Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023
Medical Liabilities [Roll Forward]
Medical liabilities, beginning of year	$ 106,657	$ 81,255
Acquired	89,341	6,157
Components of medical care costs related to claims incurred:
Current period	1,261,281	867,970
Prior periods	1,147	(12,672)
Total medical care costs	1,262,428	855,298
Payments for medical care costs related to claims incurred:
Current period	(1,067,017)	(759,354)
Prior periods	(105,790)	(70,597)
Claims paid for acquired balance	(76,580)	(6,102)
Total paid	(1,249,387)	(836,053)
Medical liabilities, end of year	$ 209,039	$ 106,657