Investments in Other Entities - Schedule of Equity Method Investments (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Equity Method Investments [Roll Forward]
Beginning Balance	$ 45,832	$ 43,820	$ 40,299	$ 41,715
Initial Investment	0		325
Allocation of Income (Loss)	(2,104)	1,452	3,104	4,397
Funding Reclassified To Loan Receivable		0		(2,125)
Funding	700	100	700	1,785
Entity Consolidated		(6,418)		(6,418)
Distribution	0	0	0	(400)
Ending Balance	$ 44,428	$ 38,954	$ 44,428	$ 38,954
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	$ 10,537	$ 3,444	$ 5,684	$ 3,034
Initial Investment	0		0
Allocation of Income (Loss)	(2,211)	1,350	2,642	3,885
Funding Reclassified To Loan Receivable		0		(2,125)
Funding	0	0	0	0
Entity Consolidated		0		0
Distribution	0	0	0	0
Ending Balance	$ 8,326	$ 4,794	$ 8,326	$ 4,794
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	$ 1,655	$ 1,741	$ 1,878	$ 1,719
Initial Investment	0		0
Allocation of Income (Loss)	4	(42)	(219)	(20)
Funding Reclassified To Loan Receivable		0		0
Funding	0	0	0	0
Entity Consolidated		0		0
Distribution	0	0	0	0
Ending Balance	$ 1,659	$ 1,699	$ 1,659	$ 1,699
531 W. College, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership	50.00%	50.00%	50.00%	50.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 17,070	$ 17,175	$ 17,281	$ 17,230
Initial Investment	0		0
Allocation of Income (Loss)	(176)	(115)	(387)	(420)
Funding Reclassified To Loan Receivable		0		0
Funding	700	100	700	350
Entity Consolidated		0		0
Distribution	0	0	0	0
Ending Balance	$ 17,594	$ 17,160	$ 17,594	$ 17,160
One MSO, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership	50.00%	50.00%	50.00%	50.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 2,960	$ 2,764	$ 2,718	$ 2,910
Initial Investment	0		0
Allocation of Income (Loss)	88	52	330	306
Funding Reclassified To Loan Receivable		0		0
Funding	0	0	0	0
Entity Consolidated		0		0
Distribution	0	0	0	(400)
Ending Balance	$ 3,048	$ 2,816	$ 3,048	$ 2,816
Tag-6 Medical Investment Group, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership		100.00%		100.00%
Equity Method Investments [Roll Forward]
Beginning Balance		$ 6,376		$ 4,830
Allocation of Income (Loss)		42		153
Funding Reclassified To Loan Receivable		0		0
Funding		0		1,435
Entity Consolidated		(6,418)		(6,418)
Distribution		0		0
Ending Balance		$ 0		$ 0
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	$ 13,190	$ 12,320	$ 12,738	$ 11,992
Initial Investment	0		0
Allocation of Income (Loss)	123	165	575	493
Funding Reclassified To Loan Receivable		0		0
Funding	0	0	0	0
Entity Consolidated		0		0
Distribution	0	0	0	0
Ending Balance	$ 13,313	$ 12,485	$ 13,313	$ 12,485
Other
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%		25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 420		$ 0
Initial Investment	0		325
Allocation of Income (Loss)	68		163
Funding	0		0
Distribution	0		0
Ending Balance	$ 488		$ 488