Summary of RadNet Conference Call Company Overview - **Company**: RadNet - **Industry**: Healthcare Services, specifically diagnostic imaging - **Position**: Largest operator of independent freestanding imaging facilities in the U.S., with significant operations on the East and West Coasts [1][3] Core Business Performance - **Growth Rate**: RadNet has achieved a 9.1% compound annual growth rate in revenue since 2007, with recent acceleration in growth due to increased patient volume in outpatient centers [3][4] - **Same-Center Procedure Volume**: Historically in the 2% to 4% range, now routinely in the mid-single digits, particularly for advanced imaging, with over 15% growth in same-center PET/CT procedures [3][4] - **Margin Enhancement**: Driven by operational improvements and a new digital health platform, leading to increased efficiency and productivity [4][6] Business Segments 1. **Imaging Clinics**: Core business with significant growth driven by demographic changes and a shift towards outpatient care [12][14] 2. **Clinical AI**: Development of AI solutions to enhance operational efficiency and accuracy in imaging [6][9] 3. **Digital Health Platform**: DeepHealth OS, a cloud-based operating platform that automates various processes, improving efficiency across the business [25][27] Market Trends - **Demand for Diagnostic Imaging**: Growing demand driven by an aging population and advancements in imaging technology [12][13] - **Shift to Freestanding Centers**: Increasing market share for outpatient imaging centers as patients and payers prefer lower-cost alternatives to hospital imaging [14][21] - **Joint Ventures with Hospitals**: RadNet is partnering with hospitals to create outpatient centers, allowing hospitals to benefit from the shift in imaging services [21][23] Technology and Innovation - **DeepHealth OS**: Expected to drive significant efficiencies in operations, including automated scheduling and insurance verification [25][27] - **CMODE Acquisition**: An ultrasound AI company that automates thyroid ultrasound processes, expected to reduce exam times and increase capacity [33][35] - **Advanced Imaging Growth**: Notable growth in PET/CT procedures, with expectations for new FDA-approved radiopharmaceuticals to further drive demand [39][40] Financial Outlook - **Capital Expenditure**: Anticipated spending of $150 million to $160 million in CapEx to support growth and expansion [43][44] - **Cash Position**: Over $800 million in cash on the balance sheet, providing financial flexibility for investments [43] Investor Insights - **Optimism for the Future**: The company is well-positioned for growth in the diagnostic imaging sector, with a strong capital structure and management team [50] - **Transformation in Imaging**: Anticipated industry transformation over the next decade with the adoption of digital solutions [50] Key Takeaways - RadNet is experiencing robust growth in the diagnostic imaging sector, driven by demographic trends and technological advancements - The company is strategically positioned to capitalize on the shift towards outpatient care and the integration of digital health solutions - Continued investment in technology and partnerships with hospitals will enhance operational efficiency and expand market reach [3][4][12][14][50]

Core Insights - RadNet, Inc. is a national leader in providing high-quality, cost-effective diagnostic imaging services through a network of outpatient imaging centers [1][2] - The company will present at the Jefferies Healthcare Services Conference on September 29, 2025 [1][2] Company Overview - RadNet operates a network of 405 owned and/or operated outpatient imaging centers across various states including Arizona, California, Delaware, Florida, Maryland, New Jersey, New York, and Texas [2] - The company employs over 11,000 team members, including contracted radiologists, full-time and per diem employees, and technologists [2] - RadNet also offers radiology information technology and artificial intelligence solutions under the DeepHealth brand, as well as teleradiology professional services [2]

Group 1 - The presentation is led by Christopher Brustuen, Managing Director, who emphasizes the importance of disclosures and encourages questions to be directed to Morgan Stanley sales representatives [1] - Dr. Berger and his team from RadNet are present for the discussion, indicating a collaborative approach to the session [2]

Group 1 - The presentation is led by Christopher Brustuen, Managing Director, who emphasizes the importance of disclosures and encourages questions to be directed to Morgan Stanley sales representatives [1] - Dr. Berger and his team from RadNet are present for the discussion, indicating a collaborative approach to the session [2]

