SIGNIFICANT ACCOUNTING POLICIES (Tables)
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6 Months Ended |
Jun. 30, 2026 |
| Accounting Policies [Abstract] |
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| Schedule of Service Fee Revenue |
Our total revenues for the three and six months ended June 30, 2026 and 2025 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 Thousands | Three Months Ended June 30, | | Six Months Ended June 30, | | 2026 | | 2025 | | 2026 | | 2025 | | Commercial insurance | $ | 339,401 | | | $ | 278,902 | | | $ | 655,367 | | | $ | 541,410 | | | Medicare | 150,821 | | | 116,331 | | | 287,923 | | | 224,499 | | | Medicaid | 14,452 | | | 12,597 | | | 28,468 | | | 24,283 | | | Workers' compensation/personal injury | 13,533 | | | 10,642 | | | 25,830 | | | 21,114 | | | Other payors | 36,831 | | | 29,394 | | | 70,383 | | | 57,087 | | | Management fee revenue | 7,858 | | | 6,688 | | | 15,339 | | | 12,967 | | | Other revenue | 29,693 | | | 13,509 | | | 54,497 | | | 26,052 | | | Revenue under capitation arrangements | 30,131 | | | 30,167 | | | 60,544 | | | 62,217 | | | Total service revenue | $ | 622,720 | | | $ | 498,230 | | | $ | 1,198,351 | | | $ | 969,629 | |
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| Schedule of Goodwill |
Activity in goodwill for the six months ended June 30, 2026 is provided below (in thousands): | | | | | | | | | | | | | | | | | | | Imaging Center segment | | Digital Health segment | | Total | | Balance as of December 31, 2025 | $ | 741,893 | | | $ | 165,770 | | | $ | 907,663 | | | Goodwill from acquisitions | 47,491 | | | 171,121 | | | 218,612 | | | Measurement period and other adjustments | — | | | 1,684 | | | 1,684 | | | Currency translation | (357) | | | (5,134) | | | (5,491) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Balance as of June 30, 2026 | $ | 789,027 | | | $ | 333,441 | | | $ | 1,122,468 | |
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| 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, 2026 and December 31, 2025 are as follows (in thousands): As of June 30, 2026: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 2026* | | 2027 | | 2028 | | 2029 | | 2030 | | Thereafter | | Total | | Weighted average amortization period remaining in years | | Management service contracts | $ | 1,144 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,097 | | | $ | 12,389 | | | 5.3 | | Covenant not to compete and other contracts | 988 | | | 1,826 | | | 1,736 | | | 1,245 | | | 162 | | | 8 | | | 5,965 | | | 3.2 | | Customer lists | 4,092 | | | 8,077 | | | 8,036 | | | 8,036 | | | 8,033 | | | 93,619 | | | 129,893 | | | 16.2 | | Patent and trademarks | 202 | | | 382 | | | 318 | | | 66 | | | 43 | | | 83 | | | 1,094 | | | 3.4 | | Developed technology & software | 6,557 | | | 12,619 | | | 12,619 | | | 7,538 | | | 6,827 | | | 17,115 | | | 63,275 | | | 5.9 | | Trade Names definite life | 959 | | | 1,918 | | | 1,883 | | | 1,332 | | | 1,119 | | | 4,099 | | | 11,310 | | | 8.5 | | Certifications | 984 | | | 495 | | | 247 | | | — | | | — | | | — | | | 1,726 | | | 0.2 | | Others | 219 | | | 438 | | | 438 | | | 219 | | | — | | | — | | | 1,314 | | | 2.9 | | Trade names indefinite life | — | | | — | | | — | | | — | | | — | | | 7,100 | | | 7,100 | | | | | IPR&D | — | | | — | | | — | | | — | | | — | | | 11,282 | | | 11,282 | | | | | Total annual amortization | $ | 15,145 | | | $ | 28,042 | | | $ | 27,564 | | | $ | 20,723 | | | $ | 18,471 | | | $ | 135,403 | | | $ | 245,348 | | | |
*Excluding the six months ended June 30, 2026
As of December 31, 2025: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 2026 | | 2027 | | 2028 | | 2029 | | 2030 | | Thereafter | | Total | | Weighted average amortization period remaining in years | | Management Service Contracts | $ | 2,287 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,287 | | | $ | 2,096 | | | $ | 13,531 | | | 5.8 | | Covenant not to compete and other contracts | 2,039 | | | 1,745 | | | 1,655 | | | 1,195 | | | 119 | | | — | | | 6,753 | | | 3.6 | | Customer lists | 3,914 | | | 3,736 | | | 3,694 | | | 3,694 | | | 3,694 | | | 43,016 | | | 61,748 | | | 16.9 | | Patent and Trademarks | 763 | | | 391 | | | 326 | | | 67 | | | 43 | | | 83 | | | 1,673 | | | 3.1 | | Developed Technology & Software | 9,712 | | | 9,177 | | | 9,177 | | | 3,958 | | | 3,227 | | | 5,770 | | | 41,021 | | | 5.0 | | Trade Names definite life | 394 | | | 394 | | | 359 | | | 252 | | | 127 | | | 336 | | | 1,862 | | | 5.6 | | Certifications | 1,867 | | | — | | | — | | | — | | | — | | | — | | | 1,867 | | | 0.8 | | Others | 438 | | | 438 | | | 438 | | | 219 | | | — | | | — | | | 1,533 | | | 3.4 | | Trade Names indefinite life | — | | | — | | | — | | | — | | | — | | | 8,500 | | | 8,500 | | | | | IPR&D | — | | | — | | | — | | | — | | | — | | | 10,020 | | | 10,020 | | | | | Total Annual Amortization | $ | 21,414 | | | $ | 18,168 | | | $ | 17,936 | | | $ | 11,672 | | | $ | 9,497 | | | $ | 69,821 | | | $ | 148,508 | | | |
