Form 10-Q
Table of Contents

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 10-Q

 


 

(Mark One)

x Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

For the quarterly period ended June 30, 2005

 

¨ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

For the transition period from             

 

Commission File No. 0-23311

 


 

RADIOLOGIX, INC.

(Exact name of registrant as specified in its charter)

 


 

Delaware   75-2648089

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

 

3600 JP Morgan Chase Tower

2200 Ross Avenue

Dallas, Texas 75201-2776

(Address of principal executive offices, including zip code)

 

(214) 303-2776

(Registrant’s telephone number, including area code)

 


 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

 

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).    Yes  x    No  ¨

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

 

Class


 

Outstanding at July 29, 2005


Common Stock, $0.0001 par value   22,461,101 shares

 



Table of Contents

RADIOLOGIX, INC.

 

FORM 10-Q

 

INDEX

 

             Page

Part I.     FINANCIAL INFORMATION     
   

Item 1.

 

Financial Statements

    
        Consolidated Balance Sheets as of June 30, 2005 (Unaudited) and December 31, 2004 (Audited)    1
        Consolidated Statements of Operations (Unaudited) for the three and six months ended June 30, 2005 and 2004    2
        Consolidated Statements of Cash Flows (Unaudited) for the six months ended June 30, 2005 and 2004    3
        Notes to Consolidated Financial Statements (Unaudited)    4
    Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations    22
    Item 3.   Quantitative and Qualitative Disclosures About Market Risk    33
    Item 4.   Controls and Procedures    33
Part II.     OTHER INFORMATION     
    Item 4.   Submission of Matters to a Vote of Security Holders    34
    Item 6.   Exhibits    34
SIGNATURES        35
INDEX TO EXHIBITS    36


Table of Contents

PART I: FINANCIAL INFORMATION

 

Item 1. Financial Statements

 

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data)

 

    

June 30,

2005


   

December 31,

2004


 
     (Unaudited)        
ASSETS                 

CURRENT ASSETS:

                

Cash and cash equivalents

   $ 42,645     $ 34,084  

Restricted cash

     5,594       5,539  

Accounts receivable, net of allowances

     42,086       44,197  

Due from affiliates

     2,548       2,963  

Federal and state income tax receivables

     6,983       3,905  

Assets held for sale

     —         305  

Other current assets

     4,727       6,062  
    


 


Total current assets

     104,583       97,055  

Property and equipment, net

     60,365       58,627  

Investments in joint ventures

     9,247       8,137  

Goodwill

     2,241       2,241  

Intangible assets, net

     69,148       71,200  

Deferred financing costs, net

     5,766       6,591  

Deferred income taxes

     3,639       8,892  

Other assets

     1,275       1,328  
    


 


Total assets

   $ 256,264     $ 254,071  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY                 

CURRENT LIABILITIES:

                

Accounts payable and other accrued expenses

   $ 7,440     $ 11,342  

Accrued physician retention

     8,155       8,384  

Accrued salaries and benefits

     10,535       7,339  

Deferred income taxes

     3,649       3,202  

Accrued interest

     687       708  

Current portion of capital lease obligations

     30       48  

Current portion of long-term debt

     —         109  

Other current liabilities

     644       536  
    


 


Total current liabilities

     31,140       31,668  

Long-term debt, net of current portion

     158,270       158,270  

Convertible debt

     11,980       11,980  

Capital lease obligations, net of current portion

     83       92  

Deferred revenue

     6,699       6,903  

Other liabilities

     1,281       1,000  
    


 


Total liabilities

     209,453       209,913  

Commitments and contingencies

                

Minority interests in consolidated subsidiaries

     1,545       1,242  

STOCKHOLDERS’ EQUITY:

                

Preferred stock, $.0001 par value; 10,000,000 shares authorized; no shares issued and outstanding

                

Common stock, $.0001 par value; 50,000,000 shares authorized; 22,439,268 and 21,835,935 shares issued in 2005 and 2004, respectively, and 22,420,584 and 21,817,251 outstanding in 2005 and 2004, respectively

     2       2  

Treasury stock

     (180 )     (180 )

Additional paid-in capital

     15,393       14,210  

Retained earnings

     30,051       28,884  
    


 


Total stockholders’ equity

     45,266       42,916  
    


 


Total liabilities and stockholders’ equity

   $ 256,264     $ 254,071  
    


 


 

See accompanying notes to unaudited consolidated financial statements.

 

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Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)

(In thousands, except share and per share data)

 

    

For the Three Months

Ended June 30,


   

For the Six Months

Ended June 30,


 
     2005

    2004

    2005

    2004

 

Service fee revenue

   $ 64,311     $ 66,211     $ 127,062     $ 132,253  

Costs of operations:

                                

Cost of services

     40,629       39,306       80,449       79,583  

Equipment leases

     3,231       4,868       6,037       9,391  

Provision for doubtful accounts

     4,659       5,364       9,126       10,856  

Depreciation and amortization

     6,051       5,881       11,889       12,035  
    


 


 


 


Gross profit

     9,741       10,792       19,561       20,388  
    


 


 


 


Corporate general and administrative

     4,985       4,707       9,333       8,498  

Impairment of goodwill, intangible and long-lived assets

     —         5,752       —         5,752  

Gain on sale of operations

     —         (4,669 )     —         (4,669 )

Interest expense, net, including amortization of deferred financing costs

     4,565       4,666       9,241       9,412  
    


 


 


 


Income before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     191       336       987       1,395  

Equity in earnings of investments

     1,039       758       1,661       1,354  

Minority interests in income of consolidated subsidiaries

     (154 )     (189 )     (303 )     (444 )
    


 


 


 


INCOME BEFORE INCOME TAXES AND DISCONTINUED OPERATIONS

     1,076       905       2,345       2,305  

Income tax expense

     447       82       929       642  
    


 


 


 


INCOME FROM CONTINUING OPERATIONS

     629       823       1,416       1,663  

Discontinued Operations:

                                

Income (loss) from discontinued operations before income taxes

     30       (4,887 )     (404 )     (10,799 )

Income tax expense (benefit)

     10       (1,955 )     (155 )     (4,320 )
    


 


 


 


Income (loss) from discontinued operations

     20       (2,932 )     (249 )     (6,479 )
    


 


 


 


NET INCOME (LOSS)

   $ 649     $ (2,109 )   $ 1,167     $ (4,816 )
    


 


 


 


INCOME (LOSS) PER COMMON SHARE

                                

Income from continuing operations—basic

   $ 0.03     $ 0.04     $ 0.06     $ 0.08  

Income (loss) from discontinued operations—basic

     —         (0.14 )     (0.01 )     (0.30 )
    


 


 


 


Net income (loss)—basic

   $ 0.03     $ (0.10 )   $ 0.05     $ (0.22 )

Income from continuing operations—diluted

   $ 0.03     $ 0.04     $ 0.06     $ 0.07  

Income (loss) from discontinued operations—diluted

     —         (0.13 )     (0.01 )     (0.29 )
    


 


 


 


Net income (loss)—diluted

   $ 0.03     $ (0.09 )   $ 0.05     $ (0.22 )

WEIGHTED AVERAGE SHARES OUTSTANDING

                                

Basic

     22,339,815       21,769,804       22,128,425       21,767,894  

Diluted

     22,572,909       22,369,560       22,625,931       22,328,560  

 

See accompanying notes to unaudited consolidated financial statements

 

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Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

(In thousands)

 

    

For the Six

Months Ended

June 30,


 
     2005

    2004

 

CASH FLOWS FROM OPERATING ACTIVITIES:

                

Net income (loss)

   $ 1,167     $ (4,816 )

Adjustments to reconcile net income (loss) to net cash provided by operating activities – including discontinued operations:

                

Depreciation and amortization

     11,889       12,558  

Impairment of goodwill, intangible and long-lived assets

     —         16,576  

Gains on sales of operations and equipment

     (651 )     (5,351 )

Equity in earnings of unconsolidated affiliates

     (1,661 )     (1,354 )

Minority interests in income of consolidated subsidiaries

     303       444  

Amortization of deferred financing costs

     825       817  

Restricted stock compensation expense

     213       —    

Deferred revenue

     (204 )     (204 )

Deferred income tax expense (benefit)

     569       (3,591 )

Tax benefit realized for stock option exercises

     203       —    

Changes in operating assets and liabilities:

                

Accounts receivable, net

     2,111       (1,261 )

Income taxes receivable

     2,051       (3,526 )

Other assets

     2,005       1,827  

Accounts payable and accrued expenses

     (567 )     4,527  
    


 


Net cash provided by operating activities

     18,253       16,646  
    


 


CASH FLOWS FROM INVESTING ACTIVITIES:

                

Increase in restricted cash

     (55 )     (4,000 )

Purchases of property and equipment

     (12,097 )     (13,410 )

Proceeds from sales of operations and equipment

     1,175       12,784  

Distributions from joint ventures

     551       910  

Repayments from unconsolidated affiliates, net

     103       357  
    


 


Net cash used in investing activities

     (10,323 )     (3,359 )
    


 


CASH FLOWS FROM FINANCING ACTIVITIES:

                

Payments on long-term obligations, primarily capital leases

     (136 )     (1,321 )

Retirement of senior debt

     —         (1,730 )

Proceeds from stock option exercises

     767       77  
    


 


Net cash provided by (used in) financing activities

     631       (2,974 )
    


 


NET INCREASE IN CASH AND CASH EQUIVALENTS

     8,561       10,313  

CASH AND CASH EQUIVALENTS, beginning of period

     34,084       36,766  
    


 


CASH AND CASH EQUIVALENTS, end of period

   $ 42,645     $ 47,079  
    


 


SUPPLEMENTAL CASH FLOW DISCLOSURE:

                

Cash paid for interest

   $ 10,091     $ 10,298  

Income taxes paid, net of refunds received

   $ (2,051 )   $ 1,713  

 

See accompanying notes to unaudited consolidated financial statements.

 

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Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

JUNE 30, 2005

(Unaudited)

 

Note 1. Description of Business

 

Radiologix, Inc. (together with its subsidiaries, “Radiologix” or the “Company”), a Delaware corporation, is a leading national provider of diagnostic imaging services through its ownership and operation of free-standing, outpatient diagnostic imaging centers. Radiologix utilizes sophisticated technology and technical expertise to perform a broad range of imaging procedures, such as magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, ultrasound, mammography, bone densitometry (DEXA), general radiology (X-ray) and fluoroscopy. This quarterly report for Radiologix supplements our annual report to security holders on Form 10-K for the fiscal year ended December 31, 2004. The accompanying consolidated balance sheet, as of December 31, 2004, has been derived from the audited consolidated financial statements of the Company for the year ended December 31, 2004. As permitted by the Securities and Exchange Commission for interim reporting, we have omitted certain notes and disclosures that substantially duplicate those in the annual report on Form 10-K. Accordingly, these consolidated financial statements do not include all disclosures associated with the annual consolidated financial statements. In the opinion of management, all adjustments necessary for a fair presentation have been included in the accompanying consolidated financial statements and are of a normal recurring nature, other than those adjustments related to impairments and discontinued operations, which adjustments are discussed separately in the notes below. Interim results for the three and six month periods ended June 30, 2005 are not necessarily indicative of the results that may be expected for the year.

 

Our results may be impacted by variability due to changes in modality mix and the volume of procedures performed, physician referral and vacation patterns, the impact of hospital and physician-affiliated imaging operations that compete with our primary and Questar operations, the timing and negotiation of managed care and service contracts, the availability of technologists and other personnel, and trends in receivable collectibility. We are impacted by seasonality in that referring physicians and technologists often schedule vacations in the summer months which typically results in a decline in our volumes and service fee revenue while increasing costs of services as we contract for the services of temporary technologists at higher rates.

 

For further information, refer to Management’s Discussion and Analysis of Financial Condition and Results of Operations and the audited consolidated financial statements and notes included in our annual report to security holders on Form 10-K for the year ended December 31, 2004.

 

Note 2. Summary of Significant Accounting Policies

 

Basis of Presentation

 

The unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America and include the accounts of the Company and its wholly owned and majority owned subsidiaries. All significant intercompany transactions have been eliminated. Investments in entities that the Company does not control, but in which it has a substantial ownership interest and can exercise significant influence, are accounted for using the equity method.

 

We have reclassified certain previously reported amounts, including (1) our results of operations to a “gross profit” presentation (2) balances and results of operations related to subsequently discontinued operations to conform to the current period presentation (3) amortization of deferred financing costs from depreciation and amortization to interest expense and (4) supply rebates from general and administrative costs to field supplies, which is a component of cost of services in the accompanying consolidated statements of operations. These reclassifications have no impact on total assets, liabilities, stockholders’ equity, net income (loss), or cash flows.

 

Use of Estimates in the Preparation of Financial Statements

 

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, results of operations and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.

