14. SUPPLEMENTAL GUARANTOR INFORMATION (Details-Statements of Cash Flows) (USD $) | 12 Months Ended |
In Thousands, unless otherwise specified | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011 |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | $2,376 | $59,604 | $7,342 |
Depreciation and amortization | 58,890 | 57,740 | 57,481 |
Provision for bad debt | 27,911 | 25,904 | 22,339 |
Equity in earnings of consolidated subsidiaries | 0 | 0 | 0 |
Distributions from consolidated subsidiaries | 0 | 0 | 0 |
Equity in earnings of joint ventures | -6,194 | -6,476 | -5,224 |
Distributions from joint ventures | 7,204 | 6,477 | 4,993 |
Deferred rent amortization | 3,871 | 3,608 | 2,282 |
Amortization of deferred financing cost | 2,286 | 2,474 | 2,940 |
Amortization of bond discount | 2,279 | 1,163 | 244 |
(Gain) loss on sale and disposal of equipment | 1,032 | 456 | -2,240 |
Gain on de-consolidation of joint venture | 0 | -2,777 | 0 |
Amortization of cash flow hedge | 0 | 918 | 1,225 |
Gain on bargain purchase | 0 | -810 | 0 |
(Gain) loss on sale of imaging centers | -2,108 | ' | ' |
Stock-based compensation | 2,574 | 2,736 | 3,110 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | -31,531 | -17,350 | -45,014 |
Other current assets | -2,243 | 3,565 | -3,935 |
Other assets | 260 | -578 | 43 |
Deferred taxes | 2,907 | -56,142 | ' |
Deferred revenue | 71 | 197 | -492 |
Accounts payable, accrued expenses and other | -3,163 | -5,440 | 12,542 |
Net cash provided by operating activities | 66,422 | 75,269 | 57,636 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | -7,223 | -45,493 | -42,990 |
Proceeds from insurance clains on damaged equipment | 0 | 0 | 2,740 |
Purchase of property and equipment | -48,623 | -44,448 | -42,720 |
Proceeds from sale of equipment | 635 | 1,549 | 325 |
Proceeds from sale of imaging facilities | 3,920 | 2,300 | 0 |
Proceeds from sale of joint venture interests | 2,640 | 1,800 | ' |
Purchase of equity interest in joint ventures | -2,009 | -2,756 | -5,094 |
Net cash used in investing activities | -50,660 | -87,048 | -87,739 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | -9,764 | -22,223 | -18,756 |
Repayment of debt upon extinguishment | 0 | -277,875 | 0 |
Proceeds from borrowings upon refinancing | 35,122 | 344,485 | 0 |
Deferred financing costs | -432 | -3,753 | -944 |
Proceeds from, net of payments on, line of credit | -33,000 | -25,000 | 58,000 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | -5,823 | -6,455 |
Distributions to noncontrolling interests | -18 | -71 | -154 |
Proceeds from issuance of common stock upon exercise of options/warrants | 469 | 0 | 242 |
Purchase of non-controlling interests | 0 | -117 | 0 |
Net cash used in financing activities | -7,623 | 9,623 | 31,933 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | -89 | 63 | -2 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 8,050 | -2,093 | 1,828 |
CASH AND CASH EQUIVALENTS, beginning of period | 362 | 2,455 | 627 |
CASH AND CASH EQUIVALENTS, end of period | 8,412 | 362 | 2,455 |
Parent [Member] | ' | ' | ' |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | 2,120 | 59,834 | 7,231 |
Depreciation and amortization | 0 | 0 | 0 |
Provision for bad debt | 0 | 0 | 0 |
Equity in earnings of consolidated subsidiaries | -2,120 | -59,834 | -7,231 |
Distributions from consolidated subsidiaries | 0 | 0 | 0 |
Equity in earnings of joint ventures | 0 | 0 | 0 |
Distributions from joint ventures | 0 | 0 | 0 |
Deferred rent amortization | 0 | 0 | 0 |
Amortization of deferred financing cost | 0 | 0 | 0 |
Amortization of bond discount | 0 | 0 | 0 |
(Gain) loss on sale and disposal of equipment | 0 | 0 | 0 |
Gain on de-consolidation of joint venture | ' | 0 | ' |
Amortization of cash flow hedge | ' | 0 | 0 |
Gain on bargain purchase | ' | 0 | ' |
(Gain) loss on sale of imaging centers | 0 | ' | ' |
Stock-based compensation | 0 | 0 | 0 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | 0 | 0 | 0 |
Other current assets | 0 | 0 | 0 |
Other assets | 0 | 0 | 0 |
Deferred taxes | 0 | 0 | ' |
