XML 64 R44.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Acquisitions of Businesses (Details)
$ in Thousands
12 Months Ended
Sep. 30, 2019
USD ($)
Clinic
Installment
Apr. 11, 2019
USD ($)
State
Location
Aug. 31, 2018
USD ($)
Clinic
Installment
Apr. 30, 2018
USD ($)
Business
Oct. 31, 2017
USD ($)
Clinic
Installment
Contract
Jun. 30, 2017
USD ($)
Clinic
Installment
May 31, 2017
USD ($)
Clinic
Installment
Jan. 01, 2017
USD ($)
Clinic
Installment
Dec. 31, 2019
USD ($)
Clinic
Dec. 31, 2018
USD ($)
Clinic
Dec. 31, 2017
USD ($)
Clinic
Mar. 31, 2017
Jan. 02, 2017
Dec. 31, 2016
USD ($)
Business Combination, Description [Abstract]                            
Percentage of interest acquired                     35.00%      
Number of clinics | Clinic                 1 5 2      
Number of clinics consolidated with an existing clinic | Clinic                   1 1      
Number of clinics that operate as a satellite clinic with existing partnerships | Clinic                 1 1 1      
Cash paid, net of cash acquired   $ 30,597   $ 16,367         $ 30,597 $ 16,367 $ 36,682      
Net of cash acquired       372         $ 900   2,297      
Payable to shareholders of seller   486                        
Seller notes   4,300   950             2,150      
Total consideration   35,383   17,317             38,832      
Estimated fair value of net tangible assets acquired: [Abstract]                            
Total current assets   2,604   1,633             5,853      
Total non-current assets   3,639   305             1,527      
Total liabilities   (4,350)   (525)             (2,865)      
Net tangible assets acquired   1,893   1,413             4,515      
Referral relationships   3,000   2,926             4,250      
Non-compete   1,290   298             660      
Tradename   4,100   990             6,850      
Goodwill   31,330   19,835             46,722      
Fair value of non-controlling interest (classified as redeemable non-controlling interests)   (6,230)   (8,145)             (13,883)      
Fair value of non-controlling interest (originally classified as mandatorily redeemable non-controlling interests)                     (10,282)      
Total consideration   $ 35,383   $ 17,317             $ 38,832      
Referral Relationships [Member]                            
Business Combination, Description [Abstract]                            
Estimated useful lives of acquired intangibles                 11 years 10 years 6 months 14 days 10 years 1 month 6 days      
Non-compete Agreements [Member]                            
Business Combination, Description [Abstract]                            
Estimated useful lives of acquired intangibles                 6 years 6 years 5 years 1 month 28 days      
September 2019 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Sep. 30, 2019          
Percentage of interest acquired 67.00%                          
Number of clinics | Clinic 11                          
Business acquisition number of installments for payment of purchase consideration | Installment 2                          
Percentage of interest accrued 5.00%                          
September 2019 Acquisition [Member] | September 2020 [Member]                            
Business Combination, Description [Abstract]                            
Cash paid for acquisition of interest in clinic $ 150                          
September 2019 Acquisition [Member] | September 2021 [Member]                            
Business Combination, Description [Abstract]                            
Cash paid for acquisition of interest in clinic $ 150                          
April 2019 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Apr. 11, 2019          
Number of states of network services | State   45                        
Number of onsite client locations | Location   11                        
Percentage of interest acquired   76.00%                        
Cash paid for acquisition of interest in clinic   $ 18,900                        
Aggregate purchase price for the acquired clinic practices   $ 23,600                        
Percentage of interest accrued   5.50%                        
Cash paid, net of cash acquired   $ 22,900                        
Net of cash acquired   700                        
Payable to shareholders of seller   500                        
Seller notes   4,000                        
IIPS [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired       65.00%               55.00%    
Cash paid for acquisition of interest in clinic       $ 8,600                    
Number of businesses merged | Business       2                    
Percentage of combined business interest owned       59.45%                    
Cash paid, net of cash acquired [1]   18,427                        
Payable to shareholders of seller [1]   486                        
Seller notes   4,000 [1]   $ 400                    
Total consideration [1]   22,913                        
Estimated fair value of net tangible assets acquired: [Abstract]                            
Total current assets [1]   1,907                        
Total non-current assets [1]   611                        
Total liabilities [1]   (1,504)                        
Net tangible assets acquired [1]   1,014                        
Referral relationships [1]   1,500                        
Non-compete [1]   590                        
Tradename [1]   2,500                        
Goodwill [1]   17,309                        
Fair value of non-controlling interest (classified as redeemable non-controlling interests) [1]   0                        
