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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

FORM 8-K

 

 

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported) November 9, 2025

 

RadNet, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware   001-33307   13-3326724
(State or other jurisdiction
of incorporation)
  (Commission File Number)   (IRS Employer Identification No.)

 

1510 Cotner Avenue    
Los Angeles, California   90025
(Address of Principal Executive Offices)   (Zip Code)

  

Registrant’s Telephone Number, Including Area Code: (310) 478-7808

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.0001 par value RDNT NASDAQ

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 

     

 

Item 2.02    RESULTS OF OPERATIONS AND FINANCIAL CONDITION

 

On November 9, 2025 RadNet, Inc. (“RadNet”) issued a press release regarding its financial results for the third quarter ended September 30, 2025. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

 

The information in this Current Report on Form 8-K, including Exhibit 99.1, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

 

Item 9.01.    Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No. Description
   
99.1 Press Release dated November 9, 2025 relating to RadNet, Inc.’s financial results for the quarter ended September 30, 2025
104 Cover Page Interactive Date File - the cover page XBRL tags are embedded within the Inline XBRL document.

 

 

 

 

 

 

 

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: November 10, 2025 RADNET, INC.  
     
       
  By: /s/ Mark Stolper  
  Mark Stolper  
  Chief Financial Officer  

 

 

 

 

 

 

 

 

 

 

 

  3  

EX-99.1 2 radnet_ex9901.htm PRESS RELEASE

Exhibit 99.1

 

 

 

 

FOR IMMEDIATE RELEASE

 

RadNet Reports Third Quarter Financial Results with Record Quarterly Revenue and Adjusted EBITDA(1) and Revises Upwards 2025 Financial Guidance Ranges

 

· Total Company Revenue increased 13.4% to $522.9 million in the third quarter of 2025 from $461.1 million in the third quarter of 2024; Revenue from the Digital Health reportable segment (inclusive of intersegment revenue) increased 51.6% to $24.8 million in the third quarter of 2025 from $16.4 million in the third quarter of 2024
· Total Company Adjusted EBITDA(1) was $84.9 million in the third quarter of 2025 as compared with $73.7 million in the third quarter of 2024, an increase of 15.2%; Digital Health reportable segment Adjusted EBITDA(1) increased 6.9% to $3.5 million in the third quarter of 2025 from $3.2 million in the third quarter of 2024
· Total Company Adjusted EBITDA(1) margins increased by 26 bps to 16.2% in the third quarter of 2025 as compared with 16.0% in the third quarter of 2024
· Adjusting for unusual or one-time items in the quarter, Adjusted Diluted Earnings Per Share(3) was $0.20 for the third quarter of 2025; This compares with Adjusted Diluted Earnings Per Share(3) of $0.18 for the third quarter of 2024
· In the third quarter of 2025, aggregate advanced imaging (MRI, CT and PET/CT) procedural volumes increased 13.0% and same-center advanced imaging procedural volumes increased 9.9% as compared with the third quarter of 2024
· As of September 30, 2025, we had a cash balance of $804.7 million and Net Debt to Adjusted EBITDA(1) ratio of approximately 1.0x
· RadNet revises full-year 2025 guidance levels to increase Imaging Center Revenue and Adjusted EBITDA(1) ranges and Digital Health Revenue ranges

 

LOS ANGELES, California, November 9, 2025 – RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective outpatient diagnostic imaging services and a premier global developer of digital health solutions, today reported financial results for its third quarter of 2025.

 

Dr. Howard Berger, President and Chief Executive Officer of RadNet, commented, “The business continues to demonstrate strong growth and record results in each of the Imaging Center and Digital Health reportable operating segments. Total Company Revenue grew 13.4% and Adjusted EBITDA(1) grew 15.2% as compared with last year’s third quarter, resulting in Adjusted EBITDA(1) margin expansion of 26 basis points. Contributing to the achievement of these results were the continued focus on creating capacity at existing centers, new center openings, ongoing business mix shift towards advanced imaging, tuck-in acquisitions, increased reimbursement from commercial and capitated payors, the expansion of health system joint ventures and an acceleration of Digital Health Revenue growth.”