Deferred revenue | 0 | 0 | 0 |
Accounts payable, accrued expenses and other | 0 | 0 | 0 |
Net cash provided by operating activities | 0 | 0 | 0 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | 0 | 0 | 0 |
Proceeds from insurance clains on damaged equipment | ' | ' | 0 |
Purchase of property and equipment | 0 | 0 | 0 |
Proceeds from sale of equipment | 0 | 0 | 0 |
Proceeds from sale of imaging facilities | 0 | 0 | ' |
Proceeds from sale of joint venture interests | 0 | 0 | ' |
Purchase of equity interest in joint ventures | 0 | 0 | 0 |
Net cash used in investing activities | 0 | 0 | 0 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | 0 | 0 | 0 |
Repayment of debt upon extinguishment | ' | 0 | ' |
Proceeds from borrowings upon refinancing | 0 | 0 | ' |
Deferred financing costs | 0 | 0 | 0 |
Proceeds from, net of payments on, line of credit | 0 | 0 | 0 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | 0 | 0 |
Distributions to noncontrolling interests | 0 | 0 | 0 |
Proceeds from issuance of common stock upon exercise of options/warrants | 0 | ' | 0 |
Purchase of non-controlling interests | ' | 0 | ' |
Net cash used in financing activities | 0 | 0 | 0 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | 0 | 0 | 0 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 0 | 0 | 0 |
CASH AND CASH EQUIVALENTS, beginning of period | 0 | 0 | 0 |
CASH AND CASH EQUIVALENTS, end of period | 0 | 0 | 0 |
Subsidiary Issuer [Member] | ' | ' | ' |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | 2,120 | 59,834 | 7,231 |
Depreciation and amortization | 12,831 | 12,690 | 13,986 |
Provision for bad debt | 5,557 | 5,452 | 4,485 |
Equity in earnings of consolidated subsidiaries | -15,438 | -88,397 | -31,410 |
Distributions from consolidated subsidiaries | 0 | 0 | 0 |
Equity in earnings of joint ventures | 0 | 0 | 0 |
Distributions from joint ventures | 0 | 0 | 0 |
Deferred rent amortization | 2,074 | 1,917 | 1,811 |
Amortization of deferred financing cost | 1,676 | 2,474 | 2,940 |
Amortization of bond discount | 1,651 | 1,163 | 244 |
(Gain) loss on sale and disposal of equipment | -315 | 600 | -2,512 |
Gain on de-consolidation of joint venture | ' | 0 | ' |
Amortization of cash flow hedge | ' | 918 | 1,225 |
Gain on bargain purchase | ' | 0 | ' |
(Gain) loss on sale of imaging centers | 0 | ' | ' |
Stock-based compensation | 643 | 684 | 778 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | 0 | 0 | 0 |
Other current assets | -2,957 | 2,203 | -3,366 |
Other assets | 335 | -542 | 41 |
Deferred taxes | 0 | 0 | ' |
Deferred revenue | 0 | 0 | 0 |
Accounts payable, accrued expenses and other | 13,074 | -6,524 | -27,252 |
Net cash provided by operating activities | 21,251 | -7,528 | -31,799 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | -655 | -10,494 | -1,999 |
Proceeds from insurance clains on damaged equipment | ' | ' | 2,422 |
Purchase of property and equipment | -17,619 | -9,173 | -11,125 |
Proceeds from sale of equipment | 249 | 218 | 0 |
Proceeds from sale of imaging facilities | 0 | 0 | ' |
Proceeds from sale of joint venture interests | 0 | 0 | ' |
Purchase of equity interest in joint ventures | 0 | 0 | 0 |
Net cash used in investing activities | -18,025 | -19,449 | -10,702 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | -4,608 | -6,061 | -7,181 |
Repayment of debt upon extinguishment | ' | -277,875 | ' |
Proceeds from borrowings upon refinancing | 35,122 | 344,485 | ' |
Deferred financing costs | -432 | -3,753 | -944 |
Proceeds from, net of payments on, line of credit | -33,000 | -25,000 | 58,000 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | -5,823 | -6,455 |
Distributions to noncontrolling interests | 0 | 0 | 0 |
Proceeds from issuance of common stock upon exercise of options/warrants | 469 | ' | 242 |
Purchase of non-controlling interests | ' | 0 | ' |
Net cash used in financing activities | -2,449 | 25,973 | 43,662 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | 0 | 0 | 0 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 777 | -1,004 | 1,161 |
