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Variable Interest Entities (VIEs) - Schedule of Assets and Liabilities, Variable Interest Entities (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Current assets      
Cash and cash equivalents $ 288,455 $ 293,807 $ 288,027
Investment in marketable securities 2,378 2,498  
Income taxes receivable 19,316 10,657  
Other receivables 29,496 1,335  
Prepaid expenses and other current assets 22,861 17,450  
Total current assets 638,496 461,507  
Non-current assets      
Intangible assets, net 118,179 71,648  
Goodwill 419,253 278,831 269,053
Income taxes receivable, non-current 15,943 15,943  
Investments in other entities – equity method 39,319 25,774 40,299
Operating lease right-of-use assets 32,601 37,396  
Other assets 16,021 1,877  
Total non-current assets 716,398 471,854  
Total assets [1] 1,354,894 933,361  
Current liabilities      
Accounts payable and accrued expenses 106,142 59,949  
Fiduciary accounts payable 8,223 7,737  
Medical liabilities 209,039 106,657 $ 81,255
Dividend payable 638 638  
Finance lease liabilities 554 646  
Operating lease liabilities 5,350 4,607  
Other liabilities 26,287 18,940  
Total current liabilities 365,608 218,674  
Non-current liabilities      
Deferred tax liability 4,555 4,072  
Finance lease liabilities, net of current portion 607 1,033  
Operating lease liabilities, net of current portion 30,654 36,289  
Other long-term liabilities 14,003 3,586  
Total non-current liabilities 475,118 303,919  
Total liabilities [1] 840,726 522,593  
Nonrelated Party      
Current assets      
Receivables, net 225,733 76,780  
Related Party      
Current assets      
Receivables, net 50,257 58,980  
Variable Interest Entity, Primary Beneficiary      
Current assets      
Cash and cash equivalents 158,922 184,078  
Investment in marketable securities 2,259 0  
Receivables, net 83,977 21,120  
Income taxes receivable 0 1,600  
Other receivables 15,303 454  
Prepaid expenses and other current assets 10,161 9,991  
Total current assets 318,873 275,950  
Non-current assets      
Property and equipment, net 5,875 5,306  
Intangible assets, net 87,840 60,906  
Goodwill 243,283 140,157  
Income taxes receivable, non-current 15,943 15,943  
Investments in other entities – equity method 15,442 12,114  
Investment in a privately held entity 405 405  
Investment in affiliates 224,894 273,182  
Restricted cash 40 40  
Operating lease right-of-use assets 21,585 28,796  
Other assets 3,019 1,149  
Total non-current assets 618,326 537,998  
Total assets 937,199 813,948  
Current liabilities      
Accounts payable and accrued expenses 43,800 32,707  
Fiduciary accounts payable 8,223 7,737  
Medical liabilities 105,486 55,157  
Dividend payable 638 638  
Income taxes payable 11,041 0  
Finance lease liabilities 520 646  
Operating lease liabilities 3,487 3,305  
Other liabilities 1,351 8,542  
Amount due to affiliate 48,142 107,340  
Total current liabilities 222,688 216,072  
Non-current liabilities      
Deferred tax liability 11,237 7,284  
Finance lease liabilities, net of current portion 520 1,033  
Operating lease liabilities, net of current portion 21,012 28,675  
Other long-term liabilities 619 230  
Total non-current liabilities 33,388 37,222  
Total liabilities 256,076 253,294  
Variable Interest Entity, Primary Beneficiary | Related Party      
Current assets      
Receivables, net $ 48,251 $ 58,707  
[1] The Company’s consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $712.3 million and $540.8 million as of December 31, 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 $207.9 million and $146.0 million as of December 31, 2024 and December 31, 2023, respectively. These VIE balances do not include $224.9 million of investment in affiliates and $48.1 million of amounts due to affiliates as of December 31, 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 consolidated balance sheets. See Note 18 “Variable Interest Entities (VIEs)” for further detail.