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Variable Interest Entities - Summary of Operating Results (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Subsidiary or Equity Method Investee [Line Items]        
Total revenues $ 694,858 $ 458,613 $ 2,018,437 $ 1,370,673
Medical services expense (618,287) (414,202) (1,771,635) (1,217,039)
Other medical expenses 50,659 29,454 144,512 86,809
Net income (loss) (30,668) (35,843) (50,087) (349,766)
Medical Services Revenue        
Subsidiary or Equity Method Investee [Line Items]        
Total revenues 693,934 457,646 2,015,541 1,367,736
Direct Contracting Entities        
Subsidiary or Equity Method Investee [Line Items]        
Medical services expense (231,910) (135,529) (735,924) (287,683)
Other medical expenses [1] (9,215) (6,468) (34,019) (13,624)
Net income (loss) [2] (4,361) (117) 3,345 1,723
Direct Contracting Entities | Medical Services Revenue        
Subsidiary or Equity Method Investee [Line Items]        
Total revenues $ 241,408 $ 144,931 $ 786,171 $ 308,915
[1] For the three months ended September 30, 2022 and 2021, includes physician incentive expenses of $2.9 million and $2.5 million, respectively. For the nine months ended September 30, 2022 and 2021, includes physician incentive expenses of $15.0 million and $6.1 million, respectively
[2] Included in Other income (expense) in the consolidated statements of operations.