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8-K - FORM 8-K - Alliance HealthCare Services, Incd350479d8k.htm

Exhibit 99.1

 

LOGO

NEWS RELEASE

Contact:

Alliance HealthCare Services

Howard Aihara

Executive Vice President

Chief Financial Officer

(949) 242-5300

ALLIANCE HEALTHCARE SERVICES REPORTS RESULTS

FOR THE FIRST QUARTER ENDED MARCH 31, 2012

AND REAFFIRMS FULL YEAR 2012 GUIDANCE

NEWPORT BEACH, CA—May 9, 2012–Alliance HealthCare Services, Inc. (NYSE:AIQ) (the “Company” or “Alliance”), a leading national provider of outpatient diagnostic imaging and radiation therapy services, announced results for the first quarter ended March 31, 2012.

First Quarter 2012 Financial Results

Revenue for the first quarter of 2012 was $120.8 million compared to $118.4 million in the first quarter of 2011, an increase of 2.0%. On a sequential quarter basis, revenue increased from $120.8 million in the first quarter of 2012 compared to $120.7 million in the fourth quarter of 2011.

Alliance’s Adjusted EBITDA (as defined below) was $37.8 million in the first quarter of 2012 compared to $36.6 million in the first quarter 2011, an increase of 3.3%. On a sequential quarter basis, Adjusted EBITDA increased 6.6% to $37.8 million in the first quarter of 2012 compared to $35.4 million in the fourth quarter of 2011.

Alliance’s net loss, computed in accordance with generally accepted accounting principles (“GAAP”), totaled ($4.8) million in the first quarter of 2012 and ($2.4) million in the first quarter of 2011.

Net loss per share on a diluted basis, computed in accordance with GAAP, was ($0.09) per share in the first quarter of 2012 and ($0.05) per share in the first quarter of 2011. In the first quarter of 2012, net loss per share on a diluted basis was impacted by ($0.04) in the aggregate due to restructuring charges, mergers and acquisitions transaction costs, fair value adjustments related to interest rate swaps and a lower GAAP income tax rate than our historical income tax rate. In the first quarter of 2011, net loss per share on a diluted basis was impacted by ($0.02) in the aggregate due to fair value adjustments related to interest rate swaps, severance and related costs, mergers and acquisitions transaction costs and a lower GAAP income tax rate than our historical income tax rate. Alliance’s historical income tax rate has been approximately 42%, rather than the GAAP income tax benefit rate of 35% in the first quarter of 2012 and 35.9% in the first quarter of 2011.

Cash flows provided by operating activities were $24.4 million in the first quarter of 2012 compared to $19.5 million in the first quarter of 2011. Capital expenditures in the first quarter of 2012 were $3.7 million compared to $9.9 million in the first quarter of 2011. Alliance opened one new fixed-site imaging center and one new radiation oncology stereotactic radiosurgery center in the first quarter of 2012.

 

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Alliance HealthCare Services

Press Release

May 9, 2012

Page 2

Alliance’s net debt, defined as total long-term debt (including current maturities) less cash and cash equivalents, decreased $17.3 million to $582.0 million at March 31, 2012 from $599.3 million at December 31, 2011. Cash and cash equivalents were $60.1 million at March 31, 2012 and $44.2 million at December 31, 2011. The Company’s net debt, as defined above, divided by the last twelve months Adjusted EBITDA, was 3.87x for the twelve month period ended March 31, 2012.

The Company’s total long-term debt (including current maturities) decreased to $642.1 million at March 31, 2012 from $643.5 million at December 31, 2011. The Company’s total long-term debt divided by last twelve months Adjusted EBITDA was 4.27x for the twelve month period ended December 31, 2011. The Company’s total debt divided by the last twelve months Adjusted EBITDA, as defined in the credit agreement, was 4.46x for the twelve month period ended December 31, 2011. Adjusted EBITDA as defined in the Company’s credit agreement includes an adjustment to exclude income attributable to non-controlling interest in subsidiaries.

