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Acquisition of Businesses - Narrative (Details) - USD ($) |  |  |  |  |  |  |  |  |  |  | 3 Months Ended | 9 Months Ended | 12 Months Ended | 15 Months Ended
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Jul. 19, 2024 | Jul. 01, 2024 | May 29, 2024 | Apr. 02, 2024 | May 10, 2023 | Apr. 01, 2023 | Mar. 31, 2023 | Dec. 09, 2022 | Aug. 09, 2022 | Jul. 13, 2022 | Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023 | Dec. 31, 2023 | Jul. 02, 2024
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 34,670,190
Cash consideration |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14,848,000
Due to seller |  | $ 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Due to seller |  |  |  |  |  |  |  |  |  |  | $ 138,275 |  | $ 138,275 |  | $ 7,823,009 |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  |  | 44,520 | $ (159,974) | 370,712 | $ (159,974) |  |
Earnout payments on contingent liabilities |  |  |  |  |  |  |  |  |  |  |  |  | 1,600,029 | 0 |  |
Contingent consideration |  | 15,822,190 |  |  |  |  |  |  |  |  | 16,744,521 |  | 16,744,521 |  | 19,792,982 |
Stock consideration |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 4,000,000
Exceptional Medical Transportation LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  |  |  |  |  |  |  | 100.00% |  |  |  |  |  |
Consideration transferred |  |  |  |  |  |  |  |  |  | $ 13,708,333 |  |  |  |  |  |
Cash consideration |  |  |  |  |  |  |  |  |  | $ 7,708,333 |  |  |  |  |  |
Contingent consideration period |  |  |  |  |  |  |  |  |  | 2 years |  |  |  |  |  |
Due to seller |  |  |  |  |  |  |  |  |  | $ 6,000,000 | 0 |  | 0 |  | 3,000,000 |
Contingent consideration arrangements, range of outcomes, value, high |  |  |  |  |  |  |  |  |  | $ 2,000,000 |  |  |  |  |  |
Performance condition period (in years) |  |  |  |  |  |  |  |  |  | 2 years |  |  |  |  |  |
Write off of pre-acquisition accounts receivable through due to seller |  |  |  |  |  |  |  |  |  |  |  |  | 1,315,691 |  |  |
Business combination, payments for deferred consideration |  |  |  |  |  |  |  |  |  |  |  |  | 3,000,000 |  | 3,000,000 |
Due to seller |  |  |  |  |  |  |  |  |  |  | 138,275 |  | 138,275 |  | 1,453,966 |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  |  | 11,067 | 0 | (13,763) | 0 |  |
Earnout payments on contingent liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 426,655 |
Contingent consideration |  |  |  |  |  |  |  |  |  |  | 265,538 |  | 265,538 |  | 279,301 |
Ryan Brothers Fort Atkinson LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  |  |  |  |  |  | 100.00% |  |  |  |  |  |  |
Consideration transferred |  |  |  |  |  |  |  |  | $ 11,422,252 |  |  |  |  |  |  |
Cash consideration |  |  |  |  |  |  |  |  | $ 7,422,252 |  |  |  |  |  |  |
Contingent consideration period |  |  |  |  |  |  |  |  | 24 months |  |  |  |  |  |  |
Due to seller |  |  |  |  |  |  |  |  |  |  | 0 |  | 0 |  | 3,369,043 |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  |  | 33,453 | (159,974) | 86,056 | (159,974) |  |
Earnout payments on contingent liabilities |  |  |  |  |  |  |  |  |  |  |  |  | 8,976 |  | 1,840,026 |
Contingent consideration |  |  |  |  |  |  |  |  | $ 4,000,000 |  | 1,907,074 |  | 1,907,074 |  | 1,821,018 |
Pre-acquisition receivables written off through due to seller |  |  |  |  |  |  |  |  |  |  |  |  | 3,360,067 |  |  |
Ambulnz CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  |  |  |  |  | 100.00% |  |  |  |  |  |  |  |
Cash consideration |  |  |  |  |  |  |  | $ 302,450 |  |  |  |  |  |  |  |
Due to seller |  |  |  |  |  |  |  | 11,279,201 |  |  | 0 |  | 0 |  | 0 |
Business combination, payments for deferred consideration |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 11,279,201 |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0 | 0 |  |
Earnout payments on contingent liabilities |  |  |  | $ 600,029 |  |  |  |  |  |  |  |  | 600,029 |  |  |
Contingent consideration |  |  |  |  |  |  |  | $ 2,475,540 |  |  | 0 |  | 0 |  | 604,827 |
Contingent consideration, change from foreign exchange movement |  |  |  |  |  |  |  |  |  |  | 0 | (90,834) | (4,798) | 20,730 |  |
CRMS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  |  |  |  | 51.00% |  |  |  |  |  |  |  |  |
Consideration transferred |  |  |  |  |  |  | $ 25,822,190 |  |  |  |  |  |  |  |  |
Cash consideration |  |  |  |  |  |  | $ 9,000,000 |  |  |  |  |  |  |  |  |
Contingent consideration period |  |  |  |  |  |  | 36 months |  |  |  |  |  |  |  |  |
Due to seller |  |  |  |  |  |  | $ 0 |  |  |  |  |  |  |  |  |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  |  | 0 | $ 0 | 298,419 | $ 0 |  |
Earnout payments on contingent liabilities |  |  | $ 1,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  |  | 15,822,190 |  |  |  | 14,571,909 |  | 14,571,909 |  | 17,087,835 |
Closing consideration |  |  |  |  |  |  | 10,000,000 |  |  |  |  |  |  |  |  |
Stock consideration |  |  |  |  |  |  | $ 1,000,000 |  |  |  |  |  |  |  |  |
Contingent consideration period to purchase remaining voting interest |  |  |  |  |  |  | 49.00% |  |  |  |  |  |  |  |  |
Business combination, contingent consideration, liability to be paid in cash |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |  |  |
Business combination, contingent consideration, liability to be paid shares |  |  |  |  |  |  | 10,822,190 |  |  |  |  |  |  |  |  |
Acquisition costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 229,937 |
Business acquisition, equity interest issued | $ 1,814,345 |  |  |  |  |  |  |  |  |  | $ 1,814,345 |  | $ 1,814,345 |  |  |
Business acquisition, equity interest issued (in shares) | 578,350 |  |  |  |  |  |  |  |  |  | 578,350 |  | 578,350 |  |  |
CRMS | True-Up Payment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  |  | 2,088,243 |  |  |  |  |  |  |  |  |
CRMS | Earn Out Payment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  |  | $ 13,733,947 |  |  |  |  |  |  |  |  |
FMC NA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred |  |  |  |  |  | $ 7,000,000 |  |  |  |  |  |  |  |  |  |
Cash consideration |  |  |  |  |  | 4,000,000 |  |  |  |  |  |  |  |  |  |
Due to seller |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |
Stock consideration |  |  |  |  |  | $ 3,000,000 |  |  |  |  |  |  |  |  |  |
Acquisition costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 35,560 |
Rapid Reliable Testing |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration |  |  |  |  | $ 1,385,156 |  |  |  |  |  |  |  |  |  |  |
Ambulnz CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition of Businesses (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred |  | 1,848,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration |  | 1,848,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Due to seller |  | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stock consideration |  | $ 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |

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