Insight Imaging third-quarter revenues decrease 12.9% to $46.4 million

InSight Health Services Holdings Corp. ("Insight Imaging") (OTCBB: ISGT) today announced its financial results for the third quarter ended March 31, 2010.

Kip Hallman, Insight Imaging's President and CEO, stated, "We are disappointed in our third quarter results. We experienced declines in scan volumes in our fee-per-scan contract services business and in our patient services, or retail imaging centers. We believe these declines, which were most notable in January and February, were the result of the effects of economic weakness, continuing high unemployment, and a January resetting of patient insurance deductibles. We believe that many of our hospital clients and referring physicians experienced fewer patient visits, which led to fewer referrals for imaging services. While our overall contract services revenue was down from the prior year and from the second quarter, we were pleased that the quarterly gap between revenue lost from customers terminated during the past year and revenue gained from new customers signed during the past year was the smallest it has been at any time in the past three years. Finally, our Insight Imaging Enterprise Solutions initiative is advancing as we anticipated, as we added one new customer in the third quarter. We are currently engaged in a number of discussions with hospitals and freestanding imaging centers nationwide."

Starting with the first quarter of 2010, Insight Imaging changed the definition of its business segments into three reportable segments: contract services, patient services and other operations. Contract services consist of centers (primarily mobile units) which generate revenues from fee-for-service arrangements and fixed-fee contracts billed directly to healthcare provider customers, also referred to as wholesale operations. Patient services consist of centers (mainly fixed-sites) that primarily generate revenues from services billed, on a fee-for-service basis, directly to patients or third-party payors, also referred to as retail operations. Other operations generate revenues primarily from agreements with customers to provide management services. Insight Imaging allocates corporate overhead, depreciation related to our billing system and income taxes to other operations.

Revenues decreased 12.9% to $46.4 million for the three months ended March 31, 2010 from $53.2 million for the three months ended March 31, 2009. Net of acquisitions and dispositions, revenues decreased 10.9% to $44.4 million for the three months ended March 31, 2010 from $49.8 million for the three months ended March 31, 2009. This decrease was due to lower existing contract services revenues ($3.1 million) and lower existing patient services centers revenues ($2.1 million). Revenues from other operations decreased by $0.3 million.

Patient services revenues, net of acquisitions and dispositions, decreased 9.4% to $20.2 million for the three months ended March 31, 2010 from $22.3 million for the three months ended March 31, 2009. The decrease was primarily a result of a decrease in scan volumes which Insight Imaging attributes to various factors, including high unemployment rates and the impact of high deductible health plans. The decrease is also due to a decline in the percentage of scan volume related to more expensive procedures, coupled with reimbursement rate reductions from various payors.

Insight Imaging's contract services revenues decreased 15.7% to $23.7 million for the three months ended March 31, 2010 from $28.1 million for the three months ended March 31, 2009. The decrease was due partially to the closure of a fixed site center related to a large health care provider contract ($1.3 million). Additionally Insight Imaging experienced a reduction in the number of active contracts and reductions in reimbursement from our contract services customers for all modalities. The reductions in reimbursement are primarily the result of competition from other contract services providers and fewer mobile units in service. The company's aging mobile fleet also contributed to the decline in revenues as did the continued propensity for customers to take their business in-house.

Revenues decreased 17.4% to $144.1 million for the nine months ended March 31, 2010 from $174.5 million for the nine months ended March 31, 2009 . Net of acquisitions and dispositions, revenues decreased 10.7% to $138.3 million for the nine months ended March 31, 2010, from $154.9 million for the nine months ended March 31, 2009. The decrease was primarily due to lower contract services revenues ($10.9 million) and lower patient services revenues ($5.3 million). Revenues from other operations also decreased by $0.3 million.

Insight Imaging's patient services revenues, net of acquisitions and dispositions, decreased by 7.7% to $64.1 million for the nine months ended March 31, 2010, from $69.4 million for the nine months ended March 31, 2009. The decrease was primarily a result of a decrease in scan volumes, which the company attributes to various factors, including high unemployment rates and the impact of high deductible health plans. The decrease is also due to a decline in the percentage of scan volume related to more expensive procedures, coupled with reimbursement rate reductions from various payors.

Insight Imaging's contract services revenues decreased 18.1% to $72.6 million for the nine months ended March 31, 2010, from $88.7 million for the nine months ended March 31, 2009. The decrease was due partially to the closure of a fixed-site center related to a large health care provider contract ($5.1 million). Additionally the company experienced a reduction in the number of active contracts and reductions in reimbursement from its contract services customers for all modalities. The reductions in reimbursement are primarily the result of competition from other contract services providers and fewer mobile units in service. Insight Imaging's aging mobile fleet also contributed to the decline in revenues as did the continued propensity for customers to take their business in-house.

Net cash provided by operating activities was $3.2 million for the nine months ended March 31, 2010 and resulted primarily from our Adjusted EBITDA ($24.3 million) (see reconciliation below) less cash paid for interest and taxes ($16.6 million) and changes in certain assets and liabilities ($5.4 million) offset by the effects of non-controlling interests ($0.9 million). The changes in certain assets and liabilities primarily consist of a decrease in accounts payable and other accrued expenses primarily related to the timing of payment of short-term obligations ($5.8 million), payment of a non-income tax settlement ($0.5 million); and accrued compensation and related benefits ($2.5 million) due primarily to the timing of the company's payroll periods, partially offset by a decrease in accounts receivables, net ($1.7 million) and other assets ($0.5 million), a decrease in deferred income tax liabilities ($0.6 million) and other ($0.6 million).

At March 31, 2010, Insight Imaging had $12.8 million in cash, cash equivalents and restricted cash (including $1.4 million that was subject to the lien for the benefit of the senior secured floating rate notes), and $12.0 million of availability under its revolving credit facility, based on the borrowing base. At March 31, 2010, there were no borrowings outstanding under the credit facility; however, there were letters of credit of $1.3 million outstanding under the credit facility.

Adjusted EBITDA for the third quarter of fiscal 2010 decreased 16.9% to $7.1 million compared to $8.5 million for the prior year period. Adjusted EBITDA for the first nine months of fiscal 2010 decreased 17.9% to $24.3 million compared to $29.6 million for the prior year period. For the third quarter and first nine months, respectively, $0.1 million and $2.3 million of the decrease were due to centers that were sold or closed, net of the impact of acquired centers.