XML 56 R45.htm IDEA: XBRL DOCUMENT v3.24.1.u1
Medical Claims and Related Payables - Summary Changes in Medical Claims and Related Payables (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Medical claims and related payables, beginning of the year $ 723,071 $ 339,749
Components of incurred costs related to:    
Incurred cost related to claims 1,443,842 972,827
Claims paid related to:    
Claims paid related (912,029) (579,046)
Medical claims and related payables, end of the period 1,254,884 733,530
Continuing Operations    
Components of incurred costs related to:    
Current year 1,427,328 872,973
Prior years 16,514 24,599
Claims paid related to:    
Current year (316,779) (223,425)
Prior years (595,250) (278,688)
Discontinued Operations    
Components of incurred costs related to:    
Current year 0 71,333
Prior years 0 3,922
Claims paid related to:    
Current year 0 (34,793)
Prior years $ 0 $ (42,140)