Summary of Significant Accounting Policies - Narrative (Details)			1 Months Ended		3 Months Ended		9 Months Ended		12 Months Ended
	Mar. 31, 2023 USD ($)	Dec. 21, 2021 member	Nov. 30, 2021 USD ($)	Oct. 26, 2021 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)	Dec. 09, 2022 USD ($)	Aug. 09, 2022 USD ($)	Jul. 31, 2022 USD ($)	Jul. 06, 2022 USD ($)	Nov. 01, 2021
Summary of Significant Accounting Policies (Details) [Line Items]
Exchange ratio							645.1452
Assets, current					$ 267,146,297		$ 267,146,297		$ 271,080,905
Total liabilities					128,231,727		128,231,727		114,350,237
Noncontrolling interests					3,953,300		3,953,300		5,696,725
Cumulative translation adjustments					(582,471)	$ 248,283	66,965	$ 252,854
Cash balances					5,434,110		5,434,110		8,125,966
Contingent consideration					26,238,486		26,238,486		10,555,540
Change in fair value of contingent liability					$ 159,974	$ 0	159,974	0
Goodwill, impairment loss									$ 2,921,958
Payments to acquire equity method investments							$ 150,510	$ 0
Lease term (in years)							10 years
National Providers Association, LLC
Summary of Significant Accounting Policies (Details) [Line Items]
Ownership percentage					50.00%		50.00%		50.00%					20.00%
Payments to acquire equity method investments			$ 30,000
Number of members withdrawn from National Providers Association, LLC | member		3
Number of remaining members in National Providers Association, LLC | member		2
RND Health Services Inc.
Summary of Significant Accounting Policies (Details) [Line Items]
Ownership percentage				50.00%
Payments to acquire equity method investments				$ 655,876	$ 150,509
Variable Interest Entity, Not Primary Beneficiary
Summary of Significant Accounting Policies (Details) [Line Items]
Net income							$ 16,839
Assets, current					635,777		635,777
Assets, noncurrent					15,248		15,248
Total liabilities					469,066		469,066
Noncontrolling interests					$ 166,711		$ 166,711
Cost of Goods and Service, Product and Service Benchmark | Supplier Concentration Risk | Vendor One
Summary of Significant Accounting Policies (Details) [Line Items]
Concentration risk					20.00%	13.00%	13.00%	11.00%
Customer One | Revenue Benchmark | Customer Concentration Risk
Summary of Significant Accounting Policies (Details) [Line Items]
Concentration risk					33.00%	35.00%	37.00%	33.00%
Customer One | Accounts Receivable | Customer Concentration Risk
Summary of Significant Accounting Policies (Details) [Line Items]
Concentration risk					36.00%	35.00%	28.00%	35.00%
Customer Two | Revenue Benchmark | Customer Concentration Risk
Summary of Significant Accounting Policies (Details) [Line Items]
Concentration risk					32.00%		17.00%	11.00%
Customer Two | Accounts Receivable | Customer Concentration Risk
Summary of Significant Accounting Policies (Details) [Line Items]
Concentration risk					2800.00%		36.00%	0.10%
Ryan Brothers
Summary of Significant Accounting Policies (Details) [Line Items]
Contingent consideration					$ 3,840,026		$ 3,840,026				$ 4,000,000
Contingent consideration period (in months)									24 months
Change in fair value of contingent liability					159,974		159,974
Exceptional
Summary of Significant Accounting Policies (Details) [Line Items]
Contingent consideration					$ 1,080,000		$ 1,080,000		$ 1,080,000			$ 2,000,000
Performance condition period (in years)									2 years
Business Combination
Summary of Significant Accounting Policies (Details) [Line Items]
Voting interest					10.00%		10.00%
LMS
Summary of Significant Accounting Policies (Details) [Line Items]
Contingent consideration					$ 2,496,270		$ 2,496,270			$ 2,475,540
Voting interest										100.00%
Government Medical Services
Summary of Significant Accounting Policies (Details) [Line Items]
Contingent consideration					3,000,000		3,000,000						$ 3,000,000
CRMS
Summary of Significant Accounting Policies (Details) [Line Items]
Contingent consideration	$ 15,822,190				$ 15,822,190		$ 15,822,190
Contingent consideration period (in months)	36 months
Contingent consideration period to purchase remaining voting interest	49.00%
Voting interest	51.00%