Full Press Release Details
RadNet Reports First Quarter Financial
Results and Revises Upwards 2025 Financial Guidance Ranges for Revenue and Adjusted EBITDA(1)
| First quarter Revenue was negatively impacted by approximately $22 million and Adjusted EBITDA (1) was negatively impacted by approximately $15 million as a result of the Southern California wildfires and severe winter weather conditions | ||
| Total Company Revenue increased 9.2% to $471.4 million in the first quarter of 2025 from $431.7 million in the first quarter of 2024 | ||
| Revenue from the Digital Health reportable segment increased 31.1% to $19.2 million in the first quarter of 2025 from $14.7 million in the first quarter of 2024 | ||
| Aggregate procedural volumes increased 3.6% and same-center procedural volumes decreased 0.3% compared with the first quarter of 2024 | ||
| Total Company Adjusted EBITDA (1) was $46.4 million in the first quarter of 2025 as compared with $58.5 million in the first quarter of 2024, a decrease of 20.6%; Digital Health reportable segment Adjusted EBITDA (1) increased to $3.7 million in the first quarter of 2025 from $3.5 million in the first quarter of 2024 | ||
| Adjusting for unusual or one-time items in the quarter, Adjusted Diluted Loss Per Share (3) was $(0.35) for the first quarter of 2025; This compares with Adjusted Earnings Per Share (3) of $0.07 for the first quarter of 2024 | ||
| On April 15, 2025, RadNet announced that it signed a definitive agreement to acquire iCAD, Inc. ("iCAD") to accelerate AI-powered early detection and diagnosis of breast cancer | ||
| RadNet revises full-year 2025 guidance levels with increases to Revenue and Adjusted EBITDA (1) |
LOS ANGELES, California, May 12, 2025 -
RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging
services through a network of 401 owned and operated outpatient imaging centers, today reported financial results for its first quarter
Dr. Howard Berger, President and Chief Executive
Officer of RadNet, commented, "In February, in conjunction with releasing 2024 fourth quarter results and 2025 guidance ranges,
we announced that the first quarter of 2025 was going to be negatively impacted by the Southern California wildfires and the severe winter
weather conditions in RadNet's northeast and Houston markets. We report that the impact from these extraordinary events were as
previously estimated. Our business significantly recovered in March and has continued to demonstrate strong procedural volumes and Revenue
through April and early May."
"Despite the challenges from the severe
weather and Southern California fires during the first quarter, we advanced a number of important initiatives. We continued to implement
the TechLiveTM remote scanning capability and have approximately 255 of our MRIs enabled, and we are beginning to test this
technology on ultrasound systems. The Enhanced Breast Cancer Detection (EBCD) AI-powered breast cancer diagnostic program is now experiencing
a blended adoption rate of over 40% nationwide and continues to find more cancer that otherwise would go undetected, while also making
our radiologists more productive and accurate. In addition, conversations are progressing with commercial and capitated payors about adding
reimbursement for EBCD, and we remain confident that we will see adoption by some third-party payors by year end. Furthermore, there has
been gradual improvement in filling open positions, including technologists, decreasing our reliance on outside staffing agencies. Lastly,
the strong growth in advanced imaging has continued in the first quarter despite challenges brought by the winter weather conditions and
Southern California fires. Advanced imaging, as a percentage of total procedural volume, grew 1.26% relative to last year's first
quarter. Most notably, PET/CT procedural volume grew in aggregate almost 23% from last year's same quarter, primarily the result
of continued growth of prostate and brain imaging procedures. The cumulative strength of these trends has provided us the confidence to
increase 2025 guidance ranges for Revenue and Adjusted EBITDA(1)," added Dr. Berger.
Dr. Berger continued, "On April 15, RadNet
announced the signing of a definitive agreement, subject to customary closing conditions, to acquire iCAD. The acquisition will unite
complementary leading AI-powered cancer detection and workflow solutions focused on improving the accuracy and early detection of breast
cancer. Upon completion of the acquisition, iCAD will contribute to our Digital Health division over 1,500 healthcare provider locations,
facilitating over eight million annual mammograms in over 50 countries. This business combination is expected to accelerate our global
leadership in and commitment to AI-powered breast cancer screening, and positions us to further advance population health."
"RadNet's balance sheet continues
to be among the strongest in the diagnostic imaging industry. At quarter end, we had a cash balance of $717 million and our leverage ratio
of Net Debt to Adjusted EBITDA(1) was slightly above 1.0x. Our operating capabilities, scale and digital health tools and initiatives
give us a unique perspective in identifying and recognizing value in potential strategic targets. We are encouraged with the pipeline
of opportunities we are seeing and are confident we will be able to invest RadNet's capital in value-creating ways," concluded
For the first quarter of 2025, RadNet reported
Total Company Revenue of $471.4 million and Adjusted EBITDA(1) of $46.4 million. Revenue increased $39.7 million (or 9.2%)
and Adjusted EBITDA(1) decreased $12.1 million (or 20.6%) as compared with the first quarter of 2024.
For the first quarter of 2025, RadNet reported
Digital Health Revenue (inclusive of intersegment revenue) of $19.2 million and Adjusted EBITDA(1) of $3.7 million. Revenue
increased $4.6 million (or 31.1%) and Adjusted EBITDA(1) increased $0.2 million (or 5.4%) as compared with the first quarter
Unadjusted for unusual or one-time items impacting
the first quarter of 2025, Total Company Net Loss for the first quarter of 2025 was $37.9 million as compared with a Total Company Net
Loss of $2.8 million for the first quarter of 2024. Net Loss Per Share for the first quarter of 2025 was $(0.51), compared with a Net
Loss per share of $(0.04) in the first quarter of 2024, based upon a weighted average number of diluted shares outstanding of 74.4 million
shares in 2025 and 69.3 million shares in 2024.
