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RadNet Reports Second Quarter Financial Results with Record Quarterly Revenue and Adjusted EBITDA¹ and Revises Upwards 2025 Financial Guidance Ranges

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RadNet (NASDAQ:RDNT), a leading outpatient diagnostic imaging services provider, reported record Q2 2025 results with total revenue increasing 8.4% to $498.2 million and Adjusted EBITDA growing 12.3% to $81.2 million. The company's Digital Health segment saw significant growth with revenue up 30.9% to $20.7 million.

Advanced imaging volumes showed strong performance, with MRI volume up 9.0%, CT volume up 8.1%, and PET/CT volume surging 22.4%. The company achieved Adjusted Earnings of $23.8 million ($0.31 per share), compared to $12.0 million ($0.16 per share) in Q2 2024.

Based on strong performance, RadNet revised its 2025 guidance upward, with total net revenue now projected at $1.85-1.90 billion and Adjusted EBITDA expected between $271-279 million.

RadNet (NASDAQ:RDNT), fornitore leader di servizi di diagnostica per immagini in regime ambulatoriale, ha registrato risultati record nel Q2 2025 con ricavi totali in aumento dell'8,4% a $498.2 million e EBITDA rettificato in crescita del 12,3% a $81.2 million. Il segmento Digital Health ha segnato una forte crescita, con ricavi saliti del 30,9% a $20.7 million.

I volumi di diagnostica avanzata hanno mostrato ottime performance: volumi MRI in aumento del 9,0%, CT +8,1% e PET/CT in forte crescita del 22,4%. L'utile rettificato ha raggiunto $23.8 million ($0.31 per azione), rispetto a $12.0 million ($0.16 per azione) nel Q2 2024.

Sulla base di questi risultati, RadNet ha rivisto al rialzo le previsioni per il 2025: i ricavi netti totali sono ora stimati a $1.85-1.90 miliardi e l'EBITDA rettificato è previsto tra $271-279 million.

RadNet (NASDAQ:RDNT), proveedor líder de servicios de diagnóstico por imagen ambulatorio, informó resultados récord en el Q2 2025 con ingresos totales que aumentaron 8.4% hasta $498.2 million y EBITDA ajustado que creció 12.3% hasta $81.2 million. Su segmento de Digital Health experimentó un crecimiento notable, con ingresos al alza 30.9% hasta $20.7 million.

Los volúmenes de imagen avanzada mostraron un rendimiento sólido: volumen de MRI +9.0%, CT +8.1% y PET/CT +22.4%. La utilidad ajustada fue de $23.8 million ($0.31 por acción), frente a $12.0 million ($0.16 por acción) en el Q2 2024.

Tras este desempeño, RadNet elevó su guía para 2025: ahora proyecta ingresos netos totales de $1.85-1.90 mil millones y un EBITDA ajustado esperado entre $271-279 million.

RadNet (NASDAQ:RDNT), 선도적인 외래 진단 영상 서비� 제공업체가 2025� 2분기 실적에서 기록적인 성과� 발표했습니다. 총수익은 8.4% 증가� $498.2 million, 조정 EBITDA� 12.3% 성장� $81.2 million� 기록했습니다. 디지� 헬스(Digital Health) 부� 매출은 30.9% 증가� $20.7 million� � 폭의 성장� 보였습니�.

고급 영상� 볼륨� 견조하게 증가했으�, MRI 볼륨 9.0% 증가, CT 8.1% 증가, PET/CT 22.4% 급증했습니다. 조정 순이익은 $23.8 million($0.31/�)�, 전년 동기� Q2 2024� $12.0 million($0.16/�)에서 증가했습니다.

� 같은 강한 실적� 바탕으로 RadNet은 2025� 가이던스를 상향 조정했습니다. � 순매출은 $1.85-1.90 billion으로, 조정 EBITDA� $271-279 million 사이� 예상됩니�.

RadNet (NASDAQ:RDNT), acteur majeur des services d'imagerie diagnostique en ambulatoire, a publié des résultats records pour le T2 2025 avec des revenus totaux en hausse de 8,4% à $498,2 millions et un EBITDA ajusté en progression de 12,3% à $81,2 millions. Le segment Digital Health a connu une croissance marquée, les revenus augmentant de 30,9% à $20,7 millions.

