Quarterly report pursuant to Section 13 or 15(d)

Assets Held for Sale - Narrative (Details)

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Assets Held for Sale - Narrative (Details)
3 Months Ended
Mar. 31, 2024
USD ($)
Mar. 31, 2023
USD ($)
Dec. 31, 2023
USD ($)
Business Acquisition [Line Items]      
Loss on disposal $ 200,000    
Assets held for sale 17,726,238   $ 17,915,055
Liabilities to be disposed of $ 12,832,986   $ 13,831,863
Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Managed Clinics      
Business Acquisition [Line Items]      
Sale and classified as held for sale clinics, percentage     0.76
Sales negotiations, percentage 50.00%    
Clinics expected to sell, period 1 year    
Estimated fair value $ 30,200,000    
Sale and classified as held for sale clinics, period 1 year    
Assets held for sale $ 200,000    
Valuation allowance 100,000    
Liabilities to be disposed of 100,000    
Pre-tax income $ 1,200,000 $ 1,100,000