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v3.25.4

Revenues | 12 Months Ended
--- | ---
Dec. 31, 2025
Revenue from Contract with Customer [Abstract] |
Revenues | 3. Revenues The Company is substantially dependent on revenues received under contracts with federal, state, and local government agencies. Operating funding sources are generally earned from Medicaid, Medicare, commercial insurance reimbursement, and private and other payors. There is no single customer whose revenue was 10% or more of our consolidated revenue. The following tables set forth revenue by payor type (in millions):
|  | Pharmacy Solutions |
|  | For the Years Ended December 31, |
|  | 2025 |  |  | 2024 |  |  | 2023 |
|  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |
Commercial insurance |  | $ | 3,114.6 |  |  |  | 24.1 | % |  | $ | 2,360.0 |  |  |  | 23.4 | % |  | $ | 1,657.7 |  |  |  | 21.6 | %
Medicaid |  |  | 1,093.2 |  |  |  | 8.5 | % |  |  | 829.1 |  |  |  | 8.2 | % |  |  | 656.1 |  |  |  | 8.5 | %
Medicare Part A |  |  | 572.8 |  |  |  | 4.4 | % |  |  | 546.4 |  |  |  | 5.4 | % |  |  | 549.3 |  |  |  | 7.1 | %
Medicare Part B |  |  | 76.4 |  |  |  | 0.6 | % |  |  | 70.3 |  |  |  | 0.7 | % |  |  | 61.2 |  |  |  | 0.8 | %
Medicare Part C |  |  | 2,277.5 |  |  |  | 17.6 | % |  |  | 1,547.1 |  |  |  | 15.4 | % |  |  | 1,384.3 |  |  |  | 18.0 | %
Medicare Part D |  |  | 4,097.8 |  |  |  | 31.7 | % |  |  | 3,202.0 |  |  |  | 31.8 | % |  |  | 2,031.9 |  |  |  | 26.4 | %
Private & other |  |  | 213.5 |  |  |  | 1.8 | % |  |  | 199.4 |  |  |  | 2.0 | % |  |  | 182.0 |  |  |  | 2.4 | %
|  | $ | 11,445.8 |  |  |  | 88.7 | % |  | $ | 8,754.3 |  |  |  | 86.9 | % |  | $ | 6,522.5 |  |  |  | 84.8 | %
|  | Provider Services |
|  | For the Years Ended December 31, |
|  | 2025 |  |  | 2024 |  |  | 2023 |
|  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |
Commercial insurance |  | $ | 188.7 |  |  |  | 1.5 | % |  | $ | 168.1 |  |  |  | 1.7 | % |  | $ | 152.5 |  |  |  | 2.0 | %
Medicaid |  |  | 402.0 |  |  |  | 3.1 | % |  |  | 337.4 |  |  |  | 3.3 | % |  |  | 323.0 |  |  |  | 4.2 | %
Medicare Part A |  |  | 521.5 |  |  |  | 4.0 | % |  |  | 453.2 |  |  |  | 4.5 | % |  |  | 409.3 |  |  |  | 5.3 | %
Medicare Part B |  |  | 6.4 |  |  |  | 0.0 | % |  |  | 25.6 |  |  |  | 0.3 | % |  |  | 21.6 |  |  |  | 0.3 | %
Medicare Part C |  |  | 135.6 |  |  |  | 1.1 | % |  |  | 117.9 |  |  |  | 1.2 | % |  |  | 66.1 |  |  |  | 0.9 | %
Private & other |  |  | 210.6 |  |  |  | 1.6 | % |  |  | 215.7 |  |  |  | 2.1 | % |  |  | 196.0 |  |  |  | 2.5 | %
|  | $ | 1,464.8 |  |  |  | 11.3 | % |  | $ | 1,317.9 |  |  |  | 13.1 | % |  | $ | 1,168.5 |  |  |  | 15.2 | %
|  | Consolidated |
|  | For the Years Ended December 31, |
|  | 2025 |  |  | 2024 |  |  | 2023 |
|  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |  |  | Revenue |  |  | % of Revenue |
Commercial insurance |  | $ | 3,303.3 |  |  |  | 25.6 | % |  | $ | 2,528.1 |  |  |  | 25.1 | % |  | $ | 1,810.2 |  |  |  | 23.6 | %
Medicaid |  |  | 1,495.2 |  |  |  | 11.6 | % |  |  | 1,166.5 |  |  |  | 11.5 | % |  |  | 979.1 |  |  |  | 12.7 | %
Medicare Part A |  |  | 1,094.3 |  |  |  | 8.4 | % |  |  | 999.6 |  |  |  | 9.9 | % |  |  | 958.6 |  |  |  | 12.4 | %
Medicare Part B |  |  | 82.8 |  |  |  | 0.6 | % |  |  | 95.9 |  |  |  | 1.0 | % |  |  | 82.8 |  |  |  | 1.1 | %
Medicare Part C |  |  | 2,413.1 |  |  |  | 18.7 | % |  |  | 1,665.0 |  |  |  | 16.6 | % |  |  | 1,450.4 |  |  |  | 18.9 | %
Medicare Part D |  |  | 4,097.8 |  |  |  | 31.7 | % |  |  | 3,202.0 |  |  |  | 31.8 | % |  |  | 2,031.9 |  |  |  | 26.4 | %
Private & other |  |  | 424.1 |  |  |  | 3.4 | % |  |  | 415.1 |  |  |  | 4.1 | % |  |  | 378.0 |  |  |  | 4.9 | %
|  | $ | 12,910.6 |  |  |  | 100.0 | % |  | $ | 10,072.2 |  |  |  | 100.0 | % |  | $ | 7,691.0 |  |  |  | 100.0 | %
Refer to Note 17 for the disaggregation of revenues by segment.

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- Definition The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 7 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-7 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 9 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-9 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 10 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-10 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-15 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 13 -Subparagraph (b)(2) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-13 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Name Accounting Standards Codification -Topic 606 -Publisher FASB -URI https://asc.fasb.org/606/tableOfContent + Details
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