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Segment Reporting - Revenue from Segments to Consolidated (Details) - USD ($)
$ 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
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues $ 248,358 $ 222,471 $ 222,057 $ 215,071 $ 246,536 $ 239,572 $ 217,299 $ 221,232 $ 907,957 $ 924,639 $ 687,122
Adjusted EBITDA                 66,317 48,573 (13,831)
Evolent Health Services                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 311,627 385,134 409,531
Adjusted EBITDA                 17,063 57,731 (561)
Clinical Solutions                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 598,144 542,279 278,217
Adjusted EBITDA                 82,920 26,864 12,523
Intersegment Eliminations                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 (1,814) (2,774) (626)
Operating Segments                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 907,957 924,639 687,122
Adjusted EBITDA                 99,983 84,595 11,962
Corporate                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 0 0 0
Adjusted EBITDA                 (33,666) (36,022) (25,793)
Transformation services                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues [1]                 11,204 11,990 15,203
Transformation services | Evolent Health Services                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 11,204 11,990 15,203
Transformation services | Clinical Solutions                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 0 0 0
Transformation services | Intersegment Eliminations                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 0 0 0
Transformation services | Operating Segments                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 11,204 11,990 15,203
Transformation services | Corporate                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 0 0 0
Platform and operations services                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues [1]                 896,753 912,649 671,919
Platform and operations services | Evolent Health Services                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 300,423 373,144 394,328
Platform and operations services | Clinical Solutions                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 598,144 542,279 278,217
Platform and operations services | Intersegment Eliminations                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 (1,814) (2,774) (626)
Platform and operations services | Operating Segments                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 896,753 912,649 671,919
Platform and operations services | Corporate                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Revenues                 $ 0 $ 0 $ 0
[1] See Note 20 for amounts attributable to unconsolidated related parties included in these line items.