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| 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, 2026 and 2025 is provided below (in thousands): | | | | | | | | | | | | | | | | | | | | | | For the three months ended June 30, 2026 | | | March 31, 2026 Balance | | Currency Translation Adjustments | | June 30, 2026 Balance | | Currency Translation Adjustments | | $33 | | $(3,038) | | $(3,005) |
| | | | | | | | | | | | | | | | | | | | | | For the six months ended June 30, 2026 | | | December 31, 2025 Balance | | Currency Translation Adjustments | | June 30, 2026 Balance | | Currency Translation Adjustments | | $7,384 | | $(10,389) | | $(3,005) |
| | | | | | | | | | | | | | | | | | | | | | For the three months ended June 30, 2025 | | | March 31, 2025 Balance | | Currency Translation Adjustments | | June 30, 2025 Balance | | Currency Translation Adjustments | | $(1,588) | | $9,523 | | $7,935 |
| | | | | | | | | | | | | | | | | | | | | | For the six months ended June 30, 2025 | | | December 31, 2024 Balance | | Currency Translation Adjustments | | June 30, 2025 Balance | | Currency Translation Adjustments | | $(5,697) | | $13,632 | | $7,935 |
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| 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, 2026 | | Entity | | Account | | March 31, 2026 Balance | | Additions | | Change in valuation of contingent consideration | | Currency Translation | | | | June 30, 2026 Balance | | See-Mode Technologies Pte. Ltd. | | Accrued expenses and other non-current liabilities | | $ | 6,962 | | | $ | — | | | $ | 90 | | | $ | (24) | | | | | $ | 7,028 | | | Kolb Radiology P.C. | | Accrued expenses and other non-current liabilities | | $ | 4,100 | | | $ | — | | | $ | (3,727) | | | $ | — | | | | | $ | 373 | | | CIMAR (UK) Limited | | Accrued expenses and other non-current liabilities | | $ | 6,616 | | | $ | — | | | $ | 137 | | | $ | 8 | | | | | $ | 6,761 | | | Gleamer SAS | | Accrued expenses | | $ | 8,424 | | | $ | — | | | $ | 343 | | | $ | (85) | | | | | $ | 8,682 | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | For the six months ended June 30, 2026 | | Entity | | Account | | December 31, 2025 Balance | | Additions | | Change in valuation of contingent consideration | | Currency Translation | | | | June 30, 2026 Balance | | See-Mode Technologies Pte. Ltd. | | Accrued expenses and other non-current liabilities | | $ | 5,329 | | | $ | — | | | $ | 1,717 | | | $ | (18) | | | | | $ | 7,028 | | | Kolb Radiology P.C. | | Accrued expenses and other non-current liabilities | | $ | 3,900 | | | $ | — | | | $ | (3,527) | | | $ | — | | | | | $ | 373 | | | CIMAR (UK) Limited | | Accrued expenses and other non-current liabilities | | $ | 5,753 | | | $ | — | | | $ | 1,074 | | | $ | (66) | | | | | $ | 6,761 | | | Gleamer SAS | | Accrued expenses | | $ | — | | | $ | 8,618 | | | $ | 343 | | | $ | (279) | | | | | $ | 8,682 | | | | | | | | | | | | | | | | |
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| Schedule of Fair Value of Assets and Liabilities |
The table below summarizes the estimated fair values of contingencies relating to our acquisitions 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, 2026 | | Level 1 | | Level 2 | | Level 3 | | Total | | Accrued expenses and other non-current liabilities | | | | | | | | See-Mode Technologies Pte. Ltd. | $ | — | | | $ | — | | | $ | 7,028 | | | $ | 7,028 | | | Kolb Radiology P.C. | — | | | — | | | 373 | | | 373 | | | CIMAR (UK) Limited | — | | | — | | | 6,761 | | | 6,761 | | | Gleamer SAS | — | | | — | | | 8,682 | | | 8,682 | |
The table below summarizes the estimated fair value and carrying amount of our Barclays Term Loans and Truist Term Loan long-term debt as follows (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | As of June 30, 2026 | | Level 1 | | Level 2 | | Level 3 | | Total Fair Value | | Total Face Value | | Barclays Term Loan and Truist Term Loan | $ | — | | | $ | 1,322,222 | | | $ | — | | | $ | 1,322,222 | | | $ | 1,323,729 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | As of December 31, 2025 | | Level 1 | | Level 2 | | Level 3 | | Total Fair Value | | Total Face Value | | Barclays Term Loan and Truist Term Loan | $ | — | | | $ | 1,087,272 | | | $ | — | | | $ | 1,087,272 | | | $ | 1,084,869 | |
