Document and Entity Information
Document and Entity Information - shares | 9 Months Ended | |
Sep. 30, 2019 | Nov. 06, 2019 | |
Document and Entity Information | ||
Entity Registrant Name | RadNet, Inc. | |
Entity Central Index Key | 0000790526 | |
Document Type | 10-Q | |
Document Period End Date | Sep. 30, 2019 | |
Amendment Flag | false | |
Current Fiscal Year End Date | --12-31 | |
Entity Current Reporting Current | Yes | |
Entity Filer Category | Accelerated Filer | |
Entity Small Business | false | |
Entity Emerging Growth Company | false | |
Entity Common Stock, Shares Outstanding | 50,271,829 | |
Document Fiscal Period Focus | Q3 | |
Document Fiscal Year Focus | 2019 | |
Entity Shell Company | false |
CONDENSED CONSOLIDATED BALANCE
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018 |
CURRENT ASSETS | ||
Cash and cash equivalents | $ 37,688 | $ 10,389 |
Accounts receivable | 150,748 | 148,919 |
Due from affiliates | 1,385 | 595 |
Prepaid expenses and other current assets | 47,857 | 46,288 |
Assets held for sale | 2,041 | 2,499 |
Total current assets | 239,719 | 208,690 |
PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS | ||
Property and equipment, net | 352,310 | 345,729 |
Operating lease right-of-use assets | 438,558 | |
Total property, equipment and right-of-use assets | 790,868 | 345,729 |
OTHER ASSETS | ||
Goodwill | 439,867 | 418,093 |
Other intangible assets | 43,613 | 40,593 |
Deferred financing costs | 1,670 | 1,354 |
Investment in joint ventures | 36,868 | 37,973 |
Deferred tax assets, net of current portion | 34,423 | 31,506 |
Deposits and other | 30,872 | 25,392 |
Total assets | 1,617,900 | 1,109,330 |
CURRENT LIABILITIES | ||
Accounts payable, accrued expenses and other | 175,894 | 181,028 |
Due to affiliates | 18,592 | 13,089 |
Deferred revenue | 1,908 | 2,398 |
Current portion of deferred rent | 0 | 3,735 |
Current finance lease liability | 4,095 | |
Current operating lease liability | 69,308 | |
Current portion of notes payable | 39,719 | 33,653 |
Current portion of obligations under capital leases | 0 | 5,614 |
Total current liabilities | 309,516 | 239,517 |
LONG-TERM LIABILITIES | ||
Deferred rent, net of current portion | 0 | 31,542 |
Long-term finance lease liability | 4,042 | |
Long-term operating lease liability | 410,958 | |
Notes payable, net of current portion | 662,605 | 626,507 |
Obligations under capital lease, net of current portion | 0 | 6,505 |
Other non-current liabilities | 15,707 | 5,006 |
Total liabilities | 1,402,828 | 909,077 |
EQUITY | ||
Common stock - $.0001 par value, 200,000,000 shares authorized; 50,254,136 and 48,977,485 shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively | 5 | 5 |
Additional paid-in-capital | 260,463 | 242,835 |
Accumulated other comprehensive (loss) income | (12,250) | 2,259 |
Accumulated deficit | (113,555) | (117,915) |
Total RadNet, Inc.'s stockholders' equity | 134,663 | 127,184 |
Noncontrolling interests | 80,409 | 73,069 |
Total equity | 215,072 | 200,253 |
Total liabilities and equity | $ 1,617,900 | $ 1,109,330 |
CONDENSED CONSOLIDATED BALANC_2
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - $ / shares | Sep. 30, 2019 | Dec. 31, 2018 |
Statement of Financial Position [Abstract] | ||
Common stock - par value (in dollars per share) | $ 0.0001 | $ 0.0001 |
Common stock - shares authorized (in shares) | 200,000,000 | 200,000,000 |
Common stock - shares issued (in shares) | 50,254,136 | 48,977,485 |
Common stock - shares outstanding (in shares) | 50,254,136 | 48,977,485 |
CONDENSED CONSOLIDATED STATEMEN
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | |
REVENUE | ||||
Total revenue | $ 292,692 | $ 242,148 | $ 853,338 | $ 717,935 |
OPERATING EXPENSES | ||||
Cost of operations, excluding depreciation and amortization | 254,383 | 208,511 | 743,997 | 634,200 |
Depreciation and amortization | 20,490 | 17,480 | 60,193 | 53,422 |
Loss (gain) on sale and disposal of equipment and other | 917 | (373) | 1,990 | (2,204) |
Severance costs | 52 | 82 | 1,054 | 1,087 |
Total operating expenses | 275,842 | 225,700 | 807,234 | 686,505 |
INCOME FROM OPERATIONS | 16,850 | 16,448 | 46,104 | 31,430 |
OTHER INCOME AND EXPENSES | ||||
Interest expense | 11,895 | 10,663 | 36,589 | 31,343 |
Equity in earnings of joint ventures | (1,955) | (2,822) | (6,072) | (9,547) |
Other expenses | 2 | 7 | 1,271 | 13 |
Total other expenses | 9,942 | 7,848 | 31,788 | 21,809 |
INCOME BEFORE INCOME TAXES | 6,908 | 8,600 | 14,316 | 9,621 |
Provision for income taxes | (1,816) | (2,827) | (3,556) | (2,835) |
NET INCOME | 5,092 | 5,773 | 10,760 | 6,786 |
Net income attributable to noncontrolling interests | 1,897 | 734 | 6,400 | 3,679 |
NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ 3,195 | $ 5,039 | $ 4,360 | $ 3,107 |
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (in dollars per share) | $ 0.06 | $ 0.10 | $ 0.09 | $ 0.06 |
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (in dollars per share) | $ 0.06 | $ 0.10 | $ 0.09 | $ 0.06 |
WEIGHTED AVERAGE SHARES OUTSTANDING Basic (in shares) | 49,807,460 | 48,010,726 | 49,597,138 | 47,937,215 |
WEIGHTED AVERAGE SHARES OUTSTANDING Diluted (in shares) | 50,360,360 | 48,615,392 | 50,113,306 | 48,481,305 |
Service fee revenue | ||||
REVENUE | ||||
Service fee revenue, net of contractual allowances and discounts | $ 261,908 | $ 217,552 | $ 762,751 | $ 641,136 |
Revenue under capitation arrangements | ||||
REVENUE | ||||
Service fee revenue, net of contractual allowances and discounts | $ 30,784 | $ 24,596 | $ 90,587 | $ 76,799 |
CONDENSED CONSOLIDATED STATEM_2
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME (Unaudited) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | |
Statement of Comprehensive Income [Abstract] | ||||
Net income | $ 5,092 | $ 5,773 | $ 10,760 | $ 6,786 |
Foreign currency translation adjustments | (23) | (91) | (28) | (65) |
Change in fair value of cash flow hedge, net of taxes | (5,283) | (14,481) | ||
Change in fair value of cash flow hedge, net of taxes | 595 | 4,889 | ||
COMPREHENSIVE (LOSS) INCOME | (214) | 6,277 | (3,749) | 11,610 |
Less comprehensive income attributable to noncontrolling interests | 1,897 | 734 | 6,400 | 3,679 |
COMPREHENSIVE LOSS ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ (2,111) | $ 5,543 | $ (10,149) | $ 7,931 |
CONDENSED CONSOLIDATED STATEM_3
CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY (Unaudited) - USD ($) $ in Thousands | Total | Total Radnet, Inc.'s Equity | Common Stock | Additional Paid-In Capital | Accumulated Other Comprehensive Income (Loss) | Accumulated Deficit | Noncontrolling Interests |
Beginning balance (in shares) at Dec. 31, 2017 | 47,723,915 | ||||||
Beginning balance, value at Dec. 31, 2017 | $ 69,925 | $ 61,560 | $ 5 | $ 212,261 | $ (548) | $ (150,158) | $ 8,365 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Issuance of common stock upon exercise of options (in shares) | 5,000 | ||||||
Issuance of common stock upon exercise of options | 10 | 10 | 10 | ||||
Issuance of common stock under the equity compensation plan (in shares) | 607,160 | ||||||
Issuance of common stock under the equity compensation plan | 0 | ||||||
Stock-based compensation expense | 6,364 | 6,364 | 6,364 | ||||
Forfeiture of restricted stock (in shares) | (1,150) | ||||||
Forfeiture of restricted stock | (7) | (7) | (7) | ||||
Sale of noncontrolling interests, net of taxes | 40,779 | 15,593 | 15,593 | 25,186 | |||
Special distribution from noncontrolling interest | (6,281) | 2,894 | 2,894 | (9,175) | |||
Distributions paid to noncontrolling interests | (913) | (913) | |||||
Purchase of noncontrolling interests | (200) | (43) | (43) | (157) | |||
Change in cumulative foreign currency translation adjustment | (65) | (65) | (65) | ||||
Change in fair value cash flow hedge, net of taxes | 4,889 | 4,889 | 4,889 | ||||
Net income (loss) | 6,786 | 3,107 | 3,107 | 3,679 | |||
Ending balance (in shares) at Sep. 30, 2018 | 48,334,925 | ||||||
Ending balance, value at Sep. 30, 2018 | 121,287 | 94,302 | $ 5 | 237,072 | 4,276 | (147,051) | 26,985 |
Beginning balance (in shares) at Jun. 30, 2018 | 48,284,925 | ||||||
Beginning balance, value at Jun. 30, 2018 | 124,934 | 87,305 | $ 5 | 235,713 | 3,677 | (152,090) | 37,629 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Issuance of common stock upon exercise of options (in shares) | 5,000 | ||||||
Issuance of common stock upon exercise of options | 10 | 10 | 10 | ||||
Issuance of common stock under the equity compensation plan (in shares) | 45,000 | ||||||
Issuance of common stock under the equity compensation plan | 0 | ||||||
Stock-based compensation expense | 1,568 | 1,568 | 1,568 | ||||
Special distribution from noncontrolling interest | (6,281) | 2,894 | 2,894 | (9,175) | |||
Distributions paid to noncontrolling interests | (5,116) | (3,070) | (3,070) | (2,046) | |||
Purchase of noncontrolling interests | (200) | (43) | (43) | (157) | |||
Change in cumulative foreign currency translation adjustment | 4 | 4 | 4 | ||||
Change in fair value cash flow hedge, net of taxes | 595 | 595 | 595 | ||||
Net income (loss) | 5,773 | 5,039 | 5,039 | 734 | |||
Ending balance (in shares) at Sep. 30, 2018 | 48,334,925 | ||||||
Ending balance, value at Sep. 30, 2018 | 121,287 | 94,302 | $ 5 | 237,072 | 4,276 | (147,051) | 26,985 |
Beginning balance (in shares) at Dec. 31, 2018 | 48,977,485 | ||||||
Beginning balance, value at Dec. 31, 2018 | 200,253 | 127,184 | $ 5 | 242,835 | 2,259 | (117,915) | 73,069 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Issuance of common stock upon exercise of options (in shares) | 10,000 | ||||||
Issuance of common stock upon exercise of options | 50 | 50 | 50 | ||||
Issuance of common stock under the equity compensation plan (in shares) | 726,042 | ||||||
Issuance of common stock under the equity compensation plan | 0 | ||||||
Stock-based compensation expense | 6,993 | 6,993 | 6,993 | ||||
Issuance of common stock for purchase of membership interest (in shares) | 440,207 | ||||||
Issuance of common stock for purchase of membership interest in HVRA | 6,000 | 6,000 | 6,000 | ||||
Forfeiture of restricted stock (in shares) | (1,500) | ||||||
Forfeiture of restricted stock | (5) | (5) | (5) | ||||
Sale of noncontrolling interests, net of taxes | 5,098 | 3,090 | 3,090 | 2,008 | |||
Distributions paid to noncontrolling interests | (1,818) | (1,818) | |||||
Contribution from noncontrolling partner | 750 | 750 | |||||
Issuance of common stock for purchase (in shares) | (101,902) | ||||||
Issuance of common stock for purchase | 1,500 | 1,500 | 1,500 | ||||
Change in cumulative foreign currency translation adjustment | (28) | (28) | (28) | ||||
Change in fair value of cash flow hedge, net of taxes | (14,481) | (14,481) | (14,481) | ||||
Net income (loss) | 10,760 | 4,360 | 4,360 | 6,400 | |||
Ending balance (in shares) at Sep. 30, 2019 | 50,254,136 | ||||||
Ending balance, value at Sep. 30, 2019 | 215,072 | 134,663 | $ 5 | 260,463 | (12,250) | (113,555) | 80,409 |
Beginning balance (in shares) at Jun. 30, 2019 | 50,127,234 | ||||||
Beginning balance, value at Jun. 30, 2019 | 212,430 | 133,918 | $ 5 | 257,607 | (6,942) | (116,752) | 78,512 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Issuance of common stock under the equity compensation plan (in shares) | 25,000 | ||||||
Issuance of common stock under the equity compensation plan | 0 | ||||||
Stock-based compensation expense | 1,356 | 1,356 | 1,356 | ||||
Issuance of common stock for purchase (in shares) | 101,902 | ||||||
Issuance of common stock for purchase | 1,500 | 1,500 | 1,500 | ||||
Change in cumulative foreign currency translation adjustment | (23) | (23) | (23) | ||||
Change in fair value of cash flow hedge, net of taxes | (5,283) | (5,283) | (5,283) | ||||
Other | 0 | (2) | 2 | ||||
Net income (loss) | 5,092 | 3,195 | 3,195 | 1,897 | |||
Ending balance (in shares) at Sep. 30, 2019 | 50,254,136 | ||||||
Ending balance, value at Sep. 30, 2019 | $ 215,072 | $ 134,663 | $ 5 | $ 260,463 | $ (12,250) | $ (113,555) | $ 80,409 |
CONDENSED CONSOLIDATED STATEM_4
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) | 9 Months Ended | |
Sep. 30, 2019 | Sep. 30, 2018 | |
CASH FLOWS FROM OPERATING ACTIVITIES | ||
Net income | $ 10,760,000 | $ 6,786,000 |
Adjustments to reconcile net income to net cash provided by operating activities: | ||
Depreciation and amortization | 60,193,000 | 53,422,000 |
Amortization of operating lease right-of-use assets | 49,948,000 | |
Equity in earnings of joint ventures | (6,072,000) | (9,547,000) |
Distributions from joint ventures | 3,924,000 | 21,783,000 |
Amortization of deferred financing costs and loan discount | 3,103,000 | 2,924,000 |
Loss (gain) on sale and disposal of equipment and other | 1,990,000 | (2,204,000) |
Stock-based compensation | 6,963,000 | 6,557,000 |
Other noncash items included in cost of operations | (559,000) | 0 |
Change in fair value of contingent consideration | (1,749,000) | 0 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ||
Accounts receivable | (3,467,000) | (9,641,000) |
Other current assets | (1,569,000) | (5,680,000) |
Other assets | (5,770,000) | (1,209,000) |
Deferred taxes | (4,230,000) | 1,531,000 |
Operating lease liability | (49,721,000) | |
Deferred rent | 0 | 2,397,000 |
Deferred revenue | (490,000) | 353,000 |
Accounts payable, accrued expenses and other | 19,349,000 | 20,386,000 |
Net cash provided by operating activities | 82,603,000 | 87,858,000 |
CASH FLOWS FROM INVESTING ACTIVITIES | ||
Purchase of imaging facilities | (27,150,000) | (17,393,000) |
Equity investments at fair value | (143,000) | (2,200,000) |
Purchase of property and equipment | (68,269,000) | (62,595,000) |
Proceeds from sale of equipment | 760,000 | 2,587,000 |
Proceeds from the sale of equity interests in a joint venture | 132,000 | 0 |
Nulogix return of capital | 792,000 | 0 |
Equity contributions in existing and purchase of interest in joint ventures | (103,000) | (2,000,000) |
Net cash used in investing activities | (93,981,000) | (81,601,000) |
CASH FLOWS FROM FINANCING ACTIVITIES | ||
Principal payments on notes and leases payable | (4,778,000) | (4,374,000) |
Payments on term loan debt | (29,918,000) | (24,810,000) |
Proceeds from debt issuance | 97,144,000 | 0 |
Distributions paid to noncontrolling interests | (1,818,000) | (913,000) |
Proceeds from sale of noncontrolling interest | 5,275,000 | 0 |
Contribution from noncontrolling partner | 750,000 | 0 |
Proceeds from revolving credit facility | 251,200,000 | 44,000,000 |
Purchase of noncontrolling interests | 0 | (200,000) |
Payments on revolving credit facility | (279,200,000) | (44,000,000) |
Proceeds from issuance of common stock upon exercise of options | 50,000 | 10,000 |
Net cash provided by (used in) financing activities | 38,705,000 | (30,287,000) |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | (28,000) | (65,000) |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 27,299,000 | (24,095,000) |
CASH AND CASH EQUIVALENTS, beginning of period | 10,389,000 | 51,322,000 |
CASH AND CASH EQUIVALENTS, end of period | 37,688,000 | 27,227,000 |
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION | ||
Cash paid during the period for interest | 36,058,000 | 27,136,000 |
Equipment acquired and leasehold improvements | 14,100,000 | 14,200,000 |
Capital lease debt | $ 0 | $ 4,000,000 |
NATURE OF BUSINESS AND BASIS OF
NATURE OF BUSINESS AND BASIS OF PRESENTATION | 9 Months Ended |
Sep. 30, 2019 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
NATURE OF BUSINESS AND BASIS OF PRESENTATION | NATURE OF BUSINESS AND BASIS OF PRESENTATION We are a 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, 2019 , we operated directly or indirectly through joint ventures with hospitals, 340 centers located in California, Delaware, Florida, Maryland, New Jersey, and New York. Our centers provide physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders. 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. The vast majority of our centers offer multi-modality imaging services. Our multi-modality strategy diversifies revenue streams, reduces exposure to reimbursement changes and provides patients and referring physicians one location to serve the needs of multiple procedures. The consolidated financial statements include the accounts of Radnet Management, Inc. (or “Radnet Management”) and Beverly Radiology Medical Group III, a professional partnership (“BRMG”). BRMG is a partnership of ProNet Imaging Medical Group, Inc., Beverly Radiology Medical Group, Inc. and Breastlink Medical Group, Inc. (formerly known as Westchester Medical Group Inc.). The 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., 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. The Financial Accounting Standards Board (FASB) Accounting Standards Codification (“ASC”) 810-10-15-14, Consolidation, 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 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 also owns, indirectly, 99% of the equity interests in BRMG. BRMG is responsible for all of the professional medical services at nearly all 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 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. We contract with seven medical groups which provide professional medical services at all of our facilities in Manhattan and Brooklyn, New York (“the NY Groups”). These contracts are similar to our contract with BRMG. Five of the NY Groups are owned or controlled by John V. Crues, III, M.D., RadNet’s Medical Director, a member of our Board of Directors, and a 1% owner of BRMG. Dr Berger owns a controlling interest in two of the NY Groups which provide professional medical services at one of our Manhattan facilities. RadNet provides non-medical, technical and administrative services to BRMG and the NY Groups for which it receives a management fee, pursuant to the related management agreements. Through the management agreements we have exclusive authority over all non-medical decision making related to the ongoing business operations of BRMG and the NY Groups and we determine the annual budget of BRMG and the NY Groups. BRMG and the NY Groups both have insignificant operating assets and liabilities, and de minimis equity. Through management agreements with us, substantially all cash flows of BRMG and the NY Groups after expenses including professional salaries are transferred to us. We have determined that BRMG and the NY Groups are VIEs, that we are the primary beneficiary, and consequently, we consolidate the revenue and expenses, assets and liabilities of each. BRMG and the NY Groups on a combined basis recognized $40.6 million and $33.2 million of revenue, net of management service fees to RadNet, for the three months ended September 30, 2019 and 2018 , respectively, and $40.6 million and $33.2 million of operating expenses for the three months ended September 30, 2019 and 2018 , respectively. RadNet recognized in its condensed consolidated statement of operations $154.5 million and $126.8 million of net revenues for the three months ended September 30, 2019 , and 2018 respectively, for management services provided to BRMG and the NY Groups relating primarily to the technical portion of total billed revenue. BRMG and the NY Groups on a combined basis recognized $116.9 million and $100.7 million of revenue, net of management service fees to RadNet, for the nine months ended September 30, 2019 and 2018 , respectively, and $116.9 million and $100.7 million of operating expenses for the nine months ended September 30, 2019 and 2018 , respectively. RadNet recognized in its condensed consolidated statement of operations $456.1 million and $378.7 million of net revenues for the nine months ended September 30, 2019 , and 2018 respectively, for management services provided to BRMG and the NY Groups relating primarily to the technical portion of total billed revenue. The cash flows of BRMG and the NY Groups 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, 2019 and December 31, 2018 , we have included approximately $95.0 million and $88.9 million , respectively, of accounts receivable and approximately $6.9 million and $5.6 million , respectively, of accounts payable and accrued liabilities related to BRMG and the NY Groups. Also in our consolidated balance sheets at September 30, 2019 we have included $3.9 million in intangible assets related to the purchase of membership interest of a New York Group VIE. The creditors of BRMG and the NY Groups 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 NY Groups. However, RadNet may be required to provide financial support to cover any operating expenses in excess of operating revenues. We also own a 49% economic interest in ScriptSender, LLC, which provides secure data transmission services of medical information. Through a management agreement, RadNet provides management and accounting services and receives an agreed upon fee. ScriptSender LLC is dependent on the Company to finance its own activities, and as such we determined that it is a VIE but we are not a primary beneficiary since we do not have the power to direct the activities of the entity that most significantly impact the entity’s economic performance. At all of our centers we have entered into long-term contracts with radiology groups in the area to provide physician services at those facilities. These 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 based on the value of the services we provide. Except in New York City, the fee is based on the practice group’s professional revenue, including revenue derived outside of our diagnostic imaging centers. In New York City we are paid a fixed fee set in advance for our services. 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 and we have no financial controlling interest in the radiology practices. 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 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, 2019 and 2018 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, 2018 . |
SIGNIFICANT ACCOUNTING POLICIES
SIGNIFICANT ACCOUNTING POLICIES | 9 Months Ended |
Sep. 30, 2019 | |
Accounting Policies [Abstract] | |
