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Business Combinations
12 Months Ended
Dec. 31, 2023
Business Combinations [Abstract]  
Business Combinations

NOTE 7 BUSINESS COMBINATIONS

During the years ended December 31, 2023 and 2022, the Company completed the acquisitions of 3 and 13, outpatient mental health practices, respectively. The Company accounted for the acquisitions as business combinations using the acquisition method of accounting. The purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date.

Total consideration transferred for these acquisitions consisted of the following:

 

 

Year Ended December 31,

 

 

 

2023

 

 

2022

 

Cash consideration

 

$

20,000

 

 

$

61,564

 

Cash consideration to be paid

 

 

 

 

 

251

 

Contingent consideration, at initial fair value

 

 

1,985

 

 

 

11,221

 

Total consideration transferred

 

$

21,985

 

 

$

73,036

 

The results of the acquired business have been included in the Company’s consolidated financial statements beginning after their acquisition date. It is impracticable to provide historical supplemental pro forma financial information along with revenue and earnings subsequent to the acquisition date for acquisitions during the period due to a variety of factors, including access to historical information and the operations of acquirees were integrated within the Company shortly after closing and are not operating as a discrete entity within the Company’s organizational structure.

Fair Values of Assets Acquired and Liabilities Assumed

The following table summarizes the preliminary fair values of assets acquired and liabilities assumed as of the dates of acquisition:

 

 

Year Ended December 31,

 

Allocation of Purchase Price

 

2023

 

 

2022

 

Cash

 

$

181

 

 

$

1,652

 

Patient accounts receivable

 

 

372

 

 

 

2,652

 

Prepaid expenses and other current assets

 

 

138

 

 

 

718

 

Property and equipment

 

 

221

 

 

 

225

 

Right-of-use assets

 

 

368

 

 

 

 

Other noncurrent assets

 

 

22

 

 

 

80

 

Intangible assets

 

 

843

 

 

 

3,219

 

Goodwill

 

 

20,733

 

 

 

68,314

 

Total assets acquired

 

 

22,878

 

 

 

76,860

 

Total liabilities assumed

 

 

893

 

 

 

3,824

 

Fair value of net assets

 

$

21,985

 

 

$

73,036

 

The majority of the tangible assets acquired and liabilities assumed were recorded at their carrying values as of the respective dates of acquisition, as their carrying values approximated their fair values due to their short-term nature. The fair values of goodwill and other intangible assets acquired in these acquisitions were estimated primarily based on the income approach. The income approach estimates fair value based on the present value of the cash flows that the assets are expected to generate in the future. The Company developed estimates for the expected future cash flows and discount rates used in the present value calculations.

The following table summarizes the fair values of acquired intangible assets as of the dates of acquisition:

 

 

Year Ended December 31,

 

 

 

2023

 

 

2022

 

Regional trade names (1)

 

$

435

 

 

$

1,842

 

Non-competition agreements (2)

 

 

408

 

 

 

1,377

 

Total

 

$

843

 

 

$

3,219

 

(1)
Useful lives for trade names are 5 years.
(2)
Useful lives for non-competition agreements are 3 to 5 years.

Contingent Consideration

Under the provisions of the acquisition agreements, the Company may pay additional cash consideration in the form of earnouts, contingent upon the acquirees achieving certain performance and operational targets (see Note 9).

The following table summarizes the maximum contingent consideration based on the acquisition agreements:

 

 

Year Ended December 31,

 

Contingent consideration

 

2023

 

 

2022

 

Maximum contingent consideration based on acquisition agreements

 

$

2,650

 

 

$

15,325

 

Goodwill

Goodwill is primarily attributable to the assembled workforce, customer and payor relationships and anticipated synergies and economies of scale expected from the integration of the businesses. The synergies include certain cost savings, operating efficiencies, and other strategic benefits projected to be achieved as a result of the acquisition. All goodwill is deductible for tax purposes.

Management Fees

Management fees to TPG and certain executives of the Company were identified as related party transactions. For the year ended December 31, 2021, the Company incurred related party management fees of $1,445. As a result of the Company's IPO, the Company incurred a termination fee of $1,213 under its management services agreement in the second quarter of 2021, and no management fees were recognized post-IPO.