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Quarterly Results of Operations (unaudited) (Details) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2023 | Sep. 30, 2023 | Jun. 30, 2023 | Mar. 31, 2023 | Dec. 31, 2022 | Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Quarterly Financial Data [Abstract] |  |  |  |  |  |  |  |  |  |  |
Revenue | $ 556,055 | $ 511,015 | $ 469,136 | $ 427,690 | $ 382,432 | $ 352,585 | $ 319,939 | $ 297,057 |  |  |
Total operating expenses | 577,405 | 528,953 | 490,704 | 438,045 | 384,310 | 339,634 | 324,572 | 299,855 |  |  |
Loss before preferred dividends and accretion of Series A Preferred Stock | (33,411) | (25,324) | (34,323) | (19,982) |  |  |  |  | $ (113,040) | $ (19,164) | $ (37,601)
Dividends and accretion of Series A Preferred Stock | (7,984) | (7,872) | (7,088) | (6,276) |  |  |  |  | (29,220) | 0 | 0
Loss from continuing operations |  |  |  |  | (11,349) | 2,123 | (4,125) | (5,350) |  |  |
Dividends and accretion of Series A Preferred Stock |  |  |  |  | 0 | 0 | (463) | 0 |  |  |
Net (loss) attributable to common shareholders of Evolent Health, Inc. - Basic | (41,395) | (33,196) | (41,411) | (26,258) | (11,349) | 2,123 | (4,588) | (5,350) | (142,260) | (19,164) | (37,601)
Net (loss) attributable to common shareholders of Evolent Health, Inc., Inc. - Diluted | $ (41,395) | $ (33,196) | $ (41,411) | $ (26,258) | $ (11,349) | $ 2,123 | $ (4,588) | $ (5,350) | $ (142,260) | $ (19,164) | $ (37,601)
Loss per common share |  |  |  |  |  |  |  |  |  |  |
Basic (in dollars per share) | $ (0.36) | $ (0.30) | $ (0.37) | $ (0.24) | $ (0.11) | $ 0.02 | $ (0.05) | $ (0.06) | $ (1.28) | $ (0.20) | $ (0.44)
Diluted (in dollars per share) | $ (0.36) | $ (0.30) | $ (0.37) | $ (0.24) | $ (0.11) | $ 0.02 | $ (0.05) | $ (0.06) | $ (1.28) | $ (0.20) | $ (0.44)

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