Quarterly report pursuant to Section 13 or 15(d)

Commitments and Contingencies

v3.24.3
Commitments and Contingencies
9 Months Ended
Sep. 30, 2024
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
Leases
The table below summarizes the components of lease expense and income statement location for the three and nine months ended September 30, 2024 and 2023:
Line Items in the Company's Condensed Consolidated Three Months Ended
September 30,
Nine Months Ended
September 30,
Income Statements 2024 2023 2024 2023
Finance lease costs:
Amortization of assets Depreciation and amortization $ 7,570  $ 7,570  $ 22,710  $ 22,709 
Interest on lease liabilities Other income (expense), net 499  760  1,686  2,473 
Total finance lease costs 8,069  8,330  24,396  25,182 
Operating lease costs General and administrative expenses 797,102  1,633,469  2,476,377  4,910,181 
Total lease costs $ 805,171  $ 1,641,799  $ 2,500,773  $ 4,935,363 
Supplemental information and balance sheet location related to leases (excluding amounts related to leases classified as held for sale) was as follows:
September 30, 2024 December 31, 2023
Operating Leases:
Operating lease right-of -use asset $7,727,105 $12,413,221
Operating lease liability - current portion $3,222,887 $3,756,328
Operating lease liability - net of current portion 6,157,147 10,914,997
Total operating lease liability $9,380,034 $14,671,325
Finance Leases:
Property and equipment, at cost $151,389 $151,396
Less accumulated amortization (140,635) (117,932)
Property and equipment, net $10,754 $33,464
Finance lease liability - current portion 26,312 25,491
Finance lease liability - net of current portion 18,172 38,016
Total finance lease liabilities $44,484 $63,507
Weighted average remaining lease term (in years):
Operating leases 4.6 4.8
Finance lease 1.7 2.4
Weighted average discount rate:
Operating leases 5.3  % 5.4  %
Finance leases 4.3  % 4.3  %
Supplemental cash flow information related to leases was as follows:
Nine Months Ended
September 30, 2024
Nine Months Ended
September 30, 2023
Cash paid for amounts included in measurement of liabilities:
Operating cash flows from operating leases $ 2,945,217  $ 5,263,092 
Operating cash flows from finance leases 1,686  2,473 
Financing cash flows from finance leases 19,013  18,227 
Non-cash transactions: ROU assets obtained in exchange for lease liabilities
Operating lease $ 2,049,597  $ 4,287,622 
Finance lease —  — 
Maturities of lease liabilities as of September 30, 2024 are as follows, excluding amounts related to leases classified as held for sale:
Operating Leases Finance Lease
2024 (remainder) $ 932,730  $ 6,900 
2025 3,584,268  27,600 
2026 2,019,667  11,500 
2027 1,735,137  — 
2028 1,118,433  — 
Thereafter 1,139,140  — 
Total lease payments $ 10,529,375  $ 46,000 
Less: Imputed interest (1,149,341) (1,516)
Total lease obligations 9,380,034  44,484 
Less: Current obligations (3,222,887) (26,312)
Long-term lease obligation $ 6,157,147  $ 18,172 
During the third quarter of 2024, the Company held an operating lease that has not yet commenced for space to be used by the Company’s new corporate clinic. The lease is expected to result in additional ROU assets and liabilities of approximately $0.6 million. This lease is expected to commence during the fourth quarter of 2024, with a lease term of ten years.
Guarantee in Connection with the Sale of the Divested Business
In connection with the sale of a company-managed clinic in 2022, the Company guaranteed one future operating lease commitment assumed by the buyers. The Company is obligated to perform under the guarantee if the buyers fail to perform under the lease agreement at any time during the remainder of the lease agreement, which expires on May 31, 2027. At the date of sale, the undiscounted maximum potential future payments totaled $0.2 million. As of September 30, 2024, the undiscounted remaining lease payments under the agreement totaled $0.1 million. The Company had not recorded a liability with respect to the guarantee obligation as of September 30, 2024, as the Company concluded that payment under the lease guarantee was not probable.
Litigation
In the normal course of business, the Company is party to litigation and claims from time to time. The Company maintains insurance to cover certain litigation and claims.
During Q2 2024, the Company entered into settlement agreements from litigation related to employment matters of $1.5 million that was outside the normal course of business. Additionally, ongoing litigation related to a medical injury claim between a patient ("the Claimant") and the Company filed on September 5, 2023 has progressed to mediation. Although the Company intends to defend the claims vigorously, the Claimant and the Company recently agreed to participate in non-binding mediation of their dispute before a neutral mediator. At this time, the mediation process between the Claimants and the Company is ongoing with a range of possible settlement outcomes between $0.9 million and $6.0 million. As of September 30, 2024, the Company has accrued $0.9 million as an estimate of settlement costs related to the matter. The expense from the accrual is fully offset by a receivable recorded as the estimated settlement is within the Company's insurance plan.
During the three and nine months ended September 30, 2024, the Company incurred litigation expenses, including settlement costs related to employment matters and a medical injury claim that were outside the normal course of business of $0.0 million and $1.5 million, respectively, included as general and administrative expenses on the condensed consolidated income statement.