v3.26.1
Operating Segments - Schedule of Revenue by Operating Segment (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Mar. 31, 2026
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Customer, Extent of Reliance [Line Items]            
Premiums earned, net (net of ceded premiums) $ 737,767   $ 469,826   $ 1,481,956 $ 926,732
Net medical claims incurred 590,165   377,992   1,179,813 731,434
Segment gross profit 28,001 $ 27,334 (10,578) $ (1,274) 55,335 (11,852)
Other income 5,400   7,794   10,400 13,219
Depreciation and amortization (564)   (394)   (1,079) (860)
Change in fair value of warrants 0   (19)   0 (19)
Net income (loss) 28,001   (10,578)   55,335 (11,852)
Operating segments | Insurance segment            
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Customer, Extent of Reliance [Line Items]            
Premiums earned, net (net of ceded premiums) 737,767   469,826   1,481,956 926,732
Net medical claims incurred 615,422   394,212   1,225,423 762,100
Segment gross profit 122,345   75,614   256,533 164,632
Elimination of intersegment profits 25,257   16,220   45,610 30,666
Other income 5,400   7,794   10,400 13,219
Salaries and benefits (54,138)   (61,309)   (111,201) (120,331)
General and administrative expenses (70,299)   (48,484)   (144,928) (99,159)
Depreciation and amortization (564)   (394)   (1,079) (860)
Change in fair value of warrants 0   (19)   0 (19)
Net income (loss) $ 28,001   $ (10,578)   $ 55,335 $ (11,852)