Full Press Release Details
RadNet Reports Fourth Quarter 2024
Results, Including Record Revenue and Adjusted EBITDA(1) and Releases 2025 Financial Guidance
| Total Company Revenue increased 13.5% to a quarterly record of $477.1 million in the fourth quarter of 2024 from $420.4 million in the fourth quarter of 2023; Revenue from the Digital Health reportable segment (inclusive of intersegment revenue) increased 28.1% to $18.9 million in the fourth quarter of 2024 from $14.7 million in the fourth quarter of 2023 | ||
| Total Company Adjusted EBITDA (1) was a quarterly record of $75.0 million in the fourth quarter of 2024 as compared with $65.8 million in the fourth quarter of 2023, an increase of 14.0%; Digital Health reportable segment Adjusted EBITDA (1) increased 61.6% to $4.5 million in the fourth quarter of 2024 from $2.8 million in the fourth quarter of 2023 | ||
| Adjusting for unusual or one-time items impacting Net Income in the quarter, Adjusted Earnings Per Share (3) was $0.22 for the fourth quarter of 2024; This compares with Adjusted Earnings Per Share (3) of $0.15 for the fourth quarter of 2023 | ||
| In the fourth quarter of 2024, aggregate procedural volumes increased 8.0% and same-center procedural volumes increased 4.0% compared with the fourth quarter of 2023 | ||
| At December 31, 2024, RadNet had a cash balance of $740 million and a net debt to Adjusted EBITDA (1) leverage ratio of under 1.0x |
LOS ANGELES, California, February 27, 2024
- RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic
imaging services through a network of 398 owned and/or operated outpatient imaging centers, today reported financial results for its fourth
quarter and full-year ended December 31, 2024.
Dr. Howard Berger, President and Chief Executive
Officer of RadNet, commented, "I am very pleased with our performance in the fourth quarter and for full-year 2024. Relative to
last year's fourth quarter, Revenue increased 13.5% and Adjusted EBITDA(1) increased 14.0%. This performance was driven
by strong aggregate procedural volume growth of 8.0% and same center procedural growth of 4.0%. This performance enabled us to meet or
exceed guidance levels we set at the beginning of 2024 and revised upward throughout the year."
Dr. Berger continued, "During the fourth
quarter, we continued to experience increased demand in virtually all of our markets. This demand was the primary catalyst for the investments
made to expand capacity by the opening of nine new centers during the year. Throughout 2024, the centers within health system partnerships
grew from 130 at the beginning of 2024 to 153 by the end of the year. Joint venture facilities now represent 38.4% of the 398 locations."
"During 2024, significant progress was made
in the Digital Health division, culminating with the fourth quarter launch of DeepHealth OS, SmartMammoTM and TechLiveTM
solutions in addition to expansion of the AI clinical tools in breast, lung, prostate and brain. We intend to implement these new solutions
throughout the RadNet network during 2025, and they should create significant efficiencies in our operations that will help address challenges
resulting from the shortage and rising cost of skilled labor. Furthermore, these solutions will enable us to expand capacity by streamlining
workflow and automating processes that will improve the patient experience," added Dr. Berger.
"During 2024, liquidity and financial leverage
were carefully managed, as highlighted by a $230 million stock offering completed in March, a debt refinancing completed in April which
lowered our cost of capital and extended maturities through 2031 and a debt repricing transaction completed in November which lowered
the interest cost on RadNet's credit facility. As a result of these actions and a focus on margins and Adjusted EBITDA(1)
growth, at year-end 2024, net debt to Adjusted EBITDA(1) fell below 1.0x, from approximately 2.0x at year-end 2023. The cash
balance at the end of 2024 grew to $740 million, from $342 million at year-end 2023," concluded Dr. Berger.
Fourth Quarter Report:
For the fourth quarter of 2024, RadNet reported
Total Company Revenue of $477.1 million and Adjusted EBITDA(1) of $75.0 million. Revenue increased $56.7 million (or 13.5%)
and Adjusted EBITDA(1) increased $9.2 million (or 14.0%) as compared with the fourth quarter of 2023.
