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Fair Value Measurements of Financial Instruments (Tables) | 9 Months Ended
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Sep. 30, 2024
Fair Value Disclosures [Abstract] |
Schedule of Carrying Amounts and Fair Values of Financial Instruments | The carrying amounts and fair values of the Company’s financial instruments as of September 30, 2024, are presented below (in thousands):
|  | Fair Value Measurements |  |  |  |
|  | Level 1 |  |  | Level 2 |  |  | Level 3 |  |  | Total |
Assets |  |  |  |  |  |  |  |  |  |  |  |
Money market accounts* |  | $ | 28,044 |  |  | $ | — |  |  | $ | — |  |  | $ | 28,044 |
Marketable securities – certificates of deposit |  |  | 2,263 |  |  |  | — |  |  |  | — |  |  |  | 2,263 |
Marketable securities – equity securities |  |  | 91 |  |  |  | — |  |  |  | — |  |  |  | 91 |
I Health call option |  |  | — |  |  |  | — |  |  |  | 3,907 |  |  |  | 3,907 |
Total assets |  | $ | 30,398 |  |  | $ | — |  |  | $ | 3,907 |  |  | $ | 34,305 |
Liabilities |  |  |  |  |  |  |  |  |  |  |  |
Interest rate collar |  | $ | — |  |  | $ | 154 |  |  | $ | — |  |  | $ | 154 |
AAMG contingent consideration |  |  | — |  |  |  | — |  |  |  | 3,876 |  |  |  | 3,876 |
VOMG contingent consideration |  |  | — |  |  |  | — |  |  |  | 15 |  |  |  | 15 |
DMG remaining equity interest purchase |  |  | — |  |  |  | — |  |  |  | 8,542 |  |  |  | 8,542 |
Sun Labs remaining equity interest purchase |  |  | — |  |  |  | — |  |  |  | 7,352 |  |  |  | 7,352 |
ADSC contingent considerations |  |  | — |  |  |  | — |  |  |  | 4,138 |  |  |  | 4,138 |
CFC contingent considerations |  |  | — |  |  |  | — |  |  |  | 9,138 |  |  |  | 9,138 |
PCCCV contingent considerations |  |  | — |  |  |  | — |  |  |  | 2,597 |  |  |  | 2,597 |
Total liabilities |  | $ | — |  |  | $ | 154 |  |  | $ | 35,658 |  |  | $ | 35,812 |
* Included in cash and cash equivalents The carrying amounts and fair values of the Company’s financial instruments as of December 31, 2023, are presented below (in thousands):
|  | Fair Value Measurements |  |  |  |
|  | Level 1 |  |  | Level 2 |  |  | Level 3 |  |  | Total |
Assets |  |  |  |  |  |  |  |  |  |  |  |
Money market accounts* |  | $ | 4,842 |  |  | $ | — |  |  | $ | — |  |  | $ | 4,842 |
Marketable securities – certificates of deposit |  |  | 2,150 |  |  |  | — |  |  |  | — |  |  |  | 2,150 |
Marketable securities – equity securities |  |  | 348 |  |  |  | — |  |  |  | — |  |  |  | 348 |
Total assets |  | $ | 7,340 |  |  | $ | — |  |  | $ | — |  |  | $ | 7,340 |
Liabilities |  |  |  |  |  |  |  |  |  |  |  |
AAMG contingent consideration |  | $ | — |  |  | $ | — |  |  | $ | 5,475 |  |  | $ | 5,475 |
VOMG contingent consideration |  |  | — |  |  |  | — |  |  |  | 17 |  |  |  | 17 |
DMG remaining equity interest purchase |  |  | — |  |  |  | — |  |  |  | 8,542 |  |  |  | 8,542 |
Sun Labs remaining equity interest purchase |  |  | — |  |  |  | — |  |  |  | 7,802 |  |  |  | 7,802 |
Interest rate collar |  |  | — |  |  |  | 252 |  |  |  | — |  |  |  | 252 |
Total liabilities |  | $ | — |  |  | $ | 252 |  |  | $ | 21,836 |  |  | $ | 22,088 |
* Included in cash and cash equivalents
Schedule of Change in Fair Value of Level 3 Liabilities | The change in the fair value of Level 3 liabilities for the nine months ended September 30, 2024, was as follows (in thousands):
|  | Amount |
Balance at January 1, 2024 |  | $ | 21,836 |
Additions |  |  | 14,202 |
Change in fair value of existing Level 3 liabilities |  |  | 3,643 |
Settlements |  |  | (4,023 | )
Balance at September 30, 2024 |  | $ | 35,658 |
Schedule of Gain (Loss) on Equity Securities | The components comprising total gains and losses on equity securities are as follows (in thousands) for the periods listed below:
|  | Three Months Ended September 30, |  |  | Nine Months Ended September 30, |
|  | 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
Total gains (losses) recognized on equity securities |  | $ | 68 |  |  | $ | (870 | ) |  | $ | (133 | ) |  | $ | (6,571 | )
Gains (losses) recognized on equity securities sold |  |  | 65 |  |  |  | — |  |  |  | (146 | ) |  |  | — |
Unrealized gains (losses) recognized on equity securities held at end of period |  | $ | 3 |  |  | $ | (870 | ) |  | $ | 13 |  |  | $ | (6,571 | )

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- Definition Tabular disclosure of financial instrument measured at fair value on recurring or nonrecurring basis. Includes, but is not limited to, instrument classified in shareholders' equity. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 100 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482078/820-10-55-100 Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-3 + Details
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- Definition Tabular disclosure of the fair value measurement of liabilities using significant unobservable inputs (Level 3), a reconciliation of the beginning and ending balances, separately presenting changes attributable to the following: (1) total gains or losses for the period (realized and unrealized), segregating those gains or losses included in earnings (or changes in net assets), and gains or losses recognized in other comprehensive income (loss) and a description of where those gains or losses included in earnings (or changes in net assets) are reported in the statement of income (or activities); (2) purchases, sales, issues, and settlements (each type disclosed separately); and (3) transfers in and transfers out of Level 3 (for example, transfers due to changes in the observability of significant inputs) by class of liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-3 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 + Details
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