Les volumes d'imagerie avancée ont été solides : volume MRI en hausse de 9,0%, CT +8,1% et PET/CT +22,4%. Le bénéfice ajusté s'est établi à $23,8 millions ($0,31 par action), contre $12,0 millions ($0,16 par action) au T2 2024.

Au vu de ces performances, RadNet a relevé ses prévisions pour 2025 : le chiffre d'affaires net total est désormais attendu entre $1,85 et $1,90 milliard et l'EBITDA ajusté entre $271 et $279 millions.

RadNet (NASDAQ:RDNT), ein führender Anbieter ambulanter diagnostischer Bildgebungsdienstleistungen, meldete Rekordergebnisse für das Q2 2025: der Gesamtumsatz stieg um 8,4% auf $498,2 Millionen und das bereinigte EBITDA wuchs um 12,3% auf $81,2 Millionen. Das Digital-Health-Segment verzeichnete ein deutliches Wachstum mit einem Umsatzanstieg von 30,9% auf $20,7 Millionen.

Die Volumina in der erweiterten Bildgebung entwickelten sich stark: MRI-Volumen +9,0%, CT +8,1% und PET/CT +22,4%. Das bereinigte Ergebnis betrug $23,8 Millionen ($0,31 je Aktie) gegenüber $12,0 Millionen ($0,16 je Aktie) im Q2 2024.

Aufgrund der soliden Performance hat RadNet die Prognose für 2025 nach oben korrigiert: Der Gesamtumsatz wird nun bei $1,85�1,90 Milliarden und das bereinigte EBITDA zwischen $271�279 Millionen erwartet.

Positive
  • Record quarterly revenue of $498.2M, up 8.4% year-over-year
  • Adjusted EBITDA margins improved by 57 basis points to 16.3%
  • Digital Health segment revenue increased 30.9% to $20.7M
  • Strong advanced imaging growth: MRI +9.0%, CT +8.1%, PET/CT +22.4%
  • Adjusted EPS nearly doubled to $0.31 from $0.16 year-over-year
  • Strong balance sheet with $833.2M cash and low leverage ratio of 0.96x
  • Upward revision of 2025 financial guidance
Negative
  • $23.5M net loss for first six months of 2025, compared to $5.8M loss in 2024
  • Increased R&D expenses with $4.8M in non-capitalized research costs
  • $15M estimated Adjusted EBITDA loss from California wildfires and winter weather in Q1 2025

Insights

RadNet posted record Q2 results with 8.4% revenue growth and 12.3% EBITDA growth, driving upward 2025 guidance revision.

RadNet delivered exceptional Q2 2025 performance with total revenue reaching a record $498.2 million, up 8.4% year-over-year. The company's strategic focus on advanced imaging is clearly paying dividends � these higher-margin procedures now represent 27.5% of total volume, up 102 basis points from Q2 2024.

The profit metrics are particularly impressive. Adjusted EBITDA hit a record $81.2 million, growing 12.3% year-over-year with margins expanding 57 basis points to 16.3%. This margin expansion demonstrates operational leverage and effective cost management despite ongoing expansion initiatives.

RadNet's Digital Health segment shows promising momentum with 30.9% revenue growth to $20.7 million. While still relatively small compared to the core imaging business, this segment represents a high-growth opportunity with its AI-powered Enhanced Breast Cancer Detection program now reaching nearly half of RadNet's mammography patients.

The company's balance sheet strength is noteworthy with $833.2 million in cash and a low Net Debt to Adjusted EBITDA ratio of 0.96x. This strong liquidity position provides significant flexibility for continued expansion through both de novo center development and potential acquisitions.

Looking at procedural volumes, PET/CT stands out with 22.4% growth, followed by MRI at 9.0% and CT at 8.1%. The company's investments in technology like TechLive� (remote scanning) and focus on complex procedures are driving higher utilization and helping address technologist staffing challenges.

The upward revision of 2025 guidance for both revenue and EBITDA signals management's confidence in continued strong performance. With nine additional de novo facilities planned for the remainder of 2025, RadNet is positioning for sustained growth while maintaining profitability.

