Variable Interest Entities - Schedule of Equity Method Investments (Details) - USD ($) $ in Thousands	Sep. 30, 2025	Dec. 31, 2024
Variable Interest Entity [Line Items]
Equity method investments	$ 90,469	$ 61,756
Equity method liabilities	(9,786)	(12,290)
Other Equity Methods
Variable Interest Entity [Line Items]
Equity method investments	9,369	9,365
ACO REACH
Variable Interest Entity [Line Items]
Equity method investments	$ 81,100	$ 52,391

This item represents the carrying amount on the entity's balance sheet of its investment in common stock of an equity method investee. This is not an indicator of the fair value of the investment, rather it is the initial cost adjusted for the entity's share of earnings and losses of the investee, adjusted for any distributions (dividends) and other than temporary impairment (OTTI) losses recognized.

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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