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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Feb. 27, 2019
Jan. 06, 2017
Jan. 31, 2018
Jun. 30, 2019
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Feb. 28, 2019
CASH FLOWS FROM OPERATING ACTIVITIES                
Net income       $ 7,591,000 $ 5,668,000 $ 1,013,000    
Adjustments to reconcile net income to net cash provided by operating activities:                
Depreciation and amortization       20,083,000 39,703,000 35,942,000    
Amortization of operating lease right-of-use assets         32,937,000      
Equity in earnings of joint ventures       (2,244,000) (4,117,000) (6,725,000)    
Distributions from joint ventures         3,438,000 7,083,000    
Amortization deferred financing costs and loan discount         2,021,000 1,949,000    
Loss (gain) on sale and disposal of equipment       101,000 1,073,000 (1,831,000)    
Stock-based compensation         5,582,000 4,890,000    
Other noncash items included in cost of operations         (559,000) 0    
Change in fair value of contingent consideration         (1,953,000) 0    
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:                
Accounts receivable         (12,042,000) (7,113,000)    
Other current assets         4,331,000 (568,000)    
Other assets         2,069,000 (900,000)    
Deferred taxes         (3,542,000) (78,000)    
Operating lease liability         (32,268,000)      
Deferred rent         0 1,788,000    
Deferred revenue         (666,000) 153,000    
Accounts payable, accrued expenses and other         2,860,000 11,345,000    
Net cash provided by operating activities         44,535,000 46,948,000    
CASH FLOWS FROM INVESTING ACTIVITIES                
Purchase of imaging facilities         (27,149,000) (14,094,000)    
Equity investments at fair value         (143,000) (2,200,000)    
Purchase of property and equipment         (50,342,000) (45,133,000)    
Proceeds from sale of equipment         760,000 2,324,000    
Proceeds from the sale of equity interests in a joint venture         132,000 0    
Equity contributions in existing and purchase of interest in joint ventures         (103,000) (2,000,000)    
Net cash used in investing activities         (76,845,000) (61,103,000)    
CASH FLOWS FROM FINANCING ACTIVITIES                
Principal payments on notes and leases payable         (3,320,000) (3,393,000)    
Payments on term loan debt         (19,469,000) (16,540,000)    
Deferred financing costs from debt issuance         (683,000) 0    
Debt discount from debt issuance         (2,173,000) 0    
Proceeds from debt issuance         100,000,000 0    
Distributions paid to noncontrolling interests         0 (913,000)    
Proceeds from sale of noncontrolling interest         5,275,000 0    
Contribution from noncontrolling partner         750,000 0    
Proceeds from revolving credit facility         236,200,000 19,800,000    
Payments on revolving credit facility         (264,200,000) (19,800,000)    
Proceeds from issuance of common stock upon exercise of options         50,000 0    
Net cash provided by (used in) financing activities         52,430,000 (20,846,000)    
EFFECT OF EXCHANGE RATE CHANGES ON CASH         (5,000) (69,000)    
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS         20,115,000 (35,070,000)    
CASH AND CASH EQUIVALENTS, beginning of period     $ 51,322,000   10,389,000 51,322,000 $ 51,322,000  
CASH AND CASH EQUIVALENTS, end of period       30,504,000 30,504,000 16,252,000 10,389,000  
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION                
Cash paid during the period for interest         23,292,000 17,509,000    
Equipment acquired and leasehold improvements         14,000,000 13,600,000    
Accrued euity interest distribution to noncontrolling interest       1,800,000 1,800,000      
Capital lease debt         0 $ 4,000,000    
Fixed assets transferred from Beach Imaging LLC     $ 15,000,000          
Investment in joint venture, ScriptSender, LLC   $ 3,000,000         $ 268,000  
Ventura County Imaging Group, LLC                
Fixed assets acquired       $ 4,300,000 $ 4,300,000      
Hudson Valley Radiology Associates                
Equity interest issued, value assigned               $ 6,000,000
Variable Interest Entity, Not Primary Beneficiary                
Shares issues (in shares) 440,207              
Variable Interest Entity, Not Primary Beneficiary | Hudson Valley Radiology Associates                
Equity interest issued, value assigned $ 6,000,000