 

 

 

  1  

 

Dr. Berger continued, “During the quarter, we experienced strong aggregate and same-center advanced imaging procedural volume growth. Aggregate advanced imaging procedural volumes increased 13.0% and same-center advanced imaging grew 9.9% relative to last year’s third quarter. As a result, RadNet’s advanced imaging business mix increased 153 basis points from last year’s third quarter, from 26.7% of all procedures in the third quarter of 2024 to 28.2% in the third quarter of 2025.

 

“Given the positive trends we are experiencing in virtually all aspects of the business and the strong financial performance of the third quarter, we are revising upwards certain guidance levels in anticipation of financial results that we believe will exceed both original expectations and the adjustments we made to the guidance ranges upon releasing first and second quarter 2025 results. We have increased 2025 Imaging Center guidance ranges for Revenue and Adjusted EBITDA(1) and have raised Revenue Guidance for the Digital Health operating segment,” added Dr. Berger.

 

“RadNet’s balance sheet remains strong. At third quarter end, we had a cash balance of $804.7 million and a leverage ratio of Net Debt to Adjusted EBITDA(1) of approximately 1.0. This liquidity position provides the financial flexibility to continue to drive organic growth and to pursue attractive strategic acquisitions of both imaging centers and digital health targets,” concluded Dr. Berger.

 

Third Quarter Financial Results

 

For the third quarter of 2025, RadNet reported Total Company Revenue of $522.9 million and Adjusted EBITDA(1) of $84.9 million. Revenue increased $61.7 million (or 13.4%) and Adjusted EBITDA(1) increased $11.2 million (or 15.2%) as compared with the third quarter of 2024.

 

For the third quarter of 2025, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of $24.8 million and Adjusted EBITDA(1) of $3.5 million. Revenue increased $8.4 million (or 51.6%) and Adjusted EBITDA(1) increased $223,000 (or 6.9%) as compared with the third quarter of 2024.

 

Unadjusted for unusual or one-time items impacting the third quarter, Total Company Net Income for the third quarter of 2025 was $5.4 million as compared with a Total Company Net Income of $3.2 million for the third quarter of 2024. Fully diluted Net Income Per Share for the third quarter of 2025 was $0.07, compared with a fully diluted Net Income Per Share of $0.04 in the third quarter of 2024, based upon a weighted average number of diluted shares outstanding of 77.4 million shares in 2025 and 75.2 million shares in 2024.

 

There were a number of unusual or one-time items impacting the third quarter including: $2.6 million of non-cash loss from interest rate swaps; $1.4 million in severance expense related to cost-savings initiatives; $621,000 expense related to leases for de novo facilities under construction that have yet to open their operations; $5.5 million of non-capitalized research and development expenses related to the DeepHealth Cloud OS and AI solutions; $2.1 million of acquisition transaction costs; and $2.8 million of lease abandonment charges. Adjusting for the above items, Total Company Adjusted Earnings(3) was $15.8 million and diluted Adjusted Earnings Per Share(3) was $0.20 during the third quarter of 2025. This compares with Total Company Adjusted Earnings(3) of $13.3 million and diluted Adjusted Earnings Per Share(3) of $0.18 during the third quarter of 2024.

 

For the third quarter of 2025, as compared with the prior year’s third quarter, MRI volume increased 14.8%, CT volume increased 9.4% and PET/CT volume increased 21.1%. Overall volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 6.9% over the prior year’s third quarter. On a same-center basis, including only those centers which were part of RadNet for both the third quarters of 2025 and 2024, MRI volume increased 11.5%, CT volume increased 6.7% and PET/CT volume increased 14.9%. Overall same-center volume, taking into account routine imaging exams, inclusive of x-ray, ultrasound, mammography and other exams, increased 4.9% over the prior year’s same quarter

 

 

 

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Nine Month Financial Results

 

For the first nine months of 2025, RadNet reported Total Company Revenue of $1,492.5 million and Adjusted EBITDA(1) of $212.5 million. Revenue increased $139.9 million (or 10.3%) and Adjusted EBITDA(1) increased $8.1 million (or 3.9%) as compared with the first nine months of 2024.

 

For the first nine months of 2025, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of $64.8 million and Adjusted EBITDA(1) of $10.6 million. Revenue increased $17.9 million (or 38.2%) and Adjusted EBITDA(1) increased $548,000 (or 5.5%) as compared with the first nine months of 2024.

