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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) | 1 Months Ended | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | --- | ---
Sep. 30, 2021 USD ($) | Sep. 30, 2022 USD ($) | Sep. 30, 2021 USD ($) | Sep. 30, 2022 USD ($) segment unit | Sep. 30, 2021 USD ($) | Dec. 31, 2021 USD ($) | Apr. 30, 2020
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 |  | $ 247,300,000 |  | $ 247,300,000 |  | $ 285,900,000 |
Marketable securities – certificates of deposit |  | 25,128,000 |  | $ 25,128,000 |  | 25,024,000 |
Payments to acquire common stock and warrants | $ 3,000,000 |  |  |  |  |  |
Contingent equity securities, percentage |  |  |  | 0.00% |  |  |
Equity securities |  | 8,153,000 |  | $ 8,153,000 |  | 28,393,000 |
Unrealized gains (losses) recognized on equity securities held at end of period |  | (6,251,000) | $ 62,000,000 | $ (18,866,000) | $ 21,781,000 |  |
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 |  |
Fiduciary accounts payable |  | 6,506,000 |  | 6,506,000 |  | 10,534,000 |
Equity securities, unrealized loss |  |  | (1,700,000) |  | (2,800,000) |  |
Revenue |  | 317,001,000 | 227,117,000 | 849,955,000 | 578,815,000 |  |
Contract liabilities |  | 544,000 |  | 544,000 |  | 16,798,000 |
Accounts Payable and Accrued Expenses |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Accrued contract liability recognized |  |  |  | 16,800,000 |  |  |
Interest rate swap |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Derivative assets |  | 3,231,000 |  | 3,231,000 |  |  |
Contingent Equity Securities |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Derivative assets |  | 1,500,000 |  | 1,500,000 |  | 4,270,000 |
Contingent equity securities |  | 1,500,000 |  | 1,500,000 |  | 4,300,000 |
Cash flow hedges: | Interest rate swap | Other Noncurrent Assets | Derivatives designated as hedging instruments: |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Derivative asset, fair value |  | 3,200,000 |  | 3,200,000 |  |  |
Cash flow hedges: | Interest rate swap | Other long-term liabilities | Derivatives designated as hedging instruments: |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Derivative liability, fair value |  |  |  |  |  | 1,100,000 |
Certificates of Deposit |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Marketable securities – certificates of deposit |  | 25,100,000 |  | $ 25,100,000 |  | $ 25,000,000 |
Universal Care Acquisition Partners, LLC | Universal Care Inc |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Ownership interest disposed |  |  |  |  |  |  | 48.90%
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] |  |  |  |  |  |  |
Revenue |  | 10,030,000 | $ 9,652,000 | $ 30,487,000 | $ 26,345,000 |  |
Risk Pool Settlements and Incentives |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Revenue |  | $ 48,800,000 |  | $ 48,800,000 |  |  |
Clinigence Holdings, Inc. |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Payments to acquire common stock and warrants | $ 3,000,000 |  |  |  |  |  |
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 |  |  |
Minimum | Management Fee Income Contract |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Contract term |  |  |  | one |  |  |
Maximum | Certificates of Deposit |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Short-term marketable securities, maturity period |  |  |  | 24 months |  |  |
Maximum | Management Fee Income Contract |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |
Contract term |  |  |  | ten years |  |  |

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