 

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Table of Contents

Goodwill, Intangible and Long-lived Assets

 

The value of goodwill and intangible assets is stated at the lower of cost or fair value. Goodwill is not subject to amortization; however, it is subject to periodic valuation assessments. Under the provisions of Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets, the Company is required to perform at least an annual impairment test and to consider other indicators that may arise throughout the year to reevaluate carrying value. To the extent book value exceeds fair value, at the date an impairment is determined, the Company reduces goodwill by recording a charge to operations. We perform our annual impairment test in the first quarter of each fiscal year.

 

Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets (“SFAS No. 144”), requires impairment losses to be recognized for long-lived assets through operations when indicators of impairment exist and the underlying cash flows are not sufficient to support the assets’ carrying value. In addition, SFAS No. 144 requires that a long-lived asset (disposal group) to be sold that meets certain recognition criteria be classified as “held for sale” and measured at the lower of carrying amount or fair value less cost to sell. SFAS No. 144 also requires that a long-lived asset subject to closure (abandonment) before the end of its previously estimated useful life continue to be classified as “held and used” until disposal, with depreciation estimates revised to reflect the use of the asset over its shortened useful life.

 

In addition to the annual impairment test we perform with respect to goodwill, we regularly evaluate the carrying value of goodwill, intangible and long-lived assets for events or changes in circumstances that indicate that the carrying amount may not be recoverable or that the remaining estimated useful life should be changed. Potential indicators of impairment can include, but are not limited to (1) history of operating losses or expected future losses; (2) significant adverse change in legal factors; (3) changes in the extent or manner in which the assets are used; (4) current expectations to dispose of the assets by sale or other means and (5) reductions or expected reductions of cash flow. In the event that we determine there is an indication of impairment, we compare undiscounted net cash flows to the carrying value of the respective asset. If the carrying value exceeds the undiscounted net cash flows we perform an impairment calculation using discounted cash flows, valuation analysis from independent valuation specialists or comparisons to recent sales or purchase transactions to determine estimated fair value.

 

At June 30, 2005 the balance of goodwill, which relates entirely to our Questar subsidiary operation, is approximately $2.2 million. Of this $2.2 million in goodwill, $1.8 million is attributable to one of our Questar Colorado centers. The performance of this center declined in the 2005 second quarter. As a result, we are focusing efforts on reversing the second quarter decline in volumes that we experienced at this center. However, if our efforts are not successful and this center continues to experience lower than expected volumes, we may incur an impairment charge in a future period.

 

Impairment charges of $5.8 million for the 2004 write-off of goodwill and long-lived assets relate to our six Questar centers that are currently in continuing operations. Impairment charges for other Questar centers in 2004 are included in discontinued operations.

 

Income Taxes

 

We account for income taxes under the asset and liability method. This approach requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the carrying amounts and the tax bases of assets and liabilities.

 

Developing our provision for income taxes, including our effective tax rate, and analysis of potential tax exposure items, if any, requires significant judgment and expertise in federal and state income tax laws, regulations and strategies, including the determination of deferred tax assets and liabilities and, any estimated valuation allowances we deem necessary to value deferred tax assets. Our judgments and tax strategies are subject to audit by various taxing authorities. While we believe we have provided adequately for our income tax liabilities in our consolidated financial statements, adverse determinations by these taxing authorities could have a material adverse effect on our consolidated financial condition, results of operations or cash flows.

 

Stock-Based Awards

 

The Company currently accounts for its employee stock-based compensation arrangements using the intrinsic-value method pursuant to the provisions of Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” (“APB 25”). Accordingly, because stock options are issued at fair value at the date of grant we do not recognize compensation expense for our stock option grants. We do recognize compensation expense on a straight-line basis for restricted stock units (“RSUs”) based on the fair value of the RSUs on the date grant and the applicable vesting period.

 

The Company issued 303,333 shares of common stock during the six months ended June 30, 2005, upon exercise of stock options.

 

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Table of Contents

In December 2002, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards No. 148, “Accounting for Stock-Based Compensation – Transition and Disclosure” (“SFAS No. 148”). SFAS No. 148 provides alternative methods of transitioning to Statement of Financial Accounting Standards No. 123 “Accounting for Stock-Based Compensation” (“SFAS No. 123”), which promulgates a fair value method of accounting for stock-based employee compensation. It also requires certain disclosures in both annual and quarterly financial statements about the method of accounting for stock-based employee compensation and the effect of the method used on reported results. SFAS No. 148 does not mandate fair value accounting for stock-based employee compensation, but does require all companies to meet the disclosure requirements.

 

On December 16, 2004, the FASB issued Statement of Financial Accounting Standards No. 123 (revised 2004), “Share-Based Payment”, which is a revision of SFAS No. 123. SFAS 123(R) supersedes APB 25, and amends SFAS No. 95, Statement of Cash Flows. Generally, the approach in SFAS 123(R) is similar to the approach described in SFAS 123. However, SFAS 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative.

 

SFAS 123(R) permits public companies to adopt its requirements using one of two methods:

 

  1. A “modified prospective” method in which compensation cost is recognized beginning with the effective date (a) based on the requirements of SFAS 123(R) for all share-based payments granted after the effective date and (b) based on the requirements of SFAS 123 for all awards granted to employees prior to the effective date of SFAS 123(R) that remain unvested on the effective date.

 

  2. A “modified retrospective” method which includes the requirements of the modified prospective method described above, but also permits entities to restate based on the amounts previously recognized under SFAS 123 for purposes of pro forma disclosures either (a) all prior periods presented or (b) prior interim periods of the year of adoption.

 

The Company previously disclosed that it planned to adopt SFAS 123(R) on July 1, 2005 using the modified-prospective method. Pursuant to an SEC Amendment to Regulation S-X effective April 21, 2005, a revised date for adopting SFAS 123(R) is now the first interim reporting period of a registrant’s first fiscal year beginning on or after June 15, 2005. As a result, the Company now plans to adopt SFAS 123(R) on January 1, 2006. As of June 30, 2005, we have not determined the effect that the adoption of SFAS 123(R) will have on our financial position and results of operations.

 

The summary below presents the pro-forma financial results that would have been reported if the Company had applied the provisions of SFAS No. 123, as amended by SFAS No. 148, during the periods ended June 30, 2005 and 2004 (dollars are presented in thousands, except per share amounts):

 

    

For the Three Months

Ended June 30,


   

For the Six Months

Ended June 30,


 
     2005

    2004

    2005

    2004

 

Net income (loss), as reported

   $ 649     $ (2,109 )   $ 1,167     $ (4,816 )

Add: Total stock-based compensation expensed in net income (loss)

     67       2       128       8  

Deduct: Total stock-based compensation expense determined under fair value based method for all awards, net of related tax effects

     (175 )     (224 )     (335 )     (777 )
    


 


 


 


Pro forma net income (loss)

   $ 541     $ (2,331 )   $ 960     $ (5,585 )
    


 


 


 


Income (loss) per common share:

                                

Basic—as reported

   $ 0.03     $ (0.10 )   $ 0.05     $ (0.22 )

Basic—pro forma

   $ 0.02     $ (0.11 )   $ 0.04     $ (0.26 )

Loss per share:

                                

Diluted—as reported

   $ 0.03     $ (0.09 )   $ 0.05     $ (0.22 )

Diluted—pro forma

   $ 0.02     $ (0.10 )   $ 0.04     $ (0.26 )

 

The fair value of each option grant is estimated at the date of grant using a Black-Scholes option pricing model with the following weighted average assumptions for grants as of June 30, 2005 and 2004, respectively: risk-free interest rate of 4.00% and 4.73%; expected life of 3.06 and 5.4 years; expected volatility of 42.2% and 55.6%; and dividend yield of zero in 2005 and 2004, respectively. The weighted-average grant-date fair value of new grants during the six months ended June 30, 2005 and 2004 was $2.65 and $2.23 per share, respectively.

 

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The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options, which have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions including the expected stock price volatility. Because the Company’s employee stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management’s opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options.

 

Revenue Recognition

 

Service fee revenue from contracted radiology practice groups (professional revenue component) and diagnostic imaging centers (technical revenue component) is recorded when services are rendered by the contracted radiology practices and diagnostic imaging centers based on established gross charges billed and reduced by estimated contractual adjustments and amounts retained by the contracted radiology practice groups under the terms of medical services agreements. Our patient accounting system currently does not record contractual adjustments at the time of billing. Instead, contractual adjustments and the provision for doubtful accounts are estimated based on historical collection experience using a retrospective collection analysis, payment-versus-charge schedules and aging models. Should circumstances change (shift in payor mix, decline in economic conditions or deterioration in aging of patient receivables), our estimates of the net realizable value of patient receivables could be reduced by a material amount. We have estimated that a change in our collection percentage of 1.0% could result in a change in service fee revenue of $5.0 million per year.

 

Note 3. Revenue Presentation

 

Radiologix has no financial controlling interest in the contracted radiology practices, as defined in Emerging Issues Task Force Issue 97-2 (“EITF 97-2”), accordingly, the Company does not consolidate the financial statements of those practices in its consolidated financial statements.

 

The following table sets forth the amounts of revenue for the contracted radiology practices and diagnostic imaging centers that would have been presented in the consolidated statements of operations had Radiologix met the provisions of EITF 97-2 (in thousands):

 

    

For the Three Months Ended

June 30,


   

For the Six Months Ended

June 30,


 
     2005

    2004

    2005

    2004

 

Revenue for contracted radiology practices and diagnostic imaging centers, net of contractual adjustments

   $ 88,552     $ 92,473     $ 174,733     $ 184,275  

Less: amounts retained by contracted radiology practices

     (24,241 )     (26,262 )     (47,671 )     (52,022 )
    


 


 


 


Service fee revenue

   $ 64,311     $ 66,211     $ 127,062     $ 132,253  
    


 


 


 


 

The Company’s service fee revenue is dependent upon the operating results of the contracted radiology practice groups and diagnostic imaging centers. Where state law allows, service fees due under the medical services agreements for the contracted radiology practice groups are derived from two distinct revenue streams: (1) a negotiated percentage of the professional revenues, reduced by certain expenses as defined in the medical services agreements; and (2) 100% of the adjusted technical revenues as defined in the medical service agreements up to a designated ceiling at which point certain of the medical services agreements provide for a technical bonus to the contracted radiology practice groups for a percentage amount in excess of this ceiling. In states where the law prohibits fee-splitting, Radiologix has negotiated a service fee based upon the number of work units performed by radiologists, which approximates the estimated fair market value of the services provided under the service agreements. Service fee revenue is comprised of the following (in thousands):

 

    

For the Three Months Ended

June 30,


  

For the Six Months Ended

June 30,


     2005

   2004

   2005

   2004

Technical component

   $ 54,785    $ 54,688    $ 108,950    $ 108,732

Professional component

     9,526      11,523      18,112      23,521
    

  

  

  

Service fee revenue

   $ 64,311    $ 66,211    $ 127,062    $ 132,253
    

  

  

  

 

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Table of Contents

Note 4. Long-Term Debt

 

Senior Notes

 

The Company’s $158.3 million senior notes due December 15, 2008 bear interest at 10.5% payable semiannually in arrears on June 15 and December 15. The senior notes are redeemable on or after December 15, 2005 at various redemption prices, plus accrued interest to the date of redemption. These notes are unsecured obligations, which rank senior in right of payment to all subordinated indebtedness and equal in right of payment with all other senior indebtedness. The senior notes are unconditionally guaranteed on a senior unsecured basis by certain restricted existing and future subsidiaries.

 

Convertible Junior Subordinated Note

 

The Company has a $12.0 million convertible junior subordinated note, which matures July 31, 2009, and bears interest, payable quarterly in cash or payment with in kind securities, at an annual rate of 8.0%. The note holder may convert borrowings under the note to common stock at $7.52 per share.

 

Revolving Credit Facility

 

The Company’s revolving credit facility provides for borrowings up to $35 million through December 31, 2008. Borrowings under the credit facility bear interest at (i) an adjusted LIBOR rate, plus an applicable margin which can vary from 3.0% to 3.5% depending on monthly balances outstanding under the credit facility or (ii) the prime rate, plus an applicable margin which can vary from 1.75% to 2.25% depending on monthly balances outstanding under the credit facility. It is at the Company’s discretion to borrow under an adjusted LIBOR rate or under the prime rate. There are no restrictive covenants under the credit facility.

 

At June 30, 2005, amounts considered outstanding under the revolving credit facility totaled $1.4 million related to two letters of credit in connection with our high retention workers’ compensation program with $29.4 million available for borrowings. Borrowings under this line are limited to 85% of eligible accounts receivable, as defined under the credit facility. Borrowings are secured by substantially all of our assets and a pledge of the capital stock of our wholly owned subsidiaries.

 

At June 30, 2005, we had not met certain incurrence tests under our debt agreements. As a result, we are limited to borrowing $20.0 million under the revolving credit facility until such time as we meet this test.

