit and Guaranty Agreement. Radnet Management entered into a Second Lien Credit and Guaranty Agreement (the “Second Lien Credit Agreement”) to provide for, among other things, the borrowing by Radnet Management of $180.0 million of second lien term loans (the “Second Lien Term Loans”). The proceeds from the Second Lien Term Loans and the 2014 First Lien Term Loans were used to redeem the senior notes, as more fully described below under the heading “Senior Notes”, to pay the expenses related to the transaction and for general corporate purposes.

 

Revolving Credit Facility. The $101.25 million revolving credit line established in the Credit and Guaranty Agreement dated October 10, 2012 was unaltered by the agreements above and remains in place.

 

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The 2014 Amendment provides for the following:

 

Interest. The interest rates payable on the 2014 First Lien Term Loans are the same as the rates currently payable under the Refinance Agreement, as amended by the 2013 Amendment, which are (a) the Adjusted Eurodollar Rate plus 3.25% or (b) the Base Rate plus 2.25%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on all of the term loans under the Refinance Agreement. The Adjusted Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. The scheduled amortization of the term loans under the Refinance Agreement has been increased from quarterly payments of $975,000 to quarterly payments of $5.2 million starting in June 2014, with the remaining balance to be paid at maturity.

 

The other material terms of the Refinance Agreement remain unchanged as described in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

The Second Lien Credit Agreement provides for the following:

 

Interest. The interest rates payable on the Second Lien Term Loans are (a) the Adjusted Eurodollar Rate plus 7.0% or (b) the Base Rate plus 6.0%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on the Second Lien Term Loans. The Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. There is no scheduled amortization of the principal of the Second Lien Term Loans. All principal will be due and payable on the termination date described below.

 

Termination. The termination date for the Second Lien Term Loans is the earlier to occur of (i) March 25, 2021, and (ii) the date on which the Second Lien Term Loans shall otherwise become due and payable in full under the Second Lien Credit Agreement, whether by acceleration or otherwise.

 

Restrictive Covenants. In addition to certain customary covenants, the Second Lien Credit Agreement places restrictions on indebtedness, liens, and investments, and places limits on distributions to stockholders (including the repurchase of shares) and other junior payments.

 

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

 

Events of Default. In addition to certain customary events of default, events of default under the Second Lien Credit Agreement include failure to pay principal of any loans as and on the date when due, failure to pay any interest on any loan or any fee or other amount payable under the Second Lien Term Loans within five days after the due date, failure of any loan party to comply with any covenant or agreements, subject to applicable grace periods and/or notice requirements, or a material breach of any representation or warranty contained in the loan documents. The occurrence of an event of default could permit the lenders under the Second Lien 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.

 

These limitations are subject to a number of important qualifications and exceptions, as described in the Second Lien Credit Agreement. As of September 30, 2014, we were in compliance with all covenants.

 

Senior Notes

 

On April 6, 2010, we issued and sold $200 million of 10 3/8% senior unsecured notes due 2018 at a price of 98.680% (the “senior notes”).  All payments of the senior notes, including principal and interest, were guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc., and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries.  The senior notes were issued under an indenture dated April 6, 2010 (the “Indenture”), by and among Radnet Management, Inc., as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee.” We paid interest on the senior notes on April 1 and October 1 of each year, commencing October 1, 2010, and they were scheduled to expire on April 1, 2018.

 

Optional Redemption. Under the Indenture, Radnet Management could redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture. Prior to April 1, 2014, Radnet Management was also permitted to redeem the senior notes, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium established by the Indenture and accrued and unpaid interest, if any.

 

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Senior Notes Tender Offer and Exercise of Optional Redemption

 

Radnet Management completed the retirement of its $200 million in Senior Notes on April 24, 2014 and following such retirement the Company completed the satisfaction and discharge of the Indenture. The transactions leading to the retirement of the Senior Notes are described below:

 

Tender Offer and Exercise of Optional Redemption of March 7, 2014. On March 7, 2014, Radnet Management commenced a tender offer to purchase for cash any and all outstanding senior notes. In connection with the tender offer, Radnet Management also commenced a consent solicitation to amend the Indenture to eliminate or modify certain restrictive covenants. On March 25, 2014 (the “Initial Payment Date”), Radnet Management made a payment in cash for all senior notes tendered prior to 5:00 P.M., New York City time, on March 20, 2014 (the “Consent Payment Deadline”). As of the Consent Payment Deadline, Radnet Management had received tenders and consents in respect of $193,464,000 aggregate principal amount of the senior notes, representing 96.73% of the outstanding senior notes, all of which were accepted for purchase. The total consideration for each $1,000 principal amount of senior notes validly tendered and not withdrawn at or prior to the Consent Payment Deadline and accepted for purchase was $1,056.88 (the “Total Consideration”), which amount included a consent payment (the “Consent Payment”) of $30.00 per $1,000 principal amount of senior notes. In addition, all senior notes accepted for payment received accrued and unpaid interest in respect of such notes from the last interest payment date prior to the applicable settlement date to, but not including, the applicable settlement date. The tender offer expired on April 3, 2014 and between the Consent Payment Deadline and the expiration of the tender offer, no additional senior notes were tendered. With a net carrying amount including discount and unamortized issue costs of $189.2 million, a loss on early extinguishment of debt of $15.5 million was recorded in the first quarter of 2014.

 

Tender Offer and Exercise of Optional Redemption of March 25, 2014. On March 25, 2014, Radnet Management called for redemption all of its remaining outstanding senior notes not purchased prior to the expiration of the tender offer described in Note 1of our condensed consolidated financial statements contained herein, with a redemption date of April 24, 2014 (the “Redemption Date”). Upon redemption on April 24, 2014, the holders of the senior notes being redeemed received a redemption price equal to 105.188% of the outstanding principal amount of the senior notes being redeemed (or $1,051.88 per $1,000 in principal amount of the senior notes) in accordance with the terms of the Indenture, or approximately $6.9 million in total, including approximately $43,000 of accrued and unpaid interest up to, but excluding the Redemption Date.  As of that date, Radnet Management completed the satisfaction and discharge of the Indenture in accordance with its terms and no senior notes remained outstanding.  With a net carrying amount including discount and unamortized issue costs of $6.4 million, a loss on early extinguishment of debt of $470,800 was recorded in the second quarter of 2014.

 

Capital Lease Investments

 

During the nine months ended September 30, 2014, we added capital lease debt of approximately $12.6 million relating to radiology equipment.

 

 

ITEM 3.  Quantitative and Qualitative Disclosures about Market Risk

 

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

 

We maintain research and development facilities in Prince Edward Island, Canada and Budapest, Hungary for which expenses are paid in the local currency. Accordingly, we do have currency risk resulting from fluctuations between such local currency and the United States Dollar. At the present time, we do not have any foreign exchange currency contracts to mitigate this risk. A hypothetical 1% decline in the currency exchange rates between the U.S. dollar against the Canadian dollar and the Euro would have resulted in an annual increase of approximately $15,000 in operating expenses.

 

  Interest Rate Sensitivity. RadNet Inc. pays interest on various types of debt instruments to its suppliers, investors and lending institutions. The agreements entail either fixed or variable interest rates.  Instruments which have fixed rates are mainly leases on radiology equipment. Variable rate interest obligations relate primarily to amounts borrowed under our outstanding credit facilities, which allows elections of either Adjusted Eurodollar or prime rates of interest. Under the 2014 Amendment to the Refinance Agreement and Second Lien Credit Agreement’s election facilities’, borrowed funds bear a 1.00% floor or 6 month Adjusted Eurodollar Rate plus an applicable margin of 3.25% for the 2014 First Lien Term Loans and 7% for the Second Lien Term Loans. At September 30, 2014, we had $404.9 million outstanding subject to an Adjusted Eurodollar election on the 2014 First Lien Term Loans and $180.0 million on the Second Lien Term Loans. As the Adjusted Eurodollar floor exceeds the current spot rate of 6 month Adjusted Eurodollar, the spot rate would have to increase more than 67 basis points before an additional interest expense would be accrued. An increase of 167 basis points would be necessary to realize a hypothetical 1% increase in the borrowing rate and an annual increase of $5.8 million of interest expense.  At September 30, 2014, an additional $30.3 million was tied to the prime rate. A hypothetical 1% increase in the prime rate for 2013-2014 would have resulted in an annual increase in interest expense of approximately $303,000. 

 

36
 

 

ITEM 4.  Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the Commission’s rules and forms and that such information is accumulated and communicated to the Company’s management, including its Chief Executive Officer and Chief Financial Officer, as appropriate, to allow for timely decisions regarding required disclosure.

 

In November 2013 the Company identified a deficiency in controls relating to the accounting for income taxes and concluded at that time that such a deficiency represented a material weakness in its internal control over financial reporting. As a result of this discovery, the Company’s Chief Executive Officer and Chief Financial Officer concluded that its disclosure controls and procedures were not effective as of December 31, 2013. Subsequent to November 2013 effort was put forth towards strengthening controls over the accounting for income taxes including placing a senior accounting professional in a leadership position within the accounting department to ensure the quality of information delivered to, and improve the review of completed work received from, the Company’s outside tax consultant, and although some improvements were achieved, the Chief Executive Officer and Chief Financial Officer of RadNet, Inc. concluded that the Company’s disclosure controls and procedures remain ineffective as of September 30, 2014 as a result of a material weakness in internal control over financial reporting.

 

Changes in Internal Control over Financial Reporting

 

During the quarterly period ended September 30, 2014, management implemented the following in internal control over financial reporting that materially affected, or was reasonably likely to materially affect, the Company’s internal control over financial reporting:

 

The Company continued to take steps to improve the overall processes and controls in its tax function:

 

  · placing a senior accounting professional in a leadership position within the accounting department to ensure the quality of information delivered to, and improve the review of completed work received from, Company’s outside tax consultant;

 

  · revised and implemented controls over our identification and assessment of uncertain tax positions.

 

Each of these changes is designed to improve the Company’s internal controls over financial reporting and remediate the material weakness discussed above regarding the Company’s accounting for income taxes

 

Limitations on Disclosure Controls and Procedures

 

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

 

37
 

 

PART II – OTHER INFORMATION

 

ITEM 1.  Legal Proceedings

 

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

 

 

ITEM 1A.  Risk Factors

 

For information about risks and uncertainties related to our business, please see the risk factors set forth in Part I, Item 1A, of our annual report on Form 10-K for the year ended December 31, 2013, as supplemented and amended by the risk factors in Part II, Item 1A of our quarterly reports on Form 10-Q for the quarters ended March 31, 2014 and June 30, 2014. Those risks are not the only risks relevant to our business; we may face additional risks and uncertainties not currently known to us or that we currently deem to be immaterial as of the date of this report on Form 10-Q.

 

 

ITEM 2.  Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

 

 

ITEM 3.  Defaults Upon Senior Securities

 

None.

 

 

ITEM 4.  Mine Safety Disclosures

 

Not applicable.

 

 

ITEM 5.  Other Information

 

None.

 

 

ITEM 6.  Exhibits

 

Reference is made to the Exhibit Index immediately following the signature page of this report on Form 10-Q.

 

 

38
 

 

SIGNATURES

 

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

 

  RADNET, INC.
  (Registrant)
   
Date: November 10, 2014 By: /s/ Howard G. Berger, M.D.
    Howard G. Berger, M.D., President and Chief Executive Officer
(Principal Executive Officer)
   
   
Date: November 10, 2014 By: /s/ Mark D. Stolper
    Mark D. Stolper, Chief Financial Officer
(Principal Financial and Accounting Officer)

 

 

39
 

 

INDEX TO EXHIBITS

 

Exhibit
Number
  Description  
       
31.1   Certification of Howard G. Berger, M.D. pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.  
       
31.2   Certification of Mark D. Stolper pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.  
       
32.1*   Certification of Howard G. Berger, M.D pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.  
       
32.2*   Certification of Mark D. Stolper pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.  
       
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  

 

* This certification is being furnished solely to accompany this report pursuant to 18 U.S.C. 1350, and is not being filed for purposes of Section 18 of the Exchange Act and is not to be incorporated by reference into any filing of the registrant, whether made before or after the date hereof, regardless of any general incorporation language in such filing.
   
