Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($) Segment Unit	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of reportable segments | Segment	3
Amount deposit accounts exceeded FDIC insured limit	$ 332,200	$ 318,900
Risk pool surplus or deficits, settlement period after performance year	18 months
Number of main reporting units | Unit	4
Goodwill	$ 419,253	278,831	$ 269,053
Impairment of intangible assets	0	0	0
Investments in privately held entities	8,896	6,396
Fiduciary accounts payable	8,223	7,737
Total revenue	$ 2,034,540	1,386,661	1,144,163
Voting rights held (more than)	50.00%
ASU 2023-07
Summary Of Significant Accounting Policies [Line Items]
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]	true
Change in accounting principle, accounting standards update, adoption date	Jan. 01, 2024
PMPM
Summary Of Significant Accounting Policies [Line Items]
Contract term	one year
Risk Pool Settlements and Incentives
Summary Of Significant Accounting Policies [Line Items]
Total revenue			48,800
Management fee income
Summary Of Significant Accounting Policies [Line Items]
Total revenue	$ 13,979	$ 38,677	$ 41,094
Care Enablement Segment Reporting Unit 1
Summary Of Significant Accounting Policies [Line Items]
Goodwill	$ 144,100
Minimum
Summary Of Significant Accounting Policies [Line Items]
Useful Life (Years)	3 years
Percentage of ownership interest in voting stock of the investee	20.00%
Minimum | Management fee income
Summary Of Significant Accounting Policies [Line Items]
Revenue, payment terms	1 year
Maximum
Summary Of Significant Accounting Policies [Line Items]
Useful Life (Years)	39 years
Percentage of ownership interest in voting stock of the investee	50.00%
Maximum | Management fee income
Summary Of Significant Accounting Policies [Line Items]
Revenue, payment terms	30 years