Paul S. Viviano, Chairman of the Board and Chief Executive Officer, stated, “I am pleased with the progress we are making, which is reflected in our strong first quarter results. These results represent both sequential and year over year revenue and Adjusted EBITDA growth. Further, Alliance is pleased to have reported a positive revenue gap for the first quarter and has identified and is implementing $25 million of annualized cost savings. Alliance continues to focus on the three critical elements of our improvement plan, which are to stabilize and grow the Imaging Division, expand the Radiation Oncology Division, and increase organizational efficiency and cost savings, which Alliance has defined as the Journey to Excellence and Project Phoenix initiatives.”

Mr. Viviano further states, “As previously announced, our leadership transition is fully underway. The entire executive team is working closely with Larry Buckelew, who has served as a director of Alliance for three years and has been appointed as the Chairman of the Board and interim CEO in June. Mike Shea will also join the Company in June as Chief Operating Officer. Both of these executives bring extensive healthcare services experience and have proven track records with successful implementations of strategic and operational initiatives.”

Full Year 2012 Guidance

Alliance reaffirms its full year 2012 guidance ranges:

 

     Guidance
Ranges
     (dollars in millions)

Revenue

   $470 - $500

Adjusted EBITDA

   $140 - $160

Cash capital expenditures

   $55 - $65

Decrease in long-term debt, net of the change in cash and cash equivalents (before investments in acquisitions)

   $15 - $25

Fixed-site imaging center openings

   10 - 15

Radiation therapy center openings

   3 - 5

 

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Alliance HealthCare Services

Press Release

May 9, 2012

Page 3

First Quarter 2012 Earnings Conference Call

Investors and all others are invited to listen to a conference call discussing first quarter 2012 results. The conference call is scheduled for Thursday, May 10, 2012 at 8:30 a.m. Eastern Time. The call will be broadcast live on the Internet and can be accessed by visiting the Company’s website at www.alliancehealthcareservices-us.com. Click on Audio Presentations in the Investors section of the website to access the link.

The conference call can be accessed at (877) 638-4550 (United States) or (973) 582-2737 (International). Interested parties should call at least five minutes prior to the call to register. A telephone replay will be available until June 10, 2012. The telephone replay can be accessed by calling (855) 859-2056 (United States) or (404) 537-3406 (International). The conference call identification number is 77926989.

Definition of Adjusted EBITDA

Adjusted EBITDA, as defined by the Company’s management, represents net income (loss) before: interest expense, net of interest income; income taxes; depreciation expense; amortization expense; net income (loss) attributable to noncontrolling interests; non-cash share-based compensation; severance and related costs; restructuring charges; loss on extinguishment of debt; fees and expenses related to acquisitions; costs related to debt financing; non-cash impairment charges; and other non-cash charges included in other (income) expense, net, which includes non-cash losses on sales of equipment. The components used to reconcile net income (loss) to Adjusted EBITDA are consistent with our historical presentation of Adjusted EBITDA. Adjusted EBITDA is not a measure of financial performance under generally accepted accounting principles in the United States, or “GAAP.” For a more detailed discussion of Adjusted EBITDA and reconciliation to net income (loss), see the section entitled “Adjusted EBITDA” included in the tables following this release.

About Alliance HealthCare Services

Alliance HealthCare Services is a leading national provider of advanced outpatient diagnostic imaging and radiation therapy services based upon annual revenue and number of systems deployed. Alliance focuses on MRI, PET/CT and CT through its Imaging division and radiation therapy through its Oncology division. With more than 1,900 team members committed to providing exceptional patient care and exceeding customer expectations, Alliance provides quality clinical services for over 1,000 hospitals and other healthcare partners in 46 states. Alliance operates 529 diagnostic imaging and radiation therapy systems. The Company is the nation’s largest provider of advanced diagnostic mobile imaging services and one of the leading operators of fixed-site imaging centers, with 130 locations across the country. Alliance also operates 37 radiation therapy centers, including 18 dedicated stereotactic radiosurgery facilities, many of which are operated in conjunction with local community hospital partners, providing treatment and care for cancer patients. With 18 stereotactic radiosurgery facilities in operation, Alliance is among the leading providers of stereotactic radiosurgery nationwide.