** Pursuant to Rule 406T of Regulation S-T, the Interactive Data Files on Exhibit 101 hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

 

 

40

 

EX-31.1 2 radnet_10q-ex3101.htm CERTIFICATION

 

EXHIBIT 31.1

 

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

 

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

 

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

 

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

 

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

 

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 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: November 10, 2014

 

/s/ Howard G. Berger, M.D.       

Howard G. Berger, M.D.

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

(Principal Executive Officer)

 

 

EX-31.2 3 radnet_10q-ex3102.htm CERTIFICATION

EXHIBIT 31.2

 

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

 

I, Mark D. Stolper, certify that:

 

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

 

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

 

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

 

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 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: November 10, 2014

 

/s/ Mark D. Stolper         

Mark D. Stolper

Executive Vice President and

Chief Financial Officer

(Principal Financial Officer)

 

EX-32.1 4 radnet_10q-ex3201.htm CERTIFICATION

EXHIBIT 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of RadNet, Inc. (the “Company”) on Form 10-Q for the quarterly period ended September 30, 2014, as filed with the Securities and Exchange Commission on November 10, 2014 (the “Report”), I, Howard G. Berger, M.D., Chairman of the Board of Directors and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

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

 

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

 

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

Howard G. Berger, M.D.

Chairman, President and Chief Executive Officer

(Principal Executive Officer)

November 10, 2014

 

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

 

EX-32.2 5 radnet_10q-ex3202.htm CERTIFICATION

EXHIBIT 32.2

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of RadNet, Inc. (the “Company”) on Form 10-Q for the quarterly period ended September 30, 2014, as filed with the Securities and Exchange Commission on November 10, 2014 (the “Report”), I, Mark D. Stolper, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

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

 

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

 

/s/ Mark D. Stolper                    

Mark D. Stolper

Chief Financial Officer

(Principal Financial Officer)

November 10, 2014

 

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

 

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Saint-Louis Business Acquisition [Axis] Sidney Friedman 2006 Plan NonPlanOutstandingWarrantsMember Entity Registrant Name Entity Central Index Key Document Type Document Period End Date Amendment Flag Current Fiscal Year End Date Is Entity a Well-known Seasoned Issuer Is Entity a Voluntary Filer Is Entity's Reporting Status Current Entity Filer Category Entity Common Stock, Shares Outstanding Document Fiscal Period Focus Document Fiscal Year Focus Statement of Financial Position [Abstract] ASSETS CURRENT ASSETS Cash and cash equivalents Accounts receivable, net Current portion of deferred tax assets Prepaid expenses and other current assets Total current assets PROPERTY AND EQUIPMENT, NET OTHER ASSETS Goodwill Other intangible assets Deferred financing costs, net of current portion Investment in joint ventures Deferred tax assets, net of current portion Deposits and other Total assets LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable, accrued expenses and other Due to affiliates Deferred revenue Current portion of notes payable Current portion of deferred rent Current portion of obligations under capital leases Total current liabilities LONG-TERM LIABILITIES Deferred rent, net of current portion Revolving credit facility Notes payable, net of current portion Obligations under capital lease, net of current portion Other non-current liabilities Total liabilities STOCKHOLDERS' EQUITY Common stock - $.0001 par value, 200,000,000 shares authorized; 42,703,602, and 40,089,196 shares issued and outstanding at September 30, 2014 and December 31, 2013, respectively Paid-in-capital Accumulated other comprehensive loss Accumulated deficit Total RadNet, Inc.'s stockholders' equity (deficit) Noncontrolling interests Total stockholders' equity Total liabilities and stockholders' equity Common stock - par value (in Dollars per share) Common stock - shares authorized Common stock - shares issued Common stock - shares outstanding Income Statement [Abstract] NET REVENUE Service fee revenue, net of contractual allowances and discounts Provision for bad debts Net service fee revenue Revenue under capitation arrangements Total net revenue OPERATING EXPENSES Cost of operations, excluding depreciation and amortization Depreciation and amortization Loss on sale and disposal of equipment Severance costs Total operating expenses INCOME FROM OPERATIONS OTHER INCOME AND EXPENSES Interest expense Meaningful use incentive Equity in earnings of joint ventures Gain on sale of imaging centers Loss on early extinguishment of Senior Notes Other expenses Total other expenses INCOME (LOSS) BEFORE INCOME TAXES (Provision for) benefit from income taxes NET INCOME (LOSS) Net income attributable to noncontrolling interests NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS WEIGHTED AVERAGE SHARES OUTSTANDING Basic Diluted Statement of Comprehensive Income [Abstract] NET INCOME (LOSS) Foreign currency translation adjustments COMPREHENSIVE INCOME (LOSS) Less comprehensive income attributable to non-controlling interests COMPREHENSIVE INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS Statement [Table] Statement [Line Items] Beginning balance, shares Beginning balance, value Issuance of common stock upon exercise of options/warrants, shares issued Issuance of common stock upon exercise of options/warrants, value Stock-based compensation Issuance of restricted stock, shares Issuance of restricted stock, value Purchase of non-controlling interests Dividends paid to noncontrolling interest Change in cumulative foreign currency translation adjustment Net (loss) income Ending balance, shares Ending balance, value Statement of Cash Flows [Abstract] CASH FLOWS FROM OPERATING ACTIVITIES Adjustments to reconcile net (loss) income to net cash provided by operating activities: Provision for bad debts Equity in earnings of joint ventures Distributions from joint ventures Deferred rent amortization Amortization of deferred financing costs Write off of deferred loan costs due to refinance Amortization of bond and term loan discounts Loss on sale and disposal of equipment Loss on early extinguishment of Senior Notes Gain on Sale of Imaging Centers Stock-based compensation Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: Accounts receivable Other current assets Other assets Deferred taxes Deferred revenue Accounts payable, accrued expenses and other Net cash provided by operating activities CASH FLOWS FROM INVESTING ACTIVITIES Purchase of imaging facilities Purchase of noncontrolling interests Purchase of property and equipment Proceeds from sale of equipment Proceeds from sale of imaging facilities Proceeds from sale of joint venture interests Equity contributions in existing joint ventures Net cash used in investing activities CASH FLOWS FROM FINANCING ACTIVITIES Principal payments on notes and leases payable Proceeds from borrowings Payments on Senior Notes Deferred financing costs Net proceeds (payments) on revolving credit facility Distributions to noncontrolling interests Proceeds from issuance of common stock upon exercise of options/warrants Net cash provided by (used in) financing activities EFFECT OF EXCHANGE RATE CHANGES ON CASH NET DECREASE IN CASH AND CASH EQUIVALENTS CASH AND CASH EQUIVALENTS, beginning of period CASH AND CASH EQUIVALENTS, end of period SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION Cash paid during the period for interest SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND FINANCING ACTIVITIES Purchase of equipment and leasehold improvements not yet paid for Capital lease debt relating to radiology equipment Organization, Consolidation and Presentation of Financial Statements [Abstract] NATURE OF BUSINESS AND BASIS OF PRESENTATION Business Combinations [Abstract] FACILITY ACQUISITIONS New Accounting Standards RECENT ACCOUNTING STANDARDS Earnings Per Share [Abstract] EARNINGS PER SHARE Equity Method Investments and Joint Ventures [Abstract] INVESTMENT IN JOINT VENTURES Disclosure of Compensation Related Costs, Share-based Payments [Abstract] STOCK-BASED COMPENSATION Fair Value Disclosures [Abstract] FAIR VALUE MEASUREMENTS NATURE OF BUSINESS AND BASIS OF PRESENTATION Significant Accounting Policies Revenues Provision for Bad Debts Deferred Tax Assets Deferred Financing Costs Meaningful Use Incentive Liquidity and Capital Resources Service fee revenue Senior secured term loan debt EARNINGS PER SHARE Investment in joint ventures Key financial data in joint ventures STOCK-BASED COMPENSATION FAIR VALUE MEASUREMENTS Commercial Insurance Medicare Medicaid Workers' Compensation/Personal Injury Other Service fee revenue, net of contractual allowances and discounts Net service fee revenue Total net revenue Long-term Debt, Type [Axis] Face Value Discount Total Carrying Value BRMG and B&C revenues BRMG and B&C operating expenses Consolidated revenue Management services provided to BRMG and B&C BRMG and B&C accounts receivable BRMG and B& C accounts payable Meaningful Use Incentive Senior secured term loan debt Unamortized discounts Line of credit Capital lease investment Net income (loss) attributable to RadNet, Inc.'s common stockholders BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period Add nonvested restricted stock subject only to service vesting Add additional shares issuable upon exercise of stock options and warrants Weighted average number of common shares used in calculating diluted net income per share Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders Beginning balance Equity contributions in existing joint ventures Equity earnings in these joint ventures Distribution of earnings Ending balance Key financial data for joint ventures Current assets - joint ventures Noncurrent assets - joint ventures Current liabilities - joint ventures Noncurrent liabilities - joint ventures Total net assets -joint ventures Book value of Radnet joint venture interests Cost in excess of book value of acquired joint venture interests Elimination of intercompany profit remaining on Radnet's consolidated balance sheet Total value of Radnet joint venture interests Total book value of other joint venture partner interests Net revenue Net income Management service fees from centers underlying joint ventures Outstanding Options Begining Balance Granted Exercised Canceled or expired Ending Balance Exercisable at the end Weighted Average Exercise price Per Common Share Begining Balance Granted Exercised Canceled or expired Ending Balance Exercisable at the end Weighted Average Remaining Contractual Life Ending Balance Exercisable at the end Aggregate Intrinsic Value Aggregate value outstanding Aggregate value exercisable Outstanding Warrants Beginning balance Warrants exercised Ending balance Exercisable Weighted Average Exercise Price Beginning price per share Weighted average exercise price warrants exercised Ending price per share Exercisable price per share Weighted Average Remaining Contractual Term Weighted average contractual term ending balance Weighted average contractual term exercisable Common stock reserved for issuance Stock options outstanding Stock options vested Total intrinsic value of options and warrants Total unrecognized stock-based compensation expense related to non-vested employee awards Expected period of recognition over a weighted average period Restricted stock awards granted Options, warrants and RSU's outstanding Options, warrants and RSU's exercised Options, warrants and RSU's available for grant Fair Value, Hierarchy [Axis] FAIR VALUE MEASUREMENTS Senior First Lien Term Loan Senior Second Lien Term Loan Senior Secured Term Loan Senior Notes Line of credit Aggregate Intrinsic Value Capital lease debt relating to radiology equipment Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: Deferred rent amortization Deferred tax assets policy text block NonPlanOutstandingWarrantsMember Medicare Key financial data for joint ventures Key financial data in joint ventures Custom Element. Meaningful Use Incentive policy text block Net revenue from joint ventures WestCoastRadiologyMember OutstandingOptionsandWarrantsUnderthe2006Planand2000PlanMember Custom Element. Proceeds from sale of joint venture interests Purchase of equipment and leasehold improvements not yet paid for Revenue under capitation arrangements Senior First Lien Term Loan Senior Second Lien Term Loan Total book value of other joint venture partner interests TotalFairValueMember Total RadNet, Inc.&amp;amp;#8217;s Equity Deficit Total value of Radnet joint venture interests Weighted Average Exercise price Per Common Share Weighted Average Remaining Contractual Life abstract Workers Compensation/Personal Injury Write off of deferred loan costs due to refinance Custom Element. Custom Element. Custom Element. Custom Element. Custom Element. Senior secured term loan debt table text block Custom Element. Custom Element. Custom Element. Custom Element. Warrants Weighted Average Exercise Price Exercisable price per share Weighted Average Remaining Contractual Term Weighted average contractual term exercisable Options, warrants and RSU's outstanding Options, warrants and RSU's available for grant Options, warrants and RSU's exercised Weighted average exercise price warrants exercised Assets, Current Assets Liabilities, Current Liabilities Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest Liabilities and Equity Health Care Organization, Patient Service Revenue Provision for Bad Debts Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property Operating Expenses Operating Income (Loss) GainOnSaleOfImagingCenters Gains (Losses) on Extinguishment of Debt Other Nonoperating Income (Expense) Other Expenses Income Tax Expense (Benefit) Comprehensive Income (Loss), Net of Tax, Attributable to Parent Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest Shares, Outstanding WriteOffOfDeferredLoanCostsDueToRefinance Gain (Loss) on Disposition of Property Plant Equipment Extinguishment of Debt, Gain (Loss), Net of Tax Gain (Loss) on Disposition of Assets Share-based Compensation Increase (Decrease) in Accounts Receivable Increase (Decrease) in Other Operating Assets Increase (Decrease) in Prepaid Expense and Other Assets Increase (Decrease) in Deferred Revenue Increase (Decrease) in Accounts Payable and Accrued Liabilities Net Cash Provided by (Used in) Operating Activities, Continuing Operations Payments to Acquire Productive Assets Payments to Acquire Property, Plant, and Equipment Payments to Acquire Investments Net Cash Provided by (Used in) Investing Activities, Continuing Operations Repayments of Long-term Debt, Long-term Capital Lease Obligations, and Capital Securities Deferred Finance Costs, Own-share Lending Arrangement, Issuance Costs, Adjustment Net Cash Provided by (Used in) Financing Activities, Continuing Operations Cash and Cash Equivalents, Period Increase (Decrease) Basis of Presentation and Significant Accounting Policies [Text Block] Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Cost-method Investments, Description [Text Block] Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block] Fair Value Measurements, Recurring and Nonrecurring [Table Text Block] MeaningfulUseIncentive1 Share-based Compensation Arrangement by Share-based Payment Award, Options, Expirations in Period Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value Class of Warrant or Right, Outstanding Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Exercised Class of Warrant or Right, Exercise Price of Warrants or Rights Fair Value Inputs [Abstract] EX-101.PRE 11 rdnt-20140930_pre.xml XBRL PRESENTATION FILE EXCEL 12 Financial_Report.xlsx IDEA: XBRL DOCUMENT begin 644 Financial_Report.xlsx M4$L#!!0`!@`(````(0#!^N8GSP$``)84```3``@"6T-O;G1E;G1?5'EP97-= M+GAM;""B!`(HH``"```````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M```````````````````````````````````````````````````````````` M``````````````````````````````````````#,F%U/PC`4AN]-_`]+;\W6 MM2BB87#AQZ62B#^@K@>VL+5-6Q#^O=WXB"&((9)X;EC8VO,^Z\63[.T/EW45 M+<"Z4JN,L"0E$:A*"DJK2`C*W!D.+B\Z(]7!EP4=BN7 MD<)[3+2MA0]_[90:D<_$%"A/TR[-M?*@?.R;&630?X2) MF%<^>EJ&VVL2"Y4CT<-Z89.5$6%,5>;"!U*Z4'(O)=XD)&%GN\85I7%7`8/0 M@PG-DY\#-OM>P]'84D(T$M:_B#I@T&5%/[6=?6@]2XX/.4"I)Y,R!ZGS>1U. 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5. INVESTMENT IN JOINT VENTURES (Details-Joint ventures) (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Equity Method Investments and Joint Ventures [Abstract]    
Beginning balance $ 28,949  
Equity contributions in existing joint ventures 1,161  
Equity earnings in these joint ventures 4,722 4,481
Distribution of earnings (7,358) (5,624)
Ending balance $ 27,474  

