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RadNet Reports Record First Quarter Financial Results and Revises Upwards 2026 Imaging Center Financial Guidance Ranges for Revenue, Adjusted EBITDA and Free Cash Flow Total Company Revenue increase

Key Takeaway: RadNet Reports Record First Quarter Financial Results and Revises Upwards 2026 Imaging Center Financial Guidance Ranges for Revenue, Adjusted EBITDA and Free Cash Flow Total Company Revenue increased 22.1% to $575.6 million in the first quarter of 2026 from $471.4 million in

Full Press Release Details

RadNet Reports Record First Quarter Financial
Results and Revises Upwards 2026 Imaging Center Financial Guidance Ranges for Revenue, Adjusted EBITDA and Free Cash Flow
Total Company Revenue increased 22.1% to $575.6 million in the first quarter of 2026 from $471.4 million in the first quarter of 2025
Revenue from the Digital Health reportable segment increased 51.5% to $29.1 million in the first quarter of 2026 from $19.2 million in the first quarter of 2025; Annual Recurring Revenue (4) (ARR) increased from $49.8 million at March 31, 2025 to $96.9 million at March 31, 2026
Total Company Adjusted EBITDA (1) was $63.3 million in the first quarter of 2026 as compared with $46.4 million in the first quarter of 2025, an increase of 36.3%; Digital Health reportable segment Adjusted EBITDA (1) decreased to $1.3 million in the first quarter of 2026 from $3.7 million in the first quarter of 2025 resulting from continued intentional infrastructure investments to drive and support a growing sales pipeline
In the first quarter of 2026, aggregate advanced imaging (MRI, CT and PET/CT) procedural volumes increased 19.7% and same-center advanced imaging procedural volumes increased 8.2% as compared with the first quarter of 2025
Adjusting for unusual or one-time items in the quarter, Adjusted Diluted Loss Per Share (3) was $(0.28) for the first quarter of 2026; This compares with Adjusted Diluted Loss Per Share (3) of $(0.34) for the first quarter of 2025
RadNet revises full-year 2026 Imaging Center guidance levels with increases to Revenue, Adjusted EBITDA (1) and Free Cash Flow (2) and reaffirms all Digital Health guidance ranges
LOS ANGELES, California, May 10, 2026 - RadNet,
Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging services
through a network of 435 outpatient imaging centers and a premier developer of radiology digital health solutions, today reported financial
results for its first quarter of 2026.
Dr. Howard Berger, President and Chief Executive Officer
of RadNet, commented, "After being impacted by severe winter weather conditions in the Northeast during January and February which
reduced Revenue and Adjusted EBITDA(1) by an estimated $13 million and $9 million, respectively, our business strongly rebounded
in March, resulting in a Total Company Revenue increase of 22.1% and a Total Company Adjusted EBITDA(1) increase of 36.3% from
last year's first quarter. The record first quarter performance was driven by aggregate advanced imaging (MRI, CT and PET/CT) growth
of 19.7% and same-center advanced imaging growth of 8.2% as compared with the first quarter of last year. The growth in MR, CT and PET/CT
contributed to a 235 basis point shift in RadNet's advanced imaging procedural volume mix (relative to routine imaging) as compared
with the same quarter last year, increasing from 26.9% in last year's first quarter to 29.3% in the first quarter of 2026. Imaging
Center Adjusted EBITDA(1) margin increased by 52 basis points, after adjusting for lost Revenue and Adjusted EBITDA(1)
from the severe winter weather in this year's first quarter and the severe winter weather and California wildfires in last year's
Dr. Berger continued, "On April 30th, we announced
the commencement of a new health system joint venture with Trinity Health's Saint Alphonsus Health System initially with five outpatient
imaging centers in Boise, Idaho. In conjunction with this new partnership, various modules of DeepHealth OS as well as AI-powered solutions
for radiologist reporting, patient engagement and clinical interpretation will be implemented. This relationship is a blueprint for future
health system partnerships, where RadNet can bring all of its operational, clinical and digital workflow solutions to bear to streamline
the patient journey and improve medical care and outcomes. As a result of the strong operating trends during the first quarter which have
continued through early May, we are increasing 2026 Imaging Center guidance for Revenue, Adjusted EBITDA(1) and Free Cash Flow(2)."
"The Digital Health division continues to gain
momentum, which was further advanced with the March 2, 2026 acquisition of Gleamer SAS in France. DeepHealth's clinical AI portfolio
now includes interpretive solutions in virtually all imaging modalities. We estimate that by the end of this year, over 70% of RadNet
studies could be running through clinical AI, and we expect that all of RadNet's radiologist reports will be processed through DeepHealth's
Reporting Pro AI-powered auto-impression/summarization engine. When fully implemented, these initiatives should result in significant
enhancement to patient care and workflow productivity intended to achieve a measurable improvement to RadNet's operating expenses.
Furthermore, the Digital Health sales pipeline with third-party customers continued to build during the first quarter, during which we
signed over $16 million (Total Contract Value) of new DeepHealth business. These contracts span the full breadth of DeepHealth products
including clinical AI, operating and diagnostic workflow and TechLive solutions," added Dr. Berger.
"RadNet's balance sheet continues to be
