HEALTH IMAGES INC
10-Q, 1996-05-14
MEDICAL LABORATORIES
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<PAGE>   1
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                               ----------------

                                   FORM 10-Q

(MARK ONE)
         QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934

For the quarterly period ended               March 31, 1996
                               -------------------------------------------------

                                       OR

         TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934

For the transition period from                     to
                               -------------------    --------------------------

                        Commission file number   0-14746
                                               -----------

                             Health Images, Inc.
- --------------------------------------------------------------------------------
            (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)


           Delaware                                              58-1485618
- --------------------------------------------------------------------------------
(State or other jurisdiction of                              (I.R.S. Employer 
incorporation or organization)                               identification no.)



 8601 Dunwoody Place, Building 200, Atlanta, Georgia                  30350
- --------------------------------------------------------------------------------
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                            (ZIP CODE)

   
REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE       770/587-5084
                                                   -----------------------------
    

- --------------------------------------------------------------------------------
Former name, former address and former fiscal year, if changed since last report

         Indicate by check X whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days Yes   X          No
                                             -----           -----

               APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY
                  PROCEEDINGS DURING THE PRECEDING FIVE YEARS:

         Indicate by check mark whether the registrant has filed all documents
and reports required to be filed by Section 12, 13 or 15(d) of the Securities
Exchange Act of 1934 subsequent to the distribution of securities under a plan
confirmed by a court.     Yes              No
                              -----           -----

                     APPLICABLE ONLY TO CORPORATE ISSUERS:

         Indicate the number of shares outstanding of each of the issuer's
classes of common stock, as of the latest practicable date 11,414,757.
<PAGE>   2
HEALTH IMAGES, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
AS OF MARCH 31, 1996

<TABLE>
<CAPTION>
                                                 ASSETS                       
                                                                                              MARCH 31,       DECEMBER 31,
                                                                                                 1996             1995       
                                                                                             ------------      ------------
<S>                                                                                          <C>               <C>
CURRENT ASSETS                                                                
                                                                              
   Cash and Cash Equivalents                                                                 $  4,200,800      $  3,204,700
                                                                              
   Marketable Securities                                                                          916,500           267,400
                                                                              
   Trade Receivables (Less Allowance for Doubtful Accounts and                
       Discounts of $11,290,500 in 1996 and $10,565,200 in 1995)                               23,297,300        24,537,600
                                                                              
   Other Receivables                                                                              975,400           806,700
                                                                              
   Inventories                                                                                    338,100           316,500
                                                                              
   Deferred Income Taxes                                                                        2,999,000         2,826,800
                                                                              
   Other                                                                                        3,095,900         2,689,400 
                                                                                             ------------      -------------

      Total Current Assets                                                                     35,823,000        34,649,100 
                                                                                             ------------      -------------

PROPERTY AND EQUIPMENT                                                        
                                                                              
   Total Property & Equipment                                                                 157,290,100       155,103,800
                                                                              
   Accumulated Depreciation                                                                    62,337,900        60,647,700 
                                                                                             ------------      -------------

      Cost Less Accumulated Depreciation                                                       94,952,200        94,456,100 
                                                                                             ------------      -------------

OTHER ASSETS                                                                  
                                                                              
   Intangible Assets                                                                           46,472,700        47,058,700
                                                                              
   Unclassified                                                                                   122,500           148,500 
                                                                                             ------------     --------------

      Total Other Assets                                                                       46,595,200        47,207,200 
                                                                                             ------------     --------------

TOTAL ASSETS                                                                                 $177,370,400      $176,312,400 
                                                                                             ------------      -------------
                                                                              
                                LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES
                                                                              
   Current Portion of Long Term Debt                                                         $ 16,680,200      $ 16,352,500
                                                                              
   Accounts Payable                                                                             7,686,400         9,369,400
                                                                              
   Accrued Expenses                                                                            10,928,200         8,450,700
                                                                              
   Unearned Revenue                                                                               507,200           135,500 
                                                                                             ------------      -------------

      Total Current Liabilities                                                                35,802,000        34,308,100 
                                                                                             ------------      -------------

LONG TERM DEBT                                                                                 43,113,100        45,000,500 
                                                                                             ------------      -------------

DEFERRED INCOME TAXES                                                                          11,666,000        11,711,300 
                                                                                             ------------      -------------

OTHER LONG TERM LIABILITIES                                                                       251,000           245,700 
                                                                                             ------------      -------------

