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Goodwill and Intangible Assets - Schedule of Goodwill and Intangible Assets By Major Asset Class (Details) - USD ($)
 3 Months Ended 12 Months Ended
Sep. 30, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Indefinite lived:        
Goodwill, gross   $ 10,513,371 $ 10,513,371  
Impairment loss $ (10,500,000) (10,513,371) 0 $ 0
Goodwill   0 10,513,371  
Definite lived:        
Intangible assets, gross   9,150,000 10,473,761  
Intangible assets, accumulated amortization   (7,165,556) (8,343,900)  
Impairment of intangible assets   (1,984,444) 0 $ 0
Intangible assets, net book value   0 2,129,861  
Goodwill and intangible asset impairment   (12,497,815)    
Total goodwill and intangible assets, gross   19,663,371 20,987,132  
Total goodwill and intangible assets, net book value   $ 0 12,643,232  
Weighted Average Useful Life (Yrs)        
Definite lived:        
Useful life (in years)   11 years    
Licenses        
Definite lived:        
Intangible assets, gross   $ 0 1,323,761  
Intangible assets, accumulated amortization   0 (1,323,761)  
Impairment of intangible assets   0    
Intangible assets, net book value   $ 0 0  
Licenses | Weighted Average Useful Life (Yrs)        
Definite lived:        
Useful life (in years)   10 years    
Bioject        
Definite lived:        
Intangible assets, gross   $ 5,100,000 5,100,000  
Intangible assets, accumulated amortization   (3,115,556) (2,988,889)  
Impairment of intangible assets   (1,984,444)    
Intangible assets, net book value   0 2,111,111  
Other        
Definite lived:        
Intangible assets, gross   4,050,000 4,050,000  
Intangible assets, accumulated amortization   (4,050,000) (4,031,250)  
Impairment of intangible assets   0    
Intangible assets, net book value   $ 0 $ 18,750  
Other | Weighted Average Useful Life (Yrs)        
Definite lived:        
Useful life (in years)   18 years