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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 USD ($) Segment Unit | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Summary Of Significant Accounting Policies [Line Items] |  |  |
Number of reportable segments | Segment | 3 |  |
Amount deposit accounts exceeded FDIC insured limit | $ 332,200 | $ 318,900 |
Risk pool surplus or deficits, settlement period after performance year | 18 months |  |
Number of main reporting units | Unit | 4 |  |
Goodwill | $ 419,253 | 278,831 | $ 269,053
Impairment of intangible assets | 0 | 0 | 0
Investments in privately held entities | 8,896 | 6,396 |
Fiduciary accounts payable | 8,223 | 7,737 |
Total revenue | $ 2,034,540 | 1,386,661 | 1,144,163
Voting rights held (more than) | 50.00% |  |
ASU 2023-07 |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Change in Accounting Principle, Accounting Standards Update, Adopted [true false] | true |  |
Change in accounting principle, accounting standards update, adoption date | Jan. 01, 2024 |  |
PMPM |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Contract term | one year |  |
Risk Pool Settlements and Incentives |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Total revenue |  |  | 48,800
Management fee income |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Total revenue | $ 13,979 | $ 38,677 | $ 41,094
Care Enablement Segment Reporting Unit 1 |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Goodwill | $ 144,100 |  |
Minimum |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Useful Life (Years) | 3 years |  |
Percentage of ownership interest in voting stock of the investee | 20.00% |  |
Minimum | Management fee income |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Revenue, payment terms | 1 year |  |
Maximum |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Useful Life (Years) | 39 years |  |
Percentage of ownership interest in voting stock of the investee | 50.00% |  |
Maximum | Management fee income |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |
Revenue, payment terms | 30 years |  |

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