  • Total Company Revenue increased 8.4% to a quarterly record of $498.2 million in the second quarter of 2025 from $459.7 million in the second quarter of 2024; Revenue from the Digital Health reportable segment (inclusive of intersegment revenue) increased 30.9% to a quarterly record of $20.7 million in the second quarter of 2025 from $15.8 million in the second quarter of 2024
  • Total Company Adjusted EBITDA(1) was a quarterly record of $81.2 million in the second quarter of 2025 as compared with $72.3 million in the second quarter of 2024, an increase of 12.3%; Digital Health reportable segment Adjusted EBITDA(1) increased 4.1% to $3.4 million in the second quarter of 2025 from $3.3 million in the second quarter of 2024
  • Total Company Adjusted EBITDA(1) margins increased by 57 basis points to 16.3% in the second quarter of 2025 as compared with 15.7% in the second quarter of 2024
  • As a percentage of total procedural volumes, advanced imaging increased to 27.5% in the second quarter of 2025 from 26.5% in the second quarter of 2024, an increase of 102 basis points
  • Adjusting for unusual or one-time items in the quarter, Adjusted Earnings(3) was $23.8 million and Adjusted Earnings Per Share(3) was $0.31 for the second quarter of 2025; This compares with Adjusted Earnings(3) of $12.0 million and Adjusted Earnings Per Share(3) of $0.16 for the second quarter of 2024
  • In the second quarter of 2025, aggregate advanced imaging (MRI, CT and PET/CT) procedural volumes increased 9.0% and same-center advanced imaging procedural volumes increased 6.6% as compared with the second quarter of 2024
  • As of June 30, 2025, balance sheet cash was $833.2 million and Net Debt to Adjusted EBITDA(1) ratio was 0.96x
  • RadNet revises full-year 2025 guidance levels to increase Revenue and Adjusted EBITDA(1) guidance ranges

LOS ANGELES, Aug. 10, 2025 (GLOBE NEWSWIRE) -- RadNet, Inc. (NASDAQ: RDNT), a national leader in providing high-quality, cost-effective, fixed-site outpatient diagnostic imaging services through a network of 405 owned and operated outpatient imaging centers, today reported financial results for its second quarter of 2025.

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. In the second quarter of 2025, total Company Revenue grew 8.4% and Digital Health segment Revenue increased 30.9% from last year’s same quarter. Growth was driven by strong increases in aggregate and same center procedural volumes, improved reimbursement from commercial and capitated payors, a continuing shift in procedural volumes towards advanced imaging modalities and incremental Digital Health sales and licenses of workflow software and AI solutions.�

Dr. Berger continued, “Our focus has been on driving more advanced imaging procedures (MRI, CT and PET/CT) and increasing advanced imaging capacity at the imaging centers through a variety of initiatives. Within MRI, the 9.0% aggregate and 6.6% same center growth in the second quarter as compared with last year’s second quarter is partially the result of capacity created from investments made in MRI software upgrades and operating protocols which enable shorter scan times. CT programs have expanded on both coasts to offer more complex procedures, such as Cardiac CT Angiography, which is often enhanced with AI-assisted analytics. Within PET/CT, our fastest growing modality with 22.4% growth from last year’s second quarter, emphasis has been on newer diagnostic and screening offerings for prostate cancer, Alzheimer’s disease and dementia and new procedures with leading-edge tumor-specific radioactive tracers. The growth in advanced imaging, particularly MRI, has been furthered by the implementation of Digital Health’s TechLiveTM, our remote screening technology recently cleared by the FDA. TechLiveTM is assisting with ongoing technologist staffing challenges by enabling remote control of advanced imaging equipment to expand hours of operation and by staffing exam rooms which otherwise would have been closed.�

“The growth in advanced imaging from these initiatives along with effective cost management contributed to an increase in our Adjusted EBITDA(1) margin to 16.3% during the second quarter of 2025, which compares with 15.7% in last year’s second quarter, an improvement of 57 basis points. Adjusted EBITDA(1) during the second quarter of 2025 increased by 12.3% to $81.2 million from $72.3 million in last year’s second quarter,� 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 capacity expansion through the development and construction of new imaging centers. One new facility was opened during the second quarter in East Brunswick, New Jersey, and nine additional de novo facility openings are projected for the remainder of 2025. Within Digital Health, we continue to see growth from the nationwide expansion of the AI-powered Enhanced Breast Cancer Detection program, where today almost 45% of RadNet screening mammography patients are electing to participate for a $40 out-of-pocket charge. We continue to make progress with the internal RadNet implementation of the TechLiveTM remote scanning solution, elements of the DeepHealth Operations and Diagnostic suites and the newly acquired See-Mode ultrasound AI capabilities.�

“Given the sustainable positive trends we are experiencing and the strong financial performance of the second quarter, we are revising upwards 2025 guidance levels for Revenue and Adjusted EBITDA(1) 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 first quarter 2025 results in May,� concluded Dr. Berger.

