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Credit Facility, Bank Loans, and Lines of Credit - Additional Information (Details)
1 Months Ended 6 Months Ended 9 Months Ended
Apr. 01, 2024
USD ($)
Nov. 03, 2023
USD ($)
Jun. 16, 2021
USD ($)
May 31, 2021
Jun. 30, 2024
USD ($)
Sep. 30, 2024
USD ($)
FinancialRatio
Sep. 30, 2023
Jul. 01, 2024
USD ($)
Mar. 31, 2024
Dec. 31, 2023
USD ($)
Sep. 08, 2023
USD ($)
May 01, 2023
USD ($)
Sep. 10, 2019
USD ($)
Debt Instrument [Line Items]                          
Amount outstsnding           $ 441,857,000       $ 282,000,000      
Average effective interest rate           7.08% 6.07%            
Loan from company           $ 441,857,000              
Deferred financing costs           4,800,000       6,100,000      
Unamortized deferred financing costs           3,738,000       3,561,000      
FYB                          
Debt Instrument [Line Items]                          
Interest acquired                       100.00%  
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              
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%        
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           7.20%              
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           $ 285,300,000              
Average effective interest rate           7.20%              
Number of key financial ratios | FinancialRatio           2              
Maximum consolidated leverage ratio (not greater than)           3.75              
Debt covenant, aggregate purchase price, maximum           $ 75,000,000              
Consolidated leverage ratio, annual decrease           0.25              
Debt instrument, covenant, leverage ratio, adjusted maximum           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%                        
Additional Principal Amount               $ 1,600,000          
Notes payable               $ 9,900,000          
FYB Promissory Note                          
Debt Instrument [Line Items]                          
Amount outstsnding           $ 2,000,000              
Letter of Credit | Astrana Medical                          
Debt Instrument [Line Items]                          
Loan from company           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           1,000,000       $ 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              
Term of facility           1 year              
Standby Letters of Credit | Amended Credit Agreement | Truist Bank                          
Debt Instrument [Line Items]                          
Maximum loan availability           $ 25,000,000              
Term of facility           1 year