10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2023 

OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934

For the transition period from __________________ to _________________

Commission file number: 001-36724

The Joint Corp.

(Exact name of registrant as specified in its charter)

Delaware (State or other jurisdiction of incorporation or organization) 90-0544160 (IRS Employer Identification No.)

16767 N. Perimeter Drive, Suite 110, Scottsdale Arizona (Address of principal executive offices) 85260 (Zip Code)

(480) 245-5960

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, $0.001 Par Value Per Share	JYNT	The Nasdaq Capital Market LLC

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act:

Large accelerated filer	☐	Accelerated filer	☐
Non- accelerated filer	☑	Smaller reporting company	☑
		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

Indicate by check mark whether the registrant is a shell Company (as defined in Rule 12b-2 of the Exchange Act).    Yes ☐    No ☑

As of November 6, 2023, the registrant had 14,754,287 shares of Common Stock ($0.001 par value) outstanding.

Table of Contents

THE JOINT CORP.

FORM 10-Q

TABLE OF CONTENTS

		PAGE NO.
PART I FINANCIAL INFORMATION
Item 1.	Financial Statements:
	Condensed Consolidated Balance Sheets as of September 30, 2023 (unaudited) and December 31, 2022	1
	Condensed Consolidated Income Statements for the Three and Nine Months Ended September 30, 2023 and 2022 (unaudited)	3
	Condensed Consolidated Statements of Changes in Stockholders’ Equity for the Nine Months Ended September 30, 2023 and 2022 (unaudited)	4
	Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2023 and 2022 (unaudited)	6
	Notes to Unaudited Condensed Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	31
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	44
Item 4.	Controls and Procedures	44
PART II OTHER INFORMATION
Item 1.	Legal Proceedings	45
Item 1A.	Risk Factors	45
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	47
Item 3.	Other Information	47
Item 6.	Exhibits	48
SIGNATURES		49

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PART I: FINANCIAL INFORMATION

ITEM 1. UNAUDITED FINANCIAL STATEMENTS

THE JOINT CORP. AND SUBSIDIARY AND AFFILIATES

CONDENSED CONSOLIDATED BALANCE SHEETS

	September 30, 2023		December 31, 2022
ASSETS	(unaudited)		(as restated)
Current assets:
Cash and cash equivalents	$	16,050,137	$	9,745,066
Restricted cash	1,092,216		805,351
Accounts receivable, net	3,653,127		3,911,272
Deferred franchise and regional development costs, current portion	1,054,534		1,054,060
Prepaid expenses and other current assets	2,602,563		2,098,359
Assets held for sale	3,972,113		—
Total current assets	28,424,690		17,614,108
Property and equipment, net	15,355,755		17,475,152
Operating lease right-of-use asset	19,803,896		20,587,199
Deferred franchise and regional development costs, net of current portion	5,409,924		5,707,678
Intangible assets, net	8,623,115		10,928,295
Goodwill	8,448,893		8,493,407
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)	11,741,090		11,928,152
Deposits and other assets	765,263		756,386
Total assets	$	98,572,626	$	93,490,377
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable	$	1,877,162	$	2,966,589
Accrued expenses	2,488,324		1,069,610
Co-op funds liability	1,092,216		805,351
Payroll liabilities ($1.0 million and $0.6 million attributable to VIE)	3,875,453		2,030,510
Operating lease liability, current portion	5,392,944		5,295,830
Finance lease liability, current portion	25,223		24,433
Deferred franchise revenue, current portion	2,512,350		2,468,601
Deferred revenue from company clinics ($4.6 million and $4.7 million attributable to VIE)	6,538,713		7,471,549
Upfront regional developer fees, current portion	383,972		487,250
Other current liabilities	516,249		597,294
Liabilities to be disposed of	2,971,933		—
Total current liabilities	27,674,539		23,217,017
Operating lease liability, net of current portion	17,200,146		18,672,719
Finance lease liability, net of current portion	44,490		63,507
Debt under the Credit Agreement	2,000,000		2,000,000
Deferred franchise revenue, net of current portion	13,980,758		14,161,134
Upfront regional developer fees, net of current portion	1,099,718		1,500,278
Other liabilities ($1.3 million and $1.3 million attributable to VIE)	1,287,880		1,287,879
Total liabilities	63,287,531		60,902,534
Commitments and contingencies (Note 10)
Stockholders' equity:
Series A preferred stock, $0.001 par value; 50,000 shares authorized, 0 issued and outstanding, as of September 30, 2023 and December 31, 2022	—		—

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Common stock, $0.001 par value; 20,000,000 shares authorized, 14,786,411 shares issued and 14,754,287 shares outstanding as of September 30, 2023 and 14,560,353 shares issued and 14,528,487 outstanding as of December 31, 2022	14,786		14,560
Additional paid-in capital	46,969,761		45,558,305
Treasury stock 32,124 shares as of September 30, 2023 and 31,866 shares as of December 31, 2022, at cost	(860,474)		(856,642)
Accumulated deficit	(10,863,978)		(12,153,380)
Total The Joint Corp. stockholders' equity	35,260,095		32,562,843
Non-controlling interest	25,000		25,000
Total equity	35,285,095		32,587,843
Total liabilities and stockholders' equity	$	98,572,626	$	93,490,377

The accompanying notes are an integral part of these condensed consolidated financial statements.

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THE JOINT CORP. AND SUBSIDIARY AND AFFILIATES

CONDENSED CONSOLIDATED INCOME STATEMENTS

(unaudited)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenues:
Revenues from company-owned or managed clinics	$	17,882,303	$	15,836,327	$	52,813,098	$	42,936,298
Royalty fees	7,143,791		6,604,653		21,181,973		19,024,799
Franchise fees	754,029		642,405		2,179,822		1,970,256
Advertising fund revenue	2,050,106		1,881,367		6,043,563		5,417,840
Software fees	1,301,577		1,109,753		3,746,394		3,166,732
Other revenues	342,143		375,314		1,117,103		1,058,008
Total revenues	29,473,949		26,449,819		87,081,953		73,573,933
Cost of revenues:
Franchise and regional development cost of revenues	2,228,689		1,988,764		6,605,964		5,694,723
IT cost of revenues	375,411		348,331		1,068,332		1,010,446
Total cost of revenues	2,604,100		2,337,095		7,674,296		6,705,169
Selling and marketing expenses	4,301,017		3,539,287		13,169,079		10,666,500
Depreciation and amortization	2,349,206		1,779,924		6,893,529		4,578,450
General and administrative expenses	20,212,750		17,796,806		60,156,022		51,900,533
Total selling, general and administrative expenses	26,862,973		23,116,017		80,218,630		67,145,483
Net loss on disposition or impairment	904,923		264,391		1,114,738		360,140
Income (loss) from operations	(898,047)		732,316		(1,925,711)		(636,859)
Other income (expense), net	(6,244)		(25,235)		3,708,399		(60,668)
Income (loss) before income tax (benefit) expense	(904,291)		707,081		1,782,688		(697,527)
Income tax (benefit) expense	(188,018)		(24,015)		493,286		(560,976)
Net (loss) income	$	(716,273)	$	731,096	$	1,289,402	$	(136,551)
Earnings per share:
Basic earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)
Diluted earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)
Basic weighted average shares	14,790,663		14,512,856		14,666,222		14,474,323
Diluted weighted average shares	15,015,953		14,829,629		14,931,474		15,119,264

The accompanying notes are an integral part of these condensed consolidated financial statements.

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THE JOINT CORP. AND SUBSIDIARY AND AFFILIATES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

(unaudited)

	Common Stock			Additional Paid In Capital		Treasury Stock			Accumulated Deficit		Total The Joint Corp. stockholders' equity		Non-controlling interest		Total
	Shares	Amount				Shares	Amount
Balances, December 31, 2022, as restated	14,560,353	$	14,560	$	45,558,305	31,866	$	(856,642)	$	(12,153,380)	$	32,562,843	$	25,000	$	32,587,843
Stock-based compensation expense	—	—		266,210		—	—		—		266,210		—		266,210
Issuance of restricted stock	95,386	95		(95)		—	—		—		—		—		—
Exercise of stock options	15,621	16		138,441		—	—		—		138,457		—		138,457
Purchases of treasury stock under employee stock plans	—	—		—		169	(2,637)		—		(2,637)		—		(2,637)
Net Income	—	—		—		—	—		2,326,164		2,326,164		—		2,326,164
Balances, March 31, 2023, as revised (unaudited)	14,671,360	$	14,671	$	45,962,861	32,035	$	(859,279)	$	(9,827,216)	$	35,291,037	$	25,000	$	35,316,037
Stock-based compensation expense	—	—		417,017		—	—		—		417,017		—		417,017
Issuance of restricted stock	91,158	91		(91)		—	—		—		—		—		—
Exercise of stock options	10,002	10		63,919		—	—		—		63,929		—		63,929
Net loss	—	—		—		—	—		(320,489)		(320,489)		—		(320,489)
Balances, June 30, 2023 (unaudited)	14,772,520	$	14,772	$	46,443,706	32,035	$	(859,279)	$	(10,147,705)	$	35,451,494	$	25,000	$	35,476,494
Stock-based compensation expense	—	—		526,069		—	—		—		526,069		—		526,069
Issuance of restricted stock	13,891	14		(14)		—	—		—		—		—		—
Exercise of stock options	—	—		—		—	—		—		—		—		—
Purchases of treasury stock under employee stock plans	—	—		—		89	(1,195)		—		(1,195)		—		(1,195)
Net loss	—	—		—		—	—		(716,273)		(716,273)		—		(716,273)
Balances, September 30, 2023 (unaudited)	14,786,411	$	14,786	$	46,969,761	32,124	$	(860,474)	$	(10,863,978)	$	35,260,095	$	25,000	$	35,285,095

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	Common Stock			Additional Paid In Capital		Treasury Stock			Accumulated Deficit		Total The Joint Corp. stockholders' equity		Non-controlling interest
	Shares	Amount				Shares	Amount								Total
									(as restated)		(as restated)				(as restated)
Balances, December 31, 2021, as restated	14,451,355	$	14,450	$	43,900,157	31,643	$	(850,838)	$	(12,780,085)	$	30,283,684	$	25,000	$	30,308,684
Stock-based compensation expense	—	—		323,556		—	—		—		323,556		—		323,556
Issuance of restricted stock	36,722	37		(37)		—	—		—		—		—		—
Exercise of stock options	4,972	5		49,618		—	—		—		49,623		—		49,623
Purchases of treasury stock under employee stock plans	—	—		—		74	(2,598)		—		(2,598)		—		(2,598)
Net income	—	—		—		—	—		4,220		4,220		—		4,220
Balances, March 31, 2022, as restated (unaudited)	14,493,049	$	14,492	$	44,273,294	31,717	$	(853,436)	$	(12,775,865)	$	30,658,485	$	25,000	$	30,683,485
Stock-based compensation expense	—	—		340,191		—	—		—		340,191		—		340,191
Issuance of restricted stock	28,758	29		(29)		—	—		—		—		—		—
Exercise of stock options	4,610	5		64,045		—	—		—		64,050		—		64,050
Net loss	—	—		—		—	—		(871,867)		(871,867)		—		(871,867)
Balances, June 30, 2022, as restated (unaudited)	14,526,417	$	14,526	$	44,677,501	31,717	$	(853,436)	$	(13,647,732)	$	30,190,859	$	25,000	$	30,215,859
Stock-based compensation expense	—	—		305,815		—	—		—		305,815		—		305,815
Issuance of restricted stock	2,845	3		(3)		—	—		—		—		—		—
Exercise of stock options	32,283	32		248,324		—	—		—		248,356		—		248,356
Purchases of treasury stock under employee stock plans	—	—		—		149	(3,206)		—		(3,206)		—		(3,206)
Change in redemption value of non-controlling interest	—	—		—		—	—		—		—		—		—
Net income	—	—		—		—	—		731,096		731,096		—		731,096
Balances, September 30, 2022, as restated (unaudited)	14,561,545	$	14,561	$	45,231,637	31,866	$	(856,642)	$	(12,916,636)	$	31,472,920	$	25,000	$	31,497,920

The accompanying notes are an integral part of these condensed consolidated financial statements.

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THE JOINT CORP. AND SUBSIDIARY AND AFFILIATES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

	Nine Months Ended September 30,
	2023		2022
			(as restated)
Cash flows from operating activities:
Net income (loss)	$	1,289,402	$	(136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	6,893,529		4,578,450
Net loss on disposition or impairment	1,114,738		360,140
Net franchise fees recognized upon termination of franchise agreements	(170,720)		(15,218)
Deferred income taxes	187,062		(961,759)
Stock-based compensation expense	1,209,296		969,562
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	258,145		(244,236)
Prepaid expenses and other current assets	(504,203)		(450,702)
Deferred franchise costs	166,078		(186,618)
Deposits and other assets	(15,377)		(153,650)
Accounts payable	(1,244,767)		50,702
Accrued expenses	1,279,949		(571,447)
Payroll liabilities	1,844,943		(1,118,259)
Deferred revenue	(551,226)		1,161,393
Upfront regional developer fees	(496,730)		(977,841)
Other liabilities	34,638		728,449
Net cash provided by operating activities	11,294,757		3,032,415
Cash flows from investing activities:
Acquisition of AZ clinics	—		(6,861,256)
Acquisition of NC clinics	—		(1,105,000)
Acquisition of CA clinics	(1,050,000)		—
Purchase of property and equipment	(3,833,148)		(4,322,673)
Net cash used in investing activities	(4,883,148)		(12,288,929)
Cash flows from financing activities:
Payments of finance lease obligation	(18,227)		(43,907)
Purchases of treasury stock under employee stock plans	(3,832)		(5,804)
Proceeds from exercise of stock options	202,386		362,029
Repayment of debt under the Paycheck Protection Program	—		—
Net cash provided by financing activities	180,327		312,318
Increase (decrease) in cash, cash equivalents and restricted cash	6,591,936		(8,944,196)
Cash, cash equivalents and restricted cash, beginning of period	10,550,417		19,912,338
Cash, cash equivalents and restricted cash, end of period	$	17,142,353	$	10,968,142
Reconciliation of cash, cash equivalents and restricted cash:	September 30, 2023		September 30, 2022
Cash and cash equivalents	$	16,050,137	$	10,272,112
Restricted cash	1,092,216		696,030
	$	17,142,353	$	10,968,142

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Supplemental cash flow disclosures:

The following table represents supplemental cash flow disclosures and non-cash investing and financing activities:

	Nine Months Ended September 30,
	2023		2022
Net cash paid for:
Interest	$	163,334	$	43,938
Income taxes	$	468,289	$	69,274
Non-cash investing and financing activity:
Unpaid purchases of property and equipment	$	155,340	$	225,967
Non-cash investment in acquisition of franchised clinics	$	28,997	$	115,372

The accompanying notes are an integral part of these condensed consolidated financial statements.

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THE JOINT CORP. AND SUBSIDIARY AND AFFILIATES

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Note 1: Nature of Operations and Summary of Significant Accounting Policies

Basis of Presentation

These unaudited financial statements represent the condensed consolidated financial statements of The Joint Corp. (“The Joint”), which includes its variable interest entities (“VIEs”) and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC (collectively, the “Company”). The accompanying unaudited condensed consolidated interim financial statements reflect all adjustments which are necessary for a fair statement of the financial position, results of operations and cash flows for the periods presented in accordance with U.S. generally accepted accounting principles (“GAAP”). Such unaudited condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. These unaudited condensed consolidated interim financial statements should be read in conjunction with The Joint Corp. and Subsidiary and Affiliates consolidated financial statements and the notes thereto as set forth in The Joint’s Amended Annual Report on Form 10-K/A as of and for the year ended December 31, 2022, filed with the SEC on September 26, 2023 (“Form 10-K/A”), which included all disclosures required by GAAP. The results of operations for the periods ended September 30, 2023 and 2022 are not necessarily indicative of expected operating results for the full year. The information presented throughout the document as of and for the three and nine-month periods ended September 30, 2023 and 2022 is unaudited.

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amount of assets, liabilities, revenue, costs, expenses and other (expenses) income that are reported in the condensed consolidated financial statements and accompanying disclosures. These estimates are based on management’s best knowledge of current events, historical experience, actions that the Company may undertake in the future and on various other assumptions that are believed to be reasonable under the circumstances. As a result, actual results may be different from these estimates. For a discussion of significant estimates and judgments made in recognizing revenue, accounting for leases and accounting for income taxes, see this Note 1, Nature of Operations and Summary of Significant Accounting Policies.

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of The Joint and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC, which was dormant for all periods presented. The Company consolidates VIEs in which the Company is the primary beneficiary in accordance with Accounting Standards Codification 810, Consolidations (“ASC 810”). Non-controlling interests represent third-party equity ownership interests in VIEs. All significant inter-affiliate accounts and transactions between The Joint and its VIEs have been eliminated in consolidation.

Comprehensive Income

Net income was the same as comprehensive income for the three and nine months ended September 30, 2023 and 2022.

Restatement of Previously Issued Interim Condensed Financial Statements (Unaudited and Restated)

Subsequent to the issuance of the Company's consolidated financial statements as of and for the year ended December 31, 2022, included in the Company's Annual Report on Form 10-K filed with the SEC on March 10, 2023, the following errors were identified:

–The Company has historically recorded the re-acquired Regional Developer Rights as an intangible asset and amortized the re-acquired Regional Developer Rights over the contractual terms under the RD Agreement remaining at the time of the re-acquisition. The Company has concluded that this treatment was incorrect in accordance with U.S. GAAP. The Company should not have capitalized the re-acquired Regional Developer Rights but instead should have recognized the full cost of the re-acquisition as an expense in the respective period.

