XML 35 R25.htm IDEA: XBRL DOCUMENT v3.22.2
SIGNIFICANT ACCOUNTING POLICIES (Details - Narrative)
 3 Months Ended 6 Months Ended 12 Months Ended 24 Months Ended 40 Months Ended
Jun. 24, 2022
USD ($)
Jan. 20, 2022
USD ($)
milestone
$ / shares
shares
Jul. 01, 2020
USD ($)
Nov. 05, 2019
USD ($)
Feb. 01, 2018
USD ($)
shares
Jun. 30, 2022
USD ($)
security
incentivePlan
jointVenture
Jun. 30, 2021
USD ($)
Jun. 30, 2022
USD ($)
security
incentivePlan
jointVenture
Jun. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Oct. 30, 2025
USD ($)
Dec. 31, 2021
USD ($)
Oct. 31, 2023
USD ($)
Dec. 31, 2022
Mar. 31, 2022
USD ($)
Apr. 15, 2021
incentivePlan
shares
Dec. 21, 2019
shares
Jun. 30, 2019
USD ($)
agreement
Jan. 01, 2019
USD ($)
Property, Plant and Equipment [Line Items]                                        
Contracts receivable, factoring receivable           $ 17,000,000   $ 17,000,000   $ 17,700,000     $ 17,700,000              
Deferred financing costs, net of accumulated amortization           1,900,000   1,900,000   2,100,000     2,100,000              
Goodwill           577,781,000   577,781,000   513,820,000     513,820,000              
Indefinite-lived intangible assets           12,700,000   12,700,000                        
Income tax expense           $ 3,403,000 $ 2,874,000 $ 4,900,000 $ 7,249,000                      
Effective tax rate           19.70% 26.20%                          
Number of plans | incentivePlan           1   1                 1      
Number of shares authorized (in shares) | shares                                 16,500,000      
Amount of loss recognized in income on derivative (current period ineffective portion)     $ 24,400,000                                  
Share price (dollars per share) | $ / shares   $ 17.28                                    
Total credit facilities outstanding           $ 0   $ 0   0     0              
Number of securities without readily determinable fair value | security           3   3                        
Number of unconsolidated joint ventures | jointVenture           13   13                        
Management service fees           $ 5,600,000 $ 5,500,000 $ 11,100,000 10,800,000                      
Equity contributions in existing joint ventures $ 1,400,000             1,441,000                        
Medic Vision                                        
Property, Plant and Equipment [Line Items]                                        
Total net assets           $ 1,200,000   $ 1,200,000                        
Ownership percentage           14.21%   14.21%                        
WhiteRabbit.ai Inc.                                        
Property, Plant and Equipment [Line Items]                                        
Payments to acquire equity method investments       $ 1,000,000                                
Payments to fund loan to related parties       $ 2,500,000                                
Turner Imaging                                        
Property, Plant and Equipment [Line Items]                                        
Number of shares purchased (in shares) | shares         2,100,000                              
Payments to acquire equity method investments         $ 2,000,000                              
Preferred stock issued upon conversion (in shares) | shares                                   80,000    
Turner Imaging | Promissory Note                                        
Property, Plant and Equipment [Line Items]                                        
Short-term debt                                       $ 100,000
Aidence Holding B.V. and Quantib B.V                                        
Property, Plant and Equipment [Line Items]                                        
Goodwill from acquisitions               $ 7,300,000                        
Quantib B.V                                        
Property, Plant and Equipment [Line Items]                                        
Goodwill   $ 22,200,000                                    
Milestone contingent consideration           $ 8,437,000   $ 8,437,000   10,459,000     10,459,000     $ 10,268,000        
Contingent consideration, liability, period   18 months           18 months                        
Additional number of shares issued (in shares) | shares   113,303                                    
Fair value of additional shares issued after execution   $ 3,000,000                                    
Aidence Holding B.V.                                        
Property, Plant and Equipment [Line Items]                                        
Contingent consideration (up to)   $ 10,000,000                                    
Number of identified milestones | milestone   2                                    
Milestone contingent consideration   $ 7,400,000       6,700,000   $ 6,700,000                        
Chance of FDA approval, percent   80.00%                                    
Revolving Credit Facility                                        
Property, Plant and Equipment [Line Items]                                        
Deferred financing costs, net of accumulated amortization           1,900,000   $ 1,900,000                        
Forecast                                        
Property, Plant and Equipment [Line Items]                                        
Monthly amortization of deferred hedge gains                       $ 300,000   $ 400,000            
2019 SWAPS                                        
Property, Plant and Equipment [Line Items]                                        