XML 15 R9.htm IDEA: XBRL DOCUMENT v2.4.0.8
2. FACILITY ACQUISITIONS
9 Months Ended
Sep. 30, 2014
Business Combinations [Abstract]  
FACILITY ACQUISITIONS

On September 1, 2014 we completed our acquisition of Hematology Oncology Consultants located in Van Nuys, CA for cash consideration of $553,000. We have made a preliminary fair value determination of the acquired assets and approximately $15,000 of fixed assets, $163,000 of medical supplies inventory, $39,000 of other assets, $100,000 covenant not to compete intangible asset, and $235,000 of goodwill were recorded with respect to this transaction.

 

On September 1, 2014 we completed our acquisition of Imaging Centers of Pasadena consisting of a single multi-modality imaging center located in Pasadena, CA for cash consideration of $1.8 million. The facility provides MRI, PET/CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and approximately $1.7 million of fixed assets and $105,000 of a covenant not to compete intangible asset were recorded with respect to this transaction.

 

On July 3, 2014 we completed our acquisition of certain imaging center equipment from Healthcare Partners for which we agreed to pay $2.1 million. We paid cash of $300,000 and a promissory note in the amount of $1.8 million.

 

On July 1, 2014 we completed our acquisition of Moreno Valley Imaging consisting of a single multi-modality imaging center located in Moreno Valley, CA for cash consideration of $700,000. The facility provides MRI, CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and approximately $285,000 of fixed assets, $3,000 of other assets, $50,000 for a non compete covenant and $362,000 of goodwill were recorded with respect to this transaction.

 

On July 1, 2014 we completed our acquisition of Liberty Pacific Imaging Long Beach consisting of a single multi-modality imaging center located in Signal Hill, CA for cash consideration of $1.9 million and assumed liabilities of $65,000. The facility provides MRI, CT, Ultrasound and X-ray services. We have made a preliminary fair value determination of the acquired assets and assumed liabilities and $577,000 of fixed assets, $100,000 for a covenant not to compete and $1.3 million of goodwill were recorded with respect to this transaction. We also assumed capital lease debt of $65,000.

 

On July 1, 2014 we completed our acquisition of Medical Imaging of Manhattan consisting of a single modality mammography center located in New York, New York for cash consideration of $2.4 million. We have made a preliminary fair value determination of the acquired assets and approximately $672,000 of fixed assets, $139,000 of other assets, a covenant not to compete of $150,000 and $1.4 million of goodwill were recorded with respect to this transaction.

  

On April 1, 2014, we acquired the diagnostic imaging practice of Sidney Friedman, M.D. located in Westchester, CA for $1.4 million. We have made a fair value determination of the assets acquired and have allocated $600,000 to Imaging equipment, $470,000 to accounts receivable, a covenant not to compete of $100,000 and $231,000 to goodwill.

 

On January 2, 2014, we acquired the diagnostic imaging practice of Leslie A. Saint-Louis, MD located in New York, New York for $360,000. Upon acquisition, we relocated the practice to a nearby existing center in New York, New York. We have made a fair value determination of the assets acquired and have allocated $310,000 to goodwill and $50,000 to other intangible assets related to a covenant not to compete contract with Dr. Saint-Louis.

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6. STOCK-BASED COMPENSATION (Details Narrative) (USD $)
In Thousands, except Share data, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Total intrinsic value of options and warrants $ 5,900 $ 2,300
Total unrecognized stock-based compensation expense related to non-vested employee awards 39,000  
Expected period of recognition over a weighted average period 2 years 1 month 6 days  
2006 Plan
   
Common stock reserved for issuance 11,000,000  
Stock options outstanding 2,102,509  
Stock options vested 2,037,509  
Options, warrants and RSU's outstanding 4,834,294  
Options, warrants and RSU's exercised 2,296,241  
Options, warrants and RSU's available for grant 3,869,465  
Restricted Stock [Member]
   
Total unrecognized stock-based compensation expense related to non-vested employee awards $ 1,100  
Restricted Stock [Member]
   
Expected period of recognition over a weighted average period 2 years 9 months  
Restricted stock awards granted 1,011,785  
XML 19 R28.htm IDEA: XBRL DOCUMENT v2.4.0.8
6. STOCK-BASED COMPENSATION (Details-Outstanding options and warrants) (USD $)
In Thousands, except Share data, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Non-Plan Outstanding Warrants [Member]
 
Outstanding Warrants  
Beginning balance 200,000
Warrants exercised (200,000)
Ending balance 0
Exercisable 0
Weighted Average Exercise Price  
Beginning price per share $ 2.62
Weighted average exercise price warrants exercised $ 2.62
Ending price per share $ 0
Outstanding Options and Warrants [Member]
 
Outstanding Options  
Begining Balance 4,701,250
Granted 0
Exercised (2,283,741)
Canceled or expired (315,000)
Ending Balance 2,102,509
Exercisable at the end 2,037,509
Weighted Average Exercise price Per Common Share  
Begining Balance $ 3.15
Granted   
Exercised $ 2.38
Canceled or expired $ 5.91
Ending Balance $ 3.57
Exercisable at the end $ 3.62
Weighted Average Remaining Contractual Life  
Ending Balance 1 year 5 months 9 days
Exercisable at the end 1 year 4 months 10 days
Aggregate Intrinsic Value  
Aggregate value outstanding $ 7,017,488
Aggregate value exercisable $ 6,719,788
XML 20 R30.htm IDEA: XBRL DOCUMENT v2.4.0.8
7. FAIR VALUE MEASUREMENTS (Details) (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2014
Dec. 31, 2013
FAIR VALUE MEASUREMENTS    
Senior First Lien Term Loan $ 404,942 $ 349,125
Senior Second Lien Term Loan 180,000 200,000
Total Fair Value
   
FAIR VALUE MEASUREMENTS    
Senior First Lien Term Loan 402,411 380,508
Senior Second Lien Term Loan 180,000 199,000
Level 1
   
FAIR VALUE MEASUREMENTS    
Senior First Lien Term Loan 0 0
Senior Second Lien Term Loan 0 0
Level 2
   
FAIR VALUE MEASUREMENTS    
Senior First Lien Term Loan 402,411 380,508
Senior Second Lien Term Loan 180,000 199,000
Level 3
   
FAIR VALUE MEASUREMENTS    
Senior First Lien Term Loan 0 0
Senior Second Lien Term Loan $ 0 $ 0
XML 21 R31.htm IDEA: XBRL DOCUMENT v2.4.0.8
7. FAIR VALUE MEASUREMENTS (Details Narrative) (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2014
Dec. 31, 2013
Fair Value Disclosures [Abstract]    
Line of credit $ 25,100 $ 0
XML 22 R8.htm IDEA: XBRL DOCUMENT v2.4.0.8
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION
9 Months Ended
Sep. 30, 2014
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
NATURE OF BUSINESS AND BASIS OF PRESENTATION

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

 

We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. At September 30, 2014, we operated directly or indirectly through joint ventures, 263 imaging centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  Our operations comprise a single segment for financial reporting purposes.

 

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

 

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

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.1% of our outstanding common stock as of September 30, 2014. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which is 99% or 100% owned by Dr. Berger.  

 

John V Crues, III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG.  Dr. Crues owns a controlling interest in four medical groups (“Crues Entities”) which provide professional medical services at some of our facilities in Manhattan and Brooklyn, New York while Dr. Berger owns a controlling interest in two medical groups (“NY Berger Entities”) which provide professional medical services at one of our Manhattan, New York facilities.  The Crues Entities and the NY Berger Entities are collectively hereinafter referred to as the “B&C Entities.”

 

RadNet provides non-medical, technical and administrative services to BRMG and the B&C Entities for which it receives a management fee, pursuant to the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision-making related to the ongoing business operations of BRMG and the B&C Entities and we determine the annual budget of BRMG and the B&C Entities. BRMG and the B&C Entities both have insignificant operating assets and liabilities, and de minimis equity. Through these management agreements, we are paid the fair market value of our services, the result of which is that generally all net cash flows of both BRMG and the B&C Entities are transferred to us.

 

We have determined that BRMG and the B&C Entities are VIEs, and that we are the primary beneficiary, and consequently, we consolidate the revenue, expenses, assets and liabilities of each such entity.  BRMG and the B&C Entities on a combined basis recognized $23.6 million and $24.7 million of revenue, net of management service fees to RadNet for the three months ended September 30, 2014 and 2013, respectively, and $23.6 million and $24.7 million of operating expenses for the three months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $98.0 million and $98.3 million of total billed net service fee revenue relating to these VIE’s for the three months ended September 30, 2014 and 2013, respectively, of which $74.4 million and $73.6 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the three months ended September 30, 2014 and 2013, respectively.