Total consideration [1]   22,913                        
Clinic Practice [Member]                            
Business Combination, Description [Abstract]                            
Cash paid, net of cash acquired   12,170                        
Payable to shareholders of seller   0                        
Seller notes   300                        
Total consideration   12,470                        
Estimated fair value of net tangible assets acquired: [Abstract]                            
Total current assets   697                        
Total non-current assets   3,028                        
Total liabilities   (2,846)                        
Net tangible assets acquired   879                        
Referral relationships   1,500                        
Non-compete   700                        
Tradename   1,600                        
Goodwill   14,021                        
Fair value of non-controlling interest (classified as redeemable non-controlling interests)   (6,230)                        
Total consideration   $ 12,470                        
August 2018 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Aug. 31, 2018          
Percentage of interest acquired     70.00%                      
Number of clinics | Clinic     4                      
Cash paid for acquisition of interest in clinic     $ 7,300                      
Business acquisition number of installments for payment of purchase consideration | Installment     2                      
Seller notes     $ 400                      
August 2018 Acquisition [Member] | August 2019 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest     200                      
August 2018 Acquisition [Member] | August 2020 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest     $ 200                      
January 2017 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Jan. 01, 2017          
Percentage of interest acquired                         70.00% 70.00%
Number of clinics | Clinic               17            
Cash paid for acquisition of interest in clinic               $ 10,700            
Business acquisition number of installments for payment of purchase consideration | Installment               2            
Seller notes                           $ 500
January 2017 Acquisition [Member] | January 2018 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest               $ 250            
January 2017 Acquisition [Member] | January 2019 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest               $ 250            
May 2017 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 May 31, 2017          
Percentage of interest acquired             70.00%              
Number of clinics | Clinic             4              
Cash paid for acquisition of interest in clinic             $ 2,300              
Business acquisition number of installments for payment of purchase consideration | Installment             2              
Seller notes             $ 250              
May 2017 Acquisition [Member] | May 2018 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest             125              
May 2017 Acquisition [Member] | May 2019 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest             $ 125              
June 2017 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Jun. 30, 2017          
Percentage of interest acquired           60.00%                
Number of clinics | Clinic           9                
Cash paid for acquisition of interest in clinic           $ 15,800                
Business acquisition number of installments for payment of purchase consideration | Installment           2                
Seller notes           $ 500                
June 2017 Acquisition [Member] | June 2018 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest           250                
June 2017 Acquisition [Member] | June 2019 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest           $ 250                
October 2017 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Acquisition date                 Oct. 31, 2017          
Percentage of interest acquired         70.00%                  
Number of clinics | Clinic         9                  
Cash paid for acquisition of interest in clinic         $ 4,000                  
Business acquisition number of installments for payment of purchase consideration | Installment         2                  
Number of management contracts | Contract         2                  
Seller notes         $ 500                  
October 2017 Acquisition [Member] | October 2018 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest         250                  
October 2017 Acquisition [Member] | October 2019 [Member]                            
Business Combination, Description [Abstract]                            
Acquisition cost payable in two principal installments including accrued interest         $ 250                  
Acquisition of Five Clinic Practices [Member]                            
Business Combination, Description [Abstract]                            
Number of clinics | Clinic                   5        
Cash paid for acquisition of interest in clinic                   $ 1,000        
Aggregate purchase price for the acquired clinic practices                   850        
Seller notes                   $ 150        
Acquisition of Five Clinic Practices [Member] | August 2019 [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest accrued                   4.50%        
[1] Industrial injury prevention services