v3.26.3
Provider Liability (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period $ 469,516  
Claims paid    
Balance, end of period 572,498  
At-Risk Capitation Arrangements    
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period 78,989 $ 66,355
Incurred health care costs    
Current year 271,675 228,352
Prior years (12,387) (9,349)
Total claims incurred 259,288 219,003
Claims paid    
Current year (174,640) (159,911)
Prior years (58,217) (49,013)
Total claims paid (232,857) (208,924)
Balance, end of period $ 105,420 $ 76,434