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Credit Facility, Bank Loans, and Lines of Credit - Additional Information (Details)
1 Months Ended 3 Months Ended 6 Months Ended
Apr. 01, 2024
USD ($)
Nov. 03, 2023
USD ($)
Jun. 16, 2021
USD ($)
May 31, 2021
USD ($)
Jun. 30, 2024
USD ($)
FinancialRatio
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
FinancialRatio
Jun. 30, 2023
USD ($)
Mar. 31, 2024
Dec. 31, 2023
USD ($)
Sep. 08, 2023
USD ($)
Sep. 10, 2019
USD ($)
Debt Instrument [Line Items]                        
Amount outstsnding         $ 446,052,000   $ 446,052,000     $ 282,000,000    
Average effective interest rate             7.17% 5.93%        
Loan from company         446,052,000   $ 446,052,000          
Deferred financing costs         5,200,000   5,200,000     6,100,000    
Unamortized deferred financing costs         4,046,000   4,046,000     3,561,000    
Interest expense         8,587,000 $ 3,632,000 $ 16,172,000 $ 6,901,000        
Minimum | Secured Overnight Financing Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate             1.50%          
Minimum | Base Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate             0.50%          
Maximum | Secured Overnight Financing Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate             2.75%          
Maximum | Base Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate             1.75%          
Revolver Loan                        
Debt Instrument [Line Items]                        
Amount outstsnding         $ 146,700,000   $ 146,700,000          
Repayments             $ 180,000,000          
Proceeds from (repayments of) bank overdrafts   $ 120,000,000                    
I Health, Inc.                        
Debt Instrument [Line Items]                        
% of Ownership         25.00%   25.00%   25.00%      
Amended Credit Agreement | Minimum | Secured Overnight Financing Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate     1.25%                  
Amended Credit Agreement | Minimum | Base Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate     0.25%                  
Amended Credit Agreement | Maximum | Secured Overnight Financing Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate     2.50%                  
Amended Credit Agreement | Maximum | Base Rate                        
Debt Instrument [Line Items]                        
Basis spread on variable rate     1.50%                  
Amended Credit Agreement | Revolver Loan                        
Debt Instrument [Line Items]                        
Revolving credit facility term     5 years                  
Maximum loan availability     $ 400,000,000                  
Interest rate         7.43%   7.43%          
Credit Agreement Amendment | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period One                        
Debt Instrument [Line Items]                        
Interest rate (as a percent)   5.00%                    
Credit Agreement Amendment | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period Two                        
Debt Instrument [Line Items]                        
Interest rate (as a percent)   7.50%                    
Credit Agreement Amendment | Secured Debt | Truist Bank | Debt Instrument, Redemption, Period Three                        
Debt Instrument [Line Items]                        
Interest rate (as a percent)   10.00%                    
Credit Agreement                        
Debt Instrument [Line Items]                        
Amount outstsnding         $ 289,000,000   $ 289,000,000          
Average effective interest rate             7.43%          
Number of key financial ratios | FinancialRatio         2   2          
Maximum consolidated leverage ratio (not greater than)         3.75   3.75          
Debt covenant, aggregate purchase price, maximum         $ 75,000,000   $ 75,000,000          
Consolidated leverage ratio, annual decrease         0.25   0.25          
Debt instrument, covenant, leverage ratio, adjusted maximum         4.00   4.00          
Minimum consolidated interest coverage ratio (not less than)             3.25          
Subordinated Loan Agreement | Subordinated Debt                        
Debt Instrument [Line Items]                        
Basis spread on variable rate       1.00%                
Debt, principal sum       $ 2,000,000                
I Health Promissiory Note                        
Debt Instrument [Line Items]                        
Proceeds from promissory note $ 8,300,000                      
Interest rate (as a percent) 4.30%                      
Letter of Credit | Astrana Medical                        
Debt Instrument [Line Items]                        
Loan from company         $ 545,000,000   $ 545,000,000          
Letter of Credit | Amended Credit Agreement                        
Debt Instrument [Line Items]                        
Maximum loan availability     $ 25,000,000               $ 50,000,000  
Letter of Credit | Credit Agreement Amendment | Truist Bank                        
Debt Instrument [Line Items]                        
Amount funded at closing   $ 300,000,000                    
New Term Loan                        
Debt Instrument [Line Items]                        
Unamortized deferred financing costs         1,200,000   1,200,000     $ 2,600,000    
Line of Credit | APC Business Loan Agreement | Preferred Bank | Allied Pacific Of California IPA                        
Debt Instrument [Line Items]                        
Maximum loan availability                       $ 4,100,000
Standby Letters of Credit | Allied Pacific Of California IPA                        
Debt Instrument [Line Items]                        
Maximum loan availability         3,900,000   $ 3,900,000          
Term of facility             1 year          
Standby Letters of Credit | Amended Credit Agreement | Truist Bank                        
Debt Instrument [Line Items]                        
Maximum loan availability         $ 31,800,000   $ 31,800,000          
Term of facility             1 year