XML 43 R29.htm IDEA: XBRL DOCUMENT v3.25.0.1
SEGMENT REPORTING (Tables)
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
Year Ended December 31, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$1,792,319 $37,345 $1,829,664 
Intersegment revenues— 28,361 28,361 
$1,792,319 $65,706 $1,858,025 
Reconciliation of revenue
Elimination of intersegment revenues(28,361)
Total consolidated revenues$1,829,664 
Less:
Other segment items*$1,542,274 $40,753 $1,583,027 
Segment profit (loss)250,045 (3,408)246,637 
Reconciliation of segment profit
Depreciation and amortization(137,838)
Loss on sale and disposal of equipment and other(2,276)
Severance costs(1,902)
Interest expense(79,849)
Equity in earnings of joint ventures14,472 
Non-cash change in fair value of interest rate swaps(8,006)
Debt restructuring and extinguishment expenses(11,292)
Other income24,916 
Income before income taxes$44,862 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Year Ended December 31, 2023
Imaging CenterDigital healthTotal
Revenues from external customers$1,590,564 $26,066 $1,616,630 
Intersegment revenues— 23,510 23,510 
1,590,564 49,576 1,640,140 
Reconciliation of revenue
Elimination of intersegment revenues(23,510)
Total consolidated revenues$1,616,630 
Less:
Other segment items*$1,381,847 $18,538 $1,400,385 
Segment profit (loss)208,717 7,528 216,245 
Reconciliation of segment profit
Depreciation and amortization(128,391)
Loss on sale and disposal of equipment and other(2,187)
Severance costs(3,778)
Interest expense(64,483)
Equity in earnings of joint ventures6,427 
Non-cash change in fair value of interest rate swaps(8,185)
Debt restructuring and extinguishment expenses— 
Other income6,354 
Gain on contribution of imaging centers into joint venture16,808 
Income before income taxes$38,810 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Year Ended December 31, 2022
Imaging CenterDigital healthTotal
Revenues from external customers$1,413,419 $16,642 $1,430,061 
Intersegment revenues— 21,416 21,416 
1,413,419 38,058 1,451,477 
Reconciliation of revenue
Elimination of intersegment revenues(21,416)
Total consolidated revenues$1,430,061 
Less:
Other segment items*$1,246,701 $17,645 $1,264,346 
Segment profit (loss)166,718 (1,003)165,715 
Reconciliation of segment profit
Depreciation and amortization(115,877)
Loss on sale and disposal of equipment and other(2,529)
Severance costs(946)
Interest expense(50,841)
Equity in earnings of joint ventures10,390 
Non-cash change in fair value of interest rate swaps39,621 
Debt restructuring and extinguishment expenses(731)
Other income(1,833)
Income before income taxes$42,969 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Schedule of Revenue from External Customers by Geographic Areas
Service revenue attributed to countries that represent a significant portion of consolidated service revenue are as follows (in thousands):

202420232022
United States$1,802,422 $1,599,745 $1,423,232 
United Kingdom24,359 14,245 4,432 
Other countries2,883 2,640 2,397 
Total$1,829,664 $1,616,630 $1,430,061