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Business Acquisitions
6 Months Ended
Jun. 30, 2021
Business Combinations [Abstract]  
Business Acquisitions
3.
BUSINESS ACQUISITIONS
The Company made the following
acquisitions
in order to expand its geographical footprint and expand its member base.
University Health Care and its affiliates
On June 11, 2021, the Company acquired University Health Care and its affiliates
(collectively, “
University”). The purchase price totaled $
611.1
 million
,
of which
$
541.5
 million was paid in cash,
$
9.6
 
million in contingent consideration from forfeited acquisition
add-ons
based on terms negotiated by University prior to closing, and
$
60.0
 million in
4,055,698
 of the Company’s Class A common stock. University sellers entered into
non-compete
agreements with the Company. The Company recorded
non-compete
intangible assets totaling
$
45.2
 million with a weighted-average amortization period of
five
years
.
The purchase price has been allocated to accounts receivable, net of unpaid service provider costs, inventory, property and equipment, payor relationships,
non-compete
intangibles
, other acquired intangibles, other assets, goodwill, and accounts payable and accrued expenses. The portion of the purchase price that is allocated to the
non-compete
is not considered part of the consideration transferred to acquire the business and is accounted for separately. The following table provides the allocation of the purchase price:
 
(in thousands)
      
Accounts receivable, net of unpaid service provider costs
   $ 2,217  
Inventory
     264  
Property and equipment, net
     1,636  
Payor relationships
     175,172  
Non-compete
intangibles
     45,191  
Other acquired intangibles
     113,237  
Other assets
     116  
Goodwill
     273,427  
Accounts payable and accrued expenses
     (140
    
 
 
 
Total purchase
price, including non-compete intangibles
   $ 611,120  
    
 
 
 
The other acquired intangibles include $110.4 million for the University brand and $2.9
million 
for provider relationships. Total revenues and net income attributable to the assets acquired in the University acquisition were approximately $30.6 million and $16.1 million, respectively, for the three and six months ended June 30, 2021.
HP Enterprises II, LLC and related entities
On June 1, 2020, the Company acquired all of the assets of HP Enterprises II, LLC and related entities
(collectively, “Healthy Partners”).
The purchase price totaled $195.4 million of which $149.3 million was paid in cash (including $18.0 million paid to an escrow agent, of which $17.1 million was released on January 13, 2021 and $0.9 million is to be released on June 1, 2022), and
 
$30.0 million in
 923,076
Class A-4
Units of Primary Care (ITC)
Intermediate Holdings,
 LLC’s securities. The remaining amount of $16.1 million related to payment reconciliations was held back, and is due no later than five days following January 31, 2022. The physicians entered into employment agreements with the Company and these agreements include covenants not to compete. The Company recorded
non-compete
intangible assets totaling $1.0 million with a weighted-average amortization period of five years.
The purchase price has been allocated to property and equipment,
non-compete
intangibles, acquired intangibles, goodwill, and other assets. The portion of the purchase price that is allocated to the
non-compete
is not considered part of the consideration transferred to acquire the business and is accounted for separately. The following table provides the allocation of the purchase price:
 
(in thousands)
      
Property and equipment
   $ 2,409  
Non-compete
intangibles
     1,022  
Acquired intangibles
     117,014  
Goodwill
     74,852  
Other assets
     87  
    
 
 
 
Total
purchase price, including non-compete intangibles
   $ 195,384  
    
 
 