 

Unadjusted for one-time or unusual items, Total Company Net Loss for the first nine months of 2025 was $18.1 million as compared with a Total Company Net Loss of $2.6 million for the first nine months of 2024. Fully diluted Net Loss Per Share for the nine month period of 2025 was $(0.24), compared with a Net Loss Per Share of $(0.04) in the nine month period of 2024, based upon a weighted average number of diluted shares outstanding of 74.7 million shares in 2025 and 72.6 million shares in 2024.

 

2024 Guidance Update

 

RadNet amends its previously announced guidance levels as follows:

 

Imaging Center Segment

 

    Original
Guidance Range
  Revised
Guidance Range After
Q1 Results
  Revised
Guidance Range After
Q2 Results
  Revised
Guidance Range After
Q3 Results
Total Net Revenue   $1,825 - $1,875 million   $1,835 - $1,885 million   $1,850 - $1,900 million   $1,900 - $1,930 million
Adjusted EBITDA(1)   $265 - $273 million   $268 - $276 million   $271 - $279 million   $276 - $284 million
Capital Expenditures(a)   $140 - $150 million   $145 - $155 million   $152 - $162 million   $157 - $167 million
Cash Interest Expense(b)   $35 - $40 million   $35 - $40 million   $35 - $40 million   $31 - $36 million
Free Cash Flow (2)   $70 - $80 million   $70 - $80 million   $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 received 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 After

Q1 Results

 

Revised

Guidance Range After

Q2 Results

 

Revised

Guidance Range After

Q3 Results

                 
Total Net Revenue (inclusive of intersegment revenue)   $80 - $90 million   $80 - $90 million   $80 - $90 million   $85 - $95 million
                 
Adjusted EBITDA(1) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI   $15 - $17 million   $15 - $17 million   $15 - $17 million   $15 - $17 million
                 
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI   $16 - $18 million   $16 - $18 million   $17 - $19 million   $18 - $20 million
                 
Capital Expenditures   $3 - $5 million   $3 - $5 million   $2 - $4 million   $3 - $5 million
                 
Free Cash Flow(2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI   $11 - $13 million   $11 - $13 million   $11 - $13 million   $10 - $12 million
                 
Free Cash Flow(2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI   $(5) - $(8) million   $(5) - $(8) million   $(5) - $(8) million   $(6) - $(9) million

 

 

 

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Dr. Berger explained, “Based upon the consistent outperformance of the first three quarters of this year relative to our projections, we have increased guidance ranges of our core Imaging Center reporting segment for Revenue and Adjusted EBITDA(1). With respect to the Digital Health reportable segment, we updated the Revenue guidance range upwards, due in part to the contribution of iCAD Revenue beginning in mid-July. We have kept our Digital Health Adjusted EBITDA(1) guidance range unchanged.”

 

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 third quarter 2025 results on Monday, November 10th, 2025 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).

 

Conference Call Details:

 

Date: Monday, November 10, 2025

Time: 10:30 a.m. Eastern Time

Dial In-Number: 844-826-3035

International Dial-In Number: 412-317-5195

 

It is recommended that participants dial in approximately 5 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=1740003&tp_key=5e6a1fc906 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 10204112.

 

About RadNet, Inc.

 

RadNet, Inc. is a leading provider of outpatient diagnostic imaging services in the United States, with a network of 407 owned and operated imaging centers. The company’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 over 11,000 team members. For more information, visit www.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,” “likely,” “may,” “should,” “will” and similar references to future periods. Forward-looking statements in this press release include, among others, statements about our anticipated business results, balance sheet and liquidity and our future liquidity, burn rate and our continuing ability to service or refinance our current indebtedness.

 

Forward-looking statements are neither historical facts nor assurances of future performance. Because forward-looking statements relate to the future, they are inherently subject to uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Therefore, you should not place undue reliance on any of these forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following:

 

 

 

