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Segment Information (Details) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Segment Reporting Information [Line Items]        
Total revenue $ 58,047,933 $ 62,814,672 $ 137,175,175 $ 150,157,914
Total segment operating income 4,992,526 29,137,332 39,390,504 83,787,175
Total capital expenditures 8,029,903 10,550,003 16,621,726 21,714,755
Real estate division 7,943,243 0 11,989,212 11,054,153
Total depreciation and amortization 3,132,485 2,223,461 5,529,346 4,001,640
Hospital Division [Member]        
Segment Reporting Information [Line Items]        
Total revenue 51,604,679 62,814,672 130,731,921 150,157,914
Total segment operating income 5,249,528 29,137,332 39,647,506 83,787,175
Total capital expenditures 1,364,694 5,751,861 3,730,053 6,233,817
Total depreciation and amortization 2,703,655 1,381,394 5,096,326 3,155,383
Population Health Management Division [Member]        
Segment Reporting Information [Line Items]        
Total revenue 6,443,254 0 6,443,254 0
Total segment operating income (257,002) 0 (257,002) 0
Total depreciation and amortization 387,984 0 387,984 0
Real Estate Division [Member]        
Segment Reporting Information [Line Items]        
Total capital expenditures 6,665,209 4,798,142 12,891,673 15,480,938
Total depreciation and amortization $ 40,846 $ 842,067 $ 45,036 $ 846,257