v3.26.1
Provider Liability (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Beginning balance $ 469,516  
Claims paid    
Ending balance 518,629  
At-Risk Capitation Arrangements    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Beginning balance 78,989 $ 66,355
Incurred health care costs    
Current year 81,143 70,565
Prior years 435 (954)
Total claims incurred 81,578 69,611
Claims paid    
Current year (2,088) (10,273)
Prior years (53,239) (39,332)
Total claims paid (55,327) (49,605)
Ending balance $ 105,240 $ 86,361