Goodwill and Intangible Assets - Schedule Goodwill and Intangible Assets (Details) - USD ($)	3 Months Ended
	Mar. 31, 2023	Dec. 31, 2022
Indefinite lived:
Goodwill, gross	$ 10,513,371	$ 10,513,371
Goodwill, net book value	10,513,371	10,513,371
Definite lived:
Intangible assets, Gross	9,150,000	10,473,761
Intangible assets, Accumulated Amortization	(7,102,222)	(8,343,900)
Intangible assets, Net Book Value	2,047,778	2,129,861
Total goodwill and intangible assets, Gross	19,663,371	20,987,132
Total goodwill and intangible assets, Net Book Value	12,561,149	12,643,232
Licenses
Definite lived:
Intangible assets, Gross	0	1,323,761
Intangible assets, Accumulated Amortization	0	(1,323,761)
Intangible assets, Net Book Value	0	0
Bioject
Definite lived:
Intangible assets, Gross	5,100,000	5,100,000
Intangible assets, Accumulated Amortization	(3,052,222)	(2,988,889)
Intangible assets, Net Book Value	2,047,778	2,111,111
Other
Definite lived:
Intangible assets, Gross	4,050,000	4,050,000
Intangible assets, Accumulated Amortization	(4,050,000)	(4,031,250)
Intangible assets, Net Book Value	$ 0	$ 18,750
Weighted Average Useful Life (Yrs)
Definite lived:
Useful life (in years)	11 years
Weighted Average Useful Life (Yrs) | Licenses
Definite lived:
Useful life (in years)	10 years
Weighted Average Useful Life (Yrs) | Bioject
Definite lived:
Useful life (in years)	12 years
Weighted Average Useful Life (Yrs) | Other
Definite lived:
Useful life (in years)	18 years