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SEGMENT REPORTING (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
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.