SIGNIFICANT ACCOUNTING POLICIES | SIGNIFICANT ACCOUNTING POLICIES During the period covered in this report, we adopted a new significant accounting policy on Leases as described in Note 5 below. Except for the policy on Leases, 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, 2018 . 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, 2018 . REVENUES - Our revenues generally relate to net patient fees received from various payers and patients themselves under contracts in which our performance obligations are to provide diagnostic services to the patients. Revenues are recorded during the period our obligations to provide diagnostic services are satisfied. Our performance obligations for diagnostic services are generally satisfied over a period of less than one day. The contractual relationships with patients, in most cases, also involve a third-party payer (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through the health insurance exchanges) and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with (managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers for the services we provide to the related patients typically specify payments at amounts less than our standard charges and generally provide for payments based upon predetermined rates per diagnostic services or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals. As it relates to BRMG and NY Group centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG and the NY Groups 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 NY Groups. As it relates to non-BRMG centers, this service fee revenue is earned through providing the use of our diagnostic imaging equipment and the provision of technical services as well as providing administration services such as 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. Our revenues are based upon the estimated amounts we expect to be entitled to receive from patients and third-party payers. Estimates of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record estimated implicit price concessions (based primarily on historical collection experience) related to uninsured accounts to record self-pay revenues at the estimated amounts we expect to collect. 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 total revenues during the three and nine months ended September 30, 2019 and 2018 are presented in the table below based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage (in thousands): Three Months Ended Nine Months Ended 2019 2018 2019 2018 Commercial insurance $ 163,152 $ 135,445 $ 475,064 $ 397,193 Medicare 61,599 48,243 175,825 141,348 Medicaid 7,128 6,323 21,564 19,129 Workers' compensation/personal injury 10,865 8,810 32,950 25,714 Other patient revenue 6,085 6,205 17,947 18,318 Management fee revenue 1,792 3,615 5,662 11,237 Teleradiology and Software revenue 4,412 4,063 12,861 11,879 Other 6,875 4,848 20,878 16,318 Service fee revenue 261,908 217,552 762,751 641,136 Revenue under capitation arrangements 30,784 24,596 90,587 76,799 Total revenue $ 292,692 $ 242,148 $ 853,338 $ 717,935 RECLASSIFICATION – We have reclassified certain amounts within our table of total revenue for 2018 to conform to our 2019 presentation. In addition, we have reclassified certain amounts within our condensed consolidated statements of equity for the three and nine months ended September 30, 2018 in common shares issued and additional paid in capital to conform to our 2019 presentation. 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. 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. In 2018 and 2019 we entered into factoring agreements with various institutions and sold certain accounts receivable under non-recourse agreements. These transactions are accounted for as a reduction in accounts receivable as the agreements transfer effective control over and risk related to the receivables to the buyers. As of the nine months ended September 30, 2019 , the amount factored under these facilities was $9.0 million , inclusive of discount recorded to reflect the difference between market interest rates and the stated interest rate of the receivable. Payments on notes receivable will be reflected as operating activities on our statement of cash flows and on our balance sheet as prepaid expenses and other current assets for the current portion and deposits and other for the long term portion. At September 30, 2019 we have $24.3 million , net of discount, remaining to be collected on these agreements. We do not utilize factoring arrangements as an integral part of our financing for working capital. DEFERRED FINANCING COSTS - Costs of financing are deferred and amortized using the effective interest rate method. Deferred financing costs, net of accumulated amortization, were $1.7 million and $1.4 million , as of September 30, 2019 and December 31, 2018 , respectively and related to our line of credit. In conjunction with our Sixth Amendment and Seventh Amendment to our First Lien Credit Agreement (as defined below), a net addition of approximately $683,000 was added to deferred financing costs. See Note 6, Credit Facility, Notes Payable, and Capital Lease Obligations, for more information. INVENTORIES - Inventories, consisting mainly of medical supplies, are stated at the lower of cost or net realizable value with cost determined by the first-in, first-out method. PROPERTY AND EQUIPMENT - Property and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation of property and equipment is performed using the straight-line method over the estimated useful lives of the assets acquired, which range from 3 to 15 years. Leasehold improvements are amortized at the lesser of lease term or their estimated useful lives, which range from 3 to 15 years. Maintenance and repairs are charged to expense as incurred. BUSINESS COMBINATION - When the qualifications for business combination accounting treatment are met, it requires us to recognize separately from goodwill the assets acquired and the liabilities assumed at their acquisition date fair values. Goodwill as of the acquisition date is measured as the excess of consideration transferred over the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions to accurately value assets acquired and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we record adjustments to the assets acquired and liabilities assumed with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations. GOODWILL AND INDEFINITE LIVED INTANGIBLES - Goodwill at September 30, 2019 totaled $439.9 million . Indefinite lived intangible assets at September 30, 2019 were $11.9 million . Goodwill and Indefinite Lived Intangibles are recorded as a result of business combinations. When we determine the carrying value of reporting unit exceeds its fair value an impairment charge would be recognized and should not exceed the total amount of goodwill allocated to that reporting unit. We tested goodwill and indefinite lived intangibles for impairment on October 1, 2018. During the review we noted our Teleradiology unit, Imaging On Call, (IOC), experienced a reduction of professional medical group clients and a contract with a major local health provider during 2018. This affected its estimated fair value and resulted in impairment charges to the reporting unit of $3.9 million for the twelve months ended December 31, 2018, with goodwill representing $3.8 million of the total and the remainder being its trade name of approximately $100,000 . We have not identified any indicators of impairment through September 30, 2019 . Activity in goodwill for the nine months ended September 30, 2019 is provided below (in thousands): Balance as of December 31, 2018 $ 418,093 Adjustments to our preliminary allocation of the purchase price of Medical Arts Radiological Group, P.C. 722 Goodwill acquired through the acquisition of certain assets of Dignity Health 1 Goodwill acquired through the acquisition of certain assets of West Valley Imaging Center, LLC 2,490 Goodwill disposed through sale of assets (123 ) Goodwill acquired by Lenox Hill Radiology through the membership purchase of HVRA 3,125 Goodwill acquired through the acquisition of certain assets of Kern Radiology, Inc. 10,507 Goodwill acquired through the acquisition of certain assets of Zilkha Radiology, Inc. 2,577 Goodwill acquired through the acquisition of certain assets of Ramic Mahwah, LLC 231 Goodwill acquired through the acquisition of GSRN 887 Goodwill acquired through the acquisition of Nulogix 1,357 Balance as of September 30, 2019 $ 439,867 INCOME TAXES - 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 in determining whether our net deferred tax assets are more likely than not to be realized. We recorded an income tax expense of $1.8 million , or an effective tax rate of 26.3% , for the three months ended September 30, 2019 compared to income tax expense for the three months ended September 30, 2018 of $2.8 million , or an effective tax rate of 32.9% . We recorded an income tax expense of $3.6 million , or an effective tax rate of 24.8% for the nine months ended September 30, 2019 compared to income tax expense for the nine months ended September 30, 2018 of $2.8 million or an effective tax rate of 29.5% . The income tax rates for the three and nine months ended September 30, 2019 diverge from the federal statutory rate due to (i) noncontrolling interests due to the controlled partnerships; (ii) effects of state income taxes; (iii) excess tax benefits attributable to share-based compensation; and adjustment associated with uncertain tax positions. We are not under examination in any jurisdiction and the years ended December 31, 2017 , 2016 , and 2015 remain subject to examination. We believe no significant changes in the unrecognized tax benefits will occur within the next 12 months. LEASES - We determine if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”) assets, current operating lease liabilities, and long term operating lease liability in our consolidated balance sheets. Finance leases are included in property and equipment, current finance lease liability, and long-term finance lease liability in our consolidated balance sheets. ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. We include options to extend a lease when it is reasonably certain that we will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term. For a contract in which we are a lessee that contains fixed payments for both lease and non-lease components, we have elected to account for the components as a single lease component, as permitted. For finance leases, interest expense on the lease liability is recognized using the effective interest method and amortization of the right-of-use asset is recognized on a straight-line basis over the shorter of the estimated useful life of the asset or the lease term. See Note 5, Leases, for more information. EQUITY BASED COMPENSATION – We have one long-term incentive plan that we adopted in 2006 and which we first amended and restated as of April 20, 2015, and again on March 9, 2017 (the “Restated Plan”). The Restated Plan was approved by our stockholders at our annual stockholders meeting on June 8, 2017. We have reserved for issuance under the Restated Plan 14,000,000 shares of common stock. We can issue options, stock awards, stock appreciation rights, stock units and cash awards under the Restated Plan. Certain options granted under the Restated Plan to employees are intended to qualify as incentive stock options under existing tax regulations. Stock options and warrants generally vest over three to five years and expire five to ten years from date of grant. The compensation expense recognized for all equity-based awards is recognized over the awards’ service periods. Equity-based compensation is classified in operating expenses within the same line item as the majority of the cash compensation paid to employees. See Note 7, Stock-Based Compensation, for more information. COMPREHENSIVE (LOSS) INCOME - ASC 220 establishes rules for reporting and displaying comprehensive loss or income and its components. Our unrealized gains or losses on foreign currency translation adjustments, interest rate cap and SWAP agreements are included in comprehensive (loss) income and are included in the consolidated statements of comprehensive (loss) income for the three and nine months ended September 30, 2019 and 2018. COMMITMENTS AND CONTINGENCIES - We are party to various legal proceedings, claims, and regulatory, tax or government inquiries and investigations that arise in the ordinary course of business. With respect to these matters, we evaluate the developments on a regular basis and accrue a liability when we believe a loss is probable and the amount can be reasonably estimated. We believe that the amount or any estimable range of reasonably possible or probable loss will not, either individually or in the aggregate, have a material adverse effect on our business and consolidated financial statements. However, the outcome of these matters is inherently uncertain. Therefore, if one or more of these matters were resolved against us for amounts in excess of management's expectations, our results of operations and financial condition, including in a particular reporting period in which any such outcome becomes probable and estimable, could be materially adversely affected. In the second quarter of 2019, RadNet accrued a liability of $2.3 million related to allegations by the US Attorney's Office for the Western District of New York that RadNet submitted certain claims that incorrectly identified the physician who furnished the radiology services. The final settlement, which admits no wrong-doing on behalf of RadNet, was $2.2 million and paid in September 2019. DERIVATIVE INSTRUMENTS 2016 CAPS In the fourth quarter of 2016, we entered into two forward interest rate cap agreements ("2016 Caps"). The 2016 Caps will mature in September and October 2020. The 2016 Caps had notional amounts of $150,000,000 and $350,000,000 , respectively, which were designated at inception as cash flow hedges of future cash interest payments associated with portions of our variable rate bank debt. Under these arrangements, the Company purchased a cap on 3 month LIBOR at 2.0% . We incurred a $5.3 million premium to enter into the 2016 Caps which is being accrued over the life of the agreements. At inception, we designated our 2016 Caps as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity. See Fair Value Measurements section below for the fair value of the 2016 Caps at September 30, 2019 . A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2016 Caps is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss (768 ) (251 ) (1,019 ) Liabilities and Equity For the nine months ended September 30, 2019 Account January 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Income (Loss) 2,506 (3,525 ) (1,019 ) Liabilities and Equity 2019 SWAPS In the second quarter of 2019, we entered into four forward interest rate agreements ("2019 SWAPS"). The 2019 SWAPS have total notional amounts of $500,000,000 , consisting of two agreements of $50,000,000 each and two agreements of $200,000,000 each. The 2019 SWAPS will secure a constant interest rate associated with portions of our variable rate bank debt and have an effective date of October 13, 2020. They will mature in October 2023 for the smaller notional and October 2025 for the larger notional. Under these arrangements, we arranged the 2019 SWAPS with locked in 1 month LIBOR rates at 1.96% for the $100,000,000 notional and at 2.05% for the $400,000,000 notional. As of the effective date, we will be liable for premium payments if interest rates decline below arranged rates, but will receive interest payments if rates remain above the arranged rates. At inception, we designated our 2019 SWAPS as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity. See Fair Value Measurements section below for the fair value of the 2019 SWAPS at September 30, 2019 . A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 SWAPS is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss $ (5,924 ) $ (5,032 ) $ (10,956 ) Liabilities and Equity For the nine months ended September 30, 2019 Account January 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss — $ (10,956 ) $ (10,956 ) Liabilities and Equity 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. Derivatives: The tables below summarizes the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our consolidated balance sheets, as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Current and long term liabilities 2016 Caps - Interest Rate Contracts $ — $ 906 $ — $ 906 2019 SWAPS - Interest Rate Contracts $ — $ 15,473 $ — $ 15,473 As of December 31, 2018 Level 1 Level 2 Level 3 Total Current assets 2016 Caps - Interest Rate Contracts $ — $ 3,316 $ — $ 3,316 The estimated fair value of these contracts was determined using Level 2 inputs. More specifically, the fair value was determined by calculating the value of the difference between the fixed interest rate of the interest rate swaps and the counterparty’s forward LIBOR curve. The forward LIBOR curve is readily available in the public markets or can be derived from information available in the public markets. Long Term Debt: The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Fair Value Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 718,172 $ — $ 718,172 $ 716,522 As of December 31, 2018 Level 1 Level 2 Level 3 Total Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 633,229 $ — $ 633,229 $ 646,441 As of September 30, 2019 our Barclays revolving credit facility had no balance outstanding while at December 31, 2018 , our Barclays revolving credit facility had a $28.0 million aggregate principal amount outstanding. Our SunTrust revolving credit facility relating to our consolidated subsidiary NJIN, had no principal amount outstanding at September 30, 2019 and at December 31, 2018 . The estimated fair value of our long-term debt, which is discussed in Note 6, was determined using Level 2 inputs primarily related to comparable market prices. We consider the carrying amounts of cash and cash equivalents, receivables, other current assets, current liabilities and other notes payables 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. 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 September 30, Nine Months Ended September 30, 2019 2018 2019 2018 Net income attributable to RadNet, Inc.'s common stockholders $ 3,195 $ 5,039 $ 4,360 $ 3,107 BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Basic net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Add nonvested restricted stock subject only to service vesting 200,567 180,269 191,375 171,627 Add additional shares issuable upon exercise of stock options and warrants 352,333 424,397 324,793 372,463 Weighted average number of common shares used in calculating diluted net income per share 50,360,360 48,615,392 50,113,306 48,481,305 Diluted net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 Stock options excluded from the computation of diluted per share amounts: Weighted average shares for which the exercise price exceeds average market price of common stock — — — 8,333 EQUITY INVESTMENTS AT FAIR VALUE–Accounting guidance requires entities to measure equity investments at fair value, with any changes in fair value recognized in net income. If there is no readily determinable fair value, the guidance allows entities the ability to measure investments at cost less impairment. As of September 30, 2019 , we have two equity investments for which a fair value is not readily determinable and therefore the total amounts invested are recognized at cost as follows: Medic Vision: Medic Vision Imaging Solutions Ltd., based in Israel, specializes in software packages that provide compliant radiation dose structured reporting and enhanced images from reduced dose CT scans. On March 24, 2017, we acquired an initial 12.5% equity interest in Medic Vision for $1.0 million . We also received an option to exercise warrants to acquire up to an additional 12.5% equity interest for $1.4 million within one year from the initial share purchase date, if exercised in full. On March 1, 2018 we exercised our warrant in part and acquired an additional 1.96% for $200,000 . Our initial equity interest has been diluted to 12.25% and our total equity investment stands at 14.21% . In accordance with accounting guidance , as we exercise no significant influence over Medic Vision’s operations, the investment is recorded at its cost of $1.2 million , given that the fair value is not readily determinable. No impairment in our investment was identified as of September 30, 2019 . Turner Imaging: Turner Imaging Systems, based in Utah, develops and markets portable X-ray imaging systems that provide a user the ability to acquire X-ray images wherever and whenever they are needed. On February 1, 2018, we purchased 2.1 million preferred shares in Turner Imaging Systems for $2.0 million . On January 1, 2019 we funded a convertible promissory note in the amount of $143,000 that will convert to additional preferred shares no later than December 21, 2019. No impairment in our investment was identified as of September 30, 2019 . INVESTMENT IN JOINT VENTURES – We have 12 unconsolidated joint ventures with ownership interests ranging from 35% to 55% . 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, since RadNet does not have a controlling financial interest in such ventures. We evaluate our investment in joint ventures, including cost in excess of book value (equity method goodwill) for impairment whenever indicators of impairment exist. No indicators of impairment existed as of September 30, 2019 . Sale of joint venture interest: On April 1, 2017, we formed in conjuncture with Cedars Sinai Medical Center (“CSMC”) the Santa Monica Imaging Group, LLC (“SMIG”), consisting of two multi-modality imaging centers located in Santa Monica, CA with RadNet holding a 40% economic interest and CSMC holding a 60% economic interest. RadNet accounts for our share of the venture under the equity method. On January 1, 2019, CSMC purchased from the us an additional five percent economic interest in SMIG valued at $134,000 . As a result of the transaction, our economic interest in SMIG has been reduced to 35% . We recorded a loss of $2,000 on the transaction. Change in control of existing joint ventures: On October 6, 2014, we acquired a 49% equity interest in Garden State Radiology, LLC for cash consideration of $2.2 million . The venture consisted of two imaging centers located in New Jersey. On August 1, 2019, the entity was dissolved by transferring ownership of the assets of the centers to the partners for no consideration, with each partner receiving full ownership of one center. See Note 4, Facility Acquisitions and Dispositions, for further information. On April 12, 2018 we acquired 25% share capital in Nulogix, Inc. for cash consideration of $2.0 million . On August 1, 2019 we completed via the issuance of RadNet common stock valued at $1.5 million , the acquisition of the remaining 75% economic interest and we now consolidate the financial statements of Nulogix. See Note 4, Facility Acquisitions and Dispositions, for further information. Joint venture investment and financial information The following table is a summary of our investment in joint ventures during the nine months ended September 30, 2019 (in thousands): Balance as of December 31, 2018 $ 37,973 Equity in earnings in these joint ventures 6,072 Distribution of earnings (3,924 ) Sale of ownership interest (134 ) Dissolution of GRSN (1,427 ) Nulogix change in control (1,795 ) Equity contributions in existing joint ventures 103 Balance as of September 30, 2019 $ 36,868 We charged management service fees from the centers underlying these joint ventures of approximately $2.5 million and $3.5 million for the quarters ended September 30, 2019 and 2018 , respectively and $7.8 million and $10.6 million for the nine months ended September 30, 2019 and 2018, respectively. We eliminate any unrealized portion of our management service fees with our equity in earnings of joint ventures. The following table is a summary of key balance sheet data for these joint ventures as of September 30, 2019 and December 31, 2018 and income statement data for the nine months ended September 30, 2019 and 2018 (in thousands): Balance Sheet Data: September 30, 2019 December 31, 2018 Current assets $ 32,401 $ 28,317 Noncurrent assets 62,564 45,912 Current liabilities (9,383 ) (4,300 ) Noncurrent liabilities (20,113 ) (4,8 |
RECENT ACCOUNTING AND REPORTING
RECENT ACCOUNTING AND REPORTING STANDARDS | 9 Months Ended |
Sep. 30, 2019 | |
New Accounting Pronouncements and Changes in Accounting Principles [Abstract] | |