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· the availability and terms of capital to fund our business;
· our ability to service our indebtedness, make principal and interest payments as those payments become due and remain in compliance with applicable debt covenants, in addition to our ability to refinance such indebtedness on acceptable terms;
· changes in general economic conditions nationally and regionally in the markets in which we operate;
· the availability and terms of capital to fund the expansion of our business and improvements to our existing facilities;
· our ability to maintain our current credit rating and the impact on our funding costs and competitive position if we do not do so;
· our ability to acquire, develop, implement and monetize technology, digital health initiatives, artificial intelligence algorithms and applications;
· volatility in interest and exchange rates, or credit markets;
· the adequacy of our cash flow and earnings to fund our current and future operations;
· changes in service mix, revenue mix and procedure volumes;
· delays in receiving payments for services provided;
· increased bankruptcies among our partner physicians or joint venture partners;
· the impact of the political environment and related developments on the current healthcare marketplace and on our business, including with respect to the future of the Affordable Care Act;
· the extent to which the ongoing implementation of healthcare reform, or changes in or new legislation, regulations or guidance, enforcement thereof by federal and state regulators or related litigation result in a reduction in coverage or reimbursement rates for our services, or other material impacts to our business;
· closures or slowdowns and changes in labor costs and labor difficulties, including stoppages affecting either our operations or our suppliers' abilities to deliver supplies needed in our facilities;
· the occurrence of hostilities, political instability or catastrophic events;
· the emergence or reemergence of and effects related to future pandemics, epidemics and infectious diseases; and
· noncompliance by us with any privacy or security laws or any cybersecurity incident or other security breach by us or a third party involving the misappropriation, loss or other unauthorized use or disclosure of confidential information.

 

Any forward-looking statement contained in this current report is based on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that we may make from time to time, whether as a result of changed circumstances, new information, future developments or otherwise, except as required by applicable law.

 

Regulation G: GAAP and Non-GAAP Financial Information

 

This release contains certain financial information not reported in accordance with GAAP. The Company uses both GAAP and non-GAAP metrics to measure its financial results. The Company believes that, in addition to GAAP metrics, these non-GAAP metrics assist the Company in measuring its cash-based performance. The Company believes this information is useful to investors and other interested parties because it removes unusual and nonrecurring charges that occur in the affected period and provides a basis for measuring the Company's financial condition against other quarters. Such information should not be considered as a substitute for any measures calculated in accordance with GAAP, and may not be comparable to other similarly titled measures of other companies. Non-GAAP financial measures should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. Reconciliation of this information to the most comparable GAAP measures is included in this release in the tables which follow.

 

CONTACTS:

RadNet, Inc.

Mark Stolper, 310-445-2800

Executive Vice President and Chief Financial Officer

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)

 

    September 30, 2025     December 31, 2024  
    (unaudited)          
ASSETS                
CURRENT ASSETS                
Cash and Cash equivalents   $ 804,716     $ 740,020  
Accounts receivable     210,548       185,821  
Due from affiliates     12,362       41,869  
Prepaid expenses and other current assets     50,151       51,542  
Total current assets     1,077,777       1,019,252  
PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS                
Property and equipment, net     780,502       694,791  
Operating lease right-of-use assets     675,330       639,740  
Total property, plant, equipment and right-of-use assets     1,455,832       1,334,531  
OTHER ASSETS                
Goodwill     827,532       710,663  
Other intangible assets     124,912       81,351  
Deferred financing costs     1,829       2,265  
Investment in joint ventures     129,127       104,057  
Deferred tax assets, net     5,261        
Deposits and other     43,009       34,571  
Total Assets   $ 3,665,279     $ 3,286,690  
                 
LIABILITIES AND EQUITY                
CURRENT LIABILITIES                
Accounts payable, accrued expenses and other   $ 419,207     $ 351,464  
Due to affiliates     61,748       43,650  
Deferred revenue     8,170       3,288  
Current operating lease liability     60,335       56,618  
Current portion of notes payable     25,454       24,692  
Total current liabilities     574,914       479,712  
LONG-TERM LIABILITIES                
Long-term operating lease liability     690,935       655,979  
Notes payable, net of current portion     1,070,886       991,574  
Deferred tax liability, net           22,230  
Other non-current liabilities     14,585       3,785  
Total liabilities     2,351,320       2,153,280  
EQUITY                
RadNet, Inc. stockholders' equity:                
Common stock - $0.0001 value, 200,000,000 shares authorized; 77,032,154 and 74,036,993 shares issued and outstanding at September 30, 2025 and December 31, 2024, respectively     8       7  
Additional paid-in-capital     1,147,402       988,147  
Accumulated other comprehensive loss     5,970       (9,061 )
Accumulated deficit     (94,840 )     (76,785 )
Total RadNet, Inc.'s Stockholders' equity:     1,058,540       902,308  
Noncontrolling interests     255,419       231,102  
Total Equity     1,313,959       1,133,410  
Total liabilities and equity   $ 3,665,279     $ 3,286,690  

 

