XML 72 R52.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Acquisitions (Details)
3 Months Ended 12 Months Ended
Oct. 01, 2019
USD ($)
Jul. 05, 2019
USD ($)
Jan. 02, 2019
USD ($)
installment
Dec. 31, 2018
USD ($)
Jul. 31, 2018
USD ($)
May 17, 2018
USD ($)
May 16, 2018
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Nov. 01, 2019
USD ($)
Dec. 31, 2017
USD ($)
Business Acquisition                        
Change in contingent consideration liability cost recorded                 $ 150,000      
Contingent consideration obligation       $ 15,250,000       $ 14,725,000 14,725,000 $ 15,250,000    
Interest expense                 27,849,699 7,418,959    
Estimated fair values of net assets acquired                        
Goodwill       202,436,212       266,790,518 266,790,518 202,436,212   $ 38,628,391
Other current liabilities                        
Business Acquisition                        
Contingent consideration obligation               1,000,000 1,000,000      
Significant acquisitions in 2019                        
Estimated fair values of net assets acquired                        
Cash               91,894 91,894      
Accounts receivables               5,405,060 5,405,060      
Inventory               4,261,041 4,261,041      
Prepaid and other current assets               122,047 122,047      
Equipment and other fixed assets               10,968,731 10,968,731      
Goodwill               65,269,470 65,269,470      
Contract liabilities               (1,708,995) (1,708,995)      
Accounts payable and accrued expenses               (4,916,493) (4,916,493)      
Net assets acquired               79,492,755 79,492,755      
Gould’s                        
Business Acquisition                        
Interest acquired, as a percent     100.00%                  
Total consideration     $ 24,264,344                  
Cash payment     $ 20,764,344                  
Number of installments | installment     6                  
Debt Interest rate     5.00%                  
Potential contingent payment     $ 1,500,000                  
Contingent consideration obligation               1,500,000 1,500,000      
Estimated fair values of net assets acquired                        
Accounts receivables     3,968,011                  
Inventory     2,452,777                  
Prepaid and other current assets     11,835                  
Equipment and other fixed assets     3,352,330                  
Goodwill     17,947,636                  
Contract liabilities     (509,000)                  
Accounts payable and accrued expenses     (2,959,245)                  
Net assets acquired     24,264,344                  
Gould’s | Promissory notes                        
Business Acquisition                        
Liability incurred     $ 2,000,000                  
SleepMed                        
Business Acquisition                        
Total consideration   $ 15,405,000                    
Cash payment   11,405,000                    
Potential contingent payment   4,000,000                    
Change in contingent consideration liability cost recorded                 2,000,000      
Estimated fair values of net assets acquired                        
Inventory   266,759                    
Equipment and other fixed assets   1,401,491                    
Goodwill   14,064,750                    
Contract liabilities   (328,000)                    
Net assets acquired   $ 15,405,000                    
SleepMed | Other long-term liabilities                        
Business Acquisition                        
Contingent consideration obligation               2,000,000 2,000,000      
Choice                        
Business Acquisition                        
Interest acquired, as a percent 100.00%                      
Total consideration $ 18,683,832                      
Cash payment 12,483,832                      
Potential contingent payment                     $ 6,200,000  
Contingent consideration obligation               6,200,000 6,200,000      
Estimated fair values of net assets acquired                        
Accounts receivables                     758,558  
Inventory                     33,880  
Prepaid and other current assets                     110,212  
Equipment and other fixed assets                     107,120  
Goodwill                     18,908,961  
Contract liabilities                     (22,000)  
Accounts payable and accrued expenses                     (1,212,899)  
Net assets acquired                     $ 18,683,832  
Choice | Maximum                        
Business Acquisition                        
Potential contingent payment $ 12,500,000                      
Other                        
Business Acquisition                        
Total consideration                 21,139,579 8,099,000    
Cash payment                 18,642,079      
Liability incurred                 1,572,500      
Potential contingent payment               925,000 925,000      
Change in contingent consideration liability cost recorded               (525,000)        
Estimated fair values of net assets acquired                        
Cash       57,000       91,894 91,894 57,000    
Accounts receivables       445,000       678,491 678,491 445,000    
Inventory       674,678       1,507,625 1,507,625 674,678    
Equipment and other fixed assets       3,229,983       6,107,790 6,107,790 3,229,983    
Goodwill       10,037,339       14,348,123 14,348,123 10,037,339    
Contract liabilities               (849,995) (849,995)      
Accounts payable and accrued expenses       (995,000)       (744,349) (744,349) (995,000)    
Net assets acquired       13,449,000       21,139,579 21,139,579 13,449,000    
Other | Other current liabilities                        
Business Acquisition                        
Contingent consideration obligation               200,000 200,000      
Other | Other long-term liabilities                        
Business Acquisition                        
