Quarterly report [Sections 13 or 15(d)]

Significant Accounting Policies - Revenue Recognition (Details)

v3.25.1
Significant Accounting Policies - Revenue Recognition (Details)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
USD ($)
customer
Mar. 31, 2024
USD ($)
Significant Accounting Policies    
Revenue $ 373,225 $ 388,488
Number of customers (customer) | customer 5  
Capitated Revenue [Member]    
Significant Accounting Policies    
Revenue $ 369,517 $ 384,134
Capitated Revenue [Member] | Revenue | Product Concentration Risk    
Significant Accounting Policies    
Percentage of total revenue (as a percent) 99.00% 98.90%
Health Care, Other [Member]    
Significant Accounting Policies    
Revenue $ 3,708 $ 4,354
Health Care, Other [Member] | Revenue | Product Concentration Risk    
Significant Accounting Policies    
Percentage of total revenue (as a percent) 1.00% 1.10%
Health Care Clinical Fees Insurance Revenue [Member]    
Significant Accounting Policies    
Revenue $ 992 $ 1,945
Health Care Clinical Fees Insurance Revenue [Member] | Revenue | Product Concentration Risk    
Significant Accounting Policies    
Percentage of total revenue (as a percent) 0.30% 0.50%
Health Care Coordination Management Fees [Member]    
Significant Accounting Policies    
Revenue $ 2,695 $ 2,390
Health Care Coordination Management Fees [Member] | Revenue | Product Concentration Risk    
Significant Accounting Policies    
Percentage of total revenue (as a percent) 0.70% 0.60%
Health Care Incentive Fees [Member]    
Significant Accounting Policies    
Revenue $ 21 $ 19
Health Care Incentive Fees [Member] | Revenue | Product Concentration Risk    
Significant Accounting Policies    
Percentage of total revenue (as a percent) 0.00% 0.00%