There were a number of unusual or one-time items
impacting the first quarter including: $2.1 million of non-cash gain from interest rate swaps; $1.3 million expense related to leases
for our de novo facilities under construction that have yet to open their operations; $672,000 of acquisition transaction costs; $5.4
million of lease abandonment charges; and $3.6 million of non-capitalized research and development expenses with respect to our DeepHealth
Cloud OS and generative AI. Adjusting for the above items, Total Company Adjusted Loss(3) was $26.2 million and diluted Adjusted
Loss Per Share(3) was $(0.35) for the first quarter of 2025. This compares with Total Company Adjusted Earnings(3)
of $5.0 million and diluted Adjusted Earnings Per Share(3) of $0.07 during the first quarter of 2024.
For the first quarter of 2025, as compared with
the prior year's first quarter, MRI volume increased 8.4%, CT volume increased 8.3% and PET/CT volume increased 22.9%. Overall volume,
taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 3.6% over the prior
year's first quarter. On a same-center basis, including only those centers which were part of RadNet for both the first quarters
of 2025 and 2024, MRI volume increased 3.4%, CT volume increased 3.0% and PET/CT volume increased 12.2%. Overall same-center volume, taking
into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, decreased 0.3% over the prior year's
2025 Revised Guidance
RadNet amends its previously announced guidance
Imaging Center Segment
| Original Guidance Range | Revised Guidance Range | |||
| Total Net Revenue | $1,825 - $1,875 million | $1,835 - $1,885 million | ||
| Adjusted EBITDA (1) | $265 - $273 million | $268 - $276 million | ||
| Capital Expenditures (a) | $140 - $150 million | $145 - $155 million | ||
| Cash Interest Expense (b) | $35 - $40 million | $35 - $40 million | ||
| Free Cash Flow (2) | $70 - $80 million | $70 - $80 million |
| (a) | Net of proceeds from the sale of equipment and New Jersey Imaging Network capital expenditures. | |
| (b) | Net of payments from counterparties on interest rate swaps and interest income from our cash balance recorded in Other Income. |
Digital Health Segment
| Original Guidance Range | Revised Guidance Range | |||
| Total Net Revenue | $80 - $90 million | $80 - $90 million | ||
| Adjusted EBITDA (1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $15 - $17 million | $15 - $17 million | ||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $16 - $18 million | $16 - $18 million | ||
| Capital Expenditures | $3 - $5 million | $3 - $5 million | ||
| Free Cash Flow (2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $11 - $13 million | $11 - $13 million | ||
| Free Cash Flow (2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $(5) - $(8) million | $(5) - $(8) million |
Financial Results Conference Call
Dr. Howard Berger, President and Chief Executive
Officer, and Mark Stolper, Executive Vice President and Chief Financial Officer, will host a conference call to discuss its first quarter
2025 results on Monday, May 12th, 2025 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).
Conference Call Details:
Date: Monday, May 12, 2025
Time: 10:30 a.m. Eastern Time
Dial In-Number: 844-826-3035
International Dial-In Number: 412-317-5195
that participants dial in approximately 5 to 10 minutes prior to the start of the 10:30 a.m. call. There will also be simultaneous and
archived webcasts available at https://viavid.webcasts.com/starthere.jsp?ei=1717619&tp_key=f0980d090d
or http://www.radnet.com under the "Investors" menu section and "News Releases"
sub-menu of the website. An archived replay of the call will also be available and can be accessed by dialing 844-512-2921 from the U.S.,
or 412-317-6671 for international callers, and using the passcode 10199390.
RadNet, Inc. is a leading national provider of
freestanding, fixed-site diagnostic imaging services in the United States based on the number of locations and annual imaging revenue.
RadNet has a network of 401 owned and/or operated outpatient imaging centers. RadNet's markets include Arizona, California, Delaware,
Florida, Maryland, New Jersey, New York and Texas. In addition, RadNet provides radiology information technology and artificial intelligence
solutions marketed under the DeepHealth brand, teleradiology professional services and other related products and services to customers
in the diagnostic imaging industry. Together with contracted radiologists, and inclusive of full-time and per diem employees and technologists,
RadNet has a total of over 11,000 employees. For more information, visit http://www.radnet.com.
No Offer or Solicitation
This communication does not constitute an offer to sell or the solicitation
of an offer to buy any securities or a solicitation of any vote or approval, nor shall there be any sale, issuance or transfer of securities
in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities
laws of such jurisdiction. It does not constitute a prospectus or prospectus equivalent document. No offering or sale of securities shall
be made except by means of a prospectus meeting the requirements of Section 10 of the Securities Act of 1933, as amended (the "Securities
Act"), and otherwise in accordance with applicable law.
Important Information about the Proposed Transaction and Where
In connection with the proposed transaction between RadNet and iCAD,
Inc., on May 6, 2025, RadNet filed with the Securities and Exchange Commission ("SEC") a registration statement on Form S-4
that constitutes a prospectus of RadNet and will also include a proxy statement of iCAD. After the registration statement has been declared
effective, iCAD will mail the proxy statement/prospectus to its stockholders. The proxy statement/prospectus filed with the SEC related