Intangible Assets And Goodwill - Summary Of Intangible Assets (Detail) - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019	Jan. 01, 2020	Jan. 01, 2019
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross			$ 462,253,283	$ 90,905,693	$ 90,905,693
Adjustments to Purchase Price Allocation			1,695,009
Additions from acquisitions					371,347,590
Finite-Lived Intangible Assets, Gross	$ 463,948,292		463,948,292		462,253,283
Finite-Lived Intangible Assets, Accumulated Amortization			27,006,385	2,540,015	2,540,015
Amortization	9,531,290	$ 5,419,212	27,286,390	12,415,696	24,466,370
Finite-Lived Intangible Assets, Accumulated Amortization	54,292,775		54,292,775		27,006,385
Finite-Lived Intangible Assets, Net	409,655,517		409,655,517		435,246,898	$ 435,246,898	$ 88,365,678
Licenses And Permits [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross			336,954,213	89,705,213	89,705,213
Adjustments to Purchase Price Allocation			(145,000)
Additions from acquisitions					247,249,000
Finite-Lived Intangible Assets, Gross	336,809,213		336,809,213		336,954,213
Finite-Lived Intangible Assets, Accumulated Amortization			18,477,500	2,322,715	2,322,715
Amortization			17,701,556		16,154,785
Finite-Lived Intangible Assets, Accumulated Amortization	36,179,056		36,179,056		18,477,500
Finite-Lived Intangible Assets, Net	300,630,157		300,630,157		318,476,713	318,476,713	87,382,498
Trade Names [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross			97,455,590	360,000	360,000
Adjustments to Purchase Price Allocation			1,840,009
Additions from acquisitions					97,095,590
Finite-Lived Intangible Assets, Gross	99,295,599		99,295,599		97,455,590
Finite-Lived Intangible Assets, Accumulated Amortization			4,121,800	0	0
Amortization			6,412,282		4,121,800
Finite-Lived Intangible Assets, Accumulated Amortization	10,534,082		10,534,082		4,121,800
Finite-Lived Intangible Assets, Net	88,761,517		88,761,517		93,333,790	93,333,790	360,000
Customer Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross			25,258,000	820,000	820,000
Additions from acquisitions					24,438,000
Finite-Lived Intangible Assets, Gross	25,258,000		25,258,000		25,258,000
Finite-Lived Intangible Assets, Accumulated Amortization			3,932,416	204,500	204,500
Amortization			2,777,802		3,727,916
Finite-Lived Intangible Assets, Accumulated Amortization	6,710,218		6,710,218		3,932,416
Finite-Lived Intangible Assets, Net	18,547,782		18,547,782		21,325,584	21,325,584	615,500
Non Competition Agreement [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Gross			2,585,480	20,480	20,480
Additions from acquisitions					2,565,000
Finite-Lived Intangible Assets, Gross	2,585,480		2,585,480		2,585,480
Finite-Lived Intangible Assets, Accumulated Amortization			474,669	$ 12,800	12,800
Amortization			394,750		461,869
Finite-Lived Intangible Assets, Accumulated Amortization	869,419		869,419		474,669
Finite-Lived Intangible Assets, Net	$ 1,716,061		$ 1,716,061		$ 2,110,811	$ 2,110,811	$ 7,680