RECENT ACCOUNTING AND REPORTING STANDARDS | RECENT ACCOUNTING AND REPORTING STANDARDS Accounting standards adopted In February 2016, the FASB issued Accounting Standard Update ("ASU") No. 2016-02, Leases (Topic 842) (ASU 2016-02), which amends the existing accounting standards for leases. In September 2017, the FASB issued ASU No. 2017-13 which provides additional clarification and implementation guidance on the previously issued ASU No. 2016-02. Subsequently, in July 2018, the FASB issued ASU No 2018-10, Codification Improvements to Topic 842, Leases, and ASU No. 2018-11, Targeted Improvement, to clarify and amend the guidance in ASU No. 2016-02. The amendments in this update were effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2018, with early adoption permitted for all entities. Under the new guidance, a lessee is required to recognize a lease liability and right-of-use asset for all leases with terms in excess of twelve months. The new guidance also requires additional disclosures to enable users of financial statements to understand the amount, timing, and potential uncertainty of cash flows arising from leases. Consistent with current guidance, a lessee’s recognition, measurement, and presentation of expenses and cash flows arising from a lease will continue to depend primarily on its classification. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. For facility and equipment operating leases, the effect of the adoption amounted to a lease liability of approximately $455.5 million . Operating lease right-of-use assets were recorded in the amount of approximately $419.0 million . Inclusive in the adoption was the transfer of approximately $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease right of use assets. For finance leases, the effect of the adoption amounted to a finance lease liability of approximately $12.1 million , which was transfered from capital lease debt. Equipment leased under the finance arrangements, amounting to $14.1 million , remained in property, plant and equipment. The transition adjustment did not have a material impact on the statement of operations or cash flows. See Note 5, Leases, for more information. In February 2018, the FASB issued ASU No. 2018-02 (“ASU 2018-02”), Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income . ASU 2018-02 allows for the reclassification of certain income tax effects related to the Tax Cuts and Jobs Act between “Accumulated other comprehensive income” and “Retained earnings.” This ASU relates to the requirement that adjustments to deferred tax liabilities and assets related to a change in tax laws or rates to be included in “Income from continuing operations”, even in situations where the related items were originally recognized in “Other comprehensive income” (rather than in “Income from continuing operations”). Subsequently, in March 2018, the FASB issued ASU No. 2018-05, Income Taxes, to clarify and amend guidance in ASU 2018-02. ASU 2018-02 and ASU 2018-05 are effective for all entities for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years, with early adoption permitted. Adoption of this ASU is to be applied either in the period of adoption or retrospectively to each period in which the effect of the change in the tax laws or rates were recognized. The adoption had no significant impact on the our results of operations, financial position and cash flows. In April 2019, the FASB issued ASU 2019-04, ("ASU 2019-04"), Codification Improvements to Topic 326, Financial Instruments-Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments , which, among other things, clarifies certain hedge accounting guidance. For the year ended 2017, we elected to early adopt ASU 2017-12, Targeted Improvements to Accounting for Hedging Activities , (Topic 815), for which this current ASU 2019-04 amends. For those entities that have already adopted ASU 2017-12, the hedging amendments in ASU 2019-04 are effective as of the beginning of the first annual reporting period beginning after 25 April 2019 and early adoption is permitted. We elected early adoption of ASU 2019-04 and the adoption had no effect on our financial statements. Accounting standards not yet adopted In June 2016, the FASB issued ASU No. 2016-13 ("ASU 2016-13), Financial Instruments - Credit Losses. ASU 2016-13 replaces the incurred loss impairment methodology under current GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The standard will be effective for us beginning after December 15, 2019, with early adoption permitted. We are currently evaluating the impact of this standard on our consolidated financial statements, including accounting policies, processes, and systems. In August 2018, the FASB issued ASU No. 2018-15 (“ASU 2018-15”), Intangibles-Goodwill and Other-Internal-Use Software. ASU 2018-15 aligns the requirements for deferring implementation costs incurred in a cloud computing arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. This ASU is effective in the first quarter of 2020 with early adoption permitted and can be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We are currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. |
FACILITY ACQUISITIONS AND ASSET
FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE | 9 Months Ended |
Sep. 30, 2019 | |
Business Combinations [Abstract] | |
FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE | FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE Acquisitions On August 1, 2019 we completed a step-up acquisition upon the dissolution of our former 49% owned joint venture, Garden State Radiology LLC ("GSRN"). GSRN consisted of two multi-modality centers operating in New Jersey. GSRN became our wholly owned subsidiary with the withdrawal of the 51% majority partner for the full ownership of one center with no other consideration. We made a preliminary fair value determination of our original 49% interest which resulted in a step-up gain of $114,000 . We determined a preliminary fair value of the remaining acquired imaging center of $1.9 million in assets and $426,000 in liabilities were recognized. We recorded $1,000 in other assets, $599,000 in fixed assets, $426,000 in right-of-use assets, $426,000 in operating lease liabilities, and $888,000 in goodwill. On August 1, 2019 we completed a step-up acquisition of our former 25% owned joint venture, Nulogix, via a stock issuance of RadNet common shares valued at $1.5 million to obtain the remaining 75% outstanding Nulogix shares. We made a preliminary fair value determination of the acquired assets and approximately $189,000 in fixed assets, $732,000 in intangible assets, $278,000 in deferred tax liability and goodwill of $1.4 million were recorded. We also made a fair value determination of our 25% pre existing interest in the business and recognized a loss of $504,000 which is included in operating expenses within the condensed consolidated statements of operations. On April 1, 2019 we completed our acquisition of certain assets of Kern Radiology Imaging Systems Inc., consisting of four multi-modality imaging centers located in Bakersfield, California for purchase consideration of $19.3 million . We have made a preliminary fair value determination of the acquired assets and assumed liabilities and approximately $10.1 million in property and equipment, $9.7 million in right-of-use assets, $36,000 in other assets, $3.4 million in intangible assets, $14.5 million in operating lease liabilities, and $10.5 million in goodwill were recorded. On April 1, 2019 we completed our acquisition of certain assets of Zilkha Radiology Inc. consisting of two multi-modality centers located in Islip, New York for purchase consideration of $4.5 million . We have made a fair value determination of the acquired assets and assumed liabilities and approximately $2.2 million in property and equipment, $5.1 million in right-of-use assets, $100,000 in intangible assets, $5.1 million in operating lease liabilities, retired $332,000 in equipment indebtedness, and recorded $2.6 million in goodwill. On February 28, 2019, one of our NY Group entities, Lenox Hill Radiology and Medical Imaging Associates, P.C. ("LHR"), purchased the membership interest of Hudson Valley Radiology Associates, P.L.L.C. ("HVRA") for $6.0 million of RadNet common stock and contingent consideration valued at $680,000 to guarantee the share value issued for a period of six months post acquisition date. LHR has performed a fair value purchase price allocation and recorded equipment of $10,000 , a covenant not to compete of $50,000 , trade name of $380,000 , other intangible assets of $340,000 and goodwill of $3.1 million from the transaction. In connection with the acquisition, RadNet also settled against the purchase consideration, $2.8 million , net of taxes, of an unfavorable vendor contract with HVRA stemming from the previous acquisition of Radiologix, Inc. in November 2006. On February 1, 2019 our majority owned subsidiary, West Valley Imaging Group, LLC ("WVIG") completed its acquisition of certain assets of West Valley Imaging Center, LLC, consisting of a single multi-modality imaging center located in West Hills, CA for purchase consideration of $3.0 million all of which was initially funded by the Company. We have made a preliminary fair value determination of the acquired assets and approximately $300,000 in equipment and fixed assets, $7,000 in other assets, $200,000 in intangible assets and $2.5 million in goodwill were recorded. Subsequent to the transaction, our partner in WVIG, Cedars Sinai Medical Center, contributed $750,000 in cash to maintain its 25% economic interest in the venture. Joint venture formations On February 13, 2019 we formed a wholly owned subsidiary, Ventura County Imaging Group, LLC ("VCIG"). On March 1, 2019, Dignity Health joined as a venture partner. Total agreed contribution of both parties was $10.4 million of cash and assets with RadNet contributing net assets with a book value of $4.3 million for a 60% economic interest and Dignity Health contributing $6.1 million in cash and assets for a 40% economic interest. For its contribution, RadNet transferred net assets of three wholly owned multi-modality imaging centers. Dignity Health contributed approximately $800,000 in assets to acquire 5% economic interest and paid RadNet $5.3 million for an additional 35% economic interest. We maintain controlling economic interest in VCIG and fully consolidate the results into our financial statements. Assets held for sale: Effective January 1, 2018 we agreed to sell certain assets of four women’s imaging centers to MemorialCare Medical Foundation. The sale was initially anticipated within 12 months of the effective date, however we extended the date out to 24 months based on a change in business circumstances. The following table summarizes the major categories of assets which remain classified as held for sale in the accompanying condensed consolidated balance sheets at September 30, 2019 : Property and equipment, net $ 1,049 Goodwill 992 Total assets held for sale $ 2,041 |
LEASES (Notes)
LEASES (Notes) | 9 Months Ended |
Sep. 30, 2019 | |
Leases [Abstract] | |
LEASES | LEASES Adoption of Standard In February 2016, the FASB issued a new standard related to leases to increase transparency and comparability among organizations by requiring the recognition of right-of-use (“ROU”) assets and lease liabilities on the balance sheet for all leases with terms in excess of twelve months. Sufficient disclosures are required to meet the objective of enabling users of financial statements to assess the amount, timing, and uncertainty of cash flows arising from leases. The standard was effective for us beginning January 1, 2019. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We also elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. In preparation for adoption of the standard, we have implemented internal control procedures and key system functionality to enable the preparation of financial information. The adoption of the standard had a material impact on our condensed consolidated balance sheets, but did not have material impact on our condensed consolidated income statements or cash flows. Adoption of the standard resulted in the recognition of an operating lease liability of $455.5 million . Operating lease ROU assets were recorded in the amount of $419.0 million . Inclusive in the adoption was the transfer of $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease ROU assets. For finance leases, the effect of the adoption amounted to a finance lease liability of $12.1 million , which was transfered from capital lease debt and a finance right of use assets in the amount of $14.1 million which remained in property, plant and equipment. Lease Liability We have operating leases for medical facilities, administrative offices, warehouse space and major medical equipment. We lease the premises at which these facilities are located and do not have options to purchase the facilities we rent. Our most common initial term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at the facilities we lease. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Additionally, we have operating and finance leases for certain medical and office equipment, with lease terms generally lasting from 5 to 8 years. Our Incremental Borrowing Rate ("IBR") used to discount the stream of lease payments is closely related to the interest rates charged on our collateralized debt obligations and our IBR is adjusted when those rates experience a substantial change. The components of lease expense were as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Operating lease cost $ 24,497 $ 71,568 Finance lease cost: Depreciation of leased equipment $ 724 $ 2,351 Interest on lease liabilities 91 319 Total finance lease cost $ 815 $ 2,670 Supplemental cash flow information related to leases was as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 24,739 $ 71,926 Operating cash flows from financing leases 91 319 Financing cash flows from financing leases 1,363 4,299 Right-of-use & Equipment assets obtained in exchange for lease obligations: Operating leases (1) 15,984 462,613 Financing leases 32 14,088 (1) Amounts for the nine months ended September 30, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information. Supplemental balance sheet information related to leases was as follows: (In thousands, except lease term and discount rates) September 30, 2019 Operating Leases Operating lease right-of-use assets $ 438,558 Current portion of operating lease liability $ 69,308 Operating lease liabilities 410,958 Total operating lease liabilities $ 480,266 Finance Leases Property and Equipment, at cost $ 14,088 Accumulated depreciation (2,351 ) Equipment, net $ 11,737 Current portion of finance lease $ 4,095 Finance lease liabilities 4,042 Total finance lease liabilities $ 8,137 Weighted Average Remaining Lease Term Operating leases - years 8.5 Finance leases - years 3.2 Weighted Average Discount Rate Operating leases 6.4 % Finance leases 4.2 % Maturities of lease liabilities were as follows: (In thousands) Operating Financing Year Ending December 31, Leases Leases 2019 (excluding the nine months ended September 30, 2019) $ 24,616 $ 1,716 2020 95,158 3,481 2021 88,085 2,614 2022 78,279 691 2023 67,021 — Thereafter 282,379 — Total Lease Payments 635,538 8,502 Less imputed interest (155,272 ) (365 ) Total $ 480,266 $ 8,137 As of September 30, 2019 , we have additional operating leases for facilities that have not yet commenced of approximately $2.1 million . These operating leases will commence in 2019 with lease terms of 4 to 5 years. As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting, maturities of operating lease liabilities were as follows as of December 31, 2018 (in thousands): Facilities Equipment Total 2019 $ 75,588 $ 14,924 $ 90,512 2020 66,116 14,385 80,501 2021 57,826 12,966 70,792 2022 48,542 10,264 58,806 2023 38,800 7,095 45,895 Thereafter 160,327 5,144 165,471 $ 447,199 $ 64,778 $ 511,977 |
LEASES | LEASES Adoption of Standard In February 2016, the FASB issued a new standard related to leases to increase transparency and comparability among organizations by requiring the recognition of right-of-use (“ROU”) assets and lease liabilities on the balance sheet for all leases with terms in excess of twelve months. Sufficient disclosures are required to meet the objective of enabling users of financial statements to assess the amount, timing, and uncertainty of cash flows arising from leases. The standard was effective for us beginning January 1, 2019. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We also elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. In preparation for adoption of the standard, we have implemented internal control procedures and key system functionality to enable the preparation of financial information. The adoption of the standard had a material impact on our condensed consolidated balance sheets, but did not have material impact on our condensed consolidated income statements or cash flows. Adoption of the standard resulted in the recognition of an operating lease liability of $455.5 million . Operating lease ROU assets were recorded in the amount of $419.0 million . Inclusive in the adoption was the transfer of $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease ROU assets. For finance leases, the effect of the adoption amounted to a finance lease liability of $12.1 million , which was transfered from capital lease debt and a finance right of use assets in the amount of $14.1 million which remained in property, plant and equipment. Lease Liability We have operating leases for medical facilities, administrative offices, warehouse space and major medical equipment. We lease the premises at which these facilities are located and do not have options to purchase the facilities we rent. Our most common initial term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at the facilities we lease. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Additionally, we have operating and finance leases for certain medical and office equipment, with lease terms generally lasting from 5 to 8 years. Our Incremental Borrowing Rate ("IBR") used to discount the stream of lease payments is closely related to the interest rates charged on our collateralized debt obligations and our IBR is adjusted when those rates experience a substantial change. The components of lease expense were as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Operating lease cost $ 24,497 $ 71,568 Finance lease cost: Depreciation of leased equipment $ 724 $ 2,351 Interest on lease liabilities 91 319 Total finance lease cost $ 815 $ 2,670 Supplemental cash flow information related to leases was as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 24,739 $ 71,926 Operating cash flows from financing leases 91 319 Financing cash flows from financing leases 1,363 4,299 Right-of-use & Equipment assets obtained in exchange for lease obligations: Operating leases (1) 15,984 462,613 Financing leases 32 14,088 (1) Amounts for the nine months ended September 30, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information. Supplemental balance sheet information related to leases was as follows: (In thousands, except lease term and discount rates) September 30, 2019 Operating Leases Operating lease right-of-use assets $ 438,558 Current portion of operating lease liability $ 69,308 Operating lease liabilities 410,958 Total operating lease liabilities $ 480,266 Finance Leases Property and Equipment, at cost $ 14,088 Accumulated depreciation (2,351 ) Equipment, net $ 11,737 Current portion of finance lease $ 4,095 Finance lease liabilities 4,042 Total finance lease liabilities $ 8,137 Weighted Average Remaining Lease Term Operating leases - years 8.5 Finance leases - years 3.2 Weighted Average Discount Rate Operating leases 6.4 % Finance leases 4.2 % Maturities of lease liabilities were as follows: (In thousands) Operating Financing Year Ending December 31, Leases Leases 2019 (excluding the nine months ended September 30, 2019) $ 24,616 $ 1,716 2020 95,158 3,481 2021 88,085 2,614 2022 78,279 691 2023 67,021 — Thereafter 282,379 — Total Lease Payments 635,538 8,502 Less imputed interest (155,272 ) (365 ) Total $ 480,266 $ 8,137 As of September 30, 2019 , we have additional operating leases for facilities that have not yet commenced of approximately $2.1 million . These operating leases will commence in 2019 with lease terms of 4 to 5 years. As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting, maturities of operating lease liabilities were as follows as of December 31, 2018 (in thousands): Facilities Equipment Total 2019 $ 75,588 $ 14,924 $ 90,512 2020 66,116 14,385 80,501 2021 57,826 12,966 70,792 2022 48,542 10,264 58,806 2023 38,800 7,095 45,895 Thereafter 160,327 5,144 165,471 $ 447,199 $ 64,778 $ 511,977 |
CREDIT FACILITY, NOTES PAYABLE
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS | 9 Months Ended |
Sep. 30, 2019 | |
Debt Disclosure [Abstract] | |
