Variable Interest Entities - Summarized balance sheet (Details) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Current and total assets	$ 2,170,269	$ 1,697,468
Current and total liabilities	1,088,429	656,859
Direct Contracting Entities [Member]
Current and total assets	84,691	70,625
Current and total liabilities	$ 78,774	$ 67,343