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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 |  |  |  |  |

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- Definition Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3521-108585 + Details
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- Definition Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3536-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3521-108585 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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- Definition The cash outflow associated with the purchase of all investments (debt, security, other) during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow for purchases of and capital improvements on property, plant and equipment (capital expenditures), software, and other intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow to a noncontrolling interest. Includes, but not limited to, reduction of noncontrolling interest ownership. Excludes dividends paid to the noncontrolling interest. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition The cash inflow associated with the amount received by a corporation from a shareholder during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 + Details
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- Definition The cash inflow from the sale of an investment interest in a joint venture that the reporting entity has not previously accounted for using consolidation or the equity method of accounting. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition Amount of cash inflow from issuance of shares under share-based compensation arrangement. Issuance includes, but is not limited to, exercise of stock options and similar instruments. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 50 -Paragraph 2A -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109197908&loc=SL79508275-113901 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow from contractual arrangement with the lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 + Details
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- Definition The cash inflow associated with the sale of equity method investments, which are investments in joint ventures and entities in which the entity has an equity ownership interest normally of 20 to 50 percent and exercises significant influence. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition Aggregate cash proceeds received from a combination of transactions in which noncurrent assets are sold, which may include the sale of a business, an investment in an affiliate (including an equity method investee), property, plant and equipment and intangible assets. Excludes sales of trading, available-for-sale, and held-to-maturity securities. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 1A -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=114867106&loc=SL7669619-108580 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=109239629&loc=SL4573702-111684 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 1B -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=114867106&loc=SL7669625-108580 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (c)(1) -URI http://asc.fasb.org/extlink&oid=109239629&loc=SL4573702-111684 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 Reference 6: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=84234705&loc=SL4591551-111686 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3000-108585 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=108774443&loc=SL4569616-111683 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=84234705&loc=SL4591552-111686 + Details
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