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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) | 1 Months Ended | 3 Months Ended | 12 Months Ended
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Sep. 30, 2021 USD ($) | Apr. 30, 2020 USD ($) | Dec. 31, 2022 USD ($) | Sep. 30, 2022 USD ($) | Jun. 30, 2022 USD ($) | Mar. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Sep. 30, 2021 USD ($) | Jun. 30, 2021 USD ($) | Mar. 31, 2021 USD ($) | Dec. 31, 2022 USD ($) segment units | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($)
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of operating segments | segment |  |  |  |  |  |  |  |  |  |  | 3 |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  |  |  | 3 |  |  |
Amount deposit accounts exceeded FDIC insured limit |  |  | $ 324,700,000 |  |  |  | $ 285,900,000 |  |  |  | $ 324,700,000 | $ 285,900,000 |  |
Marketable securities – certificates of deposit |  |  |  |  |  |  | 25,024,000 |  |  |  |  | 25,024,000 |  |
Marketable securities – equity securities |  |  | 5,567,000 |  |  |  | 28,393,000 |  |  |  | $ 5,567,000 | 28,393,000 |  |
Risk pool surplus or deficits, settlement period after performance year |  |  |  |  |  |  |  |  |  |  | 18 months |  |  |
Number of main reporting units | units |  |  |  |  |  |  |  |  |  |  | 3 |  |  |
Goodwill | $ 236,730,000 |  | 269,053,000 | $ 250,860,000 | $ 246,688,000 | $ 245,757,000 | 246,416,000 | $ 236,730,000 | $ 232,431,000 | $ 232,431,000 | $ 269,053,000 | 246,416,000 | $ 232,430,000 |
Impairment of intangible assets |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0 |
Impairment of goodwill |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0 |
Fiduciary accounts payable |  |  | $ 8,065,000 |  |  |  | 10,534,000 |  |  |  | $ 8,065,000 | 10,534,000 |  |
Derivative Liability, Statement of Financial Position [Extensible Enumeration] |  |  | Other long-term liabilities |  |  |  |  |  |  |  | Other long-term liabilities |  |  |
Contingent equity securities, percentage |  |  |  |  |  |  |  |  |  |  | 0.00% |  |  |
Equity securities, unrealized loss |  |  |  |  |  |  |  |  |  |  | $ 2,400,000 | 0 |  |
Total revenue |  |  | $ 294,208,000 | 317,001,000 | $ 269,697,000 | $ 263,258,000 | 195,100,000 | $ 227,117,000 | $ 175,638,000 | $ 176,058,000 | 1,144,163,000 | 773,915,000 | 687,180,000 |
Contract liabilities |  |  | 531,000 |  |  |  | 16,798,000 |  |  |  | $ 531,000 | 16,798,000 |  |
Voting rights held (more than) |  |  |  |  |  |  |  |  |  |  | 50.00% |  |  |
Healthcare Delivery |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | $ 116,500,000 |  |  |  |  |  |  |  |  |  |
Contingent equity securities |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent equity securities |  |  | 1,900,000 |  |  |  | 4,300,000 |  |  |  | $ 1,900,000 | 4,300,000 |  |
Interest rate swaps |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Derivative liability |  |  |  |  |  |  | 1,071,000 |  |  |  |  | 1,071,000 |  |
Accounts Payable and Accrued Expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue recognized |  |  |  |  |  |  |  |  |  |  | 16,800,000 |  |  |
Other Noncurrent Assets | Interest rate swaps | Cash Flow Hedging | Designated as Hedging Instrument |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Derivative asset, fair value |  |  | 3,200,000 |  |  |  |  |  |  |  | 3,200,000 |  |  |
Level 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketable securities – certificates of deposit |  |  |  |  |  |  | 0 |  |  |  |  | 0 |  |
Marketable securities – equity securities |  |  | 0 |  |  |  | 4,270,000 |  |  |  | $ 0 | 4,270,000 |  |
Level 2 | Warrants |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Derivative liability |  |  |  |  |  |  | 1,100,000 |  |  |  |  | 1,100,000 |  |
Level 2 | Interest rate swaps |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Derivative liability |  |  |  |  |  |  | 1,071,000 |  |  |  |  | 1,071,000 |  |
APC | UCAP |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |
Certificates of Deposit |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketable securities, current, maturity period (greater than) |  |  |  |  |  |  |  |  |  |  | 4 months |  |  |
Marketable securities – certificates of deposit |  |  | $ 0 |  |  |  | 25,000,000 |  |  |  | $ 0 | 25,000,000 |  |
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 |  |  |
PMPM |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contract term |  |  |  |  |  |  |  |  |  |  | one year |  |  |
Management contracts |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  |  |  | $ 41,094,000 | 35,959,000 | $ 34,850,000 |
NGACO |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contract liabilities |  |  |  |  |  |  | $ 16,300,000 |  |  |  |  | 16,300,000 |  |
Risk Pool Settlements and Incentives |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  |  |  | 48,800,000 |  |  |
Universal Care Inc | UCAP |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest disposed |  | 48.90% |  |  |  |  |  |  |  |  |  |  |  |
Universal Care Inc | APC |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Additional proceeds to be received from sale of equity method investments, if circumstances met |  | $ 15,700,000 |  |  |  |  |  |  |  |  |  |  |  |
PASC |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Impairment of investments |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 0 |  | $ 0
Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property and equipment, useful life |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |
Minimum | Management contracts |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue, payment terms |  |  |  |  |  |  |  |  |  |  | 1 year |  |  |
Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property and equipment, useful life |  |  |  |  |  |  |  |  |  |  | 39 years |  |  |
Maximum | Management contracts |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue, payment terms |  |  |  |  |  |  |  |  |  |  | 10 years |  |  |

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