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Business Combinations, Asset Acquisitions, and Goodwill - Summary of Purchase Price Allocation (Details) - USD ($)
$ in Thousands
12 Months Ended
Oct. 04, 2024
Mar. 31, 2024
Jan. 31, 2024
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Assets:            
Goodwill       $ 419,253 $ 278,831 $ 269,053
CFC            
Total purchase consideration:            
Cash paid     $ 90,998      
Purchase price due to (from) seller     0      
Contingent consideration     8,026      
Common stock issued and replacement awards     21,952      
Conversion of promissory note     0      
Consideration transferred     120,976      
Assets:            
Cash and cash equivalents     16,674      
Investment in marketable securities     0      
Receivables     6,530      
Other receivables     472      
Prepaid expenses and other current assets     2,902      
Property and equipment, net     0      
Intangible assets     28,000      
Goodwill     83,571      
Income tax receivable     0      
Investments in other entities - equity method     0      
Restricted cash     0      
Total assets acquired     138,149      
Liabilities:            
Accounts payable and accrued expenses     2,486      
Medical liabilities     14,663      
Income taxes payable     24      
Deferred tax liability     0      
Non-controlling interest     0      
Total liabilities assumed     17,173      
Total net assets acquired     $ 120,976      
CHS            
Total purchase consideration:            
Cash paid $ 35,322          
Purchase price due to (from) seller 6,944          
Contingent consideration 5,154          
Common stock issued and replacement awards 118          
Consideration transferred 47,538          
Assets:            
Cash and cash equivalents 4,556          
Investment in marketable securities 0          
Receivables 87,416          
Other receivables 54,194          
Prepaid expenses and other current assets 357          
Property and equipment, net 0          
Intangible assets 14,200          
Goodwill 12,151          
Income tax receivable 0          
Investments in other entities - equity method 3,125          
Restricted cash 0          
Total assets acquired 175,999          
Liabilities:            
Accounts payable and accrued expenses 68,115          
Medical liabilities 60,424          
Income taxes payable 0          
Deferred tax liability 0          
Non-controlling interest (78)          
Total liabilities assumed 128,461          
Total net assets acquired $ 47,538          
AHMS            
Total purchase consideration:            
Cash paid   $ 63,935        
Purchase price due to (from) seller   (2,995)        
Contingent consideration   0        
Common stock issued and replacement awards   0        
Conversion of promissory note   0        
Consideration transferred   60,940        
Assets:            
Cash and cash equivalents   33,950        
Investment in marketable securities   0        
Receivables   11,007        
Other receivables   0        
Prepaid expenses and other current assets   36        
Property and equipment, net   0        
Intangible assets   23,600        
Goodwill   25,731        
Income tax receivable   0        
Investments in other entities - equity method   0        
Restricted cash   300        
Total assets acquired   94,624        
Liabilities:            
Accounts payable and accrued expenses   13,001        
Medical liabilities   14,253        
Income taxes payable   0        
Deferred tax liability   6,430        
Non-controlling interest   0        
Total liabilities assumed   33,684        
Total net assets acquired   $ 60,940        
Other Acquisitions            
Total purchase consideration:            
Cash paid [1]       15,000    
Purchase price due to (from) seller       0    
Contingent consideration [1]       6,161    
Common stock issued and replacement awards [1]       0    
Conversion of promissory note [1]       5,175    
Consideration transferred [1]       26,336    
Assets:            
Cash and cash equivalents [1]       3,515    
Investment in marketable securities [1]       30    
Receivables [1]       0    
Other receivables [1]       0    
Prepaid expenses and other current assets [1]       11    
Property and equipment, net [1]       823    
Intangible assets [1]       6,338    
Goodwill [1]       16,357    
Income tax receivable [1]       1    
Investments in other entities - equity method [1]       0    
Restricted cash [1]       0    
Total assets acquired [1]       27,075    
Liabilities:            
Accounts payable and accrued expenses [1]       303    
Medical liabilities [1]       0    
Income taxes payable [1]       0    
Deferred tax liability [1]       8    
Non-controlling interest [1]       428    
Total liabilities assumed [1]       739    
Total net assets acquired [1]       26,336    
Total Acquisitions            
Total purchase consideration:            
Cash paid       205,255    
Purchase price due to (from) seller       3,949    
Contingent consideration       19,341    
Common stock issued and replacement awards       22,070    
Conversion of promissory note       5,175    
Consideration transferred       255,790    
Assets:            
Cash and cash equivalents       58,695    
Investment in marketable securities       30    
Receivables       104,953    
Other receivables       54,666    
Prepaid expenses and other current assets       3,306    
Property and equipment, net       823    
Intangible assets       72,138    
Goodwill       137,810    
Income tax receivable       1    
Investments in other entities - equity method       3,125    
Restricted cash       300    
Total assets acquired       435,847    
Liabilities:            
Accounts payable and accrued expenses       83,905    
Medical liabilities       89,340    
Income taxes payable       24    
Deferred tax liability       6,438    
Non-controlling interest       350    
Total liabilities assumed       180,057    
Total net assets acquired       $ 255,790    
[1]

*Others consist of estimated fair values of the assets acquired, net of cash acquired, related to ADSC, PCCCV, Airline Complete, and DWGAS.