SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K/A
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Act of 1934
Date of Report (Date of earliest event reported): March 5, 2013
FONAR CORPORATION
------------------------------------------------------
(Exact name of registrant as specified in its charter)
Delaware | 0-10248 | 11-2464137 | ||
State or other jurisdiction of incorporation) | (Commission File Number) | (I.R.S. Employer Identification No.) |
110 Marcus Drive
Melville, New York 11747
(631) 694-2929
(Address, including zip code, and telephone number
of registrant's principal executive office)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
[ ] Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Page 1 |
EXPLANATORY NOTE
On March 5, 2013, Fonar Corporation, a Delaware corporation (“Fonar”), filed a Form 8-K to report its acquisition, through its wholly-owned subsidiary Health Management Corporation of America (“HMCA”), a Delaware corporation, through a majority interest in a newly formed limited liability company, a business managing 12 stand-Up MRI centers and two other scanning centers. The newly formed limited liability company is now known as Health Diagnostics Management, LLC (“HDM”). In response to parts (a) and (b) of Item 9.01 of such Form 8-K, Fonar stated that it would file the required financial information by amendment, as permitted by Items 9.01(a)(4) and 9.01(b)(2) of Form 8-K. Fonar hereby amends its Form 8-K filed on March 11, 2013 to provide the required financial information.
Item 9.01. Financial Statements and Exhibits.
(a) Consolidated Financial statements of business acquired, Health Diagnostics, LLC and Subsidiaries.
Consolidated Balance Sheets of Health Diagnostics, LLC and subsidiaries as of December 31, 2011 and 2010 and related Consolidated Statements of Income and Comprehensive Loss, Members Equity and Cash Flows for the years ended December 31 ,2011 and 2010, with the report of the Independent Registered Public Accounting Firm thereon.
Unaudited Consolidated Balance Sheet of Health Diagnostics, LLC and subsidiaries as of September 30, 2012 and 2011 and the related unaudited Consolidated Statement of Income and Comprehensive Loss, Members Equity and Cash Flows of the nine months then ended.
(b) Pro forma financial information.
Unaudited Pro Forma Condensed Consolidated Balance Sheet as of September 30, 2012.
Unaudited Pro Forma Condensed Consolidated Statement of Operations for the year ended June 30, 2012.
Unaudited Pro Forma Condensed Consolidated Statement of Operations for the three months ended September 30, 2012.
Notes to Unaudited Pro Forma Condensed Consolidated Financial Statements.
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(a) Financial Statements of Business Acquired
On March 5, 2013, Fonar, through its subsidiary HMCA, acquired through a majority interest in a newly formed limited liability company, a business managing 12 Stand-Up MRI centers and two other scanning centers. The newly formed limited liability company will be known as Health Diagnostics Management, LLC (“HDM”) (a New York limited liability company). The following financial statements are those of Health Diagnostics, LLC and subsidiaries (“HD”). They are not the financial statements of Fonar Corporation’s wholly-owned subsidiary.
HEALTH DIAGNOSTICS, LLC
& SUBSIDIARIES
CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONTENTS
Independent Auditors’ Report | 2 | |||
Consolidated Financial Statements | ||||
Consolidated Balance Sheets | 3-4 | |||
Consolidated Statements of Income and Comprehensive Loss | 5-6 | |||
Consolidated Statement of Changes in Members’ Equity | 7 | |||
Consolidated Statements of Cash Flows | 8-9 | |||
Notes to Consolidated Financial Statements | 10-39 |
Page 3 |
MARCUM
ACCOUNTANTS & ADVISORS
INDEPENDENT AUDITORS’ REPORT
To the Managing Member of
Health Diagnostics, LLC
We have audited the accompanying consolidated balance sheets of Health Diagnostics, LLC and Subsidiaries (the “Company”) as of December 31, 2011 and 2010, and the related consolidated statements of income and comprehensive loss, changes in members’ equity, and cash flows for the years then ended. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audit.
We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Health Diagnostics, LLC and Subsidiaries as of December 31, 2011 and 2010, and the results of their operations and their cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America.
Marcum LLP
/s/ Marcum LLP
New York, NY
September 13, 2012
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Assets | ||||||||
Current Assets | ||||||||
Cash | $ | 11,643,094 | $ | 1,190,760 | ||||
Accounts receivable, net | 13,837,564 | 12,331,135 | ||||||
Prepaid expenses and other current assets | 1,446,042 | 1,290,275 | ||||||
Assets of discontinued operations | 5,987,487 | 24,360,831 | ||||||
Total Current Assets | 32,914,187 | 39,173,001 | ||||||
Property and Equipment, Net | 6,761,225 | 8,589,771 | ||||||
Other Assets | ||||||||
Amortizable intangible assets, net | 151,448 | 356,955 | ||||||
Goodwill | 52,709,844 | 52,709,844 | ||||||
Other assets | 393,641 | 356,086 | ||||||
Total Other Assets | 53,254,933 | 53,422,885 | ||||||
Total Assets |
|
$ | 92,930,345 | $ | 101,185,657 |
The accompanying notes are an integral part of these consolidated financial statements.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Liabilities and Members' Equity
| ||||||||
Current Liabilities | ||||||||
Obligations under capital leases, current portion | $ | 368,924 | $ | 791,118 | ||||
Obligations under long-term debt, current portion | 145,431 | 947,907 | ||||||
Accounts payable, accrued expenses and other liabilities | 6,001,708 | 8,705,978 | ||||||
Liabilities of discontinued operations | 1,647,865 | 9,357,876 | ||||||
Total Current Liabilities | 8,163,928 | 19,802,879 | ||||||
Long-Term Liabilities | ||||||||
Obligations under capital lease, less current portion | 425,646 | 481,180 | ||||||
Obligations under long-term debt, less current portion | — | 387,107 | ||||||
Total Long-Term Liabilities | 425,646 | 868,287 | ||||||
Total Liabilities | 8,589,574 | 20,671,166 | ||||||
Commitments and Contingencies | ||||||||
Members' Equity | ||||||||
Controlling interest | 82,661,731 | 79,885,990 | ||||||
Non-controlling interests in subsidiaries | 1,679,040 | 628,501 | ||||||
Total Members' Equity | 84,340,771 | 80,514,491 | ||||||
Total Liabilities and Members' Equity | $ | 92,930,345 | $ | 101,185,657 |
The accompanying notes are an integral part of these consolidated financial statements.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED FINANCIAL STATEMENTS OF INCOME AND COMPREHENSIVE LOSS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Revenues, Net | ||||||||
Patient revenue | $ | 18,387,674 | $ | 20,163,162 | ||||
Management fee revenue | 14,268,592 | 13,619,373 | ||||||
Total Revenues, Net | 32,656,266 | 33,782,535 | ||||||
Operating Expenses | ||||||||
Clinic operating costs, exclusive of depreciation, amortization and corporate office costs: | ||||||||
Cost of medical services | 4,618,357 | 4,348,645 | ||||||
Salaries and related costs | 9,659,922 | 11,366,722 | ||||||
Facilities cost | 5,136,630 | 5,786,196 | ||||||
Equipment lease expense and service | 1,651,738 | 1,406,407 | ||||||
Travel, entertainment and marketing costs | 726,498 | 822,734 | ||||||
Other clinic operating costs | 2,974,902 | 1,716,566 | ||||||
Total clinic operating costs | 24,768,047 | 25,447,270 | ||||||
Corporate office costs | 3,651,975 | 8,324,343 | ||||||
Depreciation | 3,590,285 | 3,125,245 | ||||||
Amortization of intangible assets | 204,738 | 553,600 | ||||||
Total Operating Expenses | 32,215,045 | 37,450,458 | ||||||
Income (Loss) from Operations | 441,221 | (3,667,923 | ) | |||||
Other (Expense) Income | ||||||||
(Loss) gain on sale or disposition of assets | (1,009,136 | ) | 495,535 | |||||
Other expense | (4,383 | ) | (2,000 | ) | ||||
Interest expense | (130,974 | ) | (199,303 | ) | ||||
Total Other (Expense) Income | $ | (1,144,493 | ) | $ | 294,232 |
The accompanying notes are an integral part of these consolidated financial statements.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME AND
COMPREHENSIVE LOSS (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Loss from Continuing Operations | $ | (703,272 | ) | $ | (3,373,691 | ) | ||
Income (Loss) from Discontinued Operations | 4,344,642 | (12,787,413 | ) | |||||
Net Income (Loss) | 3,641,370 | (16,161,104 | ) | |||||
Non-Controlling Interest in Subsidiaries in Net Loss of Subsidiaries | (865,629 | ) | (528,129 | ) | ||||
Controlling Interest - Net Income (Loss) | $ | 2,775,741 | $ | (16,689,233 | ) | |||
Net Income (Loss) | $ | 3,641,370 | $ | (16,161,104 | ) | |||
Other Comprehensive Loss - Unrealized Loss on Interest Rate Hedge | -- | (18,489 | ) | |||||
Total Comprehensive Income (Loss) | 3,641,370 | (16,179,593 | ) | |||||
Non-Controlling Interest in Subsidiaries in Total Comprehensive Loss | (865,629 | ) | (528,129 | ) | ||||
Controlling Interest in Total Comprehensive Income (Loss) | $ | 2,775,741 | $ + |
(16,707,722 | ) |
The accompanying notes are an integral part of these consolidated financial statements.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN MEMBERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Controlling Interest | Non-Controlling Interest In Subsidiaries | Accumulated Other Comprehensive Loss | Total | |||||||||||||
Members' Equity - January 1, 2009 | $ | 96,575,223 | $ | 544,512 | $ | (293,511 | ) | $ | 96,826,224 | |||||||
Distributions | -- | (444,140 | ) | -- | (444,140 | ) | ||||||||||
Other comprehensive loss - interest rate hedge | -- | -- | (18,489 | ) | (18,489 | ) | ||||||||||
Settlement of interest rate hedge | -- | -- | 312,000 | 312,000 | ||||||||||||
Net loss for the year | (16,689,233 | ) | 528,129 | -- | (16,161,104 | ) | ||||||||||
Members' Equity - December 31, 2010 | 79,885,990 | 628,501 | -- | 80,514,491 | ||||||||||||
Contributions | -- | 1,569,845 | -- | 1,569,845 | ||||||||||||
Distributions | -- | (736,622 | ) | -- | (736,622 | ) | ||||||||||
Dispositions | -- | (648,313 | ) | -- | (648,313 | ) | ||||||||||
Net income for the year | 2,775,741 | 865,629 | -- | 3,641,370 | ||||||||||||
Members' Equity - December 31, 2011 | $ | 82,661,731 | $ | 1,679,040 | $ | -- | $ | 84,340,771 |
The accompanying notes are an integral part of these consolidated financial statements.
Page 9 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Cash Flows from Continuing Operations | ||||||||
Cash Flows from Operating Activities | ||||||||
Net loss from continuing operations | $ | (703,272 | ) | $ | (3,373,691 | ) | ||
Adjustments to reconcile net loss from continuing operations to net cash provided by operating activities: | ||||||||
Depreciation | 3,590,285 | 3,125,245 | ||||||
Amortization | 204,738 | 553,600 | ||||||
Loss on sale of BMC | 788,861 | -- | ||||||
Loss on sale of Hollywood | 220,275 | -- | ||||||
Gain on sale of Tricat | - | (525,323 | ) | |||||
Loss on disposal of Freehold | -- | 1,004,909 | ||||||
Gain on sale of MTI/DTG | -- | (1,693,421 | ) | |||||
Loss on disposal of Yonkers | -- | 74,434 | ||||||
Loss on sale of Dolphin | -- | 643,866 | ||||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable, net | (1,506,429 | ) | (1,179,221 | ) | ||||
Accounts payable, accrued expenses and other current liabilities | (2,806,314 | ) | (1,141,764 | ) | ||||
Prepaid expenses and other assets | 820,258 | 4,597,452 | ||||||
Total Adjustments | 1,311,674 | 5,459,777 | ||||||
Net Cash Provided by Operating Activities | 608,402 | 2,086,086 | ||||||
Cash Flows from Investing Activities | ||||||||
Purchases of property and equipment | (397,209 | ) | (976,414 | ) | ||||
Cash received from BMC sale | 13,930,000 | -- | ||||||
Cash received from Hollywood sale | 150,000 | -- | ||||||
Cash received from Tricat sale | -- | 3,500,000 | ||||||
Cash received from MTI/DTG sale | -- | 28,000,000 | ||||||
Cash received from Freehold disposition | -- | 332,000 | ||||||
Net Cash Provided by Investing Activities | $ | 13,682,791 | $ | 30,855,586 |
The accompanying notes are an integral part of these consolidated financial statements.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
2011 | 2010 | |||||||
Cash Flows from Financing Activities | ||||||||
Payments on long term debt and capital leases | $ | (2,502,034 | ) | $ | (1,902,968 | ) | ||
Deferred financing costs | (20,949 | ) | — | |||||
Distributions to non-controlling interests in subsidiaries | (191,180 | ) | — | |||||
Net Cash Used in Financing Activities | (2,714,163 | ) | (1,902,968 | ) | ||||
Net Increase in Cash from Continuing Operations | 11,577,030 | 31,038,704 | ||||||
Cash Flows of Discontinued Operations | ||||||||
Operating cash flows | 4,487,288 | 1,363,318 | ||||||
Investing cash flows | (998,802 | ) | (183,289 | ) | ||||
Financing cash flows | (4,613,182 | ) | (31,587,695 | ) | ||||
Net Cash Used In Discontinued Operations | (1,124,696 | ) | (30,407,666 | ) | ||||
Net Increase in Cash | 10,452,334 | 631,038 | ||||||
Cash - Beginning | 1,190,760 | 559,722 | ||||||
Cash - Ending | $ | 11,643,094 | $ | 1,190,760 | ||||
Supplemental Disclosure of Cash Flow Information | ||||||||
Cash paid during the years for: | ||||||||
Interest - continuing operations | $ | 130,972 | $ | 360,554 | ||||
Income taxes - discontinuing operations | $ | — | $ | 51,549 | ||||
Non-cash investing and financing activities: | ||||||||
Non-cash contribution from non-controlling interest - continuing operations | $ | 300,000 | $ | — | ||||
Contribution of assets from non-controlling interests in subsidiaries | $ | 699,863 | $ | — | ||||
Receivable from non-controlling member | $ | 569,982 | $ | — | ||||
Capital lease obligation incurred for equipment | $ | 416,060 | $ | 269,612 | ||||
Insurance financing | $ | 418,663 | $ | 367,556 | ||||
Increase in derivative liability and accumulated other comprehensive loss | $ | — | $ | 18,489 |
The accompanying notes are an integral part of these consolidated financial statements.
Page 11 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 1 - Description of Business and Basis of Consolidation
Description of Business
Health Diagnostics, LLC (the “Company”) is a national provider of healthcare business management services. The Company provides outpatient diagnostic imaging equipment, facilities and business management solutions for radiologists. Outpatient imaging services, such as Magnetic Resonance Imaging (“MRI”), Ultrasound and X-Ray, are provided at the Company’s 14 locations. Many locations offer Stand-Up MRI services, allowing patients to be scanned in weight-bearing and virtually any other position without the claustrophobic nature of traditional MRI scanning.
Health Diagnostics was formed in 2007 as a Delaware Limited Liability Company, and grew through a combination of acquisitions and newly-formed entities. The Company’s facility count by year is summarized as follows:
Year | Acquisition | Divestiture | Newly Formed | Total | ||||||||||||||
2007 | 22 | -- | -- | 22 | ||||||||||||||
2008 | 10 | -- | -- | 32 | ||||||||||||||
2009 | 1 | -- | 2 | 35 | ||||||||||||||
2010 | -- | 14 | -- | 21 | ||||||||||||||
2011 | -- | 7 | -- | 14 | ||||||||||||||
Total | 33 | 21 | 2 | 14 |
Basis of Consolidation
The consolidated financial statements include the accounts of the Company and all of its wholly-owned subsidiaries and joint ventures. All of the consolidated entities are structured as limited liability companies (“LLCs”). The Company consolidates the joint ventures due to majority ownership or control through the operating agreement. All significant intercompany balances and transactions have been eliminated in consolidation.
Note 2 - Summary of Significant Accounting Policies
Use of Estimates
The preparation of the consolidated
financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities in the
consolidated financial statements and accompanying notes.
Page 12 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Use of Estimates (continued)
The most significant estimates relate to revenue recognition, valuation of accounts receivable and depreciation and amortization of assets and determination of asset impairments. In addition, healthcare industry reforms and reimbursement practices will continue to impact the Company's operations and the determination of contractual and other allowance estimates. Actual results could differ from these estimates.
Property and Equipment
Property and equipment purchased in the normal course of business are stated at cost. Property and equipment are depreciated for financial reporting purposes using the straight-line method over the shorter of their estimated useful lives, generally five to seven years, or the term of a capital lease, if applicable. Leasehold improvements are amortized over the shorter of the useful life or remaining lease term. Upon retirement or other disposition of these assets, the cost and related accumulated depreciation of these assets will be removed from the accounts and the resulting gains or losses reflected in the results of operations as incurred. Expenditures for maintenance and repairs are charged to operations. Renewals and betterments are capitalized.
Construction-in-progress will include direct costs, including interest, which will continue to be capitalized until the facility is opened. Depreciation of the capitalized costs related to the facility, including interest capitalized, will commence the month after the facility is opened and will be based upon the useful life of the asset, as outlined above.
