XML 105 R94.htm IDEA: XBRL DOCUMENT v3.25.3
Reserve for Claims and Performance-Based Arrangements (Details) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period $ 318,705 $ 404,048
Incurred health care costs:    
Current year to date period (1) 690,793 1,117,071
Prior year to date period (26,646) (25,897)
Total claims incurred 664,147 1,091,174
Claims paid related to:    
Current year to date period (536,384) (829,864)
Prior year to date period (234,816) (352,671)
Total claims paid (771,200) (1,182,535)
Balance, end of period $ 211,652 312,687
True-down in claims expense   $ 41,700