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Acquisitions of Businesses, 2020 Acquisition (Details)												12 Months Ended
	Nov. 30, 2022 USD ($) Clinic	Oct. 31, 2022 USD ($) Clinic	Sep. 30, 2022 USD ($) Clinic	Aug. 31, 2022 USD ($) Clinic	Mar. 31, 2022 USD ($) Clinic	Dec. 31, 2021 USD ($) Clinic	Jun. 30, 2021 USD ($) Clinic	Mar. 31, 2021 USD ($) Clinic	Nov. 30, 2020 USD ($) Clinic Installment	Sep. 30, 2020 USD ($) Contract	Feb. 27, 2020 USD ($) Partnership Clinic	Dec. 31, 2022 Partnership Clinic	Dec. 31, 2021 USD ($) Partnership Clinic	Dec. 31, 2020 Partnership	Sep. 30, 2021 USD ($)
Business Combination, Description [Abstract]
Number of clinics | Clinic												3	7
Number of partnerships in which interest acquired | Partnership												3	5	5
Management Contracts [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired										70.00%
Number of management contracts | Contract										6
Aggregate purchase price for the acquisition										$ 4,200,000
Cash paid for acquisition										3,700,000
Notes payable										$ 500,000
Management Contracts [Member] | Notes Payable One [Member]
Business Combination, Description [Abstract]
Notes payable									$ 300,000
Management Contracts [Member] | Notes Payable Two [Member]
Business Combination, Description [Abstract]
Notes payable															$ 200,000
Clinic Practice [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired	80.00%	60.00%	80.00%	70.00%	70.00%	75.00%	65.00%	70.00%	75.00%		65.00%		75.00%
Number of clinics | Clinic	13	14	2	6	6	3	8	5	3		4
Number of partnerships in which interest acquired | Partnership											4
Aggregate purchase price for the acquisition	$ 25,000,000	$ 19,500,000	$ 4,200,000	$ 3,500,000	$ 11,500,000	$ 3,700,000	$ 10,300,000	$ 12,000,000	$ 8,900,000		$ 11,900,000
Cash paid for acquisition	24,200,000		3,900,000	3,300,000	11,200,000	3,500,000	9,000,000	11,700,000	$ 8,600,000		11,600,000
Number of installments | Installment									2
Principal installments									$ 162,500
Notes payable	$ 800,000		$ 300,000	$ 200,000	$ 300,000	$ 200,000	$ 300,000	$ 300,000	$ 300,000		$ 300,000		$ 200,000
Percentage of interest accrued	7.00%		5.50%	5.50%	3.50%	3.25%	3.25%	3.25%	3.25%		4.75%		3.25%
Clinic Practice [Member] | Minimum [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired						5.00%					10.00%	10.00%	5.00%	20.00%
Clinic Practice [Member] | Maximum [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired						35.00%					83.80%	35.00%	35.00%	35.00%
Clinic Practice [Member] | Previous Owners [Member]
Business Combination, Description [Abstract]
Percentage of retained interest by previous owners							35.00%	30.00%	25.00%

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