Business Acquisitions (Tables)

12 Months Ended

Dec. 31, 2021

Business Combination and Asset Acquisition [Abstract]

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	$	6,641
Property and equipment, net		1,283
Other assets		142
Favorable leasehold interest		110
Non-compete intangibles		1,700
Trade name		25,500
Payor relationships		115,100
Goodwill		151,188
Accounts payable and accrued expenses		(1,001	)
Total purchase price, including non-compete intangibles	$	300,663

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		270,245
Accounts payable and accrued expenses		(140	)
Total purchase price, including non-compete intangibles	$	607,938

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 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 following table provides the allocation of the purchase price:

(in thousands)
Accounts receivable	$	321
Property and equipment		942
Non-compete intangibles		270
Acquired intangibles		40,400
Goodwill		68,019
Other assets		60
Total Purchase Price	$	110,012

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 years ended December 31, 2021, 2020 and 2019, including amounts related to acquisitions not disclosed above, was as follows:

	Years Ended December 31,
(in thousands)	2021		2020		2019
Assets acquired
Accounts receivable	$	50,979	$	486	$	321
Other assets		2,108		433		632
Property and equipment		3,582		4,011		1,220
Goodwill		535,318		92,289		77,971
Intangibles		637,766		162,542		52,212
Total assets acquired		1,229,753		259,761		132,356
Liabilities Assumed
Amounts due to seller		49,195		16,288		39,751
Other liabilities		45,782		1,548		—
Total liabilities assumed		94,977		17,836		39,751
Net Assets Acquired		1,134,776		241,925		92,605
Issuance of equity in connection with acquisitions		64,469		34,300		9,250
Acquisitions of subsidiaries, including non-compete intangibles, net of cash acquired	$	1,070,307	$	207,625	$	83,355

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:

	Years Ended December 31,
(in thousands)	2021			2020
Revenue	$	1,763,820		$	1,241,294
Net loss	$	(123,926	)	$	(55,341	)