 

Note 5. Commitments and Contingencies

 

Master Lease Agreement

 

Radiologix maintains operating leases for certain imaging equipment under an Amended and Restated Master Lease Agreement with GE Healthcare Financial Services (GE). Through this arrangement, GE has agreed to fund up to $60.0 million of equipment leases through December 31, 2006, and requires that at least two-thirds of the outstanding balance represent GE healthcare equipment.

 

In connection with the Master Lease Agreement, the Company is required to provide additional cash collateral in a restricted account equal to 20% of the aggregate amounts outstanding under the Master Lease Agreement. The accompanying June 30, 2005 balance sheet includes $5.6 million of restricted cash under this provision.

 

The Master Lease Agreement also contains certain covenants related to financial leverage, fixed charge coverage, and total indebtedness to GE. Failure to comply with these covenants would restrict our ability to lease additional equipment under the Master Lease Agreement until the covenants are met. GE provided us with a written waiver stating that GE agreed to waive compliance with the financial leverage ratio for the year ending December 31, 2004 and to modify this calculation for 2005 to exclude the $9.1 million adjustment described in our 2004 Form 10-K.

 

At June 30, 2005, applicable amounts outstanding under the Master Lease Agreement totaled $34.3 million; commitments for leases signed but not placed in service under the Master Lease Agreement were $8.7 million, and $17.0 million remained available for future leases.

 

8


Table of Contents

Leases

 

The Company leases office and facility space as well as certain diagnostic equipment under operating leases.

 

Our facility lease terms generally vary in length from one year to 15 years with renewal options upon prior written notice. Facility rent amounts generally increase from 1% to 4% on an annual basis. We do not have options to purchase the facilities we currently lease. These leases usually contain exclusivity clauses prohibiting the landlord from leasing space to potentially competitive businesses within a defined distance of our existing locations.

 

Our equipment lease agreements are generally negotiated through either GE or Siemens Medical Solutions USA, Inc. These leases typically contain payment terms from 60 to 62 months and may include early buy-out options equal to the estimated fair market value of the equipment, plus applicable taxes, at the time of the option.

 

Litigation

 

Our current litigation is (i) expected to be covered by liability insurance or (ii) is not expected to adversely affect our business. Some risk exists, however, that we could subsequently be named as a defendant in additional lawsuits or that pending litigation could escalate and adversely affect us.

 

Self-insurance

 

We are self-insured with respect to health benefits provided to our employees. Additionally, in connection with malpractice and workers’ compensation coverage, we generally are self-insured for initial retention levels of $100,000 and $500,000, respectively. At June 30, 2005, we believe we are adequately reserved for estimated potential obligations under these arrangements.

 

Other Matters

 

As part of a routine, ongoing compliance and legal review, we determined that lease terms negotiated in connection with subletting space from physician landlords at four Radiologix locations within one subsidiary may have exceeded fair market value. In fiscal 2003, Radiologix sent a letter to the U.S. Department of Health & Human Services’ Office of the Inspector General (“OIG”), informing them of the preliminary findings. However since then, investigation by outside consultants and attorneys have revealed no evidence that these lease terms were intended to induce referrals in violation of the federal healthcare program anti-kickback statute, 42 USC Section 1320a-7b(b). Radiologix has qualified for the Provider Self-Disclosure Protocol of the OIG. The Provider Self-Disclosure Protocol is a self-reporting program that provides for minimizing the cost and disruption associated with OIG investigations. We submitted our supplemental findings to the OIG in September 2004 and are waiting for their response. As a result, we cannot predict the outcome of this matter.

 

9


Table of Contents

Note 6. Discontinued Operations

 

The following reflects the reclassification from continuing operations to discontinued operations of certain results of operations (primarily related to our Questar subsidiary), previously reported in our June 30, 2004 Form 10-Q (prior to our change to a “gross profit” presentation) (dollars in thousands):

 

    

For the Three Months

Ended June 30, 2004


   

For the Six Months

Ended June 30, 2004


 
    

Restated for

Discontinued

Operations


   

As Previously

Reported


   

Restated for

Discontinued

Operations


   

As Previously

Reported


 

Service fee revenue

   $ 66,211     $ 67,682     $ 132,253     $ 135,297  

Costs of operations:

                                

Cost of services

     39,306       41,012       79,583       83,018  

Equipment leases

     4,868       4,952       9,391       9,520  

Provision for doubtful accounts

     5,364       5,553       10,856       11,249  

Depreciation and amortization

     5,881       6,424       12,035       13,136  
    


 


 


 


Gross profit

     10,792       9,741       20,388       18,374  
    


 


 


 


Corporate general and administrative

     4,707       4,284       8,498       7,896  

Impairment of goodwill, intangible and long-lived assets

     5,752       9,154       5,752       12,383  

Gain on sale of operations

     (4,669 )     (4,669 )     (4,669 )     (4,669 )

Interest expense, net, including amortization of deferred financing costs

     4,666       4,307       9,412       8,691  
    


 


 


 


Income (loss) before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     336       (3,335 )     1,395       (5,927 )

Equity in earnings of unconsolidated affiliates

     758       758       1,354       1,354  

Minority interests in income of consolidated subsidiaries

     (189 )     (189 )     (444 )     (444 )
    


 


 


 


INCOME (LOSS) BEFORE INCOME TAXES AND DISCONTINUED OPERATIONS

     905       (2,766 )     2,305       (5,017 )

Income tax expense (benefit)

     82       (1,387 )     642       (2,287 )
    


 


 


 


INCOME FROM CONTINUING OPERATIONS

     823       (1,379 )     1,663       (2,730 )

Discontinued Operations:

                                

Loss from discontinued operations before income taxes

     (4,887 )     (1,216 )     (10,799 )     (3,477 )

Income tax benefit

     (1,955 )     (486 )     (4,320 )     (1,391 )
    


 


 


 


Loss from discontinued operations

     (2,932 )     (730 )     (6,479 )     (2,086 )
    


 


 


 


NET LOSS

   $ (2,109 )   $ (2,109 )   $ (4,816 )   $ (4,816 )
    


 


 


 


INCOME (LOSS) PER COMMON SHARE:

                                

Income (loss) from continuing operations – basic

   $ 0.04     $ (0.06 )   $ 0.08     $ (0.13 )

Income (loss) from discontinued operations – basic

   $ (0.14 )   $ (0.04 )   $ (0.30 )   $ (0.09 )
    


 


 


 


Net income (loss) – basic

   $ (0.10 )   $ (0.10 )   $ (0.22 )   $ (0.22 )
    


 


 


 


Income (loss) from continuing operations – diluted

   $ 0.04     $ (0.06 )   $ 0.07     $ (0.13 )

Income (loss) from discontinued operations – diluted

   $ (0.13 )   $ (0.04 )   $ (0.29 )   $ (0.09 )
    


 


 


 


Net income (loss) – diluted

   $ (0.09 )   $ (0.10 )   $ (0.22 )   $ (0.22 )
    


 


 


 


WEIGHTED AVERAGE SHARES OUTSTANDING:

                                

Basic

     21,769,804       21,769,804       21,767,894       21,767,894  

Diluted

     22,369,560       21,769,804       22,328,560       21,767,894  

 

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Table of Contents

Note 7. Earnings Per Share

 

Basic earnings per share (EPS) is calculated by dividing income available to common stockholders by the weighted average number of common shares outstanding during the period.

 

Diluted EPS includes options, warrants, and other potentially dilutive securities, using the treasury stock method to the extent that these securities are not anti-dilutive. Our diluted EPS calculation also considers the effect of the convertible junior subordinated note using the “if converted” method to the extent the securities are not anti-dilutive.

 

    

For the Three Months Ended

June 30,


  

For the Six Months Ended

June 30,


     2005

   2004

   2005

   2004

Weighted average shares for basic earnings per share

     22,339,815      21,769,804      22,128,425      21,767,894

Effect of dilutive stock options

     233,094      599,756      497,506      560,666

Effect of dilutive convertible junior subordinated note

     —        —        —        —  
    

  

  

  

Weighted average shares for diluted earnings per share

     22,572,909      22,369,560      22,625,931      22,328,560
    

  

  

  

Tax-effected interest savings related to convertible junior subordinated note

   $ —      $ —      $ —      $ —  
    

  

  

  

 

For each of the three and six months ended June 30, 2005 and 2004, approximately $144,000 and $288,000, respectively, of tax-effected interest expense, and 1,593,040 of weighted average shares related to the convertible junior subordinated note for each period, were not included in the computation of diluted EPS because to do so would be anti-dilutive.

 

Note 8. Segment Reporting

 

The Company’s primary operations consist of owning and operating diagnostic imaging centers and providing administrative, management and information services to the contracted radiology practice groups that provide professional interpretation and supervision services in connection with the Company’s diagnostic imaging centers and to hospitals and radiology practices with which the Company operates joint ventures.

 

The following table summarizes the operating results, including continuing and discontinued operations, and assets of our primary and Questar operations (in thousands):

 

    

For the Six Months Ended

June 30, 2005


 
    

Primary

Operations


    Questar

    Total

 

Service fee revenue

   $ 122,990     4,072     $ 127,062  

Total costs and expenses

   $ 104,556     3,340     $ 107,896  
    


 

 


Income before equity in earnings of investments and minority interests in consolidated subsidiaries, income taxes and discontinued operations

   $ 18,434     732     $ 19,166  

Equity in earnings of investments

   $ 1,661     —       $ 1,661  

Minority interests in income of consolidated subsidiaries

   $ (303 )   —       $ (303 )
    


 

 


Income before income taxes from continuing operations

   $ 19,792     732     $ 20,524  

Loss before income taxes from discontinued operations

   $ (62 )   (342 )   $ (404 )
    


 

 


Income before income taxes

   $ 19,730     390     $ 20,120  

Assets

   $ 123,955     5,500     $ 129,455  

Purchases of property and equipment

   $ 9,179     210     $ 9,389  

 

11


Table of Contents
    

For the Six Months Ended

June 30, 2004


 
    

Primary

Operations


    Questar

    Total

 

Service fee revenue

   $ 127,787     4,466     $ 132,253  

Total costs and expenses

   $ 103,330     9,747     $ 113,077  
    


 

 


Income before equity in earnings of investments and minority interests in consolidated subsidiaries, income taxes and discontinued operations

   $ 24,457     (5,281 )   $ 19,176  

Equity in earnings of investments

   $ 1,354     —       $ 1,354  

Minority interests in income of consolidated subsidiaries

   $ (444 )   —       $ (444 )
    


 

 


Income (loss) before income taxes from continuing operations

   $ 25,367     (5,281 )   $ 20,086  

Loss before income taxes from discontinued operations

   $ (680 )   (10,119 )   $ (10,799 )
    


 

 


Income (loss) before income taxes

   $ 24,687     (15,400 )   $ 9,287  

Assets

   $ 129,898     13,006     $ 142,904  

Purchases of property and equipment

   $ 12,052     608     $ 12,660  

 

The following table is a reconciliation of the segment income before income taxes to Radiologix’s consolidated reported income (loss) before income tax expense (benefit) (in thousands):

 

    

For the Six Months Ended

June 30,


 
     2005

   2004

 

Segment income before income taxes

   $ 20,120    $ 9,287  

Unallocated amounts:

               

Corporate general and administrative

     9,333      8,498  

Corporate depreciation and amortization

     1,888      2,156  

Corporate interest expense

     6,958      7,127  
    

  


Consolidated income (loss) before income tax expense (benefit)

   $ 1,941    $ (8,494 )
    

  


 

The following table is a reconciliation of purchases of property and equipment for the segments to Radiologix’s consolidated assets and purchases of property and equipment for the six month periods ended June 30 (in thousands):

 

     2005

   2004

Purchases of property and equipment:

             

Segment amounts

   $ 9,389    $ 12,660

Corporate

     2,708      750
    

  

Total purchases of property and equipment

   $ 12,097    $ 13,410
    

  

 

The following table is a reconciliation of total assets and total liabilities for the segments to Radiologix’s consolidated total assets and liabilities, as of June 30 (in thousands):

 

     2005

   2004

Total Assets

             

Segment amounts

   $ 129,455    $ 142,904

Intangible assets, net

     54,320      63,170

Deferred financing costs, net

     5,766      7,341

Other corporate assets

     66,723      54,460
    

  

Total assets

   $ 256,264    $ 267,875
    

  

 

     2005

   2004

Total Liabilities

             

Segment amounts

   $ 30,406    $ 34,219

Corporate, primary long-term debt

     179,047      176,908
    

  

Total liabilities

   $ 209,453    $ 211,127
    

  

 

12


Table of Contents

Note 9. Unconsolidated Affiliates (Joint Ventures)

 

The Company has seven unconsolidated joint ventures with ownership interests ranging from 22% to 50%. These joint ventures represent partnerships with hospitals, health systems or radiology practices and were formed for the purpose of owning and operating diagnostic imaging centers. Professional services at the joint venture diagnostic imaging centers are performed by the contracted radiology practices in such market area or a radiology practice that participates in the joint venture. Other assets at June 30, 2005 and December 31, 2004 include notes receivable from certain unconsolidated joint ventures aggregating $1.8 million and $2.1 million, respectively. Interest income related to these notes receivable was approximately $52,000 and $82,000 for the three months ended June 30, 2005 and 2004, respectively. The Company also received management service fees of approximately $781,000 and $529,000 for the three months ended June 30, 2005 and 2004, respectively, in connection with operating the centers underlying these joint ventures. For the six months ended June 30, 2005 and 2004, interest income related to these notes receivable was approximately $113,000 and $171,000, respectively. The Company received management service fees of approximately $1.5 million and $1.1 million for the six months ended June 30, 2005 and 2004, respectively. The Company’s investments in these joint ventures are accounted for under the equity method. The following table is a summary of key financial data for these joint ventures (in thousands):

 

    

June 30,

2005


  

December 31,

2004


Current assets

   $ 18,783    $ 17,543

Noncurrent assets

     7,861      9,087

Current liabilities

     2,281      2,480

Noncurrent liabilities

     336      481

 

    

For the Three Months Ended

June 30,


  

For the Six Months Ended

June 30,


     2005

   2004

   2005

   2004

Net revenue

   $ 13,711    $ 12,346    $ 25,860    $ 26,349

Pre-tax income

     3,345      2,339      5,586      4,474

Minority interest

     1,039      758      1,661      1,354

 

The decrease in net revenue in comparing the 2005 to the 2004 periods above is primarily due to the sale of certain unconsolidated affiliates in connection with the overall sale of our San Antonio operations on April 30, 2004.