Long-Lived Assets
The Company evaluates the carrying value of long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying value of an asset (including property and equipment and amortizable intangible assets) within the scope of Accounting Standards Codification (“ASC”) 360-10, “Accounting for the Impairment or Disposal of Long-Lived Assets”, may not be recoverable. The amount of impairment is calculated by comparing discounted future cash flows with the carrying value of the related asset. In performing this analysis, management determined that the carrying value of the related assets were not impaired and as such did not record an impairment loss in 2011 or 2010.
Page 13 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Goodwill and Other Intangible Assets
The Company follows the provision of ASC 350-10, “Goodwill and Other Intangible Assets,” which requires goodwill and other intangible assets that have indefinite useful lives to be tested at least annually for impairment, or whenever events or circumstances indicate that the carrying amount of the assets may not be recoverable. ASC 350-10 also requires an evaluation of existing acquired goodwill and other intangible assets for proper classification. The Company recorded an impairment charge of $3,992,142 in 2010 to reduce the carrying value of its goodwill related to operations classified as discontinuing. There was no impairment charge recorded in 2011 related to goodwill and other intangible assets.
Fair Value of Financial Instruments
ASC 825, “Financial Instruments,” defines fair value of a financial instrument as the amount at which the instrument could be exchanged in a current transaction between willing parties. The methods and assumptions used to estimate the fair value of the financial instruments are as follows:
Receivables and accounts payable and accrued expenses, other current assets and other liabilities: The carrying amounts approximate fair value because of the short maturity of those instruments.
Long-term debt, including obligations under capital leases: The fair value of long-term debt and obligations under capital leases approximate their carrying value because the effective interest rates reflect recent market conditions.
Revenue - Net and Accounts Receivable
The Company recognizes revenue from services provided to patients (‘Net Patient Revenue”), primarily from their business in Florida, California and New Jersey, and from services provided under management agreements (“Management Fee Revenue”), primarily from their business in New York.
a. | Net Patient Revenue and Related Accounts Receivable |
The Company recognizes revenue as medical services are provided to patients. Revenue is reported at the estimated net realizable amount from insurance companies, third-party payors, hospitals, patients and others for services rendered. These services are typically billed to insurance companies, hospitals, patients, or the patient's legal counsel. Substantially all the revenue relates to patients residing in Florida.
Page 14 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Revenue - Net and Accounts Receivable (continued)
a. | Net Patient Revenue and Related Accounts Receivable (continued) |
The carrying amount of accounts receivable may be reduced by an allowance that reflects management's best estimate of the amounts that will not be collected. The Company determines allowances for contractual adjustments and uncollectible accounts based on the specific agings and payor classifications at each clinic. Management periodically reviews all accounts receivable in order to determine the portion, if any, of the balance that will not be collected.
b. | Management Fee Revenue and Management Fees Receivable |
As of December 31, 2011, the Company has management agreements with nine separate New York-based Medical Entities (“MEs”), all owned by one unrelated radiologist. The contractual fees for services rendered to the each of the nine New York-based MEs consist of fixed annual fees ranging from approximately $1,560,000 to $2,788,450. Each management agreement is cancellable by either party with 180 days written notice, and otherwise provides for an annual renegotiation of fees to be charged and services to be provided. Revenue is recognized under the management contracts on a monthly basis equal to the lower of the contractual fee or the net realizable amount based on the revenue recognition criteria enumerated in ASC 605. On a quarterly basis, management assesses the net realizable value of its management fees.
As part of that assessment, management reviews and analyzes the data furnished to the Company by each ME, including the MEs receivables from third party medical reimbursement organizations and the MEs operating expenses. The Company's receivables from the MEs consist of fees outstanding under management agreements with the MEs. Payment of the outstanding fees is dependent upon collection by the MEs of fees from third party medical reimbursement organizations, principally insurance companies and health management organizations. The management fees receivable are collateralized by the respective medical receivables of each ME.
Collection by the Company of its management fees receivable may be impaired by the uncollectibility of the MEs’ medical fees from third-party payors, particularly insurance carriers covering automobile no-fault and workers’ compensation claims, because of longer payment cycles and rigorous informational requirements. The Company considers the aging of its management fees receivable and net realizable value of MEs’ medical receivables in determining the amount of allowance for uncollectible accounts and unrecognized contractual billings. The Company takes all legally available steps to collect its receivables.
Page 15 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Advertising Costs
Advertising costs are expensed as incurred. Advertising expense for the years ended December 31, 2011 and 2010 amounted to approximately $55,269 and $123,138, respectively.
Operating Leases
Leases that are operating leases with defined scheduled rent increases are accounted for in accordance with ASC Topic 840. The scheduled rent increases are recognized on a straight-line basis over the lease term.
Fair Value Measurements
The Company adopted ASC 820, “Fair Value Measurements and Disclosures”, effective January 1, 2008. ASC 820 defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date (exit price) in the principal or most advantageous market for the asset or liability. ASC 820 establishes a three-level fair value hierarchy that prioritizes the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimizes the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows:
Level 1: Quoted prices in active markets for identical assets or liabilities.
Level 2: Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable data.
Level 3: Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.
Page 16 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Fair Value Measurements (continued)
The Company has classified financial assets and liabilities based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment, and may affect the valuation of the fair value of assets and liabilities and their placement within the fair value hierarchy levels.
The Company does not have any financial assets that are required to be recorded at fair value.
Concentration of Credit Risk and Equipment Supplier
Management fees receivable and net management revenues are substantially derived from nine separate MEs, which are all owned by one unrelated radiologist. For the years ended December 31, 2011 and 2010, approximately 49% and 50%, respectively, of the MEs’ billings were derived from no-fault and workers’ compensation claims, approximately 24% and 24%, respectively, of the ME’s billings were billed to commercial insurance carriers and 11% and 11%, respectively, of the ME’s billings were billed to Medicare.
For the years ended December 31, 2011 and 2010, approximately 49% and 49%, respectively, of the Company’s net patient revenue were billed to no-fault and personal injury insurers, 20% and 19%, respectively, of the Company’s net patient revenue were billed to commercial insurance carriers and approximately 9% and 10%, respectively, of the Company’s net patient revenue were billed to Medicare contractors.
The Company places its cash deposits and temporary cash investments with AAA-rated financial institutions. At times, its cash may be uninsured or in deposit accounts that exceed the Federal Deposit Insurance Corporation insurance limit.
As of December 31, 2011, the Company has 12 stand-up MRI machines manufactured by FONAR Corporation, a related party (NASDAQ: FONR) (“FONAR”). FONAR is the exclusive manufacturer and the only authorized vendor to service the stand-up MRI machines.
Page 17 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Non-Controlling Interest in Subsidiaries
The Company records adjustments to non-controlling interest for the allocable portion of income or loss that the non-controlling interest holders are entitled to based upon their percentage ownership of the subsidiaries. Distributions to non-controlling interest partners are recorded to the respective non-controlling interest account.
The following are entities in which the Company has less that 100% ownership percentage as of December 31, 2011:
Company’s Ownership Percentages | ||||
Health Diagnostics Orlando | 78.84 | % | ||
HD Ultrasound, LLC | 50.00 | % | ||
HD of Hicksville | 50.00 | % |
On March 22, 2011, a group of investors (“Buckeye”) contributed assets at fair value of $699,863 and $569,982 of cash which was received subsequent to December 31, 2011 in exchange for a 21.16% interest in Health Diagnostics Orlando. Buckeye is made up primarily of Company and FONAR management and unrelated third parties.
Employee Benefit Plans
The Company sponsors a defined-contribution 401(k) Plan (“Plan”) to provide retirement and incidental benefits for its employees. Employees may contribute a discretionary annual contribution to the Plan, limited to a maximum annual amount as set periodically by the Internal Revenue Service. The Plan provides for discretionary contributions as determined by management. Such contributions to the Plan are allocated among eligible participants in the proportion of their salaries to the total salaries of all participants. The Company did not make contributions to the plan during the years ended December 31, 2011 and 2010.
Subsequent Events
Management has evaluated subsequent events to determine if events or transactions occurring through September 13, 2012, the date these financial statements were available to be issued, require adjustment to or disclosure in the financial statements.
Page 18 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 2 - Summary of Significant Accounting Policies (continued)
Recently Promulgated Accounting Pronouncements
In July 2011, Accounting Standards Update (“ASU”) No. 2011-07, “Presentation and Disclosure of Patient Service Revenue, Provision of Bad Debts, and the Allowance for Doubtful Accounts for Certain Healthcare Entities” was issued by the Financial Accounting Standards Board Emerging Issues Task Force. This amendment to the accounting code instructs healthcare entities to provide greater transparency about health care entity’s net patient service revenue.
Healthcare entities will be required to assess the patient’s ability to pay at the time service is provided and to reduce the patient service revenue amount by this (as opposed to including within the provision for bad debts). This guidance is in effect for annual periods ending after December 15, 2012. The Company is currently evaluating the impact that the adoption of ASU No. 2011-07 will have on its consolidated financial statements.
In September 2011, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment, to simplify how entities test goodwill for impairment. ASU 2011-08 allows entities to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If a greater-than-50-percent likelihood exists that the fair value is less than the carrying amount, then a two-step goodwill impairment test, as described in Topic 350, must be performed. The guidance provided by this update becomes effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011. The adoption of this standard is not expected to have a material impact on the Company’s consolidated financial position and results of operations.
Note 3 - Sale of Assets/Divestitures
2010 Transactions
Tricat Sale
On July 31, 2010, the Company sold substantially all of the physical assets of the Tricat (New Jersey) facilities, excluding Freehold, for $3,500,000. The acquirer also assumed the remainder of the leases on the facilities, however did not acquire the related Accounts Receivable. The results of the sold facilities operations are classified within discontinued operations for the year ended December 31, 2010. An impairment loss of $2,136,054 was recorded in 2009 related to these assets. A gain of $525,323 was recorded on the transaction for the year ended December 31, 2010.
Page 19 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 3 - Sale of Assets/Divestitures (continued)
2010 Transactions/Divestitures (continued)
Freehold Divestiture
On July 31, 2010, the Company ceased operations at the Freehold facility in New Jersey. On August 30, 2010, the Company entered into an agreement to sell the Diagnostic Imaging equipment for $332,000. 10% was due upon receipt of the countersigned agreement and the balance due upon pickup of the equipment, which occurred in September 2010.
The results of the sold facility’s operations are classified within discontinued operations for the year ended December 31, 2010. A loss of $1,004,909 was recorded on the transaction for the year ended December 31, 2010.
MTI/DTG Sale
On September 24, 2010, the Company sold substantially all of the physical assets of the Midtown & DTG facilities, except for accounts receivables in exchange for $28,000,000 in cash, plus $3,000,000 placed into an escrow account for two years control by the acquirer. The acquirer assumed the remainder of the leases on the facilities. The results of the sold facilities’ operations are classified within discontinued operations for the year ended December 31, 2010. An impairment loss of $8,698,598 was recorded in 2009 related to these assets. A gain of $1,693,421 was recorded on the transaction for the year ended December 31, 2010.
Yonkers Divestiture
On September 21, 2010, the Company agreed to assign the lease for the Yonkers facility prior to its opening to a subsidiary of FONAR. The Company was required to pay the appropriate facility costs through March 2011 in order for the assignment to be valid. The assets of the facility were deemed to a deminimus value and a loss of $74,434 was recorded for the year ended December 31, 2010. The rent and other operations costs from 2010 and 2011 were included within discontinued operations.
Dolphin Sale
On October 1, 2010, the Company sold substantially all of the physical assets of the Santa Rosa facility for $1. The acquirer also assumed the remainder of the lease on the facility. The results of this facility’s operations are classified within discontinued operations for the year ended December 31, 2010. A loss of $643,866 was recorded on the transaction for the year ended December 31, 2010.
Page 20 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 3 - Sale of Assets/Divestitures (continued)
2011 Transactions
Hollywood Sale
On May 31, 2011, the Company sold substantially all of the physical assets of the Hollywood facility for $150,000 and a $50,000 contingent note payable two years after the close of the transaction, if certain pre-set volume thresholds were met. The acquirer also assumed the remainder of the lease on the facility. The Company kept the related Accounts Receivable. The results of this facility’s operations are classified within discontinued operations for 2010 through the date of the sale. A loss of $220,275 was recorded on the transaction for the year ended December 31, 2011.
BMC Sale
On December 15, 2011, the Company sold substantially all of the physical assets of the BMC facilities, excluding the medical receivables and the San Jose Medical Group and California Ultra Sound facilities in exchange for $13,930,000 in cash. The acquirer also assumed the remainder of the leases on the sold facilities. The results of the included facilities operations are classified within discontinued operations for 2010 through the date of sale. An impairment loss of $3,992,142 was recorded in 2010 related to these assets. A loss of $788,861 was recorded on the transaction for the year ended December 31, 2011.
Note 4 - Accounts Receivable, Net
The breakdown of accounts receivable, net, at December 31, 2011 and 2010, is as follows:
December 31, 2011 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 5,262,310 | $ | 9,075,254 | $ | 14,337,564 | ||||||
Allowance for uncollectible accounts | (500,000 | ) | -- | (500,000 | ) | |||||||
Accounts Receivable, Net | $ | 4,762,310 | $ | 9,075,254 | $ | 13,837,564 |
December 31, 2010 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||||||||||
Accounts receivable, net of contractual allowances | $ | 4,907,427 | $ | 7,923,708 | $ | 12,831,135 | ||||||||||||||
Allowance for uncollectible accounts | (500,000 | ) | -- | (500,000 | ) | |||||||||||||||
Accounts Receivable, Net | $ | 4,407,427 | $ | 7,923,708 | $ | 12,331,135 |
Page 21 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 5 - Property and Equipment, Net
Property and equipment, net, consist of the following at December 31, 2011 and 2010:
Useful Life | 2011 | 2010 | ||||||||
Fixtures | 5 to 7 years | $ | 409,087 | $ | 403,865 | |||||
Diagnostic equipment | 5 to 7 years | 10,222,476 | 9,255,245 | |||||||
Leasehold improvements | 5 to 10 years | 3,558,101 | 3,006,300 | |||||||
Computer and billing system | 3 to 5 years | 3,900,273 | 3,662,788 | |||||||
18,089,937 | 16,328,198 | |||||||||
Less: accumulated depreciation | (11,328,712 | ) | (7,738,427 | ) | ||||||
Property and Equipment, Net | $ | 6,761,225 | $ | 8,589,771 |
Depreciation expense for property and equipment for the years ended December 31, 2011 and 2010 was $3,590,285 and $3,125,245, respectively. There was depreciation expense of $10,515 and $1,029,560 recorded for discontinued assets in 2011 and 2010, respectively.
Note 6 - Amortizable Intangible Assets, Net
The following is a summary of amortizable intangible assets at December 31, 2011 and 2010:
December 31, 2011 | Cost | Accumulated Amortization | Net Carrying Value | Amortizable Life | ||||||||||
Management, employment and non-compete agreements | $ | 1,701,300 | $ | 1,549,852 | $ | 151,448 | 5 years | |||||||
December 31, 2010 | Cost | Accumulated Amortization | Net Carrying Value | Amortizable Life | ||||||||||
Management, employment and | $ | 1,701,300 | $ | 1,344,345 | $ | 356,955 | 5 years |
Amortization expense for the years ended December 31, 2011 and 2010 was $204,738 and $553,600,
respectively. The balance will be amortized during 2012.
Page 22 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 7 - Capital Leases
Obligations under capital leases in connection with the purchase of property and equipment are as follows:
Each of the obligations under capital leases assumed from the Integrity Group acquisition listed below is collateralized by the respective receivables from each diagnostic imaging facility.
