SEGMENT REPORTING

12 Months Ended

Dec. 31, 2022

Segment Reporting [Abstract]

SEGMENT REPORTING

SEGMENT REPORTING

Our reportable segments are described below:

Imaging Center

Our Imaging Center segment provides physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders. Services include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. The vast majority of our centers offer multi-modality imaging services, a strategy that diversifies revenue streams, reduces exposure to reimbursement changes and provides patients and referring physicians one location to serve the needs of multiple procedures. We also provide teleradiolgy services in the United Kingdom though our Heart&Lung Health subsidiary. Included in the segment is our eRad subsidiary, which designs the underlying critical scheduling, data storage and retrieval systems necessary for imaging center operation.

Artificial Intelligence ("AI")

Our AI segment develops and deploys clinical applications to enhance interpretation of medical images and improve patient outcomes with an emphasis on brain, breast, prostate, and pulmonary diagnostics.

Our chief operating decision maker ("CODM"), who is also our CEO, evaluates the financial performance of our segments based upon their respective revenue and segmented internal profit and loss statements prepared on a basis not consistent with GAAP. We do not report balance sheet information by segment since it is not reviewed by our CODM.

The table below present segment information reconciled to our financial results, with segment operating income or loss including revenue less cost of operations, depreciation and amortization, and other operating expenses to the extent specifically identified by segment (in thousands):

	Twelve Months Ended December 31,
	2022		2021		2020
Revenue:
Imaging Centers	$	1,425,665	$	1,313,662	$	1,071,840
AI	4,396		1,415		—
Total revenue	$	1,430,061	$	1,315,077	$	1,071,840
Cost of Operations
Imaging Centers	$	1,240,593	$	1,130,543	$	967,250
AI	23,753		5,333		2,822
Total cost of operations	$	1,264,346	$	1,135,876	$	970,072
Depreciation and Amortization
Imaging Centers	$	109,524	$	96,174	$	86,396
AI	6,353		520		399
Total depreciation and amortization	$	115,877	$	96,694	$	86,795
Loss on Disposal of Equipment
Imaging Centers	$	2,506	$	8,319	$	1,200
AI	23		—		—
Total loss (gain)	$	2,529	$	8,319	$	1,200
Severance
Imaging Centers	$	926	$	744	$	4,353
AI	20		—		—
Total severance	$	946	$	744	$	4,353
Income from Operations
Imaging Centers	$	72,116	$	77,882	$	12,641
AI	(25,753)		(4,438)		(3,221)
Total income from operations	$	46,363	$	73,444	$	9,420

For proper comparative purposes, Imaging Center segment revenue for the years 2021 and 2020 exclude Provider Relief Funding of $9.1 million and $26.3 million for the twelve months ended December 31, 2021 and 2020, respectively as it represents a form of direct Government stimulus. No such funds were received for the twelve months ended December 31, 2022.