Variable Interest Entities - Summarized balance sheet (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Current and total assets	$ 1,697,468	$ 1,586,252
Current and total liabilities	656,859	494,656
Direct Contracting Entities [Member]
Current and total assets	70,625	80,890
Current and total liabilities	$ 67,343	$ 88,033