MINORITY INTEREST                                                                               1,348,700         1,258,100 
                                                                                             ------------      -------------
COMMITMENTS AND CONTINGENCIES                                                 
                                                                              
STOCKHOLDERS' EQUITY                                                          
                                                                              
   Common Stock - $.01 Par Value - 40,000,000 Shares Authorized -             
       13,397,377 Shares Issued as of March 31, 1996 and 13,380,052           
       as of December 31, 1995                                                                    134,000           133,800
                                                                              
   Additional Paid-In Capital                                                                  77,779,300        77,674,400
                                                                              
   Retained Earnings                                                                           22,831,800        21,288,000
                                                                              
   Accumulated Translation Adjustment                                                            (603,900)         (508,700)
                                                                              
   Treasury Stock - 1,977,120 Shares at Cost as of March 31, 1996             
       and 1,957,300 as of December 31, 1995                                                  (14,951,600)      (14,798,800)
                                                                                             ------------      -------------

      Total Stockholders' Equity                                                               85,189,600        83,788,700 
                                                                                             ------------      -------------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                                                   $177,370,400      $176,312,400
                                                                                             ============      ============
</TABLE>
<PAGE>   3
HEALTH IMAGES INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE QUARTER ENDED MARCH 31, 1996      

<TABLE>
<CAPTION>
                                                                                                THREE MONTHS      THREE MONTHS
                                                                                                    ENDED            ENDED
                                                                                               MARCH 31, 1996    MARCH 31, 1995  
                                                                                               ---------------   --------------
<S>                                                                                               <C>               <C>
REVENUE                                                               
                                                                      
   Net Patient Service Revenue                                                                    $30,172,000       $17,304,600
                                                                      
   Engineering Revenue                                                                                427,300           729,800
                                                                      
   Other Revenue & Income                                                                             316,000           204,500 
                                                                                                  -----------       -----------

Total Net Revenue                                                                                  30,915,300        18,238,900 
                                                                                                  -----------       -----------
                                                                      
COSTS AND EXPENSES                                                    
                                                                      
   Operating Costs                                                                                 18,535,400        10,762,900
                                                                      
   Depreciation and Amortization Expense                                                            4,583,500         2,975,300
                                                                      
   Provision for Bad Debts                                                                          1,236,400           772,700
                                                                      
   General and Administrative Expenses                                                              2,423,900         1,334,900 
                                                                                                  -----------       -----------

Total Operating Expenses                                                                           26,779,200        15,845,800 
                                                                                                  -----------       -----------

Operating Income                                                                                    4,136,100         2,393,100
                                                                      
  Interest Income                                                                                      20,500            31,400
                                                                      
  Interest Expense                                                                                 (1,005,800)         (362,100)
                                                                                                  -----------       -----------

INCOME FROM CONTINUING OPERATIONS BEFORE MINORITY                     
   INTEREST AND PROVISION FOR INCOME TAXES                                                          3,150,800         2,062,400
                                                                      
   Minority Interest in Income of                                     
      Consolidated Entities                                                                           146,000            42,300 
                                                                                                  -----------       -----------

INCOME FROM CONTINUING OPERATIONS BEFORE PROVISION                    
   FOR INCOME TAXES                                                                                 3,004,800         2,020,100
                                                                      
   Provision for Income Taxes                                                                       1,174,900           776,600 
                                                                                                  -----------       -----------

NET INCOME FROM CONTINUING OPERATIONS                                                             $ 1,829,900       $ 1,243,500 
                                                                                                  -----------       -----------
                                                                      
DISCONTINUED OPERATIONS                                               
                                                                      
   Loss on Discontinued Operations (Net of Income Taxes)                                                  ---           415,000
                                                                      
   Loss on Disposal of Discontinued Operations (Net of Income Taxes)                                      ---           744,000 
                                                                                                  -----------       -----------

NET INCOME (LOSS)                                                                                 $ 1,829,900       $    84,500 
                                                                                                  ===========       ===========

EARNINGS (LOSS) PER COMMON AND COMMON                                 
    EQUIVALENT SHARE                                                  
                                                                      
   Primary and Fully Diluted Earnings per Share                       
                                                                      
     Net Income from Continuing Operations per Share                                              $      0.16       $      0.11
                                                                      
     Discontinued Operations per Share                                                                    ---       $     (0.10)
                                                                                                  -----------       -----------

