XML 24 R13.htm IDEA: XBRL DOCUMENT v3.25.2
SEGMENT REPORTING
 6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
SEGMENT REPORTING SEGMENT REPORTING
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. The CODM considers actual to budget and current year actual to prior year actual for revenue and other profit and loss measures on a monthly basis for evaluating performance of each segment and making decisions about allocating capital and other resources to each segment. We do not report balance sheet information by segment since it is not reviewed by our CODM to evaluate segment performance or to make resource allocation decisions.
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.
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.

The following tables reflect certain financial data for each reportable segment:
Three Months Ended June 30, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$487,216 $11,014 $498,230 
Intersegment revenues— 9,712 9,712 
$487,216 $20,726 $507,942 
Reconciliation of revenue
Elimination of intersegment revenues(9,712)
Total consolidated revenues$498,230 
Less:
Other segment items*$414,159 $15,048 $429,207 
Segment profit (loss)73,057 (4,034)69,022 
Reconciliation of segment profit
Depreciation and amortization$(35,993)
Loss on sale and disposal of equipment and other(1,724)
Severance costs(426)
Interest expense(17,189)
Equity in earnings of joint ventures4,356 
Non-cash change in fair value of interest rate swaps(1,956)
Other income7,764 
Income before income taxes$23,854 


*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Three Months Ended June 30, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$450,282 $9,432 $459,714 
Intersegment revenues— 6,396 6,396 
$450,282 $15,828 $466,110 
Reconciliation of revenue
Elimination of intersegment revenues(6,396)
Total consolidated revenues$459,714 
Less:
Other segment items*$379,827 $9,898 $389,724 
Segment profit (loss)70,456 (466)69,990 
Reconciliation of segment profit
Depreciation and amortization$(34,475)
Loss on sale and disposal of equipment and other(401)
Severance costs(268)
Interest expense(26,082)
Equity in earnings of joint ventures3,389 
Non-cash change in fair value of interest rate swaps(1,890)
Other income7,900 
Income before income taxes$9,401 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Six Months Ended June 30, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$948,594 $21,035 $969,629 
Intersegment revenues— 18,912 18,912 
$948,594 $39,947 $988,541 
Reconciliation of revenue
Elimination of intersegment revenues(18,912)
Total consolidated revenues$969,629 
Less:
Other segment items*$859,890 $28,186 $888,076 
Segment profit (loss)88,704 (7,151)81,553 
Reconciliation of segment profit
Depreciation and amortization$(71,476)
Loss on sale and disposal of equipment and other(2,126)
Severance costs(1,173)
Interest expense(34,428)
Equity in earnings of joint ventures6,955 
Non-cash change in fair value of interest rate swaps(4,062)
Other income15,476 
Loss before income taxes$(9,281)

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Six Months Ended June 30, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$873,491 $17,930 $891,421 
Intersegment revenues— 12,559 12,559 
873,491 30,489 903,980 
Reconciliation of revenue
Elimination of intersegment revenues(12,559)
Total consolidated revenues$891,421 
Less:
Other segment items*$758,312 $19,001 $777,313 
Segment profit (loss)115,179 (1,071)114,108 
Reconciliation of segment profit
Depreciation and amortization(66,843)
Loss on sale and disposal of equipment and other(587)
Severance costs(493)
Interest expense(42,349)
Equity in earnings of joint ventures7,713 
Non-cash change in fair value of interest rate swaps(674)
Other income10,834 
Income before income taxes$12,947 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.