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Segments | 12 Months Ended
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Dec. 31, 2022
Segment Reporting [Abstract] |
Segment Reporting | Segments (Recasted) As a result of certain changes to the information regularly provided to the Company’s CODMs when reviewing the Company’s performance, as well as in an effort to provide additional transparency to investors and other financial statement users, the Company began providing reporting for the following three segments in the first quarter of 2023. The Company is recasting segment reporting information previously presented in the Company’s Annual Reports on Form 10-K for the fiscal year ended December 31, 2022 to account for the revision of the three new reportable segments. The Company evaluates the performance of its operating segments based on segment revenue growth as well as operating income. Management uses revenue growth and total segment operating income as a measure of the performance of operating businesses separate from non-operating factors. The Company’s segments are not evaluated using asset information. As of December 31, 2022, the three segments are: Care Enablement, Care Partners, and Care Delivery. Care Enablement The Care Enablement segment is an integrated, end-to-end clinical and administrative platform, powered by the Company’s proprietary technology suite, which provides operational, clinical, financial, technology, management, and strategic services in order to enable success in the delivery of high-quality, value-based care for providers and payers. The Company provides solutions to providers, including independent physicians, provider and medical groups, and accountable care organizations, and payers, including health plans and other risk-bearing organizations. The platform meets providers and payers where they are, with a wide spectrum of solutions across the total cost of care risk spectrum, ranging from solutions for fee-for-service entities to global risk-bearing entities, and across patient type, including Medicare, Medicaid, commercial, and exchange-insured patients. This segment includes the wholly owned subsidiaries which operate as management services organizations, NMM and AMM, which enter into long-term management and/or administrative services agreements with providers and payers. By leveraging the Company’s care enablement platform, providers and payers can improve their ability to deliver high-quality care to their patients and achieve better patient outcomes. Revenue for this segment is primarily comprised of management and software fees, charged as a percentage of gross revenue or on a per-member-per-month basis. Care Partners The Care Partners segment is focused on building and managing high-quality and high-performance provider networks by partnering with, empowering, and investing in strong provider partners with a shared vision for coordinated care delivery. By leveraging the Company’s unique care enablement platform and ability to recruit, empower, and incentivize physicians to effectively manage total cost of care, the Company is able to organize partnered providers into successful multi-payer risk-bearing organizations which take on varying levels of risk based on total cost of care across membership in all lines of business, including Medicare, Medicaid, commercial, and exchange. Through the Company’s network of IPAs and ACOs the Company’s healthcare delivery entities are responsible for coordinating and delivering high quality care to patients. Under relevant accounting guidance, while IPAs and ACO are two operating segments, they share similar economic characteristics and meet other criteria which permit us to aggregate them into a single reportable segment, which the Company did. Revenue for this segment is primarily comprised of capitation and risk pool settlements and incentives. The Company’s consolidated IPAs consist of the following: (i) APC, (ii) Alpha Care, (iii) Accountable Health Care, (iv) Jade, (v) APCMG, and (vi) AAMG. The Company’s ACO operates under the APAACO brand and participates in the CMS program that allows provider groups to assume higher levels of financial risk and potentially achieve a higher reward from participation in the program’s attribution-based risk-sharing model. Care Delivery The Care Delivery segment is a patient-centric, data-driven care delivery organization focused on delivering high-quality and accessible care to all patients. The care delivery organization includes primary care, multi-specialty care, and ancillary care services. Revenue is primarily earned based on fee-for-service reimbursements, capitation, and performance-based incentives. This segment includes primary care clinics, operating under the AMG, a Professional Medical Corporation (“AMG”) and Valley Oaks Medical Group (“VOMG”) brands, multi-specialty care clinics and medical groups, operating under the ApolloMed Hospitalists, a Medical Corporation (“AMH”), Southern California Heart Centers, a Medical Corporation (“SCHC”), and AllCare Women’s Health brands, and ancillary service providers, operating under the 1 World Medicine Urgent Care Corporation (“1 World”), DMG, Concourse Diagnostic Surgery Center, LLC (“CDSC”), and Sun Clinical Laboratories (“Sun Labs”) brands. Other is not a reportable segment and primarily consists of real estate operations and other entities that are individually immaterial. Revenue is comprised of equipment sales. Real estate revenue is presented in other income. In the normal course of business, the reportable segments enter into transactions with each another. