XML 26 R13.htm IDEA: XBRL DOCUMENT
v3.24.2.u1

SEGMENT REPORTING | 6 Months Ended
--- | ---
Jun. 30, 2024
Segment Reporting [Abstract] |
SEGMENT REPORTING | SEGMENT REPORTING In the first quarter of 2024, we revised our reportable segments to combine our eRad business, which was included in the Imaging Center segment, with our AI segment to form a new Digital Health reportable segment. Prior period amounts were adjusted retrospectively to reflect the change in reportable segment. Our reportable segments are described below: Imaging Center Our Imaging Center segment provides physicians with imaging capabilities to facilitate the diagnosis and treatment of diseases and disorders. Services include magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), nuclear medicine, mammography, ultrasound, diagnostic radiology (X-ray), fluoroscopy and other related procedures. The vast majority of our centers offer multi-modality imaging services, a strategy that diversifies revenue streams, reduces exposure to reimbursement changes and provides patients and referring physicians one location to serve the needs of multiple procedures. Digital Health Our Digital Health segment develops and deploys clinical applications to enhance interpretation of medical images and improve patient outcomes with an emphasis on brain, breast, prostate, and pulmonary diagnostics. Included in the segment is our eRad subsidiary, which designs the underlying critical scheduling, data storage and retrieval systems necessary for imaging center operation. Our chief operating decision maker ("CODM"), who is also our CEO, evaluates the financial performance of our segments based upon their respective revenue and segmented internal profit and loss statements prepared on a basis not consistent with GAAP. We do not report balance sheet information by segment since it is not reviewed by our CODM. In the normal course of business, our reportable segments enter into transactions with each other. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues recognized by a segment and expenses incurred by the counterparty are eliminated in consolidation and do not affect consolidated results.
| Three Months Ended June 30, 2024
| Imaging Centers |  | Digital Health |  | Intersegment Elimination |  | Consolidated Total
Revenue: |  |  |  |  |  |  |
Third Party | $ | 450,248 |  |  | $ | 9,466 |  |  | $ | — |  |  | $ | 459,714 |
Intersegment | — |  |  | 6,362 |  |  | (6,362) |  |  | — |
Total revenue | $ | 450,248 |  |  | $ | 15,828 |  |  | $ | (6,362) |  |  | $ | 459,714 |
| Three months ended June 30, 2023
| Imaging Centers |  | Digital Health |  | Intersegment Elimination |  | Consolidated Total
Revenue: |  |  |  |  |  |  |
Third Party | $ | 398,010 |  |  | $ | 5,705 |  |  | $ | — |  |  | $ | 403,715 |
Intersegment | — |  |  | 5,898 |  |  | (5,898) |  |  | — |
Total revenue | $ | 398,010 |  | 398010 | $ | 11,603 |  |  | $ | (5,898) |  |  | $ | 403,715 |
| Six Months Ended June 30, 2024
| Imaging Centers |  | Digital Health |  | Intersegment Elimination |  | Consolidated Total
Revenue: |  |  |  |  |  |  |
Third Party | $ | 873,458 |  |  | $ | 17,963 |  |  | $ | — |  |  | $ | 891,421 |
Intersegment | — |  |  | 12,525 |  |  | (12,525) |  |  | — |
Total revenue | $ | 873,458 |  | 873458000 | $ | 30,488 |  |  | $ | (12,525) |  |  | $ | 891,421 |
| Six Months Ended June 30, 2023
| Imaging Centers |  | Digital Health |  | Intersegment Elimination |  | Consolidated Total
Revenue: |  |  |  |  |  |  |
Third Party | $ | 783,261 |  |  | $ | 11,018 |  |  | $ | — |  |  | $ | 794,279 |
Intersegment | — |  |  | 11,662 |  |  | (11,662) |  |  | — |
Total revenue | $ | 783,261 |  | 783261 | $ | 22,680 |  |  | $ | (11,662) |  |  | $ | 794,279 |
The table below presents segment information reconciled to our financial results, with segment operating income or loss including revenue less cost of operations, depreciation and amortization, and other operating expenses to the extent specifically identified by segment (in thousands):
| Three months ended June 30, |  | Six Months Ended June 30,
| 2024 |  | 2023 |  | 2024 |  | 2023
Revenue: |  |  |  |  |  |  |
Imaging Centers | 443,886 |  |  | 392,112 |  |  | $ | 860,933 |  |  | $ | 771,599 |
Digital Health | 15,828 |  |  | 11,603 |  |  | 30,488 |  |  | 22,680 |
Total revenue | $ | 459,714 |  |  | 403,715 |  |  | $ | 891,421 |  |  | $ | 794,279 |
Cost of Operations |  |  |  |  |  |  |
Imaging Centers | $ | 373,449 |  |  | $ | 334,082 |  |  | $ | 745,755 |  |  | $ | 674,233 |
Digital Health | 16,275 |  |  | 11,065 |  |  | 31,558 |  |  | 22,779 |
Total cost of operations | $ | 389,724 |  |  | $ | 345,147 |  |  | $ | 777,313 |  |  | $ | 697,012 |
Depreciation and Amortization: |  |  |  |  |  |  |
Imaging Centers | $ | 32,089 |  |  | $ | 30,074 |  |  | $ | 62,063 |  |  | $ | 59,522 |
Digital Health | 2,386 |  |  | 2,106 |  |  | 4,780 |  |  | 3,973 |
Total depreciation and amortization | $ | 34,475 |  |  | $ | 32,180 |  |  | $ | 66,843 |  |  | $ | 63,495 |
Loss (gain) on Disposal of Equipment: |  |  |  |  |  |  |
Imaging Centers | $ | 398 |  |  | $ | 84 |  |  | $ | 586 |  |  | $ | 661 |
Digital Health | 3 |  |  | (7) |  |  | 1 |  |  | (5) |
Total loss on disposal of equipment | $ | 401 |  |  | $ | 77 |  |  | $ | 587 |  |  | $ | 656 |
Severance |  |  |  |  |  |  |
Imaging Centers | $ | 225 |  |  | $ | 154 |  |  | $ | 450 |  |  | $ | 276 |
Digital Health | 43 |  |  | 1,716 |  |  | 43 |  |  | 1,728 |
Total severance | $ | 268 |  |  | $ | 1,870 |  |  | $ | 493 |  |  | $ | 2,004 |
Income (Loss) from Operations |  |  |  |  |  |  |
Imaging Centers | $ | 37,725 |  |  | $ | 27,718 |  |  | $ | 52,079 |  |  | $ | 36,907 |
Digital Health | (2,879) |  |  | (3,277) |  |  | (5,894) |  |  | (5,795) |
Total income from operations | $ | 34,846 |  |  | $ | 24,441 |  |  | $ | 46,185 |  |  | $ | 31,112 |

X
- References No definition available. + Details
Name: | us-gaap_SegmentReportingAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 48 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-48 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 270 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482964/270-10-50-1 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (ee) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 5: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 6: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 7: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 8: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 9: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 10: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 11: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-34 Reference 15: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26C -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26C Reference 16: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26B -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26B Reference 17: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-15 Reference 18: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-42 Reference 19: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 Reference 20: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/280/tableOfContent Reference 21: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26 Reference 22: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-41 Reference 23: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 24: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 25: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 + Details
Name: | us-gaap_SegmentReportingDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration