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Revenue Recognition - Schedule of Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Disaggregation of Revenue [Line Items]        
Revenue [1] $ 479,533 $ 621,401 $ 1,407,510 $ 1,908,199
Evolent Health Services Segment        
Disaggregation of Revenue [Line Items]        
Revenue 479,533 621,400 1,407,510 1,908,199
Evolent Health Services Segment | Performance Suite        
Disaggregation of Revenue [Line Items]        
Revenue 286,935 435,100 857,873 1,344,920
Evolent Health Services Segment | Specialty Technology and Services Suite        
Disaggregation of Revenue [Line Items]        
Revenue 93,263 85,474 257,485 255,992
Evolent Health Services Segment | Administrative Services        
Disaggregation of Revenue [Line Items]        
Revenue 57,811 59,396 170,882 178,735
Evolent Health Services Segment | Cases        
Disaggregation of Revenue [Line Items]        
Revenue 41,524 41,430 121,270 128,552
Evolent Health Services Segment | Medicaid        
Disaggregation of Revenue [Line Items]        
Revenue 227,535 214,627 608,677 646,819
Evolent Health Services Segment | Medicare        
Disaggregation of Revenue [Line Items]        
Revenue 128,714 238,527 353,074 794,160
Evolent Health Services Segment | Commercial and other        
Disaggregation of Revenue [Line Items]        
Revenue $ 123,284 $ 168,246 $ 445,759 $ 467,220
[1] See Note 18 for amounts attributable to unconsolidated related parties included in these line items.