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RadNet Reports Second Quarter Financial Results with Record Quarterly Revenue and Adjusted EBITDA (1) and Revises Upwards 2024 Financial Guidance Ranges Total Company Revenue increased 13.9% to $459

Key Takeaway: RadNet Reports Second Quarter Financial Results with Record Quarterly Revenue and Adjusted EBITDA(1) and Revises Upwards 2024 Financial Guidance Ranges Total Company Revenue increased 13.9% to $459.7 million in the second quarter of 2024 from $403.7 million in the second quar

Full Press Release Details

RadNet Reports Second Quarter Financial
Results with Record Quarterly Revenue and Adjusted EBITDA(1) and Revises Upwards 2024 Financial Guidance Ranges
Total Company Revenue increased 13.9% to $459.7 million in the second quarter of 2024 from $403.7 million in the second quarter of 2023; Revenue from the Digital Health reportable segment (inclusive of intersegment revenue) increased 36.4% to $15.8 million in the second quarter of 2024 from $11.6 million in the second quarter of 2023
Digital Health Revenue growth resulted in part from a $3.2 million (or 136.6%) increase in AI Revenue, which climbed to $5.6 million during the second quarter of 2024 from $2.4 million in the second quarter of 2023
Total Company Adjusted EBITDA (1) was $72.3 million in the second quarter of 2024 as com pared with $60.4 million in the second quarter of 2023, an increase of 19.7%; Digital Health reportable segment Adjusted EBITDA (1) increased 135.2% to $3.3 million in the second quarter of 2024 from $1.4 million in the second quarter of 2023
Total Company Adjusted EBITDA (1) margins increased by 76 bps to 15.7% in the second quarter of 2024 as compared with 15.0% in the second quarter of 2023
Adjusting for unusual or one-time items in the quarter, Adjusted Diluted Earnings Per Share (3) was $0.16 for the second quarter of 2024; This compares with Adjusted Earnings Per Share (3) of $0.10 for the second quarter of 2023
Aggregate procedural volumes increased 9.2% and same-center procedural volumes increased 6.1% compared with the second quarter of 2023
Completed a successful refinancing of our senior secured Term Loan and Revolver, reducing borrowing costs, extending maturities and funding approximately $168 million of additional cash to the balance sheet
As of June 30, 2024, we had a cash balance of $741.7 million and Net Debt to Adjusted EBITDA (1) ratio of 1.1
Previously announced acquisition of six American Health Imaging centers in Houston was completed on June 1, 2024; RadNet has begun the integration of these centers into the previously purchased Houston Medical Imaging operations
RadNet revises full-year 2024 guidance levels to increase Revenue, Adjusted EBITDA (1) and Free Cash Flow (2) ranges
LOS ANGELES, California, August 7, 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 operated outpatient imaging centers, today reported financial results
for its second quarter of 2024.
Dr. Howard Berger, President and Chief Executive
Officer of RadNet, commented, "Both the Imaging Center and Digital Health reportable operating segments demonstrated strong growth
and achieved record quarterly results. Total Company Revenue grew 13.9% as compared with last year's second quarter to a record
$459.7 million. The Digital Health segment Revenue of $15.8 million increased 36.4% from last year's same quarter. The strong growth
in Digital Health was, in part, driven by the AI businesses, whose Revenue increased 136.6% as compared with last year's second
quarter, mainly from the continuing success of the rollout of the Enhanced Breast Cancer Detection (EBCD) DeepHealth AI-powered screening
mammography program."
"Improved reimbursement from commercial
and capitated payors, continued strong demand for advanced imaging modalities, the growth of the Digital Health businesses and effective
cost controls resulted in an increase to Adjusted EBITDA(1) margins. Total Company EBITDA(1) margin of 15.7% during
this second quarter increased by 76 basis points over last year's second quarter." added Dr. Berger.