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

(IN THOUSANDS EXCEPT FOR SHARE AND PER SHARE DATA)

(unaudited)

 

    Three Months Ended September 30,     Nine Months Ended September 30,  
    2025     2024     2025     2024  
                         
REVENUE                                
Service fee revenue   $ 491,426     $ 427,579     $ 1,398,838     $ 1,247,513  
Revenue under capitation arrangements     31,443       33,563       93,660       105,050  
Total service revenue     522,869       461,142       1,492,498       1,352,563  
OPERATING EXPENSES                                
Cost of operations, excluding depreciation and amortization     450,379       391,800       1,332,944       1,169,113  
Lease abandonment charges     2,819             8,330        
Depreciation and amortization     39,799       34,979       111,275       101,822  
Loss (gain) on sale and disposal of equipment and other     1,042       148       3,168       735  
Severance costs     1,441       304       2,614       797  
Total operating expenses     495,480       427,231       1,458,331       1,272,467  
INCOME (LOSS) FROM OPERATIONS     27,389       33,911       34,167       80,096  
OTHER INCOME AND EXPENSES                                
Interest expense     17,355       19,427       51,783       61,776  
Equity in earnings of joint ventures     (3,567 )     (3,595 )     (10,522 )     (11,308 )
Non-cash change in fair value of interest rate hedge     2,371       6,755       6,433       7,429  
Debt restructuring and extinguishment expenses           147             8,909  
Other (income) expenses     (9,044 )     (5,414 )     (24,520 )     (16,248 )
Total other (income) expenses     7,115       17,320       23,174       50,558  
INCOME (LOSS) BEFORE INCOME TAXES     20,274       16,591       10,993       29,538  
Provision for income taxes     (6,385 )     (4,335 )     (3,807 )     (4,927 )
NET INCOME (LOSS)     13,889       12,256       7,186       24,611  
Net income (loss) attributable to noncontrolling interests     8,472       9,047       25,241       27,163  
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   $ 5,417     $ 3,209     $ (18,055 )   $ (2,552 )
                                 
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   $ 0.07     $ 0.04     $ (0.24 )   $ (0.04 )
                                 
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   $ 0.07     $ 0.04     $ (0.24 )   $ (0.04 )
WEIGHTED AVERAGE SHARES OUTSTANDING                                
Basic     75,950,350       73,494,709       74,703,658       72,587,321  
Diluted     77,388,477       75,165,435       74,703,658       72,587,321  

 

 

 

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RADNET, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASHFLOWS

(IN THOUSANDS)

(unaudited)

 

    Nine Months Ended September 30,  
    2025     2024  
CASH FLOWS FROM OPERATING ACTIVITIES                
Net income   $ 7,186     $ 24,611  
Adjustments to reconcile net income to net cash provided by operating activities:                
Depreciation and amortization     111,275       101,822  
Noncash operating lease expense     44,605       45,516  
Equity in earnings of joint ventures, net of dividends     (4,590 )     (10,308 )
Amortization of deferred financing costs and loan discount     2,242       2,336  
Loss on sale and disposal of equipment     3,168       735  
Loss on extinguishment of debt           2,080  
Lease abandonment charges     8,330        
Amortization of cash flow hedge     2,273       8,242  
Non-cash change in fair value of interest rate swap     6,433       7,429  
Stock-based compensation     46,276       21,368  
Loss on impairment           1,200  
Change in fair value of contingent consideration           1,974  
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                
Accounts receivable     (20,476 )     (35,369 )
Other current assets     2,093       4,738  
Other assets     (2,764 )     (7,388 )
Deferred taxes     2       4,834  
Operating leases     (48,760 )     (40,497 )
Deferred revenue     3,934       (255 )
Accounts payable, accrued expenses and other     53,429       57,426  
Net cash provided by operating activities     214,656       190,494  
CASH FLOWS FROM INVESTING ACTIVITIES                
Purchase of imaging facilities and other acquisitions, net of cash acquired     (66,464 )     (37,748 )
Purchase of property and equipment and other     (162,221 )     (145,164 )
Proceeds from sale of equipment     75       151  
Equity contributions in existing and purchase of interest in joint ventures     (4,147 )     (1,496 )
Collection of notes receivable     2,832        
Net cash used in investing activities     (229,925 )     (184,257 )
CASH FLOWS FROM FINANCING ACTIVITIES                
Principal payments on notes and leases payable     (5,229 )     (4,296 )
Payments on Term Loan Debt     (15,504 )     (688,375 )
Proceeds from issuance of new debt, net of issuing costs     99,001       863,815  
Purchase of noncontrolling interests by third party     2,389       7,569  
Payments on contingent consideration and holdbacks           (3,614 )
Distributions paid to noncontrolling interests     (3,313 )     (2,423 )
Proceeds from sale of economic interests in majority owned subsidiary, net of taxes           8,641  
Proceeds from issuance of common stock           218,385  
Proceeds from issuance of common stock upon exercise of options     2,258       367  
Net cash provided by financing activities     79,602       400,069  
EFFECT OF EXCHANGE RATE CHANGES ON CASH     363       40  
NET INCREASE IN CASH AND CASH EQUIVALENTS     64,696       406,346  
CASH AND CASH EQUIVALENTS, beginning of period     740,020       342,570  
CASH AND CASH EQUIVALENTS, end of period     804,716       748,916  
                 
