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Summary of Significant Accounting Policies - Narrative (Details) |  |  |  |  |  |  |  |  |  | 3 Months Ended | 9 Months Ended | 12 Months Ended |  |  |
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Jul. 19, 2024 USD ($) shares | May 29, 2024 USD ($) | Apr. 02, 2024 USD ($) | Mar. 31, 2023 USD ($) | Aug. 09, 2022 USD ($) | Jul. 13, 2022 USD ($) | Dec. 21, 2021 member | Nov. 01, 2021 USD ($) | Oct. 26, 2021 USD ($) | Sep. 30, 2024 USD ($) shares | Jun. 30, 2024 USD ($) | Mar. 31, 2024 USD ($) | Sep. 30, 2023 USD ($) | Jun. 30, 2023 USD ($) | Mar. 31, 2023 USD ($) | Sep. 30, 2024 USD ($) shares | Sep. 30, 2023 USD ($) | Dec. 31, 2023 USD ($) | Jul. 01, 2024 USD ($) | Jan. 01, 2024 USD ($) | Dec. 09, 2022 USD ($)
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Exchange ratio |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 645.1452 |  |  |  |  |
Net income (loss) |  |  |  |  |  |  |  |  |  | $ (952,348) | $ (671,029) | $ (624,070) | $ (134,682) | $ 3,354,886 | $ (453,120) | $ (2,247,447) | $ 2,767,084 |  |  |  |
Assets |  |  |  |  |  |  |  |  |  | 493,882,539 |  |  | 419,784,142 |  |  | 493,882,539 | 419,784,142 | $ 490,451,957 |  |  |
Liabilities |  |  |  |  |  |  |  |  |  | 168,979,002 |  |  |  |  |  | 168,979,002 |  | 185,281,001 |  |  |
Stockholders' deficit attributable to noncontrolling interest |  |  |  |  |  |  |  |  |  | 309,808 |  |  |  |  |  | 309,808 |  | (4,376,089) |  |  |
Cumulative translation adjustments |  |  |  |  |  |  |  |  |  | 934,774 |  |  | (582,471) |  |  | 828,613 | 66,965 |  |  |  |
Cash balances |  |  |  |  |  |  |  |  |  | 5,064,084 |  |  |  |  |  | 5,064,084 |  | 3,699,793 |  |  |
Contingent consideration |  |  |  |  |  |  |  |  |  | 16,744,521 |  |  |  |  |  | 16,744,521 |  | 19,792,982 | $ 15,822,190 |  |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  | 44,520 |  |  | (159,974) |  |  | 370,712 | (159,974) |  |  |  |
Earnout payments on contingent liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,600,029 | 0 |  |  |  |
Accounts receivable, allowance |  |  |  |  |  |  |  |  |  | $ 6,455,874 |  |  |  |  |  | 6,455,874 |  | $ 6,276,454 |  | $ 6,276,454 |
Additional provision for credit losses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3,270,217 |  |  |  |  |
Accounts receivable, allowance for credit loss, writeoff |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ (3,090,797) |  |  |  |  |
Lease term (in years) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10 years |  |  |  |  |
Equity method investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 310,450 | 150,510 |  |  |  |
RND Health Services Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership percentage |  |  |  |  |  |  |  |  | 50.00% | 50.00% |  |  |  |  |  | 50.00% |  | 50.00% |  |  |
Equity method investments |  |  |  |  |  |  |  |  | $ 655,876 |  |  |  |  |  |  | $ 310,450 |  | $ 298,932 |  |  |
National Providers Association, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership percentage |  |  |  |  |  |  |  | 20.00% |  |  |  |  |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ryan Brothers Fort Atkinson LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  | $ 4,000,000 |  |  |  |  | $ 1,907,074 |  |  |  |  |  | 1,907,074 |  | 1,821,018 |  |  |
Contingent consideration period (in months) |  |  |  |  | 24 months |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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 |  |  |
Voting interest |  |  |  |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Exceptional Medical Transportation LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  |  |  |  |  | 265,538 |  |  |  |  |  | 265,538 |  | 279,301 |  |  |
Contingent consideration period (in months) |  |  |  |  |  | 2 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration arrangements, range of outcomes, value, high |  |  |  |  |  | $ 2,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  | 11,067 |  |  | 0 |  |  | (13,763) | 0 |  |  |  |
