Quarterly report pursuant to Section 13 or 15(d)

Acquisitions and Assets Held for Sale - Narrative (Details)

v3.24.3
Acquisitions and Assets Held for Sale - Narrative (Details)
 3 Months Ended 9 Months Ended
May 22, 2023
USD ($)
clinic
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
Business Acquisition [Line Items]            
Purchase price       $ 0 $ 1,050,000  
Assets held for sale   $ 25,334,715   25,334,715   $ 17,915,055
Reclassification to property and equipment, net   6,084,785   6,084,785   11,044,317
Reclassification to ROU assets   7,727,105   7,727,105   12,413,221
Liabilities to be disposed of   15,124,554   15,124,554   13,831,863
Reclassification to operating lease liability   9,380,034   9,380,034   14,671,325
Impairment on long-lived assets previously held for sale reclassified as held for use   1,400,000   1,400,000    
Fair value     $ 0   0  
Impairment on assets held for sale   1,865,124 756,228 2,570,461 816,429  
Estimated gain on disposal   0   39,000    
Reclassification (From) To            
Business Acquisition [Line Items]            
Reclassification to property and equipment, net   1,400,000   1,400,000    
Reclassification to ROU assets   3,800,000   3,800,000    
Reclassification to operating lease liability   3,500,000   3,500,000    
Deferred revenue from company managed clinics   1,700,000   1,700,000    
Property and equipment, net            
Business Acquisition [Line Items]            
Fair value   476,270   1,865,255    
Operating lease right-of-use asset            
Business Acquisition [Line Items]            
Fair value   1,301,787   1,731,402    
Corporate-Owned or Managed Clinics | Property and equipment, net            
Business Acquisition [Line Items]            
Fair value   900,000   900,000    
Corporate-Owned or Managed Clinics | Operating lease right-of-use asset            
Business Acquisition [Line Items]            
Fair value   3,000,000.0   3,000,000.0    
Disposal Group, Held-for-sale, Not Discontinued Operations | Corporate-Owned or Managed Clinics            
Business Acquisition [Line Items]            
Impairment on assets held for sale   1,900,000 800,000 2,600,000 800,000  
Valuation allowance   3,132,999   3,132,999   657,620
Pre-tax income of clinics held for sale   1,300,000 900,000 3,600,000 $ 4,000,000  
Disposal Group, Held-for-sale, Not Discontinued Operations | Corporate-Owned or Managed Clinics | Reclassification (From) To            
Business Acquisition [Line Items]            
Assets held for sale   (5,300,000)   (5,300,000)    
Liabilities to be disposed of   $ (5,200,000)   $ (5,200,000)    
Disposal Group, Held-for-sale, Not Discontinued Operations | Corporate Owned Clinics            
Business Acquisition [Line Items]            
Sales negotiations, percentage   0.60   0.60    
Clinics expected to sell, period       1 year    
Estimated fair value of clinics held for sale   $ 19,500,000   $ 19,500,000    
Disposal Group, Held-for-sale, Not Discontinued Operations | High Performing Corporate Owned or Managed Clinics            
Business Acquisition [Line Items]            
Assets held for sale           13,800,000
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Corporate-Owned or Managed Clinics            
Business Acquisition [Line Items]            
Total consideration   $ 400,000   $ 400,000    
Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Corporate-Owned or Managed Clinics            
Business Acquisition [Line Items]            
Assets held for sale           1,000,000.0
Liabilities to be disposed of           700,000
Valuation allowance           $ 100,000
CA Clinics Purchase            
Business Acquisition [Line Items]            
Number of clinics acquired | clinic 3          
Purchase price $ 1,188,764   $ 109,767      
Non-cash investment in acquisition of franchised clinics 28,997          
Net purchase consideration 1,159,767          
Intangible assets acquired 1,004,513          
CA Clinics Purchase | Reacquired franchise rights            
Business Acquisition [Line Items]            
Intangible assets acquired $ 700,000          
CA Clinics Purchase | Reacquired franchise rights | Minimum            
Business Acquisition [Line Items]            
Intangible assets, useful life (in years) 6 years          
CA Clinics Purchase | Reacquired franchise rights | Maximum            
Business Acquisition [Line Items]            
Intangible assets, useful life (in years) 7 years          
CA Clinics Purchase | Customer relationships            
Business Acquisition [Line Items]            
Intangible assets acquired $ 100,000          
CA Clinics Purchase | Customer relationships | Maximum            
Business Acquisition [Line Items]            
Intangible assets, useful life (in years) 2 years          
CA Clinics Purchase | Assembled workforce            
Business Acquisition [Line Items]            
Intangible assets acquired $ 200,000          
CA Clinics Purchase | Assembled workforce | Maximum            
Business Acquisition [Line Items]            
Intangible assets, useful life (in years) 2 years