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Summary of Significant Accounting Policies - Narrative (Details)
1 Months Ended 12 Months Ended
Mar. 31, 2023
USD ($)
Dec. 21, 2021
member
Nov. 30, 2021
USD ($)
Oct. 26, 2021
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
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              
Revenues, net         $ 624,288,642 $ 440,515,746 $ 318,718,580          
Total assets         490,451,957 393,277,628 309,602,652          
Noncontrolling interests         4,376,089 5,696,725            
Total liabilities         185,281,001 114,350,237            
Unrealized cumulative translation         743,699 773,707 16,038          
Cash balances         3,699,793 8,125,966            
Contingent consideration         19,792,982 10,555,540            
Payment for contingent consideration liability         5,266,681 0 0          
Change in fair value of contingent liability         (1,437,525) 0 0          
Goodwill impairment         0 2,921,958 0          
Payments to acquire equity method investments         $ 298,932 $ 0 655,876          
Lease term (in years)         10 years              
National Providers Association, LLC                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Ownership percentage                       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Number of members withdrawn from National Providers Association, LLC | member   3                    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% 50.00% 50.00%            
Payments to acquire equity method investments       $ 655,876 $ 298,932              
Variable Interest Entity, Primary Beneficiary                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Net income (loss)         235,976 $ 373,456 $ 122,982          
Total assets         4,364,274 610,553            
Noncontrolling interests         447,583 290,130            
Liabilities, Total                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Total liabilities         $ 4,811,857 $ 320,424            
Cost of Goods and Service, Product and Service Benchmark | Supplier Concentration Risk | Vendor One                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Concentration risk         14.00% 12.00% 11.00%          
Customer One | Revenue Benchmark | Customer Concentration Risk                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Concentration risk         40.00% 35.00% 23.00%          
Customer One | Accounts Receivable | Customer Concentration Risk                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Concentration risk         42.00% 45.00% 26.00%          
Customer Two | Revenue Benchmark | Customer Concentration Risk                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Concentration risk         21.00%   26.00%          
Customer Two | Accounts Receivable | Customer Concentration Risk                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Concentration risk         40.00%   24.00%          
Ryan Brothers                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Contingent consideration         $ 1,821,018       $ 4,000,000      
Payment for contingent consideration liability         1,840,026              
Contingent consideration period (in months)           24 months            
Change in fair value of contingent liability         (338,956)              
Exceptional                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Contingent consideration         279,301 $ 1,080,000       $ 2,000,000    
Payment for contingent consideration liability         426,655              
Change in fair value of contingent liability         $ (374,044)              
Performance condition period (in years)           2 years            
Business Combination                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Voting interest         10.00%              
LMS                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Contingent consideration         $ 604,827 $ 2,475,540   $ 2,475,540        
Contingent consideration, change from foreign exchange movement         129,599              
Change in fair value of contingent liability         (2,000,312)              
Voting interest               100.00%        
GMS                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Contingent consideration           $ 3,000,000         $ 3,000,000  
Payment for contingent consideration liability         3,000,000              
Voting interest                     100.00%  
CRMS                        
Summary of Significant Accounting Policies (Details) [Line Items]                        
Contingent consideration $ 15,822,190       17,087,835              
Contingent consideration period (in months) 36 months                      
Change in fair value of contingent liability         $ 1,265,645              
Contingent consideration period to purchase remaining voting interest 49.00%                      
Voting interest 51.00%