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CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($) $ in Thousands |  |  |  |  |  |  |  | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Mar. 27, 2024 | Dec. 12, 2023 | Sep. 20, 2023 | Jul. 07, 2023 | Apr. 13, 2023 | Nov. 01, 2022 | Jan. 20, 2022 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022 | Sep. 01, 2023 | Feb. 01, 2023 | Apr. 01, 2022
Equipment acquired and leasehold improvements |  |  |  |  |  |  |  | $ 65,600 | $ 67,700 | $ 111,800 |  |  |
Contingent consideration to guarantee share value issued |  |  |  |  |  |  |  | 10,400 |  |  |  |  |
Property and equipment, net |  |  |  |  |  |  |  | 694,791 | 604,401 |  |  |  |
Goodwill |  |  |  |  |  |  |  | 710,663 | 679,463 | 677,665 |  |  |
Investment in joint ventures |  |  |  |  |  |  |  | 104,057 | 92,710 | 57,893 |  |  |
Fair value of investment |  |  |  |  |  |  |  | $ 8,000 |  |  |  |  |
Frederick County Radiology, LLC | Frederick Health Hospital, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |
Property and equipment, net |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,400
Promissory Note |  |  |  |  |  |  |  |  |  |  |  |  |
Debt instrument, face amount |  |  |  |  |  |  |  |  |  |  |  | $ 19,800 |
Unsecured Debt |  |  |  |  |  |  |  |  |  |  |  |  |
Debt instrument, face amount |  |  |  |  |  |  |  |  |  |  |  | $ 19,800 |
Santa Monica Imaging Group LLC |  |  |  |  |  |  |  |  |  |  |  |  |
Investment in joint ventures |  |  |  |  |  |  |  |  |  |  | $ 27,200 |  |
Arizona Diagnostics Group |  |  |  |  |  |  |  |  |  |  |  |  |
Investment at cost |  |  |  |  |  | $ 12,700 |  |  |  |  |  |  |
Received a dividend from the partnership |  |  |  |  |  | 4,500 |  |  |  |  |  |  |
Fair value of investment |  |  |  |  |  | $ 8,300 |  |  |  |  |  |  |
Heart & Lung Imaging Limited | Stock Holdback |  |  |  |  |  |  |  |  |  |  |  |  |
Shares issued (in shares) | 95,019 | 64,569 | 56,600 |  |  |  |  |  |  |  |  |  |
Value of RadNet stock issued in acquisition | $ 4,600 | $ 2,300 | $ 1,600 |  |  |  |  |  |  |  |  |  |
Quantib |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration to guarantee share value issued |  |  |  |  |  |  |  |  | 0 | 2,134 |  |  |
Shares issued (in shares) |  |  |  |  |  |  | 965,058 |  |  |  |  |  |
Value of RadNet stock issued in acquisition |  |  |  |  |  |  | $ 25,900 |  |  |  |  |  |
Quantib | Stock Holdback |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration to guarantee share value issued |  |  |  | $ 3,500 |  |  |  |  |  |  |  |  |
Shares issued (in shares) |  |  |  | 113,303 |  |  |  |  |  |  |  |  |
Value of RadNet stock issued in acquisition |  |  |  | $ 3,500 |  |  |  |  |  |  |  |  |
Aidence Holding B.V. | General Holdback |  |  |  |  |  |  |  |  |  |  |  |  |
Shares issued (in shares) |  |  |  |  | 144,227 |  |  |  |  |  |  |  |
Value of RadNet stock issued in acquisition |  |  |  |  | $ 4,000 |  |  |  |  |  |  |  |
Aidence |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration to guarantee share value issued |  |  |  |  |  |  |  |  | $ 0 | $ 7,158 |  |  |
Shares issued (in shares) |  |  |  |  |  | 359,002 | 1,141,234 |  |  |  |  |  |
Value of RadNet stock issued in acquisition |  |  |  |  |  | $ 6,800 | $ 30,600 |  |  |  |  |  |

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