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Loss Per Common Share - Schedule of Computation of Basic and Diluted Earnings Per Share (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Earnings Per Share [Abstract]    
Loss before preferred dividends and accretion of Series A Preferred Stock $ (64,618) $ (17,280)
Dividends and accretion of Series A Preferred Stock (7,632) (7,945)
Net loss attributable to common shareholders of Evolent Health, Inc. - basic (72,250) (25,225)
Net loss attributable to common shareholders of Evolent Health, Inc. - diluted $ (72,250) $ (25,225)
Weighted-average common shares outstanding - basic (in shares) 115,315 114,141
Weighted-average common shares outstanding - diluted (in shares) 115,315 114,141
Basic and diluted    
Basic (in dollars per share) $ (0.63) $ (0.22)
Diluted (in dollars per share) $ (0.63) $ (0.22)