INTRODUCTION.
At 0.6 Tesla field strength, the Upright® MRI is among the highest field open
MRI scanners in the industry, offering non-claustrophobic MRI together with
high-field image quality.
HMCA generates revenues from providing comprehensive management services,
including development, administration, accounting, billing and collection
services, together with office space, medical equipment, supplies and
non-medical personnel to its clients. Revenues are in the form of fees which are
earned under contracts with HMCA's clients except for its three
The most significant adverse impact on on our Company in fiscal 2020 has been the COVID-19 pandemic. Although it had seemed the worst had passed, events have shown a spike in new cases due primarily to the new Delta strain in the viruses. This is by no means a problem confined to our Company, but regardless of our best efforts, our results of operation and financial condition are potentially volatible and severe.
Since March, 2020 the global pandemic of COVID-19 has caused turbulence and
uncertainty in
Page 37 FONAR CORPORATION AND SUBSIDIARIES
Critical Accounting Policies
Our discussion and analysis of financial condition and results of operations are
based on our consolidated financial statements that were prepared in accordance
with
our reported amounts of assets and liabilities in our consolidated balance sheets at the dates of the financial statements
our disclosure of contingent assets and liabilities at the dates of the financial statements; and
our reported amounts of net revenue and expenses in our consolidated statements of operations during the reporting periods
These estimates involve judgments with respect to numerous factors that are difficult to predict and are beyond management's control. As a result, actual amounts could differ materially from these estimates.
We believe the following critical accounting policies affect our more significant judgments and estimates used in the preparation of our consolidated financial statements. We recognize revenue and related costs of revenue from sales contracts for our MRI scanners and major upgrades, under the percentage-of-completion method. Under this method, we recognize revenue and related costs of revenue, as each sub-assembly is completed. Amounts received in advance of our commencement of production are recorded as customer advances.
We continuously, qualitatively and quantitatively evaluate the realizability (including both positive and negative evidence) of the net deferred tax assets and assess the valuation allowance periodically. Our evaluation considers the financial condition of the Company and both the business conditions and regulatory environment of the industry. If future taxable income or other factors are not consistent with our expectations, an adjustment to our allowance for net deferred tax assets may be required. For net deferred tax assets we consider estimates of future taxable income, including tax planning strategies, in determining whether our net deferred tax assets are more likely than not to be realized. Our ability to project future taxable income may be significantly affected by our ability to determine the impact of regulatory changes which could adversely affect our future profits. As a result, the benefits of our net operating loss carry forwards could expire before they are utilized.
At
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We depreciate our long-lived assets over their estimated economic useful lives with the exception of leasehold improvements where we use the shorter of the assets useful lives or the lease term of the facility for which these assets are associated.
The Company provides for medical receivables that could become uncollectible by establishing an allowance for doubtful accounts in order to adjust medical receivables to estimated net realizable value. In evaluating the collectability of medical receivables, the Company considers a number of factors, including the age of the account, historical collection experiences, payor type, current economic conditions and other relevant factors. There are various factors that impact collection trends, such as payor mix, changes in the economy, increase burden on copayments to be made by patients with insurance and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process.
We amortize our intangible assets, including patents, and capitalized software development costs, over the shorter of the contractual/legal life or the estimated economic life. Our amortization life for patents and capitalized software development costs is 15 to 17 years and 5 years, respectively. Our amortization of the non-competition agreements entered into with certain individuals in connection with the HDM transaction are depreciated over seven years, and customer relationships are amortized over 20 years.
We periodically assess the recoverability of long-lived assets, including property and equipment, intangibles and management agreements, when there are indications of potential impairment, based on estimates of undiscounted future cash flows. The amount of impairment is calculated by comparing anticipated discounted future cash flows with the carrying value of the related asset. In performing this analysis, management considers such factors as current results, trends, and future prospects, in addition to other economic factors.
RESULTS OF OPERATIONS. FISCAL 2022 COMPARED TO FISCAL 2021
In fiscal 2022, we recognized net income of
Page 39 FONAR CORPORATION AND SUBSIDIARIES
Discussion of Operating Results of Medical Equipment Segment
Fiscal 2022 Compared to Fiscal 2021
Revenues attributable to our medical equipment segment decreased by 9.1% to
The Upright® MRI is unique in that it permits MRI scans to be performed on patients upright in the weight-bearing state and in multiple positions that correlate with symptoms.
Product sales to unrelated parties decreased by 59.8% in fiscal 2022 from
We believe that one of our principal challenges in achieving greater market
penetration is attributable to the better name recognition and larger sales
forces of our larger competitors such as General Electric, Siemens, Hitachi,
Philips and Toshiba and the ability of some of our competitors to offer
attractive financing terms through affiliates, such as
In addition, lower reimbursement rates have reduced the demand for our MRI products, resulting in lower sales volumes. As a result of fewer sales, service revenues have decreased since as older scanners are taken out of service, there are fewer new scanners available to sign service contracts.
The operating loss for the medical equipment segment increased from an operating
loss of
We recognized revenues of
Research and development expenses decreased to
Discussion of Operating Results of Physician and Diagnostic Services Management Segment.