 

Note 10. Supplemental Guarantor Information

 

In connection with the senior notes, certain of the Company’s subsidiaries (“Subsidiary Guarantors”) guaranteed, jointly and severally, the Company’s obligation to pay principal and interest on the senior notes on a full and unconditional basis.

 

The following supplemental condensed consolidating financial information presents the balance sheets as of June 30, 2005 and December 31, 2004, and the statements of operations and cash flows for the three and six month periods ended June 30, 2005 and 2004. In the consolidating condensed financial statements, the Subsidiary Guarantors account for their investment in the non-guarantor subsidiaries using the equity method.

 

The non-guarantor subsidiaries include Advanced PET Imaging of Maryland, L.P., Montgomery Community Magnetic Imaging Center Limited Partnership, and MRI at St. Joseph Medical Center LLC. The Subsidiary Guarantors include all wholly owned subsidiaries of Radiologix, Inc. (the “Parent”).

 

13


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING BALANCE SHEET (Unaudited)

 

June 30, 2005

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

   

Total

Consolidated


Assets:

                                      

Cash and cash equivalents

   $ 41,445     $ (3,704 )   $ 4,904     $ —       $ 42,645

Accounts receivable, net of allowances

     —         40,672       1,414       —         42,086

Other current assets

     14,940       4,849       63       —         19,852
    


 


 


 


 

Total current assets

     56,385       41,817       6,381       —         104,583

Property and equipment, net

     6,184       52,284       1,897       —         60,365

Investment in subsidiaries

     166,158       —         —         (166,158 )     —  

Goodwill and intangible assets, net

     —         70,387       1,002       —         71,389

Other assets

     10,454       9,473       —         —         19,927
    


 


 


 


 

Total assets

   $ 239,181     $ 173,961     $ 9,280     $ (166,158 )   $ 256,264
    


 


 


 


 

Liabilities and stockholders’ equity:

                                      

Accounts payable and accrued expenses

   $ 5,619     $ 20,635     $ 563     $ —       $ 26,817

Current portion of long-term debt

     (256 )     30       256       —         30

Other current liabilities

     3,649       644       —         —         4,293
    


 


 


 


 

Total current liabilities

     9,012       21,309       819       —         31,140

Long-term debt, net of current portion

     170,035       77       221       —         170,333

Other noncurrent liabilities

     14,868       (332 )     (6,556 )     —         7,980

Minority interests in consolidated subsidiaries

     —         —         1,545       —         1,545

Total stockholders’ equity

     45,266       152,907       13,251       (166,158 )     45,266
    


 


 


 


 

Total liabilities and stockholders’ equity

   $ 239,181     $ 173,961     $ 9,280     $ (166,158 )   $ 256,264
    


 


 


 


 

 

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Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING BALANCE SHEET

 

December 31, 2004

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


  

Non-

Guarantor

Subsidiaries


    Eliminations

   

Total

Consolidated


Assets:

                                     

Cash and cash equivalents

   $ 30,198     $ 249    $ 3,637     $ —       $ 34,084

Accounts receivable, net of allowances

     —         42,992      1,205       —         44,197

Other current assets

     13,281       5,363      130       —         18,774
    


 

  


 


 

Total current assets

     43,479       48,604      4,972       —         97,055

Property and equipment, net

     3,860       52,849      1,918       —         58,627

Investment in subsidiaries

     154,918       —        —         (154,918 )     —  

Goodwill and intangible assets, net

     —         72,383      1,058       —         73,441

Other assets

     16,640       8,459      (151 )     —         24,948
    


 

  


 


 

Total assets

   $ 218,897     $ 182,295    $ 7,797     $ (154,918 )   $ 254,071
    


 

  


 


 

Liabilities and stockholders’ equity:

                                     

Accounts payable and accrued expenses

   $ 6,577     $ 20,714    $ 482     $ —       $ 27,773

Current portion of long-term debt

     (141 )     48      250       —         157

Other current liabilities

     3,202       536      —         —         3,738
    


 

  


 


 

Total current liabilities

     9,638       21,298      732       —         31,668

Long-term debt, net of current portion

     169,901       92      349       —         170,342

Other noncurrent liabilities

     (3,558 )     18,520      (7,059 )     —         7,903

Minority interests in consolidated subsidiaries

     —         —        1,242       —         1,242

Total stockholders’ equity

     42,916       142,385      12,533       (154,918 )     42,916
    


 

  


 


 

Total liabilities and stockholders’ equity

   $ 218,897     $ 182,295    $ 7,797     $ (154,918 )   $ 254,071
    


 

  


 


 

 

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Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS (Unaudited)

 

For the Three Months Ended June 30, 2005

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


  

Non-

Guarantor
Subsidiaries


    Eliminations

  

Total

Consolidated


 

Service fee revenue

   $ —       $ 61,181    $ 3,130     $ —      $ 64,311  

Costs of operations:

                                      

Cost of services

     —         38,851      1,778       —        40,629  

Equipment leases

     —         2,898      333       —        3,231  

Provision for doubtful accounts

     —         4,543      116       —        4,659  

Depreciation and amortization

     191       5,697      163       —        6,051  
    


 

  


 

  


Gross profit (loss)

     (191 )     9,192      740       —        9,741  
    


 

  


 

  


Corporate general and administrative

     4,985       —        —         —        4,985  

Interest expense, net, including amortization of deferred financing costs

     3,443       1,119      3       —        4,565  
    


 

  


 

  


Income (loss) before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     (8,619 )     8,073      737       —        191  

Equity in earnings of unconsolidated affiliates

     —         1,039      —         —        1,039  

Minority interests in income of consolidated subsidiaries

     —         —        (154 )     —        (154 )
    


 

  


 

  


Income (loss) before taxes and discontinued operations

     (8,619 )     9,112      583       —        1,076  

Income tax expense (benefit)

     (3,542 )     3,747      242       —        447  
    


 

  


 

  


Income (loss) from continuing operations

     (5,077 )     5,365      341       —        629  

Discontinued operations:

                                      

Income from discontinued operations before income taxes

     —         24      6       —        30  

Income tax expense

     —         8      2       —        10  
    


 

  


 

  


Income from discontinued operations

     —         16      4       —        20  
    


 

  


 

  


Net income (loss)

   $ (5,077 )   $ 5,381    $ 345     $ —      $ 649  
    


 

  


 

  


 

16


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS (Unaudited)

 

For the Six Months Ended June 30, 2005

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

  

Total

Consolidated


 

Service fee revenue

   $ —       $ 121,062     $ 6,000     $ —      $ 127,062  

Costs of operations:

                                       

Cost of services

     —         76,936       3,513       —        80,449  

Equipment leases

     —         5,648       389       —        6,037  

Provision for doubtful accounts

     —         8,920       206       —        9,126  

Depreciation and amortization

     384       11,173       332       —        11,889  
    


 


 


 

  


Gross profit (loss)

     (384 )     18,385       1,560       —        19,561  
    


 


 


 

  


Corporate general and administrative

     9,333       —         —         —        9,333  

Interest expense, net, including amortization of deferred financing costs

     6,959       2,264       18       —        9,241  
    


 


 


 

  


Income (loss) before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     (16,676 )     16,121       1,542       —        987  

Equity in earnings of unconsolidated affiliates

     —         1,661       —         —        1,661  

Minority interests in income of consolidated subsidiaries

     —         —         (303 )     —        (303 )
    


 


 


 

  


Income (loss) before taxes and discontinued operations

     (16,676 )     17,782       1,239       —        2,345  

Income tax expense (benefit)

     (6,604 )     7,042       491       —        929  
    


 


 


 

  


Income (loss) from continuing operations

     (10,072 )     10,740       748       —        1,416  

Discontinued operations:

                                       

Loss from discontinued operations before income taxes

     —         (355 )     (49 )     —        (404 )

Income tax benefit

     —         (136 )     (19 )     —        (155 )
    


 


 


 

  


Loss from discontinued operations

     —         (219 )     (30 )     —        (249 )
    


 


 


 

  


Net income (loss)

   $ (10,072 )   $ 10,521     $ 718     $ —      $ 1,167  
    


 


 


 

  


 

17


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS (Unaudited)

 

For the Three Months Ended June 30, 2004

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

  

Total

Consolidated


 

Service fee revenue

   $ —       $ 62,923     $ 3,288     $ —      $ 66,211  

Costs and expenses:

                                       

Cost of services

     —         37,437       1,869       —        39,306  

Equipment leases

     —         4,757       111       —        4,868  

Provision for doubtful accounts

     —         5,261       103       —        5,364  

Depreciation and amortization

     1,069       4,663       149       —        5,881  
    


 


 


 

  


Gross profit (loss)

     (1,069 )     10,805       1,056       —        10,792  
    


 


 


 

  


Corporate general and administrative

     4,707       —         —         —        4,707  

Impairment of goodwill, intangibles, and long lived assets

     —         5,752       —         —        5,752  

Gain on sale of operations

     —         (4,669 )     —         —        (4,669 )

Interest expense, net, including amortization of deferred financing costs

     2,709       1,939       18       —        4,666  
    


 


 


 

  


Income (loss) before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     (8,485 )     7,783       1,038       —        336  

Equity in earnings of investments

     —         758       —         —        758  

Minority interests in income of consolidated subsidiaries

     —         —         (189 )     —        (189 )
    


 


 


 

  


Income (loss) before taxes and discontinued operations

     (8,485 )     8,541       849       —        905  

Income tax expense (benefit)

     (3,394 )     3,137       339       —        82  
    


 


 


 

  


Income (loss) from continuing operations

     (5,091 )     5,404       510       —        823  
    


 


 


 

  


Discontinued operations:

                                       

Loss from discontinued operations

     —         (4,660 )     (227 )     —        (4,887 )

Income tax benefit

     —         (1,864 )     (91 )     —        (1,955 )
    


 


 


 

  


Loss from discontinued operations

     —         (2,796 )     (136 )     —        (2,932 )
    


 


 


 

  


Net income (loss)

   $ (5,091 )   $ 2,608     $ 374     $ —      $ (2,109 )
    


 


 


 

  


 

18


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS (Unaudited)

 

For the Six Months Ended June 30, 2004

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

  

Total

Consolidated


 

Service fee revenue

   $ —       $ 125,443     $ 6,810     $ —      $ 132,253  

Costs and expenses:

                                       

Cost of services

     —         75,886       3,697       —        79,583  

Equipment leases

     —         9,170       221       —        9,391  

Provision for doubtful accounts

     —         10,594       262       —        10,856  

Depreciation and amortization

     1,299       10,415       321       —        12,035  
    


 


 


 

  


Gross profit (loss)

     (1,299 )     19,378       2,309       —        20,388  
    


 


 


 

  


Corporate general and administrative

     8,498       —         —         —        8,498  

Impairment of goodwill, intangibles, and long lived assets

     —         5,752       —         —        5,752  

Gain on sale of operations

     —         (4,669 )     —         —        (4,669 )

Interest expense, net, including amortization of deferred financing costs

     6,318       3,052       42       —        9,412  
    


 


 


 

  


Income (loss) before equity in earnings of unconsolidated affiliates, minority interests in consolidated subsidiaries, income taxes and discontinued operations

     (16,115 )     15,243       2,267       —        1,395  

Equity in earnings of investments

     —         1,354       —         —        1,354  

Minority interests in income of consolidated subsidiaries

     —         —         (444 )     —        (444 )
    


 


 


 

  


