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Quarterly Results of Operations (unaudited) (Details) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2021 | Sep. 30, 2021 | Jun. 30, 2021 | Mar. 31, 2021 | Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Quarterly Financial Data [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total revenue | $ 248,358 |  | $ 222,471 | $ 222,057 | $ 215,071 | $ 246,536 | $ 239,572 | $ 217,299 | $ 221,232 | $ 907,957 |  | $ 924,639 |  | $ 687,122 |
Total operating expenses | 260,572 |  | 229,052 | 229,728 | 231,016 | 246,804 | 256,020 | 443,128 | 246,323 | 950,368 |  | 1,192,275 |  | 996,007 |
Loss from continuing operations | 3,053 |  | (13,040) | (9,107) | (11,190) | (10,637) | (37,035) | (202,013) | (78,487) | (30,284) |  | (328,172) |  | (307,193) |
Income (loss) from discontinued operations, net of tax | (8,700) | [1] | 0 | 0 | 1,383 | (3,166) | (1,135) | (1,508) | (265) | (7,317) | [1] | (6,074) | [1] | 1,613 | [1]
Net loss attributable to non-controlling interests |  |  |  |  |  | 822 | (822) | 0 | 0 | 0 |  | 0 |  | (3,609) |
Net loss attributable to common shareholders of Evolent Health, Inc. - Basic | (5,647) |  | (13,040) | (9,107) | (9,807) | (14,625) | (37,348) | (203,521) | (78,752) | (37,601) |  | (334,246) |  | (301,971) |
Net loss attributable to common shareholders of Evolent Health, Inc. - Diluted | $ (5,647) |  | $ (13,040) | $ (9,107) | $ (9,807) | $ (14,625) | $ (37,348) | $ (203,521) | $ (78,752) | $ (37,601) |  | $ (334,246) |  | $ (301,971) |
Loss per common share |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Continuing operations, basic (in dollars per share) | $ 0.03 |  | $ (0.15) | $ (0.11) | $ (0.13) | $ (0.13) | $ (0.43) | $ (2.37) | $ (0.93) | $ (0.35) |  | $ (3.86) |  | $ (3.73) |
Continuing operations, diluted (in dollars per share) | 0.03 |  | (0.15) | (0.11) | (0.13) | (0.13) | (0.43) | (2.37) | (0.93) | (0.35) |  | (3.86) |  | (3.73) |
Discontinued operations, basic (in dollars per share) | (0.09) |  | 0 | 0 | 0.01 | (0.04) | (0.01) | (0.01) | 0 | (0.09) |  | (0.08) |  | 0.02 |
Discontinued operations, diluted (in dollars per share) | $ (0.09) |  | $ 0 | $ 0 | $ 0.01 | $ (0.04) | $ (0.01) | $ (0.01) | $ 0 | $ (0.09) |  | $ (0.08) |  | $ 0.02 |
[1] | Includes $6.8 million loss on disposal of discontinued operations for the year ended December 31, 2021

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