Number of forward interest rate cap agreements | agreement                                     4  
Notional amounts                                     $ 500,000,000  
2019 SWAPS | 2019 Swaps - Interest Rate Contracts                                        
Property, Plant and Equipment [Line Items]                                        
Notional amounts                                     $ 100,000,000  
2019 SWAPS | 2019 Swaps - Interest Rate Contracts | London Interbank Offered Rate (LIBOR)                                        
Property, Plant and Equipment [Line Items]                                        
Basis spread on variable rate                                     1.96%  
2019 SWAPS | October 2023                                        
Property, Plant and Equipment [Line Items]                                        
Number of forward interest rate cap agreements | agreement                                     2  
Notional amounts                                     $ 50,000,000  
2019 SWAPS | October 2025                                        
Property, Plant and Equipment [Line Items]                                        
Notional amounts                                     200,000,000  
2019 SWAPS | 2019 Swaps - Interest Rate Contracts                                        
Property, Plant and Equipment [Line Items]                                        
Notional amounts                                     $ 400,000,000  
2019 SWAPS | 2019 Swaps - Interest Rate Contracts | London Interbank Offered Rate (LIBOR)                                        
Property, Plant and Equipment [Line Items]                                        
Basis spread on variable rate                                     2.05%  
Restated Plan                                        
Property, Plant and Equipment [Line Items]                                        
Number of shares authorized (in shares) | shares                                 16,500,000      
Minimum                                        
Property, Plant and Equipment [Line Items]                                        
Share-based payment award, award vesting period               3 years                        
Share-based payment award, expiration period               5 years                        
Minimum | Dignity Health | Joint Venture | Glendale Advanced Imaging                                        
Property, Plant and Equipment [Line Items]                                        
Variable interest entity, ownership percentage               35.00%                        
Minimum | Amounts returned to property and equipment                                        
Property, Plant and Equipment [Line Items]                                        
PPE estimated useful lives               3 years                        
Minimum | Leasehold Improvements                                        
Property, Plant and Equipment [Line Items]                                        
PPE estimated useful lives               3 years                        
Maximum                                        
Property, Plant and Equipment [Line Items]                                        
Share-based payment award, award vesting period               5 years                        
Share-based payment award, expiration period               10 years                        
Maximum | Dignity Health | Joint Venture | Glendale Advanced Imaging                                        
Property, Plant and Equipment [Line Items]                                        
Variable interest entity, ownership percentage               55.00%                        
Maximum | Amounts returned to property and equipment                                        
Property, Plant and Equipment [Line Items]                                        
PPE estimated useful lives               15 years                        
Maximum | Leasehold Improvements                                        
Property, Plant and Equipment [Line Items]                                        
PPE estimated useful lives               15 years                        
First Lien Credit Agreement | Revolving Credit Facility | Barclays | Line of Credit                                        
Property, Plant and Equipment [Line Items]                                        
Total credit facilities outstanding           0   $ 0                        
COVID-19 Pandemic                                        
Property, Plant and Equipment [Line Items]                                        
Advance medicare payments                   100,000 $ 39,500,000   39,600,000              
Proceeds from provider relief funding             $ 43,000   $ 6,300,000 $ 9,100,000 $ 26,300,000   $ 35,400,000              
Repayment of advance medicare payments               38,600,000                        
Refundable claim percentage                   50.00% 50.00%   50.00%              
Deferred social security taxes           $ 8,100,000   $ 8,100,000     $ 16,300,000                  
Reduction in deferred social security taxes                   $ 7,700,000                    
COVID-19 Pandemic | Forecast                                        
Property, Plant and Equipment [Line Items]                                        
Refundable claim percentage                             50.00%          
COVID-19 Pandemic | Paycheck Protection Program loans at 1% due April 2022                                        
Property, Plant and Equipment [Line Items]                                        
Proceeds from PPP loans                     $ 4,000,000