Variable Interest Entities (VIEs) (Tables)

9 Months Ended

Sep. 30, 2019

Organization, Consolidation and Presentation of Financial Statements [Abstract]

The following table includes assets that can only be used to settle the liabilities of APC, including Alpha Care and Accountable Health Care, and the creditors of APC, including Alpha Care and Accountable Health Care, have no recourse to the Company, nor do creditors of the Company have recourse against the assets of APC, including Alpha Care and Accountable Health Care. These assets and liabilities, with the exception of the investment in a privately held entity that does not report net asset value per share and amounts due to affiliates, which are eliminated upon consolidation with NMM, are included in the accompanying condensed consolidated balance sheets.



	September 30, 2019		December 31, 2018
Assets

Current assets
Cash and cash equivalents	$	201,806,867	$	71,726,342
Restricted cash	20,150		—
Investment in marketable securities	1,087,197		1,066,103
Receivables, net	17,992,524		3,904,586
Receivables, net – related party	36,046,032		45,258,916
Prepaid expenses and other current assets	5,557,928		3,647,654
Loan receivable - related party, short term	6,425,000		—
Total current assets	268,935,698		125,603,601

Noncurrent assets
Land, property and equipment, net	9,698,849		9,602,228
Intangible assets, net	91,539,651		58,984,420
Goodwill	107,551,295		56,213,450
Loans receivable – related parties	12,500,000		12,500,000
Investment in a privately held entity that does not report net asset value per share	4,725,000		4,725,000
Investments in other entities – equity method	35,840,977		26,707,404
Restricted cash	746,104		745,470
Right-of-use assets	3,758,391		—
Other assets	1,058,601		839,085

Total noncurrent assets	267,418,868		170,317,057

Total assets	$	536,354,566	$	295,920,658

Current liabilities
Accounts payable and accrued expenses	$	8,811,988	$	6,378,751
Fiduciary accounts payable	1,734,142		1,538,598
Medical liabilities	48,759,183		24,983,110
Income taxes payable	1,393,492		11,621,861
Amount due to affiliate	26,859,007		11,505,680
Bank loan	—		40,257
Dividends payable	271,279		—
Lease liabilities	837,984		—
Capital lease obligations	101,741		101,741

Total current liabilities	88,768,816		56,169,998

Noncurrent liabilities
Lines of credit	—		—
Deferred tax liability	23,765,062		15,693,159
Liability for unissued equity shares	1,185,025		1,185,025
Lease liabilities	2,861,560		—
Capital lease obligations	441,241		517,261

Total noncurrent liabilities	28,252,888		17,395,445

Total liabilities	$	117,021,704	$	73,565,443

- Definition

Tabular disclosure of the significant judgments and assumptions made in determining whether a variable interest (as defined) held by the entity requires the variable interest entity (VIE) (as defined) to be consolidated and (or) disclose information about its involvement with the VIE, individually or in aggregate (as applicable); the nature of restrictions, if any, on the consolidated VIE's assets and on the settlement of its liabilities reported by an entity in its statement of financial position, including the carrying amounts of such assets and liabilities; the nature of, and changes in, the risks associated with involvement in the VIE; how involvement with the VIE affects the entity's financial position, financial performance, and cash flows; the lack of recourse if creditors (or beneficial interest holders) of the consolidated VIE have no recourse to the general credit of the primary beneficiary (if applicable); the terms of arrangements, giving consideration to both explicit arrangements and implicit variable interests, if any, that could require the entity to provide financial support to the VIE, including events or circumstances that could expose the entity to a loss; the methodology used by the entity for determining whether or not it is the primary beneficiary of the variable interest entity; the significant factors considered and judgments made in determining that the power to direct the activities of a VIE that most significantly impact the VIE's economic performance are shared (as defined); the carrying amounts and classification of assets and liabilities of the VIE included in the statement of financial position; the entity's maximum exposure to loss, if any, as a result of its involvement with the VIE, including how the maximum exposure is determined and significant sources of the entity's exposure to the VIE; a comparison of the carrying amounts of the assets and liabilities and the entity's maximum exposure to loss; information about any liquidity arrangements, guarantees, and (or) other commitments by third parties that may affect the fair value or risk of the entity's variable interest in the VIE; whether or not the entity has provided financial support or other support (explicitly or implicitly) to the VIE that it was not previously contractually required to provide or whether the entity intends to provide that support, including the type and amount of the support and the primary reasons for providing the support; and supplemental information the entity determines necessary to provide.

+ References + Details