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Medical Expenses Payable (Tables)
12 Months Ended
Dec. 31, 2025
Insurance [Abstract]  
Schedule of Medical Expenses Payable
The following table is a detail of medical expenses payable as of December 31, 2025 and 2024:
 December 31,
2025
December 31,
2024
Claims incurred but not paid$297,368 $168,357 
Capitation and risk-sharing payable85,083 52,016 
Other92,118 69,415 
Medical expenses payable$474,569 $289,788 
Schedule of Components of Change in Medical Expenses Payable
The following table presents components of the change in medical expenses payable as of December 31, 2025, 2024, and 2023 :
 December 31,
2025
December 31,
2024
December 31,
2023
Claims incurred but not paid - beginning balance$168,357 $95,664 $88,813 
Incurred related to:
Current year1,136,448 832,819 492,315 
Prior years(25,389)(9,245)(14,555)
Total incurred, net of reinsurance1,111,059 823,574 477,760 
Payments related to:
Current year848,206 670,471 400,465 
Prior years133,842 80,410 70,444 
Total payments, net of reinsurance982,048 750,881 470,909 
Claims incurred but not paid - ending balance297,368 168,357 95,664 
Capitation payable, risk-sharing payable, and other177,201 121,431 109,735 
Total medical expenses payable$474,569 $289,788 $205,399 
Schedule of Information About Incurred and Paid Claims Development
The following tables provide information about incurred and paid claims development as of December 31, 2025:
Cumulative Incurred Claims, Net of Reinsurance For the Years Ended December 31,
202320242025
Claims Incurred Year(in thousands)
2023$492,315 482,279 480,412 
2024832,819 809,297 
20251,136,448 
Total$2,426,157 
 Cumulative Claims Paid, Net of Reinsurance For the Years Ended December 31,
Cumulative Number of
Paid Claims(1)
202320242025
Claims Incurred Year(in thousands)
2023$400,465 479,148 478,999 540,426
2024670,471 804,462 1,036,274
2025848,206 1,268,147
Total$2,131,667 
(1) Cumulative number of paid claims are presented in whole amounts