Contingent consideration obligation               200,000 200,000      
Significant acquisitions in 2018                        
Estimated fair values of net assets acquired                        
Cash       2,014,273           2,014,273    
Accounts receivables       22,568,020           22,568,020    
Inventory       5,017,917           5,017,917    
Prepaid and other current assets       1,497,122           1,497,122    
Equipment and other fixed assets       31,647,606           31,647,606    
Deferred tax asset       6,525,269           6,525,269    
Other assets       2,803,319           2,803,319    
Goodwill       164,757,821           164,757,821    
Contract liabilities       (2,325,674)           (2,325,674)    
Accounts payable and accrued expenses       (36,623,868)           (36,623,868)    
Capital lease obligations       (11,262,961)           (11,262,961)    
Deferred tax liability       (321,974)           (321,974)    
Other long-term liabilities       (1,998,324)           (1,998,324)    
Net assets acquired       $ 184,298,546           184,298,546    
PPS                        
Business Acquisition                        
Total consideration           $ 7,000,000            
Members' interest issued value           48,484,848            
Management fee income             $ 576,458          
Management fee forgiven           1,715,430            
Estimated fair values of net assets acquired                        
Cash           407,456            
Accounts receivables           12,126,481            
Inventory           1,344,535            
Prepaid and other current assets           995,048            
Equipment and other fixed assets           20,357,062            
Other assets           1,927,355            
Goodwill           49,660,338            
Contract liabilities           (1,677,813)            
Accounts payable and accrued expenses           (20,484,673)            
Capital lease obligations           (6,395,438)            
Deferred tax liability           (321,974)            
Other long-term liabilities           (738,099)            
Net assets acquired           $ 57,200,278            
Verus Healthcare, Inc                        
Business Acquisition                        
Interest acquired, as a percent           100.00%            
Total consideration           $ 100,399,268            
Cash payment           58,399,284            
Contingent consideration obligation           12,000,000            
Members' interest issued value           13,154,047            
Interest expense                   $ 293,400    
Estimated fair values of net assets acquired                        
Cash           1,449,817            
Accounts receivables           7,795,765            
Inventory           2,923,211            
Prepaid and other current assets           466,114            
Equipment and other fixed assets           5,895,113            
Deferred tax asset           6,525,269            
Other assets           838,008            
Goodwill           91,829,157            
Contract liabilities           (306,194)            
Accounts payable and accrued expenses           (11,963,664)            
Capital lease obligations           (3,793,103)            
Other long-term liabilities           (1,260,225)            
Net assets acquired           100,399,268            
Verus Healthcare, Inc | Convertible notes                        
Business Acquisition                        
Liability incurred           $ 16,845,937            
Home Medical Express, Inc                        
Business Acquisition                        
Interest acquired, as a percent         100.00%              
Total consideration         $ 13,250,000              
Cash payment         9,000,000              
Potential contingent payment         3,250,000              
Contingent consideration obligation         3,250,000              
Escrow payment         1,000,000              
Estimated contingent consideration per year         1,625,000              
Actual payout earned         1,000,000              
Estimated fair values of net assets acquired                        
Cash         100,000              
Accounts receivables         2,200,774              
Inventory         75,493              
Prepaid and other current assets         35,960              
Equipment and other fixed assets         2,165,448              
Other assets         37,956              
Goodwill         13,230,987              
Contract liabilities         (341,667)              
Accounts payable and accrued expenses         (3,180,531)              
Capital lease obligations         (1,074,420)              
Net assets acquired         $ 13,250,000              
Home Medical Express, Inc | Other current liabilities                        
Business Acquisition                        
Contingent consideration obligation               625,000 625,000      
Durable medical equipment company                        
Business Acquisition                        
Interest acquired, as a percent       100.00%           100.00%    
Total consideration       $ 5,350,000                
Cash payment       4,850,000                
Liability incurred       500,000         500,000 $ 500,000    
Contingent consideration obligation               3,000,000 3,000,000      
Payment term                   3 years    
Durable medical equipment company | Other current liabilities                        
Business Acquisition                        
Contingent consideration obligation               1,000,000 1,000,000      
Durable medical equipment company | Other long-term liabilities                        
Business Acquisition                        
Contingent consideration obligation               $ 2,000,000 $ 2,000,000      
Durable medical equipment company | Maximum                        
Business Acquisition                        
Potential contingent payment       $ 5,000,000           $ 5,000,000