     Net Income (Loss) per Share                                                                  $      0.16       $      0.01 
                                                                                                  ===========       ===========

WEIGHTED AVERAGE COMMON SHARE &                                       
    COMMON SHARE EQUIVALENTS                                          
                                                                      
     Primary                                                                                       11,621,600        11,641,500
                                                                      
     Fully Diluted                                                                                 11,621,600        11,641,500
                                                                      
</TABLE>
<PAGE>   4
HEALTH IMAGES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOW
FOR THE QUARTER ENDED MARCH 31, 1996
   
<TABLE>
<CAPTION>
                                                                                                 THREE MONTHS      THREE MONTHS
                                                                                                    ENDED             ENDED
                                                                                                   MARCH 31,         MARCH 31,
                                                                                                     1996              1995 
                                                                                                 ------------      ------------ 
<S>                                                                                                <C>               <C>
CASH FLOW FROM OPERATING ACTIVITIES                                             
                                                                                
Net Income (Loss)                                                                                  $1,829,900        $   84,500
                                                                                
Adjustments to Reconcile Net Income (Loss) to Net Cash                          
                                                                                
      Depreciation                                                                                  3,768,100         2,591,600
                                                                                
      Amortization                                                                                    815,400           383,700
                                                                                
      Provision for Bad Debts                                                                       1,236,400           772,700
                                                                                
      Minority Interest                                                                               146,100            42,300
                                                                                
      Deferred Income Taxes                                                                          (217,500)         (233,900)
                                                                                
      Increase in Receivables                                                                        (164,800)         (271,900)
                                                                                
      (Increase) Decrease in Inventories                                                              (21,600)          101,600
                                                                                
      Increase (Decrease) in Accounts Payable                                   
        and Accrued Expenses                                                                        1,147,200         1,405,100
                                                                                
      Other - Net                                                                                    (124,900)         (494,600)
                                                                                                   ----------        ----------

Net Cash Provided by Operating Activities                                                           8,414,300         4,381,100 
                                                                                                   ----------        ----------

CASH FLOW FROM INVESTING ACTIVITIES                                             
                                                                                
     Cash Used to Acquire Investments                                                                (649,100)          (56,700)
                                                                                
     Proceeds from Investments                                                                            ---           281,000
                                                                                
     Capital Expenditures                                                                          (4,335,600)       (2,123,200)
                                                                                
     Payments for Intangibles                                                                        (113,300)         (485,700)
                                                                                
     Other-Net                                                                                            ---           ($8,500)
                                                                                                   ----------        ----------

Net Cash Used by Investing Activities                                                              (5,098,000)       (2,393,100)
                                                                                                   ----------        ----------

CASH FLOW FROM FINANCING ACTIVITIES                                             
                                                                                
    Proceeds from Issuing Notes Payable                                                             2,135,100               ---
                                                                                
    Cash Used to Retire Debt                                                                       (3,694,800)       (3,351,400)
                                                                                
    Cash Distributions to Minority Investors                                    
       In Limited Partnerships                                                                        (55,500)          (34,700)
                                                                                
    Proceeds from Exercise of Stock Options                                                           105,100             8,800
                                                                                
    Cash Used to Pay Dividends                                                                       (286,100)         (231,800)
                                                                                
    Cash Used to Purchase Treasury Shares                                                            (500,200)              --- 
                                                                                                   ----------        ----------

Net Cash (Used) Provided by Financing Activities                                                   (2,296,400)       (3,609,100)
                                                                                                   ----------        ----------

EFFECT OF EXCHANGE RATE CHANGES ON CASH                                                               (23,800)           85,400 
                                                                                                   ----------        ----------

INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS                                                      996,100        (1,535,700)
                                                                                
CASH AND CASH EQUIVALENTS - BEGINNING OF PERIOD                                                     3,204,700         3,804,100 
                                                                                                   ----------        ----------

CASH AND CASH EQUIVALENTS - END OF PERIOD                                                          $4,200,800        $2,268,400 
                                                                                                   ==========        ========== 
                                                                                
                                                                                
SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES             
                                                                                
   Treasury Stock Reissued in Conjunction with Employee Benefit Plans                              $  347,400               ---
</TABLE>
    

<PAGE>   5

PART I   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS

RESULTS OF OPERATIONS

   
Comparisons of the quarter ended March 31, 1996, to the quarter ended March
31, 1995

