Investments in Other Entities - Schedule of Equity Method Investments (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Equity Method Investments [Roll Forward]
Beginning Balance	$ 40,299	$ 41,715
Initial Investment	325
Allocation of Net Income (Loss)	5,579	5,622	$ (4,306)
Funding Reclassified to Loan Receivable		(2,125)
Funding	700	2,105
Adjustment to fair value	3,351
Entity Consolidated		(6,418)
Distribution	(24,480)	(600)
Ending Balance	$ 25,774	$ 40,299	41,715
LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%	25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 5,684	$ 3,034
Initial Investment	0
Allocation of Net Income (Loss)	4,182	4,775
Funding Reclassified to Loan Receivable		(2,125)
Funding	0	0
Adjustment to fair value	0
Entity Consolidated		0
Distribution	0	0
Ending Balance	$ 9,866	$ 5,684	3,034
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
% of Ownership	40.00%	40.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 1,878	$ 1,719
Initial Investment	0
Allocation of Net Income (Loss)	(187)	159
Funding Reclassified to Loan Receivable		0
Funding	0	0
Adjustment to fair value	0
Entity Consolidated		0
Distribution	0	0
Ending Balance	$ 1,691	$ 1,878	1,719
531 W. College, LLC *
Schedule of Equity Method Investments [Line Items]
% of Ownership	50.00%	50.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 17,281	$ 17,230
Initial Investment	0
Allocation of Net Income (Loss)	(508)	(619)
Funding Reclassified to Loan Receivable		0
Funding	700	670
Adjustment to fair value	91
Entity Consolidated		0
Distribution	(17,564)	0
Ending Balance	$ 0	$ 17,281	17,230
One MSO, LLC *
Schedule of Equity Method Investments [Line Items]
% of Ownership	50.00%	50.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 2,718	$ 2,910
Initial Investment	0
Allocation of Net Income (Loss)	938	408
Funding Reclassified to Loan Receivable		0
Funding	0	0
Adjustment to fair value	3,260
Entity Consolidated		0
Distribution	(6,916)	(600)
Ending Balance	$ 0	$ 2,718	2,910
CAIPA MSO, LLC
Schedule of Equity Method Investments [Line Items]
% of Ownership	30.00%	30.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 12,738	$ 11,992
Initial Investment	0
Allocation of Net Income (Loss)	922	746
Funding Reclassified to Loan Receivable		0
Funding	0	0
Adjustment to fair value	0
Entity Consolidated		0
Distribution	0	0
Ending Balance	13,660	$ 12,738	11,992
Tag-6 Medical Investment Group, LLC*
Schedule of Equity Method Investments [Line Items]
% of Ownership		100.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 0	$ 4,830
Allocation of Net Income (Loss)		153
Funding Reclassified to Loan Receivable		0
Funding		1,435
Entity Consolidated		(6,418)
Distribution		0
Ending Balance		0	$ 4,830
Other
Schedule of Equity Method Investments [Line Items]
% of Ownership	25.00%
Equity Method Investments [Roll Forward]
Beginning Balance	$ 0
Initial Investment	325
Allocation of Net Income (Loss)	232
Funding	0
Adjustment to fair value	0
Distribution	0
Ending Balance	$ 557	$ 0