                 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION                
Cash paid during the period for interest   $ 53,679     $ 57,227  
Cash paid during the period for income taxes   $ 3,480     $ 2,202  

 

 

 

  8  

 

RADNET, INC. AND SUBSIDIARIES

RECONCILIATION OF GAAP NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS TO ADJUSTED EBITDA

(IN THOUSANDS)

 

    Three Months Ended September 30,     Nine Months Ended September 30,  
    2025     2024     2025     2024  
                         
Net income (loss) attributable to Radnet, Inc. common stockholders   $ 5,417     $ 3,209     $ (18,055 )   $ (2,552 )
Income taxes     6,385       4,335       3,807       4,927  
Interest expense     17,355       19,427       51,783       61,776  
Severance costs     1,441       304       2,614       797  
Depreciation and amortization     39,799       34,979       111,275       101,822  
Non-cash employee stock-based compensation     9,041       4,723       46,276       21,369  
Loss (gain) on sale and disposal of equipment and other     1,042       148       3,168       735  
Non-cash change in fair value of interest rate hedge     2,371       6,755       6,433       7,429  
Other expenses (income)     (9,044 )     (5,414 )     (24,520 )     (16,248 )
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI     5,486       3,345       13,835       9,977  
Lease abandonment charges     2,819             8,330        
Loss (gain) on extinguishment of debt and related expenses           147             8,909  
Non-cash change to contingent consideration                       1,974  
Non-operational rent expenses     621       1,287       2,459       3,119  
Acquisition transaction costs     2,136       417       5,109       417  
                                 
Adjusted EBITDA - Radnet, Inc.   $ 84,869     $ 73,662     $ 212,514     $ 204,451  
                                 
NOTE                                
Adjusted EBITDA - Imaging Center Segment     81,417       70,433       201,948       194,433  
Adjusted EBITDA - Digital Health Segment     3,452       3,229       10,566       10,018  

 

 

 

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PAYMENTS BY PAYOR CLASS

 

    Third Quarter  
    2025  
       
Commercial Insurance     57.3%  
Medicare     23.6%  
Capitation     6.0%  
Medicaid     2.6%  
Workers Compensation/Personal Injury     2.2%  
Other*     8.4%  
Total     100.0%  

 

* Includes management fee, teleradiology and Digital Health financial reporting unit revenue.  

 

 

 

RADNET PAYMENTS BY MODALITY

 

    Third Quarter     Full Year     Full Year     Full Year  
    2025     2024     2023     2022  
                         
MRI     38.4%       37.1%       36.8%       36.8%  
CT     15.4%       15.9%       16.8%       17.5%  
PET/CT     8.8%       7.2%       6.4%       5.8%  
X-ray     5.4%       6.0%       6.5%       6.7%  
Ultrasound     13.4%       13.6%       12.9%       12.6%  
Mammography     15.2%       16.4%       16.0%       15.3%  
Nuclear Medicine     0.8%       1.0%       0.8%       0.9%  
Other     2.5%       2.7%       3.9%       4.5%  
      100.0%       100.0%       100.0%       100.0%  

 

 

 

PROCEDURES BY MODALITY*

 

    Third Quarter     Third Quarter  
    2025     2024  
             
MRI     512,861       446,596  
CT     290,975       265,874  
PET/CT     22,817       18,844  
Nuclear Medicine     8,965       9,282  
Ultrasound     705,347       650,322  
Mammography     496,465       484,357  
X-ray and Other     889,888       862,732  
                 
Total     2,927,318       2,738,007  

 

* Volumes include wholy owned and joint venture centers.

