XML 87 R76.htm IDEA: XBRL DOCUMENT v3.23.3
Business Combinations - Additional Information (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Jun. 05, 2023
USD ($)
Nov. 21, 2022
USD ($)
installment
Oct. 07, 2022
USD ($)
Aug. 30, 2022
USD ($)
installment
Jul. 22, 2022
USD ($)
installment
Jul. 01, 2022
USD ($)
Apr. 30, 2022
USD ($)
installment
Sep. 30, 2023
USD ($)
asset_acquisition
business_combination
Sep. 30, 2022
USD ($)
Sep. 30, 2023
USD ($)
business_combination
asset_acquisition
Sep. 30, 2022
USD ($)
Dec. 31, 2022
asset_acquisition
business_combination
Business Acquisition [Line Items]                        
Number of businesses acquired | business_combination               0   1   5
Number of asset acquisition | asset_acquisition               0   0   1
Payment of deferred consideration liability for acquisition                   $ 959 $ 509  
Acquisition and integration expenses paid               $ 41 $ 166 112 700  
Hashimi                        
Business Acquisition [Line Items]                        
Number of installments | installment   3                    
Sapra                        
Business Acquisition [Line Items]                        
Cash consideration           $ 1            
Perkins                        
Business Acquisition [Line Items]                        
Cash             $ 8,920          
Payment of deferred consideration liability for acquisition             $ 2,000          
Number of installments | installment             2          
Perkins | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired             $ 70          
Perkins | Trade names                        
Business Acquisition [Line Items]                        
Intangibles assets acquired             $ 2,480          
Weighted average useful life             10 years          
Perkins | Clinical contracts and noncompete agreements                        
Business Acquisition [Line Items]                        
Intangibles assets acquired             $ 70          
Weighted average useful life             5 years          
Parikh                        
Business Acquisition [Line Items]                        
Weighted average useful life         3 years              
Cash         $ 1,908              
Payment of deferred consideration liability for acquisition         $ 400              
Number of installments | installment         2              
Parikh | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired         $ 20              
Barreras                        
Business Acquisition [Line Items]                        
Weighted average useful life       5 years                
Cash       $ 929                
Payment of deferred consideration liability for acquisition       $ 250                
Number of installments | installment       2                
Barreras | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired       $ 3                
De La Rosa Costa                        
Business Acquisition [Line Items]                        
Cash     $ 25                  
De La Rosa Costa | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired     $ 0                  
Hashimi                        
Business Acquisition [Line Items]                        
Cash   $ 445                    
Payment of deferred consideration liability for acquisition   150                    
Hashimi | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired   $ 24                    
Southland                        
Business Acquisition [Line Items]                        
Cash $ 4,300                      
Payment of deferred consideration liability for acquisition 2,072                      
Cumulative revenue               1,097 6,428 1,428 19,055  
Cumulative net income (loss)               $ 1,075 $ 399 $ 1,401 $ (679)  
Southland | Clinical contracts and noncompetes                        
Business Acquisition [Line Items]                        
Intangibles assets acquired $ 2,844                      
Weighted average useful life 5 years                      
Southland | Payor Contracts Agreements                        
Business Acquisition [Line Items]                        
Weighted average useful life 18 years