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Acquisitions of Businesses (Tables)
12 Months Ended
Dec. 31, 2022
Acquisitions of Businesses [Abstract]  
Clinic Acquisition

During 2022, 2021 and 2020, the Company acquired a majority interest in the following businesses:

        % Interest
  Number of
 Acquisition    Date    Acquired   Clinics
November 2022 Acquisition
 
November 30, 2022
 
80%
 
13
October 2022 Acquisition   October 31, 2022
  60%   14
September 2022 Acquisition   September 30, 2022   80%   2
August 2022 Acquisition   August 31, 2022   70%   6
March 2022 Acquisition   March 31, 2022   70%   6
December 2021 Acquisition   December 31, 2021   75%   3
November 2021 Acquisition
 
November 30, 2021
 
70%
 
*
September 2021 Acquisition
 
September 30, 2021
 
100%

*
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

* Industrial injury prevention services business
** The business includes six management 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.
Purchase Price Allocation

The purchase price for the 2022 acquisitions has been preliminarily allocated as follows (in thousands):

     Physical Therapy
 
     Operations
 
Cash paid, net of cash acquired
 
$
59,788
 
Seller notes
   
1,574
 
Contingent payments
   
8,400
 
Total consideration
 
$
69,762
 
Estimated fair value of net tangible assets acquired:
       
Total current assets
 
$
1,500
 
Total non-current assets
   
7,985
 
Total liabilities
   
(9,951
)
Net tangible assets acquired
   
(466
)
Customer and referral relationships
   
18,955
 
Non-compete agreements
   
983
 
Tradenames
   
4,417
 
Goodwill
   
72,674
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
(26,801
)
   
$
69,762
 


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

         
Physical Therapy
   

 
    IIP*     Operations     Total  
Cash paid, net of cash acquired
 
$
63,193
   
$
23,544
   
$
86,737
 
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
   
$
26,181
   
$
96,666
 
                         
Estimated fair value of net tangible assets acquired:
                       
Total current assets
 
$
5,588
   
$
1,885
   
$
7,473
 
Total non-current assets
   
12,620
     
7,014
     
19,634
 
Total liabilities
   
(4,842
)
   
(8,399
)
   
(13,241
)
Net tangible assets acquired
 
$
13,366
   
$
500
   
$
13,866
 
Customer and referral relationships
   
21,127
     
7,969
     
29,096
 
Non-compete agreements
   
500
     
415
     
915
 
Tradenames
   
5,141
     
2,144
     
7,285
 
Goodwill
   
58,257
     
27,109
     
85,366
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
(27,906
)
   
(11,956
)
   
(39,862
)
   
$
70,485
   
$
26,181
   
$
96,666
 

*Industrial injury prevention services business
   


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


   
Physical Therapy
Operations
 
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