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Accrued Expenses (Details Narrative) - USD ($)
9 Months Ended
Sep. 30, 2023
Dec. 31, 2022
Payables and Accruals [Abstract]    
Employee-related liabilities $ 7,000,000.0 $ 7,000,000.0
Medicare cost report settlement reserves 861,046 $ 2,101,837
Reduction in medicare cost report settlement reserves $ 1,200,000