 

BRMG and the B&C Entities on a combined basis recognized $65.6 million and $58.2 million of revenue, net of management service fees to RadNet for the nine months ended September 30, 2014 and 2013, respectively, and $65.6 million and $58.2 million of operating expenses for the nine months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $279.6 million and $256.6 million of total billed net service fee revenue relating to these VIE’s for the nine months ended September 30, 2014 and 2013, respectively, of which $213.9 million and $198.4 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the nine months ended September 30, 2014 and 2013, respectively.

 

The cash flows of BRMG and the B&C Entities are included in the accompanying consolidated statements of cash flows.  All intercompany balances and transactions have been eliminated in consolidation.  In our consolidated balance sheets at September 30, 2014 and December 31, 2013, we have included approximately $80.3 million and $65.2 million, respectively, of accounts receivable and approximately $9.4 million and $11.9 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the B&C Entities combined.

 

The creditors of both BRMG and the B&C Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses on behalf of BRMG and the B&C Entities. However, because of the relationship RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from certain centers in California and all of our centers in New York City where we contract with BRMG and the B&C Entities, respectively, for the provision of professional medical services, at all of our other centers, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities. These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers. The radiology practices maintain full control over the provision of professional services. In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee intended to compensate us for the fair market value of our services which in some instances may be based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers. We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures. The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG or non-B&C Entities) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles for complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended September 30, 2014 and 2013 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2013 filed on March 17, 2014, as amended.

 

Significant Accounting Policies

 

During the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended. The information below is intended only to supplement the disclosure in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

Revenues

 

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

 

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

 

Under capitation arrangements with various health plans, we earn a per-enrollee amount each month for making available diagnostic imaging services to all plan enrollees under the capitation arrangement. Revenue under capitation arrangements is recognized in the period in which we are obligated to provide services to plan enrollees under contracts with various health plans.

 

Our revenue, net of contractual allowances, discounts and provision for bad debts for the three and nine months ended September 30, 2014 and 2013 is summarized in the following table (in thousands):

 

    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2014     2013     2014     2013  
Commercial Insurance   $ 109,472     $ 103,934     $ 314,300     $ 310,147  
Medicare     41,203       38,276       118,627       113,916  
Medicaid     6,248       5,869       18,214       18,358  
Workers' Compensation/Personal Injury     7,821       8,566       22,708       27,666  
Other     6,354       8,727       24,688       26,337  
Service fee revenue, net of contractual allowances and discounts     171,098       165,373       498,536       496,424  
Provision for bad debts     (7,532 )     (7,033 )     (21,945 )     (20,810 )
Net service fee revenue     163,566       158,340       476,591       475,614  
Revenue under capitation arrangements     20,493       16,848       55,426       49,034  
Total net revenue   $ 184,059     $ 175,188     $ 532,017     $ 524,648  

 

Provision for Bad Debts

 

We provide for an allowance against accounts receivable that could become uncollectible to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us from patients with insurance. Although we attempt to collect deductibles and co-payments due from patients with insurance at the time of service, this attempt to collect at the time of service is not an assessment of the patient’s ability to pay nor are revenues recognized based on an assessment of the patient’s ability to pay. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

 

Deferred Tax Assets

 

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

 

Deferred Financing Costs

 

Costs of financing are deferred and amortized on a straight-line basis over the life of the associated loan, which approximates the effective interest rate method.

 

Meaningful Use Incentive

 

Under the American Recovery and Reinvestment Act of 2009, a program was enacted that provides financial incentives for providers that successfully implement and utilize electronic health record technology to improve patient care. Our software development team in Canada established an objective to build a Radiology Information System (RIS) software platform that has been awarded Meaningful Use certification. As this certified RIS system is implemented throughout our imaging centers, the radiologists that utilize this software will be eligible for the available financial incentives. In order to receive such incentive payments providers must attest that they have demonstrated meaningful use of the certified RIS in each stage of the program. Once an attestation is accepted by Medicare, payments will be made in four to eight weeks to the same taxpayer identification number and through the same channels as their claims payments are made. We account for this meaningful use incentive under the Gain Contingency Model outlined in ASC 450-30. Under this model, we record within non-operating income, meaningful use incentive only after Medicare accepts an attestation from the qualified eligible professional demonstrating meaningful use. We recorded approximately $1.8 million during the nine months ended September 30, 2014 relating to this incentive. This amount was earned under a Medicare program to promote the use of electronic health record technology.

 

Liquidity and Capital Resources

 

We had cash and cash equivalents of $274,000 and accounts receivable of $155.0 million at September 30, 2014, compared to cash and cash equivalents of $8.4 million and accounts receivable of $133.6 million at December 31, 2013. We had a working capital balance of $65.7 million and $58.0 million at September 30, 2014 and December 31, 2013, respectively. We had net income (loss) attributable to RadNet, Inc. common stockholders for the three months ended September 30, 2014 and 2013 of $4.5 million and ($467,000) respectively, and net (loss) income attributable to RadNet, Inc. common stockholders for the nine months ended September 30, 2014 and 2013 of ($2.8 million) and $877,000, respectively.  We also had stockholders’ equity of $2.6 million and $2.2 million at September 30, 2014 and December 31, 2013, respectively.

 

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

 

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

 

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

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise.

 

Included in our condensed consolidated balance sheet at September 30, 2014 are $572.2 million of senior secured term loan debt (net of unamortized discounts of $12.7 million), broken down by loan agreement as follows (in thousands):

 

    Face Value     Discount     Total Carrying Value  
2014 First Lien Term Loans   $ 404,942     $ (9,922 )   $ 395,020  
Second Lien Term Loans   $ 180,000     $ (2,772 )   $ 177,228  
Total   $ 584,942     $ (12,694 )   $ 572,248  

 

Our revolving credit facility has a $25.1 million aggregate principal amount outstanding as of September 30, 2014.

 

The following describes our most recent financing activities:

 

2014 Amendment to the Refinance Agreement and Second Lien Credit and Guaranty Agreement:

 

On March 25, 2014, Radnet Management simultaneously entered into two agreements which resulted in the creation of a direct financial obligation as follows:

 

2014 Amendment of the Refinance Agreement. Radnet Management amended that certain Credit and Guaranty Agreement dated October 10, 2012, by that certain first amendment dated April 3, 2013 (the “2013 Amendment”) (collectively, the Refinance Agreement”), by entering into a second amendment to the Refinance Agreement (the “2014 Amendment”) to provide for, among other things, the borrowing by Radnet Management of $30.0 million of additional first lien term loans (the “2014 First Lien Term Loans”).

 

Second Lien Credit and Guaranty Agreement. Radnet Management entered into a Second Lien Credit and Guaranty Agreement (the “Second Lien Credit Agreement”) to provide for, among other things, the borrowing by Radnet Management of $180.0 million of second lien term loans (the “Second Lien Term Loans”). The proceeds from the Second Lien Term Loans and the 2014 First Lien Term Loans were used to redeem the senior notes, as more fully described below under the heading “Senior Notes”, to pay the expenses related to the transaction and for general corporate purposes.

 

Revolving Credit Facility. The $101.25 million revolving credit line established in the Credit and Guaranty Agreement dated October 10, 2012 was unaltered by the agreements above and remains in place.

 

The 2014 Amendment provides for the following:

 

Interest. The interest rates payable on the 2014 First Lien Term Loans are the same as the rates currently payable under the Refinance Agreement, as amended by the 2013 Amendment, which are (a) the Adjusted Eurodollar Rate plus 3.25% or (b) the Base Rate (as defined in the Refinance Agreement) plus 2.25%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on all of the term loans under the Refinance Agreement. The Adjusted Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. The scheduled amortization of the term loans under the Refinance Agreement has been increased from quarterly payments of $975,000 to quarterly payments of $5.2 million which started in June 2014, with the remaining balance to be paid at maturity.

 

The other material terms of the Refinance Agreement remain unchanged as described in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

The Second Lien Credit Agreement provides for the following:

 

Interest. The interest rates payable on the Second Lien Term Loans are (a) the Adjusted Eurodollar Rate plus 7.0% or (b) the Base Rate plus 6.0%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on the Second Lien Term Loans. The Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. There is no scheduled amortization of the principal of the Second Lien Term Loans. All principal will be due and payable on the termination date described below.

 

Termination. The termination date for the Second Lien Term Loans is the earlier to occur of (i) March 25, 2021, and (ii) the date on which the Second Lien Term Loans shall otherwise become due and payable in full under the Second Lien Credit Agreement, whether by acceleration or otherwise.

 

Restrictive Covenants. In addition to certain customary covenants, the Second Lien Credit Agreement places restrictions on indebtedness, liens, and investments, and places limits on distributions to stockholders (including the repurchase of shares) and other junior payments.

 

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

 

Events of Default. In addition to certain customary events of default, events of default under the Second Lien Credit Agreement include failure to pay principal of any loans as and on the date when due, failure to pay any interest on any loan or any fee or other amount payable under the Second Lien Term Loans within five days after the due date, failure of any loan party to comply with any covenant or agreements, subject to applicable grace periods and/or notice requirements, or a material breach of any representation or warranty contained in the loan documents. The occurrence of an event of default could permit the lenders under the Second Lien 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.

 

These limitations are subject to a number of important qualifications and exceptions, as described in the Second Lien Credit Agreement. As of September 30, 2014, we were in compliance with all covenants.

 

Senior Notes

 

On April 6, 2010, we issued and sold $200 million of 10 3/8% senior unsecured notes due 2018 at a price of 98.680% (the “senior notes”).  All payments of the senior notes, including principal and interest, were guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc., and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries.  The senior notes were issued under an indenture dated April 6, 2010 (the “Indenture”), by and among Radnet Management, Inc., as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee.” We paid interest on the senior notes on April 1 and October 1 of each year, commencing October 1, 2010, and they were scheduled to expire on April 1, 2018.

 

Optional Redemption. Under the Indenture, Radnet Management could redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture. Prior to April 1, 2014, Radnet Management was also permitted to redeem the senior notes, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium established by the Indenture and accrued and unpaid interest, if any.

 

Senior Notes Tender Offer and Exercise of Optional Redemption

 

Radnet Management completed the retirement of its $200 million in Senior Notes on April 24, 2014 and following such retirement the Company completed the satisfaction and discharge of the Indenture. The transactions leading to the retirement of the Senior Notes are described below:

 

Tender Offer and Exercise of Optional Redemption on March 7, 2014. On March 7, 2014, Radnet Management commenced a tender offer to purchase for cash any and all outstanding senior notes. In connection with the tender offer, Radnet Management also commenced a consent solicitation to amend the Indenture to eliminate or modify certain restrictive covenants. On March 25, 2014 (the “Initial Payment Date”), Radnet Management made a payment in cash for all senior notes tendered prior to 5:00 P.M., New York City time, on March 20, 2014 (the “Consent Payment Deadline”). As of the Consent Payment Deadline, Radnet Management had received tenders and consents in respect of $193,464,000 aggregate principal amount of the senior notes, representing 96.73% of the outstanding senior notes, all of which were accepted for purchase. The total consideration for each $1,000 principal amount of senior notes validly tendered and not withdrawn at or prior to the Consent Payment Deadline and accepted for purchase was $1,056.88 (the “Total Consideration”), which amount included a consent payment (the “Consent Payment”) of $30.00 per $1,000 principal amount of senior notes. In addition, all senior notes accepted for payment received accrued and unpaid interest in respect of such notes from the last interest payment date prior to the applicable settlement date to, but not including, the applicable settlement date. The tender offer expired on April 3, 2014 and between the Consent Payment Deadline and the expiration of the tender offer, no additional senior notes were tendered. With a net carrying amount including discount and unamortized issue costs of $189.2 million, a loss on early extinguishment of debt of $15.5 million was recorded in the first quarter of 2014.

 

Tender Offer and Exercise on Optional Redemption of March 25, 2014. On March 25, 2014, Radnet Management called for redemption all of its remaining outstanding senior notes not purchased prior to the expiration of the tender offer described above, with a redemption date of April 24, 2014 (the “Redemption Date”). Upon redemption on April 24, 2014, the holders of the senior notes being redeemed received a redemption price equal to 105.188% of the outstanding principal amount of the senior notes being redeemed (or $1,051.88 per $1,000 in principal amount of the senior notes) in accordance with the terms of the Indenture, or approximately $6.9 million in total, including approximately $43,000 of accrued and unpaid interest up to, but excluding the Redemption Date.  As of that date, Radnet Management completed the satisfaction and discharge of the Indenture in accordance with its terms and no senior notes remained outstanding.  With a net carrying amount including discount and unamortized issue costs of $6.4 million, a loss on early extinguishment of debt of $471,000 was recorded in the second quarter of 2014.

 

Capital Lease Investments

 

During the nine months ended September 30, 2014, we added capital lease debt of approximately $12.6 million relating to radiology equipment.

XML 23 R2.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONDENSED CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2014
Dec. 31, 2013
CURRENT ASSETS    
Cash and cash equivalents $ 274 $ 8,412
Accounts receivable, net 155,011 133,599
Current portion of deferred tax assets 16,692 13,321
Prepaid expenses and other current assets 25,272 21,012
Total current assets 197,249 176,344
PROPERTY AND EQUIPMENT, NET 225,597 218,547
OTHER ASSETS    
Goodwill 200,304 196,395
Other intangible assets 48,392 50,042
Deferred financing costs, net of current portion 6,682 8,735
Investment in joint ventures 27,474 28,949
Deferred tax assets, net of current portion 39,004 39,914
Deposits and other 3,817 3,650
Total assets 748,519 722,576
LIABILITIES AND STOCKHOLDERS' EQUITY    
Accounts payable, accrued expenses and other 100,931 106,316
Due to affiliates 1,120 2,655
Deferred revenue 1,948 1,344
Current portion of notes payable 19,558 3,103
Current portion of deferred rent 2,256 1,896
Current portion of obligations under capital leases 5,708 3,075
Total current liabilities 131,521 118,389
LONG-TERM LIABILITIES    
Deferred rent, net of current portion 19,282 18,989
Revolving credit facility 25,100 0
Notes payable, net of current portion 555,920 572,669
Obligations under capital lease, net of current portion 7,573 2,779
Other non-current liabilities 6,505 7,540
Total liabilities 745,901 720,366
STOCKHOLDERS' EQUITY    
Common stock - $.0001 par value, 200,000,000 shares authorized; 42,703,602, and 40,089,196 shares issued and outstanding at September 30, 2014 and December 31, 2013, respectively 4 4
Paid-in-capital 177,141 173,622
Accumulated other comprehensive loss (88) (50)
Accumulated deficit (176,485) (173,656)
Total RadNet, Inc.'s stockholders' equity (deficit) 572 (80)
Noncontrolling interests 2,046 2,290
Total stockholders' equity 2,618 2,210
Total liabilities and stockholders' equity $ 748,519 $ 722,576
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CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY (DEFICIT) (USD $)
In Thousands, except Share data
Common Stock
Additional Paid-In Capital
Accumulated Deficit
Accumulated Other Comprehensive Income (Loss)
Total Radnet, Inc.'s Stockholders' Deficit
Noncontrolling Interest
Total
Beginning balance, value at Dec. 31, 2013 $ 4 $ 173,622 $ (173,656) $ (50) $ (80) $ 2,290 $ 2,210
Beginning balance, shares at Dec. 31, 2013 40,089,196            
Issuance of common stock upon exercise of options/warrants, shares issued 1,572,621            
Issuance of common stock upon exercise of options/warrants, value 0 1,546 0 0 1,546 0 1,546
Stock-based compensation 0 1,854 0 0 1,854 0 1,854
Issuance of restricted stock, shares 1,041,785            
Issuance of restricted stock, value 0 0 0 0 0 0 0
Purchase of non-controlling interests 0 119 0 0 119 (315) (196)
Dividends paid to noncontrolling interest 0 0 0 0 0 (148) (148)
Change in cumulative foreign currency translation adjustment 0 0 0 (38) (38) 0 (38)
Net (loss) income 0 0 (2,829) 0 (2,829) 219 (2,610)
Ending balance, value at Sep. 30, 2014 $ 4 $ 177,141 $ (176,485) $ (88) $ 572 $ 2,046 $ 2,618
Ending balance, shares at Sep. 30, 2014 42,703,602            
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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details - Senior Secured Notes) (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2014
Face Value $ 584,942
Discount 12,694
Total Carrying Value 572,248
Senior Notes [Member] | 2014 First Lien Term Loans [Member]
 
Face Value 404,942
Discount (9,922)
Total Carrying Value 395,020
Senior Notes [Member] | Second Lien Term Loans [Member]
 
Face Value 180,000
Discount (2,772)
Total Carrying Value $ 177,228
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4. EARNINGS PER SHARE (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Earnings Per Share [Abstract]        
Net income (loss) attributable to RadNet, Inc.'s common stockholders $ 4,451 $ (467) $ (2,829) $ 877
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS        
Weighted average number of common shares outstanding during the period 41,644,606 39,235,863 40,734,083 39,105,522
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders $ 0.11 $ (0.01) $ (0.07) $ 0.02
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS        
Weighted average number of common shares outstanding during the period 41,644,606 39,235,863 40,734,083 39,105,522
Add nonvested restricted stock subject only to service vesting 1,001,190       311,419
Add additional shares issuable upon exercise of stock options and warrants 1,387,784       469,199
Weighted average number of common shares used in calculating diluted net income per share 44,033,580 39,235,863 40,734,083 39,886,140
Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders $ 0.10 $ (0.01) $ (0.07) $ 0.02
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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income $ (2,610) $ 1,028
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 45,193 44,050
Provision for bad debts 21,945 20,810
Equity in earnings of joint ventures (4,722) (4,481)
Distributions from joint ventures 7,358 5,624
Deferred rent amortization 653 2,893
Amortization of deferred financing costs 1,708 1,676
Write off of deferred loan costs due to refinance 665 0
Amortization of bond and term loan discounts 2,071 1,651
Loss on sale and disposal of equipment 1,581 357
Loss on early extinguishment of Senior Notes 15,927 0
Gain on Sale of Imaging Centers 0 (2,108)
Stock-based compensation 2,069 2,045
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:    
Accounts receivable (42,887) (25,096)
Other current assets (4,754) (1,504)
Other assets (72) 172
Deferred taxes (2,461) 575
Deferred revenue 604 175
Accounts payable, accrued expenses and other (8,225) (5,357)
Net cash provided by operating activities 34,043 42,510
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of imaging facilities (9,428) (5,918)
Purchase of noncontrolling interests (196) 0
Purchase of property and equipment (33,895) (39,291)
Proceeds from sale of equipment 766 510
Proceeds from sale of imaging facilities 0 3,290
Proceeds from sale of joint venture interests 0 2,640
Equity contributions in existing joint ventures (1,161) (1,803)
Net cash used in investing activities (43,914) (40,572)
CASH FLOWS FROM FINANCING ACTIVITIES    
Principal payments on notes and leases payable (16,733) (7,476)
Proceeds from borrowings 210,000 35,122
Payments on Senior Notes (211,344) 0
Deferred financing costs (6,650) (432)
Net proceeds (payments) on revolving credit facility 25,100 (29,600)
Distributions to noncontrolling interests (148) (11)
Proceeds from issuance of common stock upon exercise of options/warrants 1,546 469
Net cash provided by (used in) financing activities 1,771 (1,928)
EFFECT OF EXCHANGE RATE CHANGES ON CASH (38) (104)
NET DECREASE IN CASH AND CASH EQUIVALENTS (8,138) (94)
CASH AND CASH EQUIVALENTS, beginning of period 8,412 362
CASH AND CASH EQUIVALENTS, end of period 274 268
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION    
Cash paid during the period for interest 32,389 26,614
SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND FINANCING ACTIVITIES    
Purchase of equipment and leasehold improvements not yet paid for 16,600 11,300
Capital lease debt relating to radiology equipment $ 12,600  
XML 29 R3.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)
Sep. 30, 2014
Dec. 31, 2013
Statement of Financial Position [Abstract]    
Common stock - par value (in Dollars per share) $ 0.0001 $ 0.0001
Common stock - shares authorized 200,000,000 200,000,000
Common stock - shares issued 42,703,602 40,089,196
Common stock - shares outstanding 42,703,602 40,089,196
XML 30 R17.htm IDEA: XBRL DOCUMENT v2.4.0.8
4. EARNINGS PER SHARE (Tables)
9 Months Ended
Sep. 30, 2014
Earnings Per Share [Abstract]  
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     Nine Months Ended  
    September 30,     September 30,  
    2014     2013     2014     2013  
Net income (loss) attributable to RadNet, Inc.'s common stockholders   $ 4,451     $ (467 )   $ (2,829 )   $ 877  
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                                
Weighted average number of common shares outstanding during the period     41,644,606       39,235,863       40,734,083       39,105,522  
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders   $ 0.11     $ (0.01 )   $ (0.07 )   $ 0.02  
                                 
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                                
Weighted average number of common shares outstanding during the period     41,644,606       39,235,863       40,734,083       39,105,522  
Add nonvested restricted stock subject only to service vesting     1,001,190                   311,419  
Add additional shares issuable upon exercise of stock options and warrants     1,387,784                   469,199  
Weighted average number of common shares used in calculating diluted net income per share     44,033,580       39,235,863       40,734,083       39,886,140  
Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders   $ 0.10     $ (0.01 )   $ (0.07 )   $ 0.02  
XML 31 R1.htm IDEA: XBRL DOCUMENT v2.4.0.8
Document and Entity Information
9 Months Ended
Sep. 30, 2014
Nov. 05, 2014
NonPlanOutstandingWarrantsMember    
Entity Registrant Name RadNet, Inc.  
Entity Central Index Key 0000790526  
Document Type 10-Q  
Document Period End Date Sep. 30, 2014  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Is Entity a Well-known Seasoned Issuer No  
Is Entity a Voluntary Filer No  
Is Entity's Reporting Status Current Yes  
Entity Filer Category Accelerated Filer  
Entity Common Stock, Shares Outstanding   42,710,676
Document Fiscal Period Focus Q3  
Document Fiscal Year Focus 2014  
XML 32 R18.htm IDEA: XBRL DOCUMENT v2.4.0.8
5. INVESTMENT IN JOINT VENTURES (Tables)
9 Months Ended
Sep. 30, 2014
Equity Method Investments and Joint Ventures [Abstract]  
Investment in joint ventures

The following table is a roll forward of our investment in joint ventures during the nine months ended September 30, 2014 (in thousands):

 

Balance as of December 31, 2013   $ 28,949  
Equity contributions in existing joint ventures     1,161  
Equity earnings in these joint ventures     4,722  
Distribution of earnings     (7,358 )
Balance as of September 30, 2014   $ 27,474  

 

Key financial data in joint ventures

The following table is a summary of key financial data for these joint ventures as of and for the nine months ended September 30, 2014 and 2013 (in thousands):

 

Balance Sheet Data:   September 30, 2014  
Current assets   $ 14,181  
Noncurrent assets     48,306  
Current liabilities     (5,623 )
Noncurrent liabilities     (6,944 )
Total net assets   $ 49,920  
Book value of Radnet joint venture interests   $ 23,232  
Cost in excess of book value of acquired joint venture interests     3,857  
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet     385  
Total value of Radnet joint venture interests   $ 27,474  
Total book value of other joint venture partner interests   $ 26,688  

 

Income Statement Data for the nine months ended September 30,   2014     2013  
Net revenue   $ 73,859     $ 68,912  
Net income   $ 9,801     $ 9,819  

 

