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3. Restricted Marketable Securities (Details) - Available For Sale - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Dec. 31, 2023
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost $ 38,916 $ 157,158
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 0 88
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 1,483 1,705
Debt Securities, Available-for-Sale, Allowance for Credit Loss 3 46
Restricted marketable securities 200,243 198,310
Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost 259,199 253,834
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 1 0
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 58,957 55,480
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 44
Restricted marketable securities $ 200,243 198,310
Minimum [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Contractual maturities of Debt securities, Available-for-sale, range start (in years) 7 years  
Maximum [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Contractual Maturities Of Debt securities, Available-for-sale, Range End (In Years) 15 years  
Foreign government obligations [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost $ 63,752 65,202
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 0 0
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 14,842 13,963
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 10
Restricted marketable securities 48,910 51,229
Supranational debt [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost 25,460 17,688
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 1 0
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 2,561 2,349
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 0
Restricted marketable securities 22,900 15,339
U.S. debt [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost 10,000 45,625
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 0 88
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 1,483 1,614
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 10
U.S. debt [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost 145,573 146,484
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 0 0
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 35,457 33,129
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 29
Restricted marketable securities 110,116 113,326
U.S. government obligations [Member] | Restricted Debt Securities [Member]    
Debt Securities, Available-for-sale [Line Items]    
Debt Securities, Available-for-sale, Amortized Cost 24,414 24,460
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax 0 0
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax 6,097 6,039
Debt Securities, Available-for-Sale, Allowance for Credit Loss 0 5
Restricted marketable securities $ 18,317 $ 18,416