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SIGNIFICANT ACCOUNTING POLICIES (Tables)
6 Months Ended
Jun. 30, 2022
Accounting Policies [Abstract]  
Schedule of Service Fee Revenue
Our total service fee revenues during the three and six months ended June 30, 2022 and 2021 are presented in the table below. Our imaging review is based on an allocation of the estimated transaction price with the patient between the primary patient classification of insurance coverage. Additional revenues are earned from our management services provided to joint ventures and our software and AI subsidiaries.
In ThousandsThree Months Ended
June 30,
Six Months Ended
June 30,
2022202120222021
Commercial insurance$195,066 $187,354 $383,615 $369,566 
Medicare77,879 71,407 148,800 134,877 
Medicaid9,704 9,039 18,788 17,486 
Workers' compensation/personal injury13,138 10,556 25,586 20,966 
Other patient revenue7,567 5,189 14,689 9,961 
Management fee revenue5,592 5,533 11,100 10,752 
Software revenue2,421 2,628 6,419 5,054 
Other3,577 3,788 8,623 6,409 
Revenue under capitation arrangements37,874 38,424 76,365 74,166 
Imaging Center Segment Revenue352,818 333,918 693,985 649,237 
AI Segment Revenue1,557 — 2,156 — 
Total service revenue$354,375 $333,918 $696,141 $649,237 
Schedule of Goodwill and Other Intangible Assets Activity in goodwill for the six months ended June 30, 2022 is provided below (in thousands):
Balance as of December 31, 2021$513,820 
Goodwill from acquisitions67,979 
Valuation adjustment(338)
Currency translation(3,680)
Balance as of June 30, 2022$577,781 
Schedule of Effect of Derivative Instruments on Comprehensive Loss A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended June 30, 2022
AccountMarch 31, 2022 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesJune 30, 2022 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(17,963)$— $924 $(17,039)Equity

For the six months ended June 30, 2022
AccountDecember 31, 2021 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxesJune 30, 2022 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(18,886)$— $1,847 $(17,039)Equity

A tabular presentation of the effect of derivative instruments on our statement of operations of the 2019 Swaps which remain ineffective is as follows (amounts in thousands):
For the three months ended June 30, 2022
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Gross amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$6,306 Other income (expense)$(1,245)Interest Expense

For the the six months ended June 30, 2022
Ineffective interest rate swapAmount of gain recognized in income on derivative (current period ineffective portion)Location of gain recognized in Income on derivative (current period ineffective portion)Gross amount of loss reclassified from accumulated OCI into income (prior period effective portion)Location of loss reclassified from accumulated OCI into income (prior period effective portion)
Interest rate contracts$27,125 Other income (expense)$(2,490)Interest Expense
Schedule of Business Acquisitions by Acquisition, Contingent Consideration
A tabular presentation of the effect of the combined Aidence and Quantib contingent consideration on our condensed consolidated balance sheet is as follows (amounts in thousands):
For the three months ended June 30, 2022
AccountMarch 31, 2022 BalanceAmount of other non operating income recognized on contingent considerationCurrency TranslationJune 30, 2022 BalanceLocation
Other Long Term Liabilities$10,268 $(786)$(1,045)$8,437 Liabilities and Non Operating Income


