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Business Acquisitions (Tables)
6 Months Ended
Jun. 30, 2021
Business Acquisition [Line Items]  
Summary of Company's Assets and Liabilities and Reconciliation of Cash Paid for Net Assets Acquired
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  
    
 
 
    
 
 
 
Summary of Pro Forma Information of the Combined Results of Operations 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  
    
 
 
    
 
 
    
 
 
    
 
 
 
University Health Care and Its Affiliates  
Business Acquisition [Line Items]  
Summary of Allocation of the Purchase Price 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  
    
 
 
 
HP Enterprises II LLC and Related Entities  
Business Acquisition [Line Items]  
Summary of Allocation of the Purchase Price 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  
    
 
 
 
Primary Care Physicians and Related Entities  
Business Acquisition [Line Items]  
Summary of Allocation of the Purchase Price 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