v3.26.1
SEGMENT REPORTING
 6 Months Ended
Jun. 30, 2026
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 MRI, CT, PET, nuclear medicine, mammography, ultrasound, 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, 2026
Imaging CenterDigital healthTotal
Revenues from external customers$601,819 $20,901 $622,720 
Intersegment revenues— 11,526 11,526 
$601,819 $32,427 $634,246 
Reconciliation of revenue
Elimination of intersegment revenues(11,526)
Total consolidated revenues$622,720 
Less:
Other segment items*$509,064 $38,408 
Segment profit (loss)92,755 (5,981)86,774 
Reconciliation of segment profit
Depreciation and amortization$(45,529)
Loss on sale and disposal of equipment and other(1,117)
Severance costs(660)
Interest expense(18,153)
Equity in earnings of joint ventures4,710 
Debt restructuring and extinguishment expenses(3,368)
Other income, net3,960 
Income before income taxes$26,617 


*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
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*$414,160 $24,760 
Segment profit (loss)73,056 (4,034)69,022 
Reconciliation of segment profit
Depreciation and amortization$(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 income, net7,764 
Income before income taxes$23,854 


*Other segment items include operating expenses, inclusive of cost of operations and lease abandonment charges.
Six Months Ended June 30, 2026
Imaging CenterDigital healthTotal
Revenues from external customers$1,158,807 $39,544 $1,198,351 
Intersegment revenues— 22,003 22,003 
$1,158,807 $61,547 $1,220,354 
Reconciliation of revenue
Elimination of intersegment revenues(22,003)
Total consolidated revenues$1,198,351 
Less:
Other segment items*$1,029,792 $78,669 
Segment profit (loss)129,015 (17,122)111,893 
Reconciliation of segment profit
Depreciation and amortization$(90,496)
Loss on sale and disposal of equipment and other(3,708)
Severance costs(2,124)
Interest expense(35,810)
Equity in earnings of joint ventures8,535 
Debt restructuring and extinguishment expenses(3,368)
Other income, net8,867 
Loss before income taxes$(6,211)

*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 $47,098 
Segment profit (loss)88,704 (7,151)81,553 
Reconciliation of segment profit
Depreciation and amortization(71,476)
Loss on sale and disposal of equipment and other(2,126)
Severance costs(1,173)
Interest expense(34,428)
Equity in earnings of joint ventures6,955 
Non-cash change in fair value of interest rate swaps(4,062)
Other income, net15,476 
Income before income taxes$(9,281)

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