RadNet, Inc. Headlines

RadNet Reports First Quarter 2009 Results

 

·        RadNet reports Revenue of $128.0 million and Adjusted EBITDA([1])of $26.3 million; increases of 12.4% and 19.4%, respectively over the prior year’s quarterly results

·        Overall procedure volumes increased 9.3%

·        Per share loss was $(0.02) compared to $(0.15) for three month period ended March 31, 2008

·        RadNet reaffirms its previously announced 2009 Guidance of $515-545 million of Revenue and $105-$115 of Adjusted EBITDA(1)

LOS ANGELES, Calif., May 8, 2009 – RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective diagnostic imaging services through a network of fully-owned and operated outpatient imaging centers, today reported financial results for its first quarter ended March 31, 2009.

RadNet reported Revenue and Adjusted EBITDA(1) of $128.0 million and $26.3 million, respectively.  Revenue increased 12.4% (or $14.1 million) and Adjusted EBITDA(1) increased 19.4% (or $4.3 million), respectively, over the prior year’s quarter.  The results reflect improved procedural volume in existing centers as well as the contribution of acquisitions and operating initiatives.

For the first quarter of 2009, as compared to the prior year’s quarter, MRI volume increased 14.8%, CT volume increased 12.4% and PET/CT volume increased 1.4%.  Overall volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 9.3% over the prior year’s quarter.

On a same-center basis, including only those centers which were part of RadNet for both the first quarters of 2009 and 2008, MRI volume increased 5.7%, CT volume increased 5.6% and PET/CT volume increased 1.0%.  Overall same-center volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 2.8% over the prior year’s quarter.

Net Loss for the first quarter of 2009 was $842,000, or $(0.02) per share, compared to a net loss of $5.5 million or $(0.15) per share, reported for the three month period ended March 31, 2008 (based upon a weighted average number of shares outstanding of 35.9 million and 35.6 million for these periods in 2009 and 2008, respectively).  Affecting net income in the first quarter of 2009 were certain non-cash expenses including:

·          ·          $­­­1.1 million non-cash loss on the fair value adjustments of interest rate swaps related to the Company’s credit facilities;

·         ·         $670,000 of Deferred Financing Expense related to the amortization of financing fees paid as part of the Company’s $405 million credit facilities drawn down in November 2006 in connection with the Radiologix acquisition and the incremental term loans and revolving credit facility arranged in August 2007 and February 2008; and

·          ·         $709,000 of non-cash employee stock compensation expense resulting from the vesting of certain options and warrants.

“We are pleased with our progress in the first quarter of 2009.  In particular, we noted an increase in our EBITDA margins to 20.6% from our full-year 2008 margin of 19.6%.  We are encouraged that some of our more recent operational and cost savings initiatives are beginning to pay dividends, as evidenced by a significant improvement in our bottom-line performance.  We continue to see strong volumes in our markets and have yet to see a material negative impact on our business from the broader national economic troubles.” said Dr. Howard Berger, Chairman and Chief Executive Officer of RadNet.

“We are also pleased that in the first quarter of 2009, we reduced our Accounts Payable and Accrued Expenses by almost $10 million, and improved our working capital position by almost $5 million.  Even taking this into consideration, our cash flow from operations this quarter was $19.4 million greater than the corresponding period last year.  Because much of our capital needs for the year will have been satisfied by the end of the second quarter, we expect free cash flow in the second half of the year to exceed $25 million.” continued Dr. Berger.

Dr. Berger added, “Our industry continues to present us with unique opportunities for consolidation, which are deleveraging and immediately accretive.  The acquisition we recently announced in New Jersey and Westchester, NY is an example of one such opportunity. While we remain highly selective regarding the transactions we pursue, we continue to believe that we are extremely well positioned to continue growing while deleveraging our balance sheet.”

2009 Fiscal Year Guidance

For its 2009 fiscal year, RadNet reaffirms its guidance ranges as follows

Revenue

$515 million - $545 million

Adjusted EBITDA(1)

$105 million - $115 million

Capital Expenditures

$30 million - $35 million

Cash Interest Expense

$41 million - $45 million

Free Cash Flow Generation (a)

$25 million - $35 million

End of Year Net Debt Balance (b)

$438 million - $448 million

(a)        (a)      Defined by the Company as Adjusted EBITDA(1) less total capital expenditures and cash interest expense

(b)        (b)         Total Debt net of Cash.

