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Medical Liabilities (Details) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Medical Liabilities [Roll Forward]    
Medical liabilities, beginning of period $ 209,039 $ 106,657
Acquired 114,922 32,106
Components of medical care costs related to claims incurred:    
Current period 1,368,556 793,501
Prior periods (4,711) (4,513)
Total medical care costs 1,363,845 788,988
Payments for medical care costs related to claims incurred:    
Current period (1,076,400) (638,728)
Prior periods (184,598) (101,859)
Claims paid for acquired balance (92,839) (26,885)
Total paid (1,353,837) (767,472)
Medical liabilities, end of period $ 333,969 $ 160,279