 

 

 

  10  

 

RADNET, INC. AND SUBSIDIARIES

SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE (3)

(IN THOUSANDS EXCEPT SHARE DATA)

(unaudited)

 

 

  Three Months Ended  
  September 30,     September 30,  
    2025     2024  
             
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   $ 5,417     $ 3,209  
                 
Non-cash impact of cash flow hedges (i)     2,587       8,111  
Severance costs     1,441       304  
Non-operational rent expenses (iii)     621       1,287  
Non-capitalized R&D - DeepHealth cloud OS & generative AI     5,486       3,345  
Acquisition transaction costs     2,136       417  
Debt amendment fee           147  
Lease abandonment charges     2,819        
Total adjustments - loss (gain)     15,090       13,611  
Subtract tax impact of Adjustments (ii)     (4,753 )     (3,552 )
Tax effected impact of adjustments     10,337       10,059  
                 
               
TOTAL ADJUSTMENT TO NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS     10,337       10,059  
                 
ADJUSTED NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS     15,754       13,268  
               
WEIGHTED AVERAGE SHARES OUTSTANDING                
Diluted     77,388,477       75,165,435  
                 
               
ADJUSTED DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS   $ 0.20     $ 0.18  

 

 

(i) Impact is the sum of (a) the loss in fair value of the hedges during the quarter of $2,371 in 2025 and loss of $6,755 in 2024 and (b) the amortization of the accumulation of the changes in fair value out of Other Comprehensive Income that existed prior to the hedges becoming ineffective of $216 in 2025 and $1,356 in 2024.
(ii) Tax effected using 31.5% blended federal and state effective tax rate for 2025 and 26.1% for 2024.
(iii) Represents rent expense associated with de novo sites under construction prior to them becoming operational.

 

 

 

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Footnote

 

(1) The Company defines Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization, each from continuing operations and adjusted for losses or gains on the sale of equipment, other income or loss, debt extinguishments and non-cash equity compensation. Adjusted EBITDA includes equity earnings in unconsolidated operations and subtracts allocations of earnings to non-controlling interests in subsidiaries, and is adjusted for non-cash or extraordinary and one-time events taken place during the period.

 

Adjusted EBITDA is reconciled to its nearest comparable GAAP financial measure. Adjusted EBITDA is a non-GAAP financial measure used as analytical indicator by RadNet management and the healthcare industry to assess business performance, and is a measure of leverage capacity and ability to service debt. Adjusted EBITDA should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

(2) As noted above, the Company defines Free Cash Flow as Adjusted EBITDA less total Capital Expenditures (whether completed with cash or financed) and Cash Interest Expense. Free Cash Flow is a non-GAAP financial measure. The Company uses Free Cash Flow because the Company believes it provides useful information for investors and management because it measures our capacity to generate cash from our operating activities. Free Cash Flow does not represent total cash flow since it does not include the cash flows generated by or used in financing activities. In addition, our definition of Free Cash Flow may differ from definitions used by other companies.

 

Free Cash Flow should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted EBITDA is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

(3) The Company defines Adjusted Earnings (Loss) Per Share as net income or loss attributable to RadNet, Inc. common stockholders and excludes losses or gains on the disposal of equipment, loss on debt extinguishments, bargain purchase gains, severance costs, loss on impairment, loss or gain on swap valuation, gain on extinguishment of debt, unusual or non-recurring entries that impact the Company’s tax provision and any other non-recurring or unusual transactions recorded during the period.

 

Adjusted Earnings (Loss) Per Share is reconciled to its nearest comparable GAAP financial measure. Adjusted Earnings (Loss) Per Share is a non-GAAP financial measure used as analytical indicator by RadNet management and the healthcare industry to assess business performance. Adjusted Earnings Per Share should not be considered a measure of financial performance under GAAP, and the items excluded from Adjusted Earnings Per Share should not be considered in isolation or as alternatives to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. As Adjusted Earnings Per Share is not a measurement determined in accordance with GAAP and is therefore susceptible to varying methods of calculation, this metric, as presented, may not be comparable to other similarly titled measures of other companies.

 

 

 

 

  12