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SEGMENT REPORTING
 9 Months Ended
Sep. 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. Accordingly, our reportable segments currently include our Imaging Center segment and our Digital Health segment.
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.
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 Imaging Center and Digital Health 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 September 30, 2024
Imaging Center
Digital Health
Intersegment EliminationConsolidated Total
Revenue:
Third Party$452,368 $8,774 $— $461,142 
Intersegment— 7,593 (7,593)— 
Total revenue$452,368 $16,367 $(7,593)$461,142 


Three months ended September 30, 2023
Imaging CenterDigital HealthIntersegment EliminationConsolidated Total
Revenue:
Third Party$395,613 $6,355 $— $401,968 
Intersegment— 5,830 (5,830)— 
Total revenue$395,613 $12,185 $(5,830)$401,968 
Nine Months Ended September 30, 2024
Imaging Center
Digital Health
Intersegment EliminationConsolidated Total
Revenue:
Third Party$1,325,825 $26,738 $— $1,352,563 
Intersegment— 20,118 (20,118)— 
Total revenue$1,325,825 1325825000$46,856 $(20,118)$1,352,563 

Nine Months Ended September 30, 2023
Imaging CenterDigital HealthIntersegment EliminationConsolidated Total
Revenue:
Third Party$1,178,873 $17,374 $— $1,196,247 
Intersegment— 17,492 (17,492)— 
Total revenue$1,178,873 1178873$34,866 $(17,492)$1,196,247 
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 September 30,Nine Months Ended September 30,
2024202320242023
Revenue:
Imaging Center444,775 389,783 $1,305,707 $1,161,381 
Digital Health16,367 12,185 46,856 34,866 
Total revenue$461,142 401,968 $1,352,563 $1,196,247 
Cost of Operations
Imaging Center$374,789 $334,580 $1,120,542 $1,008,814 
Digital Health17,011 7,055 48,571 29,833 
Total cost of operations$391,800 $341,635 $1,169,113 $1,038,647 
Depreciation and Amortization:
Imaging Center$32,032 $30,221 $94,095 $89,743 
Digital Health2,947 1,989 7,727 5,962 
Total depreciation and amortization$34,979 $32,210 $101,822 $95,705 
Gain on contribution of imaging centers into joint venture:
Imaging Center$— $(16,808)$— $(16,808)
Digital Health— — — — 
Total (gain) loss on contribution of imaging centers into joint venture$— $(16,808)$— $(16,808)
Loss (gain) on Disposal of Equipment:
Imaging Center$153 $524 $739 $1,185 
Digital Health(5)3 (4)(2)
Total loss on disposal of equipment$148 $527 $735 $1,183 
Severance
Imaging Center$271 $1,141 $720 $1,417 
Digital Health33 12 77 1,740 
Total severance$304 $1,153 $797 $3,157 
 Income (Loss) from Operations
Imaging Center$37,530 $40,125 $89,611 $77,030 
Digital Health(3,619)3,126 (9,515)(2,667)
Total income from operations$33,911 $43,251 $80,096 $74,363