XML 33 R4.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
NET REVENUE        
Service fee revenue, net of contractual allowances and discounts $ 171,098 $ 165,373 $ 498,536 $ 496,424
Provision for bad debts (7,532) (7,033) (21,945) (20,810)
Net service fee revenue 163,566 158,340 476,591 475,614
Revenue under capitation arrangements 20,493 16,848 55,426 49,034
Total net revenue 184,059 175,188 532,017 524,648
OPERATING EXPENSES        
Cost of operations, excluding depreciation and amortization 153,000 151,770 445,838 450,030
Depreciation and amortization 14,423 14,762 45,193 44,050
Loss on sale and disposal of equipment 1,289 (5) 1,581 357
Severance costs 112 72 976 312
Total operating expenses 168,824 166,599 493,588 494,749
INCOME FROM OPERATIONS 15,235 8,589 38,429 29,899
OTHER INCOME AND EXPENSES        
Interest expense 10,395 11,052 32,503 34,542
Meaningful use incentive 0 0 (1,762) 0
Equity in earnings of joint ventures (2,009) (1,617) (4,722) (4,481)
Gain on sale of imaging centers 0 0 0 (2,108)
Loss on early extinguishment of Senior Notes 0 0 15,927 0
Other expenses 6 4 4 152
Total other expenses 8,392 9,439 41,950 28,105
INCOME (LOSS) BEFORE INCOME TAXES 6,843 (850) (3,521) 1,794
(Provision for) benefit from income taxes (2,334) 483 911 (766)
NET INCOME (LOSS) 4,509 (367) (2,610) 1,028
Net income attributable to noncontrolling interests 58 100 219 151
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ 4,451 $ (467) $ (2,829) $ 877
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ 0.11 $ (0.01) $ (0.07) $ 0.02
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ 0.10 $ (0.01) $ (0.07) $ 0.02
WEIGHTED AVERAGE SHARES OUTSTANDING        
Basic 41,644,606 39,235,863 40,734,083 39,105,522
Diluted 44,033,580 39,235,863 40,734,083 39,886,140
XML 34 R12.htm IDEA: XBRL DOCUMENT v2.4.0.8
5. INVESTMENT IN JOINT VENTURES
9 Months Ended
Sep. 30, 2014
Equity Method Investments and Joint Ventures [Abstract]  
INVESTMENT IN JOINT VENTURES

NOTE 5 – INVESTMENT IN JOINT VENTURES

 

We have nine unconsolidated joint ventures with ownership interests ranging from 35% to 50%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers.  Professional services at the joint venture diagnostic imaging centers are performed by contracted radiology practices or a radiology practice that participates in the joint venture.  Our investment in these joint ventures is accounted for under the equity method.   

 

The following table is a roll forward of our investment in joint ventures during the nine months ended September 30, 2014 (in thousands):

 

Balance as of December 31, 2013   $ 28,949  
Equity contributions in existing joint ventures     1,161  
Equity earnings in these joint ventures     4,722  
Distribution of earnings     (7,358 )
Balance as of September 30, 2014   $ 27,474  

 

We earned management service fees from the centers underlying these joint ventures of approximately $2.3 million in each of the three months ended September 30, 2014 and 2013, and $6.9 million and $7.0 million for the nine months ended September 30, 2014 and 2013, respectively.

 

The following table is a summary of key financial data for these joint ventures as of and for the nine months ended September 30, 2014 and 2013 (in thousands):

 

Balance Sheet Data:   September 30, 2014  
Current assets   $ 14,181  
Noncurrent assets     48,306  
Current liabilities     (5,623 )
Noncurrent liabilities     (6,944 )
Total net assets   $ 49,920  
Book value of Radnet joint venture interests   $ 23,232  
Cost in excess of book value of acquired joint venture interests     3,857  
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet     385  
Total value of Radnet joint venture interests   $ 27,474  
Total book value of other joint venture partner interests   $ 26,688  

 

Income Statement Data for the nine months ended September 30,   2014     2013  
Net revenue   $ 73,859     $ 68,912  
Net income   $ 9,801     $ 9,819  

 

XML 35 R11.htm IDEA: XBRL DOCUMENT v2.4.0.8
4. EARNINGS PER SHARE
9 Months Ended
Sep. 30, 2014
Earnings Per Share [Abstract]  
EARNINGS PER SHARE

NOTE 4 – EARNINGS PER SHARE

 

Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):

 

    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2014     2013     2014     2013  
Net income (loss) attributable to RadNet, Inc.'s common stockholders   $ 4,451     $ (467 )   $ (2,829 )   $ 877  
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                                
Weighted average number of common shares outstanding during the period     41,644,606       39,235,863       40,734,083       39,105,522  
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders   $ 0.11     $ (0.01 )   $ (0.07 )   $ 0.02  
                                 
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS                                
Weighted average number of common shares outstanding during the period     41,644,606       39,235,863       40,734,083       39,105,522  
Add nonvested restricted stock subject only to service vesting     1,001,190                   311,419  
Add additional shares issuable upon exercise of stock options and warrants     1,387,784                   469,199  
Weighted average number of common shares used in calculating diluted net income per share     44,033,580       39,235,863       40,734,083       39,886,140  
Diluted net income (loss) per share attributable to RadNet, Inc.'s common stockholders   $ 0.10     $ (0.01 )   $ (0.07 )   $ 0.02  

 

For the three months ended September 30, 2013 and the nine months ended September 30, 2014 we excluded all outstanding options, warrants and restricted stock awards in the calculation of diluted earnings per share because their effect would be antidilutive.

XML 36 R23.htm IDEA: XBRL DOCUMENT v2.4.0.8
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details Narrative) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Dec. 31, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]          
BRMG and B&C revenues $ 23,600 $ 24,700 $ 65,600 $ 58,200  
BRMG and B&C operating expenses 23,600 24,700 65,600 58,200  
Consolidated revenue 98,000 98,300 279,600 256,600  
Management services provided to BRMG and B&C 74,400 73,600 213,900 198,400  
BRMG and B&C accounts receivable 80,300   80,300   65,200
BRMG and B& C accounts payable 9,400   9,400   11,900
Meaningful Use Incentive     1,800    
Senior secured term loan debt 572,248   572,248    
Unamortized discounts (12,694)   (12,694)    
Line of credit 25,100   25,100   0
Capital lease investment     $ 12,600    
XML 37 R19.htm IDEA: XBRL DOCUMENT v2.4.0.8
6. STOCK-BASED COMPENSATION (Tables)
9 Months Ended
Sep. 30, 2014
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]  
STOCK-BASED COMPENSATION

The following summarizes all of our option and warrant transactions during the nine months ended September 30, 2014:

 

Outstanding Options and Warrants Under the 2006 Plan and 2000 Plan   Shares     Weighted Average Exercise price Per Common Share     Weighted Average Remaining Contractual Life (in years)     Aggregate Intrinsic Value  
                         
Balance, December 31, 2013     4,701,250     $ 3.15                  
Granted                            
Exercised     (2,283,741 )     2.38                  
Canceled or expired     (315,000 )     5.91                  
Balance, September 30, 2014     2,102,509       3.57       1.44     $ 7,017,488  
Exercisable at September 30, 2014     2,037,509       3.62       1.36       6,719,788  

 

Non-Plan Outstanding Warrants     Shares       Weighted Average Exercise price Per Common Share       Weighted Average  Remaining  Contractual Life  (in years)       Aggregate Intrinsic Value  
Balance, December 31, 2013     200,000     $ 2.62                  
Granted                            
Exercised     (200,000 )     2.62                  
Canceled or expired                            
Balance, September 30, 2014                     $  
Exercisable at September 30, 2014                        

 

XML 38 R15.htm IDEA: XBRL DOCUMENT v2.4.0.8
1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Policies)
9 Months Ended
Sep. 30, 2014
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
NATURE OF BUSINESS AND BASIS OF PRESENTATION

We provide diagnostic imaging services including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. At September 30, 2014, we operated directly or indirectly through joint ventures, 263 imaging centers located in California, Maryland, Florida, Delaware, New Jersey, Rhode Island and New York.  Our operations comprise a single segment for financial reporting purposes.

 

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

 

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

 

Howard G. Berger, M.D. is our President and Chief Executive Officer, a member of our Board of Directors and is deemed to be the beneficial owner, directly and indirectly, of approximately 13.1% of our outstanding common stock as of September 30, 2014. Dr. Berger also owns, indirectly, 99% of the equity interests in BRMG. BRMG provides all of the professional medical services at the majority of our facilities located in California under a management agreement with us, and employs physicians or contracts with various other independent physicians and physician groups to provide the professional medical services at most of our other California facilities. We generally obtain professional medical services from BRMG in California, rather than provide such services directly or through subsidiaries, in order to comply with California’s prohibition against the corporate practice of medicine. However, as a result of our close relationship with Dr. Berger and BRMG, we believe that we are able to better ensure that medical service is provided at our California facilities in a manner consistent with our needs and expectations and those of our referring physicians, patients and payors than if we obtained these services from unaffiliated physician groups. BRMG is a partnership of ProNet Imaging Medical Group, Inc., Breastlink Medical Group, Inc. and Beverly Radiology Medical Group, Inc., each of which is 99% or 100% owned by Dr. Berger.  

 

John V Crues, III, M.D. is our Medical Director, a member of our Board of Directors and a 1% owner of BRMG.  Dr. Crues owns a controlling interest in four medical groups (“Crues Entities”) which provide professional medical services at some of our facilities in Manhattan and Brooklyn, New York while Dr. Berger owns a controlling interest in two medical groups (“NY Berger Entities”) which provide professional medical services at one of our Manhattan, New York facilities.  The Crues Entities and the NY Berger Entities are collectively hereinafter referred to as the “B&C Entities.”

 

RadNet provides non-medical, technical and administrative services to BRMG and the B&C Entities for which it receives a management fee, pursuant to the related management agreements. Through these management agreements and our relationship with both Dr. Berger and Dr. Crues, we have exclusive authority over all non-medical decision-making related to the ongoing business operations of BRMG and the B&C Entities and we determine the annual budget of BRMG and the B&C Entities. BRMG and the B&C Entities both have insignificant operating assets and liabilities, and de minimis equity. Through these management agreements, we are paid the fair market value of our services, the result of which is that generally all net cash flows of both BRMG and the B&C Entities are transferred to us.

 

We have determined that BRMG and the B&C Entities are VIEs, and that we are the primary beneficiary, and consequently, we consolidate the revenue, expenses, assets and liabilities of each such entity.  BRMG and the B&C Entities on a combined basis recognized $23.6 million and $24.7 million of revenue, net of management service fees to RadNet for the three months ended September 30, 2014 and 2013, respectively, and $23.6 million and $24.7 million of operating expenses for the three months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $98.0 million and $98.3 million of total billed net service fee revenue relating to these VIE’s for the three months ended September 30, 2014 and 2013, respectively, of which $74.4 million and $73.6 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the three months ended September 30, 2014 and 2013, respectively.

 

BRMG and the B&C Entities on a combined basis recognized $65.6 million and $58.2 million of revenue, net of management service fees to RadNet for the nine months ended September 30, 2014 and 2013, respectively, and $65.6 million and $58.2 million of operating expenses for the nine months ended September 30, 2014 and 2013, respectively. RadNet, Inc. recognized in its condensed consolidated statement of operations $279.6 million and $256.6 million of total billed net service fee revenue relating to these VIE’s for the nine months ended September 30, 2014 and 2013, respectively, of which $213.9 million and $198.4 million was for management services provided to BRMG and the B&C Entities relating primarily to the technical portion of total billed net service fee revenue for the nine months ended September 30, 2014 and 2013, respectively.

 

The cash flows of BRMG and the B&C Entities are included in the accompanying consolidated statements of cash flows.  All intercompany balances and transactions have been eliminated in consolidation.  In our consolidated balance sheets at September 30, 2014 and December 31, 2013, we have included approximately $80.3 million and $65.2 million, respectively, of accounts receivable and approximately $9.4 million and $11.9 million, respectively, of accounts payable and accrued liabilities, related to BRMG and the B&C Entities combined.

 

The creditors of both BRMG and the B&C Entities do not have recourse to our general credit and there are no other arrangements that could expose us to losses on behalf of BRMG and the B&C Entities. However, because of the relationship RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues.

