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Revenue Recognition - Schedule of Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Disaggregation of Revenue [Line Items]      
Revenue [1] $ 1,963,896 $ 1,352,013 $ 907,957
Evolent Health Services Segment      
Disaggregation of Revenue [Line Items]      
Revenue 1,963,896 1,352,013 907,957
Evolent Health Services Segment | Performance Suite      
Disaggregation of Revenue [Line Items]      
Revenue 1,214,661 808,642 550,959
Evolent Health Services Segment | Specialty Technology and Services Suite      
Disaggregation of Revenue [Line Items]      
Revenue 296,366 51,898 42,501
Evolent Health Services Segment | Administrative Services      
Disaggregation of Revenue [Line Items]      
Revenue 296,244 407,523 309,803
Evolent Health Services Segment | Cases      
Disaggregation of Revenue [Line Items]      
Revenue 156,625 83,950 4,694
Evolent Health Services Segment | Medicaid      
Disaggregation of Revenue [Line Items]      
Revenue 785,053 559,362 421,069
Evolent Health Services Segment | Medicare      
Disaggregation of Revenue [Line Items]      
Revenue 708,853 458,413 407,331
Evolent Health Services Segment | Commercial and other      
Disaggregation of Revenue [Line Items]      
Revenue $ 469,990 $ 334,238 $ 79,557
[1] See Note 20 for amounts attributable to unconsolidated related parties included in these line items.