 

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Alliance HealthCare Services

Press Release

May 9, 2012

Page 4

Forward-Looking Statements

This press release contains forward-looking statements relating to future events, including statements related to the Company’s improvement plan, including its efforts to stabilize and grow the Imaging Division, expand the Radiation Oncology Division, and increase organizational efficiency and cost savings through the Journey to Excellence and Project Phoenix initiatives; and to its Full Year 2012 Guidance, including its forecasts of revenue, Adjusted EBITDA, cash capital expenditures, decrease in long-term debt and the opening of new fixed-site imaging and radiation therapy centers; and estimates of revenues lost and revenues gained from new client contracts in the Company’s revenue gap disclosures on the last page of the tables following this release. In this context, forward-looking statements often address the Company’s expected future business and financial results and often contain words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “seeks” or “will.” Forward-looking statements by their nature address matters that are uncertain and subject to risks. Such uncertainties and risks include: changes in the preliminary financial results and estimates due to the restatement or review of the Company’s financial statements; the nature, timing and amount of any restatement or other adjustments; the Company’s ability to make timely filings of its required periodic reports under the Securities Exchange Act of 1934; issues relating to the Company’s ability to maintain effective internal control over financial reporting and disclosure controls and procedures; the Company’s high degree of leverage and its ability to service its debt; factors affecting the Company’s leverage, including interest rates; the risk that the counterparties to the Company’s interest rate swap agreements fail to satisfy their obligations under these agreements; the Company’s ability to obtain financing; the effect of operating and financial restrictions in the Company’s debt instruments; the accuracy of the Company’s estimates regarding its capital requirements; the effect of intense levels of competition in the Company’s industry; changes in the methods of third party reimbursements for diagnostic imaging and radiation oncology services; fluctuations or unpredictability of the Company’s revenues, including as a result of seasonality; changes in the healthcare regulatory environment; the Company’s ability to keep pace with technological developments within its industry; the growth or lack thereof in the market for imaging, radiation oncology and other services; the disruptive effect of hurricanes and other natural disasters; adverse changes in general domestic and worldwide economic conditions and instability and disruption of credit markets; difficulties the Company may face in connection with recent, pending or future acquisitions, including unexpected costs or liabilities resulting from the acquisitions, diversion of management’s attention from the operation of the Company’s business, and risks associated with integration of the acquisitions; and other risks and uncertainties identified in the Risk Factors section of the Company’s Form 10-K for the year ended December 31, 2011, filed with the Securities and Exchange Commission (the “SEC”), as may be modified or supplemented by our subsequent filings with the SEC. These uncertainties may cause actual future results or outcomes to differ materially from those expressed in the Company’s forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. The Company does not undertake to update its forward-looking statements except as required under the federal securities laws.

 

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ALLIANCE HEALTHCARE SERVICES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

AND COMPREHENSIVE INCOME (LOSS)

(Unaudited)

(in thousands, except per share amounts)

 

     Quarter Ended
March 31,
 
     2011     2012  

Revenues

   $ 118,428      $ 120,753   

Costs and expenses:

    

Cost of revenues, excluding depreciation and amortization

     67,366        66,139   

Selling, general and administrative expenses

     17,058        20,835   

Transaction costs

     372        243   

Severance and related costs

     464        529   

Depreciation expense

     22,052        21,445   

Amortization expense

     3,326        4,012   

Interest expense and other, net

     11,735        13,688   

Other (income) and expense, net

     (63     154   
  

 

 

   

 

 

 

Total costs and expenses

     122,310        127,045   
  

 

 

   

 

 

 

Loss before income taxes, earnings from unconsolidated investees, and noncontrolling interest

     (3,882     (6,292

Income tax benefit

     (1,343     (2,642

Earnings from unconsolidated investees

     (989     (1,078
  

 

 

   

 

 

 

Net loss

     (1,550     (2,572

Less: Net income attributable to noncontrolling interest

     (853     (2,250
  

 

 

   

 

 

 

Net loss attributable to Alliance HealthCare Services, Inc.

