Variable Interest Entities - Narrative (Details) $ in Millions	3 Months Ended
	Mar. 31, 2024 USD ($) investment entity partner geography	Dec. 31, 2023 USD ($)
Variable Interest Entity [Line Items]
Number of geographies | geography	13
Surety Bond
Variable Interest Entity [Line Items]
Long-term debt | $	$ 25.1	$ 25.1
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity [Line Items]
Number of wholly-owned risk-bearing entities | entity	34
Number of direct contracting entities | entity	10
Number of physician group partners | partner	15
Variable Interest Entity, Not Primary Beneficiary
Variable Interest Entity [Line Items]
Number of equity method investments for VIEs | investment	11
Variable Interest Entity, Not Primary Beneficiary | Surety Bond
Variable Interest Entity [Line Items]
Long-term debt | $	$ 103.0	$ 38.5