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Goodwill and Intangible Assets - Schedule Goodwill and Intangible Assets (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Indefinite lived:          
Goodwill, gross $ 10,513,371   $ 10,513,371   $ 10,513,371
Goodwill, impairment (10,513,371) $ 0 (10,513,371) $ 0  
Goodwill, net book value 0   0   10,513,371
Definite lived:          
Intangible assets, gross 9,150,000   9,150,000   10,473,761
Intangible assets, accumulated amortization (7,165,556)   (7,165,556)   (8,343,900)
Impairment     (1,984,444) $ 0  
Goodwill and intangible asset impairment     (12,497,815)    
Intangible assets, net book value 0   0   2,129,861
Total goodwill and intangible assets, gross 19,663,371   19,663,371   20,987,132
Total goodwill and intangible assets, net book value 0   0   12,643,232
Licenses          
Definite lived:          
Intangible assets, gross 0   0   1,323,761
Intangible assets, accumulated amortization 0   0   (1,323,761)
Impairment     0    
Intangible assets, net book value 0   0   0
Bioject          
Definite lived:          
Intangible assets, gross 5,100,000   5,100,000   5,100,000
Intangible assets, accumulated amortization (3,115,556)   (3,115,556)   (2,988,889)
Impairment     (1,984,444)    
Intangible assets, net book value 0   0   2,111,111
Other          
Definite lived:          
Intangible assets, gross 4,050,000   4,050,000   4,050,000
Intangible assets, accumulated amortization (4,050,000)   (4,050,000)   (4,031,250)
Impairment     0    
Intangible assets, net book value $ 0   $ 0   $ 18,750
Weighted Average Useful Life (Yrs)          
Definite lived:          
Useful life (in years) 11 years   11 years    
Weighted Average Useful Life (Yrs) | Licenses          
Definite lived:          
Useful life (in years) 10 years   10 years    
Weighted Average Useful Life (Yrs) | Other          
Definite lived:          
Useful life (in years) 18 years   18 years