Variable Interest Entities - Schedule of Equity Method Investments (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Variable Interest Entity [Line Items]
Equity method investments	$ 39,170	$ 17,352
Equity method liabilities	0	(4,657)
Other Equity Methods
Variable Interest Entity [Line Items]
Equity method investments	9,114	8,329
ACO REACH
Variable Interest Entity [Line Items]
Equity method investments	$ 30,056	$ 9,023