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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2021
Accounting Policies [Abstract]  
Summary of Revenue
The Company’s revenue from its revenue streams described in the preceding paragraphs for the years ended December 31, 2021, 2020 and 2019 was as follows:
 
    
2021
   
2020
   
2019
 
(in thousands)
  
Revenue $
    
Revenue
%
   
Revenue $
    
Revenue
%
   
Revenue $
    
Revenue
%
 
Capitated revenue
               
Medicare
   $ 1,334,308        82.9   $ 672,588        80.9   $ 279,788        77.4
Other capitated
     194,812        12.1     123,785        14.9     61,113        16.9
  
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Total capitated revenue
     1,529,120        95.0     796,373        95.8     340,901        94.3
  
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Fee-for-service
and other revenue
               
Fee-for-service
     25,383        1.6     9,504        1.1     5,769        1.6
Pharmacy
     36,306        2.3     23,079        2.8     12,897        3.6
Other
     18,560        1.1     2,620        0.3     1,817        0.5
  
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Total
fee-for-service
and other revenue
     80,249        5.0     35,203        4.2     20,483        5.7
  
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Total revenue
   $ 1,609,369        100.0   $ 831,576        100.0   $ 361,384        100.0
  
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Schedules of Concentration of Risk
Contracts with three of the HMOs accounted for the following amounts:
 
    
As of and for the years ended December 31,
 
    
2021
   
2020
   
2019
 
Revenues
     59.9     69.9     60.0
Accounts receivable
     43.3     47.9     48.8
Summary of Account Receivable Balance
Accounts receivable balances are summarized below:
 
    
As of,
 
(in thousands)
  
December 31, 2021
    
December 31, 2020
 
Accounts receivable
   $ 227,889      $ 112,799  
Medicare risk adjustment
     21,072        7,842  
Unpaid service provider costs
     (115,528      (53,288
  
 
 
    
 
 
 
Accounts receivable, net
   $ 133,433      $ 67,353  
  
 
 
    
 
 
 
Summary of Activity in Unpaid Service Provider Cost For The Period
Activity in unpaid service provider costs for the years ended December 31, 2021 and 2020 is summarized below:
 
(in thousands)
  
2021
    
2020
 
Balance as of January 1,
  
$
54,524
 
  
$
19,968
 
Incurred related to:
     
Current year
     861,226        380,194  
Prior years
     5,494        752  
  
 
 
    
 
 
 
     866,720        380,946  
Paid related to:
     
Current year
     732,117        325,670  
Prior years
     60,018        20,720  
  
 
 
    
 
 
 
     792,135        346,390  
  
 
 
    
 
 
 
Balance as of December 31,
  
$
129,109
 
  
$
54,524