–The Company has historically recorded the upfront fee paid by the regional developer as a deferred liability, which was then recognized ratably to revenue as the regional developer performed various service obligations. However, the

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Company concluded that the deferred liability should be ratably recognized against cost of revenue as an offset against future commissions instead of revenue.

–The Company has historically charged the VIEs a management fee for the benefit of the Company providing non-clinical administrative services needed by the professional corporation chiropractic practice. The economic compensation or profitability resulting from an intercompany transaction between two or more parties is based on each party’s relative contribution to the economic activity under analysis. The standalone professional corporations have not historically been profitable from an income tax perspective and are fully valuing their deferred tax assets and related attributes for ASC 740 purposes. The professional corporations' earned annual losses were not consistent with their function, risk and asset profile for transfer pricing. As such, the Company has estimated transfer pricing adjustments, which were computed based on assumed targets of profitability. The resulting operating profit, after incorporating estimated transfer pricing adjustments, were further used as a means for computing overall potential tax exposure and correlative benefit.

The Company assessed the impact of these errors on its previously issued interim financial statements and determined them to be quantitatively and qualitatively material to the period ended September 30, 2022 based on its analysis of Staff Accounting Bulletin (“SAB”) No. 99, “Materiality,” and SAB No. 108, “Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements”. These errors have been corrected in the consolidated balance sheets as of December 31, 2022 and 2021 and the consolidated income statements, statements of changes in stockholders’ equity and statements of cash flows for the years then ended.

The following table summarizes the effect of the errors on the Company’s condensed balance sheet as of September 30, 2022:

	September 30, 2022				September 30, 2022
	As Previously Reported		Adjustments		As Restated
Intangible assets, net	$	10,162,506	$	(2,124,740)	$	8,037,766
Deferred tax assets	9,115,231		3,333,327		12,448,558
Total assets	88,291,398		1,208,587		89,499,985
Current liabilities:
Deferred franchise and regional development fee revenue, current portion	2,974,993		(2,974,993)		—
Deferred franchise fee revenue, current portion	—		2,410,951		2,410,951
Upfront regional developer fees, current portion	—		564,042		564,042
Other current liabilities	522,500		73,533		596,033
Total current liabilities	21,637,706		73,533		21,711,239
Deferred franchise and regional development fee revenue, net of current portion	15,604,180		(15,604,180)		—
Deferred franchise fee revenue, net of current portion	—		13,870,401		13,870,401
Upfront regional developer fees, net of current portion	—		1,733,779		1,733,779
Other liabilities	27,230		1,162,607		1,189,837
Total liabilities	56,765,925		1,236,140		58,002,065
Accumulated deficit	(12,889,083)		(27,553)		(12,916,636)
Total The Joint Corp. stockholders' equity	31,500,473		(27,553)		31,472,920
Total equity	31,525,473		(27,553)		31,497,920
Total liabilities and stockholders' equity	88,291,398		1,208,587		89,499,985

The following table summarizes the effect of the errors on the Company’s condensed income statement for the three and nine months ended September 30, 2022:

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	As Previously Reported				Adjustments				As Restated
	Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022
Revenues:
Regional developer fees	$	153,181	$	524,923	$	(153,181)	$	(524,923)	$	—	$	—
Total revenues	26,603,000		74,098,856		(153,181)		(524,923)		26,449,819		73,573,933
Cost of revenues:
Franchise and regional developer cost of revenues	2,141,945		6,219,646		(153,181)		(524,923)		1,988,764		5,694,723
Total cost of revenues	2,490,276		7,230,092		(153,181)		(524,923)		2,337,095		6,705,169
Depreciation and amortization	2,011,768		5,341,420		(231,844)		(762,970)		1,779,924		4,578,450
General and administrative expenses	17,796,806		49,703,451		—		2,197,082		17,796,806		51,900,533
Total selling, general and administrative expenses	23,347,861		65,711,371		(231,844)		1,434,112		23,116,017		67,145,483
Income (loss) from operations	500,472		797,253		231,844		(1,434,112)		732,316		(636,859)
Income before income tax expense (benefit)	475,237		736,585		231,844		(1,434,112)		707,081		(697,527)
Income tax expense (benefit)	(15,876)		106,527		(8,139)		(667,503)		(24,015)		(560,976)
Net income (loss)	$	491,113	$	630,058	$	239,983	$	(766,609)	$	731,096	$	(136,551)
Earnings per share:
Basic earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)
Diluted earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)

The following table summarizes the effect of the errors on the Company’s condensed statements of stockholders' equity as of September 30, 2022, June 30, 2022, March 31, 2022 and December 31, 2021:

	Accumulated Deficit		Total The Joint Corp. Stockholder's Equity		Total Equity
Balances, December 31, 2021 (as previously reported)	$	(13,519,142)	$	29,544,627	$	29,569,627
Adjustment due to cumulative error correction	739,057		739,057		739,057
Balances, December 31, 2021 (as restated)	$	(12,780,085)	$	30,283,684	$	30,308,684
Balances, March 31, 2022 (as previously reported)	$	(13,724,938)	$	29,709,412	$	29,734,412
Adjustment due to cumulative error correction	949,073		949,073		949,073
Balances, March 31, 2022 (as restated)	$	(12,775,865)	$	30,658,485	$	30,683,485
Balances, June 30, 2022 (as previously reported)	$	(13,380,196)	$	30,458,395	$	30,483,395
Adjustment due to cumulative error correction	(267,537)		(267,537)		(267,537)
Balances, June 30, 2022 (as restated)	$	(13,647,733)	$	30,190,858	$	30,215,858
Balances, September 30, 2022 (as previously reported)	$	(12,889,083)	$	31,500,473	$	31,525,473
Adjustment due to cumulative error correction	(27,553)		(27,553)		(27,553)
Balances, September 30, 2022 (as restated)	$	(12,916,636)	$	31,472,920	$	31,497,920

The following table summarizes the effect of the errors on the Company’s condensed statement of cash flows for the nine-month period ended September 30, 2022:

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	Nine Months Ended September 30, 2022			Nine Months Ended September 30, 2022
	As Previously Reported		Adjustments	As Restated
Cash flows from operating activities:
Net income (loss)	$	630,058	(766,609)	$	(136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	5,341,420		(762,970)	4,578,450
Deferred income taxes	73,403		(1,035,162)	(961,759)
Changes in operating assets and liabilities:
Upfront regional developer fees	—		(977,841)	(977,841)
Deferred revenue	636,470		524,923	1,161,393
Other liabilities	360,790		367,659	728,449
Net cash provided by (used in) operating activities	5,682,415		(2,650,000)	3,032,415
Cash flows from investing activities:
Reacquisition and termination of regional developer rights	(2,650,000)		2,650,000	—
Net cash used in investing activities	(14,938,929)		2,650,000	(12,288,929)
Decrease in cash	(8,944,196)		—	(8,944,196)

Nature of Operations

The Joint Corp., a Delaware corporation, was formed on March 10, 2010 for the principal purpose of franchising and developing chiropractic clinics, selling regional developer rights, supporting the operations of franchised chiropractic clinics and operating and managing corporate chiropractic clinics at locations throughout the United States of America. The franchising of chiropractic clinics is regulated by the Federal Trade Commission and various state authorities.

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The following table summarizes the number of clinics in operation under franchise agreements and as company-owned or managed clinics for the three and nine months ended September 30, 2023 and 2022:

	Three Months Ended September 30,		Nine Months Ended September 30,
Franchised clinics:	2023	2022	2023	2022
Clinics open at beginning of period	756	662	712	610
Opened during the period	24	33	76	91
Acquired during the period	—	1	—	1
Sold during the period	—	(4)	(3)	(8)
Closed during the period	(2)	(2)	(7)	(4)
Clinics in operation at the end of the period	778	690	778	690
	Three Months Ended September 30,		Nine Months Ended September 30,
Company-owned or managed clinics:	2023	2022	2023	2022
Clinics open at beginning of period	134	107	126	96
Opened during the period	2	5	9	12
Acquired during the period	—	4	3	8
Sold during the period	—	(1)	—	(1)
Closed during the period	—	—	(2)	—
Clinics in operation at the end of the period	136	115	136	115
Total clinics in operation at the end of the period	914	805	914	805
Clinic licenses sold but not yet developed	155	212	155	212
Licenses for future clinics subject to executed letters of intent	42	40	42	40

Variable Interest Entities

Certain states prohibit the “corporate practice of chiropractic,” which restricts business corporations from practicing chiropractic care by exercising control over clinical decisions by chiropractic doctors. In states that prohibit the corporate practice of chiropractic, the Company typically enters into long-term management agreements with professional corporations (“PCs”) that are owned by licensed chiropractic doctors, which, in turn, employ or contract with doctors who provide professional chiropractic care in its clinics. Under these management agreements with PCs, the Company provides, on an exclusive basis, all non-clinical services of the chiropractic practice. The Company has entered into such management agreements with four PCs, including one in New Jersey, in connection with the opening of company-managed clinics in April 2023. If an entity is deemed to be the primary beneficiary of a VIE, the entity is required to consolidate the VIE in its financial statements. An entity is deemed to be the primary beneficiary of a VIE if it has both of the following characteristics: (a) the power to direct the activities of a VIE that most significantly impact the VIE's economic performance; and (b) the obligation to absorb the majority of losses of the VIE or the right to receive the majority of benefits from the VIE. In accordance with relevant accounting guidance, these PCs were determined to be VIEs as fees paid by the PCs to the Company as its management service provider are considered variable interests because the fees do not meet all the following criteria: (1) The fees are compensation for services provided and are commensurate with the level of effort required to provide those services; (2) The decision maker or service provider does not hold other interests in the VIE that individually, or in the aggregate, would absorb more than an insignificant amount of the VIE’s expected losses or receive more than an insignificant amount of the VIE’s expected residual returns; and (3) The service arrangement includes only terms, conditions or amounts that are customarily present in arrangements for similar services negotiated at arm’s length. Additionally, the Company has determined that it has the ability to direct the activities that most significantly impact the performance of these PCs and has an obligation to absorb losses or receive benefits which could potentially be significant to the PCs. Accordingly, the PCs are VIEs for which the Company is the primary beneficiary and are consolidated by the Company.

VIE total revenue and general administrative expenses for the three and nine-months ended September 30, 2023 and 2022 were as follows:

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	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenues	$	10,688,500	$	9,150,103	$	30,997,617	$	25,433,407
General and administrative expenses	4,525,305		4,079,552		13,614,211		11,212,760

The carrying amount of the VIEs’ assets and liabilities was immaterial as of September 30, 2023 and December 31, 2022, except for their payroll liability balances and amounts collected in advance for membership and wellness packages, which are recorded as deferred revenue. The VIEs’ payroll liability and deferred revenue from company managed clinics balances as of September 30, 2023 and December 31, 2022 were as follows:

	September 30, 2023		December 31, 2022
Payroll liabilities	$	952,854	$	586,960
Deferred revenue from company managed clinics	4,553,228		4,702,044

Cash and Cash Equivalents

The Company considers all highly liquid instruments purchased with a maturity of three months or less at date of purchase to be cash equivalents. The Company continually monitors its positions with and credit quality of, the financial institutions with which it invests. As of the balance sheet date and periodically throughout the period, the Company has maintained balances in various operating accounts in excess of federally insured limits. The Company has invested substantially all its cash in short-term bank deposits. The Company had no cash equivalents as of September 30, 2023 and December 31, 2022.

Restricted Cash

Restricted cash relates to cash that franchisees and company-owned or managed clinics contribute to the Company’s National Marketing Fund and cash that franchisees provide to various voluntary regional Co-Op Marketing Funds. Cash contributed by franchisees to the National Marketing Fund is to be used in accordance with the Company’s Franchise Disclosure Document with a focus on regional and national marketing and advertising. While such cash balance is not legally segregated and restricted as to withdrawal or usage, the Company's accounting policy is to classify these funds as restricted cash.

Accounts Receivable

Accounts receivable primarily represents amounts due from franchisees for royalty fees. The Company records an allowance for credit losses as a reduction to its accounts receivables for amounts that the Company does not expect to recover. An allowance for credit losses is determined through assessments of collectability based on historical trends, the financial condition of the Company’s franchisees, including any known or anticipated bankruptcies and an evaluation of current economic conditions, as well as the Company’s expectations of conditions in the future. Actual losses ultimately could differ materially in the near term from the amounts estimated in determining the allowance. As of September 30, 2023 and December 31, 2022, the Company had an allowance for doubtful accounts of $0.

Property and Equipment

Property and equipment are stated at cost, or for property acquired as part of franchise acquisitions at fair value at the date of closing. Depreciation is computed using the straight-line method over estimated useful lives, which is generally three to ten years. Leasehold improvements are amortized using the straight-line method over the shorter of the lease term or the estimated useful lives of the assets. Maintenance and repairs are charged to expense as incurred; major renewals and improvements are capitalized. When items of property or equipment are sold or retired, the related cost and accumulated depreciation are removed from the accounts and any gain or loss is included in income. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $68,200 and $217,810 for the three and nine-months ended September 30, 2023, respectively. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $23,554 and $119,303 for the three and nine-months ended September 30, 2022, respectively.

Leases

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The Company leases property and equipment under operating and finance leases. The Company leases its corporate office space and the space for each of the company-owned or managed clinics in the portfolio. The Company recognizes a right-of-use ("ROU") asset and lease liability for all leases. Certain leases include one or more renewal options, generally for the same period as the initial term of the lease. The exercise of lease renewal options is generally at the Company’s sole discretion and, as such, the Company typically determines that exercise of these renewal options is not reasonably certain. As a result, the Company does not include the renewal option period in the expected lease term and the associated lease payments are not included in the measurement of the right-of-use asset and lease liability. When available, the Company uses the rate implicit in the lease to discount lease payments; however, the rate implicit in the lease is not readily determinable for substantially all of its leases. In such cases, the Company estimates its incremental borrowing rate as the interest rate it would pay to borrow an amount equal to the lease payments over a similar term, with similar collateral as in the lease and in a similar economic environment. The Company estimates these rates using available evidence such as rates imposed by third-party lenders to the Company in recent financings or observable risk-free interest rate and credit spreads for commercial debt of a similar duration, with credit spreads correlating to the Company’s estimated creditworthiness.

For operating leases that include rent holidays and rent escalation clauses, the Company recognizes lease expense on a straight-line basis over the lease term from the date it takes possession of the leased property. Pre-opening costs are recorded as incurred in general and administrative expenses. Variable lease payments, such as percentage rentals based on location sales, periodic adjustments for inflation, reimbursement of real estate taxes, any variable common area maintenance and any other variable costs associated with the leased property are expensed as incurred and are also included in general and administrative expenses on the accompanying consolidated income statements.

Long-Lived Assets

The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recovered. The Company looks primarily to estimated undiscounted future cash flows in its assessment of whether or not long-lived assets are recoverable. The Company records an impairment loss when the carrying amount of the asset is not recoverable and exceeds its fair value. During the three and nine months ended September 30, 2023, intangible assets related to a clinic planned for closure with a total carrying amount of approximately $80,000 was written down to zero. As a result, the Company recorded a noncash impairment loss of approximately $80,000 during the three and nine months ended September 30, 2023. During the three and nine months ended September 30, 2022, an operating lease ROU asset related to a closed clinic with a total carrying amount of approximately $250,000 was written down to zero. As a result, the Company recorded a noncash impairment loss of approximately $250,000 during the three and nine months ended September 30, 2022.

In connection with the planned sale of 16 company-owned and managed clinics, the Company reclassified $2,153,454 of property and equipment and $2,204,293 of ROU assets to Assets held for sale and reclassified $2,585,642 of ROU liability and $386,291 of deferred revenue from company clinics to Liabilities to be disposed of, in the consolidated balance sheet as of September 30, 2023. Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. As a result, the Company recorded a valuation allowance of $756,228 and $816,429 to adjust the carrying value of the disposal group to fair value less cost to sell during the three and nine months ended September 30, 2023, respectively.

Revenue Recognition

The Company generates revenue primarily through its company-owned and managed clinics and through royalties, franchise fees, advertising fund contributions, IT related income and computer software fees from its franchisees.

Revenues from Company-Owned or Managed Clinics. The Company earns revenues from clinics that it owns and operates or manages throughout the United States. Revenues are recognized when services are performed. The Company offers a variety of membership and wellness packages, which feature discounted pricing as compared with its single-visit pricing. Amounts collected in advance for membership and wellness packages are recorded as deferred revenue and recognized when the service is performed. Any unused visits associated with monthly memberships are recognized on a month-to-month basis. The Company recognizes a contract liability (or a deferred revenue liability) related to the prepaid treatment plans for which the Company has an ongoing performance obligation. The Company derecognizes this contract liability and recognizes revenue, as the patient consumes his or her visits related to the package and the Company transfers its services. If the Company determines that it is not subject to unclaimed property laws for the portion of wellness package that it does not expect to be redeemed (referred to as “breakage”), then it recognizes breakage revenue in proportion to the pattern of exercised rights by the patient.

Royalties and Advertising Fund Revenue. The Company collects royalties from its franchisees, as stipulated in the franchise agreement, equal to 7% of gross sales and a marketing and advertising fee currently equal to 2% of gross sales. Royalties,

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including franchisee contributions to advertising funds, are calculated as a percentage of clinic sales over the term of the franchise agreement. The revenue accounting standard provides an exception for the recognition of sales-based royalties promised in exchange for a license (which generally requires a reporting entity to estimate the amount of variable consideration to which it will be entitled in the transaction price). Franchise agreement royalties, inclusive of advertising fund contributions, represent sales-based royalties that are related entirely to the Company’s performance obligation under the franchise agreement and therefore, such royalties are recognized as franchisee clinic level sales occur. Royalties are collected semi-monthly, two working days after each sales period has ended.