Lessee | 2011 | 2010 | ||||||
Equipment lease dated December 9, 2003 with Hitachi Capital America Corp. for the facility located in Manhattan, New York. Lease provides for 66 monthly payments: 1-3 months of $--, 4-66 of $30,047, including interest of 10.2% per annum. At termination of the lease, equipment purchase option is $1. Assumed from Integrity Group acquisition. | $ | — | $ | 68,096 | ||||
Equipment lease dated December 9, 2003 with Hitachi Capital America Corp. for the facility located in Queens, New York. Lease provides for 66 monthly payments: 1-3 months of $--, 4-66 of $30,047, including interest of 10.2% per annum. At termination of the lease, equipment purchase option is $1. Assumed from Integrity Group acquisition. | — | 68,096 | ||||||
Equipment lease with IFC Credit Corporation for the facility located in Orlando, Florida. Lease provides for 60 monthly payments: 1-6 months of $99, 7-60 of $1,728, including interest of 11.65% per annum through January 15, 2012. At termination of the lease, equipment purchase option is $1. | 3,406 | 24,013 | ||||||
Equipment lease with Key Equipment Finance, Inc., bearing interest at 7.58%, payable in monthly installments of $30,052, including interest through November 2011. At termination of lease, equipment purchase option is $1. | $ | — | $ | 318,363 | ||||
Page 23 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 7 - Capital Leases (continued)
Lessee | 2011 | 2010 | ||||||
Equipment lease dated October 8, 2008 with Philips Medical Capital for the facility located in Miami, Florida. Lease provides for 60 monthly payments: 1-3 months of $--, 4-60 of $21,893, including interest of 6.10% per annum. At termination of the lease, equipment purchase option is $1. | $ | 454,612 | $ | 700,361 | ||||
Equipment lease with Key Equipment Finance, Inc., bearing interest at 6.24% payable in monthly installments of $3,459, including interest, through January 21, 2012. At termination of the lease, equipment purchase option is $1. | — | 43,372 | ||||||
Equipment lease with Western Financial Lease bearing interest at 8.25%, payable in monthly installments of $1,959, including interest through March 16, 2016. At termination of lease, the equipment purchase option is $1. | 84,022 | — | ||||||
Equipment lease with Forum Financial Services bearing interest at 8.4%, payable in monthly installments of $5,558, including interest through April 1, 2014. At termination of lease, the equipment purchase option is $1. | 129,493 | — | ||||||
Equipment lease with Susquehanna Commercial Finance, Inc. bearing interest at 14.4%, payable in monthly installments of $2,253, including interest through March 16, 2016. At termination of lease, the Company will own the equipment. | 85,619 | — | ||||||
Equipment lease with Hewlett Packard Financial Services bearing interest at 10.00%, payable in monthly installments of $1,269, including interest, through October 12, 2014. At termination of the lease, equipment purchase option is $1. | 37,418 | 49,997 | ||||||
Principal balance | 794,570 | 1,272,298 | ||||||
Less: current maturities | (368,924 | ) | (791,118 | ) | ||||
Total Long-Term Maturities | $ | 425,646 | $ | 481,180 | ||||
Page 24 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 7 - Capital Leases (continued)
Future minimum lease payments under the capital lease obligations, as of December 31, 2011 are as follows:
For the Year Ending December 31, | Amount | |||||
2012 | $ | 420,529 | ||||
2013 | 329,501 | |||||
2014 | 71,622 | |||||
2015 | 50,542 | |||||
2016 | 12,640 | |||||
Total minimum lease payments | 884,834 | |||||
Less: amount representing interest, with interest rates varying from 6.1% to 14.4% | (90,264 | ) | ||||
Present Value of Minimum Lease Payments | $ | 794,570 |
At December 31, 2011 and 2010, the gross amount of property and equipment and related accumulated depreciation recorded under capital leases were as follows:
2011 | 2010 | |||||||
MRI Equipment under capital leases | $ | 1,588,061 | $ | 3,634,183 | ||||
Less: accumulated depreciation | (859,306 | ) | (1,875,545 | ) | ||||
Total | $ | 728,755 | $ | 1,758,638 |
For property and equipment under capital leases, depreciation expense for the years ended December 31, 2011 and 2010 was $310,971 and $674,661, respectively.
Page 25 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 8 - Long-Term Debt
At December 31, 2011 and 2010, long-term debt consisted of the following:
2011 | 2010 | |||||||
Note payable to Key Equipment Finance, Inc. bearing interest at 8%, payable in 24 monthly installments of $66,031, including interest, starting July 2010. | $ | — | $ | 1,116,529 | ||||
Note payable to Microsoft Financing bearing no interest, payable in monthly installments of $2,965, through July 2011. | — | 29,651 | ||||||
Note payable to First Insurance Funding bearing interest at 2.59%, payable in monthly installments of approximately $27,731, including interest, through March 2011. | — | 82,834 | ||||||
Note payable to First Insurance Funding bearing interest at 2.07%, payable in monthly installments of approximately $14,750, including interest, through March 2011. | — | 44,097 | ||||||
Note payable to First Insurance Funding bearing interest at 2.62%, payable in monthly installments of approximately $5,702, including interest, through March 2011. | — | 61,903 | ||||||
Note payable to First Insurance Funding bearing interest at 2.59%, payable in monthly installments of approximately $48,687, including interest, through March 2012. | 145,431 | — | ||||||
Principal balance | 145,431 | 1,335,014 | ||||||
Less: current portion | (145,431 | ) | (947,907 | ) | ||||
Long-Term Portion | $ | — | $ | 387,107 |
Page 26 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 9 - Commitments and Contingencies
Operating Lease Commitments
The Company leases all office facilities and certain diagnostic and office equipment under operating leases that expire at various dates through February, 2019. Certain operating leases provide the Company with the option to renew for additional periods. Where operating leases contain escalation clauses, rent abatements and/or concessions, such as rent holidays and landlord or tenant incentives or allowances, they are applied in the determination of straight-line rent expense over the lease term. Leasehold improvements made at inception or during the lease term are amortized over the shorter of the asset life or the lease term.
Approximate future minimum lease payments under operating leases, excluding common area and real estate tax reimbursements, are as follows:
For the Year Ending December 31, | Facilities Leases | Equipment Leases | ||||||||
2012 | $ | 2,244,895 | $ | 68,568 | ||||||
2013 | 1,721,102 | 16,290 | ||||||||
2014 | 1,316,650 | 12,270 | ||||||||
2015 | 1,208,784 | 12,270 | ||||||||
2016 | 1,219,251 | — | ||||||||
Thereafter | 2,273,438 | — | ||||||||
Total Minimum Obligations | $ | 9,984,120 | $ | 109,398 |
Rent expense for facilities amounted to approximately $2,105,960 and $2,213,061 for the years ended December 31, 2011 and 2010, respectively.
Equipment rental expense for the years ended December 31, 2011 and 2010 amounted to approximately $123,213 and $9,037, respectively.
Employment Agreements
The Company enters into employment agreements with certain key employees from time-to-time. These agreements last for 2-3 years, are terminable by either party for any reason and may provide for a guaranteed inflationary adjustment to base salary and/or for discretionary bonuses. These agreements contain a covenant not-to compete, which restricts employment after voluntary/involuntary termination from the Company. The length of the covenant not-to compete is stated in the contract; however may be adjusted based on which party terminates the agreement.
Page 27 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 9 - Commitments and Contingencies (continued)
Service Agreements
The Company is a party to various service agreements that provide for routine maintenance, upgrades and repairs on most of its diagnostic equipment. Some of these agreements cover periods of more than one year. Payment obligations under these agreements are as follows:
For the Year Ending December 31, | Amount | |||||
2012 | $ | 1,329,886 | ||||
2013 | 22,260 | |||||
2014 | 22,260 | |||||
2015 | 22,260 | |||||
Total Service Agreement Obligations | $ | 1,396,666 |
MANAGEMENT AGREEMENT
In 2011 and 2010, the Company entered into management agreements with multiple subsidiaries of FONAR in which the Company provided sales services for two diagnostic imaging facilities. For the years ended December 31, 2011 and 2010, the Company earned $235,752 and $324,069, respectively.
Litigation
The Company is involved in various legal proceedings in the ordinary course of business. Management believes that the ultimate resolution of such legal proceedings will not have a material adverse effect on the consolidated financial position, results of operations and cash flows of the Company.
Zotec Litigation
The Company and Zotec Partners, LLC (“Zotec”) signed an agreement in 2007, pursuant to which the Company would license Zotec’s radiology information system and Zotec would provide consultation and implementation services. The Company paid Zotec a deposit of $375,000 upon signing the agreement. The Company filed suit against Zotec in the Hamilton County, Indiana, Superior Court. The suit alleges, among other things, Zotec’s materially false representations about the functionality of the software and of Zotec’s consulting capabilities, each of which the Company relied upon in signing the agreement. The Company is seeking a rescission of the agreement, a return of its deposit, along with accumulated interest, actual and punitive damages.
Page 28 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 9 - Commitments and Contingencies (continued)
Zotec Litigation (continued)
In 2008, the Company wrote off its $375,000 deposit. In 2012, the Company and Zotec reached a settlement, whereby the Company paid Zotec $42,000. This was accrued for in full as of December 31, 2011.
Tricat Litigation
On March 20, 2009, the former owners of Tricat filed a lawsuit against the Company in the Superior court of New Jersey, Middlesex County alleging, among other things, the Company did not fulfill certain post-closing covenants. This suit was settled out of court, with the former owners releasing the full escrow balance, plus an additional amount, totaling $900,000 in 2011. These funds were applied against a receivable amount that is reflected as an asset in discontinued operations as of December 31, 2010, as well as additional income of $438,845 recorded in 2011 within discontinued operations.
Midtown Litigation
On July 3, 2008, the Company acquired 100% of the equity of Midtown Imaging, LLC in exchange for cash payments to the sellers totaling $39,000,000, of which $3,000,000 was placed in an escrow account, an assumption of a subordinated promissory note held by Midtown Imaging, P.A. in the amount of $4,000,000, and assumption of certain other liabilities.
On January 14, 2010, the Company was sued by Midtown Imaging, P.A. for alleged breach of a Guaranty agreement in connection with the $4,000,000 promissory note held by Midtown Imaging, P.A. from Midtown Imaging, LLC. The Company settled the allegations in 2011 and reduced the promissory note’s value to $1,000,000 in exchange for releasing their claim to the escrow. In 2011, the Company recorded a $3,000,000 reduction in the notes carrying value as an increase to other income from discontinued operations and paid the $1,000,000 amount in full in 2011.
Carecore Litigation
The complaint alleged an illegal horizontal conspiracy among a group of radiologists to preclude their competitors, including the Company, from providing outpatient medical diagnostic imaging services to patients residing in various counties in New York City, Long Island and Westchester. In particular, this case concerned the actions of CareCore (“CCN”) and its principals.
Page 29 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 9 - Commitments and Contingencies (continued)
Carecore Litigation (continued)
CCN is owned and controlled by a group of competing diagnostic imaging providers located throughout New York. CCN has entered into exclusive agreements with the largest health care insurance plans in New York City, Long Island and Westchester -- including Oxford Healthcare, Aetna Healthcare, GHI, Healthfirst, Healthnet, HIP, and United Healthcare -- to manage radiology benefits for their subscribers.
Pursuant to its exclusive contracts with these commercial payers, CCN "certifies” or approves diagnostic imaging providers for admission into the payer physician networks which it controls. In this manner, CCN controls imaging providers' ability to obtain health insurance reimbursement from the health plans with which CCN contracts. Diagnostic imaging providers in New York City, Long Island and Westchester not receiving CCN certification are thus precluded from servicing patients who have their imaging services reimbursed by these dominant, commercial health insurance plans.
During 2010, the Company alleged by commencing litigation that CCN and its owner-providers allocated the market for diagnostic imaging services in New York City, Long Island and Westchester among themselves by boycotting competing imaging providers' access to the networks CCN controls. The Company alleged that CCN has further allocated the market for such services by "steering" patient referrals towards its owner-providers and away from non-CCN-owned providers that are "admitted" to the CCN-controlled networks. The Company alleges that CCN's conduct is illegal and has yielded anticompetitive effects in the market for imaging services, notably by reducing the output and quality of such services and by hampering innovation by imaging providers.
During 2010, the Company won a judgment which was appealed by CCN. On March 8, 2012, the Company settled the litigation with CCN. The financial terms of the settlement are subject to a confidentiality agreement. Under the terms of the settlement the amount paid by CareCore was received in full as of May 15, 2012. In accordance with ASC 855-10-15, the resolution of a gain contingency after the balance sheet date but before issuance of the financial statements should be considered a nonrecognized subsequent event and therefore the gain has been recorded in 2012, net of related legal fees and other expenses resulting from the settlement. This net gain will be included in other income in the 2012 consolidated statement of operations.
Page 30 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 9 - Commitments and Contingencies (continued)
Embarcadero Open MRI Litigation
The Company was found to be in violation relating to a breach of contract in connection with a facility acquired by BMC prior to BMC’s acquisition by the Company. The Company was found to owe $354,000, plus interest of 10% per year, as well as the possibility of legal fees. A follow-up hearing is scheduled for June, 2012 to determine the payment terms. The debt of $354,000 is included within the liabilities of discontinued operations and three and twelve months of interest have been recorded and included in the results of operations for discontinued operations for the years ended December 31, 2010 and 2011, respectively.
Significant Risks and Uncertainties
The Company receives reimbursements from Medicare, Medicaid, private insurance, no-fault and workers’ compensation carriers, self-pay and other third-party payors. The health care industry is experiencing the effects of the federal and state governments’ trend toward cost containment, as government and other third-party payors seek to impose lower reimbursement and utilization rates and negotiate reduced payment schedules with providers. The cost-containment measures, consolidated with the increasing influence of managed-care payors and competition for patients, have resulted in reduced rates of reimbursement for services provided by the Company from time to time. The Company’s future revenues and results of operations may be adversely impacted by future reductions in reimbursement rates.
While the Company has prepared certain estimates of the impact of the above discussed changes and proposed changes, it is not possible to fully quantify their impact on its business. There can be no assurance that the impact of these changes will not be greater than estimated or that any future health care legislation or reimbursement changes will not adversely affect the Company’s business.
Page 31 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 10 - Income Taxes
The Company and all of its subsidiaries are organized as LLCs and the Company is treated as a partnership for income tax purposes. As such, the Company will pay no federal or state income taxes, rather, its income or loss will be taxed directly to its members. Accordingly, no provision for federal or state income taxes is included in the accompanying consolidated financial statements.
The Managing Member has concluded that the Company is a pass-through entity and there are no uncertain tax positions that would require recognition in the financial statements. If the Company was to incur an income tax liability in the future, interest on any income tax liability would be reported as interest expense and penalties on any income tax liability would be reported as income taxes.
In connection with the New York City Unincorporated Business Tax (“NYCUBT”), deferred tax assets and liabilities are provided based on the differences between the financial statement carrying amounts and tax bases of assets and liabilities using enacted tax rates in effect in the years in which the differences are expected to reverse.
The Managing Member’s conclusions regarding uncertain tax positions may be subject to review and adjustment at a later date based upon ongoing analyses of tax laws, regulations and interpretations thereof as well as other factors. Generally, federal, state and local authorities may examine the Company’s tax returns for three years from the date of filing and the current and prior three years remain subject to examination as of December 31, 2011. The Company is subject to NYCUBT based on income apportioned to New York City. However, due to the net loss experienced in 2011 and 2010, the amount was deemed to be immaterial.
As of December 31, 2011 and 2010, the Company had New York City NOLs of approximately $4,418,000 and $2,735,000, respectively, available to offset future taxable income.
Note 11 - Related Party Transactions
Pursuant to its Amended and Restated Limited Liability Company Agreement (the "Operating Agreement"), the Company may be required to pay Blackfin Capital, LLC ("Blackfin") a monthly management fee for services provided on its behalf. The Company's Managing Member is a member of Blackfin. Services may include, but are not limited to, executive management, merger and acquisition consultation, advising the Company on its capital structure and raising capital. Pursuant to the Operating Agreement, the management fee may be increased or decreased at the sole discretion of the Managing Member. For the years presented, a monthly fee of $50,000 was charged to the Company with a bonus of $369,000 paid in 2011.
Page 32 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations
In accordance with ASC topic 360 (formerly SFAS 144), the Company has elected to classify the assets, liabilities and results of operations for Tricat, MTI, DTG, Hollywood, Dolphin and BMC as assets and liabilities held for sale and as a discontinued operation in the accompanying consolidated financial statements.
Assets and Liabilities of Business held for Sale
The major categories of assets and liabilities held for sale or sold included in the consolidated balance sheet at December 31, 2011 and 2010 are as follows:
2011 | 2010 | |||||||
Assets Held for Sale | ||||||||
Accounts receivable, net | $ | 2,950,516 | $ | 5,722,745 | ||||
Receivable from sale of MTI/DTG | 3,000,000 | 3,000,000 | ||||||
Prepaid expenses and other current assets | 18,246 | 874,827 | ||||||
Property, plant and equipment - net | 4,964 | 2,733,017 | ||||||
Amortizable intangible assets - net, including goodwill of $-- and $1,541,176, respectively | — | 11,936,176 | ||||||
Other assets | 13,761 | 94,066 | ||||||
Total
Assets Held for Sale |
$ | 5,987,487 | $ | 24,360,831 | ||||
Liabilities Held for Sale | ||||||||
Obligations under capital leases | $ | — | $ | 128,499 | ||||
Obligations under debt | 354,388 | 7,286,503 | ||||||
Accounts payable and accrued expenses | 1,293,477 | 1,942,874 | ||||||
Total Liabilities Held for Sale | $ | 1,647,865 | $ | 9,357,876 |
Page 33 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Statement of Operations of Discontinued Operations
The following results of operations are presented as a loss from a discontinued operation in the consolidated statements of operations.
2011 | 2010 | |||||||
Patient Revenue
| $ | 15,764,618 | $ | 40,297,990 | ||||
Costs of medical services | 4,462,679 | 16,546,823 | ||||||
Salaries and related costs | 2,891,457 | 9,302,171 | ||||||
Facilities cost | 1,677,190 | 5,869,646 | ||||||
Equipment lease expense and service | 2,037,396 | 5,706,820 | ||||||
Travel, entertainment and marketing costs | 290,886 | 518,616 | ||||||
Other clinic operating costs | 2,410,902 | 5,223,948 | ||||||
13,770,510 | 43,168,024 | |||||||
Corporate overhead | 369,533 | 795,981 | ||||||
Depreciation | 10,515 | 1,029,560 | ||||||
Amortization of intangible assets | — | 1,620,000 | ||||||
Impairment charges | — | 3,992,142 | ||||||
Total Operating Expenses |
14,150,558 |
50,605,707 | ||||||
Income (Loss) from Operations
| 1,614,060 | (10,307,717 | ) | |||||
Interest income | (24 | ) | (988 | ) | ||||
Other income | (3,035,930 | ) | (299,711 | ) | ||||
Amortization of finance costs | — | 580,927 | ||||||
Interest expense | 305,372 | 2,169,888 | ||||||
Total Other Expense (Income)
| (2,730,582 | ) | 2,450,116 | |||||
Income Taxes | — | 29,580 | ||||||
Income (Loss) from Discontinued Operations | $ | 4,344,642 | $ | (12,787,413 | ) |
Page 34 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Accounts Receivable, Net
All of the accounts receivable classified as Assets Held for Sale are receivable from healthcare payors. The amounts presented are at net realizable value at December 31, 2011 and 2010.
