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Variable Interest Entities (VIEs) - Eliminated Upon Consolidation Included In Accompanying Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
--- | --- | --- | ---
Current assets |  |  |  |
Cash and cash equivalents |  | $ 193,470 | $ 103,189 | $ 106,892
Restricted cash |  | 0 | 75 |
Investment in marketable securities |  | 67,695 | 116,539 |
Receivables, net |  | 7,058 | 11,004 |
Receivables, net – related party |  | 49,260 | 48,136 |
Other receivables |  | 4,297 | 16,885 |
Prepaid expenses and other current assets |  | 16,747 | 10,315 |
Loans receivable |  | 50 | 22,925 |
Total current assets |  | 338,577 | 329,068 |
Noncurrent assets |  |  |  |
Intangible assets, net |  | 86,985 | 103,012 |
Goodwill |  | 239,053 | 238,505 | $ 185,806
Investments in other entities – equity method |  | 43,292 | 28,427 |
Restricted cash |  | 500 | 746 |
Operating lease right-of-use assets |  | 18,574 | 14,248 |
Other assets |  | 18,915 | 1,681 |
Total noncurrent assets |  | 478,909 | 399,645 |
Total assets | [1] | 817,486 | 728,713 |
Current liabilities |  |  |  |
Accounts payable and accrued expenses |  | 36,143 | 27,279 |
Fiduciary accounts payable |  | 9,642 | 2,027 |
Medical liabilities |  | 50,330 | 58,725 |
Income taxes payable |  | 4,224 | 4,529 |
Dividend payable |  | 485 | 271 |
Current portion of long-term debt |  | 10,889 | 9,500 |
Finance lease liabilities |  | 102 | 102 |
Operating lease liabilities |  | 3,177 | 2,991 |
Total current liabilities |  | 114,992 | 105,424 |
Noncurrent liabilities |  |  |  |
Long-term debt, net of current portion |  | 230,211 | 232,172 |
Deferred tax liability |  | 10,959 | 18,269 |
Finance lease liabilities, net of current portion |  | 311 | 415 |
Operating lease liabilities, net of current portion |  | 15,865 | 11,373 |
Total noncurrent liabilities |  | 257,346 | 262,229 |
Total liabilities | [1] | 372,338 | 367,653 |
Variable Interest Entity, Primary Beneficiary |  |  |  |
Current assets |  |  |  |
Cash and cash equivalents |  | 126,158 | 87,110 |
Restricted cash |  | 0 | 75 |
Investment in marketable securities |  | 67,637 | 123,948 |
Receivables, net |  | 5,155 | 9,300 |
Receivables, net – related party |  | 46,718 | 42,976 |
Other receivables |  | 1,084 | 744 |
Prepaid expenses and other current assets |  | 14,813 | 7,403 |
Loans receivable |  | 50 | 6,425 |
Loans receivable - related parties |  | 0 | 16,500 |
Total current assets |  | 261,615 | 294,481 |
Noncurrent assets |  |  |  |
Land, property and equipment, net |  | 27,599 | 9,547 |
Intangible assets, net |  | 69,250 | 81,439 |
Goodwill |  | 109,460 | 108,913 |
Loans receivable – related parties |  | 4,145 | 0 |
Investment in affiliates |  | 225,144 | 318,315 |
Investments in other entities – equity method |  | 43,516 | 28,427 |
Investment in privately held entities |  | 36,584 | 1,615 |
Restricted cash |  | 500 | 746 |
Operating lease right-of-use assets |  | 6,298 | 4,751 |
Other assets |  | 17,177 | 1,057 |
Total noncurrent assets |  | 539,673 | 554,810 |
Total assets |  | 801,288 | 849,291 |
Current liabilities |  |  |  |
Accounts payable and accrued expenses |  | 12,963 | 11,187 |
Fiduciary accounts payable |  | 9,642 | 2,027 |
Medical liabilities |  | 37,684 | 49,019 |
Income taxes payable |  | 4,225 | 4,530 |
Dividend payable |  | 485 | 271 |
Amount due to affiliate |  | 22,698 | 28,058 |
Current portion of long-term debt |  | 201 | 0 |
Finance lease liabilities |  | 102 | 102 |
Operating lease liabilities |  | 1,242 | 1,088 |
Total current liabilities |  | 89,242 | 96,282 |
Noncurrent liabilities |  |  |  |
Long-term debt, net of current portion |  | 7,379 | 0 |
Deferred tax liability |  | 9,144 | 14,059 |
Liability for unissued equity shares |  | 0 | 0 |
Finance lease liabilities, net of current portion |  | 311 | 416 |
Operating lease liabilities, net of current portion |  | 5,242 | 3,742 |
Total noncurrent liabilities |  | 22,076 | 18,217 |
Total liabilities |  | $ 111,318 | $ 114,499 |
[1] | The Company's consolidated balance sheets include the assets and liabilities of its consolidated variable interest entities ("VIEs"). The consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $801.3 million and $849.3 million as of December 31, 2020 and December 31, 2019, 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 $111.3 million and $114.5 million as of December 31, 2020 and December 31, 2019, respectively. See Note 18 – Variable Interest Entities (VIEs) for further detail.

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