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Credit Facility, Bank Loans, and Lines of Credit - Lines of Credit (Details) |  | 1 Months Ended | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | ---
Jan. 25, 2022 USD ($) | May 31, 2021 USD ($) | Dec. 31, 2023 USD ($) loan | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Dec. 14, 2023 USD ($) | Apr. 30, 2021 USD ($) | Sep. 10, 2019 USD ($)
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Number of real estate loans | loan |  |  | 3 |  |  |  |  |
Interest expense |  |  | $ 16,102,000 | $ 7,920,000 | $ 5,394,000 |  |  |
APC | Standby Letters of Credit |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Maximum loan availability |  |  | $ 3,900,000 |  |  |  |  |
Term of facility |  |  | 1 year |  |  |  |  |
120 Hellman LLC |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Long-term debt |  |  | $ 16,000,000 |  |  | $ 15,600,000 |  |
Face amount of debt | $ 16,300,000 |  |  |  |  |  |  |
120 Hellman LLC | Prime Rate |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate (as a percent) | 2.00% |  |  |  |  |  |  |
Real Estate Loan One | APC |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Long-term debt |  |  |  | $ 5,900,000 |  |  |  |
Real Estate Loan One | APC | Prime Rate |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  |  |  | 0.50% |  |  |  |
Real Estate Loan Two | APC |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Long-term debt |  |  |  | $ 600,000 |  |  |  |
Real Estate Loan Two | APC | Prime Rate |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  |  |  | 0.50% |  |  |  |
Real Estate Loan Three | APC |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Long-term debt |  |  |  | $ 600,000 |  |  |  |
Real Estate Loan Three | APC | Prime Rate |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  |  |  | 0.30% |  |  |  |
Construction Loan * | Tag-8 Medical Investment Group, LLC — related party |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Face amount of debt |  |  | $ 4,200,000 |  |  | $ 8,500,000 | $ 10,700,000 |
Subordinated Loan Agreement | Subordinated Debt |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Face amount of debt |  | $ 2,000,000 |  |  |  |  |  |
Subordinated Loan Agreement | Prime Rate | Subordinated Debt |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate (as a percent) |  | 1.00% |  |  |  |  |  |
Credit Agreement |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Interest rate during period |  |  | 6.19% | 3.22% | 2.06% |  |  |
Interest expense |  |  | $ 1,100,000 | $ 900,000 | $ 1,200,000 |  |  |
APC Business Loan Agreement | APC | Line of Credit | Preferred Bank |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Maximum loan availability |  |  |  |  |  |  |  | $ 4,100,000
APC Business Loan Agreement | APC | Standby Letters of Credit | Truist Bank |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Maximum loan availability |  |  |  |  |  |  |  | $ 36,500,000
Amended Credit Agreement | Truist Bank | Standby Letters of Credit |  |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |  |
Term of facility |  |  | 1 year |  |  |  |  |

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