ACO REACH (Tables)

3 Months Ended

Mar. 31, 2025

Direct Contracting [Abstract]

Schedule Of Performance Guarantees

The tables below include the financial statement impacts of the performance guarantee at March 31, 2025 and December 31, 2024 and for the three-month periods ended March 31, 2025 and 2024 (in thousands):

	March 31, 2025		December 31, 2024
ACO REACH performance year receivable(1)	$	468,346	$	95,075
ACO REACH performance year obligation	382,478		—

(1)     As of March 31, 2025, we estimate there to be in-network and out-of-network claims incurred by beneficiaries aligned to our REACH ACOs but not reported of $76.1 million related to performance year 2025 and $2.3 million related to performance year 2024; this is included in medical costs payable on the Condensed Consolidated Balance Sheets.

	Three Months Ended March 31,
	2025		2024
Amortization of ACO REACH performance year receivable(1)	$	136,699	$	175,460
Amortization of ACO REACH performance year obligation	(127,493)		(176,552)
ACO REACH revenue	124,040		171,811

(1)     The amortization of the ACO REACH performance year receivable includes $83.6 million and $111.3 million related to the amortization of the prior year receivable for the three months ended March 31, 2025 and 2024, respectively.