Goodwill - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($) segment	Sep. 30, 2023 USD ($) segment	Sep. 30, 2022 USD ($)
Goodwill [Line Items]
Impairment of property and equipment, goodwill, intangible assets, and other long-lived assets			$ 41,000
Impairments		$ 89,100	$ 40,989	$ 94,600
Number of operating business segments | segment		2	3
Measurement period adjustments				5,500
Integrated Care Management
Goodwill [Line Items]
Impairment of property and equipment, goodwill, intangible assets, and other long-lived assets	$ 34,600		$ 34,600
Impairments		$ 87,500		87,500
Services
Goodwill [Line Items]
Impairment of property and equipment, goodwill, intangible assets, and other long-lived assets			$ 6,400
Impairments		$ 1,600		$ 1,600