Hello again fellow Corner of BRKs!
As mostly a "lurker" on the board, please allow me to a few thoughts and ask a question as we've done a fair bit of work on Alliance recently:
- Yes, AIQ is poised to grow next year with images volume overwhelming expected decrease in revenue per image. WRT the SRS / LINAC biz, volumes are strong mostly from new contract wins (MUSC, California, etc). reimbursement changes are a modest negative yet the Company claims their specific code price changes are benign.
- Strong FCF, strong mgmt, clearly statistically inexpensive (assuming AIQ isn't a value trap)
- Mostly ignored by institutional investors due to the control groups led by Oaktree (explains discount in valuation metrics to RadNet)
- My main question on Alliance is their reason for existence. Most hospitals and radiologists we spoke with indicate imaging and oncology as profit centers. With lease financing abundant, why are hospitals outsourcing to Alliance? What is the incentive?
Note: we haven't yet spoken with AIQ customers. Has anyone done so?