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS | 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% Pursuant to the Fifth Amendment, the First Lien Credit Agreement was amended so that we can elect to request 1) an increase to the existing Barclays Revolving Credit Facility and/or 2) additional First Lien Term Loans, provided that the aggregate amount of such increases and additions does not exceed (a) $100.0 million and (b) as long as the First Lien Leverage Ratio (as defined in the First Lien Credit Agreement) would not exceed 4.00 :1.00 after giving effect to such incremental facilities, an uncapped amount of incremental facilities, in each case subject to the conditions and limitations set forth in the First Lien Credit Agreement. Each lender approached to provide all or a portion of any incremental facility may elect or decline, in its sole discretion, to provide an incremental commitment or loan. Pursuant to the Fifth Amendment, the First Lien Credit Agreement was also amended to (i) provide for quarterly payments of principal of the First Lien Term Loans in the amount of approximately $8.3 million , as compared to approximately $6.1 million prior to the Fifth Amendment, (ii) extend the call protection provided to the holders of the First Lien Term Loans for a period of twelve months following the date of the Fifth Amendment and (iii) provide us with additional operating flexibility, including the ability to incur certain additional debt and to make certain additional restricted payments, investments and dispositions, in each case as more fully set forth in the Fifth Amendment. Total issue costs for the Fifth Amendment aggregated to approximately $4.7 million . Of this amount, $4.1 million was identified and capitalized as discount on debt, $350,000 was capitalized as deferred financing costs and the remaining $235,000 was expensed. Amounts capitalized will be amortized over the remaining term of the agreement. The First Lien Credit Agreement pursuant to the fifth amendment provided for a $117.5 million Barclays revolving credit facility and increased to $137.5 million in the Sixth Amendment. Revolving loans borrowed under the Barclays Revolving Credit Facility bore an interest at either an Adjusted Eurodollar Rate or a Base Rate (in each case, as more fully defined in the First Lien Credit Agreement), plus an applicable margin. Pursuant to the Fifth Amendment and unchanged in the Sixth Amendment, the applicable margin was amended to vary based on our leverage ratio in accordance with the following schedule: First Lien Leverage Ratio Eurodollar Rate Spread Base Rate Spread > 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% For letters of credit issued under the Barclays Revolving Credit Facility, letter of credit fees accrue at the applicable margin (see table above) for Adjusted Eurodollar Rate revolving loans and fronting fees accrue at 0.25% per annum, in each case on the average aggregate daily maximum amount available to be drawn under all letters of credit issued under the First Lien Credit Agreement. In addition a commitment fee of 0.5% per annum accrues on the unused revolver commitments under the Barclays Revolving Credit Facility. As of September 30, 2019 , the interest rate payable on revolving loans was 7.50% . With no amounts outstanding and a reserve for letters of credit of $5.9 million as of September 30, 2019 , the amount available to borrow under the Barclays Revolving Credit Facility at September 30, 2019 was $131.7 million . The Barclays Revolving Credit Facility was originally scheduled to terminate on the earliest to occur of (i) July 1, 2021 , (ii) the date we voluntarily agree to permanently reduce the Barclays Revolving Credit Facility to zero pursuant to section 2.13(b) of the First Lien Credit Agreement, and (iii) the date the Barclays Revolving Credit Facility is terminated due to specific events of default pursuant to section 8.01 of the First Lien Credit Agreement. The termination date was updated with the Sixth Amendment. The following describes our financing activities with respect to our SunTrust credit facilities: Amended and Restated Revolving Credit and Term Loan Agreement On August 31, 2018, our subsidiary, New Jersey Imaging Networks ("NJIN"), entered into the Amended and Restated Revolving Credit and Term Loan Agreement (as amended, the "SunTrust Restated Credit Agreement") as borrower with SunTrust Bank and other financial institutions as lenders to restate the SunTrust Original Credit Agreement (as described below) and to provide NJIN additional aggregate credit facilities of $48.1 million as categorized below: SunTrust Revolving Credit Facility: The SunTrust Restated Credit Agreement establishes a $30.0 million revolving credit facility available to NJIN for funding requirements. This represents an increase of $20.0 million over the revolving facility of $ 10.0 million made available to NJIN under the SunTrust Original Credit Agreement. The SunTrust Revolving Credit Facility terminates on the earliest of (i) August 31, 2023, (ii) the voluntary termination thereof by NJIN pursuant to Section 2.8 of the SunTrust Restated Credit Agreement, or (iii) the date on which all amounts outstanding under the SunTrust Restated Credit Agreement have been declared or have automatically become due and payable (whether by acceleration or otherwise). NJIN has not borrowed against the revolving credit line. SunTrust Term Loan: Pursuant to the SunTrust Restated Credit Agreement, the lenders thereunder made a term loan to NJIN in the amount of $60.0 million . This represents an increase of $28.1 million over the outstanding amount of the term loan under the SunTrust Original Credit Agreement and extends the term of the loan from September 30, 2020 to August 31, 2023. The SunTrust Term Loan is repayable in scheduled quarterly amounts (as described below) and has a maturity date of the earlier of (a) August 31, 2023 and (b) the date on which the principal amount of the SunTrust Term Loan has been declared or automatically has become due and payable (whether by acceleration or otherwise). Interest: For the period from August 31, 2018, through the date NJIN delivered its financial statements and compliance certificate for the fiscal quarter ending September 30, 2018, the interest rates and fees applicable to the SunTrust Revolving Credit Facility and the SunTrust Term Loan were (i) for Eurodollar Loans (as defined in the SunTrust Restated Credit Agreement), the Adjusted LIBOR (as defined in the SunTrust Restated Credit Agreement) plus 2.75% per annum, (ii) for Base Rate Loans (as defined in the SunTrust Restated Credit Agreement), the Base Rate (as defined in the SunTrust Restated Credit Agreement) plus 1.75% per annum, (iii) for letters of credit, 2.75% per annum, and (iv) for the unused commitment fee on the SunTrust Revolving Credit Facility, 0.45% per annum. Thereafter, the rates of the applicable margin for borrowing under the SunTrust Restated Credit Agreement will adjust depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 2.75% per annum 1.75% per annum 2.75% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum V Less than 1.50:1.00 1.50% per annum 0.50% per annum 1.50% per annum 0.30% per annum The loans and other obligations outstanding under the SunTrust Restated Credit Agreement currently bear interest and fees based on Pricing Level I described above.The loans outstanding under the SunTrust Restated Credit Agreement currently bear interest based on a one month Eurodollar election. Payments: The scheduled amortization of the SunTrust Term Loan began December 31, 2018 with quarterly payments of $750,000 , representing annual amortization equal to 5% of the original principal amount of the SunTrust Term Loan. At scheduled intervals, the quarterly amortization increases by $375,000 , with the remaining balance to be paid at maturity. Revolving Credit and Term Loan Agreement On September 30, 2015, NJIN entered into the Revolving Credit and Term Loan Agreement (the "SunTrust Original Credit Agreement") as borrower with SunTrust Bank and other financial institutions as lenders, pursuant to which the lenders made available to NJIN credit facilities in an aggregate amount of $50.0 million as categorized below: Original Revolving Credit Facility: The SunTrust Original Credit Agreement established a $10.0 million revolving credit facility available to NJIN for needed funding requirements. The Original Revolving Credit Facility terminated on the earliest of (i) September 30, 2020, (ii) the voluntary termination thereof by NJIN pursuant to Section 2.8 of the SunTrust Original Credit Agreement, or (iii) the date on which all amounts outstanding under the SunTrust Original Credit Agreement have been declared or have automatically become due and payable (whether by acceleration or otherwise). Original Term Loan: Pursuant to the SunTrust Original Credit Agreement, the lenders thereunder made a term loan to NJIN in the amount of $40.0 million . The Original Term Loan was repayable in scheduled quarterly amounts (as described below) and had a maturity date of the earlier of (a) September 30, 2020 and (b) the date on which the principal amount of the Original Term Loan has been declared or automatically has become due and payable (whether by acceleration or otherwise). Interest: For the period from September 30, 2015, through the date NJIN delivered its financial statements and compliance certificate for the fiscal quarter ending December 31, 2015, the interest rates and fees applicable to the SunTrust Original Credit Agreement were (i) for Eurodollar Loans (as defined in the SunTrust Original Credit Agreement), the Adjusted LIBOR (as defined in the SunTrust Original Credit Agreement) plus 3.00% per annum, (ii) for Base Rate Loans (as defined in the SunTrust Original Credit Agreement), the Base Rate (as defined in the SunTrust Original Credit Agreement) plus 2.00% per annum, (iii) for letters of credit, 3.00% per annum, and (iv) for the unused commitment fee on the Original Revolving Credit Facility, 0.45% per annum. Thereafter, the rates of the applicable margin for borrowing under the SunTrust Original Credit Agreement adjusted depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 3.00% per annum 2.00% per annum 3.00% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.50% per annum 1.50% per annum 2.50% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.30% per annum V Less than 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum Payments: The scheduled amortization of the term loans under the SunTrust Original Credit Agreement began December 31, 2015 with quarterly payments of $500,000 , representing annual amortization equal to 5% of the original principal amount of the term loans under the SunTrust Original Credit Agreement. Each December 31, the scheduled quarterly amortization increased by a certain amount, with the remaining balance to be paid at maturity." id="sjs-B4">CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS As of September 30, 2019 and December 31, 2018 our debt obligations consist of the following (in thousands): September 30, December 31, First Lien Term Loans collateralized by RadNet's tangible and intangible assets $ 659,522 $ 587,191 Discounts on First Lien Term Loans (14,549 ) (15,112 ) Term Loan Agreement collateralized by NJIN's tangible and intangible assets 57,000 59,250 Revolving Credit Facilities — 28,000 Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 — 199 Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment 351 632 Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment (1) — 12,119 Total debt obligations 702,324 672,279 Less: current portion (39,719 ) (39,267 ) Long term portion debt obligations $ 662,605 $ 633,012 (1) Obligations under capital leases were transferred to Finance Lease Liability at January 1, 2019 in accordance with the adoption of Accounting Standards Update No 2016-02, Leases (Topic 842) . See Note 5, Leases, for more information. Senior Secured Credit Facilities At September 30, 2019 , our Barclays credit facilities were comprised of one tranche of term loans (“First Lien Term Loans”) and a revolving credit facility of $137.5 million (the “Barclays Revolving Credit Facility”), both of which are provided pursuant to the Amended and Restated First Lien Credit and Guaranty Agreement dated as of July 1, 2016 (as amended, the “First Lien Credit Agreement”). At September 30, 2019 , our SunTrust credit facilities, which relate to our consolidated subsidiary NJIN, were comprised of one term loan (the "SunTrust Term Loan") and a revolving credit facility of $30.0 million (the "SunTrust Revolving Credit Facility") both of which are provided pursuant to the SunTrust Restated Credit Agreement (as described below). As of September 30, 2019 , we were in compliance with all covenants under our credit facilities. Deferred financing costs at September 30, 2019 , net of accumulated amortization, was $1.7 million and is specifically related to our Barclays Revolving Credit Facility. Included in our condensed consolidated balance sheets at September 30, 2019 are $659.5 million of First Lien Term Loans and $57.0 million of SunTrust Term Loan debt for a combined total of $716.5 million of total term loan debt (net of unamortized discounts of $14.5 million ) in thousands: Face Value Discount Total Carrying First Lien Term Loans $ 659,522 $ (14,549 ) $ 644,973 SunTrust Term Loan 57,000 — 57,000 Total Term Loans $ 716,522 $ (14,549 ) $ 701,973 We had no balance under our $137.5 million Barclays Revolving Credit Facility at September 30, 2019 and have reserved an additional $5.9 million for certain letters of credit. The remaining $131.7 million of our Barclays Revolving Credit Facility was available to draw upon as of September 30, 2019 . We also had no balance under our $30.0 million SunTrust Revolving Credit Facility related to our consolidated subsidiary NJIN at September 30, 2019 . The following describes our financing activities related to our Barclays credit facilities: 2019 Amendments to the First Lien Credit Agreement: On April 18, 2019 we entered into the following two new amendments to the First Lien Credit Agreement: (i) Amendment No. 6, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement dated as of April 18, 2019 (the “Sixth Amendment”); and (ii) Amendment No. 7 to Credit and Guaranty Agreement dated as of April 18, 2019 (the “Seventh Amendment”). The Sixth Amendment amended the First Lien Credit Agreement to issue $100.0 million in incremental First Lien Term Loans and to add an additional $20.0 million of revolving commitments to the Barclay's Revolving Credit Facility. Under the First Lien Credit Agreement, we now have approximately $679.0 million in First Lien Term Loans outstanding and capacity to borrow up to $137.5 million under our Barclays Revolving Credit Facility. The proceeds of the incremental First Lien Term Loans have been used to repay revolving loans outstanding under the Revolving Credit Facility and the fees, costs and expenses associated with the Sixth Amendment and the Seventh Amendment. Rates of the applicable margin for borrowing under the First Lien Credit Agreement remain the same as Amendment No. 5 from August 22, 2017 and described below. At September 30, 2019 the effective Adjusted Eurodollar Rate and the Base Rate for the First Lien Term Loans was 2.33% and 5.00% , respectively and the applicable margin for Adjusted Eurodollar Rate and Base Rate borrowings was 3.50% and 2.50% , respectively. The Seventh Amendment amends the First Lien Credit Agreement to extend the maturity date of the Barclays Revolving Credit Facility by an additional two years to July 1, 2023, unless sooner terminated in accordance with the terms of the First Lien Credit Agreement. The First Lien Credit Agreement, as amended by the Sixth Amendment, provides for quarterly payments of principal under the First Lien Term Loans in the amount of approximately $9.7 million , as compared to approximately $8.3 million under the First Lien Credit Agreement prior to the Sixth Amendment. Total issue costs for the Sixth Amendment aggregated to approximately $4.4 million . Of this amount, $2.1 million was identified and capitalized as discount on debt, $683,000 was capitalized as deferred financing costs, and $1.6 million was expensed. Amounts capitalized will be amortized over the remaining term of the agreement. Amendment No. 5, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement On August 22, 2017, we entered into Amendment No. 5, Consent and Incremental Joinder Agreement to Credit and Guaranty Agreement (the “Fifth Amendment”) with respect to our First Lien Credit Agreement. Pursuant to the Fifth Amendment, we issued $170.0 million in incremental First Lien Term Loans, the proceeds of which were used to repay in full previously outstanding second lien term loans. Pursuant to the Fifth Amendment and unchanged by the Sixth Amendment, we also changed the interest rate margin applicable to borrowings under the First Lien Credit Agreement. While borrowings under the First Lien Credit Agreement continue to bear interest at either an Adjusted Eurodollar Rate or a Base Rate (in each case, as more fully defined in the First Lien Credit Agreement) or a combination of both, at the election of the Company, plus an applicable margin. Applicable margin for Adjusted Eurodollar Rate borrowings and Base Rate borrowings was changed to adjust depending on our leverage ratio, according to the following schedule: First Lien Leverage Ratio Eurodollar Rate Spread Base Rate Spread > 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% Pursuant to the Fifth Amendment, the First Lien Credit Agreement was amended so that we can elect to request 1) an increase to the existing Barclays Revolving Credit Facility and/or 2) additional First Lien Term Loans, provided that the aggregate amount of such increases and additions does not exceed (a) $100.0 million and (b) as long as the First Lien Leverage Ratio (as defined in the First Lien Credit Agreement) would not exceed 4.00 :1.00 after giving effect to such incremental facilities, an uncapped amount of incremental facilities, in each case subject to the conditions and limitations set forth in the First Lien Credit Agreement. Each lender approached to provide all or a portion of any incremental facility may elect or decline, in its sole discretion, to provide an incremental commitment or loan. Pursuant to the Fifth Amendment, the First Lien Credit Agreement was also amended to (i) provide for quarterly payments of principal of the First Lien Term Loans in the amount of approximately $8.3 million , as compared to approximately $6.1 million prior to the Fifth Amendment, (ii) extend the call protection provided to the holders of the First Lien Term Loans for a period of twelve months following the date of the Fifth Amendment and (iii) provide us with additional operating flexibility, including the ability to incur certain additional debt and to make certain additional restricted payments, investments and dispositions, in each case as more fully set forth in the Fifth Amendment. Total issue costs for the Fifth Amendment aggregated to approximately $4.7 million . Of this amount, $4.1 million was identified and capitalized as discount on debt, $350,000 was capitalized as deferred financing costs and the remaining $235,000 was expensed. Amounts capitalized will be amortized over the remaining term of the agreement. The First Lien Credit Agreement pursuant to the fifth amendment provided for a $117.5 million Barclays revolving credit facility and increased to $137.5 million in the Sixth Amendment. Revolving loans borrowed under the Barclays Revolving Credit Facility bore an interest at either an Adjusted Eurodollar Rate or a Base Rate (in each case, as more fully defined in the First Lien Credit Agreement), plus an applicable margin. Pursuant to the Fifth Amendment and unchanged in the Sixth Amendment, the applicable margin was amended to vary based on our leverage ratio in accordance with the following schedule: First Lien Leverage Ratio Eurodollar Rate Spread Base Rate Spread > 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% For letters of credit issued under the Barclays Revolving Credit Facility, letter of credit fees accrue at the applicable margin (see table above) for Adjusted Eurodollar Rate revolving loans and fronting fees accrue at 0.25% per annum, in each case on the average aggregate daily maximum amount available to be drawn under all letters of credit issued under the First Lien Credit Agreement. In addition a commitment fee of 0.5% per annum accrues on the unused revolver commitments under the Barclays Revolving Credit Facility. As of September 30, 2019 , the interest rate payable on revolving loans was 7.50% . With no amounts outstanding and a reserve for letters of credit of $5.9 million as of September 30, 2019 , the amount available to borrow under the Barclays Revolving Credit Facility at September 30, 2019 was $131.7 million . The Barclays Revolving Credit Facility was originally scheduled to terminate on the earliest to occur of (i) July 1, 2021 , (ii) the date we voluntarily agree to permanently reduce the Barclays Revolving Credit Facility to zero pursuant to section 2.13(b) of the First Lien Credit Agreement, and (iii) the date the Barclays Revolving Credit Facility is terminated due to specific events of default pursuant to section 8.01 of the First Lien Credit Agreement. The termination date was updated with the Sixth Amendment. The following describes our financing activities with respect to our SunTrust credit facilities: Amended and Restated Revolving Credit and Term Loan Agreement On August 31, 2018, our subsidiary, New Jersey Imaging Networks ("NJIN"), entered into the Amended and Restated Revolving Credit and Term Loan Agreement (as amended, the "SunTrust Restated Credit Agreement") as borrower with SunTrust Bank and other financial institutions as lenders to restate the SunTrust Original Credit Agreement (as described below) and to provide NJIN additional aggregate credit facilities of $48.1 million as categorized below: SunTrust Revolving Credit Facility: The SunTrust Restated Credit Agreement establishes a $30.0 million revolving credit facility available to NJIN for funding requirements. This represents an increase of $20.0 million over the revolving facility of $ 10.0 million made available to NJIN under the SunTrust Original Credit Agreement. The SunTrust Revolving Credit Facility terminates on the earliest of (i) August 31, 2023, (ii) the voluntary termination thereof by NJIN pursuant to Section 2.8 of the SunTrust Restated Credit Agreement, or (iii) the date on which all amounts outstanding under the SunTrust Restated Credit Agreement have been declared or have automatically become due and payable (whether by acceleration or otherwise). NJIN has not borrowed against the revolving credit line. SunTrust Term Loan: Pursuant to the SunTrust Restated Credit Agreement, the lenders thereunder made a term loan to NJIN in the amount of $60.0 million . This represents an increase of $28.1 million over the outstanding amount of the term loan under the SunTrust Original Credit Agreement and extends the term of the loan from September 30, 2020 to August 31, 2023. The SunTrust Term Loan is repayable in scheduled quarterly amounts (as described below) and has a maturity date of the earlier of (a) August 31, 2023 and (b) the date on which the principal amount of the SunTrust Term Loan has been declared or automatically has become due and payable (whether by acceleration or otherwise). Interest: For the period from August 31, 2018, through the date NJIN delivered its financial statements and compliance certificate for the fiscal quarter ending September 30, 2018, the interest rates and fees applicable to the SunTrust Revolving Credit Facility and the SunTrust Term Loan were (i) for Eurodollar Loans (as defined in the SunTrust Restated Credit Agreement), the Adjusted LIBOR (as defined in the SunTrust Restated Credit Agreement) plus 2.75% per annum, (ii) for Base Rate Loans (as defined in the SunTrust Restated Credit Agreement), the Base Rate (as defined in the SunTrust Restated Credit Agreement) plus 1.75% per annum, (iii) for letters of credit, 2.75% per annum, and (iv) for the unused commitment fee on the SunTrust Revolving Credit Facility, 0.45% per annum. Thereafter, the rates of the applicable margin for borrowing under the SunTrust Restated Credit Agreement will adjust depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 2.75% per annum 1.75% per annum 2.75% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum V Less than 1.50:1.00 1.50% per annum 0.50% per annum 1.50% per annum 0.30% per annum The loans and other obligations outstanding under the SunTrust Restated Credit Agreement currently bear interest and fees based on Pricing Level I described above.The loans outstanding under the SunTrust Restated Credit Agreement currently bear interest based on a one month Eurodollar election. Payments: The scheduled amortization of the SunTrust Term Loan began December 31, 2018 with quarterly payments of $750,000 , representing annual amortization equal to 5% of the original principal amount of the SunTrust Term Loan. At scheduled intervals, the quarterly amortization increases by $375,000 , with the remaining balance to be paid at maturity. Revolving Credit and Term Loan Agreement On September 30, 2015, NJIN entered into the Revolving Credit and Term Loan Agreement (the "SunTrust Original Credit Agreement") as borrower with SunTrust Bank and other financial institutions as lenders, pursuant to which the lenders made available to NJIN credit facilities in an aggregate amount of $50.0 million as categorized below: Original Revolving Credit Facility: The SunTrust Original Credit Agreement established a $10.0 million revolving credit facility available to NJIN for needed funding requirements. The Original Revolving Credit Facility terminated on the earliest of (i) September 30, 2020, (ii) the voluntary termination thereof by NJIN pursuant to Section 2.8 of the SunTrust Original Credit Agreement, or (iii) the date on which all amounts outstanding under the SunTrust Original Credit Agreement have been declared or have automatically become due and payable (whether by acceleration or otherwise). Original Term Loan: Pursuant to the SunTrust Original Credit Agreement, the lenders thereunder made a term loan to NJIN in the amount of $40.0 million . The Original Term Loan was repayable in scheduled quarterly amounts (as described below) and had a maturity date of the earlier of (a) September 30, 2020 and (b) the date on which the principal amount of the Original Term Loan has been declared or automatically has become due and payable (whether by acceleration or otherwise). Interest: For the period from September 30, 2015, through the date NJIN delivered its financial statements and compliance certificate for the fiscal quarter ending December 31, 2015, the interest rates and fees applicable to the SunTrust Original Credit Agreement were (i) for Eurodollar Loans (as defined in the SunTrust Original Credit Agreement), the Adjusted LIBOR (as defined in the SunTrust Original Credit Agreement) plus 3.00% per annum, (ii) for Base Rate Loans (as defined in the SunTrust Original Credit Agreement), the Base Rate (as defined in the SunTrust Original Credit Agreement) plus 2.00% per annum, (iii) for letters of credit, 3.00% per annum, and (iv) for the unused commitment fee on the Original Revolving Credit Facility, 0.45% per annum. Thereafter, the rates of the applicable margin for borrowing under the SunTrust Original Credit Agreement adjusted depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 3.00% per annum 2.00% per annum 3.00% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.50% per annum 1.50% per annum 2.50% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.30% per annum V Less than 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum Payments: The scheduled amortization of the term loans under the SunTrust Original Credit Agreement began December 31, 2015 with quarterly payments of $500,000 , representing annual amortization equal to 5% of the original principal amount of the term loans under the SunTrust Original Credit Agreement. Each December 31, the scheduled quarterly amortization increased by a certain amount, with the remaining balance to be paid at maturity. |