First Quarter 2009 Earnings Conference Call

RadNet will host a conference call to discuss its first quarter 2009 results on Friday, May 8th, 2009 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).

Investors are invited to listen to RadNet’s conference call by dialing 888-277-7138.  International callers can dial 913-312-0377.  There will also be simultaneous and archived webcasts available at http://www.radnet.com under the “Investors” menu section and “News Releases” sub-menu of the website.  An archived replay of the call will also be available until May 15th and can be accessed by dialing 888-203-1112 from the U.S., or 719-457-0820 for international callers, and using the passcode 2645742.

Regulation G: GAAP and Non-GAAP Financial Information

This release contains certain financial information not reported in accordance with GAAP. RadNet uses both GAAP and non-GAAP metrics to measure its financial results.  The Company believes that, in addition to GAAP metrics, these non-GAAP metrics assist RadNet in measuring its performance.  RadNet believes this information is useful to investors and other interested parties because it removes unusual and nonrecurring charges that occur in the affected period and provides a basis for measuring the Company's financial condition against other quarters.  Such information should not be considered as a substitute for any measures calculated in accordance with GAAP, and may not be comparable to other similarly titled measures of other companies.  Non-GAAP financial measures should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. Reconciliation of this information to the most comparable GAAP measures is included in this release in the tables which follow.


[1] Definition of EBITDA, a non-GAAP measure, is found on the last page of this release.

About RadNet, Inc.

RadNet, Inc. is a national market leader providing high-quality, cost-effective diagnostic imaging services through a network of 167 fully-owned and operated outpatient imaging centers.  RadNet’s core markets include California, Maryland, Delaware and New York.  Together with affiliated radiologists, and inclusive of full-time and per diem employees and technicians, RadNet has a total of approximately 4,000 employees.  For more information, visit http://www.radnet.com.

Forward Looking Statements

This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Specifically, statements concerning RadNets’ ability to continue to grow its business by generating patient referrals and contracts with radiology practices, future acquisitions, cost savings, successful integration of acquired operations, and receiving third-party reimbursement for diagnostic imaging services, as well as RadNet's financial guidance, its statements regarding increased business from new operations, are forward-looking statements within the meaning of the Safe Harbor. Forward-looking statements are based on management's current, preliminary expectations and are subject to risks and uncertainties, which may cause RadNet's actual results to differ materially from the statements contained herein. Further information on potential risk factors that could affect RadNet's business and its financial results are detailed in its most recent Annual Report on Form 10-K and Form 10Q, as filed with the Securities and Exchange Commission. Undue reliance should not be placed on forward-looking statements, especially guidance on future financial performance, which speaks only as of the date they are made. RadNet undertakes no obligation to update publicly any forward-looking statements to reflect new information, events or circumstances after the date they were made, or to reflect the occurrence of unanticipated events.

CONTACTS:

RadNet, Inc.

Mark Stolper, 310-445-2800

Executive Vice President and Chief Financial Officer

Integrated Corporate Relations, Inc.

John Mills, 310-954-1105               

jmills@icrinc.com

CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE DATA)

ASSETS

 

March 31,

2009

December 31,

2008

CURRENT ASSETS

 

 

   Cash and cash equivalents

$           --

$           --

   Accounts receivable, net

97,170

96,097

   Refundable income taxes

103

103

   Prepaid expenses and other current assets

     10,497

      12,370

 Total current assets

107,770

108,570

 

 

 

PROPERTY AND EQUIPMENT, NET

189,956

193,104

OTHER ASSETS

 

 

   Goodwill

105,378

105,278

   Other intangible assets

56,022

 56,861

   Deferred financing costs, net

10,237

10,907

   Investment in joint ventures

18,712

17,637

   Deposits and other

        3,748

        3,752

     Total other assets

194,097

194,435

     Total assets 

$  491,823

$  496,109

 

 

 

LIABILITIES AND EQUITY

CURRENT LIABILITIES

 

 

