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Segment Information (Tables)
6 Months Ended
Jun. 30, 2022
Segment Reporting [Abstract]  
Schedule of segment information
                    
   Three months ended June 30  Six months ended June 30
   2022  2021  2022  2021
Revenues from external customers                    
Hospital division  $51,604,679   $62,814,672   $130,731,921   $150,157,914 
Population health management division   6,443,254    —      6,443,254    —   
Total revenue   58,047,933    62,814,672    137,175,175    150,157,914 
Segment operating income:                    
Hospital division   5,249,528    29,137,332    39,647,506    83,787,175 
Population health management division   (257,002)   —      (257,002)   —   
Total segment operating income  $4,992,526   $29,137,332   $39,390,504   $83,787,175 
                     
Capital expenditures:                    
Hospital division  $1,364,694   $5,751,861   $3,730,053   $6,233,817 
Real estate division   6,665,209    4,798,142    12,891,673    15,480,938 
Total capital expenditures  $8,029,903   $10,550,003   $16,621,726   $21,714,755 
Revenue from inter-segment activities:                    
Real estate division  $7,943,243   $—     $11,989,212   $11,054,153 
Depreciation and amortization:                    
Hospital division  $2,703,655   $1,381,394   $5,096,326   $3,155,383 
Population health management division   387,984    —      387,984    —   
Real estate division   40,846    842,067    45,036    846,257 
Total depreciation and amortization  $3,132,485   $2,223,461   $5,529,346   $4,001,640 
Schedule of assets
          
   As of
   June 30, 2022  December 31, 2021
Assets:      
Hospital division  $384,426,690   $287,316,356 
Population health management division   462,484,616    —   
Real estate division   24,881,954    107,333,687 
Total Assets  $871,793,260   $394,650,043