RadNet FY Conference Summary Company Overview - **Company**: RadNet (NasdaqGM:RDNT) - **Industry**: Radiology and Imaging Services Key Points Industry Consolidation - Industry consolidation is expected to continue due to the corporatization of medicine, particularly in capital-intensive fields like radiology and imaging [7][8] - The average provider may struggle to meet the evolving service expectations driven by technological advancements [7] Market Demand and Reimbursement - Demand for imaging services is anticipated to grow, influenced by advancements in artificial intelligence (AI) and population health management [10] - The reimbursement environment is improving, with CMS increasing the physician fee schedule for the first time in years, which is expected to alleviate some reimbursement challenges [11] - There is a shift towards moving elective imaging services from hospitals to outpatient centers, which are more cost-effective [12] Organic Growth Drivers - Traditional growth drivers include an aging population, increased awareness of diagnostic imaging, and advancements in technology that enhance diagnostic capabilities [13][14] - Advanced imaging modalities like MRI, CT, and PET/CT are experiencing disproportionate growth compared to routine imaging [14] AI and Technology Integration - AI is crucial for creating capacity and improving throughput in radiology, allowing for better patient management without significant capital investment [15][17] - The implementation of generative AI tools is expected to streamline patient engagement processes and reduce manual labor [25][27] Labor Shortages and Automation - The company faces labor shortages, particularly among imaging technologists, exacerbated by the COVID-19 pandemic [19] - Innovations like the TechLive product allow remote operation of imaging equipment, mitigating the impact of labor shortages and contributing to margin expansion [20][21] Multimodality Strategy and Capitation - RadNet operates as a multimodality provider, offering a full range of imaging services, which enhances referral relationships with physicians [28][29] - The company manages imaging for approximately 1.7 million lives under capitated arrangements, providing predictable revenue and cash flow [30][31] Joint Ventures and Market Expansion - 38% of RadNet's locations are in joint ventures with hospitals, which help drive referrals and improve pricing leverage with insurance companies [36][37] - The company plans to continue expanding its network of imaging centers in response to demand, with a focus on building rather than acquiring [38][39] Future Opportunities - RadNet is exploring new market opportunities, particularly in early disease detection and advanced imaging technologies [40][41] - The company aims to leverage its scale to enhance AI integration and improve operational efficiencies [51] Closing Remarks - RadNet is positioned for growth in the evolving healthcare landscape, with plans for an investor day to discuss future strategies [53]

Company Overview - RadNet, Inc. is a leading national provider of freestanding, fixed-site diagnostic imaging services in the United States, based on the number of locations and annual imaging revenue [3] - The company operates a network of 405 owned and/or operated outpatient imaging centers across various states including Arizona, California, Delaware, Florida, Maryland, New Jersey, New York, and Texas [3] - RadNet employs over 11,000 team members, including contracted radiologists, full-time and per diem employees, and technologists [3] Upcoming Event - RadNet's executives, including Dr. Howard Berger, Mark Stolper, and Mital Patel, will present at the Morgan Stanley 23rd Annual Global Healthcare Conference on September 9, 2025, at 04:50 p.m. Eastern Time [1][2] - The presentation will be held at the Sheraton New York Times Square Hotel [2]

Core Insights - The global medical imaging sector is undergoing a collective revaluation, driven by the integration of AI into clinical efficiency and commercial value [1] - HeartFlow and RadNet's strong stock performance highlights the market's recognition of the "AI + medical imaging" narrative as a key driver for redefining industry value [1][2] - The performance of these companies serves as a valuable reference for Hong Kong-based company Yimai Sunshine in the same sector [1] Company Performance - RadNet operates over 380 imaging centers across 8 states in the U.S., projecting 2024 revenue of $1.83 billion and a net profit of $38.84 million [2] - HeartFlow's AI platform significantly reduces patient risk and medical costs by accurately assessing coronary artery narrowing without invasive procedures, marking its transition from technical validation to commercial explosion [2] - Yimai Sunshine is expected to report a revenue of 450-480 million yuan for the first half of 2025, reflecting a year-on-year growth of 8.8%-16% and a net profit increase of 1350%-1550% [2] Business Model and Strategy - Yimai Sunshine differentiates itself through a "store-service-data-AI" integrated model, which is more comprehensive than RadNet and HeartFlow's approaches [3][4] - The company operates 106 imaging centers, covering 16 provinces in China, with an annual scanning volume exceeding 10 million [3] - Yimai Sunshine's AI initiative, "Yinghe Yimai," aims to launch a global first medical imaging foundation model by January 2025, with expected AI reading accuracy above 95% [4] Market Potential - The U.S. third-party imaging market penetration is around 40-50% with a growth rate of less than 5%, while China's penetration is only about 1%, with a projected market size of 18.6 billion yuan by 2030 and a compound annual growth rate of 30.7% [5] - Yimai Sunshine's current market valuation of 6.3 billion HKD is significantly lower than its business scale and market potential, suggesting a potential undervaluation compared to its U.S. counterparts [4][5] - The company is positioned to capitalize on the explosive growth potential in the Chinese market, which is 15 times larger than the U.S. in terms of growth opportunities [5]

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2025 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission File Number 001-33307 Not Applicable (Former name, former address and former fiscal year, if changed since last report) Securiti ...