Income (loss) before taxes and discontinued operations

     (16,115 )     16,597       1,823       —        2,305  

Income tax expense (benefit)

     (6,446 )     6,359       729       —        642  
    


 


 


 

  


Income (loss) from continuing operations

     (9,669 )     10,238       1,094       —        1,663  
    


 


 


 

  


Discontinued operations:

                                       

Loss from discontinued operations

     —         (10,491 )     (308 )     —        (10,799 )

Income tax benefit

     —         (4,197 )     (123 )     —        (4,320 )
    


 


 


 

  


Loss from discontinued operations

     —         (6,294 )     (185 )     —        (6,479 )
    


 


 


 

  


Net income (loss)

   $ (9,669 )   $ 3,944     $ 909     $ —      $ (4,816 )
    


 


 


 

  


 

19


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS (Unaudited)

 

For the Six Months Ended June 30, 2005

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

  

Total

Consolidated


 

NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES

   $ (6,071 )   $ 22,984     $ 1,340     $ —      $ 18,253  
    


 


 


 

  


CASH FLOWS FROM INVESTING ACTIVITIES:

                                       

Increase in restricted cash

     (55 )     —         —         —        (55 )

Purchases of property and equipment

     (2,708 )     (9,078 )     (311 )     —        (12,097 )

Proceeds from sale of equipment

     —         1,175       —         —        1,175  

Joint ventures

     103       551       —         —        654  
    


 


 


 

  


Net cash used in investing activities

     (2,660 )     (7,352 )     (311 )     —        (10,323 )
    


 


 


 

  


CASH FLOWS FROM FINANCING ACTIVITIES:

                                       

Payments on long-term obligations

     19       (41 )     (114 )     —        (136 )

Due to/from parent/subsidiaries

     19,192       (19,544 )     352       —        —    

Proceeds from stock option exercises

     767       —         —         —        767  
    


 


 


 

  


Net cash provided by (used in) financing activities

     19,978       (19,585 )     238       —        631  
    


 


 


 

  


NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS

     11,247       (3,953 )     1,267       —        8,561  

CASH AND CASH EQUIVALENTS, beginning of period

     30,198       249       3,637       —        34,084  
    


 


 


 

  


CASH AND CASH EQUIVALENTS, end of period

   $ 41,445     $ (3,704 )   $ 4,904     $ —      $ 42,645  
    


 


 


 

  


 

20


Table of Contents

RADIOLOGIX, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS (Unaudited)

 

For the Six Months Ended June 30, 2004

(In thousands)

 

     Parent

   

Subsidiary

Guarantors


   

Non-

Guarantor

Subsidiaries


    Eliminations

  

Total

Consolidated


 

NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES

   $ (10,740 )   $ 27,881     $ (495 )   $ —      $ 16,646  
    


 


 


 

  


CASH FLOWS FROM INVESTING ACTIVITIES:

                                       

Increase in restricted cash

     (4,000 )     —         —         —        (4,000 )

Purchases of property and equipment

     1,868       (18,713 )     3,435       —        (13,410 )

Net cash received on sale of operations

     —         12,784       —         —        12,784  

Joint ventures

     —         1,267       —         —        1,267  
    


 


 


 

  


Net cash provided by (used in) investing activities

     (2,132 )     (4,662 )     3,435       —        (3,359 )
    


 


 


 

  


CASH FLOWS FROM FINANCING ACTIVITIES:

                                       

Payments on long-term debt, primarily capital leases

     —         (1,028 )     (293 )     —        (1,321 )

Retirement of senior debt

     (1,730 )     —         —         —        (1,730 )

Due to/from parent/subsidiaries

     26,762       (25,467 )     (1,295 )     —        —    

Other items

     77       —         —         —        77  
    


 


 


 

  


Net cash provided by (used in) financing activities

     25,109       (26,495 )     (1,588 )     —        (2,974 )
    


 


 


 

  


NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS

     12,237       (3,276 )     1,352       —        10,313  

CASH AND CASH EQUIVALENTS, beginning of period

     31,625       3,856       1,285       —        36,766  
    


 


 


 

  


CASH AND CASH EQUIVALENTS, end of period

   $ 43,862     $ 580     $ 2,637     $ —      $ 47,079  
    


 


 


 

  


 

21


Table of Contents

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

Overview

 

The discussion and analysis presented below refers to and should be read in conjunction with the consolidated financial statements and related notes appearing elsewhere in this Form 10-Q.

 

Our results may be impacted by variability due to changes in modality mix and the volume of procedures performed, physician referral and vacation patterns, the impact of hospital and physician-affiliated imaging operations that compete with our primary and Questar operations, the timing and negotiation of managed care and service contracts, the availability of technologists and other personnel, and trends in receivable collectibility. We are impacted by seasonality in that referring physicians and technologists often schedule vacations in the summer months which typically results in a decline in our volumes and service fee revenue while increasing costs of services as we contract for the services of temporary technologists at higher rates.

 

We are a leading national provider of diagnostic imaging services through our ownership and operation of free-standing, outpatient diagnostic imaging centers. We utilize sophisticated technology and technical expertise to perform a broad range of imaging procedures, such as magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), PET/CT, nuclear medicine, ultrasound, mammography, bone densitometry (DEXA), general radiography (X-ray) and fluoroscopy. For the six months ended June 30, 2005, we derived 86% of our service fee revenue from the ownership, management and operation of our imaging center network and 14% of our service fee revenue from administrative, management and information services provided to contracted radiology practices. As of June 30, 2005, we owned, operated or maintained, through our two operating segments, an ownership interest in imaging equipment at 73 locations, with imaging centers located in 8 states, including (1) primary operations in the Mid-Atlantic; the Bay Area, California; Treasure Coast, Florida; Northeast, Kansas; and the Finger Lakes (Rochester) and Hudson Valley markets in New York state; and (2) Questar operations with imaging centers located in Arizona, California, Colorado and Minnesota. Our 73 locations as of June 30, 2005 include a new multi-modality center that we opened in our Rochester market during the second quarter of 2005 and exclude a small center that we closed in the second quarter.

 

Service fee revenue from our primary operations is comprised primarily of billed charges for both the technical and professional components for services performed, reduced by estimated contractual adjustments and by amounts retained by contracted radiology practice groups for their professional services, pursuant to our medical services agreements. Under these medical services agreements, the Company provides contracted radiology practices with the facilities and equipment used in its medical practice, assumes responsibility for the management of the operations, and employs substantially all of the non-physician personnel utilized by the contracted radiology practices. In connection with operations related to our Questar subsidiary, service fee revenue is comprised primarily of billed charges for technical services performed at our Questar imaging centers reduced by estimated contractual adjustments. Revenue is recognized once services are performed by contracted radiology practices, the imaging centers, or both. The provision for doubtful accounts related to established charges is reflected as an operating expense rather than a reduction of revenue. Our patient accounting system currently does not record contractual adjustments at the time of billing. Instead, adjustments for contractual adjustments and doubtful accounts are estimated based on historical collection experience using a retrospective collection analysis, payment versus charge schedules and accounts receivable aging models. As these factors change, changes in estimates are made in the appropriate period.

 

The Company’s service fee revenue is dependent upon the operating results of the contracted radiology practice groups and diagnostic imaging centers. Where state law allows, service fees due under the medical services agreements for the contracted radiology practice groups are derived from two distinct revenue streams: (1) a negotiated percentage of the professional revenues, reduced by certain expenses as defined in the medical services agreements; and (2) 100% of the adjusted technical revenues as defined in the medical service agreements up to a designated ceiling at which point certain of the medical services agreements provide for a technical bonus to the contracted radiology practice groups for a percentage amount in excess of this ceiling. In states where the law prohibits fee-splitting, Radiologix has negotiated a service fee based upon the number of work units performed by radiologists, which approximates the estimated fair market value of the services provided under the service agreements.

 

Our diagnostic imaging centers are also principally dependent on our ability to attract referrals from primary care physicians, specialists and other healthcare providers. The referral often depends on the existence of a contractual arrangement with the referred patient’s health benefit plan. The Company has contracts with health benefit plans representing many of the patients in the markets we serve. We are increasingly faced with additional competition from referral sources who elect to purchase and operate diagnostic imaging equipment in our markets.

 

22


Table of Contents

Results of Operation

 

Our primary operations consist of owning and operating diagnostic imaging centers and providing administrative, management, information, and other services to certain contracted radiology practice groups. These contracted radiology practice groups provide professional interpretation and supervision services to our diagnostic imaging centers and to hospitals and joint ventures in which we participate. Our services are designed to leverage our existing infrastructure and improve radiology practice groups or joint venture profitability, efficiency and effectiveness. We also operate primarily single modality imaging centers through our subsidiary, Questar. Because of different characteristics from our primary operations, including location, market concentration, contracting leverage, and capital requirements, the single modality nature of most of the centers and the structure of the management service agreements with physicians related to the Company’s Questar operations, senior management makes resource allocation decisions separately for Questar and our primary operations.

 

Impairment charges of $5.8 million for the 2004 write-off of goodwill and long-lived assets relate to our six Questar centers that are currently in continuing operations. Impairment charges for other Questar centers in 2004 are included in discontinued operations.

 

Three Months Ended June 30, 2005 Compared to Three Months Ended June 30, 2004

 

The following tables outline our service fee revenue, volumes and operating expenses, (excluding the 2004 gain on sale of our San Antonio operations and 2004 impairment charges) for the three months ended June 30, 2005 and 2004 below (in thousands):

 

     2005

   2004

  

Percent

Increase

(Decrease)


   

Percent of

Service Fee

Revenue


    Basis
Point
Change


 
             2005

    2004

   

Service fee revenue

   $ 64,311    $ 66,211    (2.9 )%   100.0 %   100.0 %   —    
    

  

  

 

 

     

Field salaries and benefits

     22,081      21,200    4.2     34.3     32.0     230  

Field supplies

     3,943      3,722    5.9     6.1     5.6     50  

Facility rent

     3,394      3,337    1.7     5.3     5.0     30  

Other field expenses

     11,211      11,047    1.5     17.4     16.7     70  
    

  

  

 

 

 

Cost of services

     40,629      39,306    3.4     63.2     59.4     380  

Equipment leases

     3,231      4,868    (33.6 )   5.0     7.4     (240 )

Provision for doubtful accounts

     4,659      5,364    (13.1 )   7.2     8.1     (90 )

Depreciation and amortization

     6,051      5,881    2.9     9.4     8.9     50  

Corporate, general and administrative

     4,985      4,707    5.9     7.8     7.1     70  

Interest expense, net

     4,565      4,666    (2.2 )   7.1     7.0     10  
    

  

  

 

 

 

Total operating expense

   $ 64,120    $ 64,792    (1.0 )%   99.7 %   97.9 %   180  
    

  

  

 

 

 

 

Comparable results excluding certain Medical Services Agreement operations (San Antonio and the terminated Mid-Atlantic agreement) (the “terminated MSA operations”) are presented below:

 

     2005

   2004

  

Percent

Increase

(Decrease)


   

Percent of

Service Fee

Revenue


    Basis
Point
Change


 
             2005

    2004

   

Service fee revenue

   $ 64,272    $ 62,237    3.3 %   100.0 %   100.0 %   —    
    

  

  

 

 

     

Field salaries and benefits

     22,093      20,563    7.4     34.4     33.0     140  

Field supplies

     3,921      3,593    9.1     6.1     5.8     30  

Facility rent

     3,399      3,296    3.1     5.3     5.3     —    

Other field expenses

     11,132      10,070    10.5     17.3     16.2     110  
    

  

  

 

 

 

Cost of services

     40,545      37,522    8.1     63.1     60.3     280  

Equipment leases

     3,213      4,755    (32.4 )   5.0     7.6     (260 )

Provision for doubtful accounts

     4,660      4,728    (1.4 )   7.3     7.6     (30 )

Depreciation and amortization

     6,051      5,687    6.4     9.4     9.1     30  

Corporate, general and administrative

     4,985      4,707    5.9     7.8     7.6     20  

Interest expense, net

     4,565      4,620    (1.2 )   7.1     7.4     (30 )
    

  

  

 

 

 

Total operating expense

   $ 64,019    $ 62,019    3.2 %   99.6 %   99.6 %   —    
    

  

  

 

 

 

 

23


Table of Contents

A summary of our volumes, excluding certain volumes for the terminated MSA operations noted above, follows:

 

    

For the Three Months Ended

June 30,


 
     2005

   2004

 

High end volumes (1):

           

Total

   93,772    95,245  

Less terminated MSA volumes

   —      (4,439 )
    
  

Net

   93,772    90,806  
    
  

Other volumes:

           

Total

   294,477    300,111  

Less terminated MSA volumes

   —      (10,610 )
    
  

Net

   294,477    289,501  
    
  


(1) Defined as MRI, PET, CT and PET/CT procedures.