STOCK-BASED COMPENSATION
STOCK-BASED COMPENSATION | 9 Months Ended |
Sep. 30, 2019 | |
Disclosure of Compensation Related Costs, Share-based Payments [Abstract] | |
STOCK-BASED COMPENSATION | STOCK-BASED COMPENSATION Stock Incentive Plans We have one long-term equity incentive plan which we refer to as the 2006 Equity Incentive Plan, which we first amended and restated as of April 20, 2015 and again on March 9, 2017 (the "Restated Plan”). The Restated Plan was approved by our stockholders at our annual stockholders meeting on June 8, 2017. We have reserved for issuance under the Restated Plan 14,000,000 shares of common stock. We can issue options, stock awards, stock appreciation rights, stock units and cash awards under the Restated Plan. Options Certain options granted under the Restated Plan to employees are intended to qualify as incentive stock options under existing tax regulations. Stock options generally vest over 3 to 5 years and expire 5 to 10 years from the date of grant. As of September 30, 2019 , we had outstanding options to acquire 481,451 shares of our common stock, of which options to acquire 137,623 shares were exercisable. The following summarizes all of our option transactions for the nine months ended September 30, 2019 : Outstanding Options Under the 2006 Plan Shares Weighted Average Exercise price Per Common Share Weighted Average Remaining Contractual Life (in years) Aggregate Intrinsic Value Balance,December 31, 2018 513,282 $ 7.44 Granted 89,200 10.93 Exercised (10,000 ) 4.97 Canceled, forfeited or expired (111,031 ) 0.79 Balance, September 30, 2019 481,451 8.22 7.56 $ 2,956,444 Exercisable at September 30, 2019 137,623 6.97 6.65 1,017,406 Aggregate intrinsic value in the table above represents the total pretax intrinsic value (the difference between our closing stock price on September 30, 2019 and the exercise price, multiplied by the number of in-the-money options as applicable) that would have been received by the holder had all holders exercised their options on September 30, 2019 . Options exercised amounted to 10,000 shares during the nine months ended September 30, 2019 . As of September 30, 2019 , total unrecognized stock-based compensation expense related to non-vested employee awards was $846,700 which is expected to be recognized over a weighted average period of approximately 1.96 years . Restricted Stock Awards The Restated Plan permits the award of restricted stock awards (“RSA’s”). As of September 30, 2019 , we have issued a total of 6,089,276 RSA’s of which 387,184 were unvested at September 30, 2019 . The following summarizes all unvested RSA’s activities during the nine months ended September 30, 2019 : RSA's Weighted-Average Remaining Contractual Term (Years) Weighted-Average Fair Value RSA's unvested at December 31, 2018 277,504 $ 9.77 Changes during the period Granted 631,656 $ 11.76 Vested (520,476 ) $ 9.64 Forfeited or Cancelled (1,500 ) $ 12.76 RSA's unvested at September 30, 2019 387,184 1.38 $ 11.59 We determine the fair value of all RSA’s based on the closing price of our common stock on award date. Other stock bonus awards The Restated Plan also permits the award of stock bonuses not subject to any future service period. These awards are valued and expensed based on the closing price of our common stock on the date of award. During the nine months ended September 30, 2019 awards totaling 26,600 shares were granted. Plan summary In summary, of the 14,000,000 shares of common stock reserved for issuance under the Restated Plan, at September 30, 2019 , we had issued 14,806,694 total shares between options, RSA’s and other stock awards. With options canceled and RSA’s forfeited amounting to 3,281,040 and 61,703 shares, respectively, there remain 2,536,049 shares available under the Restated Plan for future issuance. |
SUBSEQUENT EVENTS
SUBSEQUENT EVENTS | 9 Months Ended |
Sep. 30, 2019 | |
Subsequent Events [Abstract] | |
SUBSEQUENT EVENTS | SUBSEQUENT EVENTS Equity Investments at Fair Value: WhiteRabbit.ai Inc., based in California, is currently developing an artificial intelligence suite which aims to improve the speed and accuracy of cancer detection in radiology and improve patient care. On November 5, 2019 we acquired an equity interest in the company for $1.0 million and also loaned the company $2.5 million to in support of its operations. |
SIGNIFICANT ACCOUNTING POLICI_2
SIGNIFICANT ACCOUNTING POLICIES (Policies) | 9 Months Ended |
Sep. 30, 2019 | |
Accounting Policies [Abstract] | |
REVENUES | REVENUES - Our revenues generally relate to net patient fees received from various payers and patients themselves under contracts in which our performance obligations are to provide diagnostic services to the patients. Revenues are recorded during the period our obligations to provide diagnostic services are satisfied. Our performance obligations for diagnostic services are generally satisfied over a period of less than one day. The contractual relationships with patients, in most cases, also involve a third-party payer (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through the health insurance exchanges) and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with (managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers for the services we provide to the related patients typically specify payments at amounts less than our standard charges and generally provide for payments based upon predetermined rates per diagnostic services or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals. As it relates to BRMG and NY Group centers, this service fee revenue includes payments for both the professional medical interpretation revenue recognized by BRMG and the NY Groups 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 NY Groups. As it relates to non-BRMG centers, this service fee revenue is earned through providing the use of our diagnostic imaging equipment and the provision of technical services as well as providing administration services such as 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. Our revenues are based upon the estimated amounts we expect to be entitled to receive from patients and third-party payers. Estimates of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record estimated implicit price concessions (based primarily on historical collection experience) related to uninsured accounts to record self-pay revenues at the estimated amounts we expect to collect. 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 total revenues during the three and nine months ended September 30, 2019 and 2018 are presented in the table below based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage (in thousands): Three Months Ended Nine Months Ended 2019 2018 2019 2018 Commercial insurance $ 163,152 $ 135,445 $ 475,064 $ 397,193 Medicare 61,599 48,243 175,825 141,348 Medicaid 7,128 6,323 21,564 19,129 Workers' compensation/personal injury 10,865 8,810 32,950 25,714 Other patient revenue 6,085 6,205 17,947 18,318 Management fee revenue 1,792 3,615 5,662 11,237 Teleradiology and Software revenue 4,412 4,063 12,861 11,879 Other 6,875 4,848 20,878 16,318 Service fee revenue 261,908 217,552 762,751 641,136 Revenue under capitation arrangements 30,784 24,596 90,587 76,799 Total revenue $ 292,692 $ 242,148 $ 853,338 $ 717,935 |
RECLASSIFICATION | RECLASSIFICATION – We have reclassified certain amounts within our table of total revenue for 2018 to conform to our 2019 presentation. In addition, we have reclassified certain amounts within our condensed consolidated statements of equity for the three and nine months ended September 30, 2018 in common shares issued and additional paid in capital to conform to our 2019 presentation. |
ACCOUNTS RECEIVABLE | 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. 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. |
DEFERRED FINANCING COSTS | DEFERRED FINANCING COSTS - Costs of financing are deferred and amortized using the effective interest rate method. Deferred financing costs, net of accumulated amortization, were $1.7 million and $1.4 million , as of September 30, 2019 and December 31, 2018 , respectively and related to our line of credit. In conjunction with our Sixth Amendment and Seventh Amendment to our First Lien Credit Agreement (as defined below), a net addition of approximately $683,000 was added to deferred financing costs. See Note 6, Credit Facility, Notes Payable, and Capital Lease Obligations, for more information. |
INVENTORIES | INVENTORIES - Inventories, consisting mainly of medical supplies, are stated at the lower of cost or net realizable value with cost determined by the first-in, first-out method. |
PROPERTY AND EQUIPMENT | PROPERTY AND EQUIPMENT - Property and equipment are stated at cost, less accumulated depreciation and amortization. Depreciation of property and equipment is performed using the straight-line method over the estimated useful lives of the assets acquired, which range from 3 to 15 years. Leasehold improvements are amortized at the lesser of lease term or their estimated useful lives, which range from 3 to 15 years. Maintenance and repairs are charged to expense as incurred. |
BUSINESS COMBINATION | BUSINESS COMBINATION - When the qualifications for business combination accounting treatment are met, it requires us to recognize separately from goodwill the assets acquired and the liabilities assumed at their acquisition date fair values. Goodwill as of the acquisition date is measured as the excess of consideration transferred over the net of the acquisition date fair values of the assets acquired and the liabilities assumed. While we use our best estimates and assumptions to accurately value assets acquired and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we record adjustments to the assets acquired and liabilities assumed with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded to our consolidated statements of operations. |
GOODWILL AND INDEFINITE LIVED INTANGIBLES | GOODWILL AND INDEFINITE LIVED INTANGIBLES - Goodwill at September 30, 2019 totaled $439.9 million . Indefinite lived intangible assets at September 30, 2019 were $11.9 million . Goodwill and Indefinite Lived Intangibles are recorded as a result of business combinations. When we determine the carrying value of reporting unit exceeds its fair value an impairment charge would be recognized and should not exceed the total amount of goodwill allocated to that reporting unit. We tested goodwill and indefinite lived intangibles for impairment on October 1, 2018. During the review we noted our Teleradiology unit, Imaging On Call, (IOC), experienced a reduction of professional medical group clients and a contract with a major local health provider during 2018. This affected its estimated fair value and resulted in impairment charges to the reporting unit of $3.9 million for the twelve months ended December 31, 2018, with goodwill representing $3.8 million of the total and the remainder being its trade name of approximately $100,000 . We have not identified any indicators of impairment through September 30, 2019 . Activity in goodwill for the nine months ended September 30, 2019 is provided below (in thousands): Balance as of December 31, 2018 $ 418,093 Adjustments to our preliminary allocation of the purchase price of Medical Arts Radiological Group, P.C. 722 Goodwill acquired through the acquisition of certain assets of Dignity Health 1 Goodwill acquired through the acquisition of certain assets of West Valley Imaging Center, LLC 2,490 Goodwill disposed through sale of assets (123 ) Goodwill acquired by Lenox Hill Radiology through the membership purchase of HVRA 3,125 Goodwill acquired through the acquisition of certain assets of Kern Radiology, Inc. 10,507 Goodwill acquired through the acquisition of certain assets of Zilkha Radiology, Inc. 2,577 Goodwill acquired through the acquisition of certain assets of Ramic Mahwah, LLC 231 Goodwill acquired through the acquisition of GSRN 887 Goodwill acquired through the acquisition of Nulogix 1,357 Balance as of September 30, 2019 $ 439,867 |
INCOME TAXES | INCOME TAXES - 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 in determining whether our net deferred tax assets are more likely than not to be realized. We recorded an income tax expense of $1.8 million , or an effective tax rate of 26.3% , for the three months ended September 30, 2019 compared to income tax expense for the three months ended September 30, 2018 of $2.8 million , or an effective tax rate of 32.9% . We recorded an income tax expense of $3.6 million , or an effective tax rate of 24.8% for the nine months ended September 30, 2019 compared to income tax expense for the nine months ended September 30, 2018 of $2.8 million or an effective tax rate of 29.5% . The income tax rates for the three and nine months ended September 30, 2019 diverge from the federal statutory rate due to (i) noncontrolling interests due to the controlled partnerships; (ii) effects of state income taxes; (iii) excess tax benefits attributable to share-based compensation; and adjustment associated with uncertain tax positions. We are not under examination in any jurisdiction and the years ended December 31, 2017 , 2016 , and 2015 remain subject to examination. We believe no significant changes in the unrecognized tax benefits will occur within the next 12 months. |
EQUITY BASED COMPENSATION | EQUITY BASED COMPENSATION – We have one long-term incentive plan that we adopted in 2006 and which we first amended and restated as of April 20, 2015, and again on March 9, 2017 (the “Restated Plan”). The Restated Plan was approved by our stockholders at our annual stockholders meeting on June 8, 2017. We have reserved for issuance under the Restated Plan 14,000,000 shares of common stock. We can issue options, stock awards, stock appreciation rights, stock units and cash awards under the Restated Plan. Certain options granted under the Restated Plan to employees are intended to qualify as incentive stock options under existing tax regulations. Stock options and warrants generally vest over three to five years and expire five to ten years from date of grant. The compensation expense recognized for all equity-based awards is recognized over the awards’ service periods. Equity-based compensation is classified in operating expenses within the same line item as the majority of the cash compensation paid to employees. See Note 7, Stock-Based Compensation, for more information. |
COMPREHENSIVE INCOME | COMPREHENSIVE (LOSS) INCOME - ASC 220 establishes rules for reporting and displaying comprehensive loss or income and its components. Our unrealized gains or losses on foreign currency translation adjustments, interest rate cap and SWAP agreements are included in comprehensive (loss) income and are included in the consolidated statements of comprehensive (loss) income for the three and nine months ended September 30, 2019 and 2018. |
DERIVATIVE INSTRUMENTS | DERIVATIVE INSTRUMENTS 2016 CAPS In the fourth quarter of 2016, we entered into two forward interest rate cap agreements ("2016 Caps"). The 2016 Caps will mature in September and October 2020. The 2016 Caps had notional amounts of $150,000,000 and $350,000,000 , respectively, which were designated at inception as cash flow hedges of future cash interest payments associated with portions of our variable rate bank debt. Under these arrangements, the Company purchased a cap on 3 month LIBOR at 2.0% . We incurred a $5.3 million premium to enter into the 2016 Caps which is being accrued over the life of the agreements. At inception, we designated our 2016 Caps as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity. See Fair Value Measurements section below for the fair value of the 2016 Caps at September 30, 2019 . A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2016 Caps is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss (768 ) (251 ) (1,019 ) Liabilities and Equity For the nine months ended September 30, 2019 Account January 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Income (Loss) 2,506 (3,525 ) (1,019 ) Liabilities and Equity 2019 SWAPS In the second quarter of 2019, we entered into four forward interest rate agreements ("2019 SWAPS"). The 2019 SWAPS have total notional amounts of $500,000,000 , consisting of two agreements of $50,000,000 each and two agreements of $200,000,000 each. The 2019 SWAPS will secure a constant interest rate associated with portions of our variable rate bank debt and have an effective date of October 13, 2020. They will mature in October 2023 for the smaller notional and October 2025 for the larger notional. Under these arrangements, we arranged the 2019 SWAPS with locked in 1 month LIBOR rates at 1.96% for the $100,000,000 notional and at 2.05% for the $400,000,000 notional. As of the effective date, we will be liable for premium payments if interest rates decline below arranged rates, but will receive interest payments if rates remain above the arranged rates. At inception, we designated our 2019 SWAPS as cash flow hedges of floating-rate borrowings. In accordance with ASC Topic 815, derivatives that have been designated and qualify as cash flow hedging instruments are reported at fair value. The gain or loss of the hedge (i.e. change in fair value) is reported as a component of comprehensive loss in the consolidated statement of equity. See Fair Value Measurements section below for the fair value of the 2019 SWAPS at September 30, 2019 . A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 SWAPS is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss $ (5,924 ) $ (5,032 ) $ (10,956 ) Liabilities and Equity |
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. Derivatives: The tables below summarizes the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our consolidated balance sheets, as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Current and long term liabilities 2016 Caps - Interest Rate Contracts $ — $ 906 $ — $ 906 2019 SWAPS - Interest Rate Contracts $ — $ 15,473 $ — $ 15,473 As of December 31, 2018 Level 1 Level 2 Level 3 Total Current assets 2016 Caps - Interest Rate Contracts $ — $ 3,316 $ — $ 3,316 The estimated fair value of these contracts was determined using Level 2 inputs. More specifically, the fair value was determined by calculating the value of the difference between the fixed interest rate of the interest rate swaps and the counterparty’s forward LIBOR curve. The forward LIBOR curve is readily available in the public markets or can be derived from information available in the public markets. Long Term Debt: The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Fair Value Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 718,172 $ — $ 718,172 $ 716,522 As of December 31, 2018 Level 1 Level 2 Level 3 Total Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 633,229 $ — $ 633,229 $ 646,441 As of September 30, 2019 our Barclays revolving credit facility had no balance outstanding while at December 31, 2018 , our Barclays revolving credit facility had a $28.0 million aggregate principal amount outstanding. Our SunTrust revolving credit facility relating to our consolidated subsidiary NJIN, had no principal amount outstanding at September 30, 2019 and at December 31, 2018 . The estimated fair value of our long-term debt, which is discussed in Note 6, was determined using Level 2 inputs primarily related to comparable market prices. We consider the carrying amounts of cash and cash equivalents, receivables, other current assets, current liabilities and other notes payables 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. |
EARNINGS PER SHARE | 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 September 30, Nine Months Ended September 30, 2019 2018 2019 2018 Net income attributable to RadNet, Inc.'s common stockholders $ 3,195 $ 5,039 $ 4,360 $ 3,107 BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Basic net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Add nonvested restricted stock subject only to service vesting 200,567 180,269 191,375 171,627 Add additional shares issuable upon exercise of stock options and warrants 352,333 424,397 324,793 372,463 Weighted average number of common shares used in calculating diluted net income per share 50,360,360 48,615,392 50,113,306 48,481,305 Diluted net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 Stock options excluded from the computation of diluted per share amounts: Weighted average shares for which the exercise price exceeds average market price of common stock — — — 8,333 |
EQUITY INVESTMENTS AT FAIR VALUE | EQUITY INVESTMENTS AT FAIR VALUE–Accounting guidance requires entities to measure equity investments at fair value, with any changes in fair value recognized in net income. If there is no readily determinable fair value, the guidance allows entities the ability to measure investments at cost less impairment. As of September 30, 2019 , we have two equity investments for which a fair value is not readily determinable and therefore the total amounts invested are recognized at cost as follows: Medic Vision: Medic Vision Imaging Solutions Ltd., based in Israel, specializes in software packages that provide compliant radiation dose structured reporting and enhanced images from reduced dose CT scans. On March 24, 2017, we acquired an initial 12.5% equity interest in Medic Vision for $1.0 million . We also received an option to exercise warrants to acquire up to an additional 12.5% equity interest for $1.4 million within one year from the initial share purchase date, if exercised in full. On March 1, 2018 we exercised our warrant in part and acquired an additional 1.96% for $200,000 . Our initial equity interest has been diluted to 12.25% and our total equity investment stands at 14.21% . In accordance with accounting guidance , as we exercise no significant influence over Medic Vision’s operations, the investment is recorded at its cost of $1.2 million , given that the fair value is not readily determinable. No impairment in our investment was identified as of September 30, 2019 . Turner Imaging: Turner Imaging Systems, based in Utah, develops and markets portable X-ray imaging systems that provide a user the ability to acquire X-ray images wherever and whenever they are needed. On February 1, 2018, we purchased 2.1 million preferred shares in Turner Imaging Systems for $2.0 million . On January 1, 2019 we funded a convertible promissory note in the amount of $143,000 that will convert to additional preferred shares no later than December 21, 2019. No impairment in our investment was identified as of September 30, 2019 . |
