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Income Taxes - Additional Information (Detail) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2024
Sep. 30, 2024
Dec. 31, 2023
Income Taxes [Line Items]      
Effective income tax rate reconciliation, percent (0.10%)    
Effective income tax rate reconciliation, at federal statutory income tax rate, percent 21.00%    
Incremental share-based compensation upon modification $ 122,355    
Payments for merger related costs   $ 55,176  
Adjustment of deferred tax asset liability through additional paid in capital   5,973  
Unrecognized tax benefits $ 0 $ 0 $ 0
Guardian Pharmacy, LLC [Member]      
Income Taxes [Line Items]      
Subsidiary, ownership percentage, parent 100.00% 100.00%