 

For the three months ended June 30, 2005 compared to the three months ended June 30, 2004, service fee revenue decreased $1.9 million or 2.9%. This decrease is primarily attributable to (1) the sale of our operations in San Antonio, Texas in the second quarter of 2004 for $10.5 million resulting in a gain on sale of approximately $4.7 million (our San Antonio operations generated $2.4 million in service fee revenue in the second quarter of 2004), (2) the termination of a medical services agreement with a Mid-Atlantic radiology group effective January 31, 2005, resulting in a decrease in service fee revenue of $1.5 million in the second quarter of 2005 compared to the second quarter of 2004 (primarily due to the loss of service fee revenue generated from professional reading arrangements at certain hospitals and disposed imaging centers), (3) an amendment to a medical services agreement which resulted in the establishment of a technical bonus to the contracted radiology group and a 3% reduction in our management fee effective October 1, 2004, (4) reductions due to increased physician retention costs pursuant to the existing terms of certain other medical services agreements which went into effect after June 30, 2004 and (5) a decrease in MRI procedures due to increased capacity introduced by competitors, competition from referring physicians who perform MRI procedures in their offices, a change in California law which has reduced the number of MRI procedures authorized for workers in the California state workers’ compensation program and open MRI technologist positions.

 

Excluding the terminated MSA operations noted above, service fee revenue increased $2.0 million or 3.3% for the three months ended June 30, 2005 compared to the three months ended June 30, 2004. This increase is primarily due to (1) a shift in mix to higher-end CT and PET procedures, which increases have more than offset the decreases we have experienced in our MRI procedures as noted above, resulting in an increase in our net technical revenue per procedure of $141.02 for the three months ended June 30, 2005 compared to $140.04 for the three months ended June 30, 2004, (2) the impact of new imaging centers and new diagnostic equipment placed into operations since June 30, 2004 and (3) increases in capitation and management service revenue. Our 2005 second quarter service fee revenue would have been higher if not for technologist shortages, reduced physician coverage, and reduced workers’ compensation volumes at certain Bay Area, California facilities. In addition, our service fee revenue increases were offset by (a) increased physician retention costs at one subsidiary based on certain terms of a medical services agreement which terms went into effect subsequent to June 30, 2004, and (b) a decrease in service fee revenue from our Questar operations primarily due to the performance of our Arizona center, which is still struggling to overcome the transition to a new name and location as well as increased local competition as previously discussed in our 2004 Form 10-K, and one of our Colorado centers. During the second quarter, we replaced our management, sales and technologist personnel at our Arizona center. Our Colorado center was impacted in the second quarter by the loss of a major referral source and has increasingly faced competitors with newer technology including referring physicians who perform MRI procedures in their offices. Of our $2.2 million in goodwill at June 30, 2005, $1.8 million is attributable to this Colorado center. We are focusing efforts on reversing the second quarter decline in volumes that we experienced at this Colorado center. However, if our efforts are not successful and this center continues to experience lower than expected volumes, we may incur an impairment charge in a future period.

 

Field salaries and benefits as a percentage of service fee revenue from continuing operations for the three months ended June 30, 2005 were 34.3% compared to 32.0% for the three months ended June 30, 2004. This percentage increase resulted primarily from (1) merit increases that went into effect March 1, 2005 as a result of annual performance reviews completed through our Focal Point Review process (in 2004, annual merit increases went into effect based on each employee’s anniversary date), (2) our San Antonio operations having lower salary and benefit costs as a percentage of service fee revenue relative to the rest of our operations (primarily because the San Antonio operations allocated certain salary and benefit costs to unconsolidated joint ventures), (3) salary market adjustments effective in July 2004 for certain employees at one of our subsidiaries, (4) bonuses accrued for field personnel, (5) higher technologist costs, and (6) overtime costs for employee training in connection with our REWARD program described below. Field salaries and benefits as a percentage of service fee revenue from continuing operations for the three months ended June 30, 2005 and 2004, excluding the terminated MSA operations, were 34.4% and 33.0%, respectively. Management continually evaluates our service

 

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offerings, patient flows and technology offerings to identify more efficient and less costly methods of providing high quality patient care and continually evaluates its back office and support operations for new opportunities to gain economies of scale. We believe our Radiologix Enhanced Workflow And Record Distribution or “REWARD” (a comprehensive Radiology Information System/Picture Archival Communications System) Program will help us achieve greater efficiencies and lower our operating costs. We expect REWARD to enhance operational efficiencies by: (1) standardizing processes and protocols across the Company, (2) automating, accelerating and simplifying workflow, (3) improving the capture of front-end data including billing and patient scheduling information, (4) providing more timely digitized images and records to referring physicians and (5) reducing film and storage costs once fully implemented.

 

Field supplies, excluding the terminated MSA operations, as a percentage of service fee revenue were 6.1% for the three months ended June 30, 2005 compared to 5.8% for the three months ended June 30, 2004. Field supply costs generally increase as we perform more high-end diagnostic procedures. High-end procedures typically utilize more supplies such as contrast and radio-pharmaceuticals.

 

Facility rent, excluding the terminated MSA operations, as a percentage of service fee revenue was 5.3% for both the three months ended June 30, 2005 and June 30, 2004, respectively. Facility rent increased as a result of a new imaging center that began operations in April 2005 and higher facility rent in our Bay Area, California operations, offset by the reversal of a $167,000 lease accrual no longer required as a result of settling a facility lease obligation with the trustee of a bankrupt landlord.

 

Other field expenses, excluding the terminated MSA operations, increased in the three months ended June 30, 2005 compared to the three months ended June 30, 2004 primarily due to (1) increased service contract costs resulting from new coverage on (a) equipment coming off warranty and (b) equipment acquired in connection with the acquisition of an equipment financing right agreement effective October 31, 2004, (2) system conversion, upgrade and outsourcing costs for our patient accounting systems, (3) higher marketing costs in our primary operations, (4) higher physician purchased service costs primarily due to paying certain physicians for incremental coverage on reading contracts, (5) higher workers’ compensation costs, (6) higher diagnostic equipment repair costs, and (7) a $175,000 write-off of leasehold improvement costs related to an imaging center closed in the 2005 second quarter. These increased costs were offset by a $369,000 gain from insurance proceeds received in settlement for equipment damaged by a hurricane, gains on sales of diagnostic equipment, lower malpractice insurance costs and lower off-site storage costs.

 

Equipment lease expenses, excluding the terminated MSA operations, decreased in the three months ended June 30, 2005 compared to the three months ended June 30, 2004 primarily due to the impact of lease buyouts and the acquisition of an equipment financing right effective October 31, 2004, which eliminates equipment lease expense that was previously recorded based on volume. These decreased costs were offset by $238,000 in costs we incurred to buy out certain leases in the 2005 second quarter.

 

Provision for doubtful accounts decreased by $700,000 in the three months ended June 30, 2005 compared to the three months ended June 30, 2004 primarily due to lower professional component revenue charges, which historically have lower collection rates, improved denial rates in 2005 and weaker than expected collection performance in 2004 on receivables for professional services at two Mid-Atlantic hospitals that were part of the terminated Mid-Atlantic MSA agreement.

 

Depreciation and amortization increased in the three months ended June 30, 2005 compared to the three months ended June 30, 2004 primarily due to the impact of new imaging centers and new equipment placed in service since June 30, 2004, lease buyouts, and the acquisition of an equipment financing right and related diagnostic equipment effective October 31, 2004 offset by (1) no longer operating the terminated San Antonio operations which were sold in the second quarter of 2004, (2) the effect of lower asset bases as a result of asset impairments in 2004 and (3) assets whose useful lives were shortened or that became fully depreciated during 2004.

 

Corporate, general and administrative expenses increased in the three months ended June 30, 2005 compared to the three months ended June 30, 2004 primarily due to (1) costs relating to our ongoing Sarbanes-Oxley Section 404 compliance efforts, (2) increased costs related to our information technology, human resources and development departments, (3) $350,000 in management bonus costs accrued in the 2005 second quarter compared to minor bonus expense in the second quarter of 2004, (4) training costs incurred in 2005 for our REWARD Program, (5) consulting costs incurred in connection with refining and validating our strategic direction, (6) costs incurred with our initiative to facilitate our “One Company, One Culture” focus, and (7) higher workers’ compensation costs. These increases were offset by (1) the lack of chief operating officer salary and benefit costs in the 2005 second quarter as this position remained open from December 2004 through July 14, 2005, (2) lower executive recruiting and relocation costs in 2005, (3) lower 2005 health benefits costs and (4) reduced legal costs as a result of establishing an in-house legal department which resulted in reducing our contracted legal costs.

 

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Interest expense (net of interest income), including amortization of deferred financing costs, for the three months ended June 30, 2005 compared to the three months ended June 30, 2004 is lower due primarily to our $1.7 million retirement of debt in the second quarter of 2004.

 

Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004

 

The following tables outline our service fee revenue, volumes and operating expenses, (excluding the 2004 gain on sale of our San Antonio operations and 2004 impairment charges) for the six months ended June 30, 2005 and 2004 below (in thousands):

 

     2005

   2004

  

Percent

Increase

(Decrease)


   

Percent of

Service Fee

Revenue


    Basis
Point
Change


 
             2005

    2004

   

Service fee revenue

   $ 127,062    $ 132,253    (3.9 )%   100.0 %   100.0 %   —    
    

  

  

                 

Field salaries and benefits

     44,271      43,891    0.9     34.8     33.2     160  

Field supplies

     7,655      7,598    0.8     6.0     5.7     30  

Facility rent

     6,873      6,579    4.5     5.4     5.0     40  

Other field expenses

     21,650      21,515    0.6     17.0     16.3     70  
    

  

  

 

 

 

Cost of services

     80,449      79,583    1.1     63.3     60.1     320  

Equipment leases

     6,037      9,391    (35.7 )   4.8     7.1     (230 )

Provision for doubtful accounts

     9,126      10,856    (15.9 )   7.2     8.2     (100 )

Depreciation and amortization

     11,889      12,035    (1.2 )   9.4     9.1     30  

Corporate, general and administrative

     9,333      8,498    9.8     7.3     6.4     90  

Interest expense, net

     9,241      9,412    (1.8 )   7.3     7.1     20  
    

  

  

 

 

 

Total operating expense

   $ 126,075    $ 129,775    (2.9 )%   99.2 %   98.1 %   110  
    

  

  

 

 

 

 

Comparable results excluding certain Medical Services Agreement operations (San Antonio and the terminated Mid-Atlantic agreement) (the “terminated MSA operations”) are presented below:

 

     2005

   2004

   Percent
Increase
(Decrease)


   

Percent of

Service Fee

Revenue


    Basis
Point
Change


 
             2005

    2004

   

Service fee revenue

   $ 126,093    $ 123,088    2.4 %   100.0 %   100.0 %   —    
    

  

  

                 

Field salaries and benefits

     44,078      42,121    4.6     35.0     34.2     80  

Field supplies

     7,618      7,256    5.0     6.0     5.9     10  

Facility rent

     6,847      6,356    7.7     5.4     5.2     20  

Other field expenses

     21,468      19,435    10.5     17.0     15.8     120  
    

  

  

 

 

 

Cost of services

     80,011      75,168    6.4     63.5     61.1     240  

Equipment leases

     6,019      9,274    (35.1 )   4.8     7.5     (270 )

Provision for doubtful accounts

     8,883      9,517    (6.7 )   7.0     7.7     (70 )

Depreciation and amortization

     11,888      11,411    4.2     9.4     9.3     10  

Corporate, general and administrative

     9,333      8,498    9.8     7.4     6.9     50  

Interest expense, net

     9,241      9,262    (0.2 )   7.3     7.5     (20 )
    

  

  

 

 

 

Total operating expense

   $ 125,375    $ 123,130    1.8 %   99.4 %   100.0 %   (60 )
    

  

  

 

 

 

 

A summary of our volumes, excluding certain volumes for the terminated MSA operations noted above, follows:

 

    

For the Six Months Ended

June 30,


 
     2005

    2004

 

High end volumes (1):

            

Total

   187,887     192,728  

Less terminated MSA volumes

   (671 )   (9,102 )
    

 

Net

   187,216     183,626  
    

 

Other volumes:

            

Total

   586,797     602,497  

Less terminated MSA volumes

   (3,234 )   (21,362 )
    

 

Net

   583,563     581,135  
    

 


(1) Defined as MRI, PET, CT and PET/CT procedures.

 

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For the six months ended June 30, 2005 compared to the six months ended June 30, 2004, service fee revenue decreased $5.2 million or 3.9%. This decrease is primarily attributable to (1) the sale of our operations in San Antonio, Texas in the second quarter of 2004 (San Antonio operations generated $6.1 million in service fee revenue for the six months ended June 30, 2004), (2) the termination of a medical services agreement with a Mid-Atlantic radiology group effective January 31, 2005, resulting in a decrease in service fee revenue of $2.1 million for the six months ended June 30, 2005 compared to the six months ended June 30, 2004 (primarily due to the loss of service fee revenue generated from professional reading arrangements at certain hospitals and disposed imaging centers), (3) an amendment to a medical services agreement which resulted in the establishment of a technical bonus to the contracted radiology group and a 3% reduction in our management fee effective October 1, 2004, (4) reductions due to increased physician retention costs pursuant to the existing terms of certain other medical services agreements which went into effect after June 30, 2004 and (5) a decrease in MRI procedures due to increased capacity introduced by competitors, competition from referring physicians who perform MRI procedures in their offices, a change in California law which has reduced the number of MRI procedures authorized for workers in the state workers’ compensation program and open MRI technologist positions.

