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Variable Interest Entities (VIEs) (Details) - USD ($)
$ in Thousands
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2022
Current assets            
Cash and cash equivalents $ 325,310   $ 293,807 $ 293,921    
Investment in marketable securities 2,383   2,498      
Income taxes receivable 22,005   10,657      
Other receivables 1,642   1,335      
Prepaid expenses and other current assets 17,417   17,450      
Total current assets 570,349   461,507      
Non-current assets            
Intangible assets, net 116,231   71,648      
Goodwill 409,581   278,831      
Income taxes receivable, non-current 15,943   15,943      
Investments in other entities – equity method 33,276 $ 35,893 25,774 45,831 $ 43,108 $ 40,299
Operating lease right-of-use assets 28,792   37,396      
Other assets 9,289   1,877      
Total non-current assets 682,122   471,854      
Total assets [1] 1,252,471   933,361      
Current liabilities            
Accounts payable and accrued expenses 95,757   59,949      
Fiduciary accounts payable 7,321   7,737      
Medical liabilities 151,482   106,657 $ 100,047   $ 81,255
Dividend payable 638   638      
Finance lease liabilities 591   646      
Operating lease liabilities 4,884   4,607      
Current portion of long-term debt 17,000   19,500      
Other liabilities 32,152   18,940      
Total current liabilities 309,825   218,674      
Non-current liabilities            
Finance lease liabilities, net of current portion 879   1,033      
Operating lease liabilities, net of current portion 27,092   36,289      
Deferred tax liability 3,250   4,072      
Other long-term liabilities 7,723   3,586      
Total non-current liabilities 463,950   303,919      
Total liabilities [1] 773,775   522,593      
Nonrelated Party            
Current assets            
Receivables, net 132,323   76,780      
Related Party            
Current assets            
Receivables, net 69,269   58,980      
Variable Interest Entity, Primary Beneficiary            
Current assets            
Cash and cash equivalents 173,974   184,078      
Income taxes receivable 0   1,600      
Other receivables 1,025   454      
Prepaid expenses and other current assets 11,563   9,991      
Total current assets 305,046   275,950      
Non-current assets            
Land, property and equipment, net 5,117   5,306      
Intangible assets, net 84,286   60,906      
Goodwill 231,088   140,157      
Income taxes receivable, non-current 15,943   15,943      
Investments in other entities – equity method 12,676   12,114      
Investment in affiliates 516,433   273,182      
Investment in a privately held entity 405   405      
Restricted cash 40   40      
Operating lease right-of-use assets 16,097   28,796      
Other assets 1,196   1,149      
Total non-current assets 883,281   537,998      
Total assets 1,188,327   813,948      
Current liabilities            
Accounts payable and accrued expenses 39,881   32,707      
Fiduciary accounts payable 7,321   7,737      
Medical liabilities 70,363   55,157      
Dividend payable 638   638      
Income tax payable 19,176   0      
Finance lease liabilities 556   646      
Operating lease liabilities 2,846   3,305      
Amount due to affiliates 72,830   107,340      
Other liabilities 10,365   8,542      
Total current liabilities 223,976   216,072      
Non-current liabilities            
Finance lease liabilities, net of current portion 777   1,033      
Operating lease liabilities, net of current portion 15,994   28,675      
Deferred tax liability 6,822   7,284      
Other long-term liabilities 1,056   230      
Total non-current liabilities 24,649   37,222      
Total liabilities 248,625   253,294      
Variable Interest Entity, Primary Beneficiary | Nonrelated Party            
Current assets            
Receivables, net 49,506   21,120      
Variable Interest Entity, Primary Beneficiary | Related Party            
Current assets            
Receivables, net $ 68,978   $ 58,707      
[1] The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $671.9 million and $540.8 million as of June 30, 2024 and December 31, 2023, respectively, and total liabilities of the Company’s consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $175.8 million and $146.0 million as of June 30, 2024 and December 31, 2023, respectively. These VIE balances do not include $516.4 million of investment in affiliates and $72.8 million of amounts due to affiliates as of June 30, 2024, and $273.2 million of investment in affiliates and $107.3 million of amounts due to affiliates as of December 31, 2023, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets. See Note 16 — “Variable Interest Entities (VIEs)” for further details.