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Goodwill and Intangible Assets, Net - Intangible Assets, Net (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]          
Gross Carrying Amount $ 400,323   $ 400,323   $ 398,034
Accumulated Amortization 155,254   155,254   133,042
Total future amortization of intangible assets 245,069   245,069   264,992
Amortization of intangible assets 7,400 $ 7,200 $ 22,100 $ 24,900  
Discontinued Operations, Disposed of by Sale | True Health          
Finite-Lived Intangible Assets [Line Items]          
Intangible assets, net         $ 3,080
Amortization of intangible assets   $ 200   $ 500  
Corporate trade name          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     12 years 4 months 24 days   13 years 2 months 12 days
Gross Carrying Amount 23,300   $ 23,300   $ 23,300
Accumulated Amortization 7,306   7,306   6,271
Total future amortization of intangible assets 15,994   $ 15,994   $ 17,029
Customer relationships          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     15 years 4 months 24 days   16 years 2 months 12 days
Gross Carrying Amount 278,519   $ 278,519   $ 278,519
Accumulated Amortization 68,483   68,483   57,716
Total future amortization of intangible assets 210,036   $ 210,036   $ 220,803
Customer relationships | Discontinued Operations, Disposed of by Sale | True Health          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life         15 years
Intangible assets, net         $ 2,200
Technology          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     1 year 8 months 12 days   1 year 9 months 18 days
Gross Carrying Amount 82,922   $ 82,922   $ 82,922
Accumulated Amortization 71,460   71,460   63,507
Total future amortization of intangible assets 11,462   $ 11,462   $ 19,415
Below market lease, net          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     1 year 7 months 6 days   2 years 3 months 18 days
Gross Carrying Amount 1,218   $ 1,218   $ 1,118
Accumulated Amortization 899   899   648
Total future amortization of intangible assets 319   $ 319   $ 470
Provider network contracts          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     2 years 3 months 18 days   2 years 10 months 24 days
Gross Carrying Amount 14,364   $ 14,364   $ 12,175
Accumulated Amortization 7,106   7,106   4,900
Total future amortization of intangible assets $ 7,258   $ 7,258   $ 7,275
Provider network contracts | Discontinued Operations, Disposed of by Sale | True Health          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life         10 months
Intangible assets, net         $ 900