 

Aside from certain centers in California and all of our centers in New York City where we contract with BRMG and the B&C Entities, respectively, for the provision of professional medical services, at all of our other centers, we have entered into long-term contracts with independent radiology groups in the area to provide physician services at those facilities. These third party radiology practices provide professional services, including supervision and interpretation of diagnostic imaging procedures, in our diagnostic imaging centers. The radiology practices maintain full control over the provision of professional services. In these facilities we enter into long-term agreements with radiology practice groups (typically 40 years). Under these arrangements, in addition to obtaining technical fees for the use of our diagnostic imaging equipment and the provision of technical services, we provide management services and receive a fee intended to compensate us for the fair market value of our services which in some instances may be based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers. We own the diagnostic imaging equipment and, therefore, receive 100% of the technical reimbursements associated with imaging procedures. The radiology practice groups retain the professional reimbursements associated with imaging procedures after deducting management service fees paid to us.  We have no financial controlling interest in the independent (non-BRMG or non-B&C Entities) radiology practices; accordingly, we do not consolidate the financial statements of those practices in our consolidated financial statements.

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X and, therefore, do not include all information and footnotes necessary for a fair presentation of financial position, results of operations and cash flows in conformity with U.S. generally accepted accounting principles for complete financial statements; however, in the opinion of our management, all adjustments consisting of normal recurring adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods ended September 30, 2014 and 2013 have been made. The results of operations for any interim period are not necessarily indicative of the results for a full year. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes thereto contained in our annual report on Form 10-K for the year ended December 31, 2013 filed on March 17, 2014, as amended.

Significant Accounting Policies

Significant Accounting Policies

 

During the period covered in this report, there have been no material changes to the significant accounting policies we use, and have explained, in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended. The information below is intended only to supplement the disclosure in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

Revenues

Revenues

 

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

 

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

 

Under capitation arrangements with various health plans, we earn a per-enrollee amount each month for making available diagnostic imaging services to all plan enrollees under the capitation arrangement. Revenue under capitation arrangements is recognized in the period in which we are obligated to provide services to plan enrollees under contracts with various health plans.

 

Our revenue, net of contractual allowances, discounts and provision for bad debts for the three and nine months ended September 30, 2014 and 2013 is summarized in the following table (in thousands):

 

    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2014     2013     2014     2013  
Commercial Insurance   $ 109,472     $ 103,934     $ 314,300     $ 310,147  
Medicare     41,203       38,276       118,627       113,916  
Medicaid     6,248       5,869       18,214       18,358  
Workers' Compensation/Personal Injury     7,821       8,566       22,708       27,666  
Other     6,354       8,727       24,688       26,337  
Service fee revenue, net of contractual allowances and discounts     171,098       165,373       498,536       496,424  
Provision for bad debts     (7,532 )     (7,033 )     (21,945 )     (20,810 )
Net service fee revenue     163,566       158,340       476,591       475,614  
Revenue under capitation arrangements     20,493       16,848       55,426       49,034  
Total net revenue   $ 184,059     $ 175,188     $ 532,017     $ 524,648  
Provision for Bad Debts

Provision for Bad Debts

 

We provide for an allowance against accounts receivable that could become uncollectible to reduce the carrying value of such receivables to their estimated net realizable value. We estimate this allowance based on the aging of our accounts receivable by each type of payer over an 18-month look-back period, and other relevant factors. A significant portion of our provision for bad debt relates to co-payments and deductibles owed to us from patients with insurance. Although we attempt to collect deductibles and co-payments due from patients with insurance at the time of service, this attempt to collect at the time of service is not an assessment of the patient’s ability to pay nor are revenues recognized based on an assessment of the patient’s ability to pay. There are various factors that can impact collection trends, such as changes in the economy, which in turn have an impact on the increased burden of co-payments and deductibles to be made by patients with insurance. These factors continuously change and can have an impact on collection trends and our estimation process.

Deferred Tax Assets

Deferred Tax Assets

 

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

Deferred Financing Costs

Deferred Financing Costs

 

Costs of financing are deferred and amortized on a straight-line basis over the life of the associated loan, which approximates the effective interest rate method.

Meaningful Use Incentive

Meaningful Use Incentive

 

Under the American Recovery and Reinvestment Act of 2009, a program was enacted that provides financial incentives for providers that successfully implement and utilize electronic health record technology to improve patient care. Our software development team in Canada established an objective to build a Radiology Information System (RIS) software platform that has been awarded Meaningful Use certification. As this certified RIS system is implemented throughout our imaging centers, the radiologists that utilize this software will be eligible for the available financial incentives. In order to receive such incentive payments providers must attest that they have demonstrated meaningful use of the certified RIS in each stage of the program. Once an attestation is accepted by Medicare, payments will be made in four to eight weeks to the same taxpayer identification number and through the same channels as their claims payments are made. We account for this meaningful use incentive under the Gain Contingency Model outlined in ASC 450-30. Under this model, we record within non-operating income, meaningful use incentive only after Medicare accepts an attestation from the qualified eligible professional demonstrating meaningful use. We recorded approximately $1.8 million during the nine months ended September 30, 2014 relating to this incentive. This amount was earned under a Medicare program to promote the use of electronic health record technology.

Liquidity and Capital Resources

Liquidity and Capital Resources

 

We had cash and cash equivalents of $274,000 and accounts receivable of $155.0 million at September 30, 2014, compared to cash and cash equivalents of $8.4 million and accounts receivable of $133.6 million at December 31, 2013. We had a working capital balance of $65.7 million and $58.0 million at September 30, 2014 and December 31, 2013, respectively. We had net income (loss) attributable to RadNet, Inc. common stockholders for the three months ended September 30, 2014 and 2013 of $4.5 million and ($467,000) respectively, and net (loss) income attributable to RadNet, Inc. common stockholders for the nine months ended September 30, 2014 and 2013 of ($2.8 million) and $877,000, respectively.  We also had stockholders’ equity of $2.6 million and $2.2 million at September 30, 2014 and December 31, 2013, respectively.

 

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

 

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

 

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

 

We and our subsidiaries or affiliates may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities in privately negotiated or open market transactions, by tender offer or otherwise.

 

Included in our condensed consolidated balance sheet at September 30, 2014 are $572.2 million of senior secured term loan debt (net of unamortized discounts of $12.7 million), broken down by loan agreement as follows (in thousands):

 

    Face Value     Discount     Total Carrying Value  
2014 First Lien Term Loans   $ 404,942     $ (9,922 )   $ 395,020  
Second Lien Term Loans   $ 180,000     $ (2,772 )   $ 177,228  
Total   $ 584,942     $ (12,694 )   $ 572,248  

 

Our revolving credit facility has a $25.1 million aggregate principal amount outstanding as of September 30, 2014.

 

The following describes our most recent financing activities:

 

2014 Amendment to the Refinance Agreement and Second Lien Credit and Guaranty Agreement:

 

On March 25, 2014, Radnet Management simultaneously entered into two agreements which resulted in the creation of a direct financial obligation as follows:

 

2014 Amendment of the Refinance Agreement. Radnet Management amended that certain Credit and Guaranty Agreement dated October 10, 2012, by that certain first amendment dated April 3, 2013 (the “2013 Amendment”) (collectively, the Refinance Agreement”), by entering into a second amendment to the Refinance Agreement (the “2014 Amendment”) to provide for, among other things, the borrowing by Radnet Management of $30.0 million of additional first lien term loans (the “2014 First Lien Term Loans”).

 

Second Lien Credit and Guaranty Agreement. Radnet Management entered into a Second Lien Credit and Guaranty Agreement (the “Second Lien Credit Agreement”) to provide for, among other things, the borrowing by Radnet Management of $180.0 million of second lien term loans (the “Second Lien Term Loans”). The proceeds from the Second Lien Term Loans and the 2014 First Lien Term Loans were used to redeem the senior notes, as more fully described below under the heading “Senior Notes”, to pay the expenses related to the transaction and for general corporate purposes.

 

Revolving Credit Facility. The $101.25 million revolving credit line established in the Credit and Guaranty Agreement dated October 10, 2012 was unaltered by the agreements above and remains in place.

 

The 2014 Amendment provides for the following:

 

Interest. The interest rates payable on the 2014 First Lien Term Loans are the same as the rates currently payable under the Refinance Agreement, as amended by the 2013 Amendment, which are (a) the Adjusted Eurodollar Rate plus 3.25% or (b) the Base Rate (as defined in the Refinance Agreement) plus 2.25%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on all of the term loans under the Refinance Agreement. The Adjusted Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. The scheduled amortization of the term loans under the Refinance Agreement has been increased from quarterly payments of $975,000 to quarterly payments of $5.2 million which started in June 2014, with the remaining balance to be paid at maturity.

 

The other material terms of the Refinance Agreement remain unchanged as described in our annual report on Form 10-K for the fiscal year ended December 31, 2013, as amended.

 

The Second Lien Credit Agreement provides for the following:

 

Interest. The interest rates payable on the Second Lien Term Loans are (a) the Adjusted Eurodollar Rate plus 7.0% or (b) the Base Rate plus 6.0%. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on the Second Lien Term Loans. The Eurodollar Rate at September 30, 2014 was 0.33%.

 

Payments. There is no scheduled amortization of the principal of the Second Lien Term Loans. All principal will be due and payable on the termination date described below.

 

Termination. The termination date for the Second Lien Term Loans is the earlier to occur of (i) March 25, 2021, and (ii) the date on which the Second Lien Term Loans shall otherwise become due and payable in full under the Second Lien Credit Agreement, whether by acceleration or otherwise.

 

Restrictive Covenants. In addition to certain customary covenants, the Second Lien Credit Agreement places restrictions on indebtedness, liens, and investments, and places limits on distributions to stockholders (including the repurchase of shares) and other junior payments.

 

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

 

Events of Default. In addition to certain customary events of default, events of default under the Second Lien Credit Agreement include failure to pay principal of any loans as and on the date when due, failure to pay any interest on any loan or any fee or other amount payable under the Second Lien Term Loans within five days after the due date, failure of any loan party to comply with any covenant or agreements, subject to applicable grace periods and/or notice requirements, or a material breach of any representation or warranty contained in the loan documents. The occurrence of an event of default could permit the lenders under the Second Lien 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.

 

These limitations are subject to a number of important qualifications and exceptions, as described in the Second Lien Credit Agreement. As of September 30, 2014, we were in compliance with all covenants.

 

Senior Notes

 

On April 6, 2010, we issued and sold $200 million of 10 3/8% senior unsecured notes due 2018 at a price of 98.680% (the “senior notes”).  All payments of the senior notes, including principal and interest, were guaranteed jointly and severally on a senior unsecured basis by RadNet, Inc., and all of Radnet Management’s current and future domestic wholly owned restricted subsidiaries.  The senior notes were issued under an indenture dated April 6, 2010 (the “Indenture”), by and among Radnet Management, Inc., as issuer, RadNet, Inc., as parent guarantor, the subsidiary guarantors thereof and U.S. Bank National Association, as trustee.” We paid interest on the senior notes on April 1 and October 1 of each year, commencing October 1, 2010, and they were scheduled to expire on April 1, 2018.

 

Optional Redemption. Under the Indenture, Radnet Management could redeem the senior notes, in whole or in part, at any time on or after April 1, 2014, at the redemption prices specified under the Indenture. Prior to April 1, 2014, Radnet Management was also permitted to redeem the senior notes, in whole or in part, at a redemption price equal to 100% of the principal amount redeemed, plus a make-whole premium established by the Indenture and accrued and unpaid interest, if any.

 

Senior Notes Tender Offer and Exercise of Optional Redemption

 

Radnet Management completed the retirement of its $200 million in Senior Notes on April 24, 2014 and following such retirement the Company completed the satisfaction and discharge of the Indenture. The transactions leading to the retirement of the Senior Notes are described below:

 

Tender Offer and Exercise of Optional Redemption on March 7, 2014. On March 7, 2014, Radnet Management commenced a tender offer to purchase for cash any and all outstanding senior notes. In connection with the tender offer, Radnet Management also commenced a consent solicitation to amend the Indenture to eliminate or modify certain restrictive covenants. On March 25, 2014 (the “Initial Payment Date”), Radnet Management made a payment in cash for all senior notes tendered prior to 5:00 P.M., New York City time, on March 20, 2014 (the “Consent Payment Deadline”). As of the Consent Payment Deadline, Radnet Management had received tenders and consents in respect of $193,464,000 aggregate principal amount of the senior notes, representing 96.73% of the outstanding senior notes, all of which were accepted for purchase. The total consideration for each $1,000 principal amount of senior notes validly tendered and not withdrawn at or prior to the Consent Payment Deadline and accepted for purchase was $1,056.88 (the “Total Consideration”), which amount included a consent payment (the “Consent Payment”) of $30.00 per $1,000 principal amount of senior notes. In addition, all senior notes accepted for payment received accrued and unpaid interest in respect of such notes from the last interest payment date prior to the applicable settlement date to, but not including, the applicable settlement date. The tender offer expired on April 3, 2014 and between the Consent Payment Deadline and the expiration of the tender offer, no additional senior notes were tendered. With a net carrying amount including discount and unamortized issue costs of $189.2 million, a loss on early extinguishment of debt of $15.5 million was recorded in the first quarter of 2014.