   $ (2,403   $ (4,822
  

 

 

   

 

 

 

Comprehensive loss, net of taxes

    

Net loss attributable to Alliance HealthCare Services, Inc.

   $ (2,403   $ (4,822

Unrealized gain on hedging transactions, net of taxes

     47        55   
  

 

 

   

 

 

 

Comprehensive loss, net of taxes:

   $ (2,356   $ (4,767
  

 

 

   

 

 

 

Loss per common share attributable to Alliance HealthCare Services, Inc.:

    

Basic

   $ (0.05   $ (0.09
  

 

 

   

 

 

 

Diluted

   $ (0.05   $ (0.09
  

 

 

   

 

 

 

Weighted average number of shares of common stock and common stock equivalents:

    

Basic

     52,997        53,312   

Diluted

     52,997        53,312   

 

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ALLIANCE HEALTHCARE SERVICES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

(in thousands)

 

     December 31,
2011
    March 31,
2012
 

ASSETS

    

Current assets:

    

Cash and cash equivalents

   $ 44,190      $ 60,100   

Accounts receivable, net of allowance for doubtful accounts

     70,701        67,699   

Deferred income taxes

     10,086        10,086   

Prepaid expenses

     6,462        6,214   

Other receivables

     4,301        2,937   
  

 

 

   

 

 

 

Total current assets

     135,740        147,036   

Equipment, at cost

     954,337        928,559   

Less accumulated depreciation

     (663,038     (656,393
  

 

 

   

 

 

 

Equipment, net

     291,299        272,166   

Goodwill

     56,493        56,493   

Other intangible assets, net

     143,024        138,562   

Deferred financing costs, net

     17,268        16,419   

Other assets

     19,270        20,248   
  

 

 

   

 

 

 

Total assets

   $ 663,094      $ 650,924   
  

 

 

   

 

 

 

LIABILITIES AND STOCKHOLDERS’ DEFICIT

    

Current liabilities:

    

Accounts payable

   $ 22,417      $ 17,129   

Accrued compensation and related expenses

     18,204        15,592   

Accrued interest payable

     6,582        10,250   

Other accrued liabilities

     33,438        32,318   

Current portion of long-term debt

     24,923        25,358   
  

 

 

   

 

 

 

Total current liabilities

     105,564        100,647   

Long-term debt, net of current portion

     430,451        428,540   

Senior notes

     188,109        188,188   

Other liabilities

     879        819   

Deferred income taxes

     43,002        40,345   
  

 

 

   

 

 

 

Total liabilities

     768,005        758,539   

Stockholders’ deficit:

    

Common stock

     527        526   

Treasury stock

     (2,729     (2,739

Additional paid-in capital

     20,269        21,151   

Accumulated comprehensive loss

     (950     (895

Accumulated deficit

     (171,288     (176,110
  

 

 

   

 

 

 

Total stockholders’ deficit attributable to Alliance HealthCare Services, Inc.

     (154,171     (158,067

Noncontrolling interest

     49,260        50,452   
  

 

 

   

 

 

 

Total stockholders’ deficit

     (104,911     (107,615
  

 

 

   

 

 

 

Total liabilities and stockholders’ deficit

   $ 663,094      $ 650,924   
  

 

 

   

 

 

 

 

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ALLIANCE HEALTHCARE SERVICES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(in thousands)

 

     Quarter Ended
March 31,
 
     2011     2012  

Operating activities:

    

Net loss

   $ (1,550   $ (2,572

Adjustments to reconcile net loss to net cash provided by operating activities:

    

