Supplemental Financial Statement Information - Narrative (Details) - USD ($) $ in Thousands		3 Months Ended						12 Months Ended
	Feb. 26, 2023	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Sep. 30, 2022	Mar. 31, 2022	Dec. 31, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Impairment charge for goodwill						$ 89,100		$ 42,924	$ 94,643
Impairment of intangible assets								4,203	17,627
Goodwill							$ 5,500		5,403
Depreciation expense								6,500	7,800
Impairment charge on long-lived asset								2,800	4,000
Integrated Care Management
Property, Plant and Equipment [Line Items]
Impairment charge for goodwill		$ 34,600						34,600	87,500
Impairment of intangible assets								4,200	16,800
Impairment charge on long-lived asset								2,800
Services
Property, Plant and Equipment [Line Items]
Impairment charge for goodwill								6,400	1,600
Impairment of intangible assets									800
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Innovations Group
Property, Plant and Equipment [Line Items]
Loss on disposal group held for sale			$ 1,400					$ 1,900
Disposal Group, Held-for-sale, Not Discontinued Operations | Innovations Group
Property, Plant and Equipment [Line Items]
Loss on disposal group held for sale	$ 1,800			$ 500	$ 1,800				1,791
Property, plant and equipment, net					$ 4,602				$ 4,602