For the fourth quarter of 2024, RadNet reported
Digital Health Revenue of $18.9 million (inclusive of intersegment revenue) and Adjusted EBITDA(1) of $4.5 million. Revenue
increased $4.1 million (or 28.1%) and Adjusted EBITDA(1) increased $1.7 million (or 61.6%) as compared with the fourth quarter
There were a number of unusual or one-time items
impacting the fourth quarter including: $1.1 million in severance expense related to cost-savings initiatives; $2.5 million impairment
loss on lease abandonment; $1.1 million expense related to leases for de novo facilities under construction that have yet to open their
operations; $462,000 of acquisition transaction costs; $2.4 million loss in conjunction with extinguishment of debt and related expenses
as a result of the Company's refinancing and repricing debt transactions; $5.0 million of non-capitalized research and development
expenses related to the DeepHealth Cloud OS and generative AI; and $577,000 of non-cash loss from interest rate swaps. Adjusting for the
above items, Total Company Adjusted Earnings(3) was $16.7 million and diluted Adjusted Earnings Per Share(3) was
$0.22 during the fourth quarter of 2024. This compares with Total Company Adjusted Earnings(3) of $9.9 million and diluted
Adjusted Earnings Per Share(3) of $0.15 during the fourth quarter of 2023.
Unadjusted for unusual or one-time items impacting
the fourth quarter, Total Company Net Income for the fourth quarter of 2024 was $5.3 million as compared with a Total Company Net Loss
of $1.9 million for the fourth quarter of 2024. Fully diluted Net Income Per Share for the fourth quarter of 2024 was $0.07, compared
with a fully diluted Net Loss per share of $(0.03) in the fourth quarter of 2023, based upon a weighted average number of diluted shares
outstanding of 75.5 million shares in 2024 and 67.9 million shares in 2023.
For the fourth quarter of 2024, as compared with
the prior year's fourth quarter, MRI volume increased 13.4%, CT volume increased 13.9% and PET/CT volume increased 23.9%. Overall
volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 8.0% over the
prior year's fourth quarter. On a same-center basis, including only those centers which were part of RadNet for both the fourth
quarters of 2024 and 2023, MRI volume increased 8.5%, CT volume increased 8.7% and PET/CT volume increased 16.3%. Overall same-center
volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 4.0% over the
prior year's same quarter.
For full-year 2024, RadNet reported Total Company
Revenue of $1,829.7 million and Adjusted EBITDA(1) of $279.5 million. Revenue increased $213.0 million (or 13.2%) and Adjusted
EBITDA(1) increased $47.1 million (or 20.3%) as compared with full-year 2023.
For full-year 2024, RadNet reported Digital Health
Revenue (inclusive of intersegment revenue) of $65.7 million and Adjusted EBITDA(1) of $14.6 million. Revenue increased $16.1
million (or 32.5%) and Adjusted EBITDA(1) increased $8.1 million (or 124.0%) as compared with full-year 2023.
Unadjusted for one-time or unusual items, Total
Company Net Income for 2024 was $2.8 million as compared with a Total Company Net Income of $3.0 million in 2023. Fully diluted Net Income
Per Share for 2024 was $0.04, compared with a Net Income per share of $0.05 in 2023, based upon a weighted average number of diluted shares
outstanding of 74.8 million shares in 2024 and 64.7 million shares in 2023.
