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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
3 Months Ended 12 Months Ended
Feb. 27, 2019
Jan. 06, 2017
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Feb. 28, 2019
CASH FLOWS FROM OPERATING ACTIVITIES            
Net loss     $ (1,922,000) $ (5,454,000)    
Adjustments to reconcile net loss to net cash provided by operating activities:            
Depreciation and amortization     19,620,000 17,856,000    
Amortization of operating lease right-of-use assets     16,000,000 0    
Equity in earnings of joint ventures     (1,873,000) (2,977,000)    
Distributions from joint ventures     0 2,821,000    
Amortization deferred financing costs and loan discount     975,000 974,000    
Loss (gain) on sale and disposal of equipment     971,000 (1,936,000)    
Stock-based compensation     4,538,000 3,745,000    
Noncash items included in cost of operations     (559,000) 0    
Change in fair value of contingent consideration     (639,000) 0    
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions:            
Accounts receivable     (9,486,000) (6,132,000)    
Other current assets     (1,184,000) 1,003,000    
Other assets     1,254,000 (2,715,000)    
Deferred taxes     (1,481,000) (2,759,000)    
Operating lease liability     (15,863,000)      
Deferred rent     0 1,302,000    
Deferred revenue     (440,000) 105,000    
Accounts payable, accrued expenses and other     16,989,000 18,480,000    
Net cash provided by operating activities     26,900,000 24,313,000    
CASH FLOWS FROM INVESTING ACTIVITIES            
Purchase of imaging facilities     (3,000,000) (5,819,000)    
Equity investments at fair value     (143,000) (2,200,000)    
Purchase of property and equipment     (32,940,000) (23,946,000)    
Proceeds from sale of equipment     756,000 2,116,000    
Proceeds from the sale of equity interests in a joint venture     132,000      
Proceeds from the sale of equity interests in a joint venture       0    
Net cash used in investing activities     (35,195,000) (29,849,000)    
CASH FLOWS FROM FINANCING ACTIVITIES            
Principal payments on notes and leases payable     (1,713,000) (1,736,000)    
Payments on Term Loan Debt     (9,020,000) (8,270,000)    
Distributions paid to noncontrolling interests     0 (759,000)    
Proceeds from sale of noncontrolling interest     5,275,000 0    
Contribution from noncontrolling partner     750,000 0    
Proceeds from revolving credit facility     144,900,000 0    
Payments on revolving credit facility     (131,900,000) 0    
Proceeds from issuance of common stock upon exercise of options     50,000 0    
Net cash provided by (used in) financing activities     8,342,000 (10,765,000)    
EFFECT OF EXCHANGE RATE CHANGES ON CASH     (8,000) 22,000    
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS     39,000 (16,279,000)    
CASH AND CASH EQUIVALENTS, beginning of period     10,389,000 51,322,000 $ 51,322,000  
CASH AND CASH EQUIVALENTS, end of period     10,428,000 35,043,000 10,389,000  
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION            
Cash paid during the period for interest     10,296,000 9,050,000    
Equipment acquired and leasehold improvements     32,600,000 36,100,000    
Capital lease debt     0 $ 4,000,000    
Investment in joint venture, ScriptSender, LLC   $ 3,000,000     $ 268,000  
Ventura County Imaging Group, LLC            
Fixed assets acquired     $ 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