The breakdown of accounts receivable, net, at December 31, 2011 and 2010, is as follows:
December 31, 2011 | Receivables Due From Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 2,950,516 | $ | — | $ | 2,950,516 |
December 31, 2010 | Receivables Due From Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 5,722,745 | $ | — | $ | 5,722,745 |
Property and Equipment, Net
Property and equipment, net, consist of the following at December 31, 2011 and 2010:
Estimated Useful Life | 2011 | 2010 | ||||||||
Fixtures | 5 to 7 years | $ | — | $ | 175,321 | |||||
Diagnostic equipment | 5 to 7 years | — | 4,419,522 | |||||||
Leasehold improvements | 5 to 10 years | 4,964 | 938,982 | |||||||
Computer and billing system | 3 to 5 years | — | 94,076 | |||||||
| 4,964 | 5,627,901 | ||||||||
Less: Accumulated depreciation | — | (2,894,884 | ) | |||||||
Property and Equipment, Net | $ | 4,964 | $ | 2,733,017 |
Depreciation expense for property and equipment for the years ended December 31, 2011 and 2010 was $10,515 and $1,029,560, respectively, and is recorded as a component of income (loss) on discontinued operations. The Company recorded $-- and $1,029,560 in depreciation expense for assets that were disposed of in 2011 and 2010, respectively.
Page 35 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Intangible Assets - Net
On December 15, 2011, the Company sold substantially all of the physical assets of the BMC facilities. The Company performed its fair value test on the assets classified as held for sale, comparing the carrying value of the assets held for sales against the price of the assets as mentioned in the sales agreement. Based on this analysis, the Company recorded an impairment charge of $3,992,142 in 2010 to reduce the carrying value of its goodwill.
December 31, 2010 | Cost | Accumulated Amortization | Net Carrying Value | Amortizable Life | ||||||||||
Referral networks and payor contracts | $ | 16,200,000 | $ | 5,805,000 | $ | 10,395,000 | 10 years | |||||||
Goodwill | 5,533,318 | — | 5,533,318 | N/A | ||||||||||
Impairment for impaired assets | (3,992,142 | ) | — | (3,992,142 | ) | N/A | ||||||||
Intangible Assets, Net | $ | 17,741,176 | $ | 5,805,000 | $ | 11,936,176 |
Amortization expense for intangible assets classified as held for sale for the year ended December 31, 2010 was $1,620,000.
Capital Leases
Obligations under capital leases in connection with the purchase of property and equipment for those facilities classified as assets of discontinued operations are as follows:
Lessee | 2011 | 2010 | ||||||
Equipment lease with CCA Financial for the facility located in San Rafael, California. Lease provides for 24 monthly payments of $10,344, including interest of 9.22%, through January 1, 2012. At termination of the lease, equipment purchase option is $1. | $ | — | $ | 128,499 | ||||
Principal balance | — | 128,499 | ||||||
Less: current maturities | — | (118,155 | ) | |||||
Total Long-Term Maturities | $ | — | $ | 10,344 |
Page 36 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Capital Leases (continued)
At December 31, 2010, the gross amount of property and equipment and related accumulated depreciation recorded under capital leases were as follows:
MRI equipment under capital lease | $ | 229,425 | |||
Less: accumulated depreciation | (42,973 | ) | |||
Total | $ | 186,452 |
For property and equipment under capital leases, depreciation expense for the year ended 2010 was $42,973.
Long-Term Debt
On July 3, 2008, the Company entered into a $30 million senior secured credit facility (the “Credit Facility”) which was paid off in full at the closing of the BMC Divestiture. The Credit Facility was structured as a $30 million revolving credit facility maturing on July 3, 2011 however several forbearance agreements allowed the debt to remain current through the date of the BMC divestiture. The Company drew down the entire $30 million on the Credit Facility to fund the MTI acquisition. The Company recorded approximately $1,050,000 in fees and expenses related to the Credit Facility, which were written off as part of the MTI/DTG divestiture.
The Credit Facility was available for loans denominated in U.S. dollars and for letters of credit. Borrowings under the Credit Facility bore interest, at the Company’s option, at either a base rate plus an applicable margin, ranging from 2.0% to 3.25% per annum, or the LIBOR rate plus an applicable margin, ranging from 3.00% to 4.25% per annum, based on the Company’s total leverage ratio as defined in the Credit Facility at the time of borrowing. The base rate was effectively the Prime Rate. There was also a commitment fee on the unused portion of the Credit Facility from 0.375% to 0.50% per annum, based on the Company’s total leverage ratio as defined in the Credit Facility. The Company entered in a swap agreement on March 18, 2009 that was paid off at the closing of the MTI/DTG divestiture that fixed the floating aspect of the interest rate associated with the Credit Facility described above at 1.59%.
Page 37 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Long-Term Debt (continued)
The Credit Facility contained various limitations, including limitations on changes in business, mergers, acquisitions, asset sales, liens, operating leases, investments and guaranty obligations, restricted payments, financial covenants, restrictive agreements, transactions with affiliates, plan terminations and minimum funding, amendment of acquisition documents and anti-terrorism laws. The Company was not in compliance with the terms of the agreement and avoided default through a forbearance agreement with the bank.
Indebtedness under Credit Facility was collateralized by all of the Company’s assets exclusive of assets which serve as collateral for the other indebtedness disclosed in Notes 7 and 8. The Company used $23,245,000 of its proceeds from the September 24, 2010 sale of MTI/DTG to pay down its credit facility in 2010.
At December 31, 2011 and 2010, long-term debt consisted of the following:
2011 | 2010 | |||||||
Credit Facility with KeyBank National Association expiring July 3, 2011. Significant terms are discussed above. | $ | — | $ | 2,928,187 | ||||
Note Payable to Embarcadero Open MRI, Inc., non-interest bearing, payable in quarterly installments through September 30, 2010. Payments are calculated as 15% of certain prescribed actual collections over a predetermined threshold with a balloon at the end of a five-year term. The note is collateralized by substantially all of the assets of the Company’s California reporting unit. | 354,388 | 354,388 | ||||||
Note Payable to Bank of America, bearing interest at 8.27%, payable in monthly installments of $408, through November 2011. | — | 3,928 | ||||||
Unsecured, non-interest bearing subordinated note, payable to Robert D. Burke, M.D., a former owner of MTI. | — | 4,000,000 | ||||||
Current Principal Balance | $ | 354,388 | $ | 7,286,503 |
Page 38 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 12 - Discontinued Operations (continued)
Operating Lease Commitments
Approximate future minimum lease payments under operating leases for the facilities whose assets are being held for sale, excluding common area and real estate tax reimbursements, are as follows:
For the Year Ending December 31, | Facilities Leases | ||||||
2012 | $ | 164,278 | |||||
2013 | 27,521 | ||||||
| Total Minimum Obligations | $ | 191,799 |
Rent expense for the above facilities amounted to approximately $1,153,769 and $3,160,836 for the years ending December 31, 2011 and 2010, respectively, and is a component of loss on discontinued operations.
Equipment rental expense for the years ended December 31, 2011 and 2010 amounted to approximately $1,219,710 and $2,315,380, respectively, and is a component of loss on discontinued operations.
Note 13 - HD Ultrasound
Upon completion of the BMC divestiture, the Company created HD Ultrasound, LLC (“HDU”) as the operator of the business that was not included in the sale consummated on December 15, 2011. In addition, the Company entered into an agreement with HDU to provide collections services for the accounts receivable balance for the business that was sold as part of the same transaction. As of December 31, 2011, HDU was owned equally by both the Company and the former Vice President of Operations for California (“VP-CA”). The VP-CA funded his contribution to HDU by foregoing his profits percentage within the Company.
The operations of HDU are consolidated with Health Diagnostics LLC for financial reporting. For the years ended December 31, 2010 and December 31, 2011, 100% of the results of HDU are included within continuing operations.
Page 39 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 14 - Members’ Equity
Pursuant to the operating agreement, the member capital accounts are to comply with Section 704(b) of the Internal Revenue Code and the Treasury Regulations promulgated thereunder and will be interpreted and applied in a manner consistent with those provisions. Net profit or loss for each taxable year (or portion thereof) shall be allocated (after any special allocations or required tax allocations) in such a manner so as to cause the capital account balance of such member at the beginning of such period, adjusted for all contributions and distributions during such period (and any special allocations or required tax allocations) to equal as nearly as possible the capital account balance that such member would receive upon the distribution of proceeds from a hypothetical sale of all Company assets at book value after the satisfaction of all Company liabilities according to the terms of such debt. No loss or deduction shall be allocated to any member to the extent that such allocation would cause or increase an adjusted capital account deficit of such member.
The Company’s restated operating agreement provides for, in the event of the sale or liquidation of the Company, any cash proceeds must first be applied against the unreturned capital contribution made by the contributing member plus a return based on the London Interbank Offered Rate, which in aggregate totaled $129 million and $127 million as of December 31, 2011 and 2010, respectively.
Since inception, the Company has granted profit interest units to certain executive management with the intent of management holding approximately 15% of the future profits of the Company in excess of the preference noted above. At December 31, 2011 and 2010, these units entitle the executives to share in approximately 3% and 7.75% of future profits, respectively. During 2011 and 2010, key employees left the Company as a result of the divestitures and their profit interest units were forfeited. The Company made a series of grants to executives effective January 1, 2012 whereby management now holds 15% of future profits. The value of these units at date of each grant was nominal.
Note 15 - Subsequent Events
Acquisitions
On March 22, 2012, the Company acquired the assets of a MRI/CT suite located in Plainview, New York for a cost of $760,375. Adjacent to the MRI/CT suite is a womens’ center containing modalities specific to womens’ diagnostic imaging - mammography, ultrasound, as well as a bone density scanner. The Company acquired the mammography and ultrasound machine at a cost of $160,000 and $38,726, respectively, and negotiated a new lease with the landlord for both suites. Management agreements have been put in place for both suites with the prior professional corporation effective May 15, 2012.
Page 40 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010
Note 15 - Subsequent Events (continued)
Acquisitions (continued)
On May 9, 2012, the Company acquired an MRI and CT in lower Manhattan for $1,050,000. The Company assumed the lease of the prior tenant and immediately placed a deposit of $150,000 with the landlord. A management agreement was signed with a newly established professional corporation and procedures are expected to begin during July, 2012.
Page 41 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED FINANCIAL STATEMENTS
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
CONTENTS
Consolidated Financial Statements | ||||
Consolidated Balance Sheets | 2-3 | |||
Consolidated Statements of Income | 4-5 | |||
Consolidated Statement of Changes in Members’ Equity | 6 | |||
Consolidated Statements of Cash Flows | 7-8 | |||
Notes to Consolidated Financial Statements | 9-36 |
Page 42 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
ENDED SEPTEMBER 30, 2012 AND 2011
2012 | 2011 | |||||||
Assets | ||||||||
Current Assets | ||||||||
Cash | $ | 30,781,223 | $ | 436,317 | ||||
Accounts receivable, net | 15,387,520 | 14,014,705 | ||||||
Prepaid expenses and other current assets | 1,521,837 | 1,513,549 | ||||||
Assets of discontinued operations | 3,753,217 | 21,588,789 | ||||||
Total Current Assets | 51,443,797 | 37,553,360 | ||||||
Property and Equipment, Net | 7,751,512 | 7,450,675 | ||||||
Other Assets | ||||||||
Amortizable intangible assets, net | — | 202,825 | ||||||
Goodwill | 35,900,000 | 52,709,844 | ||||||
Other assets | 575,750 | 342,070 | ||||||
Total Other Assets | 36,475,750 | 53,254,739 | ||||||
Total Assets | $ | 95,671,059 | $ | 98,258,774 |
Page 43 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
SEPTEMBER 30, 2012 AND 2011
2012 | 2011 | |||||||
Liabilities and Members' Equity | ||||||||
Current Liabilities | ||||||||
Obligations under capital leases, current portion | $ | 426,065 | $ | 504,624 | ||||
Obligations under long-term debt, current portion | 118,187 | 881,908 | ||||||
Accounts payable, accrued expenses and other liabilities | 3,488,698 | 5,733,174 | ||||||
Liabilities of discontinued operations | 374,396 | 3,451,008 | ||||||
Total Current Liabilities | 4,407,346 | 10,570,714 | ||||||
Long-Term Liabilities | ||||||||
Obligations under capital lease, less current portion | 172,176 | 520,382 | ||||||
Total Long-Term Liabilities | 172,176 | 520,382 | ||||||
Total Liabilities | 4,579,522 | 11,091,096 | ||||||
Commitments and Contingencies | ||||||||
Members' Equity | ||||||||
Controlling interest | 89,565,170 | 85,113,256 | ||||||
Non-controlling interests in subsidiaries | 1,526,367 | 2,054,422 | ||||||
Total Members' Equity | 91,091,537 | 87,167,678 | ||||||
Total Liabilities and Members' Equity | $ | 95,671,059 | $ | 98,258,774 |
Page 44 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
For the Nine Months Ended | ||||||||
2012 | 2011 | |||||||
Revenues, Net | ||||||||
Patient revenue | $ | 12,057,161 | $ | 10,584,271 | ||||
Management fee revenue | 17,124,427 | 14,566,706 | ||||||
Total Revenues, Net | 29,181,588 | 25,150,977 | ||||||
Operating Expenses | ||||||||
Clinic operating costs, exclusive of depreciation, | ||||||||
amortization and corporate office costs: | ||||||||
Cost of medical services | 3,861,471 | 3,430,763 | ||||||
Salaries and related costs | 7,594,026 | 7,019,617 | ||||||
Facilities cost | 4,061,076 | 3,902,186 | ||||||
Equipment lease expense and service | 1,393,535 | 1,202,483 | ||||||
Travel, entertainment and marketing costs | 757,662 | 527,930 | ||||||
Other clinic operating costs | 3,255,744 | 1,967,126 | ||||||
Total clinic operating costs | 20,923,514 | 18,050,105 | ||||||
Corporate office costs | 2,315,340 | 2,763,865 | ||||||
Depreciation and amortization | 2,928,467 | 2,808,258 | ||||||
Goodwill impairment | 16,809,844 | — | ||||||
Total Operating Expenses | 42,977,165 | 23,622,228 | ||||||
(Loss) Income from Operations | (13,795,577 | ) | 1,528,749 | |||||
Other Income (Expense) | ||||||||
Gain from legal settlement, net | 21,952,581 | — | ||||||
Interest income | 36,566 | — | ||||||
Other expense | (1,692 | ) | (4,383 | ) | ||||
Interest expense | (55,413 | ) | (111,284 | ) | ||||
Total Other Income (Expense) | $ | 21,932,042 | $ | (115,667 | ) |
Page 45 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
SEPTEMBER 30, 2012 AND 2011
2012 | 2011 | |||||||
Income from Continuing Operations | $ | 8,136,465 | $ | 1,413,082 | ||||
(Loss) Income from Discontinued Operations | (1,148,049 | ) | 4,422,076 | |||||
Net Income | 6,988,416 | 5,835,158 | ||||||
Non-Controlling Interest in Net Income of Subsidiaries | (84,977 | ) | (607,892 | ) | ||||
Controlling Interest - Net Income | $ | 6,903,439 | $ | 5,227,266 |
Page 46 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN MEMBERS’ EQUITY
(UNAUDITED)
FOE THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Controlling Interest | Non-Controlling Interest In Subsidiaries | Total | ||||||||||||
Members' Equity - December 31, 2010 | $ | 79,885,990 | $ | 628,501 | $ | 80,514,491 | ||||||||
Contributions | — | 1,269,845 | 1,269,845 | |||||||||||
Distributions | — | (451,816 | ) | (451,816 | ) | |||||||||
Net income for the nine months | 5,227,266 | 607,892 | 5,835,158 | |||||||||||
Members' Equity - September 30, 2011 | $ | 85,113,256 | $ | 2,054,422 | $ | 87,167,678 | ||||||||
Members' Equity - December 31, 2011 | 82,661,731 | 1,679,040 | 84,340,771 | |||||||||||
Contributions | — | 100,000 | 100,000 | |||||||||||
Distributions | — | (337,650 | ) | (337,650 | ) | |||||||||
Net income for the nine months | 6,903,439 | 84,977 | 6,988,416 | |||||||||||
Members' Equity - September 30, 2012 | $ | 89,565,170 | $ | 1,526,367 | $ | 91,091,537 |
Page 47 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
FOE THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
2012 | 2011 | |||||||
Cash Flows from Continuing Operations | ||||||||
Cash Flows from Operating Activities | ||||||||
Net income from continuing operations | $ | 8,136,465 | $ | 1,413,082 | ||||
Adjustments to reconcile net loss from continuing | ||||||||
operations to net cash provided by operating activities: | ||||||||
Depreciation and amortization | 2,928,467 | 2,808,258 | ||||||
Loss on sale of Hollywood | — | 220,275 | ||||||
Goodwill impairment | 16,809,844 | — | ||||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable, net | (1,549,957 | ) | (1,683,570 | ) | ||||
Accounts payable, accrued expenses and | ||||||||
other current liabilities | (2,708,689 | ) | (2,960,564 | ) | ||||
Prepaid expenses and other assets | 388,320 | 799,297 | ||||||
Total Adjustments | 15,867,985 | (816,304 | ) | |||||
Net Cash Provided by Operating Activities | 24,004,450 | 596,778 | ||||||
Cash Flows from Investing Activities | ||||||||
Purchases of property and equipment | (1,414,115 | ) | (221,086 | ) | ||||
Acquisition of Plainview | (985,317 | ) | — | |||||
Acquisition of Park Place | (1,200,000 | ) | — | |||||
Loan receivable | (100,000 | ) | — | |||||
Cash received from Hollywood sale | — | 150,000 | ||||||
Net Cash Used in Investing Activities | (3,699,432 | ) | (71,086 | ) | ||||
Cash Flows from Financing Activities | ||||||||
Payments on long term debt and capital leases | (734,367 | ) | (1,972,742 | ) | ||||
Contributions from minority partners | 100,000 | 200,000 | ||||||
Deferred financing costs | — | (21,719 | ) | |||||
Distributions to non-controlling interests in subsidiaries | (337,650 | ) | (101,319 | ) | ||||
Net Cash Used in Financing Activities | $ | (972,017 | ) | $ | (1,895,780 | ) |
Page 48 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
(UNAUDITED)
FOE THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
2012 | 2011 | |||||||
Net Increase (Decrease) in Cash from Continuing Operations | $ | 19,333,001 | $ | (1,370,088 | ) | |||
Cash Flows from Discontinued Operations | ||||||||
Operating cash flows | 159,516 | 7,192,310 | ||||||
Investing cash flows | — | (206,869 | ) | |||||
Financing cash flows | (354,388 | ) | (6,369,796 | ) | ||||
Net Cash (Used in) Provided by Discontinued Operations | (194,872 | ) | 615,645 | |||||
Net Increase (Decrease) in Cash | 19,138,129 | (754,443 | ) | |||||
Cash - Beginning | 11,643,094 | 1,190,760 | ||||||
Cash - Ending | $ | 30,781,223 | $ | 436,317 | ||||
Supplemental Disclosure of Cash Flow Information | ||||||||
Cash paid during the years for: | ||||||||
Interest - continuing operations | $ | 78,658 | $ | 111,284 | ||||
Non-cash investing and financing activities: | ||||||||
Insurance financing | $ | 118,187 | $ | 306,956 | ||||
Contribution of assets from non-controlling interests in subsidiaries | — | $ | 499,863 | |||||
Receivable from non-controlling member | — | $ | 569,982 |
Page 49 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 1 - Description of Business and Basis of Consolidation
Description of Business
Health Diagnostics, LLC (the “Company”) is a national provider of healthcare business management services. The Company provides outpatient diagnostic imaging equipment, facilities and business management solutions for radiologists. Outpatient imaging services, such as Magnetic Resonance Imaging (“MRI”), Ultrasound and X-Ray, are provided at the Company’s 16 locations. Many locations offer Stand-Up MRI services, allowing patients to be scanned in weight-bearing and virtually any other position without the claustrophobic nature of traditional MRI scanning.
