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Segments (Tables)
12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Financial Information Attributable to the Company's Business Segments The following table sets forth certain financial information from continuing operations attributable to the Company’s business segments for the years ended December 31, 2021, 2020 and 2019 (in thousands):
 
 Year Ended December 31, 2021
 NEMTPersonal CareRPMMatrix
Investment
Total
Service revenue, net$1,483,696 $495,579 $17,617 $— $1,996,892 
Grant income— 5,441 — — 5,441 
Service expense1,186,185 392,508 5,605 — 1,584,298 
General and administrative expense195,332 70,163 5,771 — 271,266 
Depreciation and amortization29,058 23,759 4,181 — 56,998 
Operating income$73,121 $14,590 $2,060 $— $89,771 
Equity in net loss of investee$— $— $— $53,092 $53,092 
Equity investment$— $— $— $83,069 $83,069 
Goodwill$135,216 $552,833 $236,738 $— $924,787 
Total assets$583,429 $1,020,014 $340,913 $83,069 $2,027,425 
 
 Year Ended December 31, 2020
 NEMTPersonal CareMatrix InvestmentTotal
Service revenue, net$1,314,705 $53,970 $— $1,368,675 
Service expense1,036,288 42,507 — 1,078,795 
General and administrative expense133,212 7,327 — 140,539 
Depreciation and amortization24,516 1,667 — 26,183 
Operating income$120,689 $2,469 $— $123,158 
Equity in net income of investee$— $— $(8,860)$(8,860)
Equity investment$— $— $137,466 $137,466 
Goodwill$135,216 $309,711 $— $444,927 
Total assets$594,952 $693,495 $137,466 $1,425,913 

 Year Ended December 31, 2019
 NEMTMatrix InvestmentTotal
Service revenue, net$1,509,944 $— $1,509,944 
Service expense1,401,152 — 1,401,152 
General and administrative expense67,244 — 67,244 
Depreciation and amortization16,816 — 16,816 
Operating income$24,732 $— $24,732 
Equity in net loss of investee$— $29,685 $29,685 
Equity investment$— $130,869 $130,869 
Goodwill$135,216 $— $135,216 
Total assets$466,357 $130,869 $597,226