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, May 8, 2009 (GLOBE NEWSWIRE) -- 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) Defined by the Company as Adjusted EBITDA(1) less total capital
     expenditures and cash interest expense
 (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.

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.



                    RADNET, INC. AND SUBSIDIARIES
                     CONSOLIDATED BALANCE SHEETS
                   (IN THOUSANDS EXCEPT SHARE DATA)

                                              March 31,   December 31,
                                                2009          2008
                                            ------------  ------------
                  ASSETS
 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                                           20          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
                                                    --------  --------
      Net 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.

Footnotes

(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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