   Accounts payable and accrued expenses

71,319

$     81,175

   Due to affiliates

5,524

5,015

   Notes payable

7,412

5,501

   Current portion of deferred rent

408

390

   Obligations under capital leases

16,862

15,064

     Total current liabilities

101,525

107,145

 

 

 

LONG-TERM LIABILITIES

 

 

   Line of credit

--

1,742

   Deferred rent, net of current portion

7,801

7,996

   Deferred taxes

277

277

   Notes payable, net of current portion

421,687

419,735

   Obligations under capital lease, net of

 

 

    current portion

23,555

24,238

   Other non-current liabilities

21,222

16,006

     Total long-term liabilities

474,542

469,994

 

 

 

COMMITMENTS AND CONTINGENCIES

EQUITY DEFICIT

 

 

Radnet, Inc.’s equity deficit:   Common stock - $.0001 par value,   200,000,000 shares authorized;   35,924,279 and 35,911,474 shares    issued and outstanding at March 31, 2009 and December 31, 2008, respectively 

 

 

 

 

 

 

 

 

 

 

4

4

   Paid-in-capital

153,715

153,006

   Accumulated other comprehensive loss

(9,476)

(6,396)

   Accumulated deficit

  (228,564)

  (227,722)

 

 

 

     Total Radnet, Inc.’s equity deficit

(84,321)

(81,108)

   Noncontrolling interests

           77

           78

 

 

     Total equity deficit

    (84,244)

    (81,030)

 

 

 

     Total liabilities and equity deficit

$  491,823

$ 496,109

 

 

 

RADNET, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

                    Three Months Ended

 

                    March 31,

 

2009

2008

NET REVENUE

$  128,003

$  113,897

 

 

 

OPERATING EXPENSES

 

 

   Operating expenses

97,013

88,966

   Depreciation and amortization

13,174

12,469

   Provision for bad debts

7,974

6,487

   Loss on sale of equipment

26

8

   Severance costs

           17

          31

     Total operating expenses

118,204

107,961

 

 

 

INCOME FROM OPERATIONS

9,799

5,936

 

 

 

OTHER EXPENSES (INCOME)

 

 

   Interest expense

13,022

13,588

   Other (income) expense

        197

      (32)

…..Total other expense

13,219

13,556

 

 

 

LOSS BEFORE INCOME TAXES AND EQUITY IN EARNINGS

OF JOINT VENTURES

 

 

(3,420)

(7,620)

   Provision for income taxes

(37)

(123)

   Equity in earnings of joint ventures

       2,635

               2,292

 

 

 

NET LOSS

(822)

(5,451)

   Net income attributable to noncontrolling interests

                     0

                      24

NET LOSS ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS

 

 

$     (842)    

$   (5,475)

BASIC AND DILUTED NET LOSS PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS

 

 

 

 

$    (0.02)

$    (0.15)

 

 

 

WEIGHTED AVERAGE SHARES OUTSTANDING

 

 

   Basic and diluted

35,916,169

35,561,041

 

 

 

RADNET, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

 

 

 

 

                  Three Months Ended

 

                       March 31,

 

2009

2008

CASH FLOWS FROM OPERATING ACTIVITIES

 

 

 

 

 

Net loss

$   (822)

$ (5,451)

Adjustments to reconcile net loss to net cash

 

 

provided by operating activities:

 

 

Depreciation and amortization

13,174

12,469

Provision for bad debts

7,974

6,487

Distributions to non-controlling interests

(21)

(10)

Equity in earnings of joint ventures

(2,635)

(2,292)

Distributions from joint ventures

1,770

1,371

Deferred rent amortization

(177)

290

Deferred financing cost interest expense

670

531

Net loss on disposal of assets

26

8

Share-based compensation 

709

454

Changes in operating assets and liabilities, net

 

 

of assets acquired and liabilities assumed in

 

 

purchase transactions:

 

 

Accounts receivable

(9,047)

(14,182)

Other current assets

1,955

(1,027)

Other assets

4

(573)

Accounts payable and accrued expenses

    3,087

       (768

Net cash provided by (used in) operating activities

16,667

(2,693)

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES

   Purchase of imaging facilities

(1,811)

