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Property and Equipment - Categories (Details) - USD ($)
Dec. 31, 2024
Dec. 31, 2023
Property, Plant and Equipment    
Property and equipment, gross $ 103,204,028 $ 99,728,712
Less: accumulated depreciation (25,271,284) (18,341,063)
Total property and equipment, net $ 77,932,744 81,387,649
Buildings and improvements    
Property, Plant and Equipment    
Useful Life (years) 39 years  
Property and equipment, gross $ 19,649,963 9,878,325
Land    
Property, Plant and Equipment    
Property and equipment, gross 4,409,840 4,401,888
Leasehold improvements    
Property, Plant and Equipment    
Property and equipment, gross $ 28,125,596 27,606,383
Leasehold improvements | Minimum    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Leasehold improvements | Maximum    
Property, Plant and Equipment    
Useful Life (years) 39 years  
Construction in progress    
Property, Plant and Equipment    
Property and equipment, gross $ 1,892,598 12,845,631
Medical equipment    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Property and equipment, gross $ 35,395,123 33,519,026
Office furniture and equipment    
Property, Plant and Equipment    
Useful Life (years) 7 years  
Property and equipment, gross $ 3,984,921 3,698,874
Computer hardware and software    
Property, Plant and Equipment    
Useful Life (years) 5 years  
Property and equipment, gross $ 7,578,978 6,066,520
Vehicles    
Property, Plant and Equipment    
Useful Life (years) 5 years  
Property and equipment, gross $ 94,581 135,590
Signage    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Property and equipment, gross $ 2,072,428 $ 1,576,475