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SIGNIFICANT ACCOUNTING POLICIES (Tables)
 6 Months Ended
Jun. 30, 2025
Accounting Policies [Abstract]  
Schedule of Service Fee Revenue
Our total revenues for the three and six months ended June 30, 2025 and 2024 are presented in the table below. Our patient service revenue is displayed as the estimated service fee, broken down by classification of insurance coverage type, along with revenue generated from our management services and other sources such as software and AI.

In ThousandsThree Months Ended
June 30,		Six Months Ended
June 30,
2025202420252024
Commercial insurance$278,902 $256,517 $541,410 $497,145 
Medicare116,331 101,719 224,499 195,186 
Medicaid12,597 11,001 24,283 21,906 
Workers' compensation/personal injury10,642 10,997 21,114 22,837 
Other payors29,394 26,568 57,087 51,948 
Management fee revenue6,688 6,106 12,967 12,014 
Other revenue13,509 9,837 26,052 18,898 
Revenue under capitation arrangements30,167 36,969 62,217 71,487 
Total service revenue$498,230 $459,714 $969,629 $891,421 
Schedule of Goodwill Activity in goodwill for the six months ended June 30, 2025 is provided below (in thousands):
Imaging Center segmentDigital Health segmentTotal
Balance as of December 31, 2024628,537 $82,126 $710,663 
Goodwill from acquisitions12,120 19,843 31,963 
Measurement period and other adjustments— 87 87 
Currency translation2,221 6,579 8,800 
Balance as of June 30, 2025$642,878 $108,636 $751,514 
Schedule of Annual Amortization Expense The components of intangible assets, both finite and indefinite lived, along with annual amortization expense that will be recorded over the next five years at June 30, 2025 and December 31, 2024 are as follows (in thousands):
As of June 30, 2025:
2025*2026202720282029ThereafterTotalWeighted average amortization period remaining in years
Management service contracts$1,144 $2,287 $2,287 $2,287 $2,287 $4,384 $14,676 6.7
Covenant not to compete and other contracts501 749 455 365 197 23 2,290 3.1
Customer lists562 1,041 866 822 822 10,545 14,658 17.0
Patent and trademarks205 410 388 322 88 128 1,541 4.2
Developed technology4,399 8,625 8,091 8,091 3,396 6,539 39,141 6.2
Trade names amortized39 77 77 63 18 8 282 4.0
Trade names indefinite life— — — — — 8,500 8,500 
IPR&D— — — — — 9,990 9,990 
Total annual amortization$6,850 $13,189 $12,164 $11,950 $6,808 $40,117 $91,078 
*Excluding the six months ended June 30, 2025

As of December 31, 2024:
20252026202720282029ThereafterTotalWeighted average amortization period remaining in years
Management service contracts$2,287 $2,287 $2,287 $2,287 $2,291 $4,384 $15,823 6.9
Covenant not to compete and other contracts947 660 365 275 106 — 2,353 3.2
Customer lists1,084 962 786 750 750 9,628 13,960 17.2
Patent and trademarks293 293 293 293 51 121 1,344 5.0
Developed technology7,329 7,289 6,755 6,755 1,848 4,610 34,586 5.4
Trade names amortized77 77 77 63 19 8 321 4.3
Trade names indefinite life— — — — — 8,500 8,500 
IPR&D— — — — — 4,464 4,464 
Total annual amortization$12,017 $11,568 $10,563 $10,423 $5,065 $31,715 $81,351 
Schedule of Foreign Currency Translation Amounts The following is a reconciliation of Foreign Currency Translation amounts for the three and six months ended June 30, 2025 and 2024 is provided below (in thousands):
For the three months ended June 30, 2025
March 31, 2025 BalanceCurrency Translation Adjustments BalanceJune 30, 2025 Balance
Currency Translation Adjustments$(1,588)$9,523$7,935
For the six months ended June 30, 2025
December 31, 2024 BalanceCurrency Translation Adjustments BalanceJune 30, 2025 Balance
Currency Translation Adjustments$(5,697)$13,632$7,935
Schedule of Effect of Derivative Instruments on Comprehensive Income( Loss)
A tabular presentation of the effect of derivative instruments on our consolidated statement of comprehensive loss of the 2019 Swaps is as follows (amounts in thousands):

For the three months ended June 30, 2025
AccountMarch 31, 2025 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxes*June 30, 2025 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(1,240)$—$1,023$(217)Equity
*Net of taxes of $0.3 million for the three months ended June 30, 2025.
For the six months ended June 30, 2025
AccountDecember 31, 2024 BalanceAmount of comprehensive loss recognized on derivative net of taxesAmount of loss reclassified out of accumulated OCI into income (prior period effective portion), net of taxes*June 30, 2025 BalanceLocation
Accumulated Other Comprehensive Loss, net of taxes$(2,273)$—$2,056$(217)Equity
*Net of taxes of $0.7 million for the six months ended June 30, 2025.

