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Acquisitions of Businesses (Tables)
9 Months Ended
Sep. 30, 2025
Acquisitions of Businesses [Abstract]  
Clinic Acquisition
2025 Acquisitions

   
        
 
% Interest
 
Number of
 
Acquisition
 
Date
 
Acquired
 
Clinics
 
July 2025 Acquisition
  July 31, 2025   60%   3  
April 2025 Acquisition
  April 30, 2025
  40%   *  
February 2025 Acquisition
   February 28, 2025   65%
  3
 

*      
Home-care business

2024 Acquisitions

            
% Interest
 
Number of
 
Acquisition
 
Date
 
Acquired
 
Clinics
 
November 2024 Acquisition
  November 30, 2024
  75%   8  
October 2024 Acquisition
  October 31, 2024
  50%   50  
August 2024 Acquisition
  August 31, 2024   70%   8  
April 2024 Acquisition
  April 30, 2024
  **    *
 
March 2024 Acquisition
 
March 29, 2024
  50%
 
9
 

       
IIP business.
**      
On April 30, 2024, one of the Company’s primary IIP businesses, Briotix Health Limited Partnership, acquired 100% of an IIP business.
Purchase Price Allocation
The following table provides details on the preliminary purchase price allocation for the acquisitions described above.

   
Physical Therapy
 
   
Operations
 
   
(In thousands)
 
Cash paid, net of cash acquired
 
$
15,214
 
Seller note
   
300
 
Deferred payments
    -  
Contingent payments
   
5,731
 
Total consideration
 
$
21,245
 
         
Estimated fair value of net tangible assets acquired:
       
Total current assets
 
$
918
 
Total non-current assets
   
240
 
Total liabilities
   
(495
)
Net tangible assets acquired
   
663
Customer and referral relationships
   
5,981
 
Non-compete agreement
   
310
 
Tradenames
   
1,442
 
Goodwill
   
20,903
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
(8,054
)
   
$
21,245
 

The following table provides details on the purchase price allocations for the March 2024 Acquisition, the April 2024 Acquisition, the August 2024 Acquisition and preliminary purchase price allocations for the other acquisitions described above.

   
Physical Therapy
 
   
IIP
   
Operations
   
Total
 
   
(In thousands)
 
Cash paid, net of cash acquired
 
$
23,106
   
$
109,983
   
$
133,089
 
Seller note
   
455
     
1,220
     
1,675
 
Deferred payments
    -
      1,500
     
1,500
 
Contingent payments
   
2,100
     
15,571
     
17,671
 
Total consideration
 
$
25,661
   
$
128,274
   
$
153,935
 
 
                       
Estimated fair value of net tangible assets acquired:
                       
Total current assets
 
$
1,132
   
$
9,447
   
$
10,579
 
Total non-current assets
   
563
     
30,360
     
30,923
 
Total liabilities
   
(463
)
   
(29,402
)
   
(29,865
)
Net tangible assets acquired
   
1,232
     
10,405
     
11,637
 
Customer and referral relationships
   
6,500
     
52,630
     
59,130
 
Non-compete agreement
   
210
     
3,590
     
3,800
 
Tradenames
   
1,400
     
12,477
     
13,877
 
Goodwill
   
16,319
     
149,315
     
165,634
 
Fair value of non-controlling interest (classified as redeemable non-controlling interest)
   
-
     
(100,143
)
   
(100,143
)
 
$
25,661
   
$
128,274
   
$
153,935
 
Operating results of the VIEs
The table below presents the operating results of the VIEs.

   
Three Months Ended
    Nine Months Ended
 
   
September 30, 2025
    September 30, 2025
 
   
(In thousands)
 
Net revenue
 
$
22,848
    $ 65,771  
Operating cost:
               
Salaries and related costs
   
13,436
      39,516  
Rent, supplies, contract labor and other
   
5,277
      13,855  
Depreciation and amortization
    1,116       4,030  
Provision for credit losses
   
228
      655  
Total operating cost
   
20,057
      58,056  
                 
Gross profit
   
2,791
      7,715  
                 
Gain on fair value adjustments     (764 )     (764 )
Other expense
   
3
      9  
Provision for income taxes
    11       193  
                 
Net income
 
$
3,541
    $ 8,277