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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) | 1 Months Ended | 3 Months Ended | 6 Months Ended |
--- | --- | --- | --- | ---
Apr. 30, 2020 USD ($) | Jun. 30, 2021 USD ($) | Jun. 30, 2021 USD ($) segment unit | Jun. 30, 2020 USD ($) | Dec. 31, 2020 USD ($)
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Number of operating segments | segment |  |  | 1 |  |
Number of reportable segments | segment |  |  | 1 |  |
Amount deposit accounts exceeded FDIC insured limit |  | $ 268,200,000 | $ 268,200,000 |  | $ 294,900,000
Marketable securities – certificates of deposit |  | 67,200,000 | 67,200,000 |  | 67,637,000
Equity securities |  | 119,900,000 | 119,900,000 |  | 36,200,000
Equity securities, FV-NI, unrealized gain |  | 83,800,000 | $ 83,800,000 |  |
Risk pool surplus or deficits, settlement period after risk pool performance year |  |  | 18 months |  |
Impairment of finite-lived intangible assets |  |  | $ 0 | $ 0 |
Impairment of long-lived assets |  |  | $ 0 | 0 |
Number of main reporting units | unit |  |  | 3 |  |
Impairment of goodwill |  |  | $ 0 | 0 |
Impairment of indefinite-lived intangible assets |  |  | 0 | $ 0 |
Goodwill |  | 239,053,000 | 239,053,000 |  | 239,053,000
Fiduciary accounts payable |  | 9,092,000 | 9,092,000 |  | 9,642,000
Payments received, monthly |  |  | 8,000,000.0 |  |
Payments received |  | 24,300,000 | 48,100,000 |  |
Payments received, revenue |  | 14,100,000 | 31,200,000 |  |
Contract liabilities |  | 29,594,000 | 29,594,000 |  | 12,988,000
Certificates of Deposit |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Marketable securities – certificates of deposit |  | 67,200,000 | 67,200,000 |  | 67,600,000
Universal Care Acquisition Partners, LLC | Universal Care Inc |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Ownership interest disposed | 48.90% |  |  |  |
Contingent consideration, cash held in escrow | $ 15,600,000 |  |  |  |
Contingent consideration, preferred shares | 6,400,000 |  |  |  |
Contingent consideration, fair value | 22,000,000.0 |  |  |  |
APC | Universal Care Inc |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Additional cash consideration entitled to be received | $ 15,700,000 |  |  |  |
Write off of additional proceeds |  | 15,700,000 | 15,700,000 |  |
Universal Care Acquisition Partners, LLC | APC |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Ownership interest | 100.00% |  |  |  |
Accounts Payable and Accrued Expenses |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Accrued contract liability recognized |  |  | 400,000 |  |
Other long-term liabilities | Interest rate swap | Cash flow hedges: | Derivatives designated as hedging instruments: |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Derivative liability, fair value |  | $ 1,200,000 | $ 1,200,000 |  | $ 0
PMPM Managed Care Contract |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Contract term |  |  | one year |  |
Management Fee Income Contract |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Contract term |  |  | 10 years |  |
CMS |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Expected period of payment upon termination of agreement |  |  | 30 days |  |
Minimum | Certificates of Deposit |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Short-term marketable securities, maturity period |  |  | 4 months |  |
Maximum | Certificates of Deposit |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |
Short-term marketable securities, maturity period |  |  | 24 months |  |

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