Financial Data and Key Metrics Changes - Total company revenue increased by 8.4% to a quarterly record of $498,200,000 compared to the same quarter last year [8][24] - Adjusted EBITDA rose by 12.3% to a record $81,200,000, up from $72,300,000 in the previous year [13][24] - Adjusted EBITDA margin improved to 16.3%, compared to 15.7% in the same quarter last year, reflecting a margin expansion of almost 60 basis points [13][24] Business Line Data and Key Metrics Changes - Digital health segment revenue increased by 30.9% to a quarterly record of $20,700,000 [8][24] - Advanced imaging procedures grew by 9% in aggregate and 6.6% on a same-center basis compared to last year's second quarter [22] - PETCT procedures saw a significant increase of 22.4% on an aggregate basis and 16.2% on a same-center basis [11][22] Market Data and Key Metrics Changes - The company reported a cash balance of $833,000,000 and a net debt to adjusted EBITDA ratio of 0.96 as of June 30, 2025 [18][26] - Days sales outstanding (DSOs) improved to 32.4 days, slightly lower than the previous year [26] Company Strategy and Development Direction - The company is focusing on expanding advanced imaging procedures and enhancing operational efficiency through technology such as TechLive and C Mode [12][35] - There is a strong emphasis on integrating AI solutions to improve diagnostic accuracy and operational workflows [33][35] - The company plans to open nine additional facilities by the end of the year and has 11 more in development for 2026, indicating a commitment to expanding capacity [23][47] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the recovery from disruptions caused by wildfires and severe weather, highlighting a return to growth [8][22] - The anticipated increase in Medicare reimbursement rates is expected to provide a revenue uplift of approximately $4 to $5 million in 2026 [30][31] - The company is confident in its ability to invest its cash balance in opportunities that align with strategic objectives [18][27] Other Important Information - The acquisition of iCAD and C Mode Technology is expected to enhance the company's capabilities in AI-powered diagnostic solutions [15][16] - The company is actively evaluating a pipeline of acquisition opportunities in both core imaging services and digital health [18][67] Q&A Session Summary Question: Can you discuss the anticipated capacity increase from new technologies and facilities? - Management highlighted a 40% reduction in MRI room closures due to TechLive, which significantly increases capacity [40][41] - The company expects to add 22 additional centers, representing a 5% increase in capacity [47][48] Question: What is the initial feedback from the iCAD customer base regarding cross-selling opportunities? - Management indicated it is early in the integration process but is pleased with the quality of the sales and marketing teams [49] Question: How does the company view the impact of EBCD reimbursement announcements on payer conversations? - Management noted that the endorsement from a capitated group for EBCD is expected to influence other payers positively [51] Question: What are the anticipated margins from the implementation of new technologies? - Management expects substantial flow-through margins as more scans are performed in existing facilities without significant additional costs [65] Question: How is the company planning to allocate capital for M&A and de novo facilities? - The company plans to focus on traditional imaging center acquisitions while also evaluating digital health opportunities [67]

Financial Data and Key Metrics Changes - Total company revenue for Q2 2025 reached a record $498.2 million, an increase of 8.4% compared to the same quarter last year [8][24] - Adjusted EBITDA also set a quarterly record at $81.2 million, up 12.3% from $72.3 million in Q2 2024, with an adjusted EBITDA margin of 16.3%, improving from 15.7% year-over-year [14][24] Business Line Data and Key Metrics Changes - The digital health segment reported revenue of $20.7 million, a significant increase of 30.9% from the previous year [24] - Advanced imaging procedures grew by 9% in aggregate and 6.6% on a same-center basis compared to Q2 2024, with PETCT being the fastest-growing modality, increasing 22.4% in aggregate [22][24] Market Data and Key Metrics Changes - The company experienced a rebound in business following disruptions from California wildfires and severe winter weather, leading to a return to anticipated growth levels [8][22] - The shift of procedural volumes from hospitals to more cost-effective ambulatory centers continues to drive growth in the imaging sector [9] Company Strategy and Development Direction - The company is focusing on expanding advanced imaging capacity and improving operational efficiency through technology investments, including the implementation of TechLive and acquisitions like iCAD and C Mode [13][16][32] - The strategy includes enhancing patient diagnosis and outcomes through AI-powered solutions and expanding the digital health segment [15][16][32] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about future growth, citing improvements in reimbursement rates and the ongoing demand for advanced imaging procedures [9][10][14] - The company anticipates a modest increase in Medicare reimbursement rates for 2026, which could result in an additional $4 to $5 million in revenue [29] Other Important Information - As of June 30, 2025, the company had a cash balance of $833 million and a net debt to adjusted EBITDA ratio of 0.96, indicating strong financial liquidity [18][26] - The company plans to open nine new facilities by the end of 2025 and has additional projects in the pipeline for 2026 [22][44] Q&A Session Summary Question: Can you discuss the anticipated capacity increase from new technologies and facilities? - Management highlighted a 40% reduction in MRI room closures due to TechLive, which has significantly increased capacity in high-demand areas like New York [38][39] Question: What initial feedback has been received from the iCAD customer base? - Management noted that it is early in the integration process but expressed satisfaction with the quality of the sales and marketing teams and the potential for cross-selling opportunities [47] Question: How does the company view the impact of EBCD reimbursement announcements? - Management indicated that the endorsement from a capitated group for EBCD could encourage other payers to recognize its value, leading to broader adoption [49][50] Question: What is the outlook for M&A and capital deployment? - The company is focusing on traditional imaging center acquisitions and evaluating digital health opportunities, with plans to deploy capital in the second half of the year [66][68] Question: What are the expected margins from the deployment of new technologies? - Management anticipates substantial margin improvements from increased efficiency and capacity utilization through the implementation of AI and operational tools [64][81]