Fiscal 2022 Compared to Fiscal 2021
Revenues attributable to the Company's physician and diagnostic services
management segment, HMCA, increased to
Page 40 FONAR CORPORATION AND SUBSIDIARIES
Cost of revenues as a percentage of the related revenues for our physician and
diagnostic services management segment increased from
Operating results of this segment increased from operating income of
For the fiscal years ended
Discussion of Certain Consolidated Results of Operations
Fiscal 2022 Compared to Fiscal 2021
Interest and investment income decreased in 2022 compared to 2021. We recognized
interest income of
Interest expense of
The 29.2% noncontrolling interest allocations of
While revenue increased by 8.5% selling, general and administrative expenses
decreased by 5.0% to
The compensatory element of stock issuances decreased from
Revenue from service and repair fees remained constant at
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Continuing our tradition as the originator of MRI, we remain committed to
maintaining our position as the leading innovator of the industry through
investing in research and development. In fiscal 2022 we continued our
investment in the development of various upgrades for the UPRIGHT® MRI, with an
investment of
For the physician and diagnostic services management segment, HMCA, revenues
increased to
For the fiscal year 2022 the Company recorded an income tax expense of
We have been taking steps to improve HMCA revenues by our marketing efforts, which focus on the unique capability of our Upright® MRI scanners to scan patients in different positions. We have also been increasing the number of health insurance plans in which our clients participate. The utilization of these tax benefits is dependent on the Company generating future taxable income and other factors. A partial valuation allowance will be maintained until evidence exists to support that it is no longer needed, (principally related to research and development credits).
Our management fees are dependent on collection by our clients of fees from 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 governments 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 our clients from time to time. Our future revenues and results of operations may be adversely impacted by future reductions in reimbursement rates.
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Certain third-party payors have proposed and implemented changes in the methods and rates of reimbursement that have had the effect of substantially decreasing reimbursement for diagnostic imaging services that HMCA's clients provide. To the extent reimbursement from third-party payors is reduced, it will likely have an adverse impact on the rates they pay us, as they would need to reduce the management fees they pay HMCA to offset such decreased reimbursement rates. Furthermore, many commercial health care insurance arrangements are changing, so that individuals bear greater financial responsibility through high deductible plans, co-insurance and higher co-payments, which may result in patients delaying or foregoing medical procedures. More frequently, however, patients are scanned and we experience difficulty in collecting deductibles and co-payments. We expect that any further changes to the rates or methods of reimbursement for services, which reduce the reimbursement per scan of our clients may partially offset the increases in scan volume we are working to achieve for our clients, and indirectly will result in a decline in our revenues.
On
In addition, the use of radiology benefit managers, or RBM's has increased in recent years. It is common practice for health insurance carriers to contract with RBMs to manage utilization of diagnostic imaging procedures for their insureds. In many cases, this leads to lower utilization of imaging procedures based on a determination of medical necessity. The efficacy of RBMs is still a highly controversial topic. We cannot predict whether the healthcare legislation or the use of RBMs will negatively impact our business, but it is possible that our financial position and results of operations could be negatively affected.
LIQUIDITY AND CAPITAL RESOURCES
Cash, and cash equivalents increased by 9.6% from
Cash provided by operating activities for fiscal 2022 approximated
Cash used in investing activities for fiscal 2022 approximated
Cash used in financing activities for fiscal 2021 approximated
Total liabilities decreased slightly by 1.9% during fiscal 2022, from
approximately
Page 43 FONAR CORPORATION AND SUBSIDIARIES
At
Our principal sources of liquidity are derived from revenues.
Our business plan includes a program for manufacturing and selling our Upright®
MRI scanners. In addition, we are enhancing our revenue by participating in the
physician and diagnostic services management business through our subsidiary,
HMCA and have upgraded the facilities which it manages, most significantly by
the replacement of the original MRI scanners with new Upright® MRI scanners. As
of
Our business plan also calls for a continuing emphasis on providing our
customers with enhanced equipment service and maintenance capabilities and
delivering state-of-the-art, innovative and high quality equipment upgrades at
competitive prices. Fees for on-going service and maintenance from our installed
base of scanners were
In order to promote profitability and to reduce demands on our cash and other
liquid reserves, we maintain an aggressive program of cost cutting. Previously,
these measures included consolidating HMCA's office space with
Current economic credit conditions have contributed to a slower than optimal business environment. As a result our business may suffer, should the credit markets not improve in the near future. The direct impact of these conditions is not fully known.
Revenues from HMCA have been the principal reason for our profitability, and we have so far been able to maintain and increase such revenues by increasing the number of scans being performed by the sites we manage and those we own, notwithstanding reductions in reimbursement rates from third party payors. The likelihood and effect of any subsequent reductions is not fully known.
Capital expenditures for fiscal 2022 approximated
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The Company believes that its business plan has been responsible for the past
five consecutive fiscal years of profitability (fiscal 2022, fiscal 2021, fiscal
2020, fiscal 2019 and fiscal 2018) and that its capital resources will be
adequate to support operations at current levels through
On
During
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