Franchise Fees. The Company requires the entire non-refundable initial franchise fee to be paid upon execution of a franchise agreement, which typically has an initial term of ten years. Initial franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement. The Company’s services under the franchise agreement include training of franchisees and staff, site selection, construction/vendor management and ongoing operations support. The Company provides no financing to franchisees and offers no guarantees on their behalf. The services provided by the Company are highly interrelated with the franchise license and as such are considered to represent a single performance obligation. Renewal franchise fees, as well as transfer fees, are also recognized as revenue on a straight-line basis over the term of the respective franchise agreement.

Software Fees.  The Company collects a monthly fee from its franchisees for use of its proprietary chiropractic software, computer support and internet services support. These fees are recognized ratably on a straight-line basis over the term of the respective franchise agreement.

Capitalized Sales Commissions: Sale commissions earned by the regional developers and the Company's sales force are considered incremental and recoverable costs of obtaining a franchise agreement with a franchisee. These costs are deferred and then amortized as the respective franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement.

Regional Developer Fees. The Company has a regional developer program where regional developers are granted an exclusive geographical territory and commit to a minimum development obligation within that defined territory. Regional developer fees paid to the Company are non-refundable and are amortized on a straight-line bases over the term of the regional developer agreement and recognized as a decrease to franchise cost of revenues.

In addition, regional developers receive fees that are funded by the initial franchise fees collected from franchisees upon the sale of franchises within their exclusive geographical territory and a royalty of 3% of sales generated by franchised clinics in their exclusive geographical territory. Initial fees related to the sale of franchises within their exclusive geographical territory are initially deferred as deferred franchise costs and are recognized as an expense in franchise cost of revenues when the respective revenue is recognized, which is generally over the term of the related franchise agreement. Royalties of 3% of sales generated by franchised clinics in their regions are also recognized as franchise cost of revenues as franchisee clinic level sales occur. This 3% fee is funded by the 7% royalties collected from the franchisees in their regions. Certain regional developer agreements result in the regional developer acquiring the rights to existing royalty streams from clinics already open in the respective territory. In those instances, the revenue associated from the sale of the royalty stream is recognized over the remaining life of the respective franchise agreements. The Company did not enter into any new regional developer agreements during the nine months ended September 30, 2023 and 2022.

Advertising Costs

Advertising costs are advertising and marketing expenses incurred by the Company, primarily through advertising funds. The Company expenses production costs of commercial advertising upon first airing and expenses the costs of communicating the advertising in the period in which the advertising occurs. Advertising expenses were $1,796,865 and $5,375,156 for the three and nine months ended September 30, 2023, respectively. Advertising expenses were $1,444,783 and $3,763,351 for the three and nine months ended September 30, 2022, respectively.

Income Taxes

Income tax expense during interim periods is based on applying an estimated annual effective income tax rate to year-to-date pre-tax income, plus any significant unusual or infrequently occurring items which are recorded in the interim period. The computation of the annual estimated effective tax rate at each interim period requires certain estimates and significant judgment, including, but not limited to, the expected pre-tax income for the year and permanent differences. The accounting estimates used to compute the provision for income taxes may change as new events occur, more experience is obtained, additional information becomes known or as the tax environment changes.

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Earnings (Loss) per Common Share

Basic earnings per common share is computed by dividing the net income (loss) by the weighted-average number of common shares outstanding during the period. Diluted earnings per common share is computed by giving effect to all potentially dilutive common shares, including restricted stock and stock options.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net (loss) income	$	(716,273)	$	731,096	$	1,289,402	$	(136,551)
Weighted average common shares outstanding - basic	14,790,663		14,512,856		14,666,222		14,474,323
Effect of dilutive securities:
Unvested restricted stock and stock options	225,290		316,773		265,252		644,941
Weighted average common shares outstanding - diluted	15,015,953		14,829,629		14,931,474		15,119,264
Basic earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)
Diluted earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)

The following common stock equivalents were excluded from the computation of diluted earnings per share for the periods presented because including them would have been antidilutive:

	Three Months Ended September 30,		Nine Months Ended September 30,
Weighted average dilutive securities:	2023	2022	2023	2022
Restricted stocks	—	—	—	—
Stock options	121,699	77,485	89,883	41,293

Stock-Based Compensation

The Company accounts for share-based payments by recognizing compensation expense based upon the estimated fair value of the awards on the date of grant. The Company determines the estimated grant-date fair value of restricted shares using the closing price on the date of the grant and the grant-date fair value of stock options using the Black-Scholes-Merton model. In order to calculate the fair value of the options, certain assumptions are made regarding the components of the model, including risk-free interest rate, volatility, expected dividend yield and expected option life. Changes to the assumptions could cause significant adjustments to the valuation. The Company recognizes compensation costs ratably over the period of service using the straight-line method. Forfeitures are estimated based on historical and forecasted turnover, which is approximately 5%.

Loss Contingencies

ASC Topic 450 governs the disclosure of loss contingencies and accrual of loss contingencies in respect of litigation and other claims. The Company records an accrual for a potential loss when it is probable that a loss will occur and the amount of the loss can be reasonably estimated. When the reasonable estimate of the potential loss is within a range of amounts, the minimum of the range of potential loss is accrued, unless a higher amount within the range is a better estimate than any other amount within the range. Moreover, even if an accrual is not required, the Company provides additional disclosure related to litigation and other claims when it is reasonably possible (i.e., more than remote) that the outcomes of such litigation and other claims include potential material adverse impacts on the Company. Legal costs to be incurred in connection with a loss contingency are expensed as such costs are incurred.

Use of Estimates

The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Items subject to significant estimates and assumptions include the allowance for credit losses,

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loss contingencies, share-based compensations, useful lives and realizability of long-lived assets, deferred revenue and revenue recognition related to breakage, deferred franchise costs, calculation of ROU assets and liabilities related to leases, realizability of deferred tax assets, impairment of goodwill, intangible assets, other long-lived assets and purchase price allocations and related valuations.

Recent Accounting Pronouncements Adopted and Not Yet Adopted

The Company reviewed newly issued accounting pronouncements and concluded that they either are not applicable to the Company's operations or that no material effect is expected on the Company's financial statements upon future adoption.

Note 2: Revenue Disclosures

Company-Owned or Managed Clinics

The Company earns revenues from clinics that it owns and operates or manages throughout the United States.  Revenues are recognized when services are performed. The Company offers a variety of membership and wellness packages that feature discounted pricing as compared with its single-visit pricing.  Amounts collected in advance for membership and wellness packages are recorded as deferred revenue and recognized when the service is performed or in accordance with the Company’s breakage policy as discussed in Note 1, Revenue Recognition.  

Franchising Fees, Royalty Fees, Advertising Fund Revenue and Software Fees

The Company currently franchises its concept across 41 states, the District of Columbia and Puerto Rico. The franchise arrangement is documented in the form of a franchise agreement. The franchise arrangement requires the Company to perform various activities to support the brand that do not directly transfer goods and services to the franchisee, but instead represent a single performance obligation, which is the transfer of the franchise license. The intellectual property subject to the franchise license is symbolic intellectual property as it does not have significant standalone functionality and substantially all of the utility is derived from its association with the Company’s past or ongoing activities. The nature of the Company’s promise in granting the franchise license is to provide the franchisee with access to the brand’s symbolic intellectual property over the term of the license. The services provided by the Company are highly interrelated with the franchise license and as such are considered to represent a single performance obligation.

The transaction price in a standard franchise arrangement primarily consists of (a) initial franchise fees, (b) continuing franchise fees (royalties), (c) advertising fees, and (d) software fees. The revenue accounting standard provides an exception for the recognition of sales-based royalties promised in exchange for a license (which otherwise requires a reporting entity to estimate the amount of variable consideration to which it will be entitled in the transaction price).

The Company recognizes the primary components of the transaction price as follows:

•Initial and renewal franchise fees, as well as transfer fees, are recognized as revenue ratably on a straight-line basis over the term of the respective franchise agreement, commencing with the execution of the franchise, renewal or transfer agreement. As these fees are typically received in cash at or near the beginning of the contract term, the cash received is initially recorded as a contract liability until recognized as revenue over time.

•The Company is entitled to royalties and advertising fees based on a percentage of the franchisee's gross sales as defined in the franchise agreement. Royalty and advertising revenue are recognized when the franchisee's sales occur. Depending on timing within a fiscal period, the recognition of revenue results in either what is considered a contract asset (unbilled receivable) or, once billed, accounts receivable, on the balance sheet.

•The Company is entitled to a software fee, which is charged monthly. The Company recognizes revenue related to software fees ratably on a straight-line basis over the term of the franchise agreement.

In determining the amount and timing of revenue from contracts with customers, the Company exercises significant judgment with respect to collectability of the amount; however, the timing of recognition does not require significant judgment as it is based on either the franchise term or the reported sales of the franchisee, none of which require estimation. The Company believes its franchising arrangements do not contain a significant financing component.

The Company recognizes advertising fees received under franchise agreements as advertising fund revenue.

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Capitalized Sales Commissions

Sales commissions earned by the regional developers and the Company’s sales force are considered incremental and recoverable costs of obtaining a franchise agreement with a franchisee. These costs are deferred and then amortized as the respective franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement.

Disaggregation of Revenue

The Company believes that the captions contained on the condensed consolidated income statements appropriately reflect the disaggregation of its revenue by major type for the three and nine months ended September 30, 2023 and 2022. Other revenues primarily consist of preferred vendor royalties associated with franchisees' credit card transactions.

The following table shows the Company's revenues disaggregated according to the timing of transfer of services:

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenue recognized at a point in time	$	27,418,343	$	24,697,661	$	81,155,737	$	68,436,945
Revenue recognized over time	2,055,606		1,752,158		5,926,216		5,136,988
Total Revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933

Rollforward of Contract Liabilities and Contract Assets

Changes in the Company's contract liability for deferred revenue from company clinics during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue from company clinics
Balance at December 31, 2022	$	7,471,549
Revenue recognized that was included in the contract liability at the beginning of the year	(5,959,308)
Net increase during the nine months ended September 30, 2023	5,026,472
Balance at September 30, 2023	$	6,538,713

Changes in the Company's contract liability for deferred franchise fees during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue short and long-term
Balance at December 31, 2022	$	16,629,735
Revenue recognized that was included in the contract liability at the beginning of the year	(2,042,823)
Net increase during the nine months ended September 30, 2023	1,906,196
Balance at September 30, 2023	$	16,493,108

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The Company's deferred franchise and development costs represent capitalized sales commissions. Changes during the nine months ended September 30, 2023 were as follows:

	Deferred Franchise and Development Costs short and long-term
Balance at December 31, 2022	$	6,761,738
Cost of revenue recognized that was included in the contract asset at the beginning of the year	(863,619)
Net increase during the nine months ended September 30, 2022	566,339
Balance at September 30, 2023	$	6,464,458

The following table illustrates estimated revenues expected to be recognized in the future related to performance obligations that were unsatisfied (or partially unsatisfied) as of September 30, 2023:

Contract liabilities expected to be recognized in	Amount
2023 (remainder)	$	643,492
2024	2,495,683
2025	2,358,322
2026	2,264,085
2027	2,190,960
Thereafter	6,540,566
Total	$	16,493,108

Note 3: Acquisitions and Assets Held for Sale

2023 Acquisition

On May 22, 2023, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the sellers three operating franchised clinics in California (the “CA Clinics Purchase”). As of the acquisition date, the Company operates the franchises as company-managed clinics. The total purchase price for the transaction was $1,188,764 to the seller (of which $109,767 is to be paid in the fourth quarter of 2023), less $28,997 of net deferred revenue, resulting in total purchase consideration of $1,159,767.

Based on the terms of the purchase agreement, the CA Clinics Purchase has been treated as an asset purchase under GAAP as there were no outputs or processes to generate outputs acquired as part of these transactions. Under an asset purchase, assets are recognized based on their cost to the acquiring entity. Cost is allocated to the individual assets acquired or liabilities assumed based on their relative fair values and does not give rise to goodwill.

The allocation of the total purchase price of the CA Clinics Purchase was as follows:

Property and equipment	$	313,995
Operating lease right-of-use asset	317,662
Intangible assets	1,004,513
Total assets acquired	1,636,170
Deferred revenue	(158,365)
Operating lease liability - current portion	(118,081)
Operating lease liability - net of current portion	(199,957)
Net purchase consideration	$	1,159,767

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Intangible assets in the table above primarily consist of reacquired franchise rights of $0.7 million amortized over their estimated useful lives of six to seven years, customer relationships of $0.1 million amortized over an estimated useful life of two years and assembled workforce of $0.2 million amortized over an estimated useful life of two years.

2022 Acquisitions

On May 19, 2022, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the seller four operating franchises in Arizona (the "May 19th Acquisition"). The Company operates the franchises as company-owned clinics. The total purchase price for the transaction was $5,761,256, less $70,484 of net deferred revenue, resulting in total purchase consideration of $5,690,772.

On July 5, 2022, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the seller one operating franchise in Arizona (collectively, including the May 19th Acquisition, the “AZ Clinics Purchase”). The Company operates the franchise as a company-owned clinic. The total purchase price for the transaction was $1,205,667, less $13,241 of net deferred revenue, resulting in total purchase consideration of $1,192,426.

Based on the terms of the purchase agreements, the AZ Clinics Purchase has been treated as a business combination under U.S. GAAP using the acquisition method of accounting, which requires that assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill.

The allocation of the total purchase price of the AZ Clinics Purchase was as follows:

Property and equipment	$	241,511
Operating lease right-of-use asset	912,937
Intangible assets	3,689,100
Total identifiable assets acquired	4,843,548
Goodwill	3,408,205
Deferred revenue	(455,317)
Operating lease liability - current portion	(128,516)
Operating lease liability - net of current portion	(784,722)
Net purchase consideration	$	6,883,198

Intangible assets in the table above consist of re-acquired franchise rights of $2,892,100 amortized over estimated useful lives of approximately four to eight years and customer relationships of $797,000 amortized over estimated useful lives of two to three years. The fair value of re-acquired franchise rights are estimated using the multi-period excess earnings method. The multi-period excess earnings method model estimates revenues and cash flows derived from the primary asset and then deducts portions of the cash flow that can be attributed to supporting assets, such as assembled workforce and working capital that contributed to the generation of the cash flows. The resulting cash flow, which is attributable solely to the primary asset acquired, is then discounted at a rate of return commensurate with the risk of the asset to calculate a present value. Customer relationships are also calculated using the multi-period excess earnings method.

The valuation method involved the use of significant estimates and assumptions primarily related to forecasted revenue growth rates, gross margin, contributory asset charges, customer attrition rates and market-participant discount rates. These measures are based on significant Level 3 inputs not observable in the market. Key assumptions developed based on the Company's historical experience, future projections and comparable market data include future cash flows, long-term growth rates, attrition rates and discount rates.

Goodwill represents the excess of the purchase consideration over the fair value of the underlying acquired net tangible and intangible assets. The factors that contributed to the recognition of goodwill included synergies and benefits expected to be gained from leveraging the Company’s existing operations and infrastructures, as well as the expected associated revenue and cash flow projections. Goodwill has been allocated to the Company’s Corporate Clinics segment based on such expected benefits. Goodwill related to the acquisition is expected to be deductible for income tax purposes over 15 years. The Company completed the purchase price allocation during the fourth quarter of 2022.

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On July 29, 2022, the Company entered into Asset and Franchise Purchase Agreements under which the Company repurchased from the sellers three operating franchises in North Carolina (the “NC Clinics Purchase”). The Company operates the franchises as company-managed clinics. The total purchase price for the transactions was $1,317,312, less $31,647 of net deferred revenue, resulting in total purchase consideration of $1,285,665.

Based on the terms of the purchase agreement, the NC Clinics Purchase has been treated as asset purchases under U.S. GAAP as there were no outputs or processes to generate outputs acquired as part of this transaction. Under an asset purchase, assets are recognized based on their cost to the acquiring entity. Cost is allocated to the individual assets acquired or liabilities assumed based on their relative fair values and does not give rise to goodwill.

The allocation of the purchase price for the NC Clinics Purchase was as follows:

Property and equipment	$	142,395
Operating lease right-of-use asset	122,641
Intangible assets	1,299,607
Total identifiable assets acquired	1,564,643
Deferred revenue	(153,176)
Operating lease liability - current portion	(85,414)
Operating lease liability - net of current portion	(40,388)
Net purchase consideration	$	1,285,665

Intangible assets in the table above consist of re-acquired franchise rights of $546,033 amortized over estimated useful lives of approximately two to four years, customer relationships of $426,489 amortized over estimated useful lives of approximately three to four years and assembled workforce of $327,085 amortized over an estimated useful life of two years.

Pro Forma Results of Operations (Unaudited)

The following table summarizes selected unaudited pro forma consolidated income statements for the three and nine months ended September 30, 2023 and 2022 for the 2023 and 2022 acquisitions, as if the CA Clinics Purchase in 2023 and the NC Clinics Purchase in 2022 (which have been accounted for as an asset purchase) and the AZ Clinics Purchase in 2022 (which have been accounted for as a business combination) had all been completed on January 1, 2022.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues, net	$	29,473,949	$	26,905,560	$	87,820,694	$	76,866,953
Net income	(703,681)		697,316		1,290,407		(491,325)

The pro forma financial information is presented for informational purposes only and is not indicative of the results of operations that would have been achieved if the purchases had taken place on January 1, 2022 or of results that may occur in the future. For 2022, this information includes actual data recorded in the Company’s consolidated financial statements for the period subsequent to the date of the acquisition.

