Annual report pursuant to Section 13 and 15(d)

Nature of Operations and Summary of Significant Accounting Policies - Narrative (Details)

v3.22.4
Nature of Operations and Summary of Significant Accounting Policies - Narrative (Details)
 12 Months Ended
Dec. 31, 2022
USD ($)
corporation
option
Dec. 31, 2021
USD ($)
Oct. 31, 2022
clinic
Jun. 30, 2022
USD ($)
clinic
Product Information [Line Items]        
Number of agreements with PCs | corporation 3      
Total revenues $ 101,911,409 $ 80,859,653    
Deferred franchise and regional development fee revenue, current portion 2,955,851 3,191,892    
Payroll liabilities attributable to VIEs 2,030,510 3,906,317    
Cash equivalents 0 0    
Allowance for doubtful accounts $ 0 0    
Number of lease renewal options | option 1      
Impairments of goodwill $ 0 0    
Operating lease right-of-use asset 20,587,199 18,425,914    
Operating lease impairment $ 250,000 100,000    
Monthly marketing fee 2.00%      
Royalties percentage 7.00%      
Franchise agreement term 10 years      
Royalty sales generated by franchises percentage 3.00%      
Advertising expense $ 5,163,381 $ 4,116,740    
Forecasted turnover percentage 5.00%      
Company matching contribution (maximum) 4.00% 4.00%    
Employer contributions $ 478,277 $ 346,561    
Disposal Group, Held-for-sale, Not Discontinued Operations        
Product Information [Line Items]        
Number of clinics sold | clinic       2
Property and equipment, net       $ 288,192
Operating lease right-of-use asset       359,807
Operating lease liability, current and non-current       428,593
Deferred revenue from company clinics       $ 54,351
Disposal Group, Held-for-sale, Not Discontinued Operations | Sale Of Company-Managed Clinics        
Product Information [Line Items]        
Number of clinics sold | clinic     2  
Valuation allowance to adjust carrying value to fair value $ 79,400      
NORTH CAROLINA        
Product Information [Line Items]        
Number of agreements with PCs | corporation 1      
Reported Value Measurement        
Product Information [Line Items]        
Operating lease right-of-use asset $ 250,000 500,000    
Estimate of Fair Value Measurement        
Product Information [Line Items]        
Operating lease right-of-use asset $ 0 400,000    
Minimum        
Product Information [Line Items]        
Useful life, property and equipment 3 years      
Minimum | Computer Software        
Product Information [Line Items]        
Intangible assets, useful life 3 years      
Minimum | Reacquired franchise rights        
Product Information [Line Items]        
Intangible assets, useful life 1 year      
Minimum | Reacquired development rights        
Product Information [Line Items]        
Intangible assets, useful life 1 year      
Minimum | Customer relationships        
Product Information [Line Items]        
Intangible assets, useful life 2 years      
Maximum        
Product Information [Line Items]        
Useful life, property and equipment 10 years      
Maximum | Computer Software        
Product Information [Line Items]        
Intangible assets, useful life 5 years      
Maximum | Reacquired franchise rights        
Product Information [Line Items]        
Intangible assets, useful life 9 years      
Maximum | Reacquired development rights        
Product Information [Line Items]        
Intangible assets, useful life 7 years      
Maximum | Customer relationships        
Product Information [Line Items]        
Intangible assets, useful life 4 years      
Variable Interest Entity, Primary Beneficiary        
Product Information [Line Items]        
Total revenues $ 34,800,000 28,600,000    
Payroll and related expenses 14,000,000.0 8,500,000    
Deferred franchise and regional development fee revenue, current portion 4,700,000 3,500,000    
Payroll liabilities attributable to VIEs $ 600,000 $ 400,000