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SEGMENT REPORTING (Tables) | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Schedule of Segment Reporting Information, by Segment |
Year Ended December 31, 2024 |  |  |
| Imaging Center | Digital health | Total
Revenues from external customers | $ | 1,792,319 |  | $ | 37,345 |  | $ | 1,829,664 |
Intersegment revenues | — |  | 28,361 |  | 28,361 |
| $ | 1,792,319 |  | $ | 65,706 |  | $ | 1,858,025 |
Reconciliation of revenue |  |  |
Elimination of intersegment revenues |  |  | (28,361) |
Total consolidated revenues |  |  | $ | 1,829,664 |
Less: |  |  |
Other segment items* | $ | 1,542,274 |  | $ | 40,753 |  | $ | 1,583,027 |
Segment profit (loss) | 250,045 |  | (3,408) |  | 246,637 |
Reconciliation of segment profit |  |  |
Depreciation and amortization |  |  | (137,838) |
Loss on sale and disposal of equipment and other |  |  | (2,276) |
Severance costs |  |  | (1,902) |
Interest expense |  |  | (79,849) |
Equity in earnings of joint ventures |  |  | 14,472 |
Non-cash change in fair value of interest rate swaps |  |  | (8,006) |
Debt restructuring and extinguishment expenses |  |  | (11,292) |
Other income |  |  | 24,916 |
Income before income taxes |  |  | $ | 44,862 |
*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Year Ended December 31, 2023 |  |  |
| Imaging Center | Digital health | Total
Revenues from external customers | $ | 1,590,564 |  | $ | 26,066 |  | $ | 1,616,630 |
Intersegment revenues | — |  | 23,510 |  | 23,510 |
| 1,590,564 |  | 49,576 |  | 1,640,140 |
Reconciliation of revenue |  |  |
Elimination of intersegment revenues |  |  | (23,510) |
Total consolidated revenues |  |  | $ | 1,616,630 |
Less: |  |  |
Other segment items* | $ | 1,381,847 |  | $ | 18,538 |  | $ | 1,400,385 |
Segment profit (loss) | 208,717 |  | 7,528 |  | 216,245 |
Reconciliation of segment profit |  |  |
Depreciation and amortization |  |  | (128,391) |
Loss on sale and disposal of equipment and other |  |  | (2,187) |
Severance costs |  |  | (3,778) |
Interest expense |  |  | (64,483) |
Equity in earnings of joint ventures |  |  | 6,427 |
Non-cash change in fair value of interest rate swaps |  |  | (8,185) |
Debt restructuring and extinguishment expenses |  |  | — |
Other income |  |  | 6,354 |
Gain on contribution of imaging centers into joint venture |  |  | 16,808 |
Income before income taxes |  |  | $ | 38,810 |
*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Year Ended December 31, 2022 |  |  |
| Imaging Center | Digital health | Total
Revenues from external customers | $ | 1,413,419 |  | $ | 16,642 |  | $ | 1,430,061 |
Intersegment revenues | — |  | 21,416 |  | 21,416 |
| 1,413,419 |  | 38,058 |  | 1,451,477 |
Reconciliation of revenue |  |  |
Elimination of intersegment revenues |  |  | (21,416) |
Total consolidated revenues |  |  | $ | 1,430,061 |
Less: |  |  |
Other segment items* | $ | 1,246,701 |  | $ | 17,645 |  | $ | 1,264,346 |
Segment profit (loss) | 166,718 |  | (1,003) |  | 165,715 |
Reconciliation of segment profit |  |  |
Depreciation and amortization |  |  | (115,877) |
Loss on sale and disposal of equipment and other |  |  | (2,529) |
Severance costs |  |  | (946) |
Interest expense |  |  | (50,841) |
Equity in earnings of joint ventures |  |  | 10,390 |
Non-cash change in fair value of interest rate swaps |  |  | 39,621 |
Debt restructuring and extinguishment expenses |  |  | (731) |
Other income |  |  | (1,833) |
Income before income taxes |  |  | $ | 42,969 |
*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Schedule of Revenue from External Customers by Geographic Areas | Service revenue attributed to countries that represent a significant portion of consolidated service revenue are as follows (in thousands):
| 2024 |  | 2023 |  | 2022
United States | $ | 1,802,422 |  |  | $ | 1,599,745 |  |  | $ | 1,423,232 |
United Kingdom | 24,359 |  |  | 14,245 |  |  | 4,432 |
Other countries | 2,883 |  |  | 2,640 |  |  | 2,397 |
Total | $ | 1,829,664 |  |  | $ | 1,616,630 |  |  | $ | 1,430,061 |

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- Definition Tabular disclosure of revenue from external customers by geographic areas attributed to the entity's country of domicile and to foreign countries from which the entity derives revenue. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-41 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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