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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) |  |  | 1 Months Ended | 3 Months Ended | 6 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | --- | --- | ---
Feb. 27, 2019 | Jan. 06, 2017 | Jan. 31, 2018 | Jun. 30, 2019 | Jun. 30, 2019 | Jun. 30, 2018 | Dec. 31, 2018 | Feb. 28, 2019
CASH FLOWS FROM OPERATING ACTIVITIES |  |  |  |  |  |  |  |
Net income |  |  |  | $ 7,591,000 | $ 5,668,000 | $ 1,013,000 |  |
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  | 20,083,000 | 39,703,000 | 35,942,000 |  |
Amortization of operating lease right-of-use assets |  |  |  |  | 32,937,000 |  |  |
Equity in earnings of joint ventures |  |  |  | (2,244,000) | (4,117,000) | (6,725,000) |  |
Distributions from joint ventures |  |  |  |  | 3,438,000 | 7,083,000 |  |
Amortization deferred financing costs and loan discount |  |  |  |  | 2,021,000 | 1,949,000 |  |
Loss (gain) on sale and disposal of equipment |  |  |  | 101,000 | 1,073,000 | (1,831,000) |  |
Stock-based compensation |  |  |  |  | 5,582,000 | 4,890,000 |  |
Other noncash items included in cost of operations |  |  |  |  | (559,000) | 0 |  |
Change in fair value of contingent consideration |  |  |  |  | (1,953,000) | 0 |  |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: |  |  |  |  |  |  |  |
Accounts receivable |  |  |  |  | (12,042,000) | (7,113,000) |  |
Other current assets |  |  |  |  | 4,331,000 | (568,000) |  |
Other assets |  |  |  |  | 2,069,000 | (900,000) |  |
Deferred taxes |  |  |  |  | (3,542,000) | (78,000) |  |
Operating lease liability |  |  |  |  | (32,268,000) |  |  |
Deferred rent |  |  |  |  | 0 | 1,788,000 |  |
Deferred revenue |  |  |  |  | (666,000) | 153,000 |  |
Accounts payable, accrued expenses and other |  |  |  |  | 2,860,000 | 11,345,000 |  |
Net cash provided by operating activities |  |  |  |  | 44,535,000 | 46,948,000 |  |
CASH FLOWS FROM INVESTING ACTIVITIES |  |  |  |  |  |  |  |
Purchase of imaging facilities |  |  |  |  | (27,149,000) | (14,094,000) |  |
Equity investments at fair value |  |  |  |  | (143,000) | (2,200,000) |  |
Purchase of property and equipment |  |  |  |  | (50,342,000) | (45,133,000) |  |
Proceeds from sale of equipment |  |  |  |  | 760,000 | 2,324,000 |  |
Proceeds from the sale of equity interests in a joint venture |  |  |  |  | 132,000 | 0 |  |
Equity contributions in existing and purchase of interest in joint ventures |  |  |  |  | (103,000) | (2,000,000) |  |
Net cash used in investing activities |  |  |  |  | (76,845,000) | (61,103,000) |  |
CASH FLOWS FROM FINANCING ACTIVITIES |  |  |  |  |  |  |  |
Principal payments on notes and leases payable |  |  |  |  | (3,320,000) | (3,393,000) |  |
Payments on term loan debt |  |  |  |  | (19,469,000) | (16,540,000) |  |
Deferred financing costs from debt issuance |  |  |  |  | (683,000) | 0 |  |
Debt discount from debt issuance |  |  |  |  | (2,173,000) | 0 |  |
Proceeds from debt issuance |  |  |  |  | 100,000,000 | 0 |  |
Distributions paid to noncontrolling interests |  |  |  |  | 0 | (913,000) |  |
Proceeds from sale of noncontrolling interest |  |  |  |  | 5,275,000 | 0 |  |
Contribution from noncontrolling partner |  |  |  |  | 750,000 | 0 |  |
Proceeds from revolving credit facility |  |  |  |  | 236,200,000 | 19,800,000 |  |
Payments on revolving credit facility |  |  |  |  | (264,200,000) | (19,800,000) |  |
Proceeds from issuance of common stock upon exercise of options |  |  |  |  | 50,000 | 0 |  |
Net cash provided by (used in) financing activities |  |  |  |  | 52,430,000 | (20,846,000) |  |
EFFECT OF EXCHANGE RATE CHANGES ON CASH |  |  |  |  | (5,000) | (69,000) |  |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS |  |  |  |  | 20,115,000 | (35,070,000) |  |
CASH AND CASH EQUIVALENTS, beginning of period |  |  | $ 51,322,000 |  | 10,389,000 | 51,322,000 | $ 51,322,000 |
CASH AND CASH EQUIVALENTS, end of period |  |  |  | 30,504,000 | 30,504,000 | 16,252,000 | 10,389,000 |
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION |  |  |  |  |  |  |  |
Cash paid during the period for interest |  |  |  |  | 23,292,000 | 17,509,000 |  |
Equipment acquired and leasehold improvements |  |  |  |  | 14,000,000 | 13,600,000 |  |
Accrued euity interest distribution to noncontrolling interest |  |  |  | 1,800,000 | 1,800,000 |  |  |
Capital lease debt |  |  |  |  | 0 | $ 4,000,000 |  |
Fixed assets transferred from Beach Imaging LLC |  |  | $ 15,000,000 |  |  |  |  |
Investment in joint venture, ScriptSender, LLC |  | $ 3,000,000 |  |  |  |  | $ 268,000 |
Ventura County Imaging Group, LLC |  |  |  |  |  |  |  |
Fixed assets acquired |  |  |  | $ 4,300,000 | $ 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 paid for interest, excluding capitalized interest, classified as operating activity. Includes, but is not limited to, payment to settle zero-coupon bond for accreted interest of debt discount and debt instrument with insignificant coupon interest rate in relation to effective interest rate of borrowing attributable to accreted interest of debt discount. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4297-108586 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 17 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3367-108585 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3536-108585 + Details
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- Definition Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit. + 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 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 The cash outflow for loan and debt issuance costs. + 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 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 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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