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Variable Interest Entities (VIEs) (Details) - USD ($)
$ in Thousands
Sep. 30, 2024
Jun. 30, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Dec. 31, 2022
Current assets            
Cash and cash equivalents $ 347,994   $ 293,807 $ 273,941    
Investment in marketable securities 2,354   2,498      
Income taxes receivable 16,211   10,657      
Other receivables 1,120   1,335      
Prepaid expenses and other current assets 20,506   17,450      
Total current assets 596,990   461,507      
Non-current assets            
Intangible assets, net 109,108   71,648      
Goodwill 409,711   278,831      
Income taxes receivable, non-current 15,943   15,943      
Investments in other entities – equity method 34,629 $ 33,276 25,774 44,428 $ 45,832 $ 40,299
Operating lease right-of-use assets 33,119   37,396      
Other assets 8,878   1,877      
Total non-current assets 688,386   471,854      
Total assets 1,285,376   933,361 [1]      
Current liabilities            
Accounts payable and accrued expenses 94,811   59,949      
Fiduciary accounts payable 6,041   7,737      
Medical liabilities 160,279   106,657 $ 97,519   $ 81,255
Dividend payable 638   638      
Finance lease liabilities 554   646      
Operating lease liabilities 5,241   4,607      
Current portion of long-term debt 15,000   19,500      
Other liabilities 30,364   18,940      
Total current liabilities 312,928   218,674      
Non-current liabilities            
Finance lease liabilities, net of current portion 743   1,033      
Operating lease liabilities, net of current portion 31,162   36,289      
Deferred tax liability 2,857   4,072      
Other long-term liabilities 7,460   3,586      
Total non-current liabilities 465,341   303,919      
Total liabilities [1] 778,269   522,593      
Nonrelated Party            
Current assets            
Receivables, net 132,237   76,780      
Related Party            
Current assets            
Receivables, net 76,568   58,980      
Variable Interest Entity, Primary Beneficiary            
Current assets            
Cash and cash equivalents 181,340   184,078      
Investment in marketable securities 2,233   0      
Income taxes receivable 0   1,600      
Other receivables 385   454      
Prepaid expenses and other current assets 9,763   9,991      
Total current assets 324,087   275,950      
Non-current assets            
Land, property and equipment, net 5,619   5,306      
Intangible assets, net 82,264   60,906      
Goodwill 235,638   140,157      
Income taxes receivable, non-current 15,943   15,943      
Investments in other entities – equity method 14,338   12,114      
Investment in affiliates 413,269   273,182      
Investment in a privately held entity 405   405      
Restricted cash 40   40      
Operating lease right-of-use assets 21,648   28,796      
Other assets 1,147   1,149      
Total non-current assets 790,311   537,998      
Total assets 1,114,398   813,948      
Current liabilities            
Accounts payable and accrued expenses 41,416   32,707      
Fiduciary accounts payable 6,041   7,737      
Medical liabilities 75,648   55,157      
Dividend payable 638   638      
Income tax payable 26,105   0      
Finance lease liabilities 520   646      
Operating lease liabilities 3,434   3,305      
Amount due to affiliates 76,294   107,340      
Other liabilities 11,139   8,542      
Total current liabilities 241,235   216,072      
Non-current liabilities            
Finance lease liabilities, net of current portion 649   1,033      
Operating lease liabilities, net of current portion 21,054   28,675      
Deferred tax liability 7,198   7,284      
Other long-term liabilities 299   230      
Total non-current liabilities 29,200   37,222      
Total liabilities 270,435   253,294      
Variable Interest Entity, Primary Beneficiary | Nonrelated Party            
Current assets            
Receivables, net 54,356   21,120      
Variable Interest Entity, Primary Beneficiary | Related Party            
Current assets            
Receivables, net $ 76,010   $ 58,707      
[1] The Company’s condensed consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The condensed consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $701.1 million and $540.8 million as of September 30, 2024 and December 31, 2023, 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 $194.1 million and $146.0 million as of September 30, 2024 and December 31, 2023, respectively. These VIE balances do not include $413.3 million of investment in affiliates and $76.3 million of amounts due to affiliates as of September 30, 2024, and $273.2 million of investment in affiliates and $107.3 million of amounts due to affiliates as of December 31, 2023, as these are eliminated upon consolidation and not presented within the condensed consolidated balance sheets. See Note 16 — “Variable Interest Entities (VIEs)” for further details.