Actual 2024 Results vs. 2024 Guidance
Imaging Center Segment
| Original Guidance Range | Revised Guidance Range After Q1 Results | Revised Guidance Range After Q2 Results | Revised Guidance Range After Q3 Results | Actual 2024 Results | ||||||
| Total Net Revenue | $1,650-$1,700mm | $1,675-$1,725mm | $1,685-$1,735mm | $1,710-$1,760mm | $1,764.0mm | |||||
| Adjusted EBITDA (1) | $250 - $260mm | $255 - $265mm | $257 - $267mm | $262 - $270mm | $264.9mm | |||||
| Capital Expenditures (a) | $125 - $135mm | $130 - $140mm | $135 - $145mm | $145 - $155mm | $148.1mm | |||||
| Cash Interest Expense (b) | $40 - $45mm | $37 - $42mm | $32 - $37mm | $25 - $30mm | $33.3mm | |||||
| Free Cash Flow (2) | $65 - $75mm | $68 - $78mm | $72 - $80mm | $83 - $93mm | $83.5mm |
| (a) | Net of proceeds from the sale of equipment ($886,000), New Jersey Imaging Network capital expenditures of $20.7mm and a one-time $6.6 million operating lease buyout from two equipment manufacturers. | |
| (b) | Includes payments to and from counterparties on interest rate swaps and nets interest income from our cash balance as recorded in Other Income. |
Digital Health Segment
| Original Guidance Range | Revised Guidance Range After Q1 and Q2 Results | Revised Guidance Range After Q3 Results | Actual 2024 Results | |||||
| Total Net Revenue (inclusive of intersegment revenue) | $60 - $70mm | $60 - $70mm | $60 - $70mm | $65.7mm | ||||
| Adjusted EBITDA (1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $12 - $14mm | $13 - $15mm | $13 - $15mm | $14.6mm | ||||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $11 - $13mm | $12 - $14mm | $13 - $15mm | $15.0mm | ||||
| Capital Expenditures (a) | $3 - $5mm | $3 - $5mm | $3 - $5mm | $3.5mm | ||||
| Free Cash Flow (2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $8 - $10mm | $8 - $10mm | $8 - $10mm | $11.1mm | ||||
| Free Cash Flow (2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $(2) - $(5)mm | $(2) - $(5)mm | $(2) - $(5)mm | $(3.9)mm |
Dr. Berger highlighted, "In January and
February of 2025, we experienced more severe winter weather conditions than last year in our East Coast and Texas operations as well as
catastrophic fires in Southern California. These unanticipated events had a significant impact on the utilization of healthcare services
in these regions, which resulted in an estimated loss of $22 million of Revenue and $15 million of Adjusted EBITDA(1) to the
RadNet operations. These significant events have caused a revision to the first quarter of our initial 2025 Imaging Center segment budget,
which is now reflected in our full-year 2025 guidance."
RadNet reports 2025 guidance ranges as follows:
Imaging Center Segment
| 2025 Guidance Range | ||||
| Total Net Revenue | $1,825 - $1,875 million | |||
| Adjusted EBITDA (1) | $265 - $273 million | |||
| Capital Expenditures (a) | $140 - $150 million | |||
| Cash Interest Expense (b) | $35 - $40 million | |||
| Free Cash Flow (2) | $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
| 2025 Guidance Range | ||||
| Total Net Revenue | $80 - $90 million | |||
| Adjusted EBITDA (1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $15 - $17 million | |||
| Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $16 - $18 million | |||
| Capital Expenditures | $3 - $5 million | |||
| Free Cash Flow (2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $11 - $13 million | |||
| Free Cash Flow (2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI | $(5) - $(8) million |
Dr Berger added, "Within the Imaging Center
segment, 2025 performance will be impacted by continued focus on same-center performance, tuck-in acquisitions, increasing reimbursement
efforts, expanded and new health system joint ventures and de novo center openings. Incorporated into 2025 guidance is continued increases
in salaries, wages and benefits, which is indicative of broader industry conditions. To address the labor challenges, we will be focused
in 2025 on the implementation of the Digital Health solutions intended to drive automation and efficiencies in the utilization of labor."
"Within the Digital Health segment, 2025
growth will be driven by a variety of factors including, sales of the new DeepHealth OS Operating and Diagnostic software suites, sales
and licensing revenue from the new SmartTechologyTM products (eg, SmartMammoTM), licensing fees from the TechLiveTM
technologist remote-control and automation technology and further licensing and patient revenue from mammography, lung, prostate and brain
AI solutions. In 2025, significant infrastructure investments will be made in building sales, marketing and implementation teams and we
will pursue completing potential acquisitions, both of which will contribute to the long-term success in selling and licensing Digital
Health solutions to external customers", concluded Dr. Berger.
Conference Call for Tomorrow
Dr. Howard Berger, President and Chief Executive
Officer, and Mark Stolper, Executive Vice President and Chief Financial Officer, will host a conference call tomorrow, February 28th,
at 10:30 a.m. Eastern Time. During the call, management will discuss the Company's 2024 fourth quarter and year-end results.