XML 24 R13.htm IDEA: XBRL DOCUMENT v3.25.3
SEGMENT REPORTING
 9 Months Ended
Sep. 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 September 30, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$508,242 $14,627 $522,869 
Intersegment revenues— 10,187 10,187 
$508,242 $24,814 $533,056 
Reconciliation of revenue
Elimination of intersegment revenues(10,187)
Total consolidated revenues$522,869 
Less:
Other segment items*$434,270 $18,929 $453,199 
Segment profit (loss)73,972 (4,301)69,671 
Reconciliation of segment profit
Depreciation and amortization$(39,799)
Loss on sale and disposal of equipment and other(1,042)
Severance costs(1,441)
Interest expense(17,355)
Equity in earnings of joint ventures3,567 
Non-cash change in fair value of interest rate swaps(2,371)
Other income9,044 
Income before income taxes$20,274 


*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Three Months Ended September 30, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$452,367 $8,774 $461,142 
Intersegment revenues— 7,593 7,593 
$452,367 $16,367 $468,735 
Reconciliation of revenue
Elimination of intersegment revenues(7,593)
Total consolidated revenues$461,142 
Less:
Other segment items*$382,381 $9,418 $391,799 
Segment profit (loss)69,986 (644)69,342 
Reconciliation of segment profit
Depreciation and amortization$(34,979)
Loss on sale and disposal of equipment and other(148)
Severance costs(304)
Interest expense(19,427)
Equity in earnings of joint ventures3,595 
Non-cash change in fair value of interest rate swaps(6,755)
Other income5,414 
Income before income taxes$16,591 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Nine Months Ended September 30, 2025
Imaging CenterDigital healthTotal
Revenues from external customers$1,457,235 $35,263 $1,492,498 
Intersegment revenues— 29,498 29,498 
$1,457,235 $64,761 $1,521,996 
Reconciliation of revenue
Elimination of intersegment revenues(29,498)
Total consolidated revenues$1,492,498 
Less:
Other segment items*$1,294,559 $46,716 $1,341,274 
Segment profit (loss)162,676 (11,452)151,224 
Reconciliation of segment profit
Depreciation and amortization$(111,275)
Loss on sale and disposal of equipment and other(3,168)
Severance costs(2,614)
Interest expense(51,783)
Equity in earnings of joint ventures10,522 
Non-cash change in fair value of interest rate swaps(6,433)
Other income24,520 
Income before income taxes$10,993 

*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Nine Months Ended September 30, 2024
Imaging CenterDigital healthTotal
Revenues from external customers$1,325,825 $26,738 $1,352,563 
Intersegment revenues— 20,118 20,118 
1,325,825 46,856 1,372,681 
Reconciliation of revenue
Elimination of intersegment revenues(20,118)
Total consolidated revenues$1,352,563 
Less:
Other segment items*$1,140,660 $28,453 $1,169,113 
Segment profit (loss)185,165 (1,715)183,450 
Reconciliation of segment profit
Depreciation and amortization(101,822)
Loss on sale and disposal of equipment and other(735)
Severance costs(797)
Interest expense(61,776)
Equity in earnings of joint ventures11,308 
Non-cash change in fair value of interest rate swaps(7,429)
Other income16,248 
Income before income taxes$29,538 

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