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Segment Information (Tables)
9 Months Ended
Sep. 30, 2022
Segment Reporting [Abstract]  
Schedule of segment information
                    
   Three months ended September 30  Nine months ended September 30
   2022  2021  2022  2021
Revenue from external customers:                    
Hospital division  $21,244,305   $117,971,732   $151,976,226   $268,129,646 
Population health management division   7,150,753         13,594,007    —  
Total revenue  $28,395,058   $117,971,732   165,570,233   $268,129,646 
Segment operating income (loss):                    
Hospital division  $(26,498,148)  $76,008,468   $13,149,358   $159,795,643 
Population health management division   29,702    —     (227,300)   —  
Total segment operating income (loss)  $(26,468,446)  $76,008,468   $12,922,058   $159,795,643 
                     
Capital expenditures:                    
Hospital division  $—    $2,031,769   $3,730,053   $8,265,586 
Real estate division   5,890,738    1,459,593    18,782,411    16,940,531 
Total capital expenditures  $5,890,738   $3,491,362   $22,512,464   $25,206,117 
Revenue from inter-segment activities:                    
Real estate division         583,280    11,989,212     10,471,333  
Depreciation and amortization:                    
Hospital division  $3,748,431   $652,261   $8,844,757   $3,807,644 
Population health management division   431,986    —     819,970    —  
Real estate division   149,750    1,219,538    194,786    2,065,795 
Total depreciation and amortization  $4,330,167   $1,871,799   $9,859,513   $5,873,439 
Schedule of assets
             
    As of  
    September 30, 2022   December 31, 2021  
Assets:              
Hospital division   $  322,557,090   $  287,316,356  
Population health management division      77,298,598      -  
Real estate division      34,662,039      107,333,687  
Total Assets   $  434,517,727   $  394,650,043