Quarterly report pursuant to Section 13 or 15(d)

Fair Value Measurements (Details)

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Fair Value Measurements (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]          
Impairments of long-lived assets $ 80,000 $ 250,000 $ 80,000 $ 250,000  
Operating lease right-of-use asset 19,803,896   19,803,896   $ 20,587,199
Operating lease liability, life   39 months   39 months  
Disposal Group, Held-for-sale, Not Discontinued Operations          
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]          
Estimated loss valuation allowance 756,228   816,429    
Property and equipment, net 2,153,454   2,153,454    
Intangible assets, net 386,280   386,280    
Goodwill 44,515   44,515    
Operating lease right-of-use asset 2,204,293   2,204,293    
Operating lease liability, current and non-current 2,585,642   2,585,642    
Deferred revenue from company clinics 386,291   386,291    
Estimate of Fair Value Measurement          
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]          
Operating lease right-of-use asset $ 0 $ 0 $ 0 $ 0