Provision for doubtful accounts

     264        762   

Share-based payment

     1,406        882   

Depreciation and amortization

     25,378        25,457   

Amortization of deferred financing costs

     705        957   

Accretion of discount on long-term debt

     393        419   

Adjustment of derivatives to fair value

     24        14   

Distributions greater than (less than) undistributed earnings from investees

     (820     462   

Deferred income taxes

     (1,439     (2,679

(Loss) gain on sale of assets

     (64     106   

Changes in operating assets and liabilities, net of the effects of acquisitions:

    

Accounts receivable

     (5,941     2,240   

Prepaid expenses

     1,104        248   

Other receivables

     (838     1,364   

Other assets

     (913     36   

Accounts payable

     10        (3,525

Accrued compensation and related expenses

     (787     (2,612

Accrued interest payable

     3,224        3,668   

Income taxes payable

     29        25   

Other accrued liabilities

     (707     (892
  

 

 

   

 

 

 

Net cash provided by operating activities

     19,478        24,360   
  

 

 

   

 

 

 

Investing activities:

    

Equipment purchases

     (9,913     (3,745

Increase in deposits on equipment

     (1,384     (2,786

Decrease in cash in escrow

     —          1,257   

Proceeds from sale of assets

     176        3,834   
  

 

 

   

 

 

 

Net cash used in investing activities

     (11,121     (1,440
  

 

 

   

 

 

 

 

- 7 -


ALLIANCE HEALTHCARE SERVICES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)

(Unaudited)

(in thousands)

 

     Quarter Ended
March 31,
 
     2011     2012  

Financing activities:

    

Principal payments on equipment debt

     (1,417     (3,686

Proceeds from equipment debt

     —          853   

Principal payments on term loan facility

     (1,150     (3,000

Payments of debt issuance and amendment costs

     (163     (108

Noncontrolling interest in subsidiaries

     (959     (1,058

Proceeds from shared-based payment arrangements

     39        —     

Purchase of treasury stock

     —          (11
  

 

 

   

 

 

 

Net cash used in financing activities

     (3,650     (7,010
  

 

 

   

 

 

 

Net increase in cash and cash equivalents

     4,707        15,910   

Cash and cash equivalents, beginning of period

     97,162        44,190   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 101,869      $ 60,100   
  

 

 

   

 

 

 

Supplemental disclosure of cash flow information:

    

Interest paid

   $ 7,449      $ 8,682   

Income taxes paid, net of refunds

     31        246   

Supplemental disclosure of non-cash investing and financing activities:

    

Net book value of assets exchanged

   $ —        $ 920   

Capital lease obligations related to the purchase of equipment

     —          4,017   

Comprehensive gain from hedging transactions, net of taxes

     47        55   

Equipment purchases in accounts payable

     690        1,214   

 

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ALLIANCE HEALTHCARE SERVICES, INC.

ADJUSTED EBITDA

(in thousands)

Adjusted EBITDA, as defined by the Company’s management, represents net income (loss) before: interest expense, net of interest income; income taxes; depreciation expense; amortization expense; net income (loss) attributable to noncontrolling interests; non-cash share-based compensation; severance and related costs; restructuring charges; loss on extinguishment of debt; fees and expenses related to acquisitions, costs related to debt financing, non-cash impairment charges, and other non-cash charges included in other (income) expense, net, which includes non-cash losses on sales of equipment. The components used to reconcile net income (loss) to Adjusted EBITDA are consistent with our historical presentation of Adjusted EBITDA. Adjusted EBITDA is not a measure of financial performance under generally accepted accounting principles in the United States, or “GAAP.”