The Company’s condensed consolidated income statements for the three and nine months ended September 30, 2023 include net revenue and net income, excluding corporate clinic segment overhead costs, of the acquired California clinics as follows:

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	Three Months Ended		Nine Months Ended
	September 30,		September 30,
	2023		2023
Revenues, net	$	375,625	$	544,344
Net income	41,847		80,936

Assets Held for Sale

In June 2023, the Company entered into negotiations to sell one of its company-managed clinics in California to a franchisee for a total of $0.1 million. The Company executed an LOI with the buyer in October 2023 and the sale is expected to close before the end of 2023, subject to the execution of the purchase agreement and other customary closing conditions contained in the purchase agreement. This transaction did not represent a major strategic shift for the Company, and, therefore, it does not meet the criteria to be classified as a discontinued operation. As a result, the results of this clinic will continue to be reported in the Company’s operating results and in its Corporate Clinics segment until the sale is finalized. Effective with the designation as held for sale in June 2023, the Company discontinued recording depreciation on property and equipment, net and amortization of ROU assets for the clinic as required by GAAP. The Company also separately classified the related assets and liabilities of the clinics as held for sale in its September 30, 2023 condensed consolidated balance sheet.

During Q3 2023, the Company committed to a plan to sell specific corporate owned or managed clinics making up under 10% the corporate clinic portfolio with an estimated fair value of $1.6 million. The clinics are in varying stages of sales negotiations with all of them expected to close within one year. The clinics identified to commit to sell during Q3 2023 did not represent a major strategic shift and therefore, they do not meet the criteria to be classified as a discontinued operation. As a result, the results of these clinics will continue to be reported in the Company’s operating results and in its Corporate Clinics segment until the sales are each finalized. Effective with the designation as held for sale in September 2023, the Company discontinued recording depreciation on property and equipment, net, amortization of intangible assets, net and amortization of ROU assets for the clinics as required by GAAP. The Company also separately classified the related assets and liabilities of the clinics as held for sale in its September 30, 2023 condensed consolidated balance sheet.

Long-lived assets that meet the criteria for the held for sale designation are reported at the lower of their carrying value or fair value less estimated cost to sell. As a result of its evaluation of the recoverability of the carrying value of the assets and liabilities held for sale relative to the agreed upon sales prices or the clinics fair values, the Company recorded an estimated loss on disposal of $756,228 and $816,429 during the three and nine months ended September 30, 2023 as Net loss on disposition or impairment in its condensed consolidated income statement and a valuation allowance included in assets held for sale on its condensed consolidated balance sheet.

The principal components of the held for sale assets and liabilities as of September 30, 2023 were as follows:

	September 30, 2023
Assets
Property and equipment, net	$	2,153,454
Operating lease right-of-use asset	2,204,293
Intangible assets, net	386,280
Goodwill	44,515
Valuation allowance	(816,429)
Total assets held for sale	$	3,972,113
Liabilities
Operating lease liability, current and non-current	$	2,585,642
Deferred revenue from company clinics	386,291
Total liabilities to be disposed of	$	2,971,933

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Note 4: Property and Equipment

Property and equipment consisted of the following, excluding amounts related to properties classified as held for sale:

	September 30, 2023		December 31, 2022
Office and computer equipment	$	5,693,432	$	5,207,833
Leasehold improvements	18,625,522		17,842,901
Software developed	6,048,742		5,843,758
Finance lease assets	151,396		151,396
	30,519,092		29,045,888
Accumulated depreciation and amortization	(16,206,966)		(12,675,085)
	14,312,126		16,370,803
Construction in progress	1,043,629		1,104,349
Property and equipment, net	$	15,355,755	$	17,475,152

Depreciation expense was $1,381,170 and $1,046,495 for the three months ended September 30, 2023 and 2022, respectively. Depreciation expense was $4,027,906 and $2,866,737 for the nine months ended September 30, 2023 and 2022, respectively.

Amortization expense related to finance lease assets was $7,570 and $7,570 for the three months ended September 30, 2023 and 2022, respectively. Amortization expense related to finance lease assets was $22,709 and $48,001 for the nine months ended September 30, 2023 and 2022, respectively.

Construction in progress at September 30, 2023 and December 31, 2022 principally related to development and construction costs for the company-owned or managed clinics.

Note 5: Fair Value Measurements

The Company’s financial instruments include cash, restricted cash, accounts receivable, accounts payable, accrued expenses and debt under the Credit Agreement (defined in Note 7, Debt). The carrying amounts of its financial instruments, except for debt, approximate their fair value due to their short maturities. The carrying value of the Company's debt under the Credit Agreement approximates fair value due to its interest rate being calculated from observable quoted prices for similar instruments, which is considered a Level 2 fair value measurement.

Authoritative guidance defines fair value as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the measurement date. The guidance establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs that market participants would use in pricing the asset or liability, developed based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions of what market participants would use in pricing the asset or liability developed based on the best information available in the circumstances. The hierarchy is broken down into three levels based on reliability of the inputs as follows:

Level 1:    Observable inputs such as quoted prices in active markets;

Level 2:    Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

Level 3:    Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

As of September 30, 2023 and December 31, 2022, the Company did not have any financial instruments that were measured on a recurring basis as Level 1, 2 or 3.

The Company’s non-financial assets, which primarily consist of goodwill, intangible assets, property, plant and equipment and operating lease right-of-use assets, are not required to be measured at fair value on a recurring basis and instead are reported at

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their carrying amount. However, on a periodic basis whenever events or changes in circumstances indicate that their carrying amount may not be fully recoverable (and at least annually for goodwill), non-financial assets are assessed for impairment. If the fair value is determined to be lower than the carrying amount, an impairment charge is recorded to write down the asset to its fair value, which is considered Level 3 within the fair value hierarchy.

The assets and liabilities resulting from the Acquisitions (see Note 3, Acquisitions and Assets Held for Sale) were recorded at fair values on a nonrecurring basis and are considered Level 3 within the fair value hierarchy.

Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. The estimated fair values of the company-owned or managed clinics classified as Held for Sale (see Note 3, Acquisitions and Assets Held for Sale) were recorded at fair values on a nonrecurring basis and are based upon Level 2 inputs, which include potential buyer agreed upon selling prices or Level 3 inputs, which include historical and future expected financial performance of the clinic and historical acquisition trends based on previous reacquired franchise clinic purchases. As a result, the Company recorded a valuation allowance of $756,228 and $816,429 to adjust the carrying value of the disposal group to fair value less cost to sell during the three and nine months ended September 30, 2023, respectively.

During the three and nine months ended September 30, 2022, an operating lease ROU asset related to a closed clinic with a total carrying amount of approximately $250,000 was written down to zero. The associated operating lease liability had a life of 39 months as of September 30, 2022. However, the ROU asset was fully impaired due to the abandonment of the lease as of September 30, 2022. The Company considers the ROU asset as abandoned as it lacks the ability to sublease the underlying asset and obtain economic benefits. As a result, the Company recorded a noncash impairment loss of approximately $250,000 during the three and nine months ended September 30, 2022.

During the three and nine months ended September 30, 2023, intangible assets related to a clinic planned for closure with a total carrying amount of approximately $80,000 was written down to zero. The remaining life of the intangible assets related to the clinic extend through December 2025. However, the clinic is planned to close at the end of its lease term in November 2023. The Company considers the intangible assets fully impaired as the ability to obtain economic benefits in the remaining period the clinic will operate is unlikely. As a result, the Company recorded a noncash impairment loss of approximately $80,000 during the three and nine months ended September 30, 2023.

In connection with the planned sale of certain company-owned and managed clinics, the Company reclassified $2,153,454 of net property and equipment, $386,280 of intangible assets, net, $44,515 of goodwill and $2,204,293 of ROU assets to Assets held for sale and reclassified $2,585,642 of lease liability and $386,291 of deferred revenue from Company clinics to Liabilities to be disposed of in the condensed balance sheet as of September 30, 2023. Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. The estimated fair value of assets held for sale are based upon Level 2 inputs, which includes a potential buyer agreed upon selling price or Level 3 inputs, which include historical and future expected financial performance of the clinic and historical acquisition trends based on previous reacquired franchise clinic purchases.

Note 6: Intangible Assets

In May 2022, the Company recognized $2.4 million and $0.5 million of reacquired franchise rights and customer relationships, respectively, from the Acquisition (see Note 3, Acquisitions and Assets Held for Sale).

In May 2023, the Company recognized $0.7 million, $0.1 million and $0.2 million of reacquired franchise rights, customer relationships and acquired workforce, respectively, from the Acquisition (see Note 3, Acquisitions and Assets Held for Sale).

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Intangible assets consisted of the following:

	As of September 30, 2023
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,924,858	$	(6,069,013)	$	6,855,845
Customer relationships	4,306,684		(3,126,081)		1,180,603
Assembled workforce	1,065,311		(478,644)		586,667
	$	18,296,853	$	(9,673,738)	$	8,623,115

	As of December 31, 2022
	(as restated)
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,881,894	$	(4,755,286)	$	8,126,608
Customer relationships	4,330,365		(2,352,500)		1,977,865
Assembled workforce	959,837		(136,015)		823,822
	$	18,172,096	$	(7,243,801)	$	10,928,295

Amortization expense related to the Company’s intangible assets was $960,466 and $725,859 for the three months ended September 30, 2023 and 2022, respectively. Amortization expense was $2,842,914 and $1,663,712 for the nine months ended September 30, 2023 and 2022, respectively.

Estimated amortization expense for 2023 and subsequent years is as follows:

	Amount
2023 (remainder)	$	901,345
2024	2,675,174
2025	1,602,969
2026	1,272,426
2027	717,394
Thereafter	$	1,453,807
Total	$	8,623,115

Note 7: Debt

Credit Agreement

On February 28, 2020, the Company entered into a Credit Agreement (the “Credit Agreement”), with JPMorgan Chase Bank, N.A., individually and as Administrative Agent and Issuing Bank (the “Lender”). The Credit Agreement provided for senior secured credit facilities (the "Credit Facilities") in the amount of $7,500,000, including a $2,000,000 revolver (the "Revolver") and $5,500,000 development line of credit (the "Line of Credit"). The Revolver included amounts available for letters of credit of up to $1,000,000 and an uncommitted additional amount of $2,500,000. All outstanding principal and interest on the Revolver were due on February 28, 2022.

On February 28, 2022, the Company entered into an amendment to its Credit Facilities (as amended, the “2022 Credit Facility”) with the Lender. Under the 2022 Credit Facility, the Revolver increased to $20,000,000 (from $2,000,000), the portion of the Revolver available for letters of credit increased to $5,000,000 (from $1,000,000), the uncommitted additional amount increased to $30,000,000 (from $2,500,000) and the developmental line of credit of $5,500,000 was terminated. The Revolver will be used for working capital needs, general corporate purposes and for acquisitions, development and capital improvement uses. At the option of the Company, borrowings under the 2022 Credit Facility bear interest at (i) the adjusted SOFR rate, plus 0.10%, plus

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1.75%, payable on the last day of the selected interest period of one, three or six months and on the three-month anniversary of the beginning of any six month interest period, if applicable; or (ii) an Alternative Base Rate (ABR), plus 1.00%, payable monthly. The ABR is the greatest of (A) the prime rate (as published by the Wall Street Journal); (B) the Federal Reserve Bank of New York rate, plus 0.5%; and (C) the adjusted one-month term SOFR rate. Amounts outstanding under the Revolver on February 28, 2022 continued to bear interest at the rate selected under the Credit Facilities prior to the amendment until the last day of the interest period in effect, at which time, if not repaid, the amounts outstanding under the Revolver will bear interest at the 2022 Credit Facility rate. The 2022 Credit Facility will terminate and all principal and interest will become due and payable on the fifth anniversary of the amendment (February 28, 2027).

The Credit Facilities contain customary events of default, including but not limited to nonpayment; material inaccuracy of representations and warranties, violations of covenants, certain bankruptcies and liquidations, cross-default to material indebtedness, certain material judgments and certain fundamental changes such as a merger or sale of substantially all assets (as further defined in the Credit Facilities). The Credit Facilities require the Company to comply with customary affirmative, negative and financial covenants, including minimum interest coverage and maximum net leverage. A breach of any of these operating or financial covenants would result in a default under the Credit Facilities. If an event of default occurs and is continuing, the lenders could elect to declare all amounts then outstanding, together with accrued interest, to be immediately due and payable. The Credit Facilities are collateralized by substantially all of the Company’s assets, including the assets in the Company’s company-owned or managed clinics. The interest rate on funds borrowed under the Revolver as of September 30, 2023 was 7.09%. As of September 30, 2023, the Company was in compliance with all applicable financial and non-financial covenants under the Credit Agreement and $2,000,000 remains outstanding as of September 30, 2023.

Note 8: Stock-Based Compensation 

The Company grants stock-based awards under its Amended and Restated 2014 Incentive Stock Plan (the “2014 Plan”). The shares issued as a result of stock-based compensation transactions generally have been funded with the issuance of new shares of the Company’s common stock. The Company may grant the following types of incentive awards under the 2014 Plan: (i) non-qualified stock options; (ii) incentive stock options; (iii) stock appreciation rights; (iv) restricted stock; and (v) restricted stock units. Each award granted under the 2014 Plan is subject to an award agreement that incorporates, as applicable, the exercise price, the term of the award, the periods of restriction, the number of shares to which the award pertains and such other terms and conditions as the plan committee determines. Awards granted under the 2014 Plan are classified as equity awards, which are recorded in stockholders’ equity in the Company’s consolidated balance sheets. Through September 30, 2023, the Company has granted under the 2014 Plan (i) non-qualified stock options, (ii) incentive stock options, and (iii) restricted stock. There were no stock appreciation rights and restricted stock units granted under the 2014 Plan as of September 30, 2023.

Stock Options

The Company’s closing price on the date of grant is the basis of fair value of its common stock used in determining the value of share-based awards. To the extent the value of the Company’s share-based awards involves a measure of volatility, the Company uses available historical volatility of the Company’s common stock over a period of time corresponding to the expected stock option term. The Company historically has used the simplified method to calculate the expected term of stock option grants to employees as the Company did not have sufficient historical exercise data to provide a reasonable basis upon which to estimate the expected term of stock options granted to employees. Accordingly, the expected life of the options granted is based on the average of the vesting term, which is generally four years and the contractual term, which is generally ten years. The Company will continue to evaluate the appropriateness of utilizing such method. The risk-free interest rate is based on United States Treasury yields in effect at the date of grant for periods corresponding to the expected stock option term. Forfeitures are estimated based on historical and forecasted turnover, which is approximately 5%.

The Company did not grant options during the three and nine months ended September 30, 2023.

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The information below summarizes the stock option activity for the nine months ended September 30, 2023:

	Number of Shares	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (Years)
Outstanding at December 31, 2022	531,923	$	9.20	4.7
Granted	—	—
Exercised	(25,623)	7.90
Forfeited	(7,375)	28.58
Expired	(12,591)	13.07
Outstanding at September 30, 2023	486,334	$	8.88	3.9
Exercisable at September 30, 2023	453,194	$	7.29	3.7

For the three months ended September 30, 2023 and 2022, stock-based compensation expense for stock options was $85,366 and $113,324, respectively. For the nine months ended September 30, 2023 and 2022, stock-based compensation expense for stock options was $235,972 and $420,680, respectively.

Restricted Stock

Restricted stock granted to employees generally vests in four equal annual installments, although on May 25, 2023, the Company granted 51,401 shares of restricted stock as part of a special award to certain high performing employees that vest in one installment on the first anniversary of the grant. Restricted stock granted to non-employee directors typically vests in full one year after the date of grant.

The information below summarizes the restricted stock activity for the nine months ended September 30, 2023:

Restricted Stock Awards	Shares	Weighted Average Grant-Date Fair Value per Award
Non-vested at December 31, 2022	70,312	$	29.05
Granted	204,122	14.54
Vested	(33,782)	21.95
Forfeited	(6,010)	34.43
Non-vested at September 30, 2023	234,642	$	18.88

For the three months ended September 30, 2023 and 2022, stock-based compensation expense for restricted stock was $440,703 and $192,491, respectively. For the nine months ended September 30, 2023 and 2022, stock-based compensation expense for restricted stock was $973,324 and $548,882, respectively.

Note 9: Income Taxes

During the three months ended September 30, 2023 and 2022, the Company recorded income tax benefit of $188,018 and $24,015, respectively. During the nine months ended September 30, 2023 and 2022, the Company recorded income tax expense of $493,286 and income tax benefit of $560,976, respectively. The Company’s effective tax rates differ from the federal statutory tax rate due to permanent differences, discrete items and state taxes. The Company's effective tax rate differs from the statutory rate for the nine months ended September 30, 2023 primarily due to the Company's ERC refunds from the Internal Revenue Service. The tax effect of the refund amount, net of the related consulting fees, is treated as a discrete item for the nine months ended September 30, 2023. The effective tax rate for the three months ended September 30, 2023 and for the three and nine months ended September 30, 2022 differs from the statutory rate primarily due to the pre-tax income reported by The Joint without the VIEs.

