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SEGMENT REPORTING
 3 Months Ended
Mar. 31, 2025
Segment Reporting [Abstract]  
SEGMENT REPORTING SEGMENT REPORTING
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. The CODM considers actual to budget and current year actual to prior year actual for revenue and other profit and loss measures on a monthly basis for evaluating performance of each segment and making decisions about allocating capital and other resources to each segment. We do not report balance sheet information by segment since it is not reviewed by our CODM to evaluate segment performance or to make resource allocation decisions.

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.
Our Digital Health 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. Included in the segment is our eRad subsidiary, which designs the underlying critical scheduling, data storage and retrieval systems necessary for imaging center operation.
In the normal course of business, our Imaging Center and Digital Health segments enter into transactions with each other. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues recognized by a segment and expenses incurred by the counterparty are eliminated in consolidation and do not affect consolidated results.

The following tables reflect certain financial data for each reportable segment:
Three Months Ended March 31, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$461,378 $10,021 $471,399 
Intersegment revenues— 9,200 9,200 
$461,378 $19,221 $480,599 
Reconciliation of revenue
Elimination of intersegment revenues(9,200)
Total consolidated revenues$471,399 
Less:
Other segment items*$436,531 $22,338 $458,868 
Segment profit (loss)15,648 (3,117)12,531 
Reconciliation of segment profit
Depreciation and amortization$(35,483)
Loss on sale and disposal of equipment and other(402)
Severance costs(747)
Interest expense(17,239)
Equity in earnings of joint ventures2,599 
Non-cash change in fair value of interest rate swaps(2,106)
Other income7,712 
Loss before income taxes$(33,135)

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Three Months Ended March 31, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$423,209 $8,498 $431,707 
Intersegment revenues— 6,163 6,163 
423,209 14,661 437,870 
Reconciliation of revenue
Elimination of intersegment revenues(6,163)
Total consolidated revenues$431,707 
Less:
Other segment items*$372,323 $15,266 $387,589 
Segment profit (loss)44,723 (605)44,118 
Reconciliation of segment profit
Depreciation and amortization(32,368)
Loss on sale and disposal of equipment and other(186)
Severance costs(225)
Interest expense(16,267)
Equity in earnings of joint ventures4,324 
Non-cash change in fair value of interest rate swaps1,216 
Other income2,934 
Income before income taxes$3,546 
*Other segment items include cost of operations.