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v3.25.1

Variable Interest Entities (VIEs) - Schedule of Assets and Liabilities, Variable Interest Entities (Details) - USD ($) $ in Thousands | Mar. 31, 2025 | Dec. 31, 2024 | Mar. 31, 2024 | Dec. 31, 2023
--- | --- | --- | --- | ---
Current assets |  |  |  |  |
Cash and cash equivalents |  | $ 258,517 | $ 288,455 | $ 334,796 |
Investment in marketable securities |  | 2,397 | 2,378 |  |
Income taxes receivable |  | 15,802 | 19,316 |  |
Other receivables |  | 14,919 | 29,496 |  |
Prepaid expenses and other current assets |  | 23,711 | 22,861 |  |
Total current assets |  | 613,270 | 638,496 |  |
Non-current assets |  |  |  |  |
Intangible assets, net |  | 111,916 | 118,179 |  |
Goodwill |  | 416,386 | 419,253 |  |
Income taxes receivable, non-current |  | 15,943 | 15,943 |  |
Investments in other entities – equity method |  | 38,005 | 39,319 | 35,893 | $ 25,774
Operating lease right-of-use assets |  | 30,698 | 32,601 |  |
Other assets |  | 30,512 | 16,021 |  |
Total non-current assets |  | 717,986 | 716,398 |  |
Total assets | [1] | 1,331,256 | 1,354,894 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses |  | 105,559 | 106,142 |  |
Fiduciary accounts payable |  | 4,840 | 8,223 |  |
Medical liabilities |  | 204,101 | 209,039 | $ 136,494 | $ 106,657
Dividend payable |  | 638 | 638 |  |
Finance lease liabilities |  | 471 | 554 |  |
Operating lease liabilities |  | 4,979 | 5,350 |  |
Other liabilities |  | 28,180 | 26,287 |  |
Total current liabilities |  | 361,268 | 365,608 |  |
Non-current liabilities |  |  |  |  |
Deferred tax liability |  | 4,197 | 4,555 |  |
Finance lease liabilities, net of current portion |  | 543 | 607 |  |
Operating lease liabilities, net of current portion |  | 28,963 | 30,654 |  |
Other long-term liabilities |  | 14,685 | 14,003 |  |
Total non-current liabilities |  | 452,282 | 475,118 |  |
Total liabilities | [1] | 813,550 | 840,726 |  |
Nonrelated Party |  |  |  |  |
Current assets |  |  |  |  |
Receivables, net |  | 241,078 | 225,733 |  |
Related Party |  |  |  |  |
Current assets |  |  |  |  |
Receivables, net |  | 56,846 | 50,257 |  |
Variable Interest Entity, Primary Beneficiary |  |  |  |  |
Current assets |  |  |  |  |
Cash and cash equivalents |  | 150,013 | 158,922 |  |
Investment in marketable securities |  | 2,283 | 2,259 |  |
Receivables, net |  | 71,820 | 83,977 |  |
Other receivables |  | 22 | 15,303 |  |
Prepaid expenses and other current assets |  | 6,917 | 10,161 |  |
Total current assets |  | 285,928 | 318,873 |  |
Non-current assets |  |  |  |  |
Property and equipment, net |  | 6,528 | 5,875 |  |
Intangible assets, net |  | 83,582 | 87,840 |  |
Goodwill |  | 241,531 | 243,283 |  |
Income taxes receivable, non-current |  | 15,943 | 15,943 |  |
Investments in other entities – equity method |  | 15,063 | 15,442 |  |
Investment in a privately held entity |  | 405 | 405 |  |
Investment in affiliates |  | 190,178 | 224,894 |  |
Restricted cash |  | 40 | 40 |  |
Operating lease right-of-use assets |  | 26,033 | 21,585 |  |
Other assets |  | 3,055 | 3,019 |  |
Total non-current assets |  | 582,358 | 618,326 |  |
Total assets |  | 868,286 | 937,199 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses |  | 37,804 | 43,800 |  |
Fiduciary accounts payable |  | 4,840 | 8,223 |  |
Medical liabilities |  | 100,547 | 105,486 |  |
Dividend payable |  | 638 | 638 |  |
Income tax payable |  | 14,140 | 11,041 |  |
Finance lease liabilities |  | 451 | 520 |  |
Operating lease liabilities |  | 4,076 | 3,487 |  |
Other liabilities |  | 6,348 | 1,351 |  |
Amount due to affiliates |  | 4,548 | 48,142 |  |
Total current liabilities |  | 173,392 | 222,688 |  |
Non-current liabilities |  |  |  |  |
Deferred tax liability |  | 10,905 | 11,237 |  |
Finance lease liabilities, net of current portion |  | 451 | 520 |  |
Operating lease liabilities, net of current portion |  | 25,006 | 21,012 |  |
Other long-term liabilities |  | 6,890 | 619 |  |
Total non-current liabilities |  | 43,252 | 33,388 |  |
Total liabilities |  | 216,644 | 256,076 |  |
Variable Interest Entity, Primary Beneficiary | Related Party |  |  |  |  |
Current assets |  |  |  |  |
Receivables, net |  | $ 54,873 | $ 48,251 |  |
[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 $678.1 million and $712.3 million as of March 31, 2025 and December 31, 2024, 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 $212.1 million and $207.9 million as of March 31, 2025 and December 31, 2024, respectively. These VIE balances do not include $190.2 million of investment in affiliates and $4.5 million of amounts due to affiliates as of March 31, 2025, and $224.9 million of investment in affiliates and $48.1 million of amounts due to affiliates as of December 31, 2024, 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. The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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