Note 10: Commitments and Contingencies

Leases

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The table below summarizes the components of lease expense and income statement location for the three and nine months ended September 30, 2023 and 2022:

	Line Item in the Company’s Condensed Consolidated Income Statements	Three Months Ended September 30, 2023		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Finance lease costs:
Amortization of assets	Depreciation and amortization	$	7,570	$	7,570	$	22,709	$	48,001
Interest on lease liabilities	Other expense, net	760		1,015		2,473		3,564
Total finance lease costs		8,330		8,585		25,182		51,565
Operating lease costs	General and administrative expenses	1,633,469		$	1,426,010	4,910,181		$	4,138,801
Total lease costs		$	1,641,799	$	1,434,595	$	4,935,363	$	4,190,366

Supplemental information and balance sheet location related to leases (excluding amounts related to leases classified as held for sale) is as follows:

	September 30, 2023		December 31, 2022
Operating Leases:
Operating lease right-of -use asset	$19,803,896		$20,587,199
Operating lease liability - current portion	$5,392,944		$5,295,830
Operating lease liability - net of current portion	17,200,146		18,672,719
Total operating lease liability	$22,593,090		$23,968,549
Finance Leases:
Property and equipment, at cost	$151,396		$151,396
Less accumulated amortization	(110,362)		(87,652)
Property and equipment, net	$41,034		$63,744
Finance lease liability - current portion	25,223		24,433
Finance lease liability - net of current portion	44,490		63,507
Total finance lease liabilities	$69,713		$87,940
Weighted average remaining lease term (in years):
Operating leases	5.1		5.4
Finance lease	2.6		3.4
Weighted average discount rate:
Operating leases	5.1	%	4.8	%
Finance leases	4.3	%	4.3	%

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Supplemental cash flow information related to leases is as follows:

	Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Cash paid for amounts included in measurement of liabilities:
Operating cash flows from operating leases	$	5,263,092	$	4,309,229
Operating cash flows from finance leases	2,473		3,564
Financing cash flows from finance leases	18,227		43,907
Non-cash transactions: ROU assets obtained in exchange for lease liabilities
Operating lease	$	4,287,622	$	4,402,229
Finance lease	—		—

`

Maturities of lease liabilities as of September 30, 2023 were as follows:

	Operating Leases		Finance Lease
2023 (remainder)	$	1,633,006	$	6,900
2024	6,236,923		27,600
2025	5,592,674		27,600
2026	3,979,181		11,500
2027	3,099,193		—
Thereafter	5,193,199		—
Total lease payments	$	25,734,176	$	73,600
Less: Imputed interest	(3,141,086)		(3,887)
Total lease obligations	22,593,090		69,713
Less: Current obligations	(5,392,944)		(25,223)
Long-term lease obligation	$	17,200,146	$	44,490

All leases entered into by the Company have commenced as of September 30, 2023.

Guarantee in Connection with the Sale of the Divested Business

In connection with the sale of a company-managed clinic in 2022, the Company guaranteed one future operating lease commitment assumed by the buyers. The Company is obligated to perform under the guarantee if the buyers fail to perform under the lease agreement at any time during the remainder of the lease agreement, which expires on May 31, 2027. At the date of sale, the undiscounted maximum potential future payments totaled $247,296. As of September 30, 2023, the undiscounted remaining lease payments under the agreement totaled $196,896. The Company had not recorded a liability with respect to the guarantee obligation as of September 30, 2023, as the Company concluded that payment under the lease guarantee was not probable.

Litigation

In the normal course of business, the Company is party to litigation and claims from time to time. The Company maintains insurance to cover certain litigation and claims.

Note 11: Segment Reporting

An operating segment is defined as a component of an enterprise for which discrete financial information is available and is reviewed regularly by the Chief Operating Decision Maker (“CODM”) to evaluate performance and make operating decisions. The Company has identified its CODM as the Chief Executive Officer.

The Company has two operating business segments and one non-operating business segment. The Corporate Clinics segment is composed of the operating activities of the company-owned or managed clinics. As of September 30, 2023, the Company operated or managed 136 clinics under this segment. The Franchise Operations segment is composed of the operating activities of

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the franchise business unit. As of September 30, 2023, the franchise system consisted of 778 clinics in operation. Corporate is a non-operating segment that develops and implements strategic initiatives and supports the Company’s two operating business segments by centralizing key administrative functions such as finance and treasury, information technology, insurance and risk management, legal and human resources. Corporate also provides the necessary administrative functions to support the Company as a publicly traded company. A portion of the expenses incurred by Corporate are allocated to the operating segments.

The tables below present financial information for the Company’s two operating business segments.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues:			(as restated)				(as restated)
Corporate clinics	$	17,882,303	$	15,836,327	$	52,813,098	$	42,936,298
Franchise operations	11,591,646		10,613,492		34,268,855		30,637,635
Total revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933
Depreciation and amortization:
Corporate clinics	$	2,067,803	$	1,504,914	$	6,027,561	$	3,780,283
Franchise operations	190,867		189,426		597,557		549,161
Corporate administration	90,536		85,584		268,411		249,006
Total depreciation and amortization	$	2,349,206	$	1,779,924	$	6,893,529	$	4,578,450
Segment operating income (loss):
Corporate clinics	$	(931,366)	$	(60,022)	$	(1,331,630)	$	345,657
Franchise operations	5,139,006		5,195,558		13,913,150		11,606,763
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Reconciliation of total segment operating income to consolidated earnings before income taxes:
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Unallocated corporate	(5,105,687)		(4,403,220)		(14,507,231)		(12,589,279)
Consolidated (loss) income from operations	(898,047)		732,316		(1,925,711)		(636,859)
Other income (expense), net	(6,244)		(25,235)		3,708,399		(60,668)
(Loss) income before income tax benefit	$	(904,291)	$	707,081	$	1,782,688	$	(697,527)

Segment assets:	September 30, 2023		December 31, 2022
			(as restated)
Corporate clinics	$	54,861,935	$	56,008,234
Franchise operations	12,299,470		12,360,878
Total segment assets	67,161,405		68,369,112
Unallocated cash and cash equivalents	17,142,353		10,550,417
Unallocated property and equipment	708,471		915,216
Other unallocated assets	13,560,397		13,655,632
Total assets	$	98,572,626	$	93,490,377

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“Unallocated cash and cash equivalents and restricted cash” relates primarily to corporate cash and cash equivalents and restricted cash (see Note 1, Nature of Operations and Summary of Significant Accounting Policies), “unallocated property and equipment” relates primarily to corporate fixed assets and “other unallocated assets” relates primarily to deposits, prepaid and other assets.

Note 12: Employee Retention Credit

The employee retention credit ("ERC"), as originally enacted through the Coronavirus Aid, Relief and Economic Security Act (“CARES Act”) on March 27, 2020, is a refundable credit against certain employment taxes equal to 50% of the qualified wages an eligible employer paid to employees from March 17, 2020 to December 31, 2020. The Disaster Tax Relief Act, enacted on December 27, 2020, extended the ERC for qualified wages paid from January 1, 2021 to June 30, 2021 and the credit was increased to 70% of qualified wages an eligible employer paid to employees during the extended period. The American Rescue Plan Act of 2021, enacted on March 11, 2021, further extended the ERC through December 31, 2021.

In October 2022, the Company filed an application with the IRS for the ERC. Employers are eligible for the credit if they experienced full or partial suspension or modification of operations during any calendar quarter because of governmental orders due to the pandemic or a significant decline in gross receipts based on a comparison of quarterly revenue results for 2020 and/or 2021 with the comparable quarter in 2019. The Company’s ERC application was equal to 70% of qualified wages paid to employees during the period from January 1, 2021 to June 30, 2021 for a maximum quarterly credit of $7,000 per employee. In March 2023, the Company received notice and refunds from the IRS related to the overpayment of Federal Employment Tax plus interest in the amount of $4.8 million related to the ERC application. The $4.8 million ERC is subject to a 20% consulting fee. The Company's eligibility remains subject to audit by the IRS for a period of five years.

Since there are no generally accepted accounting principles for for-profit business entities that receive government assistance that is not in the form of a loan, an income tax credit or revenue from a contract with a customer, we determined the appropriate accounting treatment by analogy to other guidance. We accounted for the ERC by analogy to International Accounting Standards (“IAS”) 20, Accounting for Government Grants and Disclosure of Government Assistance, of International Financial Reporting Standards.

Under an IAS 20 analogy, a business entity would recognize the ERC on a systematic basis over the periods in which the entity recognizes the payroll expenses for which the grant (i.e., tax credit) is intended to compensate when there is reasonable assurance (i.e., it is probable) that the entity will comply with any conditions attached to the grant and the grant (i.e., tax credit) will be received.

We have accounted for the $3.8 million ERC, net of the consulting fee, for the nine months ended September 30, 2023 as other income on the Statement of Income when the Company was reasonably assured that the Company met all requirements of the ERC and the grant would be received. The ERC refund is not taxable; however, the credit is subject to expense disallowance rules which increased income tax expense as a discrete item by $0.9 million, net of the consulting expense deduction, for the nine months ended September 30, 2023.

Note 13: Subsequent Events

In October 2023, the Company entered into two separate letters of intent to sell two of its company-owned or managed clinics that were part of the 10% clinics identified for sale and classified as held for sale as of September 30, 2023 for a combined total sales price of $185,000. The sales are expected to close during the fourth quarter of 2023, subject to customary closing conditions.

On November 6, 2023, the Company discussed certain strategic initiatives of the Company with the Board of Directors and were authorized to initiate a plan to re-franchise the majority of its corporate-owned or managed clinics with plans to retain a small portion of high-performing clinics. Based on the timing and varied scope of the initiative, the Company is unable to estimate the financial impact.

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited condensed consolidated interim financial statements and related notes included in this Quarterly Report on Form 10-Q and the audited consolidated financial statements and notes thereto as of and for the year ended December 31, 2022 and the related Management’s Discussion and Analysis of Financial Condition and Results of Operations, both of which are contained in our Amended Annual Report on Form 10-K/A.

Forward-Looking Statements

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This Quarterly Report on Form 10-Q, especially in this Management’s Discussion and Analysis or MD&A, contains forward-looking statements and information within the meaning of Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act, which are subject to the “safe harbor” created by those sections. All statements, other than statements of historical facts, included or incorporated in this Form 10-Q could be deemed forward-looking statements, particularly statements about our plans, strategies and prospects under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” “continue,” “intend,” “seek,” “strive,” or the negative of these terms, “mission,” “goal,” “objective,” or “strategy,” or other comparable terminology. All forward-looking statements in this Form 10-Q are made based on our current expectations, forecasts, estimates and assumptions and involve risks, uncertainties and other factors that could cause results or events to differ materially from those expressed in the forward-looking statements. In evaluating these statements, you should specifically consider various factors, uncertainties and risks that could affect our future results or operations as described from time to time in our SEC reports, including those risks outlined under “Risk Factors.” which are contained in Part I, Item 1A of our Form 10-K/A for the year ended December 31, 2022, and in Part II, Item 1A of this or any subsequent quarterly reports on Form 10-Q. These factors, uncertainties and risks may cause our actual results to differ materially from any forward-looking statement set forth in this Form 10-Q. You should carefully consider the trends, risks and uncertainties described below and other information contained in the reports we file with or furnish to the SEC before making any investment decision with respect to our securities. We undertake no obligation to update or revise publicly any forward-looking statements, other than in accordance with legal and regulatory obligations. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by this cautionary statement.

The specific forward-looking statements in this Quarterly Report on Form 10-Q include the following:

•that we seek to be the leading provider of chiropractic care in the markets we serve and to become the most recognized brand in our industry through the rapid and focused expansion of chiropractic clinics in key markets throughout North America and potentially abroad;

•our belief that our monthly performance reports from our system and our clinics provide us with useful data with which to measure our performance and to measure our franchisees’ and clinics’ performance;

•our strategy to grow through the sale and development off additional franchisees, build upon our regional developer strategy and continue to expand our corporate clinic portfolio within clustered locations;

•our belief that the strong results with respect to our franchise licenses sold and our regional developers reflects the power of the regional developer program to accelerate the number of clinics sold, and eventually opened across the country;

•our belief that we can accelerate the development of, and revenue generation from, company-owned or managed clinics through the accelerated development of greenfield units and the further selective acquisition of existing franchised clinics;

•our plan to seek to acquire existing franchised clinics that meet our criteria for demographics, site attractiveness, proximity to other clinics and additional suitability factors;

•our belief that The Joint has a sound concept, which was further validated through its resiliency during the pandemic and will benefit from the fundamental changes taking place in the manner in which Americans access chiropractic care and their growing interest in seeking effective, affordable natural solutions for general wellness;

•our belief that these trends join with the preference we have seen among chiropractic doctors to reject the insurance-based model to produce a combination that benefits the consumer and the service provider alike, and our belief that these forces create an important opportunity to accelerate the growth of our network;

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•our belief that recent events that may impact our business include unfavorable global economic or political conditions, such as a resurgence of COVID-19, the Ukraine War, the Israel-Gaza conflict, labor shortages and inflation and other cost increases;

•our anticipation that 2023 will continue to be a volatile macroeconomic environment;

•our expectation that elevated levels of cost inflation will persist in 2023, although at lower levels than experienced in 2022;

•our belief that our operating results may fluctuate significantly as a result of a variety of factors, including the timing of new clinic sales, openings, closures, markets in which they are contained and related expenses, general economic conditions, cost inflation, labor shortages, consumer confidence in the economy, consumer preferences, competitive factors, and disease epidemics and other health-related concerns, such a s resurgence of COVID-19;

•our belief that our existing cash and cash equivalents, our anticipated cash flows from operations and amounts available under our line of credit will be sufficient to fund our anticipated operating and investment needs for at least the next twelve months;

•our belief that we have adequate capital resources and sufficient access to external financing sources to satisfy our current and reasonably anticipated requirements for funds to conduct our operations and meet other needs in the ordinary course of our business;

•our expectation that for the remainder of 2023 that we will use or redeploy our cash resources to support our business within the context of prevailing market conditions, which, given the ongoing uncertainties described, could rapidly and materially deteriorate or otherwise change;

Some of the important factors that could cause our actual results to differ materially from those projected in any forward-looking statements include, but are not limited to, the following:

•the nationwide labor shortage has negatively impacted our ability to recruit chiropractors and other qualified personnel, which may limit our growth strategy, and the measures we have taken in response to the labor shortage have reduced our net revenues;

•inflation, exacerbated by COVID-19 and the Ukraine War, has led to increased labor costs and interest rates and may lead to reduced discretionary spending, all of which may negatively impact our business;

•the COVID-19 pandemic has caused significant disruption to our operations and may continue to impact our business, key financial and operating metrics, and results of operations in numerous ways that remain unpredictable; future widespread outbreaks of contagious disease could similarly disrupt our business;

•we may not be able to successfully implement our growth strategy if we or our franchisees are unable to locate and secure appropriate sites for clinic locations, obtain favorable lease terms, and attract patients to our clinics;

•we have limited experience operating company-owned or managed clinics in those geographic areas where we currently have few or no clinics, and we may not be able to duplicate the success of some of our franchisees;

•we may not be able to acquire operating clinics from existing franchisees or develop company-owned or managed clinics on attractive terms;

•short-selling strategies and negative opinions posted on the internet may drive down the market price of our common stock and could result in class action lawsuits;

•we have identified material weaknesses in our internal controls over financial reporting and we may fail to remediate material weaknesses in our internal controls over financial reporting or may otherwise be unable to maintain an

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effective system of internal control over financial reporting, which might negatively impact our ability to accurately report our financial results, prevent fraud, or maintain investor confidence;

•we may fail to successfully design and maintain our proprietary and third-party management information systems or implement new systems;

•we have restated our prior consolidated financial statements, which may lead to additional risks and uncertainties, including loss of investor confidence and negative impacts on our stock price;

•we may fail to properly maintain the integrity of our data or to strategically implement, upgrade or consolidate existing information systems;

• franchised clinic acquisitions that we make could disrupt our business and harm our financial condition if we cannot continue their operational success or successfully integrate them;

•we may not be able to continue to sell franchises to qualified franchisees, and our franchisees may not succeed in developing profitable territories and clinics;

•new clinics may not reach the point of profitability, and we may not be able to maintain or improve revenues and franchise fees from existing franchised clinics;

•the chiropractic industry is highly competitive, with many well-established independent competitors, which could prevent us from increasing our market share or result in reduction in our market share;

•state administrative actions and rulings regarding the corporate practice of chiropractic and prepayment of chiropractic services may jeopardize our business model;

•expected new federal regulations and state laws and regulations regarding joint employer responsibility could negatively impact the franchise business model, increasing our potential liability for employment law violations by our franchisees and the likelihood that we may be required to participate in collective bargaining with our franchisees’ employees;

•an increased regulatory focus on the establishment of fair franchise practices could increase our risk of liability in disputes with franchisees and the risk of enforcement actions and penalties;

•adverse developments affecting institutions, including bank failures, could adversely affect our liquidity and financial performance;

•negative publicity or damage to our reputation, which could arise from concerns expressed by opponents of chiropractic and by chiropractors operating under traditional service models, could adversely impact our operations and financial position;

•our IT security systems and those of our third-party service providers (as recently experienced by one of our marketing vendors) may be breached, and we may face civil liability and public perception of our security measures could be diminished, either of which would negatively affect our ability to attract and retain patients;

•new SEC regulations governing disclosure about risk management, strategy and governance regarding cybersecurity risks and new requirements for reporting of cybersecurity incidents may increase our compliance costs;

•legislation, regulations, as well as new medical procedures and techniques, could reduce or eliminate our competitive advantages; and

•the delayed filing of our quarterly report has made us currently ineligible to use a registration statement on Form S-3 to register the offer and sale of securities, which could adversely affect our ability to raise future capital or complete acquisitions.

