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Related Party Transactions - Additional Information (Detail)
1 Months Ended 12 Months Ended
Oct. 01, 2021
USD ($)
Dec. 17, 2020
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
executive
May 25, 2018
USD ($)
Apr. 23, 2018
USD ($)
Related Party Transaction [Line Items]                  
Operating lease expenses       $ 664,000 $ 0 $ 0      
Number of executives obtaining shares in repurchase of equity | executive             2    
First Promissory Note                  
Related Party Transaction [Line Items]                  
Debt instrument, face amount               $ 100,000  
Debt instrument, interest rate stated percentage               2.80%  
Second Promissory Note                  
Related Party Transaction [Line Items]                  
Debt instrument, face amount               $ 500,000  
Debt instrument, interest rate stated percentage               2.80%  
ITC Holdings                  
Related Party Transaction [Line Items]                  
Operating lease expenses       2,800,000 2,700,000 1,400,000      
Payments for repurchase of equity             $ 400,000    
Dental Excellence Partners, LLC                  
Related Party Transaction [Line Items]                  
Debt instrument, interest rate stated percentage                 7.00%
Related party advance due amount                 $ 4,500,000
Interest and fee income, loans and leases       300,000 300,000        
Allowance for loan and lease losses, write-offs   $ 500,000              
Advisory Services Agreement | In Tandem Capital Partners, LLC                  
Related Party Transaction [Line Items]                  
Expenses from transactions with related party     $ 300,000            
Percentage of EBITDA for the prior calendar year     2.00%            
Related party transaction, amounts of transaction       2,300,000 6,300,000 2,800,000      
Advisory Services Agreement | Dental Excellence Partners, LLC                  
Related Party Transaction [Line Items]                  
Allowance for loan and lease losses, write-offs   400,000              
Administrative Service Agreement | Dental Excellence Partners, LLC                  
Related Party Transaction [Line Items]                  
Expenses from transactions with related party       4,600,000 2,400,000 1,800,000      
Administrative Service Agreement | Dental Excellence Partners, LLC | Fee For Service and Other Revenues                  
Related Party Transaction [Line Items]                  
Revenue from related parties       400,000 600,000 600,000      
Dental Service Agreement | Care Dental Group, LLC                  
Related Party Transaction [Line Items]                  
Related party transaction, amounts of transaction       300,000 700,000 300,000      
Related party transaction, fees per           15      
Humana Relationships | Humana                  
Related Party Transaction [Line Items]                  
Expenses from transactions with related party       0          
Debt instrument, face amount         60,000,000        
Deferred rent credit         13,500,000        
Operating lease expenses       500,000 $ 200,000        
Humana Relationships | Humana | Minimum                  
Related Party Transaction [Line Items]                  
Debt instrument, interest rate stated percentage         8.00%        
Humana Relationships | Humana | Maximum                  
Related Party Transaction [Line Items]                  
Debt instrument, interest rate stated percentage         10.00%        
Humana Relationships | Humana | Thirdparty Medical Costs                  
Related Party Transaction [Line Items]                  
Expenses from transactions with related party       249,800,000 $ 175,400,000        
Revenue from related parties       308,300,000 235,500,000        
General Contractor Agreements | Chief Executive Officer                  
Related Party Transaction [Line Items]                  
Related party transaction, amounts of transaction       7,900,000 7,300,000 5,500,000      
Other Service Provided | Chief Executive Officer                  
Related Party Transaction [Line Items]                  
Related party transaction, amounts of transaction       $ 1,300,000 $ 600,000 $ 600,000      
Other Service Provided | Dental Excellence Partners, LLC                  
Related Party Transaction [Line Items]                  
Allowance for loan and lease losses, write-offs   $ 100,000              
Asset Purchase Agreement | Aguilar Medcare Associates                  
Related Party Transaction [Line Items]                  
Purchase price of asset acquisition $ 3,000,000.0                
Asset Purchase Agreement | Aguilar Medcare Associates | Dr. Richard Aguilar                  
Related Party Transaction [Line Items]                  
Issuance of equity in connection with acquisitions $ 1,500,000