Dr. Berger continued, "Including the recently
announced joint venture with Providence Health System, a recent expansion of the Ventura County, California partnership with Dignity Health
and certain new de novo centers we have opened within existing joint ventures, as of the end of this second quarter, we had 149 of our
398 centers (or 37.4%) held in partnership with leading health systems. These partnerships allow us to play a more integral role within
the local healthcare communities we serve by increasing access, disseminating new technologies and improving the quality of patient care."
"Given the positive trends we continue to
experience in virtually all aspects of our business and the strong financial performance of the second quarter, we are revising upwards
certain guidance levels in anticipation of financial results that we believe will exceed both our original expectations and the amendments
we made to the guidance ranges upon releasing our first quarter 2024 results in May. We have increased 2024 guidance ranges for Revenue,
Adjusted EBITDA(1) and Free Cash Flow(2)," added Dr. Berger.
Dr. Berger continued, "In response to high
demand and patient backlogs in many of RadNet's local markets, we continue to pursue expanding capacity through the development
and construction of new imaging centers. We anticipate opening approximately six new centers by year end 2024 and an additional 15 centers
in 2025. Approximately half of these new centers will be within existing health system partnerships. Within Digital Health, but for Houston,
we are substantially complete with implementing the EBCD program. Continued development of the DeepHealth OS technology platform places
us on-track towards beginning implementation within RadNet in the coming months and within external customers as early as the first quarter
of 2025. The DeepHealth OS integrates generative AI capabilities to help us and external customers automate and drive efficiencies for
many of the back-office and support functions involved with running imaging centers."
"RadNet's balance sheet continues
to strengthen. In April, we completed a successful refinancing of our term loan and revolving line of credit, resulting in a reduction
of interest rates, an extension of maturities and the funding of additional cash to the balance sheet of approximately $168 million. At
quarter end, we had a cash balance of $741.7 million, and our leverage ratio of Net Debt to Adjusted EBITDA(1) was at a record
low, slightly above 1.0," concluded Dr. Berger.
Second Quarter Financial Results
For the second quarter of 2024, RadNet reported
Total Company Revenue of $459.7 million and Adjusted EBITDA(1) of $72.3 million. Revenue increased $56.0 million (or 13.9%)
and Adjusted EBITDA(1) increased $11.9 million (or 19.7%) as compared with the second quarter of 2023.
For the second quarter of 2024, RadNet reported
Digital Health Revenue (inclusive of intersegment revenue) of $15.8 million and Adjusted EBITDA(1) of $3.3 million. Revenue
increased $4.2 million (or 36.4%) and Adjusted EBITDA(1) increased $1.9 million (or 135.2%) as compared with the second quarter
of 2023. Digital Health Revenue and Adjusted EBITDA(1) growth was due in part from a $3.2 million (or 136.6%) increase in AI
Revenue, which climbed to $5.6 million during the second quarter of 2024.
Unadjusted for unusual or one-time items impacting
the second quarter, Total Company Net Loss for the second quarter of 2024 was $3.0 million as compared with a Total Company Net Income
of $8.4 million for the second quarter of 2023. Net Loss Per Share for the second quarter of 2024 was $(0.04),
compared with a Net Income per share of $0.12 in the second quarter of 2023, based upon a weighted average number of diluted shares outstanding
of 73.4 million shares in 2024 and 60.9 million shares in 2023.
of unusual or one-time items impacting the second quarter including: $1.9 million of non-cash loss from interest rate swaps; $5.6
million of non-cash interest expense related to extraordinary interest rate swap Other Comprehensive Income amortization, $0.8 million
expense related to leases for de novo facilities under construction that have yet to open their operations; $8.8 million of debt restructuring
and extinguishment expenses related to the April 2024 successful debt refinancing transaction; and $3.3 million of non-capitalized research
and development expenses related to the DeepHealth Cloud OS and generative AI. Adjusting for the above items, Total Company Adjusted Earnings(3)
was $12.0 million and diluted Adjusted Earnings Per Share(3) was $0.16 during the second quarter of 2024. This compares with
Total Company Adjusted Earnings(3) of $5.9 million and diluted Adjusted Earnings Per Share(3) of $0.10 during the
second quarter of 2023.
