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Segments - Schedule of Information about our Segments (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2022 | Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | Dec. 31, 2021 | Sep. 30, 2021 | Jun. 30, 2021 | Mar. 31, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue | $ 294,208 | $ 317,001 | $ 269,697 | $ 263,258 | $ 195,100 | $ 227,117 | $ 175,638 | $ 176,058 | $ 1,144,163 | $ 773,915 | $ 687,180
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 944,685 | 596,142 | 539,211
General and administrative |  |  |  |  |  |  |  |  | 95,213 | 79,594 | 67,466
Expenses | 281,628 | 266,910 | 254,315 | 237,047 | 192,852 | 173,957 | 154,650 | 154,277 | 1,039,898 | 675,736 | 606,677
Income (loss) from operations | $ 12,580 | $ 50,091 | $ 15,382 | $ 26,211 | $ 2,248 | $ 53,160 | $ 20,988 | $ 21,781 | 104,265 | 98,179 | 80,503
Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,144,163 | 773,915 | 687,180
Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
Intersegment Elimination |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | (124,675) | (90,543) | (77,428)
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | (125,823) | (89,791) | (75,867)
General and administrative |  |  |  |  |  |  |  |  | (3,150) | (3,097) | (2,499)
Expenses |  |  |  |  |  |  |  |  | (128,973) | (92,888) | (78,366)
Income (loss) from operations |  |  |  |  |  |  |  |  | 4,298 | 2,345 | 938
Intersegment Elimination | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
Intersegment Elimination | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | (124,675) | (90,543) | (77,428)
Corporate Costs |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 0 | 0 | 0
General and administrative |  |  |  |  |  |  |  |  | 19,313 | 12,424 | 8,534
Expenses |  |  |  |  |  |  |  |  | 19,313 | 12,424 | 8,534
Income (loss) from operations |  |  |  |  |  |  |  |  | (19,313) | (12,424) | (8,534)
Corporate Costs | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
Corporate Costs | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 0 | 0 | 0
Care Enablement | Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 120,200 | 107,693 | 99,348
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 51,531 | 41,557 | 47,040
General and administrative |  |  |  |  |  |  |  |  | 41,628 | 28,637 | 23,243
Expenses |  |  |  |  |  |  |  |  | 93,159 | 70,194 | 70,283
Income (loss) from operations |  |  |  |  |  |  |  |  | 27,041 | 37,499 | 29,065
Care Enablement | Operating Segments | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 42,023 | 35,851 | 35,645
Care Enablement | Operating Segments | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 78,177 | 71,842 | 63,703
Care Partners | Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,051,521 | 709,714 | 638,865
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 944,792 | 607,081 | 545,340
General and administrative |  |  |  |  |  |  |  |  | 21,507 | 30,055 | 30,250
Expenses |  |  |  |  |  |  |  |  | 966,299 | 637,136 | 575,590
Income (loss) from operations |  |  |  |  |  |  |  |  | 85,222 | 72,578 | 63,275
Care Partners | Operating Segments | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,051,464 | 709,714 | 638,865
Care Partners | Operating Segments | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 57 | 0 | 0
Care Delivery | Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 96,132 | 46,691 | 26,070
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 73,927 | 37,537 | 22,568
General and administrative |  |  |  |  |  |  |  |  | 13,234 | 9,694 | 7,429
Expenses |  |  |  |  |  |  |  |  | 87,161 | 47,231 | 29,997
Income (loss) from operations |  |  |  |  |  |  |  |  | 8,971 | (540) | (3,927)
Care Delivery | Operating Segments | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 49,806 | 28,064 | 12,409
Care Delivery | Operating Segments | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 46,326 | 18,627 | 13,661
Other | Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 985 | 360 | 325
Cost of services, excluding depreciation and amortization |  |  |  |  |  |  |  |  | 258 | (242) | 130
General and administrative |  |  |  |  |  |  |  |  | 2,681 | 1,881 | 509
Expenses |  |  |  |  |  |  |  |  | 2,939 | 1,639 | 639
Income (loss) from operations |  |  |  |  |  |  |  |  | (1,954) | (1,279) | (314)
Other | Operating Segments | Third Party |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 870 | 286 | 261
Other | Operating Segments | Intersegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | $ 115 | $ 74 | $ 64

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