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Business Combinations, Asset Acquisitions, and Goodwill (Tables)
3 Months Ended
Mar. 31, 2024
Business Combination and Asset Acquisition [Abstract]  
Schedule of Business Acquisitions, by Acquisition The following table summarizes the preliminary purchase price allocation of the fair value of assets acquired and liabilities assumed related to each acquisition at the acquisition date (in thousands):
CFC
 AHMS
 Others *
Net  Total
 Total purchase consideration:
 Cash paid $90,998 $— $12,500 $103,498 
 Cash payable — 63,935 — 63,935 
 Contingent consideration 7,264 — 5,897 13,161 
 Common stock issued 21,952 — — 21,952 
$120,214 $63,935 $18,397 $202,546 
Assets:
 Cash and cash equivalents $16,674 $33,950 $3,515 $54,139 
 Investment in marketable securities 50 — 30 80 
 Receivables 5,351 11,847 — 17,198 
 Prepaid expenses and other current assets — 36 11 47 
Amounts due from affiliates
3,909 — — 3,909 
 Land, property and equipment — — 823 823 
 Intangible assets 26,000 23,800 2,703 52,503 
 Goodwill 90,148 29,876 12,318 132,342 
 Restricted cash — 300 — 300 
Total identifiable assets acquired
$142,132 $99,809 $19,400 $261,341 
Liabilities:
 Accounts payable and accrued expenses $4,376 $7,232 $250 $11,858 
 Medical liabilities 17,508 13,137 — 30,645 
Amounts due to affiliates— 7,241 54 7,295 
 Income taxes payable 34 1,604 — 1,638 
 Deferred tax liability — 6,660 271 6,931 
 Noncontrolling interest
— — 428 428 
Total identified liabilities assumed
$21,918 $35,874 $1,003 $58,795 
Total net identifiable assets acquired
$120,214 $63,935 $18,397 $202,546 
    
* Others consist of estimated fair values of the assets acquired, net of cash acquired, related to ADSC and PCCCV.

Following the acquisition dates of CFC, AHMS, ADSC and PCCCV, the operating results have been included in our consolidated financial statements. For the period from the acquisition dates through March 31, 2024, total revenues and net income were $33.2 million and $5.1 million, respectively.
Unaudited Pro Forma Financial Information

The pro forma financial information in the table below presents the combined results of the Company and CFC, AHMS, ADSC and PCCCV as if the acquisitions had occurred on January 1, 2023. The pro forma information presented is shown for illustrative purposes only and is not necessarily indicative of future results of operations of the Company or results of operations of the Company that would have actually occurred had the transactions been in effect for the periods presented.
Three Months Ended
March 31,
(in thousands, except per share amounts)
20242023
Total revenue
$493,006 $382,462 
Net income
$16,661 $20,324 
Net income per share - basic
$0.35 $0.44 
Net income per share - diluted
$0.35 $0.43 
Schedule of Change in Carrying Value of Goodwill
The change in the carrying value of goodwill for the three months ended March 31, 2024 was as follows (in thousands):
Amount
Balance, January 1, 2024$278,831 
Acquisitions132,342 
Adjustments(906)
Balance, March 31, 2024$410,267