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CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($) |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | ---
Nov. 01, 2022 | Jan. 20, 2022 | Oct. 22, 2021 | Aug. 24, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Equipment acquired and leasehold improvements |  |  |  |  | $ 111,800,000 | $ 63,900,000 | $ 52,000,000
Property and equipment, net |  |  |  |  | 565,961,000 | 484,247,000 |
Investment in joint ventures |  |  |  |  | $ 57,893,000 | $ 42,229,000 | 34,528,000
Finance lease debt |  |  |  |  |  |  | $ 20,000
Arizona Diagnostics Group |  |  |  |  |  |  |
Investment at cost | $ 12,700,000 |  |  |  |  |  |
Received a dividend from the partnership | 4,500,000 |  |  |  |  |  |
Fair value of investment | $ 8,300,000 |  |  |  |  |  |
Aidence |  |  |  |  |  |  |
Shares issued (in shares) | 359,002 | 1,141,234 |  |  |  |  |
Value of RadNet stock issued in acquisition | $ 6,800,000 | $ 30,600,000 |  |  |  |  |
Quantib |  |  |  |  |  |  |
Shares issued (in shares) |  | 965,058 |  |  |  |  |
Value of RadNet stock issued in acquisition |  | $ 25,900,000 |  |  |  |  |
DRT LLC |  |  |  |  |  |  |
Shares issued (in shares) |  |  | 15,000,000 |  |  |  |
Value of shares issued in acquisition |  |  | $ 400,000 |  |  |  |
Tangent Associates LLC |  |  |  |  |  |  |
Shares issued (in shares) |  |  |  | 67,658,000 |  |  |
Value of RadNet stock issued in acquisition |  |  |  | $ 2,000,000 |  |  |

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