NOTE 3 TOTAL REVENUE

The Company’s total revenue is dependent on a series of contracts with third-party payors, which is typical for providers in the healthcare industry. The Company has determined that the nature, amount, timing and uncertainty of revenue and cash flows are affected by the payor mix with third-party payors which have different reimbursement rates.

The payor mix of fee-for-service revenue from patients and third-party payors consists of the following:

 

 

Year Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

 

 

Amount

 

 

% of Total Revenue

 

 

Amount

 

 

% of Total Revenue

 

 

Amount

 

 

% of Total Revenue

 

Commercial

 

$

1,281,322

 

 

 

90

%

 

$

1,137,919

 

 

 

91

%

 

$

960,128

 

 

 

91

%

Government

 

 

76,141

 

 

 

5

%

 

 

57,882

 

 

 

5

%

 

 

44,653

 

 

 

4

%

Self-pay

 

 

56,194

 

 

 

4

%

 

 

43,883

 

 

 

3

%

 

 

40,797

 

 

 

4

%

Total patient service
   revenue

 

 

1,413,657

 

 

 

99

%

 

 

1,239,684

 

 

 

99

%

 

 

1,045,578

 

 

 

99

%

Nonpatient service
   revenue

 

 

10,628

 

 

 

1

%

 

 

11,286

 

 

 

1

%

 

 

10,087

 

 

 

1

%

Total

 

$

1,424,285

 

 

 

100

%

 

$

1,250,970

 

 

 

100

%

 

$

1,055,665

 

 

 

100

%

Among the commercial payors, the table below represents insurance companies that individually represented 10% or more of revenue:

 

 

Year Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

Payor A

 

 

14

%

 

 

17

%

 

 

19

%

Payor B

 

 

15

%

 

 

15

%

 

 

13

%

Historical Timeline

Fiscal YearFiled
2025Feb 25, 2026Showing above
2024Feb 27, 2025
2023Feb 28, 2024
2022Mar 9, 2023
2021Mar 17, 2022

About Revenue Disclosures

Revenue disclosures under ASC 606 explain how a company identifies performance obligations, allocates transaction prices, and determines when revenue is recognized. This section is essential for understanding whether reported revenue reflects genuine economic activity or aggressive accounting choices. Analysts examine the mix of point-in-time versus over-time recognition, which directly affects revenue timing and comparability.

Key signals: rising contract liabilities (deferred revenue) suggest strong future revenue visibility, while declining contract assets may indicate slowing project milestones. Watch for variable consideration estimates — rebates, returns, and performance bonuses that require management judgment. Significant changes in disaggregated revenue by geography or product line can reveal shifting business mix before it appears in headline numbers. Compare revenue growth against contract liability growth to assess sustainability, and scrutinize any changes in the timing of recognition that coincide with earnings pressure.