(15,028)

   Purchase of property and equipment

(6,885)

(9,743)

   Proceeds from sale of equipment

--

228

   Purchase of equity interest in joint ventures

     (210)

      (328)

        Net cash used in investing activities

(8,906)

(24,871)

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES

    Change in restricted cash

--

(8,046)

    Principal payments on notes and leases payable

(5,519)

(4,410)

    Proceeds from borrowings on notes payable

--

35,000

    Deferred financing costs

--

(4,195)

    Net (payments) proceeds on line of credit

(1,742)

8,936

    Distributions to counterparties of cash flow hedges

(500)

 

    Proceeds from issuance of common stock

--

261

    cash (used in) provided by financing

Activities

(7,761)

27,546

 

 

NET DECREASE IN CASH

--

(18)

CASH, beginning of period

--

18

CASH, end of period

--

$    --

 

 

 

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION

   Cash paid during the period for interest

$ 11,020

$ 11,446

 

 

 

RADNET, INC.

RECONCILIATION OF GAAP INCOME FROM OPERATIONS TO Adjusted EBITDA(1)

(IN THOUSANDS)

 

                 Three Months Ended

 

                     March 31,

 

2009

2008

 

 

 

Income (Loss) from Operations

$  9,799

$  5,936

Plus Depreciation and Amortization

13,174

12,469

Plus Earnings from Joint Ventures

2,635

2,292

Plus Non Cash Employee Stock Compensation

709

454

Plus Loss on Disposal of Equipment

26

8

Less Net Income Attributable to Noncontrolling Interests

(20)

(24)

 

 

Plus Severance: Elimination of Corporate Personnel

17

31

Plus One Time Expense Related to Settling a

 

 

  Business Dispute

--

700

Plus One Time Consulting Fee Related to Review of 2006 Accounts Receivables 

 

 

-- 

200

     Adjusted EBITDA(1)

$ 26,340

$ 22,066

 

 

 

RADNET PAYMENTS BY PAYORS

 

 

 

First Quarter

Full Year

 

2009

2008

Commercial Insurance

56.1%

56.6%

Medicare

19.9% 

19.6%

Capitation

15.4%

15.0%

Workers Compensation/Personal Injury

3.8%

3.7%

Medicaid

2.8%

3.1%

Other

2.1%

2.0%

 

100.0%

100.0%

Note:

 

 

Based upon global payments received from consolidated Imaging Centers from that year’s dates of service. Excludes payments from hospital contracts, Breastlink, Center Management Fees and other miscellaneous operating activities.

 

RADNET PAYMENTS BY MODALITY

 

First Quarter

Full Year

 

2009

2008

MRI

34.6%

34.2%

CT

19.3%

19.0%

PET/CT

6.0%

6.2%

X-ray

10.3%

10.8%

Ultrasound

10.1%

10.2%

Mammography

15.3%

14.9%

Nuclear Medicine

1.5%

1.6%

Other

2.8% 

3.1%

 

100.0%

100.0%

Note:

 

 

Based upon global payments received from consolidated Imaging Centers from that year’s dates of service. Excludes payments from hospital contracts, Breastlink, Center Management Fees and other miscellaneous operations.

 

 

 

RADNET AVERAGE PAYMENTS BY MODALITY

 

First Quarter

Full Year

 

2009

2008

MRI

$ 505

$  505

CT

311

310

PET/CT 

1,490

1,494

X-ray

38

37

Ultrasound

108

107

Mammography

136

134

Nuclear Medicine

326

327

Other

129

129

Note:

 

 

Based upon global payments received from consolidated Imaging Centers from that year’s dates of service. Excludes payments from hospital contracts, Breastlink, Center Management Fees and other miscellaneous operating activities.

 

 (1) The Company defines Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, each from continuing operations and adjusted for losses or gains on the disposal of equipment, debt extinguishments and non-cash equity compensation.  Adjusted EBITDA includes equity earnings in unconsolidated operations and subtracts minority interests in subsidiaries, and is adjusted for non-cash or extraordinary and one-time events taken place during the period.

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure.  Adjusted EBITDA is a non-GAAP financial measure used as analytical indicator by RadNet management 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.


 

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