Health Diagnostics was formed in 2007 as a Delaware Limited Liability Company, and grew through a combination of acquisitions and newly-formed entities. Most recently in 2012, the Company acquired two additional facilities at locations in Plain View, New York and in lower Manhattan. The Company’s facility count by year is summarized as follows:
Year | Acquisition | Divestiture | Newly Formed | Total | ||||||||||||||
2007 | 22 | — | — | 22 | ||||||||||||||
2008 | 10 | — | — | 32 | ||||||||||||||
2009 | 1 | — | 2 | 35 | ||||||||||||||
2010 | — | 14 | — | 21 | ||||||||||||||
2011 | — | 7 | — | 14 | ||||||||||||||
2012 | 2 | — | — | 16 | ||||||||||||||
Total | 35 | 21 | 2 | 16 |
Basis of Consolidation
The consolidated financial statements include the accounts of the Company and all of its wholly-owned subsidiaries and joint venture. All of the consolidated entities are structured as limited liability companies (“LLCs”). The Company consolidates the joint venture due to majority ownership or control through the operating agreement. All significant intercompany balances and transactions have been eliminated in consolidation.
Page 50 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies
Use of Estimates
The preparation of the consolidated financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities in the consolidated financial statements and accompanying notes. The most significant estimates relate to revenue recognition, valuation of accounts receivable and depreciation and amortization of assets and determination of asset impairments.
In addition, healthcare industry reforms and reimbursement practices will continue to impact the Company's operations and the determination of contractual and other allowance estimates. Actual results could differ from these estimates.
Property and Equipment
Property and equipment purchased in the normal course of business are stated at cost. Property and equipment are depreciated for financial reporting purposes using the straight-line method over the shorter of their estimated useful lives, generally five to seven years, or the term of a capital lease, if applicable. Leasehold improvements are amortized over the shorter of the useful life or remaining lease term. Upon retirement or other disposition of these assets, the cost and related accumulated depreciation of these assets will be removed from the accounts and the resulting gains or losses reflected in the results of operations as incurred. Expenditures for maintenance and repairs are charged to operations. Renewals and betterments are capitalized.
Construction-in-progress will include direct costs, including interest, which will continue to be capitalized until the facility is opened. Depreciation of the capitalized costs related to the facility, including interest capitalized, will commence the month after the facility is opened and will be based upon the useful life of the asset, as outlined above.
Long-Lived Assets
The
Company evaluates the carrying value of long-lived assets for impairment whenever events or changes in circumstances indicate
that the carrying value of an asset (including property and equipment and amortizable intangible assets) within the scope of Accounting
Standards Codification (“ASC”) 360-10, “Accounting for the Impairment or Disposal of Long-Lived Assets”,
may not be recoverable. The amount of impairment is calculated by comparing discounted future cash flows with the carrying value
of the related asset.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies (continued)
Long-Lived Assets (continued)
In performing this analysis, management determined that the carrying value of the related assets were not impaired and, as such, did not record an impairment loss for the nine months ended September 30, 2012 or 2011.
Goodwill and Other Intangible Assets
The Company follows the provision of ASC 350-10, “Goodwill and Other Intangible Assets,” which requires goodwill and other intangible assets that have indefinite useful lives to be tested at least annually for impairment, or whenever events or circumstances indicate that the carrying amount of the assets may not be recoverable. ASC 350-10 also requires an evaluation of existing acquired goodwill and other intangible assets for proper classification. For the nine months ended September 30, 2012, the Company recorded $16,809,844 of goodwill impairment charge in its consolidated statement of operations. There was no impairment charge recorded related to goodwill and other intangible assets for the nine months ended September 30, 2011.
Fair Value of Financial Instruments
ASC 825, “Financial Instruments,” defines fair value of a financial instrument as the amount at which the instrument could be exchanged in a current transaction between willing parties. The methods and assumptions used to estimate the fair value of the financial instruments is as follows:
Receivables and Accounts Payable and Accrued Expenses, Other Current Assets and Other Liabilities
The carrying amounts approximate fair value because of the short maturity of those instruments.
Long-term Debt, including Obligations under Capital Leases
The fair value of long-term debt and obligations under capital leases approximate their carrying value because the effective interest rates reflect recent market conditions.
Revenue - Net and Accounts Receivable
The Company recognizes revenue from services provided to patients (‘Net Patient Revenue”) primarily from their business in Florida and California, and from services provided under management agreements (“Management Fee Revenue”) primarily from their business in New York.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies (continued)
Revenue - Net and Accounts Receivable (continued)
a. | Net Patient Revenue and Related Accounts Receivable |
The Company recognizes revenue as medical services are provided to patients. Revenue is reported at the estimated net realizable amount from insurance companies, third-party payors, hospitals, patients and others for services rendered. These services are typically billed to insurance companies, hospitals, patients, or the patient's legal counsel. Substantially, all the revenue relates to patients residing in Florida. The carrying amount of accounts receivable may be reduced by an allowance that reflects management's best estimate of the amounts that will not be collected. The Company determines allowances for contractual adjustments and uncollectible accounts based on the specific agings and payor classifications at each clinic. Management periodically reviews all accounts receivable in order to determine the portion, if any, of the balance that will not be collected.
b. | Management Fee Revenue and Management Fees Receivable |
As of September 30, 2012 and 2011, the Company has management agreements with eleven and nine, respectively, separate New York-based Medical Entities (“MEs”), all owned by one unrelated radiologist. The contractual fees for services rendered to each of the New York-based MEs consist of fixed fees ranging from $1,170,000 to $2,091,337 for each of the nine month periods ended September 30, 2012 and 2011. Each management agreement is cancellable by either party with 180 days written notice, and otherwise provides for an annual renegotiation of fees to be charged and services to be provided. Revenue is recognized under the management contracts on a monthly basis equal to the lower of the contractual fee, or the net realizable amount, based on the revenue recognition criteria enumerated in Accounting Standards Codification 605. On a quarterly basis, management assesses the net realizable value of its management fees.
As part of that assessment, management reviews and analyzes the data furnished to the Company by each ME, including the MEs’ receivables from third-party medical reimbursement organizations and the MEs’ operating expenses. The Company's receivables from the MEs consist of fees outstanding under management agreements with the MEs. Payment of the outstanding fees is dependent upon collection by the MEs of fees from third-party medical reimbursement organizations, principally insurance companies and health management organizations. The management fees receivable are collateralized by the respective medical receivables of each ME.
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HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies (continued)
Revenue - Net and Accounts Receivable (continued)
b. | Management Fee Revenue and Management Fees Receivable (continued) |
Collection by the Company of its management fees receivable may be impaired by the uncollectibility of the MEs’ medical fees from third-party payors, particularly insurance carriers covering automobile no-fault and workers’ compensation claims, because of longer payment cycles and rigorous informational requirements. The Company considers the aging of its management fees receivable and net realizable value of MEs’ medical receivables in determining the amount of allowance for uncollectible accounts and unrecognized contractual billings. The Company takes all legally available steps to collect its receivables.
Advertising Costs
Advertising costs are expensed as incurred. Advertising expense for the nine months ended September 30, 2012 and 2011 amounted to $215,154 and $47,042, respectively.
Operating Leases
Leases that are operating leases with defined scheduled rent increases, are accounted for in accordance with ASC Topic 840. The scheduled rent increases are recognized on a straight-line basis over the lease term.
Fair Value Measurements
The Company follows ASC 820, “Fair Value Measurements and Disclosures”, which defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date (exit price) in the principal or most advantageous market for the asset or liability. ASC 820 establishes a three-level fair value hierarchy that prioritizes the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimizes the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows:
Level 1: Quoted prices in active markets for identical assets or liabilities.
Level 2: Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable data.
Page 54 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies (continued)
Fair Value Measurements (continued)
Level 3: Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.
The Company has classified financial assets and liabilities based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment, and may affect the valuation of the fair value of assets and liabilities and their placement within the fair value hierarchy levels.
The Company does not have any financial assets that are required to be recorded at fair value as of September 30, 2012 and 2011.
Concentration of Credit Risk and Equipment Supplier
Management fees receivable and net management revenues are substantially derived from separate MEs (eleven in 2012 and nine in 2011), which are all owned by one unrelated radiologist. For the nine months ended September 30, 2012 and 2011, approximately 51% and 49%, respectively, of the MEs’ billings were derived from no-fault and workers’ compensation claims, approximately 24% and 24%, respectively, of the MEs’ billings were billed to commercial insurance carriers, and 10% and 11%, respectively, of the MEs’ billings were billed to Medicare.
For the nine months ended September 30, 2012 and 2011, approximately 44% and 44%, respectively, of the Company’s net patient revenue were billed to no-fault and personal injury insurers, 19% and 18%, respectively, of the Company’s net patient revenue were billed to commercial insurance carriers and approximately 9% and 8%, respectively, of the Company’s net patient revenue were billed to Medicare contractors.
The Company places its cash deposits and temporary cash investments with AAA-rated financial institutions. At times, its cash may be uninsured or in deposit accounts that exceed the Federal Deposit Insurance Corporation (“FDIC”) insurance limit.
As of September 30, 2012, the Company has 12 Stand-Up MRI machines manufactured by FONAR Corporation, a related party (NASDQ “FONR”) (“FONAR”). FONAR is the exclusive manufacturer and the only authorized vendor to service the Stand-Up MRI machines.
Page 55 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 – Summary of Significant Accounting Policies (continued)
Non-Controlling Interest
The Company records adjustments to non-controlling interest for the allocable portion of income or loss that the non-controlling interest holders are entitled to based upon their percentage ownership of the subsidiaries. Distributions to non-controlling interest partners are recorded to the respective non-controlling interest account.
The following are entities in which the Company has less than 100% ownership percentage as of September 30, 2012:
Company’s Ownership Percentages | ||||
Health Diagnostics Orlando | 78.84 | % | ||
HD Ultrasound | 40.00 | % | ||
HD of Hicksville | 50.00 | % |
On March 22, 2011, a group of investors (“Buckeye”) contributed assets at fair value of $699,863 and $569,982 of cash, which was received in January 2012, in exchange for a 21.16% interest in Health Diagnostics Orlando (“HD-Orlando”). Buckeye is made up primarily of Company and FONAR management and unrelated third parties.
Employee Benefit Plans
The Company sponsors a defined contribution 401(k) Plan (“Plan”) to provide retirement and incidental benefits for its employees. Employees may contribute a discretionary annual contribution to the Plan, limited to a maximum annual amount as set periodically by the Internal Revenue Service. The Plan provides for discretionary contributions as determined by management. Such contributions to the Plan are allocated among eligible participants in the proportion of their salaries to the total salaries of all participants. The Company did not make contributions to the Plan during the nine months ended September 30, 2012 and 2011.
Subsequent Events
Management has evaluated subsequent events to determine if events or transactions occurring through March 5, 2013, the date these financial statements were available to be issued, require adjustment to or disclosure in the financial statements.
Page 56 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 2 - Summary of Significant Accounting Policies (continued)
Recently Promulgated Accounting Pronouncements
In July 2011, Accounting Standards Update (“ASU”) No. 2011-07, “Presentation and Disclosure of Patient Service Revenue, Provision of Bad Debts, and the Allowance for Doubtful Accounts for Certain Healthcare Entities”, was issued by the Financial Accounting Standards Board Emerging Issues Task Force. This amendment to the accounting code instructs healthcare entities to provide greater transparency about healthcare entity’s net patient service revenue.
Healthcare entities will be required to assess the patient’s ability to pay at the time service is provided, and to reduce the patient service revenue amount by this (as opposed to including within the provision for bad debts). This guidance is in effect for annual periods ending after December 15, 2012. The Company is currently evaluating the impact that the adoption of ASU No. 2011-07 will have on its consolidated financial statements.
In July 2012, the FASB issued ASU 2012-02, “Intangibles-Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible Assets for Impairment." This ASU simplifies how entities test indefinite-lived intangible assets for impairment, which improve consistency in impairment testing requirements among long-lived asset categories. These amended standards permit an assessment of qualitative factors to determine whether it is more likely than not that the fair value of an indefinite-lived intangible asset is less than its carrying value. For assets in which this assessment concludes it is more likely than not that the fair value is more than its carrying value, these amended standards eliminate the requirement to perform quantitative impairment testing as outlined in the previously issued standards. The guidance is effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012 when early adoption is permitted. The adoption of this standard is not expected to have a material impact on the Company’s consolidated financial position and results of operations.
Note 3 - Sale of Assets/Divestitures
2011 transactions
Hollywood Sale
On May 31, 2011, the Company sold substantially all of the physical assets of the Hollywood facility for $150,000 and a $50,000 contingent note payable two years after the close of the transaction if certain pre-set volume thresholds were met. The acquirer also assumed the remainder of the lease on the facility. The Company kept the related Accounts Receivable.
Page 57 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 3 - Sale of Assets/Divestitures (continued)
2011 transactions (continued)
Hollywood Sale (continued)
The results of this facility’s operations are classified within discontinued operations for 2011 through the date of the sale. A loss of $220,275 was recorded on the transaction for the nine months ended September 30, 2011.
BMC Sale
On December 15, 2011, the Company sold substantially all of the physical assets of the BMC facilities, excluding the medical receivables and the San Jose Medical Group and California Ultra Sound facilities in exchange for $13,930,000 in cash. The acquirer also assumed the remainder of the leases on the sold facilities. The results of the included facilities operations are classified within discontinued operations for 2010 through the date of sale. An impairment loss of $3,992,142 was recorded in 2010 related to these assets. A loss of $788,861 was recorded on the transaction for the year ended December 31, 2011.
Note 4 - Accounts Receivable, Net
The breakdown of accounts receivable, net, at September 30, 2012 and 2011, is as follows:
September 30, 2012 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 5,205,977 | $ | 10,681,543 | $ | 15,887,520 | ||||||
Allowance for uncollectible accounts | (500,000 | ) | — | (500,000 | ) | |||||||
Accounts Receivable, Net | $ | 4,705,977 | $ | 10,681,543 | $ | 15,387,520 |
September 30, 2011 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 5,207,897 | $ | 9,306,808 | $ | 14,514,705 | ||||||
Allowance for uncollectible accounts | (500,000 | ) | — | (500,000 | ) | |||||||
Accounts Receivable, Net | $ | 4,707,897 | $ | 9,306,808 | $ | 14,014,705 |
Page 58 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 5 - Property and Equipment, Net
Property and equipment, net, consist of the following at September 30, 2012 and 2011:
Useful Life | 2012 | 2011 | ||||||||
Fixtures | 5 to 7 years | $ | 444,454 | $ | 405,733 | |||||
Diagnostic equipment | 5 to 7 years | 13,163,369 | 10,124,377 | |||||||
Leasehold improvements | 5 to 10 years | 3,897,840 | 3,558,101 | |||||||
Computer and billing system | 3 to 5 years | 4,351,580 | 3,736,562 | |||||||
21,857,243 | 17,824,773 | |||||||||
Less: accumulated depreciation and amortization | (14,105,731 | ) | (10,374,098 | ) | ||||||
Property and Equipment, Net | $ | 7,751,512 | $ | 7,450,675 |
Depreciation and amortization expense for property and equipment for the nine months ended September 30, 2012 and 2011 was $2,777,019 and $2,654,897, respectively.
