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v3.23.1

Variable Interest Entities (VIEs) - Eliminated Upon Consolidation Included In Accompanying Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Mar. 31, 2023 | Dec. 31, 2022 | Mar. 31, 2022 | Dec. 31, 2021
--- | --- | --- | --- | ---
Current assets |  |  |  |  |
Cash and cash equivalents |  | $ 274,613 | $ 288,027 |  |
Investments in marketable securities |  | 4,114 | 5,567 |  |
Receivables, net |  | 79,003 | 52,629 |  |
Receivables, net – related party |  | 74,877 | 65,147 |  |
Other receivables |  | 1,929 | 1,834 |  |
Prepaid expenses and other current assets |  | 22,170 | 14,798 |  |
Loans receivable |  | 973 | 996 |  |
Loan receivable – related party |  | 0 | 2,125 |  |
Total current assets |  | 457,688 | 435,138 |  |
Non-current assets |  |  |  |  |
Intangible assets, net |  | 77,675 | 76,861 |  |
Goodwill |  | 276,028 | 275,675 |  |
Investments in other entities – equity method |  | 43,108 | 40,299 |  |
Operating lease right-of-use assets |  | 18,431 | 20,444 |  |
Other assets |  | 5,441 | 6,056 |  |
Total non-current assets |  | 534,940 | 528,767 |  |
Total assets | [1] | 992,628 | 963,905 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses |  | 49,486 | 49,562 |  |
Fiduciary accounts payable |  | 8,976 | 8,065 |  |
Medical liabilities |  | 101,394 | 84,253 | $ 95,758 | $ 55,783
Dividends payable |  | 664 | 664 |  |
Current portion of long-term debt |  | 621 | 619 |  |
Finance lease liabilities |  | 579 | 594 |  |
Operating lease liabilities |  | 3,234 | 3,572 |  |
Total current liabilities |  | 164,954 | 147,329 |  |
Non-current liabilities |  |  |  |  |
Long-term debt, net of current portion and deferred financing costs |  | 204,944 | 203,389 |  |
Deferred tax liability |  | 3,695 | 3,042 |  |
Finance lease liabilities, net of current portion |  | 1,136 | 1,275 |  |
Operating lease liabilities, net of current portion |  | 18,164 | 19,915 |  |
Other long-term liabilities |  | 21,806 | 20,260 |  |
Total non-current liabilities |  | 249,745 | 247,881 |  |
Total liabilities | [1] | 414,699 | 395,210 |  |
Variable Interest Entity, Primary Beneficiary |  |  |  |  |
Current assets |  |  |  |  |
Cash and cash equivalents |  | 96,018 | 97,669 |  |
Investments in marketable securities |  | 1,538 | 4,543 |  |
Receivables, net |  | 14,369 | 11,503 |  |
Receivables, net – related party |  | 70,565 | 62,190 |  |
Other receivables |  | 1,268 | 1,236 |  |
Prepaid expenses and other current assets |  | 18,241 | 9,289 |  |
Loans receivable |  | 0 | 22 |  |
Loan receivable – related party |  | 0 | 2,125 |  |
Amount due from affiliates |  | 33,979 | 30,340 |  |
Total current assets |  | 235,978 | 218,917 |  |
Non-current assets |  |  |  |  |
Land, property, and equipment, net |  | 110,829 | 106,486 |  |
Intangible assets, net |  | 51,667 | 53,964 |  |
Goodwill |  | 116,804 | 118,161 |  |
Investment in affiliates |  | 375,614 | 304,755 |  |
Investments in other entities – equity method |  | 29,758 | 27,561 |  |
Investment in privately held entities |  | 405 | 405 |  |
Operating lease right-of-use assets |  | 4,961 | 6,503 |  |
Other assets |  | 3,513 | 4,169 |  |
Total non-current assets |  | 693,551 | 622,004 |  |
Total assets |  | 929,529 | 840,921 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses |  | 22,823 | 23,632 |  |
Fiduciary accounts payable |  | 8,923 | 7,853 |  |
Medical liabilities |  | 43,948 | 48,100 |  |
Income taxes payable |  | 8,065 | 1,083 |  |
Dividends payable |  | 638 | 638 |  |
Current portion of long-term debt |  | 621 | 619 |  |
Finance lease liabilities |  | 579 | 594 |  |
Operating lease liabilities |  | 1,489 | 1,800 |  |
Total current liabilities |  | 87,086 | 84,319 |  |
Non-current liabilities |  |  |  |  |
Long-term debt, net of current portion and deferred financing costs |  | 27,965 | 26,645 |  |
Deferred tax liability |  | 813 | 1,465 |  |
Finance lease liabilities, net of current portion |  | 1,136 | 1,275 |  |
Operating lease liabilities, net of current portion |  | 6,136 | 7,484 |  |
Other long-term liabilities |  | 8,686 | 8,542 |  |
Total non-current liabilities |  | 44,736 | 45,411 |  |
Total liabilities |  | $ 131,822 | $ 129,730 |  |
[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 $519.9 million and $505.8 million as of March 31, 2023 and December 31, 2022, 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 $131.8 million and $129.7 million as of March 31, 2023 and December 31, 2022, respectively. The VIE balances do not include $375.6 million of investment in affiliates and $34.0 million of amounts due from affiliates as of March 31, 2023 and $304.8 million of investment in affiliates and $30.3 million of amounts due from affiliates as of December 31, 2022 as these are eliminated upon consolidation and not presented within the consolidated balance sheets. See Note 16 — “Variable Interest Entities (VIEs)” for further detail.

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