         Net patient service revenue(1) increased $12,867,400, or 74.4%,
primarily due to an increase in net revenue at imaging centers that were in
operation for both the 1995 and 1996 periods ("same center revenue") of
$234,600, or 1.4%, and the Company's acquisition of 15 imaging centers from
MedAlliance, Inc. ("the MedAlliance centers acquisition").  The disposition of
the Company's Central Pennsylvania Magnetic Imaging facility on July 31, 1995,
reduced net patient service revenue by approximately $490,400.  Health Images
signed a management agreement with the purchasers of Central Pennsylvania
Magnetic Imaging under which the Company provides management services under a
fee arrangement based upon collections of the facility.  These revenues are
included in miscellaneous income on the Company's financial statements and are
contractually limited to a maximum of $750,000 per year.
    

         Engineering revenue decreased $302,500, or 41.4%, primarily due to
decreased service revenue.  Other revenue and income increased $111,500, or
54.5%.

   
         Operating costs increased by $7,772,500, or 72.2%, primarily due to
expenses associated with the 15 imaging centers acquired from MedAlliance, 
partly offset by the elimination of costs associated with the former Central 
Pennsylvania Magnetic Imaging facility and the Company's continued cost 
control efforts.  Depreciation and amortization expense increased
$1,608,200, or 54.1%, due to increased depreciation charges and additional
goodwill amortization related to the MedAlliance center acquisition.  The
Company's provision for bad debts was $1,236,400 or 4.1% of net patient service
revenue in the 1996 period as compared to $772,700, or 4.5%, in the 1995 
period.  Provisions for bad debts result from required write-offs of accounts
management deems to be uncollectible. Management expects future bad debt
experience to be comparable to these results.  General and Administrative
expenses increased $1,089,000, or 81.6%, primarily due to the centralized
billing and collections operation acquired from MedAlliance and increased cost
related to the Company's expanded volume of business.  General and
Administrative expenses as a percentage of net revenue was 7.8% in the 1996
period as compared to 7.3% in the 1995 period.
    

         Interest income decreased by  $10,900, or 34.7%, due to lower cash
balances.  Interest expense increased by $643,700, or 177.8%, due to


__________________________________

     (1)  Net patient service revenue represents imaging revenue reduced by
contractual adjustments related to discount arrangements with third party
payors.  Such discount arrangements are customary in the health care industry
and are, in the opinion of management, necessary for competitive reasons.



                                      -3-
<PAGE>   6
   
higher amounts of debt outstanding resulting from the MedAlliance centers
acquisition.  Minority interest in income of consolidated entities increased by
$103,700, or 245.2%, primarily due to minority interests assumed in the
MedAlliance centers acquisition.  Income taxes increased by $398,300, or 51.3%,
primarily due to higher pretax income.

         Net income from continuing operations increased $586,400, or 47.2%, to
$1,829,900 in the 1996 period from $1,243,500 in the 1995 period.  Primary and 
fully diluted earnings from continuing operations increased $.05 per share, 
or 45.5%, to $0.16 in the 1996 period as compared to $0.11 in the 1995 period. 
Earnings  per share were calculated using 11,621,600 primary and fully diluted 
weighted average common share equivalents for the 1996 period as compared to 
11,641,500 in the 1995 period.
    

         During the quarter ended March 31, 1995, the Company elected to
discontinue the operations of a subsidiary, Interactive Diagnostic Services,
Inc., and the financial results of such subsidiary are treated as Discontinued
Operations.  For the quarter ended March 31, 1995, the loss from operations,
net of income taxes, of the subsidiary was $1,159,000.  The Company reported
net income of $1,829,900, or $0.16 per share in the 1996 period, an increase of
$1,745,400 or 2,065.6% as compared to $84,500, or $0.01, per share in the prior
year period.

   
         The MedAlliance centers acquistion was effected as of April 1, 1995.  
Net of interest costs, this transaction was additive to earnings during the 
period under review.  During the 1996 quarter, the Company increased patient 
volume levels and generated economies of scale related to the acquisition.  
Management expects this trend to continue.
    

