Accounts Receivable, Credit Loss Expense (Reversal), Net Of Writeoffs

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Business Acquisition, Contingent Consideration Period To Purchase Remaining Voting Interest

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Business combination contingent consideration recorded as foreign exchange movement

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Business Combination, Contingent Consideration Period

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Lessee, Lease Term

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Number Of Members Withdrawn

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Number Of Remaining Members

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- Definition

Summary of Significant Accounting Policies (Details) [Line Items]

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No definition available.

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- Definition

Amount of allowance for credit loss on accounts receivable, classified as current.

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Amount of direct write-downs of accounts receivable charged against the allowance.

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Amount of asset recognized for present right to economic benefit.

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- Definition

Value of equity interests (such as common shares, preferred shares, or partnership interest) issued or issuable to acquire the entity.

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Number of shares of equity interests issued or issuable to acquire entity.

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Percentage of voting equity interests acquired at the acquisition date in the business combination.

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Amount of increase (decrease) in the value of a contingent consideration liability, including, but not limited to, differences arising upon settlement.

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- Definition

For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid.

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Amount of liability recognized arising from contingent consideration in a business combination.

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For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

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The increase (decrease) in cumulative translation adjustment before transfers included in determining net income.

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The percentage of ownership of common stock or equity participation in the investee accounted for under the equity method of accounting.

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Amount of liability recognized for present obligation requiring transfer or otherwise providing economic benefit to others.

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Summary of Significant Accounting Policies - Narrative (Details)										3 Months Ended						9 Months Ended		12 Months Ended
	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