Additionally, there may be other risks that are otherwise described from time to time in the reports that we file with the SEC. Any forward-looking statements in this report should be considered in light of various important factors, including the risks and uncertainties listed above, as well as others.

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Overview

Our principal business is to develop, own, operate, support and manage chiropractic clinics through direct ownership, management arrangements, franchising and regional developers throughout the United States.

We seek to be the leading provider of chiropractic care in the markets we serve and to become the most recognized brand in our industry through the rapid and focused expansion of chiropractic clinics in key markets throughout North America and potentially abroad.

Key Performance Measures.  We receive monthly performance reports from our system and our clinics that include key performance indicators per clinic, including gross sales, comparable same-store sales growth, or “Comp Sales,” number of new patients, conversion percentage and membership attrition. In addition, we review monthly reporting related to system-wide sales, clinic openings, clinic license sales, adjusted EBITDA and various earnings metrics in the aggregate and per clinic. We believe these indicators provide us with useful data with which to measure our performance and to measure our franchisees’ and clinics’ performance. Comp Sales include the sales from both company-owned or managed clinics and franchised clinics that in each case have been open at least 13 full months and exclude any clinics that have closed. System-wide sales include sales at all clinics, whether operated by us or by franchisees. While franchised clinic sales are not recorded as revenues by us, management believes the information is important in understanding the overall brand’s financial performance, because these sales are the basis on which we calculate and record royalty fees and are indicative of the financial health of the franchisee base. Adjusted EBITDA consists of net income before interest, income taxes, depreciation and amortization, acquisition related expenses, stock-based compensation expense, bargain purchase gain and (gain) loss on disposition or impairment. There was no bargain purchase gain for the three and nine months ended September 30, 2023 and 2022.

Key Clinic Development Trends.   As of September 30, 2023, we and our franchisees operated or managed 914 clinics, of which 778 were operated or managed by franchisees and 136 were operated as company-owned or managed clinics. Of the 136 company-owned or managed clinics, 65 were constructed and developed by us and 71 were acquired from franchisees.

Our current strategy is to grow through the sale and development of additional franchises, build upon our regional developer strategy and continue to expand our corporate clinic portfolio within clustered locations. The number of franchise licenses sold for the year ended December 31, 2022 was 75, compared with 156 and 121 licenses for the years ended December 31, 2021 and 2020, respectively. We ended the first nine months of 2023 with 17 regional developers who were responsible for 52% of the 50 licenses sold during the period. This strong result reflects the power of the regional developer program to accelerate the number of clinics sold, and eventually opened, across the country.

In addition, we believe that we can accelerate the development of, and revenue generation from, company-owned or managed clinics through the accelerated development of greenfield units and the further selective acquisition of existing franchised clinics. We will seek to acquire existing franchised clinics that meet our criteria for demographics, site attractiveness, proximity to other clinics and additional suitability factors. During the quarter ended September 30, 2023, we opened two greenfield clinics.

We believe that The Joint has a sound concept, which was further validated through its resiliency during the pandemic and will benefit from the fundamental changes taking place in the manner in which Americans access chiropractic care and their growing interest in seeking effective, affordable natural solutions for general wellness. These trends join with the preference we have seen among chiropractic doctors to reject the insurance-based model to produce a combination that benefits the consumer and the service provider alike. We believe that these forces create an important opportunity to accelerate the growth of our network.

Recent Events

Recent events that may impact our business include unfavorable global economic or political conditions, such as a resurgence of COVID-19, the Ukraine War, the Israel-Gaza conflict, labor shortages and inflation and other cost increases. We anticipate that 2023 will continue to be a volatile macroeconomic environment. As of the date of this Quarterly Report on Form 10-Q, we have not experienced a significant negative impact on our revenues and profitability due to the direct impact of the pandemic and the impact of Covid-19 in general as the business environment has largely moderated. However, there still remains uncertainty around the pandemic, including its effect on labor or other macroeconomic factors and the spread of new Covid-19 variants and resurgences.

The primary inflationary factor affecting our operations is labor costs. For the three and nine months ended September 30, 2023, company-owned or managed clinics were negatively impacted by labor shortages and wage increases, which increased our general and administrative expenses. Further, should we fail to continue to increase our wages competitively in response to

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increasing wage rates, the quality of our workforce could decline, causing our patient service to suffer. We expect elevated levels of cost inflation to persist in 2023, although at lower levels than experienced in 2022. While the effects of inflation on our labor costs have been partially mitigated by pricing actions we have taken in response, there can be no assurance that we will be able to continue to take such pricing actions. A continued increase in labor costs could have an adverse effect on our operating costs, financial condition and results of operations.

Also, the Ukraine War and the sanctions imposed on Russia in response to this conflict have increased global economic and political uncertainty. In addition, the increase in interest rates and the expectation that interest rates will continue to rise may adversely affect patients' financial conditions, resulting in reduced spending on our services. While the impact of these factors continues to remain uncertain, we will continue to evaluate the extent to which these factors will impact our business, financial condition or results of operations. These and other uncertainties with respect to these recent events could result in changes to our current expectations.

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Other Significant Events and/or Recent Developments

For the three months ended September 30, 2023, compared to the prior year period:

•System-wide comp sales of clinics that have been open for at least 13 full months was flat.

•System-wide comp sales for mature clinics open 48 months or more decreased 5%.

•System-wide sales for all clinics open for any amount of time grew 8%.

On November 6, 2023, the Company discussed certain strategic initiatives of the Company with the Board of Directors and were authorized to initiate a plan to re-franchise the majority of its corporate-owned or managed clinics with plans to retain a small portion of high-performing clinics. Based on the timing and varied scope of the initiative, the Company is unable to estimate the financial impact.

In October 2023, the Company entered into 2 separate letters of intent to sell 2 of its company-owned or managed clinics that were part of the 10% clinics identified for sale and classified as held for sale as of September 30, 2023 for a combined total sales price of $185,000. The sales are expected to close during the fourth quarter of 2023, subject to customary closing conditions.

On June 15, 2023, we entered into an agreement under which we repurchased the right to develop franchises in various counties in Wisconsin. The total consideration for the transaction was $1.0 million. We carried an upfront regional developer fee liability balance associated with this transaction of $0.3 million, representing the unrecognized fee collected upon the execution of the regional developer agreement. We accounted for the termination of development rights associated with unsold or undeveloped franchises as a cancellation, and the associated upfront regional developer fee liability was netted against the aggregate purchase price. We recognized the net amount of $0.7 million as a general and administrative expense on June 15, 2023.

On May 22, 2023, we entered into an Asset and Franchise Purchase Agreement under which we repurchased from the sellers three operating franchised clinics in California. We operate the franchises as company-managed clinics. The total purchase price for the transaction was $1,188,764, less $28,997 of net deferred revenue, resulting in total purchase consideration of $1,159,767. Based on the terms of the purchase agreement, the acquisition has been treated as an asset purchase.

For the three months ended September 30, 2023, we constructed and developed two new corporate clinics.

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Factors Affecting Our Performance

Our operating results may fluctuate significantly as a result of a variety of factors, including the timing of new clinic sales, openings, closures, markets in which they are contained and related expenses, general economic conditions, cost inflation, labor shortages, consumer confidence in the economy, consumer preferences, competitive factors, and disease epidemics and other health-related concerns, such as a resurgence of COVID-19.

Critical Accounting Estimates

There were no changes in our critical accounting estimates during the nine months ended September 30, 2023 from those set forth in “Significant Accounting Policies and Estimates” in our Form 10-K/A for the year ended December 31, 2022.

Results of Operations

The following discussion and analysis of our financial results encompasses our consolidated results and results of our two business segments: Corporate Clinics and Franchise Operations. 

Total Revenues - Three Months Ended September 30, 2023 Compared with Three Months Ended September 30, 2022

Components of revenues were as follows:

	Three Months Ended September 30,
	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Revenues:
Revenues from company-owned or managed clinics	$	17,882,303	$	15,836,327	$	2,045,976	12.9	%
Royalty fees	7,143,791		6,604,653		539,138		8.2	%
Franchise fees	754,029		642,405		111,624		17.4	%
Advertising fund revenue	2,050,106		1,881,367		168,739		9.0	%
IT related income and software fees	1,301,577		1,109,753		191,824		17.3	%
Other revenues	342,143		375,314		(33,171)		(8.8)	%
Total revenues	$	29,473,949	$	26,449,819	$	3,024,130	11.4	%

Consolidated Results

Total revenues increased by $3.0 million, primarily due to the continued expansion and revenue growth of our franchise base and the continued revenue growth and expansion of our company-owned or managed clinics portfolio.

Corporate Clinics

Revenues from company-owned or managed clinics increased, primarily due to the expansion of our company-owned or managed clinics portfolio. As of September 30, 2023 and 2022, there were 136 and 115 company-owned or managed clinics in operation, respectively.

Franchise Operations

•Royalty fees and advertising fund revenue increased due to an increase in the number of franchised clinics in operation during the current period, along with continued sales growth in existing franchised clinics. As of September 30, 2023 and 2022, there were 778 and 690 franchised clinics in operation, respectively.

•Franchise fees revenue increased due to the impact of greater accelerated revenue recognition resulting from the terminated franchise license agreements in the current quarter period compared to the prior period.

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•Software fees revenue increased due to an increase in our franchised clinic base and the related revenue recognition over the term of the franchise agreement as described above.

•Other revenues primarily consisted of merchant income associated with credit card transactions.

Total Revenues - Nine Months Ended September 30, 2023 Compared With Nine Months Ended September 30, 2022

Components of revenues were as follows:

	Nine Months Ended September 30,
	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Revenues:
Revenues from company-owned or managed clinics	$	52,813,098	$	42,936,298	$	9,876,800	23.0	%
Royalty fees	21,181,973		19,024,799		2,157,174		11.3	%
Franchise fees	2,179,822		1,970,256		209,566		10.6	%
Advertising fund revenue	6,043,563		5,417,840		625,723		11.5	%
IT related income and software fees	3,746,394		3,166,732		579,662		18.3	%
Other revenues	1,117,103		1,058,008		59,095		5.6	%
Total revenues	$	87,081,953	$	73,573,933	$	13,508,020	18.4	%

Consolidated Results

Total revenues increased by $13.5 million, primarily due to the continued expansion and revenue growth of our franchise base and of our company-owned or managed clinics portfolio.

Corporate Clinics

Revenues from company-owned or managed clinics increased, primarily due to improved same-store sales growth, as well as due to the expansion of our company-owned or managed clinics portfolio. As of September 30, 2023 and 2022, there were 136 and 115 company-owned or managed clinics in operation, respectively.

Franchise Operations

•Royalty fees and advertising fund revenue increased due to an increase in the number of franchised clinics in operation during the current period, along with continued sales growth in existing franchised clinics. As of September 30, 2023 and 2022, there were 778 and 690 franchised clinics in operation, respectively.

•Franchise fees increased due to the impact of greater accelerated revenue recognition resulting from the terminated franchise license agreements in the current year period compared to the prior period.

•Software fees revenue increased due to an increase in our franchised clinic base and the related revenue recognition over the term of the franchise agreement as described above.

•Other revenues primarily consisted of merchant income associated with credit card transactions.

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Cost of Revenues	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Three Months Ended September 30,	$	2,604,100	$	2,337,095	$	267,005	11.4	%
Nine Months Ended September 30,	$	7,674,296	$	6,705,169	$	969,127	14.5	%

For the three months ended September 30, 2023, as compared with the three months ended September 30, 2022, the total cost of revenues increased, primarily due to an increase in regional developer royalties and sales commissions of $0.2 million. For the nine months ended September 30, 2023, as compared with the nine months ended September 30, 2022, the total cost of revenues increased, primarily due to an increase in regional developer royalties and sales commissions of $0.8 million and a decrease in upfront regional developer contra cost of revenue expense of $0.1 million.

Selling and Marketing Expenses

Selling and Marketing Expenses	2023		2022		Change from Prior Year		Percent Change from Prior Year
Three Months Ended September 30,	$	4,301,017	$	3,539,287	$	761,730	21.5	%
Nine Months Ended September 30,	$	13,169,079	$	10,666,500	$	2,502,579	23.5	%

Selling and marketing expenses increased for the three and nine months ended September 30, 2023, as compared to the three and nine months ended September 30, 2022, driven by an increase in advertising fund expenditures from a larger franchise base and an increase in local marketing expenditures by the company-owned or managed clinics.

Depreciation and Amortization Expenses

Depreciation and Amortization Expenses	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Three Months Ended September 30,	$	2,349,206	$	1,779,924	$	569,282	32.0	%
Nine Months Ended September 30,	$	6,893,529	$	4,578,450	$	2,315,079	50.6	%

Depreciation and amortization expenses increased for the three and nine months ended September 30, 2023, as compared to the three and nine months ended September 30, 2022, primarily due to the depreciation expenses associated with the expansion of our company-owned or managed clinics portfolio in 2022 and 2023.

General and Administrative Expenses

General and Administrative Expenses	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Three Months Ended September 30,	$	20,212,750	$	17,796,806	$	2,415,944	13.6	%
Nine Months Ended September 30,	$	60,156,022	$	51,900,533	$	8,255,489	15.9	%

General and administrative expenses increased for the three months ended September 30, 2023, as compared to the three months ended September 30, 2022, primarily due to the increases in the following to support continued clinic count and revenue growth in both operating segments: (i) payroll and related expenses of $1.5 million; (ii) general overhead and administrative expenses of $0.4 million; (iii) professional and advisory fees of $0.3 million; and (iv) insurance costs of $0.2 million. General and administrative expenses increased for the nine months ended September 30, 2023, as compared to the nine months ended

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September 30, 2022, primarily due to the increases in the following to support continued clinic count and revenue growth in both operating segments: (i) payroll and related expenses of $7.0 million; (ii) general overhead and administrative expenses of $1.5 million; (iii) professional and advisory fees of $0.4 million; (iv) software and maintenance costs of $0.3 million; and (v) insurance costs of $0.4 million, partially offset by the decrease in reacquiring regional developer upfront licensing fees of $1.4 million. As a percentage of revenue, general and administrative expenses during the nine months ended September 30, 2023 and 2022 were 69% and 67%, respectively.

(Loss) Income from Operations - Three Months Ended September 30, 2023 Compared With Three Months Ended September 30, 2022

Three Months Ended September 30,	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
(Loss) Income from Operations	$	(898,047)	$	732,316	$	(1,630,363)	(222.6)	%

Consolidated Results

Consolidated income from operations decreased by $1.6 million for the three months ended September 30, 2023 compared with the three months ended September 30, 2022, primarily due to impairment recognized for the clinics identified as held for sale and unallocated corporate segments discussed below.

Corporate Clinics

Our corporate clinics segment had loss from operations of $0.9 million three months ended September 30, 2023, a decrease of $0.8 million compared to loss from operations of $0.1 million for the three months ended September 30, 2022. An increase in revenues of $2.0 million from company-owned or managed clinics was offset by a $0.8 million increase to net loss on disposition or impairment due to certain corporate-owned or managed clinics being designated as held for sale and a $2.0 million increase in operating expenses due to the increases in the following: (i) payroll-related expenses of $1.0 million due to a higher head count to support the expansion of our corporate clinic portfolio and general wage increases to remain competitive in the current labor market; (ii) selling and marketing expenses of $0.4 million driven by an increase in local marketing expenditures by the company-owned or managed clinics; and (iii) depreciation expense associated with the expansion of our company-owned or managed clinics portfolio of $0.6 million.

Franchise Operations

Our franchise operations segment had income from operations of $5.1 million for the three months ended September 30, 2023, a decrease of $0.1 million, compared to income from operations of $5.2 million for the prior year period. This increase was primarily due to:

•An increase of $0.3 million in cost of revenues primarily due to an increase in regional developer royalties and an increase of $0.8 million in operating expenses; partially offset by

•An increase of $1.0 million in total revenues.

Unallocated Corporate

Unallocated corporate expenses for the three months ended September 30, 2023 increased by $0.7 million compared to the prior year period, primarily due to the increase in general and administrative expenses.

Loss from Operations - Nine months Ended September 30, 2023 Compared with Nine Months Ended September 30, 2022

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Nine Months Ended September 30,	2023		2022		Change from Prior Year		Percent Change from Prior Year
			(as restated)
Loss from Operations	$	(1,925,711)	$	(636,859)	$	(1,288,852)	202.4	%

Consolidated Results

Consolidated loss from operations increased by $1.3 million for the nine months ended September 30, 2023 compared with nine months ended September 30, 2022, primarily due to the increased expenses in the corporate clinics and unallocated corporate segments discussed below.

Corporate Clinics

Our corporate clinics segment had loss from operations of $1.3 million for the nine months ended September 30, 2023, a decrease of $1.6 million compared to income from operations of $0.3 million for the prior year period. The decrease was primarily due to:

•A $10.7 million increase in operating expenses due to the increases in the following: (i) payroll-related expenses of $5.1 million due to a higher head count to support the expansion of our corporate clinic portfolio and general wage increases to remain competitive in the current labor market; (ii) depreciation expense associated with the expansion of our company-owned or managed clinics portfolio of $2.2 million; (iii) selling and marketing expenses due to increased local marketing expenditures by the company-owned or managed clinics of $1.8 million; and (iv) general overhead and administrative expenses to support the expansion of our corporate clinic portfolio of $1.6 million; plus

•A $0.8 million increase to net loss on disposition or impairment due to certain corporate-owned or managed clinics being designated as held for sale and; partially offset by

•An increase in revenues of $9.9 million from company-owned or managed clinics.