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| 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, | | 2026 | | 2025 | | 2026 | | 2025 | | NET INCOME (LOSS) ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | $ | 7,530 | | | $ | 14,454 | | | $ | (25,936) | | | $ | (23,472) | | | | | | | | | | | BASIC NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | | | | | | | | | Weighted average number of common shares outstanding during the period | 77,788,452 | | | 74,352,498 | | | 77,425,061 | | | 74,070,438 | | Basic net income (loss) per share attributable to RadNet, Inc.'s common stockholders | $ | 0.10 | | | $ | 0.19 | | | $ | (0.33) | | | $ | (0.32) | | | | | | | | | | | DILUTED NET INCOME (LOSS) PER SHARE ATTRIBUTABLE TO RADNET, INC. COMMON STOCKHOLDERS | | | | | | | | | Weighted average number of common shares outstanding during the period | 77,788,452 | | | 74,352,498 | | | 77,425,061 | | | 74,070,438 | | | Add non-vested restricted stock subject only to service vesting | 906,831 | | | 1,113,969 | | | — | | | — | | | Add additional shares issuable upon exercise of stock options and contingently issuable shares | 35,738 | | | 65,276 | | | — | | | — | | | Weighted average number of common shares used in calculating diluted net income per share | 78,731,021 | | | 75,531,743 | | | 77,425,061 | | | 74,070,438 | | | Changes in FV associated with contingently issuable shares | $ | — | | | $ | — | | | $ | — | | | $ | — | | Net income (loss) attributable to RadNet, Inc's common stockholders for diluted share calculation | $ | 7,530 | | | $ | 14,454 | | | $ | (25,936) | | | $ | (23,472) | | Diluted net income (loss) income per share attributable to RadNet, Inc.'s common stockholders | $ | 0.10 | | | $ | 0.19 | | | $ | (0.33) | | | $ | (0.32) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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 | — | | | — | | | 1,044,079 | | | 924,045 | | | Shares issuable upon the exercise of stock options | — | | | — | | | 912,141 | | | 868,999 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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| Schedule of Investment in Joint Ventures |
The table below summarizes our ownership interest in these unconsolidated joint ventures as of June 30, 2026: | | | | | | | Joint Venture | Percentage Ownership | | Franklin Imaging, LLC | 49 | % | | Greater Baltimore Diagnostic Imaging | 50 | % | | Advanced Imaging at St. Joseph Medical Center, LLC | 49 | % | | Carroll County Radiology, LLC | 40 | % | | Baltimore Washington Imaging, LLC | 35 | % | | Calvert Medical Imaging Centers, LLC | 50 | % | | Montgomery Community Magnetic Imaging Center, LLC | 49 | % | | Mt. Airy Imaging Center LLC | 40 | % | | Orange County Radiation Oncology, LLC | 40 | % | | Arizona Diagnostic Radiology Group, LLC | 49 | % | | Glendale Advanced Imaging Center, LLC | 55 | % | | Santa Monica Imaging Group, LLC | 49 | % |
The following table is a summary of our investment in joint ventures during the six months ended June 30, 2026 (in thousands): | | | | | | | Balance as of December 31, 2025 | $ | 130,340 | | | Equity in earnings in joint ventures | 8,535 | | | Distribution of earnings | (3,856) | | | | | | | | | | | Balance as of June 30, 2026 | $ | 135,019 | |
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| 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, 2026 and December 31, 2025 and income statement data for the three and six month ended June 30, 2026 and 2025 (in thousands): | | | | | | | | | | | | | Balance Sheet Data: | June 30, 2026 | | December 31, 2025 | | Current assets | $ | 95,060 | | | $ | 79,220 | | | Noncurrent assets | 232,621 | | | 227,447 | | | Current liabilities | (11,340) | | | (10,682) | | | Noncurrent liabilities | (82,247) | | | (71,298) | | | Total net assets | $ | 234,094 | | | $ | 224,687 | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended June 30, | | Six Months Ended June 30, | | Income statement data | 2026 | | 2025 | | 2026 | | 2025 | | Net revenue | $ | 76,970 | | | $ | 72,438 | | | $ | 150,299 | | | $ | 138,711 | | | Operating expense, excluding depreciation and amortization | 62,044 | | | 57,720 | | | 122,184 | | | 112,696 | | | Depreciation and amortization | 4,871 | | | 5,280 | | | 9,865 | | | 10,456 | | | Non-operating expense | 30 | | | 157 | | | 94 | | | 651 | | | Net income | 10,025 | | | 9,281 | | | 18,156 | | | 14,908 | |
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