A tabular presentation of the effect of derivative instruments on our statement of operations of the 2019 Swaps is as follows (amounts in thousands):

For the three months ended June 30, 2025
Ineffective interest rate swapAmount recognized (current period ineffective portion)Location recognized in profit and loss (current period ineffective portion)Amount reclassified from accumulated OCI (prior period effective portion)Location reclassified from accumulated OCI into profit and loss (prior period effective portion)
Interest rate contracts$1,956 Other income (expense)$1,023 Interest Expense

For the six months ended June 30, 2025
Ineffective interest rate swapAmount recognized (current period ineffective portion)Location recognized in profit and loss (current period ineffective portion)Amount reclassified from accumulated OCI (prior period effective portion)Location reclassified from accumulated OCI into profit and loss (prior period effective portion)
Interest rate contracts$4,062 Other income (expense)$2,056 Interest Expense
Schedule of Business Acquisitions by Acquisition, Contingent Consideration
A tabular roll forward of contingent consideration is as follows (amounts in thousands):
For the three months ended June 30, 2025
EntityAccountMarch 31, 2025 BalanceAdditionsSettlement of contingent considerationChange in valuation of contingent considerationJune 30, 2025 Balance
See-Mode Technologies Pte. Ltd.Accrued expenses — $2,114 $— $— $2,114 
See-Mode Technologies Pte. Ltd.Other non-current liabilities— $6,652 $— $— $6,652 
Schedule of Fair Value of Assets and Liabilities
The tables below summarize the estimated fair values of certain of our financial assets that are subject to fair value measurements, and the classification of these assets on our condensed consolidated balance sheets, as follows (in thousands):
 As of June 30, 2025
Level 1Level 2Level 3Total
Current assets    
2019 Swaps - Interest Rate Contracts$— $3,050 $— $3,050 
 As of December 31, 2024
Level 1Level 2Level 3Total
Current assets    
2019 Swaps - Interest Rate Contracts$— $7,112 $— $7,112 
The table below summarizes the estimated fair values of contingent consideration relating to our See-Mode Technologies acquisition on June 2, 2025 that are subject to fair value measurements and the classification of these liabilities on our condensed consolidated balance sheets, as follows (in thousands):
 As of June 30, 2025
Level 1Level 2Level 3Total
Accrued expenses and other non-current liabilities    
See-Mode Technologies
$— $— $8,766 $8,766 
The table below summarizes the estimated fair value compared to the face value of our long-term debt as follows (in thousands):
 As of June 30, 2025
Level 1Level 2Level 3Total Fair ValueTotal Face Value
Barclays Term Loan and Truist Term Loan$— $1,096,581 $— $1,096,581 $1,095,373 
 As of December 31, 2024
Level 1Level 2Level 3Total Fair ValueTotal Face Value
Barclays Term Loan and Truist Term Loan$— $1,006,713 $— $1,006,713 $1,005,625 
Schedule of Earnings Per Share Earnings per share is based upon the weighted average number of shares of common stock and common stock equivalents outstanding, net of common stock held in treasury, as follows (in thousands except share and per share data):
 Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS$14,454 $(2,982)$(23,472)$(5,761)
BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period74,352,498 73,419,124 74,070,438 71,795,080 
Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders
$0.19 $(0.04)$(0.32)$(0.08)
DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS
Weighted average number of common shares outstanding during the period74,352,498 73,419,124 74,070,438 71,795,080 
Add non-vested restricted stock subject only to service vesting65,276 — — — 
Add additional shares issuable upon exercise of stock options and contingently issuable shares1,113,969 — — — 
Weighted average number of common shares used in calculating diluted net income per share75,531,743 73,419,124 74,070,438 71,795,080 
Net income (loss) attributable to RadNet, Inc's common stockholders for diluted share calculation
$14,454 $(2,982)$(23,472)$(5,761)
Diluted net income (loss) income per share attributable to RadNet, Inc.'s common stockholders
$0.19 $(0.04)$(0.32)$(0.08)
Stock options and non-vested restricted awards excluded from the computation of diluted per share amounts as their effect would be antidilutive:
Non-vested restricted stock subject to service vesting— 670,486 924,045 685,104 
Shares issuable upon the exercise of stock options— 799,502 868,999 831,647 
Schedule of Investment in Joint Ventures
The following table is a summary of our investment in joint ventures during the six months ended June 30, 2025 (in thousands):
Balance as of December 31, 2024$104,057 
Equity in earnings in joint ventures6,955 
Distribution of earnings(5,688)
Equity contributions in existing joint ventures20,480 
Balance as of June 30, 2025$125,804 
Schedule of Joint Venture Investment and Financial Information
The following table is a summary of key balance sheet data for these joint ventures as of June 30, 2025 and December 31, 2024 and income statement data for the six months ended June 30, 2025 and 2024 (in thousands):
Balance Sheet Data:June 30, 2025December 31, 2024
Current assets$66,995 $61,158 
Noncurrent assets231,281 232,750 
Current liabilities(11,949)(53,182)
Noncurrent liabilities(71,524)(70,241)
Total net assets$214,803 $170,485 
Income statement data for the six months ended June 30,
20252024
Net revenue$138,711 $130,546 
Net income$14,908 $14,657