Annual report pursuant to Section 13 and 15(d)

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

v3.23.3
Nature of Operations and Summary of Significant Accounting Policies - Narrative (Details)
 3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2022
USD ($)
Jun. 30, 2022
USD ($)
clinic
Mar. 31, 2022
USD ($)
Sep. 30, 2021
USD ($)
Jun. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Jun. 30, 2022
USD ($)
clinic
Jun. 30, 2021
USD ($)
Sep. 30, 2022
USD ($)
Sep. 30, 2021
USD ($)
Dec. 31, 2022
USD ($)
option
corporation
Dec. 31, 2021
USD ($)
Oct. 31, 2022
clinic
Dec. 31, 2020
USD ($)
Product Information [Line Items]                            
Number of agreements with PCs | corporation                     3      
Total revenues $ 26,449,819 $ 24,887,365 $ 22,236,751 $ 20,781,970 $ 20,004,364 $ 17,330,009 $ 47,124,116 $ 37,334,372 $ 73,573,933 $ 58,116,342 $ 101,252,310 $ 80,011,013    
Deferred franchise fee revenue, current portion $ 2,410,951 $ 2,393,993 $ 2,408,266 $ 2,405,300 $ 2,347,990 $ 2,229,101 $ 2,393,993 $ 2,347,990 $ 2,410,951 $ 2,405,300 2,468,601 2,421,721    
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    
Uncertain tax positions                     $ 1,314,351 $ 1,314,351   $ 729,837
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         2              
Property and equipment, net   $ 288,192         $ 288,192              
Operating lease right-of-use asset   359,807         359,807              
Operating lease liability, current and non-current   428,593         428,593              
Deferred revenue from company clinics   $ 54,351         $ 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 | 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 | 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 fee revenue, current portion                     4,700,000 3,500,000    
Payroll liabilities attributable to VIEs                     $ 600,000 $ 400,000