Second Quarter Financial Results

For the second quarter of 2025, RadNet reported Total Company Revenue of $498.2 million and Adjusted EBITDA(1) of $81.2 million. Revenue increased $38.5 million (or 8.4%) and Adjusted EBITDA(1) increased $8.9 million (or 12.3%) as compared with the second quarter of 2024.

For the second quarter of 2025, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of $20.7 million and Adjusted EBITDA(1) of $3.4 million. Revenue increased $4.9 million (or 30.9%) and Adjusted EBITDA(1) increased $134,000 (or 4.1%) as compared with the second quarter of 2024.

Unadjusted for unusual or one-time items impacting the second quarter of 2025, Total Company Net Income for the second quarter of 2025 was $14.5 million as compared with a Total Company Net Loss of $3.0 million for the second quarter of 2024. Net Income Per Share for the second quarter of 2025 was $0.19, compared with a Net Loss per share of $(0.04) in the second quarter of 2024, based upon a weighted average number of diluted shares outstanding of 75.5 million shares in 2025 and 73.4 million shares in 2024.

There were a number of unusual or one-time items impacting the second quarter including: $2.0 million of non-cash loss from interest rate swaps; $496,000 expense related to leases for de novo facilities under construction that have yet to open their operations; $123,000 of lease abandonment charge; $2.3 million of acquisition transaction costs; and $4.8 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 $23.8 million and diluted Adjusted Earnings Per Share(3) was $0.31 during the second quarter of 2025. This compares with Total Company Adjusted Earnings(3) of $12.0 million and diluted Adjusted Earnings Per Share(3) of $0.16 during the second quarter of 2024.

For the second quarter of 2025, as compared with the prior year’s second quarter, MRI volume increased 9.0%, CT volume increased 8.1%, PET/CT volume increased 22.4% and routine imaging (inclusive of nuclear medicine, ultrasound, mammography, x-ray and other exams) increased 3.5% 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 2025 and 2024, MRI volume increased 6.6%, CT volume increased 5.9%, PET/CT volume increased 16.2% and routine imaging increased 1.4% over the prior year’s second quarter.

Six Month Financial Results

For the first six months of 2025, RadNet reported Total Company Revenue of $969.6 million and Adjusted EBITDA(1) of $127.6 million. Revenue increased $78.2 million (or 8.8%) and Adjusted EBITDA(1) decreased $3.1 million (or 2.4%) as compared with the first six months of 2024. The decrease in Adjusted EBITDA(1) was primarily the result of the previously estimated loss of $15 million of Adjusted EBITDA(1) as a result of the California wildfires and severe winter weather conditions impacting the first quarter of 2025.

For the first six months of 2025, RadNet reported Digital Health Revenue (inclusive of intersegment revenue) of $39.9 million and Adjusted EBITDA(1) of $7.1 million. Revenue increased $9.5 million (or 31.0%) and Adjusted EBITDA(1) increased $325,000 (or 4.8%) as compared with the first six months of 2024.

Unadjusted for one-time or unusual items, Total Company Net Loss for the first six months of 2025 was $23.5 million as compared with a Total Company Net Loss of $5.8 million for the first six months of 2024. Net Loss Per Share for the six-month period of 2025 was $(0.32), compared with a Net Loss per share of $(0.08) in the six-month period of 2024, based upon a weighted average number of diluted shares outstanding of 74.1 million shares in 2025 and 71.8 million shares in 2024.