Franchise Operations

Our franchise operations segment had income from operations of $13.9 million for the nine months ended September 30, 2023, an increase of $2.3 million, compared to income from operations of $11.6 million for the prior year period. This increase was primarily due to:

•An increase of $3.6 million in total revenues; partially offset by

•An increase of $1.0 million in cost of revenues, primarily due to an increase in regional developer royalties and commissions and an increase of $0.3 million in operating expenses.

Unallocated Corporate

Unallocated corporate expenses for the nine months ended September 30, 2023 increased by $1.9 million compared to the prior year period, primarily due to the increases in payroll related costs of $1.1 million, and professional and advisory fees of $0.4 million and insurance costs of $0.4 million.

Other Income (Expense), Net

Other Income (Expense), Net	2023		2022		Change from Prior Year		Percent Change from Prior Year
Three Months Ended September 30,	$	(6,244)	$	(25,235)	$	18,991	(75.3)	%
Nine Months Ended September 30,	$	3,708,399	$	(60,668)	$	3,769,067	(6,212.6)	%

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Other income (expense), net increased during the three months ended September 30, 2023 as compared to the three months ended September 30, 2022, primarily due to increased interest income. Other income (expense), net increased during the nine months ended September 30, 2023 as compared to the nine months ended September 30, 2022, primarily due to the recognition and receipt of the $3.8 million of ERC, net of consulting fees, in the first quarter of 2023.

Non-GAAP Financial Measures

The table below reconciles net income to Adjusted EBITDA for the three and nine months ended September 30, 2023 and 2022.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Non-GAAP Financial Data:
Net income (loss)	$	(716,273)	$	731,096	$	1,289,402	$	(136,551)
Net interest expense	6,244		25,235		70,905		60,668
Depreciation and amortization expense	2,349,206		1,779,924		6,893,529		4,578,450
Tax (benefit) expense	(188,018)		(24,015)		493,286		(560,976)
EBITDA	1,451,159		2,512,240		8,747,122		3,941,591
Stock compensation expense	526,069		305,815		1,209,296		969,562
Acquisition related expenses	15,222		46,712		873,214		2,275,380
Loss on disposition or impairment	904,923		264,391		1,114,738		360,140
Other income related to the ERC	—		—		(3,779,304)		—
Adjusted EBITDA	$	2,897,373	$	3,129,158	$	8,165,066	$	7,546,673

Adjusted EBITDA consists of net income before interest, income taxes, depreciation and amortization, acquisition related expenses, stock-based compensation expense, bargain purchase gain, and (gain) loss on disposition or impairment and other income related to the ERC. There was no bargain purchase gain for the three and nine months ended September 30, 2023 and 2022. We have provided Adjusted EBITDA because it is a non-GAAP measure of financial performance commonly used for comparing companies in our industry. You should not consider Adjusted EBITDA as a substitute for operating profit or as an indicator of our operating performance or as an alternative to cash flows from operating activities as a measure of liquidity. We may calculate Adjusted EBITDA differently from other companies.

We believe that the use of Adjusted EBITDA provides an additional tool for investors to use in evaluating ongoing operating results and trends and in comparing our financial measures with other outpatient medical clinics, which may present similar non-GAAP financial measures to investors. In addition, you should be aware when evaluating Adjusted EBITDA that in the future we may incur expenses similar to those excluded when calculating these measures. Our presentation of these measures should not be construed as an inference that our future results will be unaffected by unusual or non-recurring items. Our computation of Adjusted EBITDA may not be comparable to other similarly titled measures computed by other companies, because all companies do not calculate Adjusted EBITDA in the same manner.

Liquidity and Capital Resources

As of September 30, 2023, we had unrestricted cash and short-term bank deposits of $16.1 million and $18 million of available capacity under the Revolver. While the pandemic, the Ukraine War and the Israel-Gaza conflict create potential liquidity risks, as discussed further below, we believe that our existing cash and cash equivalents, our anticipated cash flows from operations and amounts available under our line of credit will be sufficient to fund our anticipated operating and investment needs for at least the next twelve months.

While the interruptions, delays and/or cost increases resulting from the pandemic, political instability or geopolitical tensions, such as the Ukraine War and Israel-Gaza conflict, economic weakness, inflationary pressures, increase in interest rates and other factors have created uncertainty as to general economic conditions for 2023, as of the date of this report, we believe we have adequate capital resources and sufficient access to external financing sources to satisfy our current and reasonably anticipated requirements for funds to conduct our operations and meet other needs in the ordinary course of our business. For the remainder

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of 2023, we expect to use or redeploy our cash resources to support our business within the context of prevailing market conditions, which, given the ongoing uncertainties described above, could rapidly and materially deteriorate or otherwise change. Our long-term capital requirements, primarily for acquisitions and other corporate initiatives, could be dependent on our ability to access additional funds through the debt and/or equity markets. If the equity or debt markets continue to deteriorate or do not improve, including as a result of economic weakness, a resurgence of COVID-19, political unrest or war, including the Ukraine War and the Israel-Gaza conflict, or any other reason, it may make any necessary equity or debt financing more difficult to obtain in a timely manner and on favorable terms, if at all, and if obtained, it may be more costly or more dilutive. From time to time, we consider and evaluate transactions related to our portfolio and capital structure, including debt financings, equity issuances, purchases and sales of assets, and other transactions. Given the ongoing uncertainties described above, the levels of our cash flows from operations for 2023 may be impacted. There can be no assurance that we will be able to generate sufficient cash flows or obtain the capital necessary to meet our short and long-term capital requirements.

Analysis of Cash Flows

Net cash provided by operating activities increased by $8.3 million to $11.3 million for the nine months ended September 30, 2023, compared to $3.0 million for the nine months ended September 30, 2022. The increase was primarily attributable to an increase in revenue over the prior year period and the receipt of the $4.8 million ERC, which was partially offset by an increase in general and administrative expenses over the prior year period.

Net cash used in investing activities was $4.9 million and $12.3 million for the nine months ended September 30, 2023 and 2022, respectively. For the nine months ended September 30, 2023, this included acquisitions of $1.1 million and purchases of property and equipment of $3.8 million. For the nine months ended September 30, 2022, this included acquisitions of $8.0 million and the purchases of property and equipment of $4.3 million.

Net cash provided by financing activities for the nine months ended September 30, 2023 was $0.2 million, compared to net cash provided by financing activities of $0.3 million for the nine months ended September 30, 2022. Net cash provided by financing activities was primarily driven from the proceeds from the exercise of stock options for the nine months ended September 30, 2023 and 2022.

Recent Accounting Pronouncements

See Note 1, Nature of Operations and Summary of Significant Accounting Policies, to our condensed consolidated financial statements included in this report for information regarding recently issued accounting pronouncements that may impact our financial statements.

Off-Balance Sheet Arrangements

During the nine months ended September 30, 2023, we did not have any relationships with unconsolidated organizations or financial partnerships, such as structured finance or special purpose entities that would have been established for the purpose of facilitating off-balance sheet arrangements.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

As of September 30, 2023, there were no material changes to the quantitative and qualitative disclosures about market risk appearing in Part II, Item 7(a), “Quantitative and Qualitative Disclosures About Market Risk” of Form 10-K/A for the year ended December 31, 2022.

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2023. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act are recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act are accumulated and communicated to the company’s management, including its principal executive and principal

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financial officers, as appropriate to allow timely decisions regarding required disclosure. Our disclosure controls and procedures were designed to provide reasonable assurance of achieving such objectives, and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of September 30, 2023, our management concluded that as of such date, our disclosure controls and procedures were not effective at the reasonable assurance level.

Our management determined that the material weaknesses disclosed for the year ended December 31, 2022 and 2021 in its internal control over financial reporting continue to exist at September 30, 2023, specifically we failed to properly design controls to appropriately determine the proper treatment of complex accounting areas, including income taxes, revenue recognition and asset acquisition transactions.

Remediation Plan for Existing Material Weaknesses

We are in the process of and continue to focus on implementing measures designed to ensure that control deficiencies contributing to the material weaknesses are remediated, such that these controls are designed, implemented and operating effectively. The remediation actions include modifying internal controls to address completeness of documentation on uncertain tax positions, revenue and acquisition related transactions and adoptions of the appropriate respective accounting standards, specifically through the utilization of subject matter experts to review conclusions over complex accounting policies. While we expect that our remediation actions over the design of our affected controls for the material weakness will be completed during fiscal 2023, the material weaknesses will not be considered remediated until the applicable controls operate for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively.

Changes in Internal Control over Financial Reporting

Except as described above, there were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended September 30, 2023 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II: OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

In the normal course of business, we are a party to litigation from time to time. We maintain insurance to cover certain litigation and claims.

ITEM 1A. RISK FACTORS

We documented our risk factors in Item 1A of Part I of our Form 10-K/A for the year ended December 31, 2022. There have been no material changes to our risk factors since the filing of that report, except for the addition or modification of the following risk factors:

RISKS RELATED TO OPERATING OUR BUSINESS:

Inflation, exacerbated by COVID-19 and the Ukraine War, has led to increased labor costs and interest rates and may lead to reduced discretionary spending, all of which may negatively impact our business.

The primary inflationary factor affecting our operations is labor costs. During 2022 and 2023, company-owned or managed clinics were negatively impacted by wage increases, which increased our general and administrative expenses and decreased profitability. A significant number of our clinic service personnel are paid at rates related to the applicable minimum wage, and increases in the minimum wage could increase our labor costs. As of January 1, 2023, the minimum wage increased in a number of states, the District of Columbia and local municipalities, with many of these wage increases triggered automatically by increases in the cost of living due to high inflation. Such wage increases likely will further increase our general and administrative expenses in the affected jurisdictions. A continued increase in labor costs is likely to continue to have an adverse impact on profitability and may result in additional price increases to offset their impact. Further, should we fail to continue to increase our wages competitively in response to any continued increase in wage rates, the quality of our workforce could decline, causing our patient services to suffer.

In addition to relief and recovery, our services emphasize preventive and maintenance care, which is generally not a medical necessity, and may be viewed as a discretionary medical expenditure. Discretionary spending is negatively impacted by, among

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other things, those factors disclosed in our Form 10-K/A for the year ended December 31, 2022 under the caption “Recent Events” in Management’s Discussion and Analysis of Financial Condition and Results of Operations -- unfavorable global economic or political conditions, such as the recent COVID-19 pandemic, the Ukraine War, inflation and other cost increases, and increases in interest rates. As further disclosed under the aforementioned caption, we anticipate that fiscal 2023 will continue to be a volatile macroeconomic environment and expect elevated levels of cost inflation to persist for 2023. Reductions in discretionary spending may adversely impact our business, financial condition, or results of operations. Rising interest rates also will make it more expensive for potential franchisees to finance new clinic acquisitions and thus may reduce the pool of available franchisees, which also could adversely impact our business. Borrowings under our credit facility bear interest at rates tied to certain benchmark interest rates. Increases in the federal funds rate has caused these benchmark rates to increase, and additional increases are likely to further increase such benchmark rates. Higher rates increase our borrowing costs and may reduce the amounts available under our credit facility for our corporate needs, including working capital, capital expenditures and acquisitions.

In the event that a further deterioration of economic conditions causes a significant decrease in demand for our services, this could negatively impact our ability to meet the financial covenants in our credit facility, although we were in compliance as of September 30, 2023. Furthermore, a deterioration of equity and credit markets may make other debt or equity financing difficult to obtain in a timely manner and on favorable terms, if at all, and if obtained, may be more costly or more dilutive. If we are unable to access our credit facility as a result of noncompliance with its covenants or are unable to obtain other debt or equity financing, this could limit our opportunity to acquire more clinics and regional developer rights and to pursue other corporate initiatives.

FINANCIAL RISK FACTORS:

We maintain cash deposits in banks in excess of federally insured limits. Adverse developments affecting financial institutions, including bank failures, could adversely affect our liquidity and financial performance.

We regularly maintain cash deposits in Federal Deposit Insurance Corporation (“FDIC”) insured banks that exceed the FDIC insurance limits. Bank failures, events involving limited liquidity, defaults, non-performance or other adverse developments that affect financial institutions, or concerns or rumors about such events, may lead to liquidity constraints. For example, on March 10, 2023, Silicon Valley Bank failed and was taken into receivership by the FDIC. Although we did not have any funds in Silicon Valley Bank or other institutions that have been closed, we cannot guarantee that the banks or other financial institutions that hold our funds will not experience similar issues. The failure of a bank, or other adverse conditions in the financial or credit markets impacting financial institutions at which we maintain balances, could adversely impact our liquidity and financial performance. There can be no assurance that our deposits in excess of the FDIC or other comparable insurance limits will be backstopped by the U.S., or that any bank or financial institution with which we do business will be able to obtain needed liquidity from other banks, government institutions or by acquisition in the event of a failure or liquidity crisis.

RISKS RELATED TO OTHER LEGAL AND REGULATORY MATTERS:

We conduct business in a heavily regulated industry, and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations.

We, our franchisees and the chiropractor-owned PCs to which we and our franchisees provide management services are subject to extensive federal, state and local laws, rules and regulations, including the following: (i) federal and state laws governing the franchisor-franchisee relationship; (ii) state regulations on the practice of chiropractic; (iii) federal and state laws governing the collection, dissemination, use, security and confidentiality of sensitive personal information; (iv) federal and state laws which contain anti-kickback and fee-splitting provisions and restrictions on referrals; (v) the federal Fair Debt Collection Practices Act and similar state laws that restrict the methods that we and third-party collection companies may use to contact and seek payment from patients regarding past due accounts; (vi) prepayment for chiropractic services; and (vii) federal and state labor laws, including wage and hour laws.

Some state regulations concerning the practice of chiropractic could limit the use of our business model or certain of our business practices in certain states, which may make expanding into those states less attractive. For example, some states prohibit payment in advance for chiropractic services. This has the effect of limiting or prohibiting the use of our membership model in any such states, given that our membership model provides for the payment in advance of a monthly membership fee prior to receipt of services and without regard to whether services are actually provided. We recently elected not to offer franchises in South Dakota and Wyoming because of such a prohibition.

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Many of the above laws, rules and regulations applicable to us, our franchisees and our affiliated PCs are ambiguous, have not been definitively interpreted by courts or regulatory authorities and vary from jurisdiction to jurisdiction. Accordingly, we may not be able to predict how these laws and regulations will be interpreted or applied by courts and regulatory authorities, and some of our activities could be challenged. In addition, we must consistently monitor changes in the laws and regulations that govern our operations. Furthermore, a review of our business by judicial, law enforcement or regulatory authorities could result in a determination that could adversely affect our operations. Although we have tried to structure our business and contractual relationships in compliance with these laws, rules and regulations in all material respects, if any aspect of our operations were found to violate applicable laws, rules or regulations, we could be subject to significant fines or other penalties, required to cease operations in a particular jurisdiction, prevented from commencing operations in a particular state or otherwise be required to revise the structure of our business or legal arrangements. Our efforts to comply with these laws, rules and regulations may impose significant costs and burdens, and failure to comply with these laws, rules and regulations may result in fines or other charges being imposed on us.

RISKS RELATED TO INFORMATION TECHNOLOGY, CYBERSECURITY AND DATA PRIVACY:

New SEC regulations governing disclosure about risk management, strategy and governance regarding cybersecurity risks and new requirements for reporting of cybersecurity incidents may increase our compliance costs.

The SEC recently adopted a rule, “Cybersecurity Risk Management, Strategy, Governance, and Incident Disclosure,” that enhances and standardizes disclosures regarding cybersecurity risk management and governance, as well as material cybersecurity incidents. Under this new rule, public companies will now be required to make annual disclosures describing their processes for identifying and managing material cybersecurity risks, management’s role in assessing and managing such risks, and the Board of Directors’ oversight of cybersecurity risks. Companies also must disclose in a Form 8-K the nature, scope and timing of any material cybersecurity incidents identified and the material impact or reasonably likely material impact on the company. We expect to face increased costs to comply with this new SEC cybersecurity rule, including increased costs for cybersecurity training and management. Furthermore, the requirement to report cybersecurity incidents within such a short time frame could mean that there will not be sufficient time to halt a breach before having to report it, potentially giving hackers an advantage.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

Use of Proceeds from Registered Securities

None.

ITEM 3. OTHER INFORMATION

During the quarter ended September 30, 2023, no director or officer of our company adopted or terminated a "Rule 10b5-1 trading arrangement" or a "non-Rule 10b5-1 trading arrangement" (in each case, defined in Item 408 of Regulation S-K).