Earnout payments on contingent liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 426,655 |  |  |
Voting interest |  |  |  |  |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ambulnz CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  |  |  |  |  |  |  | 0 |  |  |  |  |  | 0 |  | 604,827 |  |  | $ 2,475,540
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  | 0 |  |  | 0 |  |  | 0 | 0 |  |  |  |
Earnout payments on contingent liabilities |  |  | $ 600,029 |  |  |  |  |  |  |  |  |  |  |  |  | 600,029 |  |  |  |  |
Contingent consideration, change from foreign exchange movement |  |  |  |  |  |  |  |  |  | 0 |  |  | (90,834) |  |  | (4,798) | 20,730 |  |  |  |
Voting interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00%
CRMS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  | $ 15,822,190 |  |  |  |  |  | 14,571,909 |  |  |  |  | $ 15,822,190 | 14,571,909 |  | 17,087,835 |  |  |
Contingent consideration period (in months) |  |  |  | 36 months |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Change in fair value of contingent liability |  |  |  |  |  |  |  |  |  | 0 |  |  | $ 0 |  |  | 298,419 | $ 0 |  |  |  |
Earnout payments on contingent liabilities |  | $ 1,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business acquisition, equity interest issued | $ 1,814,345 |  |  |  |  |  |  |  |  | $ 1,814,345 |  |  |  |  |  | $ 1,814,345 |  |  |  |  |
Business acquisition, equity interest issued (in shares) | shares | 578,350 |  |  |  |  |  |  |  |  | 578,350 |  |  |  |  |  | 578,350 |  |  |  |  |
Contingent consideration period to purchase remaining voting interest |  |  |  | 49.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  | 51.00% |  |  |  |  |  |  |  |  |  |  | 51.00% |  |  |  |  |  |
CRMS | Earn Out Payment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  | $ 13,733,947 |  |  |  |  |  |  |  |  |  |  | $ 13,733,947 |  |  |  |  |  |
CRMS | True-Up Payment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent consideration |  |  |  | $ 2,088,243 |  |  |  |  |  |  |  |  |  |  | $ 2,088,243 |  |  |  |  |  |
Business Combination |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Voting interest |  |  |  |  |  |  |  |  |  | 10.00% |  |  |  |  |  | 10.00% |  |  |  |  |
Cost of Goods and Service, Product and Service Benchmark | Supplier Concentration Risk | Vendor One |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk |  |  |  |  |  |  |  |  |  | 19.00% |  |  | 20.00% |  |  | 18.00% | 13.00% |  |  |  |
Customer One | Revenue Benchmark | Customer Concentration Risk |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk |  |  |  |  |  |  |  |  |  | 41.00% |  |  | 33.00% |  |  | 36.00% | 37.00% |  |  |  |
Customer One | Accounts Receivable | Customer Concentration Risk |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk |  |  |  |  |  |  |  |  |  | 34.00% |  |  | 36.00% |  |  | 34.00% | 28.00% |  |  |  |
Customer Two | Revenue Benchmark | Customer Concentration Risk |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk |  |  |  |  |  |  |  |  |  | 21.00% |  |  | 32.00% |  |  | 31.00% | 17.00% |  |  |  |
Customer Two | Accounts Receivable | Customer Concentration Risk |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk |  |  |  |  |  |  |  |  |  | 44.00% |  |  | 28.00% |  |  | 44.00% | 36.00% |  |  |  |
Variable Interest Entity, Not Primary Beneficiary |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Summary of Significant Accounting Policies (Details) [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) |  |  |  |  |  |  |  |  |  | $ (67,785) |  |  | $ (103,378) |  |  | $ (425,668) | $ 16,839 |  |  |  |
Assets |  |  |  |  |  |  |  |  |  | 11,844,062 |  |  |  |  |  | 11,844,062 |  | 4,364,274 |  |  |
Liabilities |  |  |  |  |  |  |  |  |  | 12,717,312 |  |  |  |  |  | 12,717,312 |  | 4,811,857 |  |  |
Stockholders' deficit attributable to noncontrolling interest |  |  |  |  |  |  |  |  |  | $ 873,250 |  |  |  |  |  | $ 873,250 |  | $ 447,583 |  |  |

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