Medical Claims and Related Payables - Narrative (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables	$ 929,770	$ 931,664
Current Liabilities Held For Sale And Discontinued Operations
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables			$ 45,900
Prepaid Expenses and Other Current Assets
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables	$ 34,500	$ 13,300