Note 6 - Amortizable Intangible Assets, Net
The following is a summary of amortizable intangible assets at September 30, 2012 and 2011
September 30, 2012 | Cost | Accumulated Amortization | Net Carrying Value | Amortizable Life | ||||||||||
Management, employment and non-compete agreements | $ | 1,701,300 | $ | 1,701,300 | $ | — | 5 years |
September 30, 2011 | Cost | Accumulated Amortization | Net Carrying Value | Amortizable Life | ||||||||||
Management, employment and non-compete agreements | $ | 1,701,300 | $ | 1,498,475 | $ | 202,825 | 5 years |
Amortization expense for the nine months ended September 30, 2012 and 2011 was $151,448 and $153,361, respectively.
Page 59 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 7 - Capital Leases
Obligations under capital leases in connection with the purchase of property and equipment are as follows:
Each of the obligations under capital leases assumed from the Integrity Group acquisition listed below is collateralized by the respective receivables from each diagnostic imaging facility.
Lessee | 2012 | 2011 | ||||||
Equipment lease with IFC Credit Corporation for the facility located in Orlando, Florida. Lease provides for 60 monthly payments: 1-6 months of $99, 7-60 of $1,728, including interest of 11.65% per annum through January 15, 2012. At termination of the lease, equipment purchase option is $1. | $ | — | $ | 8,394 | ||||
Equipment lease with Key Equipment Finance, Inc., bearing interest at 7.58%, payable in monthly installments of $30,052, including interest through November 2011. At termination of lease, equipment purchase option is $1. | — | 59,536 | ||||||
Equipment lease dated October 8, 2008 with Philips Medical Capital for the facility located in Miami, Florida. Lease provides for 60 monthly payments: 1-3 months of $--, 4-60 of $21,893, including interest of 6.10% per annum. At termination of the lease, equipment purchase option is $1. | 254,242 | 512,769 | ||||||
Equipment lease with Key Equipment Finance, Inc., bearing interest at 6.24%, payable in monthly installments of $3,459, including interest, through January 21, 2012. At termination of the lease, equipment purchase option is $1. | — | 13,659 | ||||||
Equipment lease dated April 1, 2012 with Philips Medical Capital for the facility located in Orlando, Florida. Lease provides for 24 monthly payments of $6,424, including interest of 3.70% per annum. At termination of the lease, equipment purchase option is $1. | $ | 112,321 | $ | — |
Page 60 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 7 - Capital Leases (continued)
Lessee | 2012 | 2011 | ||||||
Equipment lease with FONAR Corporation, bearing interest at 10.00%, payable in monthly installments of $4,182.53, including interest, through March 11, 2012. At termination of lease, the Company will own the equipment. | $ | — | $ | 12,946 | ||||
Equipment lease with FONAR Corporation, bearing interest at 10.00%, payable in monthly installments of $6,281.42, including interest, through December 10, 2011. At termination of lease, the Company will own the equipment. | — | 18,535 | ||||||
Equipment lease with FONAR Corporation, bearing interest at 10.00%, payable in monthly installments of $6,358.97, including interest, through December 13, 2011. At termination of lease, the Company will own the equipment. | — | 18,763 | ||||||
Equipment lease with FONAR Corporation, bearing interest at 10.00%, payable in monthly installments of $6,320.19, including interest, through December 18, 2011. At termination of lease, the Company will own the equipment. | — | 18,649 | ||||||
Equipment lease with Western Financial Lease, bearing interest at 8.25%, payable in monthly installments of $1,959, including interest, through March 16, 2016. At termination of lease, the equipment purchase option is $1. | 71,244 | 88,109 | ||||||
Equipment lease with Forum Financial Services, bearing interest at 8.4%, payable in monthly installments of $5,558, including interest through April 1, 2014. At termination of lease, the equipment purchase option is $1. | $ | 86,407 | $ | 143,266 |
Page 61 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 7 - Capital Leases (continued)
Lessee | 2012 | 2011 | ||||||
Equipment lease with Susquehanna Commercial Finance, Inc, bearing interest at 14.4% payable in monthly installments of $2,253 including interest through March 16, 2016. At termination of lease, the Company will own the equipment. | $ | 74,027 | $ | 89,216 | ||||
Equipment lease with Hewlett Packard Financial Services, bearing interest at 10.00%, payable in monthly installments of $1,269, including interest, through October 12, 2014. The lease was paid off in June 2012 and the Company exercised equipment purchase option. | — | 41,164 | ||||||
Principal balance | 598,241 | 1,025,006 | ||||||
Less: current maturities | (426,065 | ) | (504,624 | ) | ||||
Total Long-Term Maturities | $ | 172,176 | $ | 520,382 |
Future minimum lease payments under the capital lease obligations, as of September 30, 2012 are as follows:
For the Nine Months Ending September 30, | Amount | |||||
2013 | $ | 457,049 | ||||
2014 | 114,156 | |||||
2015 | 50,542 | |||||
2016 | 25,272 | |||||
2017 | — | |||||
Total minimum lease payments | 647,019 | |||||
Less: amount representing interest, with interest rates varying from 3.7 % to 14.4% | (48,778 | ) | ||||
Present Value of Minimum Lease Payments | $ | 598,241 |
Page 62 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 7 - Capital Leases (continued)
As of September 30, 2012 and 2011, the gross amount of property and equipment and related accumulated recorded under capital leases were as follows:
2012 | 2011 | |||||||
MRI Equipment under capital leases | $ | 1,602,714 | $ | 2,995,670 | ||||
Less: accumulated depreciation | (995,823 | ) | (1,344,389 | ) | ||||
Total | $ | 606,891 | $ | 1,651,281 |
Note 8 - Long-Term Debt
At September 30, 2012 and 2011, long-term debt consisted of the following:
2012 | 2011 | |||||||
Note Payable to Key Equipment Finance, Inc., bearing interest at 8%, payable in 24 monthly installments of $66,031 including interest starting July 2010. | $ | — | $ | 574,952 | ||||
Note Payable to First Insurance Funding, bearing interest at 2.62% payable in monthly installments of approximately $5,702 including interest, through March 2011. | — | 17,031 | ||||||
Note Payable to First Insurance Funding, bearing interest at 2.59% payable in monthly installments of approximately $48,687 including interest, through March 2012. | — | 289,925 | ||||||
Note Payable to First Insurance Funding, bearing interest at 2.59% payable in monthly installments of approximately $4,835 including interest, through December 2012. | $ | 14,440 | $ | — |
Page 63 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 8 - Long-Term Debt (continued)
2012 | 2011 | |||||||
Note Payable to First Insurance Funding, bearing interest at 2.59% payable in monthly installments of approximately $52,042 including interest, through December 2012. | $ | 103,747 | $ | — | ||||
Principal balance | 118,187 | 881,908 | ||||||
Less: current portion | (118,187 | ) | (881,908 | ) | ||||
Long-Term Portion | $ | — | $ | — |
Note 9 - Commitments and Contingencies
Operating Lease Commitments
The Company leases all office facilities and certain diagnostic and office equipment under operating leases that expire at various dates through February, 2021. Certain operating leases provide the Company with the option to renew for additional periods. Where operating leases contain escalation clauses, rent abatements and/or concessions, such as rent holidays and landlord or tenant incentives or allowances, they are applied in the determination of straight-line rent expense over the lease term. Leasehold improvements made at inception or during the lease term are amortized over the shorter of the asset life or the lease term.
Approximate future minimum lease payments under operating leases, excluding common area and real estate tax reimbursements, are as follows:
For the Nine Months Ending September 30, | Facilities Leases | Equipment Leases | ||||||||
2013 | $ | 2,571,721 | $ | 17,917 | ||||||
2014 | 1,904,508 | 12,270 | ||||||||
2015 | 1,814,807 | 12,270 | ||||||||
2016 | 1,833,867 | 3,068 | ||||||||
2017 | 1,664,574 | — | ||||||||
Thereafter | 2,087,253 | — | ||||||||
Total Minimum Obligations | $ | 11,876,730 | $ | 45,525 |
Page 64 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 9 - Commitments and Contingencies (continued)
Operating Lease Commitments (continued)
Rent expense for facilities amounted to $1,751,998 and $1,575,983 for the nine months ended September 30, 2012 and 2011, respectively.
Equipment rental expense for the nine months ended September 30, 2012 and 2011 amounted to $124,937 and $73,644, respectively.
Employment Agreements
The Company enters into employment agreements with certain key employees from time-to-time. These agreements last for 2-3 years, are terminable by either party for any reason and may provide for a guaranteed inflationary adjustment to base salary and/or for discretionary bonuses. These agreements contain a covenant not-to compete, which restricts employment after voluntary/involuntary termination from the Company. The length of the covenant not-to compete is stated in the contract; however may be adjusted based on which party terminates the agreement.
Service Agreements
The Company is a party to various service agreements that provide for routine maintenance, upgrades and repairs on most of its diagnostic equipment. Some of these agreements cover periods of more than one year. Payment obligations under these agreements are as follows:
For the Nine Months Ending September 30, | Amount | |||||
2013 | $ | 809,933 | ||||
2014 | 295,699 | |||||
2015 | 245,738 | |||||
2016 | 76,161 | |||||
2017 | 26,160 | |||||
Total Service Agreement Obligations | $ | 1,453,691 |
Management Agreements
The Company entered into management agreements with multiple subsidiaries of FONAR (“FONAR Subsidiaries”) in which the Company provided sales services for two diagnostic imaging facilities. For the nine months ended September 30, 2012 and 2011, the Company earned $413,791 and $152,727, respectively.
Page 65 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 9 - Commitments and Contingencies (continued
Litigation
The Company is involved in various legal proceedings in the ordinary course of business. Management believes that the ultimate resolution of such legal proceedings will not have a material adverse effect on the consolidated financial position, results of operations and cash flows of the Company.
Zotec Litigation
The Company and Zotec Partners, LLC (“Zotec”) signed an agreement in 2007, pursuant to which the Company would license Zotec’s radiology information system and Zotec would provide consultation and implementation services. The Company paid Zotec a deposit of $375,000 upon signing the agreement. The Company filed suit against Zotec in the Hamilton County, Indiana, Superior Court.. The suit alleges, among other things, Zotec’s materially false representations about the functionality of the software and of Zotec’s consulting capabilities, each of which the Company relied upon in signing the agreement.
The Company is seeking a rescission of the agreement, a return of its deposit, along with accumulated interest, actual and punitive damages.
In 2008, the Company wrote-off its $375,000 deposit. In January 2012, the Company and Zotec reached a settlement, whereby the Company paid Zotec $42,000.
Tricat Litigation
On March 20, 2009, the former owners of Tricat filed a lawsuit against the Company in the Superior Court of New Jersey, Middlesex County, alleging among other things, the Company did not fulfill certain post-closing covenants. This suit was settled out of court in favor of the Company, with the former owners releasing the full escrow balance, plus an additional amount, totaling $900,000 in June 2011. These funds were applied against a receivable amount that is reflected as an asset in discontinued operations as of December 31, 2010 , as well as additional income of $438,845 recorded in June 2011 within discontinued operations.
Page 66 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 9 - Commitments and Contingencies (continued)
Midtown Litigation
On July 3, 2008, the Company acquired 100% of the equity of Midtown Imaging, LLC in exchange for cash payments to the sellers totaling $39,000,000, of which $3,000,000 was placed in an escrow account, an assumption of a subordinated promissory note held by Midtown Imaging, P.A. in the amount of $4,000,000 and assumption of certain other liabilities.
On January 14, 2010, the Company was sued by Midtown Imaging, P.A. for alleged breach of a Guaranty agreement in connection with the $4,000,000 promissory note held by Midtown Imaging, P.A. from Midtown Imaging, LLC. The Company settled the allegations in 2011 and reduced the promissory note’s value to $1,000,000 in exchange for releasing their claim to the escrow. In March 2011, the Company recorded a $3,000,000 reduction in the notes carrying value as an increase to other income from discontinued operations and paid the $1,000,000 amount in full in December 2011.
Carecore Litigation
The complaint alleged an illegal horizontal conspiracy among a group of radiologists to preclude their competitors, including the Company, from providing outpatient medical diagnostic imaging services to patients residing in various counties in New York City, Long Island and Westchester. In particular, this case concerned the actions of CareCore (“CCN”) and its principals. CCN is owned and controlled by a group of competing diagnostic imaging providers located throughout New York. CCN has entered into exclusive agreements with the largest health care insurance plans in New York City, Long Island and Westchester -- including Oxford Healthcare, Aetna/.S. Healthcare, GHI, Healthfirst, Healthnet, HIP, and United Healthcare -- to manage radiology benefits for their subscribers.
Pursuant to its exclusive contracts with these commercial payers, CCN "certifies” or approves diagnostic imaging providers for admission into the payer physician networks which it controls. In this manner, CCN controls imaging providers' ability to obtain health insurance reimbursement from the health plans with which CCN contracts. Diagnostic imaging providers in New York City, Long Island and Westchester not receiving CCN certification are thus precluded from servicing patients who have their imaging services reimbursed by these dominant, commercial health insurance plans.
Page 67 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 9 - Commitments and Contingencies (continued)
Carecore Litigation (continued)
During 2010, the Company alleged, by commencing litigation, that CCN and its owner-providers allocated the market for diagnostic imaging services in New York City, Long Island and Westchester among themselves by boycotting competing imaging providers' access to the networks CCN controls. The Company alleged that CCN has further allocated the market for such services by "steering" patient referrals towards its owner-providers and away from non-CCN-owned providers that are "admitted" to the CCN-controlled networks. The Company alleges that CCN's conduct is illegal and has yielded anticompetitive effects in the market for imaging services, notably by reducing the output and quality of such services and by hampering innovation by imaging providers.
During 2010, the Company won a judgment which was appealed by CCN. On March 8, 2012, the Company settled the litigation with CCN. The financial terms of the settlement are subject to a confidentiality agreement. Under the terms of the settlement the amount paid by CareCore was received in full as of May 15, 2012. In accordance with ASC 855-10-15, the resolution of a gain contingency after the balance sheet date but before issuance of the financial statements should be considered a nonrecognized subsequent event and therefore the gain has been recorded in 2012, net of related legal fees and other expenses resulting from the settlement. This net gain is included in other income in the nine months ended September 30, 2012 consolidated statement of operations.
Embarcadero Open MRI Litigation
The Company was found to be in violation relating to a breach of contract in connection with a facility acquired by BMC prior to BMC’s acquisition by the Company. The Company was found to owe $354,000 plus interest of 10% per year as well as the possibility of legal fees. The debt of $354,000 is included within the liabilities of discontinued operations and three and twelve months of interest have been recorded and included in the results of operations for discontinued operations for the years ended December 31, 2010 and 2011, respectively. This amount, plus accrued interest, was paid in full in August 2012.
Page 68 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 9 - Commitments and Contingencies (continued)
Significant Risks and Uncertainties
The
Company receives reimbursements from Medicare, Medicaid, private insurance, no fault and workers’ compensation carriers,
self-pay and other third-party payors. The health care industry is experiencing the effects of the federal and state governments’
trend toward cost containment, as government and other third-party payors seek to impose lower reimbursement and utilization rates
and negotiate reduced payment schedules with
providers. The cost-containment measures, consolidated with the increasing influence of managed-care
payors and competition for patients, have resulted in reduced rates of reimbursement for services provided by the Company from
time to time. The Company’s future revenues and results of operations may be adversely impacted by future reductions in
reimbursement rates.
While the Company has prepared certain estimates of the impact of the above discussed changes and proposed changes, it is not possible to fully quantify their impact on its business. There can be no assurance that the impact of these changes will not be greater than estimated or that any future health care legislation or reimbursement changes will not adversely affect the Company’s business.
Note 10 - Income Taxes
The Company and all of its subsidiaries are organized as limited liability companies and the Company is treated as a partnership for income tax purposes. As such, the Company will pay no federal or state income taxes; rather its income or loss will be taxed directly to its members. Accordingly, no provision for federal or state income taxes is included in the accompanying consolidated financial statements. The Managing Member has concluded that the Company is a pass-through entity and there are no uncertain tax positions that would require recognition in the financial statements. If the Company was to incur an income tax liability in the future, interest on any income tax liability would be reported as interest expense and penalties on any income tax liability would be reported as income taxes.
In connection with the NYCUBT, deferred tax assets and liabilities are provided based on the differences between the financial statement carrying amounts and tax bases of assets and liabilities using enacted tax rates in effect in the years in which the differences are expected to reverse.
Page 69 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 10 - Income Taxes (continued)
The Managing Member’s conclusions regarding uncertain tax positions may be subject to review and adjustment at a later date based upon ongoing analyses of tax laws, regulations and interpretations thereof, as well as other factors. Generally, federal, state and local authorities may examine the Company’s tax returns for three years from the date of filing and the current and prior three years remain subject to examination as of December 31, 2011. The Company is subject to New York City Unincorporated Business Tax (“NYCUBT”) based on income apportioned to New York City. However, due to the net loss experienced in 2011 and 2010, the amount was deemed to be immaterial.
