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Revenue - Summary of Revenue Disaggregated by Source (Detail) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Disaggregation Of Revenue [Line Items]    
Total revenue $ 72,651,321 $ 74,113,703
Services [Member]    
Disaggregation Of Revenue [Line Items]    
Total revenue 69,801,492 71,306,740
Product Sales and Other [Member]    
Disaggregation Of Revenue [Line Items]    
Total revenue $ 2,849,829 $ 2,806,963