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Acquisitions of Businesses (Tables)
12 Months Ended
Dec. 31, 2021
Acquisitions of Businesses [Abstract]  
Clinic Acquisition

During 2021, 2020 and 2019, the Company acquired a majority interest in the following businesses:

Acquisition
 
Date
 
% Interest
Acquired
 
Number of
Clinics
December 2021 Acquisition
 
December 31, 2021
 
75%
 
3
November 2021 Acquisition
  November 30, 2021   70%   IIPS*
September 2021 Acquisition
  September 30, 2021   100%   IIPS*
June 2021 Acquisition
  June 30, 2021   65%   8
March 2021 Acquisition
  March 31, 2021   70%   6
November 2020 Acquisition   November 30, 2020   75%   3
September 2020 Acquisition
 
September 30, 2020
 
70%
 
**
February 2020 Acquisition
 
February 27, 2020
 
65%
***
4
September 2019 Acquisition
 
September 30, 2019
 
67%
 
11
April 2019 Acquisition
  April 11, 2019
  100%
  *

* Industrial injury prevention business
** The business includes six management and services contracts which have been in place for a number of years. As of the date acquired, the contracts had a remaining term of five years.
***
The four clinics are in four separate partnerships. The Company's interest in the four partnerships range from 10.0% to 83.8%, with an overall 65.0% based on the initial purchase transaction.
Preliminary Purchase Prices Allocation

The purchase price for the 2021 acquisitions has been preliminarily allocated as follows (in thousands):

   
IIPS*
   
Physical Therapy Operations
   
Total
 
Cash paid, net of cash acquired
 
$
63,193
   
$
23,630
   
$
86,823
 
Seller notes
   
1,250
     
800
     
2,050
 
Contingent payments     2,520       837       3,357  
Other payable
    -       1,000       1,000  
Seller put right
   
3,522
   

     
3,522
 
Total consideration
 
$
70,485
   
$
26,267
   
$
96,752
 
                         
Estimated fair value of net tangible assets acquired:
                       
Total current assets
 
$
5,589
   
$
1,046
   
$
6,635
 
Total non-current assets
   
12,620
     
6,462
     
19,082
 
Total liabilities
   
(4,842
)
   
(6,832
)
   
(11,674
)
Net tangible assets acquired
 
$
13,367
   
$
676
   
$
14,043
 
Customer and referral relationships
   
21,126
     
3,729
     
24,855
 
Non-compete agreements
   
500
     
574
     
1,074
 
Tradenames
   
5,141
     
1,755
     
6,896
 
Goodwill
   
58,257
     
31,489
     
89,746
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
(27,906
)
   
(11,956
)
   
(39,862
)
   
$
70,485
   
$
26,267
   
$
96,752
 


*Industrial injury prevention services
   



The purchase price for the 2020 physical therapy operations acquisitions has been allocated as follows (in thousands):

Cash paid, net of cash acquired
 
$
23,912
 
Seller note
   
1,121
 
Total consideration
 
$
25,033
 
         
Estimated fair value of net tangible assets acquired:
       
Total current assets
 
$
1,049
 
Total non-current assets
   
196
 
Total liabilities
   
(562
)
Net tangible assets acquired
 
$
683
 
Referral relationships
   
5,520
 
Non-compete
   
500
 
Tradename
   
1,890
 
Goodwill
   
27,738
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
(11,298
)
   
$
25,033
 


The purchase price for the 2019 acquisitions was allocated as follows (in thousands):

 
IIPS*
   
Physical Therapy Operations
   
Total
 
Cash paid, net of cash acquired ($890)
 
$
18,428
   
$
12,170
   
$
30,598
 
Payable to shareholders of seller
   
485
     
-
     
485
 
Seller note
   
4,000
     
300
     
4,300
 
Total consideration
 
$
22,913
   
$
12,470
   
$
35,383
 
                         
Estimated fair value of net tangible assets acquired:
                       
Total current assets
 
$
1,641
   
$
650
   
$
2,291
 
Total non-current assets
   
848
     
394
     
1,242
 
Total liabilities
   
(2,978
)
   
(191
)
   
(3,169
)
Net tangible assets acquired
 
$
(489
)
 
$
853
   
$
364
 
Referral relationships
   
3,400
     
2,600
     
6,000
 
Non-compete
   
250
     
270
     
520
 
Tradename
   
1,300
     
740
     
2,040
 
Goodwill
   
18,452
     
14,237
     
32,689
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
-
     
(6,230
)
   
(6,230
)
   
$
22,913
   
$
12,470
   
$
35,383
 

* Industrial injury prevention services