Note 11 - Related Party Transactions
Pursuant to its Amended and Restated Limited Liability Company Agreement (the "Operating Agreement"), the Company may be required to pay Blackfin Capital, LLC ("Blackfin") a monthly management fee for services provided on its behalf. The Company's Managing Member is a member of Blackfin. Services may include, but are not limited to, executive management, merger and acquisition consultation, advising the Company on its capital structure and raising capital. Pursuant to the Operating Agreement, the management fee may be increased or decreased at the sole discretion of the Managing Member. For the periods’ presented, a monthly fee of $50,000 was charged to the Company with an annual bonus of approximately $281,000.
Note 12 - Discontinued Operations
In accordance with ASC topic 360 (formerly SFAS 144), the Company has elected to classify the assets, liabilities and results of operations for Tricat, MTI, DTG, Hollywood, Dolphin and BMC as assets and liabilities held for sale and as a discontinued operation in the accompanying consolidated financial statements.
Page 70 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Assets and Liabilities of Business held for Sale
The major categories of assets and liabilities held for sale or sold included in the consolidated balance sheet at September 30, 2012 and 2011 are as follows:
2012 | 2011 | |||||||
Assets Held For Sale | ||||||||
Accounts receivable, net * | $ | 720,437 | $ | 3,631,944 | ||||
Escrow receivable from sale of MTI/DTG | 3,000,000 | 3,000,000 | ||||||
Prepaid expenses and other current assets | — | 378,425 | ||||||
Property, plant and equipment - net | — | 2,469,942 | ||||||
Amortizable intangible assets - net, including goodwill of $-- and $1,541,176, respectively | — | 11,936,177 | ||||||
Other assets | 32,780 | 172,301 | ||||||
Total Assets Held for Sale | $ | 3,753,217 | $ | 21,588,789 | ||||
Liabilities Held for Sale | ||||||||
Obligations under capital leases | $ | — | $ | 40,908 | ||||
Obligations under debt | — | 1,354,794 | ||||||
Accounts payable and accrued expenses | 374,396 | 2,055,306 | ||||||
Total Liabilities Held for Sale | $ | 374,396 | $ | 3,451,008 |
* | On December 15, 2011, the Company sold substantially all of the physical assets of the BMC facilities, excluding the medical receivables and San Jose Medical group and California Ultra Sound facilities. |
Page 71 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Statement of Operations of Discontinued Operations
The following results of operations are presented as a loss from a discontinued operation in the consolidated statements of operations.
2012 | 2011 | |||||||
Patient Revenue | $ | (188,813 | ) | $ | 12,541,341 | |||
Operating Expenses | ||||||||
Costs of medical services | 6,916 | 3,476,526 | ||||||
Salaries and related costs | 109,576 | 2,337,320 | ||||||
Facilities cost | 71,167 | 1,305,000 | ||||||
Equipment lease expense and service | 68,423 | 1,666,977 | ||||||
Travel, entertainment and marketing costs | 3,339 | 200,666 | ||||||
Other clinic operating costs | 675,970 | 1,721,804 | ||||||
Total Operating Expenses. | 935,391 | 10,708,293 | ||||||
(Loss) Income from Operations | (1,124,204 | ) | 1,833,048 | |||||
Interest income | — | 24 | ||||||
Other income | (600 | ) | 2,799,504 | |||||
Interest expense | (23,245 | ) | (210,500 | ) | ||||
Total Other (Expense) Income | (23,845 | ) | 2,589,028 | |||||
(Loss) Income from Discontinued Operations | $ | (1,148,049 | ) | $ | 4,422,076 |
Page 72 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Accounts Receivable, Net
All of the accounts receivable classified as Assets Held for Sale are receivable from healthcare payors. The amounts presented are at net realizable value at September 30, 2012 and 2011.
The breakdown of accounts receivable, net, at September 30, 2012 and 2011, is as follows:
September 30, 2012 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 720,437 | $ | — | $ | 720,437 |
September 30, 2011 | Receivables Due from Healthcare Payors | Receivables Due under Management Agreements | Total Accounts Receivable - Net | |||||||||
Accounts receivable, net of contractual allowances | $ | 3,631,944 | $ | — | $ | 3,631,944 |
Property and Equipment, Net
Property and equipment, net, consist of the following at September 30, 2011:
Estimated Useful Life | 2011 | |||||
Fixtures | 5 to 7 years | $ | 173,552 | |||
Diagnostic equipment | 5 to 7 years | 3,940,196 | ||||
Leasehold improvements | 5 to 10 years | 862,660 | ||||
Computer and billing system | 3 to 5 years | 98,245 | ||||
5,074,653 | ||||||
Less: Accumulated depreciation | (2,645,709 | ) | ||||
Property and Equipment, Net | $ | 2,428,944 |
Page 73 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Capital Leases
Obligations under capital leases in connection with the purchase of property and equipment for those facilities classified as assets of discontinued operations are as follows:
Lessee | 2012 | 2011 | ||||||
Equipment lease with CCA Financial for the facility located in San Rafael, California. Lease provides for 24 monthly payments of $10,344, including interest of 9.22% through January 1, 2012. At termination of the lease, equipment purchase option is $1. | $ | — | $ | 40,908 | ||||
Principal balance | — | 40,908 | ||||||
Less: current maturities | — | (40,908 | ) | |||||
Total Long-Term Maturities | $ | — | $ | — |
Long-Term Debt
On July 3, 2008, the Company entered into a $30 million senior secured credit facility (the “Credit Facility”) which was paid off in full at the closing of the BMC Divestiture. The Credit Facility was structured as a $30 million revolving credit facility maturing on July 3, 2011 however several forbearance agreements allowed the debt to remain current through the date of the BMC divestiture. The Company drew down the entire $30 million on the Credit Facility to fund the MTI acquisition. The Company recorded approximately $1,050,000 in fees and expenses related to the Credit Facility, which were written off as part of the MTI/DTG divestiture.
The Credit Facility was available for loans denominated in U.S. dollars and for letters of credit. Borrowings under the Credit Facility bore interest, at the Company’s option, at either a base rate plus an applicable margin, ranging from 2.0% to 3.25% per annum, or the LIBOR rate plus an applicable margin, ranging from 3.00% to 4.25% per annum, based on the Company’s total leverage ratio as defined in the Credit Facility at the time of borrowing. The base rate was effectively the Prime Rate. There was also a commitment fee on the unused portion of the Credit Facility from 0.375% to 0.50% per annum, based on the Company’s total leverage ratio as defined in the Credit Facility. The Company entered in a swap agreement on March 18, 2009 that was paid off at the closing of the MTI/DTG divestiture that fixed the floating aspect of the interest rate associated with the Credit Facility described above at 1.59%.
Page 74 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Long-Term Debt (continued)
The Credit Facility contained various limitations, including limitations on changes in business, mergers, acquisitions, asset sales, liens, operating leases, investments and guaranty obligations, restricted payments, financial covenants, restrictive agreements, transactions with affiliates, plan terminations and minimum funding, amendment of acquisition documents and anti-terrorism laws. The Company was not in compliance with the terms of the agreement and avoided default through a forbearance agreement with the bank.
At September 30, 2012 and 2011, long-term debt consisted of the following:
2012 | 2011 | |||||||
Credit Facility with KeyBank National Association expiring July 3, 2011. Significant terms are discussed above. | $ | — | $ | — | ||||
Note Payable to Embarcadero Open MRI, Inc. non-interest bearing, payable in quarterly installments, through September 30, 2010. Payments are calculated as 15% of certain prescribed actual collections over a predetermined threshold with a balloon at the end of a five-year term. The note is collateralized by substantially all of the assets of the Company’s California reporting unit. | — | 354,388 | ||||||
Note Payable to Bank of America, bearing interest at 8.27%, payable in monthly installments of $408, through November 2011. | — | 406 | ||||||
Unsecured, non-interest bearing subordinated note payable to Robert D. Burke, M.D., a former owner of MTI. | — | 1,000,000 | ||||||
Current Principal Balance | $ | — | $ | 1,354,794 |
Page 75 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 12 - Discontinued Operations (continued)
Operating Lease Commitments
Approximate future minimum lease payments under operating leases for the facilities whose assets are being held for sale, excluding common area and real estate tax reimbursements, are as follows:
For the Twelve Months Ending September 30, | Facilities Leases | |||||
2013 | $ | 68,803 |
Rent expense for the above facilities amounted to approximately $-- and $901,102 for the nine months ending September 30, 2012 and 2011, respectively, and is a component of loss on discontinued operations.
Equipment rental expense for the nine months ended September 30, 2012 and 2011 amounted to approximately $62,337 and $1,002,627, respectively, and is a component of loss on discontinued operations.
Note 13 - HD Ultrasound
Upon completion of the BMC divestiture, the Company created HD Ultrasound, LLC (“HDU”) as the operator of the business that was not included in the sale consummated on December 15, 2011. In addition, the Company entered into an agreement with HDU to provide collections services for the accounts receivable balance for the business that was sold as part of the same transaction. As of December 31, 2011 HDU was owned equally by both the Company and the former Vice President of Operations for California (“VP-CA”). The VP-CA funded his contribution to HDU by foregoing his profits percentage within the Company. On January 15, 2012, an unrelated party purchased 20% interest in HDU. As of September 30, 2012, HDU was owned 40% by the Company, 40% by the VP-CA and 20% by unrelated investor.
The operations of HDU are consolidated with Health Diagnostics LLC for financial reporting. For the nine months ended September 30, 2012, 100% of the results of HDU are included within continuing operations.
Page 76 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 14 – Members’ Equity
Pursuant to the operating agreement, the member capital accounts are to comply with Section 704(b) of the Internal Revenue Code and the Treasury Regulations promulgated thereunder and will be interpreted and applied in a manner consistent with those provisions. Net profit or loss for each taxable year (or portion thereof) shall be allocated (after any special allocations or required tax allocations) in such a manner so as to cause the capital account balance of such member at the beginning of such period, adjusted for all contributions and distributions during such period (and any special allocations or required tax allocations) to equal as nearly as possible the capital account balance that such member would receive upon the distribution of proceeds from a hypothetical sale of all Company assets at book value after the satisfaction of all Company liabilities according to the terms of such debt. No loss or deduction shall be allocated to any member to the extent that such allocation would cause or increase an adjusted capital account deficit of such member.
The Company’s restated operating agreement provides for, in the event of the sale or liquidation of the Company, any cash proceeds must first be applied against the unreturned capital contribution made by the contributing member plus a return based on the London Interbank Offered Rate, which in aggregate totaled $130 million and $128 million as of September 30, 2012 and 2011, respectively.
Since inception, the Company has granted profit interest units to certain executive management with the intent of management holding approximately 15% of the future profits of the Company in excess of the preference noted above. At September 30, 2012 and 2011, these units entitle the executives to share in approximately 15% and 3% of future profits, respectively. During 2011 and 2010, key employees left the Company as a result of the divestitures and their profit interest units were forfeited. The Company made a series of grants to executives effective January 1, 2012 whereby management now holds 15% of future profits. The value of these units at date of each grant was nominal.
Note 15 - Acquisitions
Acquisitions
On March 22, 2012 the Company acquired the assets of a MRI/CT suite located in Plainview, New York for a cost of $760,375. Adjacent to the MRI/CT suite is a womens’ center containing modalities specific to womens’ diagnostic imaging - mammography, ultrasound as well as a bone density scanner. The Company acquired the mammography and ultrasound machine at a cost of $160,000 and $38,726, respectively and negotiated a new lease with the landlord for both suites. Management agreements have been put in place for both suites with the prior professional corporation effective May 15, 2012.
Page 77 |
HEALTH DIAGNOSTICS, LLC & SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011
Note 15 – Acquisitions (continued)
Acquisitions (continued)
On May 9, 2012 the Company acquired an MRI and CT in lower Manhattan for $1,050,000. The Company assumed the lease of the prior tenant and immediately placed a deposit of $150,000 with the landlord.
Note 16 - Subsequent Events
On March 5, 2013, the Company agreed to sell either the assets or their equity interests in 14 centers in New York and Florida, as well as the Company’s headquarters, for approximately $34,400,000 to FONAR Corporation. The purchase price was paid in cash and transferred immediately upon closing. Assets included all rights in outstanding patient and management fee receivables, as well as all in-service fixed assets.
Page 78 |
(b) Pro Forma Financial Information.
Introduction to Unaudited Pro Forma Condensed Consolidated Financial Information
On February 13, 2013 the HMCA entered into an agreement with outside investors to acquire a 50.5% controlling interest in a newly formed limited liability company, Health Diagnostics Management, LLC (HDM). During March 2013 HMCA contributed $20,200,000 to HDM and the group of outside investors contributed $19,800,000 for its non-controlling membership interest.
To fund HMCA’s capital contribution Fonar borrowed a total of $14 million from a bank in the form of a term loan aggregating $11 million and a revolving credit loan aggregating $3 million. Fonar lent the proceeds from the loan to HMCA, together with additional cash, which HMCA used to make its capital contribution to HDM. The bank term loan is payable by Fonar in 60 consecutive monthly installments, commencing September 1, 2013. The revolving credit loan is due March 5, 2016. Fonar can prepay the loan in whole or in part in multiples of $100,000 at any time without penalty. All borrowings under the loan agreements are collateralized by substantially all of FONAR’s assets. The loan agreements also contain certain financial covenants that must be met on a periodic basis.
On March 5, 2013, HDM purchased from Health Diagnostics, LLC and certain of its subsidiaries (“HD”), a business managing twelve (12) Stand-Up® MRI Centers and two (2) other scanning centers located in the States of New York and Florida. The acquisition was accounted for using the purchase method in accordance with ASC 805, “Business Combinations”.
The following unaudited pro forma condensed consolidated financial information gives effect to the above described acquisition. The following unaudited pro forma condensed consolidated balance sheet combines the balance sheet of Fonar with HD as of September 30, 2012, as if the acquisition occurred on that date. The following unaudited pro forma condensed consolidated statements of operations combine the results of operations of Fonar with HD for the year ended June 30, 2012, and the three month period ended September 30, 2012, as if the acquisition of HD had been completed as of July 1, 2011.
The following unaudited pro forma condensed consolidated financial information is based on historical amounts for the year ended June 30, 2012 and the three months ended September 30, 2012 and certain amounts at the close of the acquisition. The information presented is for illustrative purposes only and is not necessarily indicative of the results of operations of the consolidated company that would have occurred had the acquisition been completed as of the beginning of the periods indicated or that may be attained in the future. Actual future results will likely be materially different from these pro forma results. This unaudited pro forma financial information should be read in conjunction with the historical financial information of Fonar and HD included elsewhere in this report and in other reports and documents Fonar files with the United States Securities and Exchange Commission.