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues recognized by a segment and expenses incurred by the counterparty are eliminated in consolidation and do not affect consolidated results. Corporate costs are unallocated and primarily include corporate initiatives, corporate infrastructure costs and corporate shared costs, such as finance, human resources, legal, and executives. The following table presents information about the Company’s segments and have been recasted (in thousands):
| Twelve Months Ended December 31, 2022
| Care Enablement |  | Care Partners |  | Care Delivery |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party | $ | 42,023 |  |  | $ | 1,051,464 |  |  | $ | 49,806 |  |  | $ | 870 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,144,163 |
Intersegment | 78,177 |  |  | 57 |  |  | 46,326 |  |  | 115 |  |  | (124,675) |  |  | — |  |  | — |
Total revenues | 120,200 |  |  | 1,051,521 |  |  | 96,132 |  |  | 985 |  |  | (124,675) |  |  | — |  |  | 1,144,163 |
Cost of services | 51,531 |  |  | 944,792 |  |  | 73,927 |  |  | 258 |  |  | (125,823) |  |  | — |  |  | 944,685 |
General and administrative(1) | 41,628 |  |  | 21,507 |  |  | 13,234 |  |  | 2,681 |  |  | (3,150) |  |  | 19,313 |  |  | 95,213 |
Total expenses | 93,159 |  |  | 966,299 |  |  | 87,161 |  |  | 2,939 |  |  | (128,973) |  |  | 19,313 |  |  | 1,039,898 |
Income (loss) from operations | $ | 27,041 |  |  | $ | 85,222 |  |  | $ | 8,971 |  |  | $ | (1,954) |  |  | $ | 4,298 |  | (2) | $ | (19,313) |  |  | $ | 104,265 |
| Twelve Months Ended December 31, 2021
| Care Enablement |  | Care Partners |  | Care Delivery |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party | $ | 35,851 |  |  | $ | 709,714 |  |  | $ | 28,064 |  |  | $ | 286 |  |  | $ | — |  |  | $ | — |  |  | $ | 773,915 |
Intersegment | 71,842 |  |  | — |  |  | 18,627 |  |  | 74 |  |  | (90,543) |  |  | — |  |  | — |
Total revenues | 107,693 |  |  | 709,714 |  |  | 46,691 |  |  | 360 |  |  | (90,543) |  |  | — |  |  | 773,915 |
Cost of services | 41,557 |  |  | 607,081 |  |  | 37,537 |  |  | (242) |  |  | (89,791) |  |  | — |  |  | 596,142 |
General and administrative(1) | 28,637 |  |  | 30,055 |  |  | 9,694 |  |  | 1,881 |  |  | (3,097) |  |  | 12,424 |  |  | 79,594 |
Total expenses | 70,194 |  |  | 637,136 |  |  | 47,231 |  |  | 1,639 |  |  | (92,888) |  |  | 12,424 |  |  | 675,736 |
Income (loss) from operations | $ | 37,499 |  |  | $ | 72,578 |  |  | $ | (540) |  |  | $ | (1,279) |  |  | $ | 2,345 |  | (2) | $ | (12,424) |  |  | $ | 98,179 |
| Twelve Months Ended December 31, 2020
| Care Enablement |  | Care Partners |  | Care Delivery |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party | $ | 35,645 |  |  | $ | 638,865 |  |  | $ | 12,409 |  |  | $ | 261 |  |  | $ | — |  |  | $ | — |  |  | $ | 687,180 |
Intersegment | 63,703 |  |  | — |  |  | 13,661 |  |  | 64 |  |  | (77,428) |  |  | — |  |  | — |
Total revenues | 99,348 |  |  | 638,865 |  |  | 26,070 |  |  | 325 |  |  | (77,428) |  |  | — |  |  | 687,180 |
Cost of services | 47,040 |  |  | 545,340 |  |  | 22,568 |  |  | 130 |  |  | (75,867) |  |  | — |  |  | 539,211 |
General and administrative(1) | 23,243 |  |  | 30,250 |  |  | 7,429 |  |  | 509 |  |  | (2,499) |  |  | 8,534 |  |  | 67,466 |
Total expenses | 70,283 |  |  | 575,590 |  |  | 29,997 |  |  | 639 |  |  | (78,366) |  |  | 8,534 |  |  | 606,677 |
Income (loss) from operations | $ | 29,065 |  |  | $ | 63,275 |  |  | $ | (3,927) |  |  | $ | (314) |  |  | $ | 938 |  | (2) | $ | (8,534) |  |  | $ | 80,503 |
(1) Balance includes general and administrative expenses and depreciation and amortization. (2) Income from operations for the intersegment elimination represents rental income from segments renting from other segments. Rental income is presented within other income which is not presented in the table.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8981-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9031-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (f) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (e) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8844-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9038-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (d) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8736-108599 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9054-108599 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 15 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8657-108599 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI https://asc.fasb.org/topic&trid=2134510 + Details
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