2025 Guidance Update

RadNet updates guidance levels as follows:

Imaging Center Segment
Original Guidance
Range
Revised Guidance
Range After Q1 Results
Revised Guidance
Range After Q2 Results
Total Net Revenue$1,825 - $1,875 million$1,835 - $1,885 million$1,850 - $1,900 million
Adjusted EBITDA(1)$265 - $273 million$268 - $276 million$271 - $279 million
Capital Expenditures(a)$140 - $150 million$145 - $155 million$152 - $162 million
Cash Interest Expense(b)$35 - $40 million$35 - $40 million$35 - $40 million
Free Cash Flow (2)$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 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
Total Net Revenue (inclusive of intersegment revenue)$80 - $90 million$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$15 - $17 million
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI$16 - $18 million$16 - $18 million$17 - $19 million
Capital Expenditures$3 - $5 million$3 - $5 million$2 - $4 million
Free Cash Flow(2) Before Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI$11 - $13 million$11 - $13 million$11 - $13 million
Free Cash Flow(2) After Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI$(5) - $(8) million$(5) - $(8) million$(5) - $(8) million

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 2025 results on Monday, August 11th, 2025 at 7:30 a.m. Pacific Time (10:30 a.m. Eastern Time).

Conference Call Details:

Date: Monday, August 11, 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 or 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 10201853.

About RadNet, Inc.

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 405 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 team members. For more information, visit .

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:

  • 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

RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS EXCEPT SHARE AND PER SHARE DATA)
June 30, 2025December 31, 2024
(unaudited)
ASSETS
CURRENT ASSETS
Cash and Cash equivalents$833,152$740,020
Accounts receivable199,991185,821
Due from affiliates12,95941,869
Prepaid expenses and other current assets48,27751,542
Total current assets1,094,3791,019,252
PROPERTY, EQUIPMENT AND RIGHT-OF-USE ASSETS
Property and equipment, net741,382694,791
Operating lease right-of-use assets666,054639,740
Total property, plant, equipment and right-of-use assets1,407,4361,334,531
OTHER ASSETS
Goodwill751,514710,663
Other intangible assets91,07881,351
Deferred financing costs1,9742,265
Investment in joint ventures125,804104,057
Deposits and other42,78134,571
Total Assets$3,514,966$3,286,690
LIABILITIES AND EQUITY
CURRENT LIABILITIES
Accounts payable, accrued expenses and other$406,689$351,464
Due to affiliates51,06743,650
Deferred revenue3,4333,288
Current operating lease liability59,53756,618
Current portion of notes payable25,48424,692
Total current liabilities546,210479,712
LONG-TERM LIABILITIES
Long-term operating lease liability678,783655,979
Notes payable, net of current portion1,077,251991,574
Deferred tax liability, net21,44122,230
Other non-current liabilities12,0203,785
Total liabilities2,335,7052,153,280
EQUITY
RadNet, Inc. stockholders' equity:
Common stock - $0.0001 value, 200,000,000 shares authorized; 75,067,102 and 74,036,993 shares issued and outstanding at June 30, 2025 and December 31, 2024, respectively87
Additional paid-in-capital1,025,936988,147
Accumulated other comprehensive loss6,627(9,061)
Accumulated deficit(100,257)(76,785)
Total RadNet, Inc.'s Stockholders' equity:932,314902,308
Noncontrolling interests246,947231,102
Total Equity1,179,2611,133,410
Total liabilities and equity$3,514,966$3,286,690


RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(IN THOUSANDS EXCEPT FOR SHARE AND PER SHARE DATA)
(unaudited)
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
REVENUE
Service fee revenue$468,063$422,745$907,412$819,934
Revenue under capitation arrangements30,16736,96962,21771,487
Total service revenue498,230459,714969,629891,421
OPERATING EXPENSES
Cost of operations, excluding depreciation and amortization429,085389,724882,565777,313
Lease abandonment charges123-5,511-
Depreciation and amortization35,99334,47571,47666,843
Loss (gain) on sale and disposal of equipment and other1,7244012,126587
Severance costs4262681,173493
Total operating expenses467,351424,868962,851845,236
INCOME (LOSS) FROM OPERATIONS30,87934,8466,77846,185
OTHER INCOME AND EXPENSES
Interest expense17,18926,08234,42842,349
Equity in earnings of joint ventures(4,356)(3,389)(6,955)(7,713)
Non-cash change in fair value of interest rate hedge1,9561,8904,062674
Debt restructuring and extinguishment expenses-8,762-8,762
Other (income) expenses(7,764)(7,900)(15,476)(10,834)
Total other (income) expenses7,02525,44516,05933,238
INCOME (LOSS) BEFORE INCOME TAXES23,8549,401(9,281)12,947
Provision for income taxes(820)(2,456)2,578(592)
NET INCOME (LOSS)23,0346,945(6,703)12,355
Net income (loss) attributable to noncontrolling interests8,5809,92716,76918,116
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS$ 14,454$ (2,982)$ (23,472)$ (5,761)
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS$ 0.19$ (0.04)$ (0.32)$ (0.08)
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS$ 0.19$ (0.04)$ (0.32)$ (0.08)
WEIGHTED AVERAGE SHARES OUTSTANDING
Basic74,352,49873,419,12474,070,43871,795,080
Diluted75,531,74373,419,12474,070,43871,795,080