Page 79 |
Fonar Corporation
Pro Forma Condensed Consolidated Balance Sheet
(Unaudited)
As of September 30, 2012
FONAR | HD | PRO FORMA ADJUSTMENTS | PRO FORMA TOTAL | |||||||||||||
ASSETS | (a) | (b) | ||||||||||||||
Current Assets: | ||||||||||||||||
Cash & cash equivalents | $ | 12,904,828 | $ | 30,781,223 | $ | (30,781,223 | )(c) | $ | 6,704,828 | |||||||
(6,200,000 | )(f) | |||||||||||||||
Accounts Receivable - net | 4,910,356 | 0 | 4,910,356 | |||||||||||||
Accounts Receivable - related party | 89,822 | 0 | 89,822 | |||||||||||||
Management and other fees receivable - net | 4,282,489 | 15,387,520 | (1,313,673 | )(c) | 18,356,336 | |||||||||||
Management and other fees receivable - related medical practices -net | 1,708,587 | 0 | 1,708,587 | |||||||||||||
Costs and estimated earnings in excess of billings of uncompleted contracts | 1,159,057 | 0 | 1,159,057 | |||||||||||||
Inventories | 2,517,148 | 0 | 2,517,148 | |||||||||||||
Current portion of notes receivable - net | 117,166 | 0 | 117,166 | |||||||||||||
Assets of discontinued operations | 0 | 3,753,217 | (3,753,217 | )(c) | 0 | |||||||||||
Prepaid expenses and other current assets | 201,992 | 1,521,837 | (1,239,353 | )(c) | 484,476 | |||||||||||
Total Current Assets | 27,891,445 | 51,443,797 | (43,287,466 | ) | 36,047,776 | |||||||||||
Property and equipment - Net | 3,123,138 | 7,751,512 | 9,721,489 | (g) | 18,035,788 | |||||||||||
(2,560,351 | )(c) | |||||||||||||||
Notes Receivable | 241,427 | 0 | 241,427 | |||||||||||||
Goodwill | 0 | 35,900,000 | (35,900,000 | )(c) | 1,231,529 | |||||||||||
1,231,529 | (g) | |||||||||||||||
Other intangible assets - net | 3,716,311 | 0 | 9,400,000 | (g) | 13,116,311 | |||||||||||
Other assets | 490,150 | 575,750 | 1,065,900 | |||||||||||||
Total Assets | $ | 35,462,471 | $ | 95,671,059 | $ | (61,394,799 | ) | $ | 69,738,731 |
See accompanying notes to pro forma unaudited condensed financial statements
Page 80 |
Fonar Corporation
Pro Forma Condensed Consolidated Balance Sheet
(Unaudited)
As of September 30, 2012
(Continued)
FONAR | HD | PRO FORMA ADJUSTMENTS | PRO FORMA TOTAL | |||||||||||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | (a) | (b) | ||||||||||||||
Current Liabilities: | ||||||||||||||||
Current portion of long-term debt and capital leases | $ | 1,658,363 | $ | 544,252 | $ | (240,168 | )(c) | $ | 1,962,447 | |||||||
Accounts payable | 2,211,559 | 3,488,698 | (3,488,698 | )(c) | 2,211,559 | |||||||||||
Other current liabilities | 8,001,377 | 0 | 8,001,377 | |||||||||||||
Unearned revenue on service contracts | 5,619,521 | 0 | 5,619,521 | |||||||||||||
Unearned revenue on service contracts - related parties | 82,500 | 0 | 82,500 | |||||||||||||
Customer advances | 3,897,679 | 0 | 3,897,679 | |||||||||||||
Liabilities of discontinued operations | 0 | 374,396 | (374,396 | )(c) | 0 | |||||||||||
Income taxes | 25,000 | 0 | 25,000 | |||||||||||||
Total Current Liabilities | 21,495,999 | 4,407,346 | (4,103,262 | ) | 21,800,083 | |||||||||||
Long-Term Liabilities: | ||||||||||||||||
Accounts payable, non current | 24,800 | 0 | 24,800 | |||||||||||||
Due to related medical practices | 230,914 | 0 | 230,914 | |||||||||||||
Long-term debt and capital leases, less current portion | 706,301 | 172,176 | 14,000,000 | (d) | 14,878,477 | |||||||||||
Other Liabilities | 389,993 | 0 | 389,993 | |||||||||||||
Total Long-Term Liabilities | 1,352,008 | 172,176 | 14,000,000 | 15,524,184 | ||||||||||||
Total Liabilties | 22,848,007 | 4,579,522 | 9,896,738 | 37,324,267 | ||||||||||||
Stockholders' Equity: | ||||||||||||||||
Class A non-voting preferred stock | 31 | — | 31 | |||||||||||||
Preferred stock | — | — | — | |||||||||||||
Common Stock | 590 | — | 590 | |||||||||||||
Class B Common Stock | — | — | — | |||||||||||||
Class C Common Stock | 38 | — | 38 | |||||||||||||
Paid-in capital in excess of par value | 174,084,007 | — | 174,084,007 | |||||||||||||
Accumulated othr comprehensive loss | (18,309 | ) | — | (18,309 | ) | |||||||||||
(Accumulated deficit)/Members Interest | (166,882,014 | ) | 89,565,170 | (91,091,537 | )(c) | (168,408,381 | ) | |||||||||
Notes receivable from employee stockholders | (68,839 | ) | — | (68,839 | ) | |||||||||||
Treasury stock, at cost | (675,390 | ) | — | (675,390 | ) | |||||||||||
Non controlling interest | 6,174,350 | 1,526,367 | 19,800,000 | (e) | 27,500,717 | |||||||||||
Total Stockholders' Equity | 12,614,464 | 91,091,537 | (71,291,537 | ) | 32,414,464 | |||||||||||
Total Liabilities and Stockholders' Equity | $ | 35,462,471 | $ | 95,671,059 | $ | (61,394,799 | ) | $ | 69,738,731 |
See accompanying notes to pro forma unaudited condensed financial statements
Page 81 |
Fonar Corporation
Pro Forma Condensed Consolidated Statement of Operations
(Unaudited)
For the year ended June 30, 2012
FONAR | HD | PRO FORMA ADJUSTMENTS | PRO FORMA TOTAL | |||||||||||||
REVENUES | (a) | (b) | ||||||||||||||
Product sales - net | $ | 6,922,464 | $ | 0 | $ | 6,922,464 | ||||||||||
Service and repair fees - net | 11,674,541 | 0 | $ | (1,170,000 | )(c) | 10,504,541 | ||||||||||
Service and repair fees - related parties - net | 110,000 | 0 | 110,000 | |||||||||||||
Management and other fees - related medical practices - net | 6,677,138 | 0 | 6,677,138 | |||||||||||||
Management and other fees - net | 14,060,275 | 19,451,425 | (1,929,802 | )(c) | 31,581,898 | |||||||||||
Patient fee income | 0 | 12,929,360 | 12,929,360 | |||||||||||||
TOTAL REVENUES - NET | 39,444,418 | 32,380,785 | (3,099,802 | ) | 68,725,401 | |||||||||||
COST AND EXPENSES | ||||||||||||||||
Costs related to product sales | 5,387,923 | 0 | 5,387,923 | |||||||||||||
Costs related to service and repair | 3,453,116 | 0 | (1,170,000 | )(c) | 2,283,116 | |||||||||||
Costs related to service and repair - related parties | 32,536 | 0 | 32,536 | |||||||||||||
Costs related to management and other fees - related medical practices | 3,588,282 | 0 | 3,588,282 | |||||||||||||
Costs related to management and other fees | 8,733,823 | 14,113,062 | (105,000 | )(c) | 22,125,321 | |||||||||||
(616,564 | )(e) | |||||||||||||||
Costs related to patient fees | 0 | 9,853,101 | (747,719 | )(e) | 9,105,382 | |||||||||||
Research and development expenses | 1,242,656 | 0 | 1,242,656 | |||||||||||||
Selling, general and administrative expenses | 8,749,090 | 6,746,494 | (1,824,802 | )(c) | 14,461,305 | |||||||||||
(709,578 | )(e) | |||||||||||||||
1,500,101 | (f) | |||||||||||||||
Goodwill Impairment | 0 | 16,809,844 | 16,809,844 | |||||||||||||
Provision for bad debts | 1,050,442 | 0 | 1,050,442 | |||||||||||||
TOTAL COST AND EXPENSES | 32,237,868 | 47,522,501 | (3,673,562 | ) | 76,086,807 | |||||||||||
INCOME/(LOSS) FROM OPERATIONS | 7,206,550 | (15,141,716 | ) | 573,760 | (7,361,406 | ) | ||||||||||
OTHER INCOME AND (EXPENSES) | ||||||||||||||||
Other income (expense) | 45,056 | (1,115,975 | ) | (1,070,919 | ) | |||||||||||
Interest income | 243,254 | 17,760 | 261,014 | |||||||||||||
Interest expense | (478,663 | ) | (85,257 | ) | (642,500 | )(d) | (1,206,420 | ) | ||||||||
INCOME BEFORE PROVISION FOR INCOME TAXES | 7,016,197 | (16,325,188 | ) | (68,740 | ) | (9,377,731 | ) | |||||||||
Provision for Income Taxes | 141,125 | 0 | 0 | 141,125 | ||||||||||||
NET INCOME/(LOSS) | 6,875,072 | (16,325,188 | ) | (68,740 | ) | (9,518,856 | ) | |||||||||
NET INCOME/(LOSS) - Non Controlling Interests | (1,098,592 | ) | (397,616 | ) | (8,277,788 | )(g) | (9,773,996 | ) | ||||||||
NET INCOME/(LOSS) - Controlling Interests | $ | 5,776,480 | $ | (16,722,804 | ) | $ | (8,346,528 | ) | $ | (19,292,852 | ) |
See accompanying notes to pro forma unaudited condensed financial statements
Page 82 |
Fonar Corporation
Pro Forma Condensed Consolidated Statement of Operations
(Unaudited)
For the year ended June 30, 2012
(Continued)
FONAR | HD | PRO FORMA ADJUSTMENTS | PRO FORMA TOTAL | |||||||||||||
(a) | (b) | |||||||||||||||
Net Income/(Loss) Available to Common Stockholders | $ | 5,392,211 | $ | (19,292,852 | ) | |||||||||||
Net Income/(Loss) Available to Class A Non Voting Preferred Stockholders | $ | 286,406 | $ | 0 | ||||||||||||
Net Income/(Loss) Available to Class C Common Stockholders | $ | 97,863 | $ | 0 | ||||||||||||
Basic Net Income/(Loss) Per Common Share Available to Common Stockholders | $ | 0.93 | $ | (3.34 | ) | |||||||||||
Diluted Net Income/(Loss) Per Common Share Available to Common Stockholders | $ | 0.91 | $ | (3.34 | ) | |||||||||||
Basic and Diluted Income/(Loss) Per Share - Common C | $ | 0.26 | $ | 0.00 | ||||||||||||
Weighted Average Basic Shares Outstanding - Common Stockholder | 5,778,695 | 5,778,695 | ||||||||||||||
Weighted Average Diluted Shares Outstanding - Common Stockholder | 5,906,199 | 5,906,199 | ||||||||||||||
Weighted Average Basic Shares Outstanding - Class C Common | 382,513 | 382,513 | ||||||||||||||
Weighted Average Diluted Shares Outstanding - Class C Common | 382,513 | 382,513 |
See accompanying notes to pro forma unaudited condensed financial statements
Page 83 |
Fonar Corporation
Pro Forma Condensed Consolidated Statement of Operations
(Unaudited)
For the three months ended September 30, 2012
PRO FORMA | PRO FORMA | |||||||||||||||
FONAR | HD | ADJUSTMENTS | TOTAL | |||||||||||||
REVENUES | (a) | (b) | ||||||||||||||
Product sales - net | $ | 1,040,450 | $ | 0 | $ | $ | 1,040,450 | |||||||||
Service and repair fees - net | 2,708,583 | 0 | (292,500 | )(c) | 2,416,083 | |||||||||||
Service and repair fees - related parties - net | 27,500 | 0 | 27,500 | |||||||||||||
Management and other fees - related medical practices - net | 1,964,986 | 0 | 1,964,986 | |||||||||||||
Management and other fees - net | 3,769,364 | 7,070,703 | (37,500 | )(c) | 10,338,436 | |||||||||||
(464,131 | )(c) | |||||||||||||||
Patient fee income | 0 | 3,406,574 | 3,406,574 | |||||||||||||
TOTAL REVENUES - NET | 9,510,883 | 10,477,277 | (794,131 | ) | 19,194,029 | |||||||||||
COST AND EXPENSES | ||||||||||||||||
Costs related to product sales | 1,055,785 | 0 | 1,055,785 | |||||||||||||
Costs related to service and repair | 865,501 | 0 | (292,500 | )(c) | 573,001 | |||||||||||
Costs related to service and repair - related parties | 8,787 | 0 | 8,787 | |||||||||||||
Costs related to management and other fees - related medical practices | 816,930 | 0 | 816,930 | |||||||||||||
Costs related to management and other fees | 2,171,207 | 3,531,445 | (37,500 | )(c) | 5,374,879 | |||||||||||
(290,273 | )(e) | |||||||||||||||
Costs related to patient fees | 0 | 2,480,552 | 2,480,552 | |||||||||||||
Research and development expenses | 329,628 | 0 | 329,628 | |||||||||||||
Selling, general and administrative expenses | 2,211,748 | 2,665,510 | (464,131 | )(c) | 4,652,894 | |||||||||||
40,942 | (e) | |||||||||||||||
198,825 | (f) | |||||||||||||||
Goodwill impairment | 0 | 16,809,844 | 16,809,844 | |||||||||||||
Provision for bad debts | 175,000 | 0 | 175,000 | |||||||||||||
TOTAL COST AND EXPENSES | 7,634,586 | 25,487,351 | (844,637 | ) | 32,227,300 | |||||||||||
INCOME/(LOSS) FROM OPERATIONS | 1,876,297 | (15,010,074 | ) | 50,506 | (13,083,271 | ) | ||||||||||
OTHER INCOME AND (EXPENSES) | ||||||||||||||||
Gain from legal settlement | 0 | 21,952,581 | 21,952,581 | |||||||||||||
Other income (expense) | (9,290 | ) | (221,669 | ) | (230,959 | ) | ||||||||||
Interest income | 59,174 | 18,807 | 77,981 | |||||||||||||
Interest expense | (76,447 | ) | (12,631 | ) | (160,625 | )(d) | (249,703 | ) | ||||||||
INCOME BEFORE PROVISION FOR INCOME TAXES | 1,849,734 | 6,727,014 | (110,119 | ) | 8,466,629 | |||||||||||
Provision for Income Taxes | 71,500 | 0 | 71,500 | |||||||||||||
NET INCOME | 1,778,234 | 6,727,014 | (110,119 | ) | 8,395,129 | |||||||||||
NET INCOME - Non Controlling Interests | (326,290 | ) | (81,798 | ) | (3,289,382 | )(g) | (3,697,470 | ) | ||||||||
NET INCOME - Controlling Interests | $ | 1,451,944 | $ | 6,645,216 | $ | (3,399,501 | ) | $ | 4,697,659 |
See accompanying notes to pro forma unaudited condensed financial statements
Page 84 |
Fonar Corporation
Pro Forma Condensed Consolidated Statement of Operations
(Unaudited)
For the three months ended September 30, 2012
(Continued)
FONAR | HD | PRO FORMA ADJUSTMENTS | PRO FORMA TOTAL | |||||||||||||
(a) | (b) | |||||||||||||||
Net Income Available to Common Stockholders | $ | 1,355,359 | $ | 4,385,166 | ||||||||||||
Net Income Available to Class A Non Voting Preferred Stockholders | $ | 71,987 | $ | 232,907 | ||||||||||||
Net Income Available to Class C Common Stockholders | $ | 24,598 | $ | 79,586 | ||||||||||||
Basic Net Income Per Common Share Available to Common Stockholders | $ | 0.23 | $ | 0.74 | ||||||||||||
Diluted Net Income Per Common Share Available to Common Stockholders | $ | 0.22 | $ | 0.73 | ||||||||||||
Basic and Diluted Income Per Share - Common C | $ | 0.06 | $ | 0.21 | ||||||||||||
Weighted Average Basic Shares Outstanding - Common Stockholder | 5,901,262 | 5,901,262 | ||||||||||||||
Weighted Average Diluted Shares Outstanding - Common Stockholder | 6,028,766 | 6,028,766 | ||||||||||||||
Weighted Average Basic Shares Outstanding - Class C Common | 382,513 | 382,513 | ||||||||||||||
Weighted Average Diluted Shares Outstanding - Class C Common | 382,513 | 382,513 |
See accompanying notes to pro forma unaudited condensed financial statements
Page 85 |
FONAR CORPORATION AND SUBSIDIARIES
NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 – ACQUISITION
On February 13, 2013 the Company entered into an agreement with outside investors to acquire a 50.5% controlling interest in a newly formed limited liability company, Health Diagnostics Management LLC (HDM). During March 2013 the Company contributed $20,200,000 to HDM and the group of outside investors contributed $19,800,000 for its non-controlling membership interest.
To fund the greater portion of HMCA’s capital contribution Fonar borrowed a total of $14 million from a bank in the form of a term loan aggregating $11 million and a revolving credit loan aggregating $3 million. Fonar lent the proceeds from the loan to HMCA, together with additional cash, which HMCA used to make its capital contributions to HDM. The bank term loan is payable in 60 consecutive monthly installments, commencing September 1, 2013. The term loan bears interest at 4.75% per annum and is payable monthly. The revolving credit loan is due March 5, 2016. The Company can prepay the loan in whole or in part in multiples of $100,000 at any time without penalty. The revolving credit note bears interest at a rate of 4% per annum and is payable monthly. All borrowings under the loan agreements are collateralized by substantially all of the Company’s assets. The loan agreements also contain certain financial covenants that must be met on a periodic basis.
On March 5, 2013 HDM purchased from Health Diagnostics, LLC and certain of its subsidiaries (“HD”), and outside investors a business managing twelve (12) Stand-Up® MRI Centers and two (2) other scanning centers located in the States of New York and Florida. In connection with the consummation of the acquisition, HDM entered into other agreements, including consulting and non-competition agreements.
NOTE 2 - PRO FORMA ADJUSTMENTS
The pro forma adjustments to the condensed combined balance sheet give effect to the acquisition of HD as if the transactions had occurred on June 30, 2012. The pro forma adjustments to the condensed consolidated statements of operations for the year ended June 30, 2012 and the three months ended September 30, 2012 give effect to the acquisition of HD as if the transactions had occurred on June 30, 2011.
Balance Sheet – September 30, 2012
a. | Derived from the unaudited balance sheet of Fonar as of September 30, 2012. |
b. | Derived from the unaudited balance sheet of HD as of September 30, 2012. |
c. | Represents certain assets and liabilities excluded from acquisition. |
d. | Represents proceeds from bank borrowing aggregating $14 million. |
e. | Represents capital contributions by outside investors of its non-controlling membership interest in HDM. |
f. | Represents cash aggregating $6,200,000 utilized by Fonar in connection with the acquisition. |
g. | Reflects the acquisition of certain assets of HD including the interest of outside investors and agreements related to the acquisition. |
The following table summarizes the estimated fair values of the assets and liabilities assumed.
Management fee and medical receivables | $ | 14,073,847 | ||
Prepaid expenses and other current assets | 282,484 | |||
Property and equipment | 9,400,000 | |||
Intangible assets | 575,750 | |||
Goodwill | 14,912,650 | |||
Other assets | 1,231,529 | |||
Long term debt | (476,260 | ) | ||
Net assets acquired | $ | 40,000,000 |
The cost of the transaction was allocated to the tangible and intangible assets and liabilities assumed based on estimates of their respective fair values at the date of acquisition with the remaining unallocated purchase price recorded as goodwill. Management is responsible for the valuation of net assets and Management fee and medical receivables considered acquired and considered a number of factors when estimating the fair values and estimated useful lives of acquired assets and liabilities. The intangible assets, including customer relations, developed software and certain related agreements, but excluding goodwill, are being amortized on a straight-line basis over their weighted average lives for periods ranging from five to twenty years.
Statement of Operations – For the Three Months Ended September 30, 2012
Statement of Operations – Year Ended June 30, 2012
Page 86 |
SIGNATURES
Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
FONAR CORPORATION
(Registrant)
By: /s/ Raymond Damadian
Raymond Damadian
President and Chairman
Dated: May 20, 2013
Page 87