INVESTMENTS IN JOINT VENTURES | INVESTMENT IN JOINT VENTURES – We have 12 unconsolidated joint ventures with ownership interests ranging from 35% to 55% . 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, since RadNet does not have a controlling financial interest in such ventures. We evaluate our investment in joint ventures, including cost in excess of book value (equity method goodwill) for impairment whenever indicators of impairment exist. No indicators of impairment existed as of September 30, 2019 . Sale of joint venture interest: On April 1, 2017, we formed in conjuncture with Cedars Sinai Medical Center (“CSMC”) the Santa Monica Imaging Group, LLC (“SMIG”), consisting of two multi-modality imaging centers located in Santa Monica, CA with RadNet holding a 40% economic interest and CSMC holding a 60% economic interest. RadNet accounts for our share of the venture under the equity method. On January 1, 2019, CSMC purchased from the us an additional five percent economic interest in SMIG valued at $134,000 . As a result of the transaction, our economic interest in SMIG has been reduced to 35% . We recorded a loss of $2,000 on the transaction. Change in control of existing joint ventures: On October 6, 2014, we acquired a 49% equity interest in Garden State Radiology, LLC for cash consideration of $2.2 million . The venture consisted of two imaging centers located in New Jersey. On August 1, 2019, the entity was dissolved by transferring ownership of the assets of the centers to the partners for no consideration, with each partner receiving full ownership of one center. See Note 4, Facility Acquisitions and Dispositions, for further information. On April 12, 2018 we acquired 25% share capital in Nulogix, Inc. for cash consideration of $2.0 million . On August 1, 2019 we completed via the issuance of RadNet common stock valued at $1.5 million , the acquisition of the remaining 75% economic interest and we now consolidate the financial statements of Nulogix. See Note 4, Facility Acquisitions and Dispositions, for further information. Joint venture investment and financial information The following table is a summary of our investment in joint ventures during the nine months ended September 30, 2019 (in thousands): Balance as of December 31, 2018 $ 37,973 Equity in earnings in these joint ventures 6,072 Distribution of earnings (3,924 ) Sale of ownership interest (134 ) Dissolution of GRSN (1,427 ) Nulogix change in control (1,795 ) Equity contributions in existing joint ventures 103 Balance as of September 30, 2019 $ 36,868 We charged management service fees from the centers underlying these joint ventures of approximately $2.5 million and $3.5 million for the quarters ended September 30, 2019 and 2018 , respectively and $7.8 million and $10.6 million for the nine months ended September 30, 2019 and 2018, respectively. We eliminate any unrealized portion of our management service fees with our equity in earnings of joint ventures. The following table is a summary of key balance sheet data for these joint ventures as of September 30, 2019 and December 31, 2018 and income statement data for the nine months ended September 30, 2019 and 2018 (in thousands): Balance Sheet Data: September 30, 2019 December 31, 2018 Current assets $ 32,401 $ 28,317 Noncurrent assets 62,564 45,912 Current liabilities (9,383 ) (4,300 ) Noncurrent liabilities (20,113 ) (4,898 ) Total net assets $ 65,469 $ 65,031 Book value of RadNet joint venture interests $ 30,421 $ 30,030 Cost in excess of book value of acquired joint venture interests 6,447 7,943 Total value of Radnet joint venture interests $ 36,868 $ 37,973 Total book value of other joint venture partner interests $ 35,048 $ 35,001 Income statement data for the nine months ended September 30, 2019 2018 Net revenue $ 80,115 $ 136,413 Net income $ 13,718 $ 20,271 |
RECENT ACCOUNTING AND REPORTING STANDARDS | Accounting standards adopted In February 2016, the FASB issued Accounting Standard Update ("ASU") No. 2016-02, Leases (Topic 842) (ASU 2016-02), which amends the existing accounting standards for leases. In September 2017, the FASB issued ASU No. 2017-13 which provides additional clarification and implementation guidance on the previously issued ASU No. 2016-02. Subsequently, in July 2018, the FASB issued ASU No 2018-10, Codification Improvements to Topic 842, Leases, and ASU No. 2018-11, Targeted Improvement, to clarify and amend the guidance in ASU No. 2016-02. The amendments in this update were effective for fiscal years (and interim reporting periods within fiscal years) beginning after December 15, 2018, with early adoption permitted for all entities. Under the new guidance, a lessee is required to recognize a lease liability and right-of-use asset for all leases with terms in excess of twelve months. The new guidance also requires additional disclosures to enable users of financial statements to understand the amount, timing, and potential uncertainty of cash flows arising from leases. Consistent with current guidance, a lessee’s recognition, measurement, and presentation of expenses and cash flows arising from a lease will continue to depend primarily on its classification. We have elected the optional transition method to apply the standard as of the effective date and therefore, we will not apply the standard to the comparative periods presented in the consolidated financial statements. We elected the transition package of three practical expedients permitted within the standard, which eliminates the requirements to reassess prior conclusions about lease identification, lease classification, and initial direct costs. For facility and equipment operating leases, the effect of the adoption amounted to a lease liability of approximately $455.5 million . Operating lease right-of-use assets were recorded in the amount of approximately $419.0 million . Inclusive in the adoption was the transfer of approximately $35.3 million in deferred rent liability and $792,000 in unfavorable rental contract liabilities to operating lease right of use assets. For finance leases, the effect of the adoption amounted to a finance lease liability of approximately $12.1 million , which was transfered from capital lease debt. Equipment leased under the finance arrangements, amounting to $14.1 million , remained in property, plant and equipment. The transition adjustment did not have a material impact on the statement of operations or cash flows. See Note 5, Leases, for more information. In February 2018, the FASB issued ASU No. 2018-02 (“ASU 2018-02”), Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income . ASU 2018-02 allows for the reclassification of certain income tax effects related to the Tax Cuts and Jobs Act between “Accumulated other comprehensive income” and “Retained earnings.” This ASU relates to the requirement that adjustments to deferred tax liabilities and assets related to a change in tax laws or rates to be included in “Income from continuing operations”, even in situations where the related items were originally recognized in “Other comprehensive income” (rather than in “Income from continuing operations”). Subsequently, in March 2018, the FASB issued ASU No. 2018-05, Income Taxes, to clarify and amend guidance in ASU 2018-02. ASU 2018-02 and ASU 2018-05 are effective for all entities for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years, with early adoption permitted. Adoption of this ASU is to be applied either in the period of adoption or retrospectively to each period in which the effect of the change in the tax laws or rates were recognized. The adoption had no significant impact on the our results of operations, financial position and cash flows. In April 2019, the FASB issued ASU 2019-04, ("ASU 2019-04"), Codification Improvements to Topic 326, Financial Instruments-Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments , which, among other things, clarifies certain hedge accounting guidance. For the year ended 2017, we elected to early adopt ASU 2017-12, Targeted Improvements to Accounting for Hedging Activities , (Topic 815), for which this current ASU 2019-04 amends. For those entities that have already adopted ASU 2017-12, the hedging amendments in ASU 2019-04 are effective as of the beginning of the first annual reporting period beginning after 25 April 2019 and early adoption is permitted. We elected early adoption of ASU 2019-04 and the adoption had no effect on our financial statements. Accounting standards not yet adopted In June 2016, the FASB issued ASU No. 2016-13 ("ASU 2016-13), Financial Instruments - Credit Losses. ASU 2016-13 replaces the incurred loss impairment methodology under current GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The standard will be effective for us beginning after December 15, 2019, with early adoption permitted. We are currently evaluating the impact of this standard on our consolidated financial statements, including accounting policies, processes, and systems. In August 2018, the FASB issued ASU No. 2018-15 (“ASU 2018-15”), Intangibles-Goodwill and Other-Internal-Use Software. ASU 2018-15 aligns the requirements for deferring implementation costs incurred in a cloud computing arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. This ASU is effective in the first quarter of 2020 with early adoption permitted and can be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We are currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. |
SIGNIFICANT ACCOUNTING POLICI_3
SIGNIFICANT ACCOUNTING POLICIES (Tables) | 9 Months Ended |
Sep. 30, 2019 | |
Accounting Policies [Abstract] | |
Service Fee Revenue | Our total revenues during the three and nine months ended September 30, 2019 and 2018 are presented in the table below based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage (in thousands): Three Months Ended Nine Months Ended 2019 2018 2019 2018 Commercial insurance $ 163,152 $ 135,445 $ 475,064 $ 397,193 Medicare 61,599 48,243 175,825 141,348 Medicaid 7,128 6,323 21,564 19,129 Workers' compensation/personal injury 10,865 8,810 32,950 25,714 Other patient revenue 6,085 6,205 17,947 18,318 Management fee revenue 1,792 3,615 5,662 11,237 Teleradiology and Software revenue 4,412 4,063 12,861 11,879 Other 6,875 4,848 20,878 16,318 Service fee revenue 261,908 217,552 762,751 641,136 Revenue under capitation arrangements 30,784 24,596 90,587 76,799 Total revenue $ 292,692 $ 242,148 $ 853,338 $ 717,935 |
Schedule of goodwill and other intangible assets | Activity in goodwill for the nine months ended September 30, 2019 is provided below (in thousands): Balance as of December 31, 2018 $ 418,093 Adjustments to our preliminary allocation of the purchase price of Medical Arts Radiological Group, P.C. 722 Goodwill acquired through the acquisition of certain assets of Dignity Health 1 Goodwill acquired through the acquisition of certain assets of West Valley Imaging Center, LLC 2,490 Goodwill disposed through sale of assets (123 ) Goodwill acquired by Lenox Hill Radiology through the membership purchase of HVRA 3,125 Goodwill acquired through the acquisition of certain assets of Kern Radiology, Inc. 10,507 Goodwill acquired through the acquisition of certain assets of Zilkha Radiology, Inc. 2,577 Goodwill acquired through the acquisition of certain assets of Ramic Mahwah, LLC 231 Goodwill acquired through the acquisition of GSRN 887 Goodwill acquired through the acquisition of Nulogix 1,357 Balance as of September 30, 2019 $ 439,867 |
Effect of derivative instruments on comprehensive income | A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2016 Caps is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss (768 ) (251 ) (1,019 ) Liabilities and Equity For the nine months ended September 30, 2019 Account January 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Income (Loss) 2,506 (3,525 ) (1,019 ) Liabilities and Equity A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 SWAPS is as follows (amounts in thousands): For the three months ended September 30, 2019 Account July 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss $ (5,924 ) $ (5,032 ) $ (10,956 ) Liabilities and Equity For the nine months ended September 30, 2019 Account January 1, 2019 Balance Amount of comprehensive loss recognized on derivative net of taxes September 30, 2019 Balance Location Accumulated Other Comprehensive Loss — $ (10,956 ) $ (10,956 ) Liabilities and Equity |
Schedule of fair value of assets and liabilities | The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Fair Value Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 718,172 $ — $ 718,172 $ 716,522 As of December 31, 2018 Level 1 Level 2 Level 3 Total Total Face Value First Lien Term Loans and SunTrust Term Loan $ — $ 633,229 $ — $ 633,229 $ 646,441 The tables below summarizes the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our consolidated balance sheets, as follows (in thousands): As of September 30, 2019 Level 1 Level 2 Level 3 Total Current and long term liabilities 2016 Caps - Interest Rate Contracts $ — $ 906 $ — $ 906 2019 SWAPS - Interest Rate Contracts $ — $ 15,473 $ — $ 15,473 As of December 31, 2018 Level 1 Level 2 Level 3 Total Current assets 2016 Caps - Interest Rate Contracts $ — $ 3,316 $ — $ 3,316 |
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 September 30, Nine Months Ended September 30, 2019 2018 2019 2018 Net income attributable to RadNet, Inc.'s common stockholders $ 3,195 $ 5,039 $ 4,360 $ 3,107 BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Basic net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS Weighted average number of common shares outstanding during the period 49,807,460 48,010,726 49,597,138 47,937,215 Add nonvested restricted stock subject only to service vesting 200,567 180,269 191,375 171,627 Add additional shares issuable upon exercise of stock options and warrants 352,333 424,397 324,793 372,463 Weighted average number of common shares used in calculating diluted net income per share 50,360,360 48,615,392 50,113,306 48,481,305 Diluted net income per share attributable to RadNet, Inc.'s common stockholders $ 0.06 $ 0.10 $ 0.09 $ 0.06 Stock options excluded from the computation of diluted per share amounts: Weighted average shares for which the exercise price exceeds average market price of common stock — — — 8,333 |
Investment in joint ventures | The following table is a summary of our investment in joint ventures during the nine months ended September 30, 2019 (in thousands): Balance as of December 31, 2018 $ 37,973 Equity in earnings in these joint ventures 6,072 Distribution of earnings (3,924 ) Sale of ownership interest (134 ) Dissolution of GRSN (1,427 ) Nulogix change in control (1,795 ) Equity contributions in existing joint ventures 103 Balance as of September 30, 2019 $ 36,868 |
Joint venture investment and financial information | The following table is a summary of key balance sheet data for these joint ventures as of September 30, 2019 and December 31, 2018 and income statement data for the nine months ended September 30, 2019 and 2018 (in thousands): Balance Sheet Data: September 30, 2019 December 31, 2018 Current assets $ 32,401 $ 28,317 Noncurrent assets 62,564 45,912 Current liabilities (9,383 ) (4,300 ) Noncurrent liabilities (20,113 ) (4,898 ) Total net assets $ 65,469 $ 65,031 Book value of RadNet joint venture interests $ 30,421 $ 30,030 Cost in excess of book value of acquired joint venture interests 6,447 7,943 Total value of Radnet joint venture interests $ 36,868 $ 37,973 Total book value of other joint venture partner interests $ 35,048 $ 35,001 Income statement data for the nine months ended September 30, 2019 2018 Net revenue $ 80,115 $ 136,413 Net income $ 13,718 $ 20,271 |
FACILITY ACQUISITIONS AND ASS_2
FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE (Tables) | 9 Months Ended |
Sep. 30, 2019 | |
Business Combinations [Abstract] | |
Schedule of assets held for sale | The following table summarizes the major categories of assets which remain classified as held for sale in the accompanying condensed consolidated balance sheets at September 30, 2019 : Property and equipment, net $ 1,049 Goodwill 992 Total assets held for sale $ 2,041 |
LEASES (Tables)
LEASES (Tables) | 9 Months Ended |
Sep. 30, 2019 | |
Leases [Abstract] | |
Lease, Cost | Supplemental cash flow information related to leases was as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 24,739 $ 71,926 Operating cash flows from financing leases 91 319 Financing cash flows from financing leases 1,363 4,299 Right-of-use & Equipment assets obtained in exchange for lease obligations: Operating leases (1) 15,984 462,613 Financing leases 32 14,088 (1) Amounts for the nine months ended September 30, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information. The components of lease expense were as follows: Three months ended Nine months ended (In thousands) September 30, 2019 Operating lease cost $ 24,497 $ 71,568 Finance lease cost: Depreciation of leased equipment $ 724 $ 2,351 Interest on lease liabilities 91 319 Total finance lease cost $ 815 $ 2,670 |
Supplemental Balance Sheet Information | Supplemental balance sheet information related to leases was as follows: (In thousands, except lease term and discount rates) September 30, 2019 Operating Leases Operating lease right-of-use assets $ 438,558 Current portion of operating lease liability $ 69,308 Operating lease liabilities 410,958 Total operating lease liabilities $ 480,266 Finance Leases Property and Equipment, at cost $ 14,088 Accumulated depreciation (2,351 ) Equipment, net $ 11,737 Current portion of finance lease $ 4,095 Finance lease liabilities 4,042 Total finance lease liabilities $ 8,137 Weighted Average Remaining Lease Term Operating leases - years 8.5 Finance leases - years 3.2 Weighted Average Discount Rate Operating leases 6.4 % Finance leases 4.2 % |
Maturities of Operating Lease Liabilities | Maturities of lease liabilities were as follows: (In thousands) Operating Financing Year Ending December 31, Leases Leases 2019 (excluding the nine months ended September 30, 2019) $ 24,616 $ 1,716 2020 95,158 3,481 2021 88,085 2,614 2022 78,279 691 2023 67,021 — Thereafter 282,379 — Total Lease Payments 635,538 8,502 Less imputed interest (155,272 ) (365 ) Total $ 480,266 $ 8,137 As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting, maturities of operating lease liabilities were as follows as of December 31, 2018 (in thousands): Facilities Equipment Total 2019 $ 75,588 $ 14,924 $ 90,512 2020 66,116 14,385 80,501 2021 57,826 12,966 70,792 2022 48,542 10,264 58,806 2023 38,800 7,095 45,895 Thereafter 160,327 5,144 165,471 $ 447,199 $ 64,778 $ 511,977 |
Maturities of Financing Lease Liabilities | As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting, maturities of operating lease liabilities were as follows as of December 31, 2018 (in thousands): Facilities Equipment Total 2019 $ 75,588 $ 14,924 $ 90,512 2020 66,116 14,385 80,501 2021 57,826 12,966 70,792 2022 48,542 10,264 58,806 2023 38,800 7,095 45,895 Thereafter 160,327 5,144 165,471 $ 447,199 $ 64,778 $ 511,977 Maturities of lease liabilities were as follows: (In thousands) Operating Financing Year Ending December 31, Leases Leases 2019 (excluding the nine months ended September 30, 2019) $ 24,616 $ 1,716 2020 95,158 3,481 2021 88,085 2,614 2022 78,279 691 2023 67,021 — Thereafter 282,379 — Total Lease Payments 635,538 8,502 Less imputed interest (155,272 ) (365 ) Total $ 480,266 $ 8,137 |
CREDIT FACILITY, NOTES PAYABL_2
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Tables) | 9 Months Ended |
Sep. 30, 2019 | |
Debt Disclosure [Abstract] | |
Schedule of notes payable, line of credit and capital lease obligations | As of September 30, 2019 and December 31, 2018 our debt obligations consist of the following (in thousands): September 30, December 31, First Lien Term Loans collateralized by RadNet's tangible and intangible assets $ 659,522 $ 587,191 Discounts on First Lien Term Loans (14,549 ) (15,112 ) Term Loan Agreement collateralized by NJIN's tangible and intangible assets 57,000 59,250 Revolving Credit Facilities — 28,000 Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 — 199 Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment 351 632 Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment (1) — 12,119 Total debt obligations 702,324 672,279 Less: current portion (39,719 ) (39,267 ) Long term portion debt obligations $ 662,605 $ 633,012 (1) Obligations under capital leases were transferred to Finance Lease Liability at January 1, 2019 in accordance with the adoption of Accounting Standards Update No 2016-02, Leases (Topic 842) . See Note 5, Leases, for more information. |
Schedule of first lien credit agreement | Included in our condensed consolidated balance sheets at September 30, 2019 are $659.5 million of First Lien Term Loans and $57.0 million of SunTrust Term Loan debt for a combined total of $716.5 million of total term loan debt (net of unamortized discounts of $14.5 million ) in thousands: Face Value Discount Total Carrying First Lien Term Loans $ 659,522 $ (14,549 ) $ 644,973 SunTrust Term Loan 57,000 — 57,000 Total Term Loans $ 716,522 $ (14,549 ) $ 701,973 |
Schedule of leverage ratio | Pursuant to the Fifth Amendment and unchanged in the Sixth Amendment, the applicable margin was amended to vary based on our leverage ratio in accordance with the following schedule: First Lien Leverage Ratio Eurodollar Rate Spread Base Rate Spread > 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% Applicable margin for Adjusted Eurodollar Rate borrowings and Base Rate borrowings was changed to adjust depending on our leverage ratio, according to the following schedule: First Lien Leverage Ratio Eurodollar Rate Spread Base Rate Spread > 5.50x 4.50% 3.50% > 4.00x but ≤ 5.50x 3.75% 2.75% >3.50x but ≤ 4.00x 3.50% 2.50% ≤ 3.50x 3.25% 2.25% Thereafter, the rates of the applicable margin for borrowing under the SunTrust Original Credit Agreement adjusted depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 3.00% per annum 2.00% per annum 3.00% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.50% per annum 1.50% per annum 2.50% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.30% per annum V Less than 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum Thereafter, the rates of the applicable margin for borrowing under the SunTrust Restated Credit Agreement will adjust depending on our leverage ratio, according to the following table: Pricing Level Leverage Ratio Applicable Margin for Eurodollar Loans Applicable Margin for Base Rate Loans Applicable Margin for Letter of Credit Fees Applicable Percentage for Commitment Fee I Greater than or equal to 3.00:1.00 2.75% per annum 1.75% per annum 2.75% per annum 0.45% per annum II Less than 3.00:1.00 but greater than or equal to 2.50:1.00 2.25% per annum 1.25% per annum 2.25% per annum 0.40% per annum III Less than 2.50:1.00 but greater than or equal to 2.00:1.00 2.00% per annum 1.00% per annum 2.00% per annum 0.35% per annum IV Less than 2.00:1.00 but greater than or equal to 1.50:1.00 1.75% per annum 0.75% per annum 1.75% per annum 0.30% per annum V Less than 1.50:1.00 1.50% per annum 0.50% per annum 1.50% per annum 0.30% per annum |
STOCK-BASED COMPENSATION (Table
STOCK-BASED COMPENSATION (Tables) | 9 Months Ended |
Sep. 30, 2019 | |
Disclosure of Compensation Related Costs, Share-based Payments [Abstract] | |
Schedule of options activity | The following summarizes all of our option transactions for the nine months ended September 30, 2019 : Outstanding Options Under the 2006 Plan Shares Weighted Average Exercise price Per Common Share Weighted Average Remaining Contractual Life (in years) Aggregate Intrinsic Value Balance,December 31, 2018 513,282 $ 7.44 Granted 89,200 10.93 Exercised (10,000 ) 4.97 Canceled, forfeited or expired (111,031 ) 0.79 Balance, September 30, 2019 481,451 8.22 7.56 $ 2,956,444 Exercisable at September 30, 2019 137,623 6.97 6.65 1,017,406 |
