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Property and Equipment (Tables)
9 Months Ended
Sep. 30, 2022
Property, Plant and Equipment [Abstract]  
Schedule of property, plant and equipment
               
   Useful lives (yrs)  September 30, 2022  December 31, 2021
Buildings and improvements   39   $8,136,998   $82,794,329 
Land   —     1,972,509    18,201,804 
Leasehold improvements   10-39    28,838,691    27,038,503 
Construction in progress   —     11,994,089    4,299,614 
Medical equipment   10    27,080,061    25,686,562 
Office furniture and equipment   7    2,864,410    2,870,270 
Computer hardware and software   5    2,280,296    1,288,224 
Vehicles   5    135,590    161,590 
Signage   10    1,163,722    1,160,195 
Total cost        84,466,366    163,501,091 
Less: accumulated depreciation        (12,184,248)   (11,588,591)
Total property and equipment, net       $72,282,118   $151,912,500