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Segments | 12 Months Ended
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Dec. 31, 2023
Segment Reporting [Abstract] |
Segment Reporting | Segments The Company determined its operating segments in accordance with ASC 280, “Segment Reporting” (“ASC 280”). The Company currently has three reportable segments consisting of: 1) Care Partners; 2) Care Delivery; and 3) Care Enablement (See Note 1 – Description of Business). The Company’s reportable segments changed from one to three in the first quarter of 2023 as a result of certain changes to the information regularly provided to the Company’s chief operating decision maker when reviewing the Company’s performance as well as an effort to provide additional transparency to investors and other financial statement users which the Company believes will assist in the evaluation of changes in the operating results of the Company’s segments separate from non-operational factors that affect net income, thus providing insight into both operations and other factors impacting reported results. 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 operations are based in the United States. All revenues of the Company are derived from the United States. The Company’s segments are not evaluated using asset information. The Company’s 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. Under relevant accounting guidance, while the Company’s Care Partners – IPAs and Care Partners – ACO are two operating segments, they share similar economic characteristics and meet other criteria, which permits the Company to aggregate them into a single reportable segment, which the Company has done. Revenue for this segment is primarily comprised of capitation and risk pool settlements and incentives. The Company’s 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. The Company’s 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 to enable success in the delivering of high-quality, value-based care for providers and payers. 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. Other is not a reportable segment and primarily consists of real estate operations and other entities that are individually immaterial. Revenue is primarily comprised of equipment sales and real estate revenue is presented in other income. In the normal course of business, the Company’s reportable segments enter into transactions with each other. 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 our segments and prior periods have been recast to conform to the current presentation (in thousands):
|  | Year Ended December 31, 2023
|  | Care Partners |  | Care Delivery |  | Care Enablement |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party |  | $ | 1,284,081 |  |  | $ | 61,600 |  |  | $ | 40,227 |  |  | $ | 753 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,386,661 |
Intersegment |  | 16,031 |  |  | 58,304 |  |  | 95,597 |  |  | 184 |  |  | (170,116) |  |  | — |  |  | — |
Total revenues |  | 1,300,112 |  |  | 119,904 |  |  | 135,824 |  |  | 937 |  |  | (170,116) |  |  | — |  |  | 1,386,661 |
Cost of services |  | 1,182,484 |  |  | 96,265 |  |  | 59,075 |  |  | 296 |  |  | (166,417) |  |  | — |  |  | 1,171,703 |
General and administrative(1) |  | 25,907 |  |  | 17,766 |  |  | 57,672 |  |  | 3,752 |  |  | (7,923) |  |  | 33,171 |  |  | 130,345 |
Total expenses |  | 1,208,391 |  |  | 114,031 |  |  | 116,747 |  |  | 4,048 |  |  | (174,340) |  |  | 33,171 |  |  | 1,302,048 |
Income (loss) from operations |  | $ | 91,721 |  |  | $ | 5,873 |  |  | $ | 19,077 |  |  | $ | (3,111) |  |  | $ | 4,224 |  | (2) | $ | (33,171) |  |  | $ | 84,613 |
|  | Year Ended December 31, 2022
|  | Care Partners |  | Care Delivery |  | Care Enablement |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party |  | $ | 1,051,464 |  |  | $ | 49,806 |  |  | $ | 42,023 |  |  | $ | 870 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,144,163 |
Intersegment |  | 57 |  |  | 46,326 |  |  | 78,177 |  |  | 115 |  |  | (124,675) |  |  | — |  |  | — |
Total revenues |  | 1,051,521 |  |  | 96,132 |  |  | 120,200 |  |  | 985 |  |  | (124,675) |  |  | — |  |  | 1,144,163 |
Cost of services |  | 944,792 |  |  | 73,927 |  |  | 51,531 |  |  | 258 |  |  | (125,823) |  |  | — |  |  | 944,685 |
General and administrative(1) |  | 21,507 |  |  | 13,234 |  |  | 41,628 |  |  | 2,681 |  |  | (3,150) |  |  | 19,313 |  |  | 95,213 |
Total expenses |  | 966,299 |  |  | 87,161 |  |  | 93,159 |  |  | 2,939 |  |  | (128,973) |  |  | 19,313 |  |  | 1,039,898 |
Income (loss) from operations |  | $ | 85,222 |  |  | $ | 8,971 |  |  | $ | 27,041 |  |  | $ | (1,954) |  |  | $ | 4,298 |  | (2) | $ | (19,313) |  |  | $ | 104,265 |
|  | Year Ended December 31, 2021
|  | Care Partners |  | Care Delivery |  | Care Enablement |  | Other |  | Intersegment Elimination |  | Corporate Costs |  | Consolidated Total
Third Party |  | $ | 709,714 |  |  | $ | 28,064 |  |  | $ | 35,851 |  |  | $ | 286 |  |  | $ | — |  |  | $ | — |  |  | $ | 773,915 |
Intersegment |  | — |  |  | 18,627 |  |  | 71,842 |  |  | 74 |  |  | (90,543) |  |  | — |  |  | — |
Total revenues |  | 709,714 |  |  | 46,691 |  |  | 107,693 |  |  | 360 |  |  | (90,543) |  |  | — |  |  | 773,915 |
Cost of services |  | 607,081 |  |  | 37,537 |  |  | 41,557 |  |  | (242) |  |  | (89,791) |  |  | — |  |  | 596,142 |
General and administrative(1) |  | 30,055 |  |  | 9,694 |  |  | 28,637 |  |  | 1,881 |  |  | (3,097) |  |  | 12,424 |  |  | 79,594 |
Total expenses |  | 637,136 |  |  | 47,231 |  |  | 70,194 |  |  | 1,639 |  |  | (92,888) |  |  | 12,424 |  |  | 675,736 |
Income (loss) from operations |  | $ | 72,578 |  |  | $ | (540) |  |  | $ | 37,499 |  |  | $ | (1,279) |  |  | $ | 2,345 |  | (2) | $ | (12,424) |  |  | $ | 98,179 |
(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 -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-15 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-31 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-42 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-40 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//280/tableOfContent Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-26 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-34 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 + Details
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