Schedule of RSA activity | The following summarizes all unvested RSA’s activities during the nine months ended September 30, 2019 : RSA's Weighted-Average Remaining Contractual Term (Years) Weighted-Average Fair Value RSA's unvested at December 31, 2018 277,504 $ 9.77 Changes during the period Granted 631,656 $ 11.76 Vested (520,476 ) $ 9.64 Forfeited or Cancelled (1,500 ) $ 12.76 RSA's unvested at September 30, 2019 387,184 1.38 $ 11.59 |
NATURE OF BUSINESS (Details Nar
NATURE OF BUSINESS (Details Narrative) $ in Millions | 3 Months Ended | 9 Months Ended | |||
Sep. 30, 2019USD ($)Center | Sep. 30, 2018USD ($) | Sep. 30, 2019USD ($)Center | Sep. 30, 2018USD ($) | Dec. 31, 2018USD ($) | |
Business Acquisition [Line Items] | |||||
Number of centers | Center | 340 | 340 | |||
BRMG and NY Groups revenues | $ 40.6 | $ 33.2 | $ 116.9 | $ 100.7 | |
BRMG and NY Groups operating expenses | 40.6 | 33.2 | 116.9 | 100.7 | |
Management services provided to BRMG and NY Groups | 154.5 | $ 126.8 | 456.1 | $ 378.7 | |
BRMG and NY Groups accounts receivable | 95 | 95 | $ 88.9 | ||
BRMG and NY Groups accounts payable | 6.9 | 6.9 | $ 5.6 | ||
BRMG and NY Groups intangible assets | $ 3.9 | $ 3.9 | |||
ScriptSender LLC | |||||
Business Acquisition [Line Items] | |||||
Ownership percentage | 49.00% | 49.00% | |||
Chief Executive Officer | Beverly Radiology Medical Group III | |||||
Business Acquisition [Line Items] | |||||
Ownership percentage | 99.00% | 99.00% | |||
Board Member | Beverly Radiology Medical Group III | |||||
Business Acquisition [Line Items] | |||||
Ownership percentage | 1.00% | 1.00% |
SIGNIFICANT ACCOUNTING POLICI_4
SIGNIFICANT ACCOUNTING POLICIES (Details - Revenue) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | |
Revenue from External Customer [Line Items] | ||||
Total revenue | $ 292,692 | $ 242,148 | $ 853,338 | $ 717,935 |
Commercial insurance | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 163,152 | 135,445 | 475,064 | 397,193 |
Medicare | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 61,599 | 48,243 | 175,825 | 141,348 |
Medicaid | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 7,128 | 6,323 | 21,564 | 19,129 |
Workers' compensation/personal injury | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 10,865 | 8,810 | 32,950 | 25,714 |
Other patient revenue | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 6,085 | 6,205 | 17,947 | 18,318 |
Management fee revenue | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 1,792 | 3,615 | 5,662 | 11,237 |
Teleradiology and Software revenue | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 4,412 | 4,063 | 12,861 | 11,879 |
Other | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 6,875 | 4,848 | 20,878 | 16,318 |
Service fee revenue | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | 261,908 | 217,552 | 762,751 | 641,136 |
Revenue under capitation arrangements | ||||
Revenue from External Customer [Line Items] | ||||
Service fee revenue, net of contractual allowances and discounts | $ 30,784 | $ 24,596 | $ 90,587 | $ 76,799 |
SUMMARY OF ACCOUNTING POLICIES
SUMMARY OF ACCOUNTING POLICIES (Details Narrative) | Aug. 01, 2019USD ($) | Jan. 01, 2019USD ($) | Apr. 12, 2018USD ($) | Mar. 01, 2018USD ($) | Feb. 01, 2018USD ($)shares | Sep. 30, 2019USD ($)shares | Nov. 06, 2014USD ($) | Sep. 30, 2019USD ($)shares | Sep. 30, 2018USD ($) | Sep. 30, 2019USD ($)shares | Sep. 30, 2018USD ($) | Dec. 31, 2018USD ($)joint_venture | Jun. 30, 2019USD ($) | Apr. 01, 2017 | Mar. 24, 2017USD ($) | Oct. 06, 2014 |
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Contracts receivable, factored amount | $ 9,000,000 | |||||||||||||||
Contracts receivable, factoring receivable | $ 24,300,000 | $ 24,300,000 | 24,300,000 | |||||||||||||
Deferred financing costs, net of accumulated amortization | 1,700,000 | 1,700,000 | 1,700,000 | $ 1,400,000 | ||||||||||||
Deferred financing costs, net, period increase | 683,000 | |||||||||||||||
Goodwill | 439,867,000 | 439,867,000 | 439,867,000 | 418,093,000 | ||||||||||||
Indefinite-lived intangible assets | 11,900,000 | 11,900,000 | 11,900,000 | |||||||||||||
Impairment of intangible assets | 3,900,000 | |||||||||||||||
Goodwill, impairment loss | 3,800,000 | |||||||||||||||
Indefinite-lived trade names | 100,000 | |||||||||||||||
Income tax expense | $ 1,816,000 | $ 2,827,000 | $ 3,556,000 | $ 2,835,000 | ||||||||||||
Effective tax rate | 26.30% | 32.90% | 24.80% | 29.50% | ||||||||||||
Total credit facilities outstanding | 0 | $ 0 | $ 0 | |||||||||||||
Investment at cost | 30,421,000 | 30,421,000 | 30,421,000 | 30,030,000 | ||||||||||||
Aggregate cost | 65,469,000 | 65,469,000 | 65,469,000 | $ 65,031,000 | ||||||||||||
Number of unconsolidated joint ventures | joint_venture | 12 | |||||||||||||||
Loss on economic interest transaction | (134,000) | |||||||||||||||
Management service fees | 2,500,000 | $ 3,500,000 | $ 7,800,000 | $ 10,600,000 | ||||||||||||
Minimum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Share-based payment award, award vesting period | 3 years | |||||||||||||||
Share-based payment award, expiration period | 5 years | |||||||||||||||
Maximum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Share-based payment award, award vesting period | 5 years | |||||||||||||||
Share-based payment award, expiration period | 10 years | |||||||||||||||
Medic Vision | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Ownership percentage | 14.21% | 12.50% | ||||||||||||||
Investment at cost | $ 200,000 | $ 1,000,000 | ||||||||||||||
Option to purchase additional equity method investment | $ 1,400,000 | |||||||||||||||
Additional equity interest acquired | 1.96% | |||||||||||||||
Initial qwnership percentage after dilution | 12.25% | |||||||||||||||
Aggregate cost | $ 1,200,000 | $ 1,200,000 | $ 1,200,000 | |||||||||||||
Turner Imaging | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Number of shares purchased (in shares) | shares | 2,100,000 | |||||||||||||||
Number of shares purchased, value | $ 2,000,000 | |||||||||||||||
Restated Plan | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Shares authorized (in shares) | shares | 14,000,000 | 14,000,000 | 14,000,000 | |||||||||||||
Restated Plan | Minimum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Share-based payment award, award vesting period | 3 years | |||||||||||||||
Share-based payment award, expiration period | 5 years | |||||||||||||||
Restated Plan | Maximum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Share-based payment award, award vesting period | 5 years | |||||||||||||||
Share-based payment award, expiration period | 10 years | |||||||||||||||
2016 Caps | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Premium liability for 2016 Caps | $ 5,300,000 | $ 5,300,000 | $ 5,300,000 | |||||||||||||
2016 Caps | September 2020 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | 150,000,000 | 150,000,000 | 150,000,000 | |||||||||||||
2016 Caps | October 2020 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | $ 350,000,000 | $ 350,000,000 | $ 350,000,000 | |||||||||||||
2019 SWAPS | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | $ 500,000,000 | |||||||||||||||
2019 SWAPS | October 2023 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | 50,000,000 | |||||||||||||||
2019 SWAPS | October 2025 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | 200,000,000 | |||||||||||||||
Property and equipment, net | Minimum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
PPE estimated useful lives | 3 years | |||||||||||||||
Property and equipment, net | Maximum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
PPE estimated useful lives | 15 years | |||||||||||||||
Leasehold Improvements | Minimum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
PPE estimated useful lives | 3 years | |||||||||||||||
Leasehold Improvements | Maximum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
PPE estimated useful lives | 15 years | |||||||||||||||
2016 Caps | London Interbank Offered Rate (LIBOR) | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Basis spread on variable rate | 2.00% | 2.00% | 2.00% | |||||||||||||
2019 SWAPS - Interest Rate Contracts | 2019 SWAPS | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | 100,000,000 | |||||||||||||||
2019 SWAPS - Interest Rate Contracts | 2019 SWAPS1 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Notional amounts | $ 400,000,000 | |||||||||||||||
2019 SWAPS - Interest Rate Contracts | London Interbank Offered Rate (LIBOR) | 2019 SWAPS | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Basis spread on variable rate | 1.96% | |||||||||||||||
2019 SWAPS - Interest Rate Contracts | London Interbank Offered Rate (LIBOR) | 2019 SWAPS1 | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Basis spread on variable rate | 2.05% | |||||||||||||||
Revolving Credit Facility | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Deferred financing costs, net of accumulated amortization | $ 1,700,000 | $ 1,700,000 | $ 1,700,000 | |||||||||||||
Total credit facilities outstanding | 0 | 0 | 0 | $ 28,000,000 | ||||||||||||
RadNet | Santa Monica Imaging Group | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Ownership percentage | 35.00% | 40.00% | ||||||||||||||
Loss on economic interest transaction | $ 2,000 | |||||||||||||||
Cedars Sinai Medical Center | Santa Monica Imaging Group | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Ownership percentage | 60.00% | |||||||||||||||
Additional equity interest acquired | 5.00% | |||||||||||||||
Investment owned, value | $ 134,000 | |||||||||||||||
Dignity Health | Glendale Advanced Imaging | Joint Venture | Minimum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Variable interest entity, ownership percentage | 35.00% | |||||||||||||||
Dignity Health | Glendale Advanced Imaging | Joint Venture | Maximum | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Variable interest entity, ownership percentage | 55.00% | |||||||||||||||
Promissory Note | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Convertible promissory note | 0 | $ 0 | $ 0 | $ 199,000 | ||||||||||||
Promissory Note | Turner Imaging | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Convertible promissory note | $ 143,000 | |||||||||||||||
US Attorney's Office For The Western District of New York | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Loss contingency accrual liability | $ 2,300,000 | |||||||||||||||
Settled Litigation | US Attorney's Office For The Western District of New York | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Loss contingency, settlement amount | $ 2,200,000 | |||||||||||||||
Garden State Radiology Network, LLC. | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Goodwill | $ 888,000 | |||||||||||||||
Ownership percentage | 49.00% | |||||||||||||||
Loss on economic interest transaction | 114,000 | |||||||||||||||
Payments to acquire equity method investments | $ 2,200,000 | |||||||||||||||
Nulogix, Inc. | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Goodwill | $ 1,400,000 | |||||||||||||||
Ownership percentage | 75.00% | 25.00% | ||||||||||||||
Loss on economic interest transaction | $ 504,000 | |||||||||||||||
Payments to acquire equity method investments | $ 1,500,000 | $ 2,000,000 | ||||||||||||||
Jefferson Health | ||||||||||||||||
Property, Plant and Equipment [Line Items] | ||||||||||||||||
Ownership percentage | 51.00% |
SIGNIFICANT ACCOUNTING POLICI_5
SIGNIFICANT ACCOUNTING POLICIES (Details - Goodwill) $ in Thousands | 9 Months Ended |
Sep. 30, 2019USD ($) | |
Goodwill [Roll Forward] | |
Goodwill, beginning balance | $ 418,093 |
Goodwill transferred to assets held for sale | (123) |
Goodwill, ending balance | 439,867 |
Medical Arts Radiological Group, PC | |
Goodwill [Roll Forward] | |
Goodwill, purchase accounting adjustments | 722 |
Dignity Health | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 1 |
West Valley Imaging Group, LLC | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 2,490 |
Hudson Valley Radiology Associates | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 3,125 |
Kern Radiology, Inc. | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 10,507 |
Zilkha Radiology | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 2,577 |
Ramic Mahwah, LLC | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 231 |
GSRN | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | 887 |
Nulogix, Inc. | |
Goodwill [Roll Forward] | |
Goodwill acquired through acquisitions | $ 1,357 |
SIGNIFICANT ACCOUNTING POLICI_6
SIGNIFICANT ACCOUNTING POLICIES (Details - Gain on Derivative) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
Sep. 30, 2019 | Sep. 30, 2019 | |
Offsetting Assets [Line Items] | ||
Change in fair value of cash flow hedge, net of taxes | $ (5,283) | $ (14,481) |
2016 Caps - Interest Rate Contracts | ||
Offsetting Assets [Line Items] | ||
Derivative instrument, beginning balance | (768) | 2,506 |
Change in fair value of cash flow hedge, net of taxes | (251) | (3,525) |
Derivative instrument, ending balance | (1,019) | (1,019) |
2019 SWAPS - Interest Rate Contracts | ||
Offsetting Assets [Line Items] | ||
Derivative instrument, beginning balance | (5,924) | 0 |
Change in fair value of cash flow hedge, net of taxes | (5,032) | (10,956) |
Derivative instrument, ending balance | $ (10,956) | $ (10,956) |
SUMMARY OF ACCOUNTING POLICIE_2
SUMMARY OF ACCOUNTING POLICIES (Details - Fair Value Measurements) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018 |
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
First Lien Term Loans and SunTrust Term Loan | $ 716,522 | $ 646,441 |
Estimate of Fair Value Measurement | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
First Lien Term Loans and SunTrust Term Loan | 718,172 | 633,229 |
Estimate of Fair Value Measurement | Fair Value, Inputs, Level 1 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
First Lien Term Loans and SunTrust Term Loan | 0 | 0 |
Estimate of Fair Value Measurement | Fair Value, Inputs, Level 2 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
First Lien Term Loans and SunTrust Term Loan | 718,172 | 633,229 |
Estimate of Fair Value Measurement | Fair Value, Inputs, Level 3 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
First Lien Term Loans and SunTrust Term Loan | 0 | 0 |
2016 Caps - Interest Rate Contracts | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 906 | 3,316 |
2016 Caps - Interest Rate Contracts | Fair Value, Inputs, Level 1 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 0 | 0 |
2016 Caps - Interest Rate Contracts | Fair Value, Inputs, Level 2 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 906 | 3,316 |
2016 Caps - Interest Rate Contracts | Fair Value, Inputs, Level 3 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 0 | $ 0 |
2019 SWAPS - Interest Rate Contracts | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 15,473 | |
2019 SWAPS - Interest Rate Contracts | Fair Value, Inputs, Level 1 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 0 | |
2019 SWAPS - Interest Rate Contracts | Fair Value, Inputs, Level 2 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | 15,473 | |
2019 SWAPS - Interest Rate Contracts | Fair Value, Inputs, Level 3 | ||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | ||
2016 Caps - Interest Rate Contracts | $ 0 |
SUMMARY OF ACCOUNTING POLICIE_3
SUMMARY OF ACCOUNTING POLICIES (Details - Earnings Per Share) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | |
Accounting Policies [Abstract] | ||||
Net income attributable to RadNet, Inc.'s common stockholders | $ 3,195 | $ 5,039 | $ 4,360 | $ 3,107 |
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS | ||||
Weighted average number of common shares outstanding during the period (in shares) | 49,807,460 | 48,010,726 | 49,597,138 | 47,937,215 |
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (in dollars per share) | $ 0.06 | $ 0.10 | $ 0.09 | $ 0.06 |
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS | ||||
WEIGHTED AVERAGE SHARES OUTSTANDING Basic (in shares) | 49,807,460 | 48,010,726 | 49,597,138 | 47,937,215 |
Add nonvested restricted stock subject only to service vesting (in shares) | 200,567 | 180,269 | 191,375 | 171,627 |
Add additional shares issuable upon exercise of stock options and warrants (in shares) | 352,333 | 424,397 | 324,793 | 372,463 |
WEIGHTED AVERAGE SHARES OUTSTANDING Diluted (in shares) | 50,360,360 | 48,615,392 | 50,113,306 | 48,481,305 |
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS (in dollars per share) | $ 0.06 | $ 0.10 | $ 0.09 | $ 0.06 |
Stock options excluded from the computation of diluted per share amounts: | ||||
Weighted average shares for which the exercise price exceeds average market price of common stock (in shares) | 0 | 0 | 0 | 8,333 |
SUMMARY OF ACCOUNTING POLICIE_4
SUMMARY OF ACCOUNTING POLICIES (Details - Investment in Joint Ventures) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | |
Accounting Policies [Abstract] | ||||
Beginning balance | $ 37,973 | |||
Equity in earnings in these joint ventures | $ 1,955 | $ 2,822 | 6,072 | $ 9,547 |
Distribution of earnings | (3,924) | $ (21,783) | ||
Sale of ownership interest | (134) | |||
Dissolution of GRSN | (1,427) | |||
Nulogix change in control | (1,795) | |||
Equity contributions in existing joint ventures | 103 | |||
Ending balance | $ 36,868 | $ 36,868 |
SUMMARY OF ACCOUNTING POLICIE_5
SUMMARY OF ACCOUNTING POLICIES (Details - Key Financial Data on Joint Ventures) - USD ($) $ in Thousands | 9 Months Ended | ||
Sep. 30, 2019 | Sep. 30, 2018 | Dec. 31, 2018 | |
Balance Sheet Data: | |||
Current assets | $ 32,401 | $ 28,317 | |
Noncurrent assets | 62,564 | 45,912 | |
Current liabilities | (9,383) | (4,300) | |
Noncurrent liabilities | (20,113) | (4,898) | |
Total net assets | 65,469 | 65,031 | |
Book value of RadNet joint venture interests | 30,421 | 30,030 | |
Cost in excess of book value of acquired joint venture interests | 6,447 | 7,943 | |
Total value of Radnet joint venture interests | 36,868 | 37,973 | |
Total book value of other joint venture partner interests | 35,048 | $ 35,001 | |
Net revenue | 80,115 | $ 136,413 | |
Net income | $ 13,718 | $ 20,271 |
RECENT ACCOUNTING AND REPORTI_2
RECENT ACCOUNTING AND REPORTING STANDARDS (Details) - USD ($) $ in Thousands | Sep. 30, 2019 | Jan. 01, 2019 |
Lessee, Lease, Description [Line Items] | ||
Operating lease, liability | $ 480,266 | |
Operating lease right-of-use assets | 438,558 | |
Finance lease, liability | 8,137 | |
Finance lease, right-of-use asset | $ 11,737 | |
Accounting Standards Update 2016-02 | ||
Lessee, Lease, Description [Line Items] | ||
Operating lease, liability | $ 455,500 | |
Operating lease right-of-use assets | 419,000 | |
Deferred rent | 35,300 | |
Contract liabilities | 792 | |
Finance lease, liability | 12,100 | |
Finance lease, right-of-use asset | $ 14,100 |
FACILITY ACQUISITIONS AND ASS_3
FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE (Details Narrative) - USD ($) $ in Thousands | Aug. 01, 2019 | Apr. 01, 2019 | Mar. 01, 2019 | Feb. 28, 2019 | Feb. 02, 2019 | Feb. 01, 2019 | Apr. 12, 2018 | Nov. 06, 2014 | Sep. 30, 2019 | Dec. 31, 2018 | Oct. 06, 2014 |
Business Acquisition [Line Items] | |||||||||||
Equity method investment realized gain (loss) | $ 134 | ||||||||||
Goodwill acquired | $ 439,867 | $ 418,093 | |||||||||
Kern Radiology Imaging Systems, Inc. | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Fixed assets acquired | $ 10,100 | ||||||||||
Operating lease liabilities acquired | 14,500 | ||||||||||
Other assets acquired | 36 | ||||||||||
Right-of-use asset required | 9,700 | ||||||||||
Goodwill acquired | 10,500 | ||||||||||
Intangible assets acquired | 3,400 | ||||||||||
Purchase consideration | 19,300 | ||||||||||
Zilkha Radiology | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Fixed assets acquired | 2,200 | ||||||||||
Operating lease liabilities acquired | 5,100 | ||||||||||
Right-of-use asset required | 5,100 | ||||||||||
Goodwill acquired | 2,600 | ||||||||||
Intangible assets acquired | 100 | ||||||||||
Purchase consideration | 4,500 | ||||||||||
Equipment indebtedness retired | $ 332 | ||||||||||
Hudson Valley Radiology Associates | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Goodwill acquired | $ 3,100 | ||||||||||
Intangible assets acquired | 340 | ||||||||||
Purchase consideration | 680 | ||||||||||
Equity interest issued, value assigned | 6,000 | ||||||||||
Equipment | 10 | ||||||||||
West Valley Imaging Group, LLC | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Fixed assets acquired | $ 300 | ||||||||||
Other assets acquired | 7 | ||||||||||
Goodwill acquired | 2,500 | ||||||||||
Payments to acquire equity method investments | $ 750 | ||||||||||
Intangible assets acquired | 200 | ||||||||||
Purchase consideration | $ 3,000 | ||||||||||
Ventura County Imaging Group, LLC | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Ownership percentage | 60.00% | ||||||||||
Payments to acquire equity method investments | $ 10,400 | ||||||||||
Dignity Health | Partnership | Ventura County Imaging Group, LLC | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Ownership percentage | 40.00% | ||||||||||
Payments to acquire equity method investments | $ 6,100 | ||||||||||
Payments to acquire equity method investments, Assets | $ 800 | ||||||||||
Ownership percentage in exchange for assets | 5.00% | ||||||||||
Payments to acquire equity method investments, cash | $ 5,300 | ||||||||||
Ownership percentage in exchange for cash | 35.00% | ||||||||||
West Valley Imaging Group, LLC | West Valley Imaging Group, LLC | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Noncontrolling interest, ownership percentage | 25.00% | ||||||||||
Jefferson Health | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Ownership percentage | 51.00% | ||||||||||
Garden State Radiology Network, LLC. | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Ownership percentage | 49.00% | ||||||||||
Equity method investment realized gain (loss) | $ (114) | ||||||||||
Fixed assets acquired | 599 | ||||||||||
Operating lease liabilities acquired | 426 | ||||||||||
Other assets acquired | 1 | ||||||||||
Right-of-use asset required | 426 | ||||||||||
Goodwill acquired | 888 | ||||||||||
Payments to acquire equity method investments | $ 2,200 | ||||||||||
New Jersey Imaging Networks | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Fixed assets acquired | $ 1,900 | ||||||||||
Nulogix, Inc. | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Ownership percentage | 75.00% | 25.00% | |||||||||
Equity method investment realized gain (loss) | $ (504) | ||||||||||
Fixed assets acquired | 189 | ||||||||||
Goodwill acquired | 1,400 | ||||||||||
Payments to acquire equity method investments | 1,500 | $ 2,000 | |||||||||
Intangible assets acquired | 732 | ||||||||||
Deferred tax liability | $ 278 | ||||||||||
Ventura County Imaging Group, LLC | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Fixed assets acquired | $ 4,300 | ||||||||||
Noncompete Agreements | Hudson Valley Radiology Associates | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Intangible assets acquired | 50 | ||||||||||
Trade Names | Hudson Valley Radiology Associates | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Intangible assets acquired | 380 | ||||||||||
Primedex Health Systems, Inc. and Radiologix | Hudson Valley Radiology Associates | |||||||||||
Business Acquisition [Line Items] | |||||||||||
Unfavorable lease contracts | $ 2,800 |
FACILITY ACQUISITIONS AND ASS_4
FACILITY ACQUISITIONS AND ASSETS HELD FOR SALE (Details - Assets held for sale) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018 |
Long Lived Assets Held-for-sale [Line Items] | ||
Assets held for sale | $ 2,041 | $ 2,499 |