 

Excluding the terminated MSA operations noted above, service fee revenue increased $3.0 million or 2.4% for the six months ended June 30, 2005 compared to the six months ended June 30, 2004. This increase is primarily due to (1) a shift in mix to higher-end CT and PET procedures, which increases have more than offset the decreases we experienced in our MRI procedures as noted above, resulting in an increase in our net technical revenue per procedure of $140.81 for the six months ended June 30, 2005 compared to $136.90 for the six months ended June 30, 2004, (2) the impact of new imaging centers and new diagnostic equipment placed into operations since June 30, 2004 and (3) increases in capitation and management service revenue. Our 2005 service fee revenue would have been higher if not for technologist shortages, reduced physician coverage, and reduced workers’ compensation volumes at certain Bay Area, California facilities. In addition, our service fee revenue increases were offset by (a) increased physician retention costs based on certain terms of a medical services agreement which terms went into effect subsequent to June 30, 2004, and (b) a decrease in service fee revenue from our six Questar centers primarily due to the performance of our Arizona center and one of Colorado centers.

 

Field salaries and benefits as a percentage of service fee revenue from continuing operations for the six months ended June 30, 2005 were 34.8% compared to 33.2% for the six months ended June 30, 2004. This percentage increase resulted primarily from (1) merit increases that went into effect March 1, 2005 as a result of annual performance reviews completed through our Focal Point Review process (in 2004, annual merit increases went into effect based on each employee’s anniversary date), (2) our San Antonio operations having lower salary and benefit costs as a percentage of service fee revenue relative to the rest of our operations (primarily because the San Antonio operations allocated certain salary and benefit costs to unconsolidated joint ventures), (3) salary market adjustments effective in July 2004 for certain employees at one of our subsidiaries, (4) bonuses accrued for field personnel, (5) higher technologist costs, and (6) overtime costs for employee training in connection with our REWARD program described below. The effect of the above items was offset by the reduction in temporary labor costs, primarily for technologists that were used extensively by one of our subsidiaries in the first six months of 2004. Field salaries and benefits as a percentage of service fee revenue from continuing operations for the six months ended June 30, 2005 and 2004, excluding the terminated MSA operations, were 35.0% and 34.2%, respectively. Management continually evaluates our service offerings, patient flows and technology offerings to identify more efficient and less costly methods of providing high quality patient care and continually evaluates back office and support operations for new opportunities to gain economies of scale. We believe our Radiologix Enhanced Workflow And Record Distribution or “REWARD” (a comprehensive Radiology Information System/Picture Archival Communications System) Program will help us achieve greater efficiencies and lower our operating costs. We expect REWARD to enhance operational efficiencies by: (1) standardizing processes and protocols across the Company, (2) automating, accelerating and simplifying workflow, (3) improving the capture of front-end data including billing and patient scheduling information, (4) providing more timely digitized images and records to referring physicians and (5) reducing film and storage costs, once fully implemented.

 

Field supplies, excluding the terminated MSA operations, as a percentage of service fee revenue were 6.0% for the six months ended June 30, 2005 compared to 5.9% for the six months ended June 30, 2004. Field supply costs generally increase as we perform more high-end diagnostic procedures. High-end procedures typically utilize more supplies such as contrast and radio-pharmaceuticals.

 

Facility rent, excluding the terminated MSA operations, as a percentage of service fee revenue was 5.4% for the six months ended June 30, 2005 compared to 5.2% for the six months June 30, 2004, primarily due to facility rent for a new imaging center that began operations in April 2005 and higher facility rent in our Bay Area, California operations, offset by the reversal of a $229,000 lease accrual (of which $62,000 was recorded in the 2005 first quarter) no longer required as a result of settling a facility lease obligation with the trustee of a bankrupt landlord.

 

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Other field expenses, excluding the terminated MSA operations, increased in the six months ended June 30, 2005 compared to the six months ended June 30, 2004 primarily due to (1) increased service contract costs resulting from new coverage on (a) equipment coming off warranty and (b) equipment acquired in connection with the acquisition of an equipment financing right agreement effective October 31, 2004, (2) system conversion, upgrade and outsourcing costs for our patient accounting systems, (3) higher marketing costs in our primary operations, (4) higher physician purchased service costs primarily due to paying certain physicians for incremental coverage on reading contracts, (5) higher workers’ compensation costs, (6) higher diagnostic equipment repair costs, and (7) a $175,000 write-off of leasehold improvement costs related to an imaging center closed in the 2005 second quarter. These increased costs were offset by a $369,000 gain from insurance proceeds received in settlement for equipment damaged by a hurricane, gains on sales of diagnostic equipment, lower malpractice insurance costs and lower off-site storage costs.

 

Equipment lease expenses, excluding the terminated MSA operations, decreased in the six months ended June 30, 2005 compared to the six months ended June 30, 2004 primarily due to the impact of lease buyouts and the acquisition of an equipment financing right effective October 31, 2004, which eliminates equipment lease expense that was previously recorded based on volume. The impact of the decrease in the six months of 2005 would have been even greater if not for an approximate $192,000 lease credit we received in the first quarter of 2004. These decreased costs were offset by $238,000 in equipment lease expenses we incurred as part of a lease buy out transaction in the 2005 second quarter.

 

Provision for doubtful accounts decreased by $1.7 million in the six months ended June 30, 2005 compared to the six months ended June 30, 2004 primarily due to lower professional component revenue charges, which historically have lower collection rates, improved denial rates in 2005 and weaker than expected collection performance in 2004 on receivables for professional services at two Mid-Atlantic hospitals that were part of the terminated Mid-Atlantic MSA agreement.

 

Depreciation and amortization decreased in the six months ended June 30, 2005 compared to the six months ended June 30, 2004 primarily due to (1) no longer operating the terminated San Antonio operations which were sold in the second quarter of 2004, (2) the effect of lower asset bases as a result of asset impairments in 2004 and (3) assets whose useful lives were shortened or that became fully depreciated during 2004, offset by the impact of new imaging centers and new equipment placed in service since June 30, 2004, lease buyouts, and the acquisition of an equipment financing right and related diagnostic equipment effective October 31, 2004.

 

Corporate, general and administrative expenses increased in the six months ended June 30, 2005 compared to the six months ended June 30, 2004 primarily due to (1) costs relating to our ongoing Sarbanes-Oxley Section 404 compliance efforts, (2) increased costs related to our sales, information technology, human resources and development departments, (3) $700,000 in management bonus costs accrued in the first six months of 2005 compared to minor bonus expense in the first six months of 2004, (4) training costs incurred in 2005 for our REWARD Program, (5) consulting costs incurred in connection with refining and validating our strategic direction, (6) costs incurred with our initiative to facilitate our “One Company, One Culture” focus, and (7) higher workers’ compensation costs. These increases were offset by (1) the lack of chief operating officer salary and benefit costs in the 2005 second quarter as this position remained open from December 2004 through July 14, 2005, (2) lower executive recruiting and relocation costs in 2005, (3) lower 2005 health benefits costs, (4) reduced legal costs as a result of establishing an in-house legal department which resulted in reducing our contracted legal costs, and (5) a reduction in our estimated 2004 bonus and severance accruals that were finalized in the first quarter of 2005.

 

Interest expense (net of interest income), including amortization of deferred financing costs, for the six months ended June 30, 2005 compared to the six months ended June 30, 2004 is lower due primarily to our $1.7 million retirement of debt in the second quarter of 2004.

 

LIQUIDITY AND CAPITAL RESOURCES

 

Liquidity for the six months ended June 30, 2005 was derived from cash and cash equivalents, and net cash generated by operating activities and amounts available under our Master Lease Agreement. As of June 30, 2005, we had current assets of $104.6 million, including cash and cash equivalents of $42.6 million, and current liabilities of $31.1 million, including current maturities of long-term debt and capital lease obligations of $30,000. For the six months ended June 30, 2005, we generated $18.3 million in net operating cash flow, invested $10.3 million and had cash provided by financing activities of $631,000.

 

Net cash from operating activities for the six months ended June 30, 2005 of $18.3 million included $2.1 million of federal and state income tax refunds. In addition, based on our current tax status, we have not made any estimated tax payments in the first six months of 2005. Our days sales outstanding on accounts receivable were 46 and 48 days at June 30, 2005 and December 31, 2004, respectively. We calculate days sales outstanding by dividing accounts receivable, net of allowances, by the two-month average

 

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Table of Contents

revenue per day (before reducing revenue for amounts retained by contracted radiology practices). We also reduced our accounts payable and other accrued expenses by $3.9 million since December 31, 2004, primarily due to the timing of various amounts due. In addition, our accrued salaries and benefits were up $3.2 million at June 30, 2005 compared to December 31, 2004 as a result of our payroll being funded on July 1, 2005. On June 15, 2005 we made our $8.3 million semi-annual interest payment in connection with our senior debt.

 

Net cash used in investing activities for the six months ended June 30, 2005 and 2004 was $10.3 million and $3.4 million, respectively. Purchases of property and equipment during the six months ended June 30, 2005 and 2004 were $12.1 million and $13.4 million, respectively, including $1.8 million to buyout operating leases in 2005. For the remainder of 2005 we expect to spend approximately $1.1 million on equipment lease buyouts. In 2005, we received $1.2 million in consideration for the sales of certain diagnostic equipment and an imaging center, compared to $12.8 million in 2004 (of which $10.5 million related to the sale of our San Antonio operations on April 30, 2004). Also at June 30, 2005, we had $5.6 million in restricted cash in accordance with our Master Lease Agreement with GE Healthcare Financial Services (GE) as discussed below, of which $4.0 million was funded in the second quarter of 2004.

 

Net cash flows provided by financing activities for the six months ended June 30, 2005 was $631,000, compared to the use of cash for the six months ended June 30, 2004 of $3.0 million. We received proceeds from the exercises of stock options of $767,000 in the second quarter of 2005 and retired $1.7 million of senior debt in the second quarter of 2004. At June 30, 2005, we had outstanding senior note borrowings of $158.3 million and a $12.0 million convertible subordinated junior note. At June 30, 2005, amounts considered outstanding under the revolving credit facility totaled $1.4 million related to two letters of credit in connection with our high retention workers’ compensation program with $29.4 million available for borrowings. Borrowings under this line are limited to 85% of eligible accounts receivable, as defined under the credit facility. Borrowings are secured by substantially all of our assets and a pledge of the capital stock of our wholly owned subsidiaries. At June 30, 2005, we had not met certain incurrence tests under our debt agreements. As a result, we are limited to borrowing $20.0 million under the revolving credit facility until such time as we meet this test.

 

On July 9, 2004, we amended our master lease with GE under an Amended and Restated Master Lease Agreement. Through this arrangement, GE has agreed to fund up to $60.0 million of equipment leases through December 31, 2006, and requires that at least two-thirds of the outstanding balance represent GE healthcare equipment. In connection with the Master Lease Agreement, the Company is required to provide additional cash collateral in a restricted account equal to 20% of the aggregate amounts outstanding under the Master Lease Agreement. The accompanying June 30, 2005 balance sheet includes $5.6 million of restricted cash under this provision. GE provided us with a written waiver stating that GE agreed to waive compliance with the financial leverage ratio for the year ending December 31, 2004 and to modify this calculation for 2005 to exclude the $9.1 million adjustment described in our 2004 Form 10-K.

 

At June 30, 2005, applicable amounts outstanding under the Master Lease Agreement totaled $34.3 million; commitments for leases signed but not placed in service under the Master Lease Agreement were $8.7 million, and $17.0 million remained available for future leases.

 

Based on our revised projections as of June 30, 2005, we plan to spend approximately $8.9 million for capital expenditures in connection with our REWARD Program, $20.8 million for expansion of centers including de novo (new) projects and commit $24.1 million for major diagnostic equipment leases over the respective lease terms, in fiscal 2005. As of June 30, 2005, we spent approximately $2.8 million and $9.2 million on capital expenditures in connection with our REWARD Program and expansion of centers, respectively, and committed $22.3 million for major diagnostic equipment leases. In 2006, we plan to spend an additional $5.5 million in connection with our REWARD Program, or a revised aggregate $16.5 million, versus our original projection of $14.0 million, for total projected capital expenditures related to our REWARD Program.