Management uses Adjusted EBITDA, and believes it is a useful measure for investors, for a variety of reasons. Management regularly communicates its Adjusted EBITDA results and management’s interpretation of such results to its board of directors. Management also compares the Company’s Adjusted EBITDA performance against internal targets as a key factor in determining cash incentive compensation for executives and other employees, largely because management feels that this measure is indicative of how our diagnostic imaging and radiation oncology businesses are performing and are being managed. The diagnostic imaging and radiation oncology industry continues to experience significant consolidation. These activities have led to significant charges to earnings, such as those resulting from acquisition costs, and to significant variations among companies with respect to capital structures and cost of capital (which affect interest expense) and differences in taxation and book depreciation of facilities and equipment (which affect relative depreciation expense), including significant differences in the depreciable lives of similar assets among various companies. In addition, management believes that because of the variety of equity awards used by companies, the varying methodologies for determining non-cash share-based compensation expense among companies and from period to period, and the subjective assumptions involved in that determination, excluding non-cash share-based compensation from Adjusted EBITDA enhances company-to-company comparisons over multiple fiscal periods and enhances the Company’s ability to analyze the performance of its diagnostic imaging and radiation oncology businesses.

Adjusted EBITDA may not be directly comparable to similarly titled measures reported by other companies. In addition, Adjusted EBITDA has other limitations as an analytical financial measure. These limitations include the fact that Adjusted EBITDA is calculated before recurring cash charges including interest expense, income taxes and severance costs, and is not adjusted for capital expenditures, the replacement cost of assets or other recurring cash requirements of the Company’s business. Adjusted EBITDA also does not reflect any cost for equity awards to employees and does not exclude income attributable to noncontrolling interests. In the future, the Company expects that it may incur expenses similar to the excluded items discussed above. Accordingly, the exclusion of these and other similar items in the Company’s non-GAAP presentation should not be interpreted as implying that these items are non-recurring, infrequent or unusual. Management compensates for the limitations of using Adjusted EBITDA as an analytical measure by relying on the Company’s GAAP results to evaluate its operating performance and by considering independently the economic effects of the items that are or are not reflected in Adjusted EBITDA. Management also compensates for these limitations by providing GAAP-based disclosures concerning the excluded items in the Company’s financial disclosures. As a result of these limitations, however, Adjusted EBITDA should not be considered as an alternative to net income (loss), as calculated in accordance with GAAP, or as an alternative to any other GAAP measure of operating performance. Adjusted EBITDA, as defined by the Company’s management, is calculated differently from Consolidated Adjusted EBITDA, as defined in the Company’s credit agreement and reported in the Company’s SEC filings.

 

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The calculation of Adjusted EBITDA is shown below:

 

     First Quarter Ended
March 31,
 
     2011     2012  

Net loss attributable to Alliance HealthCare Services, Inc.

   $ (2,403   $ (4,822

Income tax benefit

     (1,343     (2,642

Interest expense and other, net

     11,735        13,688   

Amortization expense

     3,326        4,012   

Depreciation expense

     22,052        21,445   

Share-based payment (included in selling, general and administrative expenses)

     1,389        876   

Severance and related costs

     464        —     

Noncontrolling interest in subsidiaries

     853        2,250   

Restructuring charges

     —          2,122   

Transaction costs

     372        359   

Other non-cash charges (included in other (income) and expenses, net)

     110        470   
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 36,555      $ 37,758   
  

 

 

   

 

 

 

The total leverage ratio calculation for the three months ended March 31, 2012 is shown below:

 

     Consolidated     Less:
Noncontrolling

interest in
Subsidiaries
    Credit
Agreement
 

Total debt

   $ 642,086      $ —        $ 642,086   

Less: Cash and cash equivalents

     (60,100     —          (60,100
  

 

 

   

 

 

   

 

 

 

Net debt

     581,986        —          581,986   

Last 12 months Adjusted EBITDA

     150,486        (6,405     144,081   

Total leverage ratio

     4.27       4.46

Net leverage ratio

     3.87       4.04

The reconciliation from net loss to Adjusted EBITDA for the 2012 guidance range is shown below (in millions):

 

     2012 Full Year
Guidance Range
 

Net loss

   ($ 24   ($ 14

Income tax benefit

     (18     (10

Depreciation expense; amortization expense; interest expense and other, net; noncontrolling interest in subsidiaries; share-based payment and other expenses

     182        184   
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 140      $ 160   
  

 

 

   

 

 

 

 

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ALLIANCE HEALTHCARE SERVICES, INC.

