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Related-Party Transactions - Fees Incurred and Income Received (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Related Party Transaction [Line Items]        
Receipts, net $ 13,062 $ 10,579 $ 37,969 $ 36,112
AHMC        
Related Party Transaction [Line Items]        
AHMC – Risk pool, capitation, claims payment 13,532 10,712 39,317 36,505
Receipts, net 13,600 21,500 38,900 47,100
HSMSO        
Related Party Transaction [Line Items]        
Management fees (395) (33) (1,123) (141)
Aurion        
Related Party Transaction [Line Items]        
Management fees $ (75) $ (100) $ (225) $ (252)