RADNET, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASHFLOWS
(IN THOUSANDS)
(unaudited)
Six Months Ended June 30,
20252024
CASH FLOWS FROM OPERATING ACTIVITIES
Net (loss) income$(6,703)$12,355
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization71,47666,843
Noncash operating lease expense29,35630,006
Equity in earnings of joint ventures, net of dividends(1,267)(6,713)
Amortization of deferred financing costs and loan discount1,4711,541
Loss on sale and disposal of equipment2,126587
Loss on extinguishment of debt-2,080
Lease abandonment charges5,511-
Amortization of cash flow hedge2,7127,256
Non-cash change in fair value of interest rate swap4,062674
Stock-based compensation37,23516,645
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(14,159)(31,581)
Other current assets22,3815,242
Other assets(2,544)(5,553)
Deferred taxes(3,511)1,791
Operating leases(34,726)(27,707)
Deferred revenue145(185)
Accounts payable, accrued expenses and other48,26457,835
Net cash provided by operating activities161,829133,090
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of imaging facilities and other acquisitions, net of cash acquired(31,985)(32,771)
Purchase of property and equipment and other(101,776)(104,095)
Proceeds from sale of equipment409
Equity contributions in existing and purchase of interest in joint ventures(20,480)(1,421)
Net cash used in investing activities(154,201)(138,278)
CASH FLOWS FROM FINANCING ACTIVITIES
Principal payments on notes and leases payable(3,461)(2,624)
Payments on Term Loan Debt(10,252)(682,438)
Proceeds from issuance of new debt, net of issuing costs99,001863,869
Purchase of noncontrolling interests by third party2,3894,169
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-8,713
Proceeds from issuance of common stock-218,385
Proceeds from issuance of common stock upon exercise of options554367
Net cash provided by financing activities84,918404,404
EFFECT OF EXCHANGE RATE CHANGES ON CASH586(107)
NET INCREASE IN CASH AND CASH EQUIVALENTS93,132399,109
CASH AND CASH EQUIVALENTS, beginning of period740,020342,570
CASH AND CASH EQUIVALENTS, end of period833,152741,679
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Cash paid during the period for interest$35,018$34,203
Cash paid during the period for income taxes$2,428$705


RADNET, INC. AND SUBSIDIARIES
RECONCILIATION OF GAAP NET INCOME ATTRIBUTABLE TO RADNET, INC. COMMON SHAREHOLDERS TO ADJUSTED EBITDA
(IN THOUSANDS)
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Net income (loss) attributable to Radnet, Inc. common stockholders$14,454$(2,982)$(23,472)$(5,761)
Income taxes8202,456(2,578)592
Interest expense17,18926,08234,42842,349
Severance costs4262681,173493
Depreciation and amortization35,99334,47571,47666,843
Non-cash employee stock-based compensation8,7414,74937,23516,646
Loss (gain) on sale and disposal of equipment and other1,7244012,126587
Non-cash change in fair value of interest rate hedge1,9561,8904,062674
Other expenses (income)(7,764)(7,900)(15,476)(10,834)
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI4,7873,3178,3496,632
Lease abandonment charges123-5,511-
Loss (gain) on extinguishment of debt and related expenses-8,762-8,762
Non-cash change to contingent consideration---1,974
Non-operational rent expenses4968091,8381,832
Acquisition transaction costs2,301-2,973-
Adjusted EBITDA - Radnet, Inc.$81,246$72,327$127,645$130,789
NOTE
Adjusted EBITDA - Imaging Center Segment77,84369,058120,531124,000
Adjusted EBITDA - Digital Health Segment3,4033,2697,1146,789


PAYMENTS BY PAYOR CLASS
Second Quarter
2025
Commercial Insurance58.3%
Medicare23.3%
Capitation6.1%
Medicaid2.5%
Workers Compensation/Personal Injury2.1%
Other*7.6%
Total100.0%
* Includes Management Fees, Digital Health Revenue and Heart Lung Health Revenue.


