FONAR operates two businesses: manufacturing and selling a specialized MRI scanner, and managing outpatient diagnostic imaging facilities. FONAR's core product is the Upright® MRI scanner, which allows patients to be scanned while sitting, standing, or bending — unlike conventional MRI scanners that require the patient to lie down. This matters clinically because certain conditions, like herniated discs and scoliosis, may only appear under the weight-bearing stress of an upright posture. The scanner is also open-architecture, making it an option for patients who can't tolerate conventional tunnel-style MRI machines. FONAR sells primarily to private diagnostic imaging centers and hospital outpatient facilities. Through its subsidiary HMCA, FONAR also provides non-medical management services — billing, staffing, scheduling, compliance, marketing, and IT — to outpatient MRI facilities in New York and Florida, and directly owns and operates six facilities in Florida. HMCA manages 44 MRI scanners in total, most of which are FONAR's own Upright® scanners. HMCA generates revenue through flat monthly management fees from physician-owned facilities and direct patient fees from its Florida-owned locations. HMCA's payor mix is heavily weighted toward no-fault insurance and workers' compensation claims, which tend to be spine-related — the exact clinical application where the Upright® MRI has its strongest advantage. FONAR's near-term growth is focused on HMCA, including adding new imaging modalities at existing facilities and expanding into new managed or owned locations.
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