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Property and Equipment - Narrative (Details)
12 Months Ended 30 Months Ended 33 Months Ended
Dec. 31, 2024
USD ($)
entity
Dec. 31, 2023
USD ($)
entity
facility
Dec. 31, 2022
USD ($)
entity
Dec. 31, 2024
entity
Dec. 31, 2024
entity
Dec. 31, 2024
item
Property, Plant and Equipment            
Number of deconsolidated Real Estate Entities       18 18 18
Depreciation and amortization $ 18,971,972 $ 17,591,572 $ 13,131,374      
Number of facilities closed | facility   4        
Impairment Of Intangible Asset Finite Lived Statement Of Income Or Comprehensive Income Extensible Enumeration Not Disclosed Flag   false        
Impairment loss   $ 3,800,000        
Related Party            
Property, Plant and Equipment            
Number of deconsolidated Real Estate Entities | entity 2 1 17      
Property, plant and equipment            
Property, Plant and Equipment            
Depreciation and amortization $ 6,600,000 $ 6,000,000.0 $ 4,900,000