         The diagnostic imaging business remains intensely competitive.  The
growth of private managed care plans places downward pressure on imaging
reimbursements and leads to increased scrutiny of the appropriateness of
referrals for major diagnostic imaging procedures such as the MRI and CT
services which are the Company's principal sources of revenue.  In addition,
the Company may be at a competitive disadvantage to hospitals and hospital
systems which can offer a comprehensive range of health care services to
managed care plans.  Management believes, however, that the Company is better
positioned than many of its competitors because of its lower cost structure,
superior service to its patients, and lack of reliance upon physician
self-referral practices.  The Company's vertical integration results in lower
equipment costs and significantly reduced maintenance expenses.  Health Images
began the first installation of its proprietary HI STARTM magnetic resonance
imaging system in April, 1996.  Management believes that the HI STAR will
significantly increase the competitiveness of the Company's technology at a
relatively low marginal cost.  Management also believes that internal growth
opportunities and additional acquisitions may be available during 1996 as the
diagnostic imaging industry continues to consolidate.





                                      -4-
<PAGE>   7
INFLATION

         The impact of inflation and changing prices on the Company has, to
date, been primarily limited to salary increases and has not been material to
the Company's operation.  In the event of increased inflation, management
believes that the Company may not be able to raise the prices for its goods and
services by an amount sufficient to offset cost inflation.

         Management believes that reimbursements for its services will continue
to decline in the future, even in an otherwise inflationary environment.  The
rate of decline in reimbursement levels, however, has slowed recently and may
indicate some pricing stabilization.  The Company has historically responded to
reimbursement declines by lowering its capital costs and by increasing the
volume of its business.

LIQUIDITY AND CAPITAL RESOURCES

   
         Net cash provided by operating activities was $8,414,300 for the three
months ended March 31, 1996, an increase of $4,033,200, or 92.1%, from
$4,381,100 in the prior year period.  This increase is primarily due to an
increase in net income and higher depreciation and amortization charges
(non-cash expenses) resulting from the MedAlliance centers acquisition.  Net 
trade receivables decreased by $1,240,300 to $23,297,300 during the three
months ended March 31, 1996, primarily due to improved collections.  As of
March 31, 1996, the Company's average age of patient receivables outstanding
was 71 days as compared to 74 days as of December 31, 1995, and 82 days as of
March 31, 1995.  The reduction in the Company's average age of patient
receivables demonstrates the Company's recent focus on improved collections and
further successful integration of the Company's centralized billing and
collections operation.

         The Company reduced net outstanding debt by $1,559,700 during the
three months ended March 31, 1996, to $59,793,300.  Cash and cash equivalents
increased by $996,100 for the three months ending March 31, 1996, to $4,200,800.
    

            The Company had available $4,015,300 under its $5,000,000 bank line
at March 31, 1996.  During the quarter the Company borrowed $1,690,500 to
finance the purchase of medical equipment used in the expansion of its center
business.

   
           Capital expenditures for the three months ended March 31, 1996,
were $4,335,600.  The principal capital expenditures for the remainder of 1996
will be purchases and construction of imaging equipment, upgrades and
enhancements for the Company's HI Standard and HI STAR MRI systems, the
expansion and upgrading of certain of the Company's existing imaging 
facilities, and the construction of a new corporate headquarters.
    

         Management considers current cash and liquidity together with cash
flows from operating activities adequate to fund the Company's existing
business operations.  The Company may need to restructure its current debt
maturities or borrow additional amounts to fund all of its





                                      -5-
<PAGE>   8

intended capital expenditures and expansion plans.  Management believes such
financing is readily available from several sources.

         At March 31, 1996, the Company had commitments of $2,072,700 on
equipment and construction contracts.





                                      -6-
<PAGE>   9

                         PART II.    OTHER INFORMATION


ITEM 1.          Legal Proceedings.

                 There have been no material developments in the legal
                 proceedings described in the Company's Form 10-K for the
                 fiscal year ended December 31, 1995.

ITEM 2.          Changes in Securities.

                 None.

ITEM 3.          Defaults under Senior Securities.

                 None.

ITEM 4.          Submission of Matters to a Vote of Security Holders.

                 None.

ITEM 5.          Other Information.

                 None.

ITEM 6.          Exhibits and Reports on Form 8-K.

                 a.       Exhibits required to be filed by Item 601 of
                          Regulation S-K are included as Exhibits to this
                          report as follows:

                          Exhibit
                          Number

   
                            2(e)           Waiver Letter from the Provident
                                           Bank
    

                            4     --       Instruments defining rights of
                                           security holders are incorporated
                                           herein by reference to Exhibit 1 to
                                           Registrant's Form 8-K filed June 20,
                                           1989 and to Exhibits 3(a) and 3(b)
                                           to Registrant's Annual Report on
                                           Form 10-K for fiscal year ended
                                           December 31, 1989.

