Intangible Assets And Goodwill - Summary Of Intangible Assets (Detail) - USD ($)	Sep. 30, 2021	Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 641,307,295	$ 470,274,815
Accumulated Amortization	92,122,943	64,032,781
Net Book Value	549,184,352	406,242,034
Licenses And Permits [Member]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	515,368,694	343,135,736
Accumulated Amortization	59,514,065	41,993,595
Net Book Value	455,854,629	301,142,141
Trade Names [Member]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	98,935,601	99,295,599
Accumulated Amortization	22,174,913	13,455,178
Net Book Value	76,760,688	85,840,421
Customer Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	24,438,000	25,258,000
Accumulated Amortization	9,071,493	7,583,005
Net Book Value	15,366,507	17,674,995
Non Competition Agreement [Member]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	2,565,000	2,585,480
Accumulated Amortization	1,362,472	1,001,003
Net Book Value	$ 1,202,528	$ 1,584,477