SELECTED STATISTICAL INFORMATION

 

    

First Quarter Ended

March 31,

 
     2011      2012  

MRI

     

Average number of total systems

     289.3         273.9   

Average number of scan-based systems

     244.4         228.8   

Scans per system per day (scan-based systems)

     8.05         8.36   

Total number of scan-based MRI scans

     125,753         126,392   

Price per scan

   $ 374.20       $ 358.55   

Scan-based MRI revenue (in millions)

   $ 47.1       $ 45.3   

Non-scan based MRI revenue (in millions)

     5.4         4.8   
  

 

 

    

 

 

 

Total MRI revenue (in millions)

   $ 52.5       $ 50.1   
  

 

 

    

 

 

 

PET and PET/CT

     

Average number of systems

     120.3         117.4   

Scans per system per day

     5.47         5.64   

Total number of PET and PET/CT scans

     41,653         41,656   

Price per scan

   $ 1,033       $ 970   

Total PET and PET/CT revenue (in millions)

   $ 43.5       $ 41.0   
  

 

 

    

 

 

 

Radiation oncology

     

Linear accelerator treatments

     23,432         22,452   

Cyberknife patients

     139         591   

Total radiation oncology revenue (in millions)

   $ 13.0       $ 19.9   
  

 

 

    

 

 

 

Revenue breakdown (in millions)

     

Total MRI revenue

   $ 52.5       $ 50.1   

PET and PET/CT revenue

     43.5         41.0   

Radiation oncology revenue

     13.0         19.9   

Other modalities and other revenue

     9.4         9.8   
  

 

 

    

 

 

 

Total revenues

   $ 118.4       $ 120.8   
  

 

 

    

 

 

 
     2011      2012  

Total fixed-site revenue (in millions)

     

First quarter ended March 31

   $ 30.7       $ 30.1   

 

- 11 -


ALLIANCE HEALTHCARE SERVICES, INC.

SELECTED STATISTICAL INFORMATION

IMAGING DIVISION REVENUE GAP

(in millions)

The Company utilizes the imaging division revenue gap as a statistical measure of its client losses and new client contracts. The imaging division revenue gap is calculated by measuring the difference between (a) the imaging division annualized revenue run rate lost as a result of clients choosing to terminate or not renew contracts with the Company, excluding clients for which Alliance provides professional radiology services, interim services and clients that the Company elects to terminate, and (b) projected new imaging division annualized revenue from new client contracts, excluding professional radiology services and interim services, commencing service in the quarter.

The annualized revenue run rate lost from customers choosing to terminate service may not be representative of the revenues such customers would have generated had they remained our customers.

The projected annualized revenue from new client contracts is calculated using contractual pricing where agreed upon, and assumptions with respect to pricing and reimbursement levels for all other new customer relationships. The projected annualized revenue from new client contracts is also calculated using assumptions with respect to customer ramp-up and scan volumes. Our assumptions are based on our experience in the industry and our expectations with respect to pricing and volume trends, and may not reflect actual revenue from new clients for a number of reasons, including greater than expected macroeconomic challenges impacting the imaging business, the variance in ramp-up time of customers adding new service lines, unexpected changes in business conditions and greater than expected competition for imaging services. See “Forward-Looking Statements” for a discussion of the other risks and uncertainties that may cause actual future results or outcomes to differ materially from those expressed above.

The imaging division revenue gap for the last four calendar quarters and the last twelve- month period ended March 31, 2012 is as follows:

 

     (a)
Revenue
Lost
    (b)
New
Revenue
     Imaging Division
Revenue Gap
 

2011

       

Second Quarter

   ($ 13.3   $ 3.8       ($ 9.5

Third Quarter

     (8.3     2.3         (6.0

Fourth Quarter

     (10.5     4.7         (5.8

2012

       

First Quarter

     (6.4     8.2         1.8   

Last Twelve Months Ended

       

March 31, 2012

   ($ 38.5   $ 19.0       ($ 19.5

 

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