Investments in Other Entities - Equity Method (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($)
Equity Method Investments [Roll Forward]
Beginning Balance	$ 41,715
Allocation of Income (Loss)	5,622
Funding reclassified to loan receivable	(2,125)
Funding	2,105
Entity Consolidated	(6,418)
Distribution	(600)
Ending Balance	40,299
LaSalle Medical Associates – IPA Line of Business
Equity Method Investments [Roll Forward]
Beginning Balance	3,034
Allocation of Income (Loss)	4,775
Funding reclassified to loan receivable	(2,125)
Funding	0
Entity Consolidated	0
Distribution	0
Ending Balance	5,684
Pacific Medical Imaging & Oncology Center, Inc.
Equity Method Investments [Roll Forward]
Beginning Balance	1,719
Allocation of Income (Loss)	159
Funding reclassified to loan receivable	0
Funding	0
Entity Consolidated	0
Distribution	0
Ending Balance	1,878
531 W. College, LLC – related party
Equity Method Investments [Roll Forward]
Beginning Balance	17,230
Allocation of Income (Loss)	(619)
Funding reclassified to loan receivable	0
Funding	670
Entity Consolidated	0
Distribution	0
Ending Balance	17,281
One MSO, LLC — related party
Equity Method Investments [Roll Forward]
Beginning Balance	2,910
Allocation of Income (Loss)	408
Funding reclassified to loan receivable	0
Funding	0
Entity Consolidated	0
Distribution	(600)
Ending Balance	2,718
Tag-6 Medical Investment Group, LLC — related party
Equity Method Investments [Roll Forward]
Beginning Balance	4,830
Allocation of Income (Loss)	153
Funding reclassified to loan receivable	0
Funding	1,435
Entity Consolidated	(6,418)
Distribution	0
Ending Balance	0
CAIPA MSO, LLC
Equity Method Investments [Roll Forward]
Beginning Balance	11,992
Allocation of Income (Loss)	746
Funding reclassified to loan receivable	0
Funding	0
Entity Consolidated	0
Distribution	0
Ending Balance	$ 12,738