Property and equipment, net | ||
Long Lived Assets Held-for-sale [Line Items] | ||
Assets held for sale | 1,049 | |
Goodwill | ||
Long Lived Assets Held-for-sale [Line Items] | ||
Assets held for sale | $ 992 |
LEASES (Details Narrative)
LEASES (Details Narrative) - USD ($) $ in Thousands | 9 Months Ended | |
Sep. 30, 2019 | Jan. 01, 2019 | |
Lessee, Lease, Description [Line Items] | ||
Operating lease, liability | $ 480,266 | |
Operating lease right-of-use assets | 438,558 | |
Finance lease, liability | 8,137 | |
Finance lease, right-of-use asset | 11,737 | |
Operating lease, not yet commenced | $ 2,100 | |
Minimum | ||
Lessee, Lease, Description [Line Items] | ||
Operating lease, term of contract | 5 years | |
Operating lease, renewal term | 10 years | |
Lease, term of contract | 5 years | |
Operating lease, not yet commenced, term of contract | 4 years | |
Maximum | ||
Lessee, Lease, Description [Line Items] | ||
Operating lease, term of contract | 15 years | |
Operating lease, renewal term | 35 years | |
Lease, term of contract | 8 years | |
Operating lease, not yet commenced, term of contract | 5 years | |
Accounting Standards Update 2016-02 | ||
Lessee, Lease, Description [Line Items] | ||
Operating lease, liability | $ 455,500 | |
Operating lease right-of-use assets | 419,000 | |
Deferred rent | 35,300 | |
Contract liabilities | 792 | |
Finance lease, liability | 12,100 | |
Finance lease, right-of-use asset | $ 14,100 |
LEASES (Details - Lease, Cost)
LEASES (Details - Lease, Cost) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
Sep. 30, 2019 | Sep. 30, 2019 | |
Leases [Abstract] | ||
Operating lease cost | $ 24,497 | $ 71,568 |
Finance lease cost: | ||
Depreciation of leased equipment | 724 | 2,351 |
Interest on lease liabilities | 91 | 319 |
Total finance lease cost | $ 815 | $ 2,670 |
LEASES (Details - Supplemental
LEASES (Details - Supplemental Cash Flows) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
Sep. 30, 2019 | Sep. 30, 2019 | |
Cash paid for amounts included in the measurement of lease liabilities: | ||
Operating cash flows from operating leases | $ 24,739 | $ 71,926 |
Operating cash flows from financing leases | 91 | 319 |
Financing cash flows from financing leases | 1,363 | 4,299 |
Right-of-use & Equipment assets obtained in exchange for lease obligations: | ||
Operating leases | 15,984 | 462,613 |
Financing leases | $ 32 | $ 14,088 |
LEASES (Details - Supplementa_2
LEASES (Details - Supplemental Balance Sheet) $ in Thousands | Sep. 30, 2019USD ($) |
Operating Leases | |
Operating lease right-of-use assets | $ 438,558 |
Current portion of operating lease liability | 69,308 |
Operating lease liabilities | 410,958 |
Total operating lease liabilities | 480,266 |
Finance Leases | |
Property and Equipment, at cost | 14,088 |
Accumulated depreciation | (2,351) |
Equipment, net | 11,737 |
Current portion of finance lease | 4,095 |
Finance lease liabilities | 4,042 |
Total finance lease liabilities | $ 8,137 |
Weighted Average Remaining Lease Term | |
Operating leases - years | 8 years 6 months |
Finance leases - years | 3 years 2 months |
Weighted Average Discount Rate | |
Operating leases | 6.40% |
Finance leases | 4.20% |
LEASES (Details - Maturities of
LEASES (Details - Maturities of Operating and Financing Lease Liabilities) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018 |
Operating Leases, After Adoption of 842 | ||
Remainder of 2019 | $ 24,616 | |
2020 | 95,158 | |
2021 | 88,085 | |
2022 | 78,279 | |
2023 | 67,021 | |
Thereafter | 282,379 | |
Total Lease Payments | 635,538 | |
Less imputed interest | (155,272) | |
Total | 480,266 | |
Financing Leases, After Adoption of 842 | ||
Remainder of 2019 | 1,716 | |
2020 | 3,481 | |
2021 | 2,614 | |
2022 | 691 | |
2023 | 0 | |
Thereafter | 0 | |
Total Lease Payments | 8,502 | |
Less imputed interest | (365) | |
Total | $ 8,137 | |
Lessee, Lease, Description [Line Items] | ||
2019 | $ 90,512 | |
2020 | 80,501 | |
2021 | 70,792 | |
2022 | 58,806 | |
2023 | 45,895 | |
Thereafter | 165,471 | |
Total | 511,977 | |
Equipment | ||
Lessee, Lease, Description [Line Items] | ||
2019 | 14,924 | |
2020 | 14,385 | |
2021 | 12,966 | |
2022 | 10,264 | |
2023 | 7,095 | |
Thereafter | 5,144 | |
Total | 64,778 | |
Facilities | ||
Lessee, Lease, Description [Line Items] | ||
2019 | 75,588 | |
2020 | 66,116 | |
2021 | 57,826 | |
2022 | 48,542 | |
2023 | 38,800 | |
Thereafter | 160,327 | |
Total | $ 447,199 |
CREDIT FACILITY, NOTES PAYABL_3
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details - Schedule of debt) - USD ($) $ in Thousands | 9 Months Ended | |
Sep. 30, 2019 | Dec. 31, 2018 | |
Debt Instrument [Line Items] | ||
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment | $ 351 | $ 632 |
Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment (1) | 0 | 12,119 |
Total debt obligations | 702,324 | 672,279 |
Less: current portion | (39,719) | (39,267) |
Long term portion debt obligations | 662,605 | 633,012 |
Term Loan | First Lien Term Loan | ||
Debt Instrument [Line Items] | ||
Debt | 659,522 | 587,191 |
Discounts on First Lien Term Loans | (14,549) | (15,112) |
Term Loan | Term Loan Agreement collateralized by NJIN's tangible and intangible assets | ||
Debt Instrument [Line Items] | ||
Debt | 57,000 | 59,250 |
Line of Credit | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Debt | $ 0 | 28,000 |
Equipment Notes Payable | ||
Debt Instrument [Line Items] | ||
Maturity date | Dec. 31, 2020 | |
Capital Lease Obligations | ||
Debt Instrument [Line Items] | ||
Maturity date | Dec. 31, 2022 | |
Promissory Note | ||
Debt Instrument [Line Items] | ||
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 | $ 0 | $ 199 |
Interest rate, stated percentage | 1.50% | |
Maturity date | Dec. 31, 2019 | |
Minimum | Equipment Notes Payable | ||
Debt Instrument [Line Items] | ||
Interest rate, stated percentage | 3.30% | |
Minimum | Capital Lease Obligations | ||
Debt Instrument [Line Items] | ||
Interest rate, stated percentage | 4.30% | |
Maximum | Equipment Notes Payable | ||
Debt Instrument [Line Items] | ||
Interest rate, stated percentage | 5.60% | |
Maximum | Capital Lease Obligations | ||
Debt Instrument [Line Items] | ||
Interest rate, stated percentage | 11.20% |
CREDIT FACILITY, NOTES PAYABL_4
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details Narrative) | Apr. 18, 2019USD ($) | Aug. 31, 2018USD ($) | Aug. 22, 2017USD ($) | Feb. 02, 2017USD ($) | Jul. 01, 2016USD ($) | Sep. 30, 2015USD ($) | Aug. 31, 2018USD ($) | Sep. 30, 2019USD ($) | Dec. 31, 2018USD ($) |
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 137,500,000 | ||||||||
Deferred financing costs, net of accumulated amortization | 1,700,000 | $ 1,400,000 | |||||||
Total credit facilities outstanding | 0 | ||||||||
Covenant, leverage ratio | 4 | ||||||||
First Lien Term Loans | |||||||||
Debt Instrument [Line Items] | |||||||||
Discounts on term loans | 14,500,000 | ||||||||
Term Loan | |||||||||
Debt Instrument [Line Items] | |||||||||
Debt instrument face value | 716,522,000 | ||||||||
Amendment No. 6 to Credit Agreement | |||||||||
Debt Instrument [Line Items] | |||||||||
Deferred financing costs, net of accumulated amortization | $ 683,000 | ||||||||
Debt issuance costs | 4,400,000 | ||||||||
Debt discount | 2,100,000 | ||||||||
Amortization of deferred issuance costs | 1,600,000 | ||||||||
Amendment No. 5 to Credit Agreement | |||||||||
Debt Instrument [Line Items] | |||||||||
Deferred financing costs, net of accumulated amortization | $ 350,000 | ||||||||
Debt issuance costs | 4,700,000 | ||||||||
Debt discount | 4,100,000 | ||||||||
Amortization of deferred issuance costs | 235,000 | ||||||||
Proceeds from term loans | 170,000,000 | ||||||||
Revolving Credit Facility | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | 131,700,000 | ||||||||
Deferred financing costs, net of accumulated amortization | 1,700,000 | ||||||||
Total credit facilities outstanding | 0 | $ 28,000,000 | |||||||
Letters of credit outstanding | $ 5,900,000 | ||||||||
Effective interest rate | 7.50% | ||||||||
SunTrust | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 30,000,000 | ||||||||
First Lien Credit Agreement, Fifth Amendment | Term Loan | |||||||||
Debt Instrument [Line Items] | |||||||||
Covenant, increase to credit facility | 100,000,000 | ||||||||
First Lien Credit Agreement, Fifth Amendment | Medium-term Notes | |||||||||
Debt Instrument [Line Items] | |||||||||
Total credit facilities outstanding | 100,000,000 | ||||||||
First Lien Credit Agreement, Fifth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Periodic payment, principal | 9,700,000 | $ 8,300,000 | |||||||
First Lien Credit Agreement, Sixth Amendment | Medium-term Notes | |||||||||
Debt Instrument [Line Items] | |||||||||
Total credit facilities outstanding | 679,000,000 | ||||||||
First Lien Credit Agreement, Sixth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | 137,500,000 | ||||||||
Line of credit facility, increase borrowing capacity | $ 20,000,000 | ||||||||
First Lien Credit Agreement, Fourth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Periodic payment, principal | $ 6,100,000 | ||||||||
First Lien Credit Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 117,500,000 | ||||||||
Commitment fee percentage | 0.25% | ||||||||
Unused capacity, commitment fee percentage | 0.50% | ||||||||
Restated Agreement | |||||||||
Debt Instrument [Line Items] | |||||||||
Increase (decrease) in line of credit, net | $ 48,100,000 | ||||||||
Restated Agreement | Term Loan | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 60,000,000 | 60,000,000 | |||||||
Debt instrument face value | $ 57,000,000 | ||||||||
Increase (decrease) in line of credit, net | 28,100,000 | ||||||||
Debt instrument, periodic payment | $ 750,000 | ||||||||
Periodic payment, percent | 5.00% | ||||||||
Periodic payment amortization increase | $ 375,000 | 375,000 | |||||||
Restated Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 30,000,000 | 30,000,000 | |||||||
Commitment fee percentage | 2.75% | ||||||||
Unused capacity, commitment fee percentage | 0.45% | ||||||||
Increase (decrease) in line of credit, net | 20,000,000 | ||||||||
Agreement | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 50,000,000 | ||||||||
Agreement | Term Loan | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 40,000,000 | $ 40,000,000 | |||||||
Debt instrument, periodic payment | $ 500,000 | ||||||||
Periodic payment, percent | 5.00% | ||||||||
Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Maximum borrowing capacity | $ 10,000,000 | ||||||||
Commitment fee percentage | 3.00% | ||||||||
Unused capacity, commitment fee percentage | 0.45% | ||||||||
Eurodollar | First Lien Credit Agreement, Sixth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Effective interest rate | 2.33% | ||||||||
Eurodollar | Restated Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 2.75% | ||||||||
Eurodollar | Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 3.00% | ||||||||
Eurodollar | 3.50x but ≤ 4.00x | First Lien Credit Agreement, Sixth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 3.50% | ||||||||
Eurodollar | 3.50x but ≤ 4.00x | First Lien Credit Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 3.50% | ||||||||
Base Rate | First Lien Credit Agreement, Sixth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Effective interest rate | 5.00% | ||||||||
Base Rate | Restated Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 1.75% | ||||||||
Base Rate | Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 2.00% | ||||||||
Base Rate | 3.50x but ≤ 4.00x | First Lien Credit Agreement, Sixth Amendment | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 2.50% | ||||||||
Base Rate | 3.50x but ≤ 4.00x | First Lien Credit Agreement | Revolving Credit Facility | Line of Credit | |||||||||
Debt Instrument [Line Items] | |||||||||
Basis spread on variable rate | 2.50% |
CREDIT FACILITY, NOTES PAYABL_5
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details - Term Loans) - Term Loan | Sep. 30, 2019USD ($) |
Debt Instrument [Line Items] | |
Face Value | $ 716,522,000 |
Discount | (14,549,000) |
Total Carrying Value | 701,973,000 |
First Lien Term Loan | |
Debt Instrument [Line Items] | |
Face Value | 659,522,000 |
Discount | (14,549,000) |
Total Carrying Value | 644,973,000 |
Restated Agreement | |
Debt Instrument [Line Items] | |
Face Value | 57,000,000 |
Discount | 0 |
Total Carrying Value | $ 57,000,000 |
CREDIT FACILITY, NOTES PAYABL_6
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details - Margin Spread Based on Leverage Ratio) - Line of Credit - Revolving Credit Facility | Aug. 22, 2017 | Jul. 01, 2016 |
First Lien Credit Agreement, Fifth Amendment | Eurodollar | 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 4.50% | |
First Lien Credit Agreement, Fifth Amendment | Eurodollar | 4.00x but ≤ 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.75% | |
First Lien Credit Agreement, Fifth Amendment | Eurodollar | ≤ 3.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.25% | |
First Lien Credit Agreement, Fifth Amendment | Base Rate | 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.50% | |
First Lien Credit Agreement, Fifth Amendment | Base Rate | 4.00x but ≤ 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 2.75% | |
First Lien Credit Agreement, Fifth Amendment | Base Rate | ≤ 3.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 2.25% | |
First Lien Credit Agreement | Eurodollar | 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 4.50% | |
First Lien Credit Agreement | Eurodollar | 4.00x but ≤ 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.75% | |
First Lien Credit Agreement | Eurodollar | 3.50x but ≤ 4.00x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.50% | |
First Lien Credit Agreement | Eurodollar | ≤ 3.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.25% | |
First Lien Credit Agreement | Base Rate | 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 3.50% | |
First Lien Credit Agreement | Base Rate | 4.00x but ≤ 5.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 2.75% | |
First Lien Credit Agreement | Base Rate | 3.50x but ≤ 4.00x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 2.50% | |
First Lien Credit Agreement | Base Rate | ≤ 3.50x | ||
Line of Credit Facility [Line Items] | ||
Basis spread on variable rate | 2.25% |
CREDIT FACILITY, NOTES PAYABL_7
CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details - Margin Spread Based on Leverage Ratio, Debt Instrument) | Aug. 31, 2018 | Sep. 30, 2015 |
Pricing Level I | Restated Agreement | ||
Debt Instrument [Line Items] | ||
Leverage ratio, greater than | 3 | 3 |
Pricing Level I | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.75% | |
Unused capacity, commitment fee percentage | 0.45% | |
Pricing Level I | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 3.00% | |
Unused capacity, commitment fee percentage | 0.45% | |
Pricing Level I | Eurodollar | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.75% | |
Pricing Level I | Eurodollar | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 3.00% | |
Pricing Level I | Base Rate | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.75% | |
Pricing Level I | Base Rate | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.00% | |
Pricing Level II | Restated Agreement | ||
Debt Instrument [Line Items] | ||
Leverage ratio, greater than | 2.50 | 2.50 |
Leverage ratio, less than | 3 | 3 |
Pricing Level II | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.25% | |
Unused capacity, commitment fee percentage | 0.40% | |
Pricing Level II | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.50% | |
Unused capacity, commitment fee percentage | 0.40% | |
Pricing Level II | Eurodollar | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.25% | |
Pricing Level II | Eurodollar | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.50% | |
Pricing Level II | Base Rate | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.25% | |
Pricing Level II | Base Rate | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.50% | |
Pricing Level III | Restated Agreement | ||
Debt Instrument [Line Items] | ||
Leverage ratio, greater than | 2 | 2 |
Leverage ratio, less than | 2.50 | 2.50 |
Pricing Level III | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.00% | |
Unused capacity, commitment fee percentage | 0.35% | |
Pricing Level III | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.25% | |
Unused capacity, commitment fee percentage | 0.35% | |
Pricing Level III | Eurodollar | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.00% | |
Pricing Level III | Eurodollar | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.25% | |
Pricing Level III | Base Rate | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.00% | |
Pricing Level III | Base Rate | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.25% | |
Pricing Level IV | Restated Agreement | ||
Debt Instrument [Line Items] | ||
Leverage ratio, greater than | 1.50 | 1.50 |
Leverage ratio, less than | 2 | 2 |
Pricing Level IV | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 1.75% | |
Unused capacity, commitment fee percentage | 0.30% | |
Pricing Level IV | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 2.00% | |
Unused capacity, commitment fee percentage | 0.30% | |
Pricing Level IV | Eurodollar | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.75% | |
Pricing Level IV | Eurodollar | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 2.00% | |
Pricing Level IV | Base Rate | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 0.75% | |
Pricing Level IV | Base Rate | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.00% | |
Pricing Level V | Restated Agreement | ||
Debt Instrument [Line Items] | ||
Leverage ratio, less than | 1.50 | 1.50 |
Pricing Level V | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 1.50% | |
Unused capacity, commitment fee percentage | 0.30% | |
Pricing Level V | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Commitment fee percentage | 1.75% | |
Unused capacity, commitment fee percentage | 0.30% | |
Pricing Level V | Eurodollar | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.50% | |
Pricing Level V | Eurodollar | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 1.75% | |
Pricing Level V | Base Rate | Restated Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 0.50% | |
Pricing Level V | Base Rate | Agreement | Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Basis spread on variable rate | 0.75% |
STOCK-BASED COMPENSATION (Detai
STOCK-BASED COMPENSATION (Details Narrative) - USD ($) | 9 Months Ended | |
Sep. 30, 2019 | Dec. 31, 2018 | |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Unrecognized stock-based compensation expense | $ 846,700 | |
Unrecognized expense weighted average period | 1 year 11 months 14 days | |
Minimum | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Share-based payment award, award vesting period | 3 years | |
Share-based payment award, expiration period | 5 years | |
Maximum | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Share-based payment award, award vesting period | 5 years | |
Share-based payment award, expiration period | 10 years | |
Equity Option | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Options outstanding (in shares) | 481,451 | 513,282 |
Exercisable shares (in shares) | 137,623 | |
Options exercised (in shares) | 10,000 | |
Options granted (in shares) | 89,200 | |
Restricted Stock | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Awards issued to date (in shares) | 6,089,276 | |
RSA's unvested (in shares) | 387,184 | |
RSA's forfeited (in shares) | 1,500 | |
Future Service | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Options granted (in shares) | 26,600 | |
Restated Plan | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Shares authorized (in shares) | 14,000,000 | |
Awards issued to date (in shares) | 14,806,694 | |
Options cancelled (in shares) | 3,281,040 | |
RSA's forfeited (in shares) | 61,703 | |
Shares available for future issuance, options, warrants, shares of restricted stock and other bonus awards (in shares) | 2,536,049 | |
Restated Plan | Minimum | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Share-based payment award, award vesting period | 3 years | |
Share-based payment award, expiration period | 5 years | |
Restated Plan | Maximum | ||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||
Share-based payment award, award vesting period | 5 years | |
Share-based payment award, expiration period | 10 years |
STOCK-BASED COMPENSATION (Det_2
STOCK-BASED COMPENSATION (Details-Outstanding options and warrants) - Equity Option $ / shares in Units, $ in Thousands | 9 Months Ended |
Sep. 30, 2019USD ($)$ / sharesshares | |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] | |
Begining Balance (in shares) | shares | 513,282 |
Granted (in shares) | shares | 89,200 |
Exercised (in shares) | shares | (10,000) |
Canceled, forfeited or expired (in shares) | shares | (111,031) |
Ending Balance (in shares) | shares | 481,451 |
Exercisable at the end (in shares) | shares | 137,623 |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] | |
Begining Balance (in dollars per share) | $ / shares | $ 7.44 |
Granted (in dollars per share) | $ / shares | 10.93 |
Exercised (in dollars per share) | $ / shares | 4.97 |
Canceled, forfeited or expired (in dollars per share) | $ / shares | 0.79 |
Ending Balance (in dollars per share) | $ / shares | 8.22 |
Exercisable at the end (in dollars per share) | $ / shares | $ 6.97 |
Weighted Average Remaining Contractual Life | |
Balance at the end | 7 years 6 months 21 days |
Exercisable at the end | 6 years 7 months 25 days |
Aggregate Intrinsic Value | |
Aggregate value outstanding | $ | $ 2,956,444 |
Aggregate value exercisable | $ | $ 1,017,406 |
STOCK-BASED COMPENSATION (Det_3
STOCK-BASED COMPENSATION (Details - RSU's) - Restricted Stock | 9 Months Ended |
Sep. 30, 2019$ / sharesshares | |
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Outstanding [Roll Forward] | |
RSA's outstanding, beginning balance (in shares) | shares | 277,504 |
RSA's granted (in shares) | shares | 631,656 |
RSA's vested (in shares) | shares | (520,476) |
RSA's forfeited or canceled (in shares) | shares | (1,500) |
RSA's outstanding, ending balance (in shares) | shares | 387,184 |
Weighted-Average Remaining Contractual Term (Years) | 1 year 4 months 16 days |
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] | |
Weighted-average fair value, beginning balance (in dollars per share) | $ / shares | $ 9.77 |
Weighted-average fair value, granted (in dollars per share) | $ / shares | 11.76 |
Weighted-average fair value, vested (in dollars per share) | $ / shares | 9.64 |
Weighted average fair value, forfeited or canceled (in dollars per share) | $ / shares | 12.76 |
Weighted-average fair value, ending balance (in dollars per share) | $ / shares | $ 11.59 |
SUBSEQUENT EVENTS (Details)
SUBSEQUENT EVENTS (Details) - WhiteRabbit ai Inc. - Subsequent Event $ in Millions | Nov. 05, 2019USD ($) |
Subsequent Event [Line Items] | |
Payments to acquire equity method investments | $ 1 |
Payments to fund loan to related parties | $ 2.5 |
Uncategorized Items - rdnt-2019
Label | Element | Value |
Fair Value of Assets Acquired | us-gaap_FairValueOfAssetsAcquired | $ 15,000,000 |
Variable Interest Entity, Not Primary Beneficiary [Member] | ||
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares | us-gaap_BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued | 440,207 |
Hudson Valley Radiology Associates [Member] | Variable Interest Entity, Not Primary Beneficiary [Member] | ||
Business Acquisition, Equity Interest Issued or Issuable, Value Assigned | us-gaap_BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned | $ 6,000,000 |