 
The acquired intangible assets include $20.6 million for the
Healthy Partners
brand and payor relationships amounting to $96.4 million. Total revenues attributable to the assets acquired in the
Healthy Partners
acquisition were approximately $98.7 million and $179.0 million for the three months and six months ended June 30, 2021, respectively, and approximately $33.6 million and $33.6 million for the three months and six months ended June 30, 2020, respectively. Net income attributable to the assets acquired in the
Healthy Partners
acquisition was approximately $10.3 million and $23.3 million for the three months and six months ended June 30, 2021, respectively, and approximately $2.2 million for the three months and six months ended June 30, 2020.
Primary Care Physicians and
related entities
On January 2, 2020, the Comp
a
ny acquired all of the assets of Primary Care Physicians and related entities
( collectively “
PCP”). The purchase price totaled $60.2 million
,
of which $53.6 million was paid in cash and $4.0 million was paid in 123,077
Class A-4
Units of Primary Care (ITC)
Intermediate 
Holdings, LLC. The remaining amount includes $1.5 million related to the
pay-down
of debt, and $1.1 million related to the
pay-down
of accounts payable and accrued expenses of PCP. The physicians entered into employment agreements with the Company and these agreements included covenants not to compete. The Company recorded
non-compete
intangible assets totaling $0.8 million with a weighted-average amortization period of three years.
The purchase price has been allocated to cash and cash equivalents, accounts receivable, inventory, property and equipment,
non-compete
intangibles, acquired intangibles, goodwill, and accounts payable. The portion of the purchase price that is allocated to the
non-compete
is not considered part of the consideration transferred to acquire the business and is accounted for separately. The following table provides the allocation of the purchase price:
 
(in thousands)
      
Cash and cash equivalents
   $ 191  
Accounts receivable
     486  
Inventory
     155  
Property and equipment
     1,518  
Non-compete
intangibles
     846  
Acquired intangibles
     43,549  
Goodwill
     13,738  
Accounts payable
     (274
    
 
 
 
Total purchase price, including non-compete intangibles
   $ 60,209  
    
 
 
 
The acquired intangible assets include $4.0 million for the PCP brand and payor relationships amounting to $39.5 million. Total revenues attributable to the assets acquired in the PCP acquisition were approximately $12.8 million and $4.2 million for the three months ended June 30, 2021 and 2020, respectively, and $23.6 million and $12.6 million for the six months ended June 30, 2021 and 2020, respectively. Net income attributable to the assets acquired in the PCP acquisition was $5.1 million and $0.5 million for the three months ended June 30, 2021 and 2020, respectively, and $8.1 million and $3.7 million for the six months ended June 30, 2021 and 2020, respectively.
The net effect of acquisitions to the Company’s assets and liabilities and reconciliation of cash paid for net assets acquired for the six months ended June 30, 2021 and 2020, including amounts related to acquisitions not disclosed above, was as follows:
 
    
Six Months Ended June 30,
 
(in thousands)
  
2021
    
2020
 
Assets Acquired
                 
Accounts receivable
   $ 185      $ 486  
Other assets
     2,601        433  
Property and equipment
     2,128        4,012  
Goodwill
     311,963        89,976  
Intangibles
     372,210        162,536  
    
 
 
    
 
 
 
Total assets acquired
     689,087        257,443  
    
 
 
    
 
 
 
Liabilities Assumed
                 
Due to
sellers
     295        16,288  
Contingent consideration
     9,600        —    
Other liabilities
     1,616        1,530  
    
 
 
    
 
 
 
Total liabilities assumed
     11,511        17,818  
    
 
 
    
 
 
 
Net Assets Acquired
     677,576        239,625  
Issuance of Parent equity in connection with acquisitions
     60,000        34,300  
    
 
 
    
 
 
 
Acquisitions of subsidiaries, including non-compete intangibles, net of cash acquired
   $ 617,576      $ 205,325  
    
 
 
    
 
 
 
Pro forma information is not presented for all of the Company’s acquisitions during the three months and six months ended June 30, 2021 and 2020 as the information is unavailable for those businesses acquired. Historical financial results were impractical to obtain as those businesses did not prepare financial statements historically. The following unaudited pro forma financial information summarizes the combined results of operations for the Company and its acquisitions of University and HP, as if the companies were combined as of January 1, 2020:
 
 
  
Three Months Ended June 30,
 
  
Six Months Ended June 30,
 
(in thousands)
  
2021
 
  
2020
 
  
2021
 
  
2020
 
Revenue
   $ 446,873      $ 281,597      $ 815,143      $ 582,482  
    
 
 
    
 
 
    
 
 
    
 
 
 
Net income (loss)
   $ 15,940      $ 7,821      $ 22,096      $ 21,073