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  "notes": "Includes a footnote defining Adjusted EBITDA and a text box with additional guidance context.",
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      "text": "Updating guidance provided on August 12; includes DCE; excludes the impact of potential acquisitions. Q3 2021 medical claims expense ratio was 75.6%. For full year of 2021, we continue to expect a medical claims expense ratio of ~75%.",
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      "text": "Total Membership, Total Revenues, Adjusted EBITDA, Medical Claims Expense Ratio, Total Owned Medical Centers, De Novo Openings",
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