CASH AND CASH EQUIVALENTS, beginning of period | 362 | 1,366 | 205 |
CASH AND CASH EQUIVALENTS, end of period | 0 | 362 | 1,366 |
Guarantor Subsidiaries [Member] | ' | ' | ' |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | 15,438 | 88,397 | 31,410 |
Depreciation and amortization | 44,543 | 44,870 | 43,268 |
Provision for bad debt | 16,873 | 17,888 | 15,443 |
Equity in earnings of consolidated subsidiaries | -3,707 | -151 | -1,275 |
Distributions from consolidated subsidiaries | 340 | 906 | 1,597 |
Equity in earnings of joint ventures | -6,194 | -6,476 | -5,224 |
Distributions from joint ventures | 7,204 | 6,477 | 4,993 |
Deferred rent amortization | 1,592 | 1,691 | 471 |
Amortization of deferred financing cost | 610 | 0 | 0 |
Amortization of bond discount | 628 | 0 | 0 |
(Gain) loss on sale and disposal of equipment | 1,347 | -144 | 272 |
Gain on de-consolidation of joint venture | ' | -2,777 | ' |
Amortization of cash flow hedge | ' | 0 | 0 |
Gain on bargain purchase | ' | -810 | ' |
(Gain) loss on sale of imaging centers | -2,108 | ' | ' |
Stock-based compensation | 1,931 | 2,052 | 2,332 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | -4,269 | -4,051 | -27,886 |
Other current assets | 516 | 1,085 | -183 |
Other assets | -55 | -36 | 2 |
Deferred taxes | 2,907 | -56,142 | ' |
Deferred revenue | 71 | 197 | -492 |
Accounts payable, accrued expenses and other | -35,835 | -9,161 | 23,275 |
Net cash provided by operating activities | 41,832 | 83,815 | 88,003 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | -6,568 | -34,999 | -40,991 |
Proceeds from insurance clains on damaged equipment | ' | ' | 318 |
Purchase of property and equipment | -29,768 | -35,275 | -30,984 |
Proceeds from sale of equipment | 386 | 1,331 | 325 |
Proceeds from sale of imaging facilities | 3,920 | 2,300 | ' |
Proceeds from sale of joint venture interests | 2,640 | 1,800 | ' |
Purchase of equity interest in joint ventures | -2,009 | -2,756 | -5,094 |
Net cash used in investing activities | -31,399 | -67,599 | -76,426 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | -3,071 | -16,162 | -11,575 |
Repayment of debt upon extinguishment | ' | 0 | ' |
Proceeds from borrowings upon refinancing | 0 | 0 | ' |
Deferred financing costs | 0 | 0 | 0 |
Proceeds from, net of payments on, line of credit | 0 | 0 | 0 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | 0 | 0 |
Distributions to noncontrolling interests | 0 | 0 | 0 |
Proceeds from issuance of common stock upon exercise of options/warrants | 0 | ' | 0 |
Purchase of non-controlling interests | ' | -117 | ' |
Net cash used in financing activities | -3,071 | -16,279 | -11,575 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | -89 | 63 | -2 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 7,273 | 0 | 0 |
CASH AND CASH EQUIVALENTS, beginning of period | 0 | 0 | 0 |
CASH AND CASH EQUIVALENTS, end of period | 8,412 | 0 | 0 |
Non-Guarantor Subsidiaries [Member] | ' | ' | ' |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | 3,963 | -79 | 1,386 |
Depreciation and amortization | 1,516 | 180 | 227 |
Provision for bad debt | 5,481 | 2,564 | 2,411 |
Equity in earnings of consolidated subsidiaries | 0 | 0 | 0 |
Distributions from consolidated subsidiaries | 0 | 0 | 0 |
Equity in earnings of joint ventures | 0 | 0 | 0 |
Distributions from joint ventures | 0 | 0 | 0 |
Deferred rent amortization | 205 | 0 | 0 |
Amortization of deferred financing cost | 0 | 0 | 0 |
Amortization of bond discount | 0 | 0 | 0 |
(Gain) loss on sale and disposal of equipment | 0 | 0 | 0 |
Gain on de-consolidation of joint venture | ' | 0 | ' |
Amortization of cash flow hedge | ' | 0 | 0 |
Gain on bargain purchase | ' | 0 | ' |
(Gain) loss on sale of imaging centers | 0 | ' | ' |
Stock-based compensation | 0 | 0 | 0 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | -27,262 | -13,299 | -17,128 |
Other current assets | 198 | 277 | -386 |
Other assets | -20 | 0 | 0 |
Deferred taxes | 0 | 0 | ' |
Deferred revenue | 0 | 0 | 0 |
Accounts payable, accrued expenses and other | 19,598 | 10,245 | 16,519 |
