Annual report pursuant to Section 13 and 15(d)

Revenue Disclosures - Changes in Contract Assets and Contract Liabilities (Details)

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Revenue Disclosures - Changes in Contract Assets and Contract Liabilities (Details) - USD ($)
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Deferred Revenue from company clinics    
Balance, beginning $ 7,471,549 $ 5,235,745
Revenue recognized that was included in the contract liability at the beginning of the year (6,455,934) (4,553,086)
Net increase during the period 3,448,132 6,788,890
Balance, ending 4,463,747 7,471,549
Deferred Revenue short and long-term    
Beginning balance, contract liabilities 16,629,735 15,375,151
Revenue recognized that was included in the contract liability at the beginning of the year (2,709,080) (2,250,471)
Net increase during the year ended 2,193,224 3,505,055
Ending balance, contract liabilities 16,113,879 16,629,735
Deferred Franchise and Development Costs short and long-term    
Balance, contract assets 6,761,738 6,500,007
Recognized as cost of revenue during the year (1,135,592) (938,736)
Net increase during the period 625,220 1,200,467
Balance, contract assets $ 6,251,366 $ 6,761,738