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Credit Facility, Bank Loans, and Lines of Credit - Credit Facility (Details) - USD ($) |  |  | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | ---
Nov. 03, 2023 | Jun. 16, 2021 | Dec. 31, 2023 | Nov. 30, 2023 | Sep. 08, 2023 | Dec. 31, 2022
Line of Credit Facility [Line Items] |  |  |  |  |  |
Long-term line of credit |  |  | $ 282,000,000 |  |  |
Deferred financing costs |  |  | 6,100,000 |  |  | $ 3,300,000
Unamortized deferred financing costs |  |  | 3,561,000 |  |  | $ 3,319,000
Line of Credit | Astrana Medical |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Long-term line of credit |  |  | 545,000,000 |  |  |
Revolver Loan |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Commitment fee |  | $ 50,000 |  |  |  |
Repayments of debt |  |  | $ 180,000,000 |  |  |
Proceeds from (repayments of) bank overdrafts | $ 120,000,000 |  |  |  |  |
New Term Loan |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Required annual facility fee |  |  | 0.375% |  |  |
Unamortized deferred financing costs |  |  | $ 2,600,000 |  |  |
Amended Credit Agreement | Revolver Loan |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Interest rate at end of period |  |  | 7.69% |  |  |
Revolving credit facility term |  | 5 years |  |  |  |
Amended Credit Agreement | Revolver Loan | Line of Credit |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Maximum loan availability |  | $ 400,000,000 |  |  |  |
Amended Credit Agreement | Letter of Credit | Line of Credit |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Maximum loan availability |  | $ 25,000,000 |  |  | $ 50,000,000 |
Credit Agreement |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Maximum consolidated leverage ratio |  |  | 3.75 |  |  |
Debt covenant, aggregate purchase price, maximum |  |  | $ 75,000,000 |  |  |
Consolidated leverage ratio, annual change |  |  | 0.25 |  |  |
Maximum adjusted consolidated leverage ratio |  |  | 4.00 |  |  |
Minimum consolidated interest coverage ratio |  |  | 3.25 |  |  |
Amended and Restated Credit Agreement |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Proceeds from issuance of debt |  |  | $ 280,000,000 |  |  |
Amended and Restated Credit Agreement | Line of Credit | Truist Bank |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Line of credit facility, amount funded at closing | $ 300,000,000 |  |  |  |  |
Amended and Restated Credit Agreement | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period One |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Interest rate on debt | 5.00% |  |  |  |  |
Amended and Restated Credit Agreement | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period Two |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Interest rate on debt | 7.50% |  |  |  |  |
Amended and Restated Credit Agreement | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period Three |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Interest rate on debt | 10.00% |  |  |  |  |
Amended and Restated Credit Agreement | Revolver Loan |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Deferred financing costs |  |  |  | $ 3,900,000 |  |
Minimum | Amended Credit Agreement |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Required annual facility fee |  | 0.175% |  |  |  |
Minimum | Amended Credit Agreement | Standby Letters of Credit |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Required annual facility fee |  | 1.25% |  |  |  |
Minimum | Amended Credit Agreement | Secured Overnight Financing Rate |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  | 1.25% | 1.50% |  |  |
Minimum | Amended Credit Agreement | Base Rate |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  | 0.25% | 0.50% |  |  |
Maximum | Amended Credit Agreement |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Required annual facility fee |  | 0.35% |  |  |  |
Maximum | Amended Credit Agreement | Standby Letters of Credit |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Required annual facility fee |  | 2.50% |  |  |  |
Maximum | Amended Credit Agreement | Secured Overnight Financing Rate |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  | 2.50% | 2.75% |  |  |
Maximum | Amended Credit Agreement | Base Rate |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  | 1.50% | 1.75% |  |  |

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- Definition Debt Instrument, Covenant, Leverage Ratio, Adjusted Maximum + References No definition available. + Details
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- Definition Line Of Credit Facility, Amount Funded At Closing + References No definition available. + Details
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- Definition Unamortized Deferred Financing Costs + References No definition available. + Details
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- Definition Contractual interest rate for funds borrowed, under the debt agreement. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1B -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147481139/470-20-50-1B Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 + Details
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- Definition Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
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- Definition Amount of unamortized debt discount (premium) and debt issuance costs. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 69B -Publisher FASB -URI https://asc.fasb.org//1943274/2147481568/470-20-55-69B Reference 2: http://www.xbrl.org/2003/role/exampleRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 69C -Publisher FASB -URI https://asc.fasb.org//1943274/2147481568/470-20-55-69C Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1D -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147481139/470-20-50-1D Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482925/835-30-45-3 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 470 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (b)(2) -Publisher FASB -URI https://asc.fasb.org//1943274/2147481139/470-20-50-4 + Details
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- Definition Amount, after accumulated amortization, of debt issuance costs related to line of credit arrangements. Includes, but is not limited to, legal, accounting, underwriting, printing, and registration costs. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section S45 -Paragraph 1 -SubTopic 30 -Topic 835 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479359/835-30-S45-1 + Details
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- Definition The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -SubTopic 10 -Topic 210 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 944 -SubTopic 210 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(a)(16)(a)(2)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479440/944-210-S99-1 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 942 -SubTopic 210 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479853/942-210-S99-1 + Details
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- Definition Amount of the fee for available but unused credit capacity under the credit facility. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 + Details
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- Definition The fee, expressed as a percentage of the line of credit facility, for the line of credit facility regardless of whether the facility has been used. + References No definition available. + Details
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- Definition The effective interest rate at the end of the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 + Details
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 235 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08(f)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480678/235-10-S99-1 + Details
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- Definition Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 + Details
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- Definition The cash inflow during the period from additional borrowings in aggregate debt. Includes proceeds from short-term and long-term debt. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 14 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-14 + Details
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