Variable Interest Entities (VIEs) (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Current assets	$ 107,538,538	$ 154,015,179
Property and equipment, net	72,282,118	151,912,500
Total assets	434,517,727	394,650,043
Current liabilities	43,828,001	37,690,959
Long-term liabilities	24,690,473	78,821,985
Total liabilities	301,989,725	203,069,033
Equity	110,485,121	114,651,306
Total liabilities and equity	434,517,727	394,650,043
Real Estate Entities [Member]
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Property and equipment, net	98,086,690
Total liabilities	69,638,778
Variable Interest Entity, Primary Beneficiary [Member] | Real Estate Entities [Member]
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Current assets	22,572,792	10,959,090
Property and equipment, net	12,064,747	32,182,902
Other long-term assets	24,500
Total assets	34,662,039	172,012,691
Current liabilities	2,204,659	6,666,690
Long-term liabilities	10,041,904	68,850,689
Total liabilities	12,246,563	75,517,379
Equity	22,415,476	96,495,312
Total liabilities and equity	34,662,039	172,012,691
Long-term assets		128,870,699
Variable Interest Entity, Primary Beneficiary [Member] | Physician LLCs [Member]
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Current assets	8,597,506	22,035,457
Property and equipment, net	3,668	0
Other long-term assets	0
Total assets	8,601,174	22,039,736
Current liabilities	11,561,428	5,070,706
Long-term liabilities	0	930,000
Total liabilities	11,561,428	6,000,706
Equity	(2,960,254)	16,039,030
Total liabilities and equity	8,601,174	22,039,736
Long-term assets		$ 4,279
Variable Interest Entity, Primary Beneficiary [Member] | A H P I P A [Member]
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Current assets	26,224,436
Property and equipment, net	0
Other long-term assets	16,851,619
Total assets	43,076,055
Current liabilities	3,041,530
Long-term liabilities	30,680
Total liabilities	3,072,210
Equity	40,003,845
Total liabilities and equity	$ 43,076,055