Quarterly report pursuant to Section 13 or 15(d)

Variable Interest Entities

Variable Interest Entities
3 Months Ended
Mar. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Variable Interest Entities
7.    Variable Interest Entities

As discussed in Note 2, the PC entities were established to employ healthcare providers, contract with managed care payors and to deliver healthcare services to patients in the markets that the Company serves. Activities include but are not limited to operational support of the centers, marketing, information technology infrastructure and the sourcing and managing of health plan contracts.

The Company evaluated whether it has a variable interest in the PCs, whether the PCs are VIEs, and whether the Company has a controlling financial interest in the PCs. The following illustrate the assets, liabilities and performance of the PCs during the periods presented:
As of March 31, 2023
As of December 31, 2022
(in thousands) $ $
Total assets 128,196  137,675 
Total liabilities 231,374  228,283 

For the Three Months Ended March 31, 2023
For the Three Months Ended March 31, 2022
(in thousands) $ $
Total revenues 130,761  127,138 
Operating expenses:
Claims expense (127,680) (118,985)
Clinical care delivery expense (7,932) (8,912)
Sales, general and administrative expenses (8,668) (14,352)
Depreciation and amortization expenses —  (659)
Premium deficiency reserve income 4,484  14,028