RADNET PAYMENTS BY MODALITY
Second QuarterFull YearFull YearFull Year
2025202420232022
MRI37.3%37.1%36.8%36.8%
CT15.7%15.9%16.8%17.5%
PET/CT8.7%7.2%6.4%5.8%
X-ray5.6%6.0%6.5%6.7%
Ultrasound13.6%13.6%12.9%12.6%
Mammography15.8%16.4%16.0%15.3%
Nuclear Medicine0.9%1.0%0.8%0.9%
Other2.5%2.7%3.9%4.5%
100.0%100.0%100.0%100.0%


PROCEDURES BY MODALITY*
Second QuarterSecond Quarter
20252024
MRI490,299449,781
CT291,820269,939
PET/CT22,15518,107
Nuclear Medicine9,3779,610
Ultrasound701,917664,043
Mammography508,000483,510
X-ray and Other900,095890,814
Total2,923,6632,785,804
* Volumes include wholy owned and joint venture centers.


RADNET, INC. AND SUBSIDIARIES
SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE (3)
(IN THOUSANDS EXCEPT SHARE DATA)
(unaudited)
Three Months Ended
June 30,
20252024
NET INCOME ATTRIBUTABLE TO RADNET, INC.
COMMON STOCKHOLDERS$14,454$(2,982)
Add/Subtract non-cash change in fair value of interest rate swaps (i)1,9561,890
Non-cash interest expense from extraordinary interest rate swap OCI amortization-5,559
Non-operational rent expenses (iii)496809
Contingent consideration--
Non-Capitalized R&D - DeepHealth Cloud OS & Generative AI4,7873,317
Lease abandonment charge123-
Acquisition transaction costs2,301-
Debt restructing and extinguishment expenses (iv)-8,762
Total adjustments - loss (gain)9,66320,337
Subtract tax impact of Adjustments (ii)(332)(5,308)
Tax effected impact of adjustments9,33115,029
TOTAL ADJUSTMENT TO NET INCOME ATTRIBUTABLE
TO RADNET, INC. COMMON SHAREHOLDERS9,33115,029
ADJUSTED NET INCOME ATTRIBUTABLE TO RADNET, INC. 23,78512,047
COMMON STOCKHOLDERS
WEIGHTED AVERAGE SHARES OUTSTANDING
Diluted75,531,74374,944,366
ADJUSTED DILUTED NET INCOME PER SHARE
ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS$0.31$0.16
(i) Impact from the change in fair value of the swaps during the quarter. Excludes the recurring amortization
of the accumulation of the changes in fair value out of Other Comprehensive Income that existed prior to the hedges
becoming ineffective.
(ii) Tax effected using 3.44% and 26.10% blended federal and state effective tax rate for the second quarter of 2025 and 2024, respectively.
(iii) Represents rent expense associated with de novo sites under construction prior to them becoming operational.
(iv) Extraordinary expense related to the Company's successful April 2024 debt refinancing transaction.

Footnotes

(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.


FAQ

What were RadNet's (RDNT) key financial results for Q2 2025?

RadNet reported record quarterly revenue of $498.2M (up 8.4%) and Adjusted EBITDA of $81.2M (up 12.3%) compared to Q2 2024. Adjusted earnings per share increased to $0.31 from $0.16 year-over-year.

How did RadNet's Digital Health segment perform in Q2 2025?

The Digital Health segment achieved revenue of $20.7M (up 30.9%) and Adjusted EBITDA of $3.4M (up 4.1%) compared to Q2 2024.

What is RadNet's updated revenue guidance for 2025?

RadNet revised its 2025 guidance upward, projecting total net revenue between $1.85-1.90 billion, increased from the previous guidance of $1.835-1.885 billion.

How did RadNet's advanced imaging volumes perform in Q2 2025?

Advanced imaging volumes showed strong growth with MRI up 9.0%, CT up 8.1%, and PET/CT up 22.4% compared to Q2 2024.

What is RadNet's current financial position?

RadNet maintains a strong balance sheet with $833.2M in cash and a Net Debt to Adjusted EBITDA ratio of 0.96x as of June 30, 2025.
Radnet

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RDNT Stock Data

4.07B
66.76M
12.75%
92.03%
8.63%
Diagnostics & Research
Services-medical Laboratories
United States
LOS ANGELES