                           27     --       Financial Data Schedule
                                           (for SEC use only)

                 b.       Reports on Form 8-K -- No reports on Form 8-K have
                          been filed by Registrant during the quarter for which
                          this report is filed.





                                      -7-
<PAGE>   10

                                 EXHIBIT INDEX


   
<TABLE>
<CAPTION>
Exhibit                                                                    Page
Number                             Description                            Number
- -------                            -----------                            ------
  <S>      <C>    <C>
  2(e)     Waiver Letter from the Provident Bank

  4        --     Instruments defining rights of security holders 
                  are incorporated herein by reference to Exhibit 1 
                  to Registrant's Form 8-K filed June 20, 1989 and 
                  to Exhibits 3(a) and 3(b) to Registrant's Annual 
                  Report on Form 10-K for fiscal year ended 
                  December 31, 1989.

 27        --     Financial Data Schedule (for SEC use only)

</TABLE>
    





                                      -8-
<PAGE>   11
                                   SIGNATURES

         Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                                  HEALTH IMAGES, INC.
                                     (REGISTRANT)


Date:    May 10, 1996             By:/s/Robert D. Carl, III 
     ----------------------          ---------------------------------
                                     Robert D. Carl, III
                                     Chairman and 
                                     Chief Executive Officer
                                  
                                  
                                  
                                  By:/s/Ron L. Clark 
                                     ---------------------------------
                                     Ron L. Clark
                                     Treasurer and Controller
                                     (Principal Accounting
                                     Officer)

<PAGE>   1

          THE PROVIDENT BANK      
          COMMERCIAL BANKING      
                                  
          One East Fourth Street  
          Cincinnati, Ohio 45202  
          513/579-2736            
          Telecopy:  513/579-2201 
                                  
          PAUL L. KNUCKLES        
          Vice President          


March 18, 1996



Mr. Ronald Clark
Controller
Health Images, Inc.
8601 Dunwoody Place
Atlanta, GA 30350

RE:  Loan Covenant Violation 12/31/95
     Loan and Security Agreement dated March 27, 1995

Dear Ron:

As Agent, this letter will serve as our written consent to waive the following
two loan covenants for the 12-31-95 reporting period.

Section 6.3  Limitation on Capital Expenditures, is hereby waived to allow
Capital Expenditures of $11,700,000 in lieu of $11,500,000 for the FYE
reporting period of 12-31-95.  Future annual reporting periods will revert back
to maximum Capital Expenditures of $11,500,000.

Section 6.8  Consolidated Liabilities/Consolidated Tangible Net Worth, is
hereby waived to allow a maximum ratio of 2.41 in lieu of 2.25 for the
reporting period of 12-31-95.  Future reporting periods will revert back to a
maximum ratio not greater than 2.25 to 1.

Sincerely,


/s/ Paul L. Knuckles
Paul L. Knuckles
Vice President

PLK:kab

cc:    Mark Crosswell
       SouthTrust Bank of Georgia






<TABLE> <S> <C>

<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-START>                             JAN-01-1996
<PERIOD-END>                               MAR-31-1996
<CASH>                                       4,200,800
<SECURITIES>                                   916,500
<RECEIVABLES>                               23,297,300
<ALLOWANCES>                                11,290,500
<INVENTORY>                                    338,100
<CURRENT-ASSETS>                            35,823,000
<PP&E>                                     157,290,100
<DEPRECIATION>                              62,337,900
<TOTAL-ASSETS>                             177,370,400
<CURRENT-LIABILITIES>                       35,802,000
<BONDS>                                     43,113,100
                                0
                                          0
<COMMON>                                       134,000
<OTHER-SE>                                  85,055,600
<TOTAL-LIABILITY-AND-EQUITY>               177,370,400
<SALES>                                              0
<TOTAL-REVENUES>                            30,915,300
<CGS>                                                0
<TOTAL-COSTS>                                        0
<OTHER-EXPENSES>                            26,779,200
<LOSS-PROVISION>                             1,236,400
<INTEREST-EXPENSE>                           1,005,800
<INCOME-PRETAX>                              3,004,800
<INCOME-TAX>                                 1,174,900
<INCOME-CONTINUING>                          1,829,900
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<CHANGES>                                            0
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<EPS-PRIMARY>                                     0.16
<EPS-DILUTED>                                     0.16
        

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