among the strongest in the diagnostic imaging industry. At quarter end, which reflected the acquisition of Gleamer and recent imaging
center transactions, we had a cash balance of $455.3 million and a leverage ratio of Net Debt to Adjusted EBITDA(1) of slightly
below 2.0. Financial leverage and liquidity will continue to be carefully managed to maintain optimal future operating flexibility,"
concluded Dr. Berger.
For the first quarter of 2026, RadNet reported Total
Company Revenue of $575.6 million and Adjusted EBITDA(1) of $63.3 million. Revenue increased $104.2 million (or 22.1%) and
Adjusted EBITDA(1) increased $16.9 million (or 36.3%) as compared with the first quarter of 2025.
For the first quarter of 2026, RadNet reported Digital
Health Revenue (inclusive of intersegment revenue) of $29.1 million and Adjusted EBITDA(1) of $1.3 million. Revenue increased
$9.9 million (or 51.5%) and Adjusted EBITDA(1) decreased $2.4 million as compared with the first quarter of 2025. At March
31, 2026, Annual Recurring Revenue(4) (ARR) for Digital Health was $96.9 million, as compared with $49.8 million as of March
There were a number of unusual or one-time items impacting
the first quarter including: $0.9 million expense related to leases for de novo facilities under construction that have yet to open their
operations; $3.5 million of acquisition transaction costs; $2.6 million loss on the sale and disposal of equipment; $1.5 million of severance
costs; $2.8 million change in contingent consideration related to past acquisitions; and $4.6 million of non-capitalized research and
development expenses with respect to DeepHealth Cloud OS and generative AI. Adjusting for the above items, Total Company Adjusted Loss(3)
was $21.6 million and diluted Adjusted Loss Per Share(3) was $(0.28) for the first quarter of 2026. This compares with Total
Company Adjusted Loss(3) of $25.2 million and diluted Adjusted Loss Per Share(3) of $(0.34) during the first quarter
Unadjusted for unusual or one-time items impacting
the first quarter of 2026, Total Company Net Loss for the first quarter of 2026 was $33.5 million as compared with a Total Company Net
Loss of $37.9 million for the first quarter of 2025. Net Loss Per Share for the first quarter of 2026 was $(0.43), compared with a Net
Loss per share of $(0.51) in the first quarter of 2025, based upon a weighted average number of diluted shares outstanding of 77.1 million
shares in 2026 and 74.4 million shares in 2025.
For the first quarter of 2026, as compared with the
prior year's first quarter, MRI volume increased 20.3%, CT volume increased 17.7% and PET/CT volume increased 35.2% on a systemwide
basis (including unconsolidated joint venture centers). Overall volume, taking into account routine imaging exams, inclusive of x-ray,
ultrasound, mammography and other exams, increased 10.1% over the prior year's first quarter. On a same-center systemwide basis,
including only those centers which were part of RadNet for both the first quarters of 2026 and 2025, MRI volume increased 10.0%, CT volume
increased 4.7% and PET/CT volume increased 14.7%. Overall same-center volume, taking into account routine imaging exams, inclusive of
x-ray, ultrasound, mammography and other exams, increased 2.4% over the prior year's same quarter.
2026 Revised Guidance
RadNet amends its previously announced guidance levels
Imaging Center Segment
Original Guidance Range Revised Guidance Range
Total Net Revenue $2,325 - $2,375 million $2,355 - $2,405 million
Adjusted EBITDA (1) $335 - $348 million $340 - $353 million
Capital Expenditures (a) $165 - $175 million $165 - $175 million
Cash Interest Expense (b) $45 - $50 million $45 - $50 million
Free Cash Flow (2) $105 - $115 million $112 - $122 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 $135 - $145 million $135 - $145 million
Adjusted EBITDA (1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $10 - $12 million $10 - $12 million
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $17 - $19 million $17 - $19 million
Capital Expenditures $9 - $12 million $9 - $12 million
Free Cash Flow (2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $(1) - $3 million $(1) - $3 million
Free Cash Flow (2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $(17) - $(19) million $(17) - $(19) 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 2026
results on Monday, May 11th, 2026 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).
Conference Call Details:
Date: Monday, May 11, 2026
Time: 10:30 a.m. Eastern Time
Dial In-Number: 844-744-1280
International Dial-In Number: 412-564-6465
It is recommended 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
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 allers, and using the passcode 10208825.
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 owned and/or operated outpatient imaging centers. RadNet's imaging center markets include Arizona,
California, Delaware, Florida, Idaho, Indiana, Maryland, New Jersey, New York, Texas and Virginia. 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 globally. Together with contracted radiologists,
and inclusive of full-time and per diem employees and technologists, RadNet has over 11,000 team members. Learn more at radnet.com.
Forward Looking Statements
This press release contains
"forward-looking statements" within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform
Act of 1995. Forward-looking statements are expressions of our current beliefs, expectations and assumptions regarding the future of our
business, future plans and strategies, projections, and anticipated future conditions, events and trends. Forward-looking statements can
generally be identified by words such as: "anticipate," "intend," "plan," "goal," "seek,"
"believe," "project," "estimate," "expect," "strategy," "future,"
Last updated: May 11, 2026