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Investments in Other Entities - Schedule of Equity Method Investments (Details) - USD ($) $ in Thousands	3 Months Ended			9 Months Ended
	Sep. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Equity Method Investments [Roll Forward]
Beginning Balance	$ 33,276	$ 25,774	$ 45,832	$ 25,774	$ 40,299
Initial Investment	0		0	5,968	325
Allocation of Net Income (Loss)	1,353		(2,104)	2,887	3,104
Funding			700		700
Ending Balance	$ 34,629		$ 44,428	$ 34,629	$ 44,428
LaSalle Medical Associates – IPA line of business
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%		25.00%	25.00%	25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 11,027	9,866	$ 10,537	$ 9,866	$ 5,684
Initial Investment	0		0	0	0
Allocation of Net Income (Loss)	1,064		(2,211)	2,225	2,642
Funding			0		0
Ending Balance	$ 12,091		$ 8,326	$ 12,091	$ 8,326
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
% of Ownership	40.00%		40.00%	40.00%	40.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 1,648	1,691	$ 1,655	$ 1,691	$ 1,878
Initial Investment	0		0	0	0
Allocation of Net Income (Loss)	(29)		4	(72)	(219)
Funding			0		0
Ending Balance	$ 1,619		$ 1,659	$ 1,619	$ 1,659
531 W. College, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership			50.00%		50.00%
Equity Method Investments [Roll Forward]
Beginning Balance			$ 17,070		$ 17,281
Initial Investment			0		0
Allocation of Net Income (Loss)			(176)		(387)
Funding			700		700
Ending Balance			$ 17,594		$ 17,594
One MSO, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership			50.00%		50.00%
Equity Method Investments [Roll Forward]
Beginning Balance			$ 2,960		$ 2,718
Initial Investment			0		0
Allocation of Net Income (Loss)			88		330
Funding			0		0
Ending Balance			$ 3,048		$ 3,048
CAIPA MSO, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership	30.00%		30.00%	30.00%	30.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 14,100	$ 13,660	$ 13,190	$ 13,660	$ 12,738
Initial Investment	0		0	0	0
Allocation of Net Income (Loss)	203		123	643	575
Funding			0		0
Ending Balance	$ 14,303		$ 13,313	$ 14,303	$ 13,313
I Health, Inc.
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%	25.00%		25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 5,923	$ 0		$ 0
Initial Investment	0			5,968
Allocation of Net Income (Loss)	65			20
Ending Balance	$ 5,988			$ 5,988
Other
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%		25.00%	25.00%	25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 578	$ 557	$ 420	$ 557	$ 0
Initial Investment	0		0	0	325
Allocation of Net Income (Loss)	50		68	71	163
Funding			0		0
Ending Balance	$ 628		$ 488	$ 628	$ 488

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