For the six months ended June 30, 2022
AccountJanuary 20, 2022 BalanceAmount of other non operating income recognized on contingent considerationCurrency TranslationJune 30, 2022 BalanceLocation
Other Long Term Liabilities$10,459 $(1,287)$(735)$8,437 Liabilities and Non Operating Income
Schedule of Fair Value of Assets and Liabilities
The tables below summarize the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our condensed consolidated balance sheets, as follows (in thousands):
 As of June 30, 2022
Level 1Level 2Level 3Total
Current and long term assets    
2019 Swaps - Interest Rate Contracts$— $10,806 $— $10,806 
 As of December 31, 2021
Level 1Level 2Level 3Total
Current and long term liabilities    
2019 Swaps - Interest Rate Contracts$— $16,319 $— $16,319 
The table below summarize the estimated fair values of contingencies and holdback relating to our Aidence Holding B.V. and Quantib B.V. acquisitions on January 20, 2022, that are subject to fair value measurements and the classification of these liabilities on our condensed consolidated balance sheets, as follows (in thousands):
 As of June 30, 2022
Level 1Level 2Level 3Total
Long term liabilities    
Aidence Holding B.V. milestone consideration$— $— $6,686 $6,686 
Quantib B.V. holdback of 113,303 shares of RadNet common stock
$— $— $1,751 $1,751 
The table below summarizes the estimated fair value compared to our face value of our long-term debt as follows (in thousands):
 As of June 30, 2022
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $721,774 $— $721,774 $761,250 
 As of December 31, 2021
Level 1Level 2Level 3Total Fair ValueTotal Face Value
First Lien Term Loans and SunTrust Term Loan$— $766,973 $— $766,973 $767,875 
Schedule of Earnings Per Share Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):
 Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
Net income attributable to RadNet, Inc.'s common stockholders$7,905 $2,873 $10,918 $12,331 
BASIC NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period56,059,824 52,238,709 55,683,335 52,004,653 
Basic net income per share attributable to RadNet, Inc.'s common stockholders$0.14 $0.05 $0.20 $0.24 
DILUTED NET INCOME PER SHARE ATTRIBUTABLE TO RADNET, INC.'S COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period56,059,824 52,238,709 55,683,335 52,004,653 
Add nonvested restricted stock subject only to service vesting47,652 202,341 122,781 227,803 
Add additional shares issuable upon exercise of stock options and contingently issuable shares859,072 692,041 860,174 658,105 
Weighted average number of common shares used in calculating diluted net income per share56,966,548 53,133,091 56,666,290 52,890,561 
Changes in FV associated with contingently issuable shares$(468)$— $(863)$— 
Net income attributable to RadNet, Inc's common stockholders for diluted share calculation$7,437 $— $10,055 $— 
Diluted net income per share attributable to RadNet, Inc.'s common stockholders$0.13 $0.05 $0.18 $0.23 
Stock options and non vested restricted awards excluded from the computation of diluted per share amounts as their effect would be antidilutive:
Shares issuable upon the exercise of stock options:70,070 — 58,491 — 
Schedule of Business Acquisitions We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillRight of Use Liabilities
IFRC LLC *^1/1/20223,9222,1211,2951,801(1,295)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, two of which were purchased separately by wholly owned RadNet subsidiaries.
We made a fair value determination of the acquired assets and assumed liabilities and the following were recorded (in thousands):
Entity Date AcquiredTotal ConsiderationProperty & EquipmentRight of Use AssetsGoodwillOther AssetsRight of Use Liabilities
IFRC LLC*^1/1/20224,8002,1038572,697(857)
IFRC LLC*^1/1/20228,2002,9101,7035,27119(1,703)
Total13,0005,0132,5607,96819(2,560)
*Fair Value Determination is Final
^ IFRC LLC acquisitions consisted of three subsidiaries of IFRC, one of which was purchased separately by a joint venture with Calvert Medical Imaging Centers, LLC.
Schedule of Investment in Joint Ventures
The following table is a summary of our investment in joint ventures during the six months ended June 30, 2022 (in thousands):
Balance as of December 31, 2021$42,229 
Equity in earnings in these joint ventures5,266 
Equity contributions in existing joint ventures1,441 
Balance as of June 30, 2022$48,936 
Schedule of Joint Venture Investment and Financial Information
The following table is a summary of key balance sheet data for these joint ventures as of June 30, 2022 and December 31, 2021 and income statement data for the six months ended June 30, 2022 and 2021 (in thousands):
Balance Sheet Data:June 30, 2022December 31, 2021
Current assets$39,840 $37,186 
Noncurrent assets88,754 73,592 
Current liabilities(12,322)(12,919)
Noncurrent liabilities(27,363)(22,370)
Total net assets$88,909 $75,489 
Book value of RadNet joint venture interests$41,099 $34,930 
Cost in excess of book value of acquired joint venture interests and other7,837 7,299 
Total value of RadNet joint venture interests$48,936 $42,229 
Income statement data for the six months ended June 30,
20222021
Net revenue$69,757 $64,636 
Net income$10,497 $10,258