 

Tender Offer and Exercise on Optional Redemption of March 25, 2014. On March 25, 2014, Radnet Management called for redemption all of its remaining outstanding senior notes not purchased prior to the expiration of the tender offer described above, with a redemption date of April 24, 2014 (the “Redemption Date”). Upon redemption on April 24, 2014, the holders of the senior notes being redeemed received a redemption price equal to 105.188% of the outstanding principal amount of the senior notes being redeemed (or $1,051.88 per $1,000 in principal amount of the senior notes) in accordance with the terms of the Indenture, or approximately $6.9 million in total, including approximately $43,000 of accrued and unpaid interest up to, but excluding the Redemption Date.  As of that date, Radnet Management completed the satisfaction and discharge of the Indenture in accordance with its terms and no senior notes remained outstanding.  With a net carrying amount including discount and unamortized issue costs of $6.4 million, a loss on early extinguishment of debt of $471,000 was recorded in the second quarter of 2014.

 

Capital Lease Investments

 

During the nine months ended September 30, 2014, we added capital lease debt of approximately $12.6 million relating to radiology equipment.

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6. STOCK-BASED COMPENSATION
9 Months Ended
Sep. 30, 2014
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]  
STOCK-BASED COMPENSATION

NOTE 6 – STOCK-BASED COMPENSATION

 

Stock Incentive Plans

 

Options and Warrants

 

We have two long-term incentive plans which we refer to as the 2000 Plan and the 2006 Plan. The 2000 Plan was terminated as to future grants when the 2006 Plan was approved by the stockholders in 2006 and as of September 30, 2014 no options or warrants were outstanding under our 2000 Plan. As of September 30, 2014, we have reserved for issuance under the 2006 Plan 11,000,000 shares of common stock. Certain options granted under the 2006 Plan to employees are intended to qualify as incentive stock options under existing tax regulations. In addition, we may issue non-qualified stock options and warrants under the 2006 Plan from time to time to non-employees, in connection with acquisitions and for other purposes and we may also issue restricted stock under the 2006 Plan. Stock options and warrants generally vest over two to five years and expire five to ten years from date of grant.

 

As of September 30, 2014, 2,037,509, or approximately 96.9%, of the 2,102,509 outstanding stock options and warrants granted under our 2006 Plan are fully vested. During the nine months ended September 30, 2014, we did not grant options or warrants under our 2006 Plan.

 

We have issued warrants outside the 2006 Plan under various types of arrangements to employees, and in exchange for outside services. All warrants issued to employees or consultants after our February 2007 listing on the NASDAQ Global Market have been characterized as awards under the 2006 Plan. All warrants outside the 2006 Plan have been issued with an exercise price equal to the fair value of the underlying common stock on the date of grant.

 

As of September 30, 2014, no warrants remain outstanding outside the 2006 Plan.

 

The following summarizes all of our option and warrant transactions during the nine months ended September 30, 2014:

 

Outstanding Options and Warrants Under the 2006 Plan and 2000 Plan   Shares     Weighted Average Exercise price Per Common Share     Weighted Average Remaining Contractual Life (in years)     Aggregate Intrinsic Value  
                         
Balance, December 31, 2013     4,701,250     $ 3.15                  
Granted                            
Exercised     (2,283,741 )     2.38                  
Canceled or expired     (315,000 )     5.91                  
Balance, September 30, 2014     2,102,509       3.57       1.44     $ 7,017,488  
Exercisable at September 30, 2014     2,037,509       3.62       1.36       6,719,788  

 

Non-Plan Outstanding Warrants     Shares       Weighted Average Exercise price Per Common Share       Weighted Average  Remaining  Contractual Life  (in years)       Aggregate Intrinsic Value  
Balance, December 31, 2013     200,000     $ 2.62                  
Granted                            
Exercised     (200,000 )     2.62                  
Canceled or expired                            
Balance, September 30, 2014                     $  
Exercisable at September 30, 2014                        

 

Aggregate intrinsic value in the table above represents the total pretax intrinsic value (the difference between our closing stock price on September 30, 2014 and the exercise price, multiplied by the number of in-the-money options or warrants, as applicable) that would have been received by the holder had all holders exercised their options or warrants, as applicable, on September 30, 2014. Total intrinsic value of options and warrants exercised during the nine months ended September 30, 2014 and 2013 was approximately $5.9 million and $2.3 million, respectively. As of September 30, 2014, total unrecognized stock-based compensation expense related to non-vested employee awards was $39,000, which is expected to be recognized over a weighted average period of approximately 2.1 years.

 

Restricted Stock Awards (“RSA’s”)

 

The 2006 Plan permits the award of restricted stock. On January 2, 2014, we granted awards for 1,011,785 shares of our common stock to certain employees and outside directors. Of these awards granted, 337,262 shares vested on the award date, with the remaining 674,524 shares vesting at the completion of each year’s service by 337,262 shares per year over the next two years. We valued this award based on the closing market price of our stock on January 2, 2014 which was $1.62 per share.

 

At September 30, 2014, the total unrecognized fair value of all restricted stock awards was approximately $1.1 million, which will be recognized over the remaining vesting period of 2.50 years.

 

In sum, of the 11,000,000 shares of common stock reserved for issuance under the 2006 Plan, at September 30, 2014, we had 4,834,294 options, warrants and shares of restricted stock outstanding, 2,296,241 options exercised and 3,869,465 shares of common stock available for grant.

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7. FAIR VALUE MEASUREMENTS
9 Months Ended
Sep. 30, 2014
Fair Value Disclosures [Abstract]  
FAIR VALUE MEASUREMENTS

NOTE 7 – FAIR VALUE MEASUREMENTS

 

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

 

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

 

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

 

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

 

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

 

    As of September 30, 2014  
    Level 1     Level 2     Level 3     Total Fair Value     Total Face Value  
2014 First Lien Term Loans   $     $ 402,411     $     $ 402,411     $ 404,942  
Second Lien Term Loans           $ 180,000     $       180,000     $ 180,000  
                                         
      As of December 31, 2013  
    Level 1     Level 2     Level 3     Total     Total Face Value  
Senior Term Loan   $     $ 380,508     $     $ 380,508     $ 349,125  
Senior Notes           199,000             199,000       200,000  

  

The carrying value of our revolving credit facility at September 30, 2014 and December 31, 2013 of $25.1 million and $0, respectively, approximated its fair value.

 

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

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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Tables)
9 Months Ended
Sep. 30, 2014
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Service fee revenue

Our revenue, net of contractual allowances, discounts and provision for bad debts for the three and nine months ended September 30, 2014 and 2013 is summarized in the following table (in thousands):

 

    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2014     2013     2014     2013  
Commercial Insurance   $ 109,472     $ 103,934     $ 314,300     $ 310,147  
Medicare     41,203       38,276       118,627       113,916  
Medicaid     6,248       5,869       18,214       18,358  
Workers' Compensation/Personal Injury     7,821       8,566       22,708       27,666  
Other     6,354       8,727       24,688       26,337  
Service fee revenue, net of contractual allowances and discounts     171,098       165,373       498,536       496,424  
Provision for bad debts     (7,532 )     (7,033 )     (21,945 )     (20,810 )
Net service fee revenue     163,566       158,340       476,591       475,614  
Revenue under capitation arrangements     20,493       16,848       55,426       49,034  
Total net revenue   $ 184,059     $ 175,188     $ 532,017     $ 524,648  

 

Senior secured term loan debt

Included in our condensed consolidated balance sheet at September 30, 2014 are $572.2 million of senior secured term loan debt (net of unamortized discounts of $12.7 million), broken down by loan agreement as follows (in thousands):

 

    Face Value     Discount     Total Carrying Value  
2014 First Lien Term Loans   $ 404,942     $ (9,922 )   $ 395,020  
Second Lien Term Loans   $ 180,000     $ (2,772 )   $ 177,228  
Total   $ 584,942     $ (12,694 )   $ 572,248  

 

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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details - Revenue breakdown) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]        
Commercial Insurance $ 109,472 $ 103,934 $ 314,300 $ 310,147
Medicare 41,203 38,276 118,627 113,916
Medicaid 6,248 5,869 18,214 18,358
Workers' Compensation/Personal Injury 7,821 8,566 22,708 27,666
Other 6,354 8,727 24,688 26,337
Service fee revenue, net of contractual allowances and discounts 171,098 165,373 498,536 496,424
Provision for bad debts (7,532) (7,033) (21,945) (20,810)
Net service fee revenue 163,566 158,340 476,591 475,614
Revenue under capitation arrangements 20,493 16,848 55,426 49,034
Total net revenue $ 184,059 $ 175,188 $ 532,017 $ 524,648
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5. INVESTMENT IN JOINT VENTURES (Details-Key financial data) (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Key financial data for joint ventures    
Current assets - joint ventures $ 14,181  
Noncurrent assets - joint ventures 48,306  
Current liabilities - joint ventures (5,623)  
Noncurrent liabilities - joint ventures (6,944)  
Total net assets -joint ventures 49,920  
Book value of Radnet joint venture interests 23,232  
Cost in excess of book value of acquired joint venture interests 3,857  
Elimination of intercompany profit remaining on Radnet's consolidated balance sheet 385  
Total value of Radnet joint venture interests 27,474  
Total book value of other joint venture partner interests 26,688  
Net revenue 73,859 68,912
Net income $ 9,801 $ 9,819
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CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Statement of Comprehensive Income [Abstract]        
NET INCOME (LOSS) $ 4,509 $ (367) $ (2,610) $ 1,028
Foreign currency translation adjustments (1) 13 (38) (104)
COMPREHENSIVE INCOME (LOSS) 4,508 (354) (2,648) 924
Less comprehensive income attributable to non-controlling interests 58 100 219 151
COMPREHENSIVE INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS $ 4,450 $ (454) $ (2,867) $ 773
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3. NEW ACCOUNTING STANDARDS
9 Months Ended
Sep. 30, 2014
New Accounting Standards  
RECENT ACCOUNTING STANDARDS

NOTE 3 – NEW ACCOUNTING STANDARDS

 

In May 2014, the Financial Accounting Standard Board issued a GAAP update "Revenue from Contracts with Customers". This GAAP update requires an entity to recognize revenue when it transfers promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. This GAAP update also requires more detailed disclosures to enable users of the financial statements to understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. The GAAP update is effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2016. We are currently evaluating the impact of the GAAP update on our consolidated financial position, results of operations and cash flows.

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5. INVESTMENT IN JOINT VENTURES (Details Narrative) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Equity Method Investments and Joint Ventures [Abstract]        
Management service fees from centers underlying joint ventures $ 2,300 $ 2,300 $ 6,900 $ 7,000
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7. FAIR VALUE MEASUREMENTS (Tables)
9 Months Ended
Sep. 30, 2014
Fair Value Disclosures [Abstract]  
FAIR VALUE MEASUREMENTS

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

 

    As of September 30, 2014  
    Level 1     Level 2     Level 3     Total Fair Value     Total Face Value  
2014 First Lien Term Loans   $     $ 402,411     $     $ 402,411     $ 404,942  
Second Lien Term Loans           $ 180,000     $       180,000     $ 180,000  
                                         
      As of December 31, 2013  
    Level 1     Level 2     Level 3     Total     Total Face Value  
Senior Term Loan   $     $ 380,508     $     $ 380,508     $ 349,125  
Senior Notes           199,000             199,000       200,000