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Goodwill and Intangible Assets, Net - Intangible Assets, Net (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]      
Gross Carrying Amount $ 442,376 $ 398,034  
Accumulated Amortization 162,592 133,042  
Total future amortization of intangible assets 279,784 264,992  
Amortization of intangible assets 29,400 32,300 $ 37,100
Discontinued Operations, Disposed of by Sale | True Health      
Finite-Lived Intangible Assets [Line Items]      
Intangible assets, net   3,080  
Amortization of intangible assets $ 200 $ 600 $ 600
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 $ 25,800 $ 23,300  
Accumulated Amortization 7,693 6,271  
Total future amortization of intangible assets $ 18,107 $ 17,029  
Customer relationships      
Finite-Lived Intangible Assets [Line Items]      
Weighted- Average Remaining Useful Life 14 years 10 months 24 days 16 years 2 months 12 days  
Gross Carrying Amount $ 311,019 $ 278,519  
Accumulated Amortization 72,697 57,716  
Total future amortization of intangible assets $ 238,322 $ 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 2 years 1 year 9 months 18 days  
Gross Carrying Amount $ 87,922 $ 82,922  
Accumulated Amortization 73,378 63,507  
Total future amortization of intangible assets $ 14,544 $ 19,415  
Below market lease, net      
Finite-Lived Intangible Assets [Line Items]      
Weighted- Average Remaining Useful Life 1 year 3 months 18 days 2 years 3 months 18 days  
Gross Carrying Amount $ 1,218 $ 1,118  
Accumulated Amortization 950 648  
Total future amortization of intangible assets $ 268 $ 470  
Provider network contracts      
Finite-Lived Intangible Assets [Line Items]      
Weighted- Average Remaining Useful Life 2 years 2 months 12 days 2 years 10 months 24 days  
Gross Carrying Amount $ 16,417 $ 12,175  
Accumulated Amortization 7,874 4,900  
Total future amortization of intangible assets $ 8,543 $ 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