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SEGMENT REPORTING (Tables)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following tables reflect certain financial data for each reportable segment:
Year Ended December 31, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$1,988,193 $52,017 $2,040,210 
Intersegment revenues— 40,674 40,674 
$1,988,193 $92,691 $2,080,884 
Reconciliation of revenue
Elimination of intersegment revenues(40,674)
Total consolidated revenues$2,040,210 
Less:
Other segment items*$1,745,989 $107,973 
Segment profit (loss)242,204 (15,282)226,922 
Reconciliation of segment profit
Depreciation and amortization(152,127)
Loss on sale and disposal of equipment and other(9,658)
Severance costs(3,145)
Interest expense(69,913)
Equity in earnings of joint ventures14,876 
Non-cash change in fair value of interest rate swaps(7,112)
Other income32,066 
Income before income taxes$31,909 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
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 $69,114 
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 $42,048 
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.
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):

202520242023
United States$2,006,237 $1,802,422 $1,599,745 
Other countries33,973 27,242 16,885 
Total$2,040,210 $1,829,664 $1,616,630