Net cash provided by operating activities | 3,679 | -112 | 3,029 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | 0 | 0 | 0 |
Proceeds from insurance clains on damaged equipment | ' | ' | 0 |
Purchase of property and equipment | -1,236 | 0 | -611 |
Proceeds from sale of equipment | 0 | 0 | 0 |
Proceeds from sale of imaging facilities | 0 | 0 | ' |
Proceeds from sale of joint venture interests | 0 | 0 | ' |
Purchase of equity interest in joint ventures | 0 | 0 | 0 |
Net cash used in investing activities | -1,236 | 0 | -611 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | -2,085 | 0 | 0 |
Repayment of debt upon extinguishment | ' | 0 | ' |
Proceeds from borrowings upon refinancing | 0 | 0 | ' |
Deferred financing costs | 0 | 0 | 0 |
Proceeds from, net of payments on, line of credit | 0 | 0 | 0 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | 0 | 0 |
Distributions to noncontrolling interests | -358 | -977 | -1,751 |
Proceeds from issuance of common stock upon exercise of options/warrants | 0 | ' | 0 |
Purchase of non-controlling interests | ' | 0 | ' |
Net cash used in financing activities | -2,443 | -977 | -1,751 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | 0 | 0 | 0 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 0 | -1,089 | 667 |
CASH AND CASH EQUIVALENTS, beginning of period | 0 | 1,089 | 422 |
CASH AND CASH EQUIVALENTS, end of period | 0 | 0 | 1,089 |
Eliminations [Member] | ' | ' | ' |
CASH FLOWS FROM OPERATING ACTIVITIES | ' | ' | ' |
Net income | -21,265 | -148,382 | -39,916 |
Depreciation and amortization | 0 | 0 | 0 |
Provision for bad debt | 0 | 0 | 0 |
Equity in earnings of consolidated subsidiaries | 21,265 | 148,382 | 39,916 |
Distributions from consolidated subsidiaries | -340 | -906 | -1,597 |
Equity in earnings of joint ventures | 0 | 0 | 0 |
Distributions from joint ventures | 0 | 0 | 0 |
Deferred rent amortization | 0 | 0 | 0 |
Amortization of deferred financing cost | 0 | 0 | 0 |
Amortization of bond discount | 0 | 0 | 0 |
(Gain) loss on sale and disposal of equipment | 0 | 0 | 0 |
Gain on de-consolidation of joint venture | ' | 0 | ' |
Amortization of cash flow hedge | ' | 0 | 0 |
Gain on bargain purchase | ' | 0 | ' |
(Gain) loss on sale of imaging centers | 0 | ' | ' |
Stock-based compensation | 0 | 0 | 0 |
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: | ' | ' | ' |
Accounts receivable | 0 | 0 | 0 |
Other current assets | 0 | 0 | 0 |
Other assets | 0 | 0 | 0 |
Deferred taxes | 0 | 0 | ' |
Deferred revenue | 0 | 0 | 0 |
Accounts payable, accrued expenses and other | 0 | 0 | 0 |
Net cash provided by operating activities | -340 | -906 | -1,597 |
CASH FLOWS FROM INVESTING ACTIVITIES | ' | ' | ' |
Purchase of imaging facilities | 0 | 0 | 0 |
Proceeds from insurance clains on damaged equipment | ' | ' | 0 |
Purchase of property and equipment | 0 | 0 | 0 |
Proceeds from sale of equipment | 0 | 0 | 0 |
Proceeds from sale of imaging facilities | 0 | 0 | ' |
Proceeds from sale of joint venture interests | 0 | 0 | ' |
Purchase of equity interest in joint ventures | 0 | 0 | 0 |
Net cash used in investing activities | 0 | 0 | 0 |
CASH FLOWS FROM FINANCING ACTIVITIES | ' | ' | ' |
Principal payments on notes and leases payable | 0 | 0 | 0 |
Repayment of debt upon extinguishment | ' | 0 | ' |
Proceeds from borrowings upon refinancing | 0 | 0 | ' |
Deferred financing costs | 0 | 0 | 0 |
Proceeds from, net of payments on, line of credit | 0 | 0 | 0 |
Payments to counterparties of interest rate swaps, net of amounts received | 0 | 0 | 0 |
Distributions to noncontrolling interests | 340 | 906 | 1,597 |
Proceeds from issuance of common stock upon exercise of options/warrants | 0 | ' | 0 |
Purchase of non-controlling interests | ' | 0 | ' |
Net cash used in financing activities | 340 | 906 | 1,597 |
EFFECT OF EXCHANGE RATE CHANGES ON CASH | 0 | 0 | 0 |
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 0 | 0 | 0 |
CASH AND CASH EQUIVALENTS, beginning of period | 0 | 0 | 0 |
CASH AND CASH EQUIVALENTS, end of period | $0 | $0 | $0 |