For the second quarter of 2024, as compared with
the prior year's second quarter, MRI volume increased 16.0%, CT volume increased 14.8% and PET/CT volume increased 20.4%. Overall
volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 9.2% over the
prior year's second quarter. On a same-center basis, including only those centers which were part of RadNet for both the second
quarters of 2024 and 2023, MRI volume increased 11.7%, CT volume increased 9.9% and PET/CT volume increased 13.7%. Overall same-center
volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 6.1% over the
prior year's same quarter
Six Month Financial Results
For the first six months of 2024, RadNet reported
Total Company Revenue of $891.4 million and Adjusted EBITDA(1) of $130.8 million. Revenue increased $97.1 million (or 12.2%)
and Adjusted EBITDA(1) increased $22.2 million (or 20.4%) as compared with the first six months of 2023.
For the first six months of 2024, RadNet reported
Digital Health Revenue (inclusive of intersegment revenue) of $30.5 million and Adjusted EBITDA(1) of $6.8 million. Revenue
increased $7.8 million (or 34.4%) and Adjusted EBITDA(1) increased $5.4 million (or 381.5%) as compared with the first six
months of 2023. Digital Health Revenue and Adjusted EBITDA(1) growth was due in part to a $5.8 million (or 128.2%) increase
in AI Revenue, which climbed to $10.3 million during the six month period of 2024.
Unadjusted for one-time or unusual items, Total
Company Net Loss for the first six months of 2024 was $5.8 million as compared with a Total Company Net Loss of $12.6 million for the
first six months of 2023. Net Loss Per Share for the six month period of 2024 was $(0.08), compared with a
Net Loss per share of $(0.21) in the six month period of 2023, based upon a weighted average number of diluted shares outstanding of 71.8
million shares in 2024 and 59.2 million shares in 2023.
2024 Guidance Update
RadNet amends its previously announced guidance
Imaging Center Segment
Original Guidance Range Revised Guidance Range After Q1 Results Revised Guidance Range After Q2 Results
Total Net Revenue $1,650 - $1,700 million $1,675 - $1,725 million $1,685 - $1,735 million
Adjusted EBITDA (1) $250 - $260 million $255 - $265 million $257 - $267 million
Capital Expenditures (a) $125 - $135 million $130 - $140 million $135 - $145 million
Cash Interest Expense (b) $40 - $45 million $37 - $42 million $32 - $37 million
Free Cash Flow (2) $65 - $75 million $68 - $78 million $72 - $80 million
(a) Net of proceeds from the sale of equipment, imaging centers and joint venture interests and New Jersey Imaging Network capital expenditures.
(b) Includes payments to and from counterparties on interest rate swaps and nets interest income from our cash balance recorded in Other Income.
Digital Health Segment
Original Guidance Range Revised Guidance Range After Q1 Results Revised Guidance Range After Q2 Results
Total Net Revenue (inclusive of intersegment revenue) $60 - $70 million $60 - $70 million $60 - $70 million
Adjusted EBITDA (1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $12 - $14 million $13 - $15 million $13 - $15 million
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $11 - $13 million $12 - $14 million $12 - $14 million
Capital Expenditures $3 - $5 million $3 - $5 million $3 - $5 million
Free Cash Flow (2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $8 - $10 million $8 - $10 million $8 - $10 million
Free Cash Flow (2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI $(2) - $(5) million $(2) - $(5) million $(2) - $(5) million
have increased guidance ranges of our core Imaging Center reporting segment for Revenue and Adjusted EBITDA(1).
Furthermore, despite increasing the Capital Expenditures guidance range by $5 million, we are expecting Free Cash Flow(2)
to be higher for the year. This is the result of the projected increase in Adjusted EBITDA(1) and lower Cash
Interest Expense. With respect to the Digital Health reportable segment, we remain on track to meet our original guidance levels."
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 to discuss its second quarter
2024 results on Thursday, August 8th, 2024 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).
Conference Call Details:
Last updated: Aug 9, 2024