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Related Parties - Atrio Health Plans (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025	Dec. 31, 2025
Related Parties
Revenue	$ 386,381	$ 355,788	$ 772,771	$ 729,013
Medical Expenses	300,377	351,350	636,401	723,393
Health Plan Settlement Receivables, Current	135,273		135,273		$ 92,458
Claims Payable, Current	228,980		228,980		287,790
Health Plans Settlements Payable, Current	11,386		11,386		69,830
Interest expense	7,862	10,145	24,628	18,870
Capitated revenue
Related Parties
Revenue	366,398	351,724	745,897	721,241
Other patient service revenue
Related Parties
Revenue	19,983	4,064	26,874	7,772
Related Party
Related Parties
Interest expense	2,760	6,764	13,645	11,657
Related Party \| Atrio
Related Parties
Medical Expenses	65,360	87,785	142,913	184,953
Health Plan Settlement Receivables, Current	32,974		32,974		12,693
Claims Payable, Current	132,332		132,332		178,141
Health Plans Settlements Payable, Current	2,142		2,142		2,409
Interest expense	676	479	1,413	937
Accrued expenses and other current liabilities	4,144		4,144		2,731
Related Party \| Atrio \| Capitated revenue
Related Parties
Revenue	88,487	76,862	185,808	152,242
Related Party \| Atrio \| Other patient service revenue
Related Parties
Revenue	1,014	1,355	2,706	2,697
Medical Expenses Recoveries	25,000		38,500
Related Party \| Anderson Family LLC
Related Parties
Medical Expenses	0		100
Accrued expenses and other current liabilities	0		0		200
Related Party \| Allymar Health Solutions
Related Parties
Medical Expenses	7,600	$ 700	10,600	$ 1,400
Accrued expenses and other current liabilities	$ 13,400		$ 13,400		$ 9,300