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Earnings (Loss) Per Common Share - Computation of Earnings per Share (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ 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
Earnings Per Share [Abstract]                      
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 income (loss)                 (37,601) (334,246) (305,580)
Less:                      
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. (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. $ (5,647) $ (13,040) $ (9,107) $ (9,807) $ (14,625) $ (37,348) $ (203,521) $ (78,752) $ (37,601) $ (334,246) $ (301,971)
Weighted-average common shares outstanding - basic (in shares)                 86,067 84,928 82,364
Weighted-average common shares outstanding - diluted (in shares)                 86,067 84,928 82,364
Loss per common share, Basic and diluted                      
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, diluted (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, basic (in dollars per share) $ (0.09) $ 0 $ 0 $ 0.01 $ (0.04) $ (0.01) $ (0.01) $ 0 (0.09) (0.08) 0.02
Non-controlling interests, diluted (in dollars per share)                 0 0 0.04
Non-controlling interests, basic (in dollars per share)                 0 0 0.04
Diluted loss per share attributable to common shareholders of Evolent Health, Inc. (in dollars per share)                 (0.44) (3.94) (3.67)
Basic loss per share attributable to common shareholders of Evolent Health, Inc. (in dollars per share)                 $ (0.44) $ (3.94) $ (3.67)
[1] Includes $6.8 million loss on disposal of discontinued operations for the year ended December 31, 2021