 

We operate in a capital intensive, high fixed-cost industry that requires significant amounts of capital to fund operations, particularly the initial start-up and development costs of new diagnostic imaging centers and the acquisition of additional centers and new diagnostic imaging equipment. We currently believe that our cash balances, the expected cash flow from operations, and our borrowing capacity under our revolving credit facility and our master lease line will be sufficient to fund our working capital, acquisitions and capital expenditure requirements for the next eighteen months. Our long-term liquidity needs will consist of working capital and capital expenditure requirements, the funding of future acquisitions and repayment of debt. We intend to fund these long-term liquidity needs from cash generated from operations, available borrowings under our revolving credit facility, our master lease line, and future debt and equity financings. However, our ability to generate cash is subject to our performance, general economic conditions, industry trends and other factors. Many of these factors are beyond our control and cannot be anticipated at this time. To the extent we are unable to generate sufficient cash from our operations, or if funds are not available under our revolving credit facility or our master lease line, we may be unable to meet our capital expenditure and debt service requirements. Furthermore, we may not be able to raise any necessary additional funds through bank financing or the issuance of equity or debt securities on terms acceptable to us, if at all.

 

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CRITICAL ACCOUNTING POLICIES

 

This discussion and analysis should be read in conjunction with our consolidated financial statements and related notes included elsewhere in this report.

 

The preparation of our consolidated financial statements requires the use of judgments and estimates. Our critical accounting policies are described below to provide a better understanding of how we develop our judgments about future events and related estimations and how they can impact our financial statements. A critical accounting policy is one that requires our most difficult, subjective or complex estimates and assessments and is fundamental to our results of operations. We identified our most critical accounting policies to be:

 

    revenue recognition and estimation of allowances for contractuals and doubtful accounts;

 

    evaluation of intangible assets, including goodwill, and long-lived assets for impairment; and

 

    estimation of a valuation allowance in accounting for income taxes (deferred tax assets).

 

Revenue Recognition, Contractual Allowances and Allowances for Doubtful Accounts

 

In connection with our December 2004 year-end closing process, we finalized a retrospective collection analysis. This retrospective process represented an enhancement to our methodology for estimating the amount of contractual adjustments and provision for doubtful accounts necessary to reduce gross revenue (billed charges) and gross receivables to net amounts realizable from managed care, Medicare, Medicaid, private and other payors. This enhanced methodology is based on the matching of cash collections to billed charges by month of service. In connection with our provision for doubtful accounts, we continue to record this expense based on historical write-offs which experience has not significantly changed.

 

Service fee revenue from the contracted radiology practice groups (professional revenue component) and diagnostic imaging centers (technical revenue component) is recorded when services are rendered by the contracted radiology practices and diagnostic imaging centers based on established gross charges billed and reduced by estimated contractual adjustments and amounts retained by the contracted radiology practice groups under the terms of medical services agreements. Our patient accounting system currently does not record contractual adjustments at the time of billing. Instead, contractual adjustments and the provision for doubtful accounts are estimated based on historical collection experience using a retrospective collection analysis, which we began using in December 2004, payment-versus-charge schedules and aging models. Should circumstances change (shift in payor mix, decline in economic conditions or deterioration in aging of patient receivables), our estimates of the net realizable value of patient receivables could be reduced by a material amount. We have estimated that a change in our collection percentage of 1.0% could result in a change in service fee revenue of $5.0 million per year.

 

Our accounts receivable write-off process is primarily system-driven whereby a series of communications requesting payment is sent to a private payor who either is without healthcare benefit coverage or who owes us a co-pay amount. These communications increase in intensity and urgency as the receivable becomes more delinquent. Once the communication cycle is completed and the receivable remains uncollected, it is written off in our patient accounting system. We also review accounts receivable “events checklists” which are designed to identify significant delinquent accounts receivable. Write-offs for accounts identified by our events checklists are approved by the Vice President of our Patient Services Group.

 

Write-offs for accounts receivables have been relatively constant, but we can experience increases for specified events, primarily when we retain receivables for businesses we dispose of.

 

Impairment of Goodwill, Intangible and Long-Lived Assets

 

Goodwill

 

Goodwill and other intangible assets with indefinite useful lives are subject to at least annual assessments for impairment by applying a fair-value-based test. We conduct our annual impairment fair-value-based test during the first quarter of each fiscal year. We also review the recoverability of our goodwill on a quarterly basis, including a review of events or changes in circumstances that may indicate that the carrying amount may not be recoverable. At June 30, 2005 the balance of goodwill, which relates entirely to our Questar subsidiary operation, is approximately $2.2 million. Of this $2.2 million in goodwill, $1.8 million is attributable to one of our Questar Colorado centers. The performance of this center declined in the 2005 second quarter. As a result, we are focusing efforts on reversing the second quarter decline in volumes that we experienced at this center. However, if our efforts are not successful and this center continues to experience lower than expected volumes, we may incur an impairment charge in a future period.

 

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Intangible and Long-Lived Assets

 

Impairment losses are recognized for long-lived assets through operations when events or changes in circumstances that may indicate that the carrying amount may not be recoverable and the underlying net cash flows are not sufficient to support the assets’ carrying value. Examples of events or changes in circumstances or in the business climate can include, but are not limited to the following:

 

a. History of operating losses or expected future losses

 

b. Significant adverse change in legal factors

 

c. Significant adverse change in the extent or manner in which the assets are used or in the physical condition of the assets

 

d. Current expectations to dispose of the assets by sale or other means

 

e. Reductions or expected reductions of cash flow

 

Our medical services agreements, included in the consolidated balance sheets as intangible assets, are not considered to have indefinite useful lives and will continue to be amortized over a useful life of 25 years based on SEC guidance. We regularly evaluate the carrying value and lives of the finite lived intangible assets in light of any events or circumstances that we believe may indicate that the carrying amount or amortization period should be adjusted.

 

Income Taxes

 

We account for income taxes under the asset and liability method. This approach requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the carrying amounts and the tax bases of assets and liabilities.

 

Developing our provision for income taxes, including our effective tax rate, and analysis of potential tax exposure items, if any, requires significant judgment and expertise in federal and state income tax laws, regulations and strategies, including the determination of deferred tax assets and liabilities and, any estimated valuation allowances we deem necessary to value deferred tax assets. Our judgments and tax strategies are subject to audit by various taxing authorities. While we believe we have provided adequately for our income tax liabilities in our consolidated financial statements, adverse determinations by these taxing authorities could have a material adverse effect on our consolidated financial condition, results of operations or cash flows.

 

We have significant noncurrent deferred tax assets at June 30, 2005. Realization of these deferred tax assets is dependent on generating sufficient taxable income prior to expiration of the twenty-year loss carryforward period. Although realization is not assured, management believes it is more likely than not that all of the deferred tax assets will be realized. The amount of the deferred tax assets considered realizable, however, could be reduced in the near term if estimates of future taxable income during the carryforward period are reduced.

 

Our tax strategy to realize deferred tax assets resulting from the impairment of goodwill and long-lived assets at certain of our Questar centers, involves the future disposal of the remaining six Questar centers we are currently operating at June 30, 2005. Until we dispose of all our Questar operations, we cannot, under the current tax regulations, deduct these particular impairment charges. As of June 30, 2005, we plan to operate these six Questar centers for as long as they are profitable; however, we do not plan to invest in new equipment for these six centers unless our new development team determines that it is beneficial to expand our operations in certain of these Questar markets. If the cumulative operations begin to deteriorate, we will make a cost benefit decision in which we will compare the estimated future profitability of these centers to the potential tax and other benefits we could realize upon disposal.

 

Forward-Looking Statements

 

Throughout this report we make “forward-looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements include words such as “may,” “will,” “would,” “could,” “likely,” “estimate,” “intend,” “plan,” “continue,” “believe,” “expect” or “anticipate” and other similar words and include all discussions about our acquisition and development plans. We do not guarantee that the transactions and events described in this report will happen as described or that any positive trends noted in this report will continue. The forward-looking statements contained in this report are generally located in the material set forth under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations”, but may be found in other locations as well. These forward-looking statements generally relate to our plans, objectives and expectations for future operations and are based upon management’s reasonable estimates of future results or trends. Although we believe that our plans and objectives reflected in or

 

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suggested by such forward-looking statements are reasonable, we may not achieve such plans or objectives. You are cautioned not to unduly rely on such forward-looking statements when evaluating the information presented in this report. You should read this report completely and with the understanding that actual future results may be materially different from what we expect. We will not update forward-looking statements even though our situation may change in the future.

 

Specific factors that might cause actual results to differ from our expectations include, but are not limited to:

 

    economic, demographic, business and other conditions in our markets;

 

    the highly competitive nature of the healthcare business;

 

    changes in patient referral patterns;

 

    changes in the rates or methods of third-party reimbursement for diagnostic imaging services;

 

    changes in our contracts with radiology practice groups;

 

    changes in the number of radiologists operating in our contracted radiology practice groups;

 

    the availability to recruit and retain technologists;

 

    the availability of additional capital to fund capital expenditure requirements;

 

    lawsuits against Radiologix and our contracted radiology practices groups;

 

    changes in operating margins, particularly changes due to our managed care contracts and capitated fee arrangements;

 

    failure by Radiologix to comply with state and federal anti-kickback and anti-self referral laws or any other applicable healthcare regulations;

 

    changes in business strategy and development plans;

 

    changes in federal, state or local regulations affecting the healthcare industry;

 

    our indebtedness, debt service requirements and liquidity constraints;

 

    risk related to our Senior Notes and healthcare securities generally;

 

    interruption of operations due to severe weather or other extraordinary events; and

 

    charges for unusual or infrequent (non-recurring) matters.

 

A more comprehensive list of such factors is set forth in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004, and our other filings with the Securities and Exchange Commission.

 

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

 

The Company’s exposure to market risk for changes in interest rates relates primarily to the Company’s cash equivalents, revolving credit facility, and its senior and convertible notes. At June 30, 2005, Radiologix had $1.4 million considered outstanding under its revolving credit facility related to two letters of credit in connection with our high retention workers’ compensation programs. Radiologix’s notes bear interest at fixed rates.

 

Item 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures. Based on their evaluation as of a date within 45 days of the filing date of this Quarterly Report on Form 10-Q, the Company’s principal executive officer and principal financial officer have concluded that the Company’s disclosure controls and procedures (as defined in Rules 13a-14 (c) and 15d-14 (c) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) are effective to ensure that information required to be disclosed by the Company in reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms.

 

There have been no significant changes in the Company’s internal controls or in other factors that have materially affected or are reasonably likely to materially affect its internal controls during our most recent fiscal quarter, except for any corrective actions with regard to significant deficiencies and material weaknesses as follows:

 

As noted in our 2004 Form 10-K, subsequent to December 31, 2004, but prior to the finalization of our 2004 consolidated financial statements, the Company placed into operations new controls to address the material weakness we identified in our accounts receivable estimation process. These new controls include a retrospective collection analysis that matches cash collections to billed charges by month of service. We believe these new controls have remediated the material weakness that existed as of December 31, 2004, and that these controls operated effectively during the first six months of 2005.

 

We have investments, not material in amount, in certain unconsolidated entities. Since we do not control these entities, our disclosure controls and procedures with respect to these entities are necessarily substantially more limited than those we maintain with respect to our consolidated subsidiaries.

 

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PART II: OTHER INFORMATION

 

Item 4. Submission of Matters to a Vote of Security Holders.

 

Radiologix’s 2005 annual stockholders meeting was held on June 2, 2005. The following individuals were elected as directors and the appointment of Ernst & Young LLP as independent public accountants was ratified, by the votes indicated below:

 

Nominee


 

          For          


 

  Withheld  


Sami S. Abbasi

  19,590,232   175,028

Marvin S. Cadwell

  19,366,024   399,236

Paul D. Farrell

  19,591,242   174,018

John R. Gunn

  19,589,242   176,018

Joseph C. Mello

  19,366,024   399,236

Michael L. Sherman, M.D.

  19,239,927   525,288

 

Appointment of Ernst & Young LLP:

 

For: 19,689,992

  Against: 71,240   Abstain: 4,028

 

Item 6. Exhibits

 

  (a) Exhibits. The list of exhibits filed as part of this report is incorporated by reference to the Index to Exhibits at the end of this report.

 

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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 thereunto duly authorized.

 

         RADIOLOGIX, INC.

Date: August 4, 2005

      

/s/ SAMI S. ABBASI


        

Sami S. Abbasi

President and Chief Executive Officer

(Principal Executive Officer)

Date: August 4, 2005

      

/s/ MICHAEL N. MURDOCK


        

Michael N. Murdock

Senior Vice President and

Chief Financial Officer

(Principal Accounting Officer)

 

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INDEX TO EXHIBITS

 

Exhibit
Number


 

Description


31.1   Certification of Sami S. Abbasi pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. *
31.2   Certification of Michael N. Murdock pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. *
32.1   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted pursuant to Section 906 of The Sarbanes-Oxley Act of 2002 of Sami S. Abbasi. *
32.2   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted pursuant to Section 906 of The Sarbanes-Oxley Act of 2002 of Michael N. Murdock. *

* Filed herewith.

 

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