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ITEM 6. EXHIBITS

EXHIBIT INDEX

Exhibit Number	Description of Document
31.1*	Certification of Principal Executive Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, (filed herewith).
31.2*	Certification of Principal Financial Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, (filed herewith).
32**	Certifications of Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith).
101.INS	XBRL Instance Document.
101.SCH	XBRL Taxonomy Extension Schema Document.
101.CAL	XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF	XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB	XBRL Taxonomy Extension Label Linkbase Document.
101.PRE	XBRL Taxonomy Extension Presentation Linkbase Document.
104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

* Filed herewith

** Furnished herewith, not filed

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THE JOINT CORP.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

	THE JOINT CORP.
Dated: November 9, 2023	By:	/s/ Peter D. Holt
		Peter D. Holt President and Chief Executive Officer (Principal Executive Officer)
Dated: November 9, 2023	By:	/s/ Jake Singleton
		Jake Singleton Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)

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EX-31.1

Exhibit 31.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER

PURSUANT TO RULES 13a-14(a) AND 15a-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934

I, Peter D. Holt, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023 of The Joint Corp.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; 

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; 

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: November 9, 2023

/s/ Peter D. Holt

Peter D. Holt
President and Chief Executive Officer
(Principal Executive Officer)

EX-31.2

Exhibit 31.2

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER

PURSUANT TO RULES 13a-14(a) AND 15a-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934

I, Jake Singleton, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023 of The Joint Corp.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: November 9, 2023

/s/ Jake Singleton

Jake Singleton
Chief Financial Officer
(Principal Financial Officer and Principal Accounting Officer)

EX-32

Exhibit 32

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of The Joint Corp. (the “Company”), for the quarter ended Date: September 30, 2023, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), each of the undersigned hereby certifies, in his or her capacity as an officer of the Company, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to his knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

By:	/s/ Peter D. Holt
	Peter D. Holt President and Chief Executive Officer (Principal Executive Officer)
Dated November 9, 2023

By:	/s/ Jake Singleton
	Jake Singleton Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)
Dated November 9, 2023

XML

Cover Page - shares	9 Months Ended
	Sep. 30, 2023	Nov. 06, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-36724
Entity Registrant Name	Joint Corp
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	90-0544160
Entity Address, Address Line One	16767 N. Perimeter Drive
Entity Address, Address Line Two	Suite 110
Entity Address, City or Town	Scottsdale
Entity Address, State or Province	AZ
Entity Address, Postal Zip Code	85260
City Area Code	480
Local Phone Number	245-5960
Title of 12(b) Security	Common Stock, $0.001 Par Value Per Share
Trading Symbol	JYNT
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		14,754,287
Entity Central Index Key	0001612630
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Amendment Flag	false

XML

Condensed Consolidated Balance Sheets - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 16,050,137	$ 9,745,066
Restricted cash	1,092,216	805,351
Accounts receivable, net	3,653,127	3,911,272
Deferred franchise and regional development costs, current portion	1,054,534	1,054,060
Prepaid expenses and other current assets	2,602,563	2,098,359
Assets held for sale	3,972,113	0
Total current assets	28,424,690	17,614,108
Property and equipment, net	15,355,755	17,475,152
Operating lease right-of-use asset	19,803,896	20,587,199
Deferred franchise and regional development costs, net of current portion	5,409,924	5,707,678
Intangible assets, net	8,623,115	10,928,295
Goodwill	8,448,893	8,493,407
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)	11,741,090	11,928,152
Deposits and other assets	765,263	756,386
Total assets	98,572,626	93,490,377
Current liabilities:
Accounts payable	1,877,162	2,966,589
Accrued expenses	2,488,324	1,069,610
Co-op funds liability	1,092,216	805,351
Payroll liabilities	3,875,453	2,030,510
Operating lease liability, current portion	5,392,944	5,295,830
Finance lease liability, current portion	25,223	24,433
Deferred franchise revenue, current portion	2,512,350	2,468,601
Deferred revenue from company clinics ($4.6 million and $4.7 million attributable to VIE)	6,538,713	7,471,549
Upfront regional developer fees, current portion	383,972	487,250
Other current liabilities	516,249	597,294
Liabilities to be disposed of	2,971,933	0
Total current liabilities	27,674,539	23,217,017
Operating lease liability, net of current portion	17,200,146	18,672,719
Finance lease liability, net of current portion	44,490	63,507
Debt under the Credit Agreement	2,000,000	2,000,000
Deferred franchise revenue, net of current portion	13,980,758	14,161,134
Upfront regional developer fees, net of current portion	1,099,718	1,500,278
Other liabilities ($1.3 million and $1.3 million attributable to VIE)	1,287,880	1,287,879
Total liabilities	63,287,531	60,902,534
Commitments and contingencies (Note 10)
Stockholders' equity:
Series A preferred stock, $0.001 par value; 50,000 shares authorized, 0 issued and outstanding, as of September 30, 2023 and December 31, 2022	0	0
Common stock, $0.001 par value; 20,000,000 shares authorized, 14,786,411 shares issued and 14,754,287 shares outstanding as of September 30, 2023 and 14,560,353 shares issued and 14,528,487 outstanding as of December 31, 2022	14,786	14,560
Additional paid-in capital	46,969,761	45,558,305
Treasury stock 32,124 shares as of September 30, 2023 and 31,866 shares as of December 31, 2022, at cost	(860,474)	(856,642)
Accumulated deficit	(10,863,978)	(12,153,380)
Total The Joint Corp. stockholders' equity	35,260,095	32,562,843
Non-controlling interest	25,000	25,000
Total equity	35,285,095	32,587,843
Total liabilities and stockholders' equity	$ 98,572,626	$ 93,490,377

XML

Condensed Consolidated Balance Sheets (Parentheticals) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)	$ 11,741,090	$ 11,928,152
Payroll liabilities	3,875,453	2,030,510
Deferred revenue from company clinics attributable to VIE	2,512,350	2,468,601
Other liabilities ($1.3 million and $1.3 million attributable to VIE)	$ 1,287,880	$ 1,287,879
Series A preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Series A preferred stock, shares authorized (in shares)	50,000	50,000
Series A preferred stock, shares issued (in shares)	0	0
Series A preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized (in shares)	20,000,000	20,000,000
Common stock, shares issued (in shares)	14,786,411	14,560,353
Common stock, shares outstanding (in shares)	14,754,287	14,528,487
Treasury stock, shares (in shares)	32,124	31,866
Variable Interest Entity, Primary Beneficiary
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)	$ 1,000,000.0	$ 1,000,000.0
Payroll liabilities	952,854	586,960
Deferred revenue from company clinics attributable to VIE	4,553,228	4,702,044
Other liabilities ($1.3 million and $1.3 million attributable to VIE)	$ 1,300,000	$ 1,300,000

XML

Condensed Consolidated Income Statements (unaudited) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenues:
Total revenues	$ 29,473,949	$ 26,449,819	$ 87,081,953	$ 73,573,933
Cost of revenues:
Total cost of revenues	2,604,100	2,337,095	7,674,296	6,705,169
Selling and marketing expenses	4,301,017	3,539,287	13,169,079	10,666,500
Depreciation and amortization	2,349,206	1,779,924	6,893,529	4,578,450
General and administrative expenses	20,212,750	17,796,806	60,156,022	51,900,533
Total selling, general and administrative expenses	26,862,973	23,116,017	80,218,630	67,145,483
Net loss on disposition or impairment	904,923	264,391	1,114,738	360,140
Income (loss) from operations	(898,047)	732,316	(1,925,711)	(636,859)
Other income (expense), net	(6,244)	(25,235)	3,708,399	(60,668)
Income (loss) before income tax (benefit) expense	(904,291)	707,081	1,782,688	(697,527)
Income tax (benefit) expense	(188,018)	(24,015)	493,286	(560,976)
Net (loss) income	$ (716,273)	$ 731,096	$ 1,289,402	$ (136,551)
Earnings per share:
Basic earnings (loss) per share (in dollars per share)	$ (0.05)	$ 0.05	$ 0.09	$ (0.01)
Diluted earnings (loss) per share (in dollars per share)	$ (0.05)	$ 0.05	$ 0.09	$ (0.01)
Basic weighted average shares (in shares)	14,790,663	14,512,856	14,666,222	14,474,323
Diluted weighted average shares (in shares)	15,015,953	14,829,629	14,931,474	15,119,264
Revenues from company-owned or managed clinics
Revenues:
Total revenues	$ 17,882,303	$ 15,836,327	$ 52,813,098	$ 42,936,298
Royalty fees
Revenues:
Total revenues	7,143,791	6,604,653	21,181,973	19,024,799
Franchise fees/Franchise and regional development cost of revenues
Revenues:
Total revenues	754,029	642,405	2,179,822	1,970,256
Cost of revenues:
Cost of revenues	2,228,689	1,988,764	6,605,964	5,694,723
Advertising fund revenue
Revenues:
Total revenues	2,050,106	1,881,367	6,043,563	5,417,840
Software fees/IT cost of revenues
Revenues:
Total revenues	1,301,577	1,109,753	3,746,394	3,166,732
Cost of revenues:
Cost of revenues	375,411	348,331	1,068,332	1,010,446
Other revenues
Revenues:
Total revenues	$ 342,143	$ 375,314	$ 1,117,103	$ 1,058,008

XML

Condensed Consolidated Statements of Changes in Stockholders' Equity (unaudited) - USD ($)	Total	Common Stock	Additional Paid In Capital	Treasury Stock	Accumulated Deficit	Total The Joint Corp. stockholders' equity	Non-controlling interest
Balance, beginning common stock (in shares) at Dec. 31, 2021		14,451,355
Balance, beginning at Dec. 31, 2021	$ 30,308,684	$ 14,450	$ 43,900,157	$ (850,838)	$ (12,780,085)	$ 30,283,684	$ 25,000
Balance, beginning treasury stock (in shares) at Dec. 31, 2021				31,643
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	323,556		323,556			323,556
Issuance of restricted stock (in shares)		36,722
Issuance of restricted stock	0	$ 37	(37)			0
Exercise of stock options (in shares)		4,972
Exercise of stock options	49,623	$ 5	49,618			49,623
Purchases of treasury stock under employee stock plans (in shares)				74
Purchases of treasury stock under employee stock plans	(2,598)			$ (2,598)		(2,598)
Net income (loss)	4,220				4,220	4,220
Balance, ending common stock (in shares) at Mar. 31, 2022		14,493,049
Balance, ending at Mar. 31, 2022	30,683,485	$ 14,492	44,273,294	$ (853,436)	(12,775,865)	30,658,485	25,000
Balance, ending treasury stock (in shares) at Mar. 31, 2022				31,717
Balance, beginning common stock (in shares) at Dec. 31, 2021		14,451,355
Balance, beginning at Dec. 31, 2021	30,308,684	$ 14,450	43,900,157	$ (850,838)	(12,780,085)	30,283,684	25,000
Balance, beginning treasury stock (in shares) at Dec. 31, 2021				31,643
Stockholders' Equity [Roll Forward]
Net income (loss)	(136,551)
Balance, ending common stock (in shares) at Sep. 30, 2022		14,561,545
Balance, ending at Sep. 30, 2022	31,497,920	$ 14,561	45,231,637	$ (856,642)	(12,916,636)	31,472,920	25,000
Balance, ending treasury stock (in shares) at Sep. 30, 2022				31,866
Balance, beginning common stock (in shares) at Mar. 31, 2022		14,493,049
Balance, beginning at Mar. 31, 2022	30,683,485	$ 14,492	44,273,294	$ (853,436)	(12,775,865)	30,658,485	25,000
Balance, beginning treasury stock (in shares) at Mar. 31, 2022				31,717
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	340,191		340,191			340,191
Issuance of restricted stock (in shares)		28,758
Issuance of restricted stock	0	$ 29	(29)			0
Exercise of stock options (in shares)		4,610
Exercise of stock options	64,050	$ 5	64,045			64,050
Net income (loss)	(871,867)				(871,867)	(871,867)
Balance, ending common stock (in shares) at Jun. 30, 2022		14,526,417
Balance, ending at Jun. 30, 2022	30,215,859	$ 14,526	44,677,501	$ (853,436)	(13,647,732)	30,190,859	25,000
Balance, ending treasury stock (in shares) at Jun. 30, 2022				31,717
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	305,815		305,815			305,815
Issuance of restricted stock (in shares)		2,845
Issuance of restricted stock	0	$ 3	(3)			0
Exercise of stock options (in shares)		32,283
Exercise of stock options	248,356	$ 32	248,324			248,356
Purchases of treasury stock under employee stock plans (in shares)				149
Purchases of treasury stock under employee stock plans	(3,206)			$ (3,206)		(3,206)
Change in redemption value of non-controlling interest	0		0			0	0
Net income (loss)	731,096				731,096	731,096
Balance, ending common stock (in shares) at Sep. 30, 2022		14,561,545
Balance, ending at Sep. 30, 2022	$ 31,497,920	$ 14,561	45,231,637	$ (856,642)	(12,916,636)	31,472,920	25,000
Balance, ending treasury stock (in shares) at Sep. 30, 2022				31,866
Balance, beginning common stock (in shares) at Dec. 31, 2022	14,528,487	14,560,353
Balance, beginning at Dec. 31, 2022	$ 32,587,843	$ 14,560	45,558,305	$ (856,642)	(12,153,380)	32,562,843	25,000
Balance, beginning treasury stock (in shares) at Dec. 31, 2022	31,866			31,866
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	$ 266,210		266,210			266,210
Issuance of restricted stock (in shares)		95,386
Issuance of restricted stock	0	$ 95	(95)			0
Exercise of stock options (in shares)		15,621
Exercise of stock options	138,457	$ 16	138,441			138,457
Purchases of treasury stock under employee stock plans (in shares)				169
Purchases of treasury stock under employee stock plans	(2,637)			$ (2,637)		(2,637)
Net income (loss)	2,326,164				2,326,164	2,326,164
Balance, ending common stock (in shares) at Mar. 31, 2023		14,671,360
Balance, ending at Mar. 31, 2023	$ 35,316,037	$ 14,671	45,962,861	$ (859,279)	(9,827,216)	35,291,037	25,000
Balance, ending treasury stock (in shares) at Mar. 31, 2023				32,035
Balance, beginning common stock (in shares) at Dec. 31, 2022	14,528,487	14,560,353
Balance, beginning at Dec. 31, 2022	$ 32,587,843	$ 14,560	45,558,305	$ (856,642)	(12,153,380)	32,562,843	25,000
Balance, beginning treasury stock (in shares) at Dec. 31, 2022	31,866			31,866
Stockholders' Equity [Roll Forward]
Net income (loss)	$ 1,289,402
Balance, ending common stock (in shares) at Sep. 30, 2023	14,754,287	14,786,411
Balance, ending at Sep. 30, 2023	$ 35,285,095	$ 14,786	46,969,761	$ (860,474)	(10,863,978)	35,260,095	25,000
Balance, ending treasury stock (in shares) at Sep. 30, 2023	32,124			32,124
Balance, beginning common stock (in shares) at Mar. 31, 2023		14,671,360
Balance, beginning at Mar. 31, 2023	$ 35,316,037	$ 14,671	45,962,861	$ (859,279)	(9,827,216)	35,291,037	25,000
Balance, beginning treasury stock (in shares) at Mar. 31, 2023				32,035
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	417,017		417,017			417,017
Issuance of restricted stock (in shares)		91,158
Issuance of restricted stock	0	$ 91	(91)			0
Exercise of stock options (in shares)		10,002
Exercise of stock options	63,929	$ 10	63,919			63,929
Net income (loss)	(320,489)				(320,489)	(320,489)
Balance, ending common stock (in shares) at Jun. 30, 2023		14,772,520
Balance, ending at Jun. 30, 2023	35,476,494	$ 14,772	46,443,706	$ (859,279)	(10,147,705)	35,451,494	25,000
Balance, ending treasury stock (in shares) at Jun. 30, 2023				32,035
Stockholders' Equity [Roll Forward]
Stock-based compensation expense	526,069		526,069			526,069
Issuance of restricted stock (in shares)		13,891
Issuance of restricted stock	0	$ 14	(14)			0
Exercise of stock options (in shares)		0
Exercise of stock options	0	$ 0	0			0
Purchases of treasury stock under employee stock plans (in shares)				89
Purchases of treasury stock under employee stock plans	(1,195)			$ (1,195)		(1,195)
Net income (loss)	$ (716,273)				(716,273)	(716,273)
Balance, ending common stock (in shares) at Sep. 30, 2023	14,754,287	14,786,411
Balance, ending at Sep. 30, 2023	$ 35,285,095	$ 14,786	$ 46,969,761	$ (860,474)	$ (10,863,978)	$ 35,260,095	$ 25,000
Balance, ending treasury stock (in shares) at Sep. 30, 2023	32,124			32,124

XML

Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities:
Net income (loss)	$ 1,289,402	$ (136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	6,893,529	4,578,450
Net loss on disposition or impairment	1,114,738	360,140
Net franchise fees recognized upon termination of franchise agreements	(170,720)	(15,218)
Deferred income taxes	187,062	(961,759)
Stock-based compensation expense	1,209,296	969,562
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	258,145	(244,236)
Prepaid expenses and other current assets	(504,203)	(450,702)
Deferred franchise costs	166,078	(186,618)
Deposits and other assets	(15,377)	(153,650)
Accounts payable	(1,244,767)	50,702
Accrued expenses	1,279,949	(571,447)
Payroll liabilities	1,844,943	(1,118,259)
Deferred revenue	(551,226)	1,161,393
Upfront regional developer fees	(496,730)	(977,841)
Other liabilities	34,638	728,449
Net cash provided by operating activities	11,294,757	3,032,415
Cash flows from investing activities:
Purchase of property and equipment	(3,833,148)	(4,322,673)
Net cash used in investing activities	(4,883,148)	(12,288,929)
Cash flows from financing activities:
Payments of finance lease obligation	(18,227)	(43,907)
Purchases of treasury stock under employee stock plans	(3,832)	(5,804)
Proceeds from exercise of stock options	202,386	362,029
Repayment of debt under the Paycheck Protection Program	0	0
Net cash provided by financing activities	180,327	312,318
Increase (decrease) in cash, cash equivalents and restricted cash	6,591,936	(8,944,196)
Cash, cash equivalents and restricted cash, beginning of period	10,550,417	19,912,338
Cash, cash equivalents and restricted cash, end of period	17,142,353	10,968,142
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents	16,050,137	10,272,112
Restricted cash	1,092,216	696,030
Cash and cash equivalents and restricted cash	17,142,353	10,968,142
AZ Clinics
Cash flows from investing activities:
Acquisition of clinics	0	(6,861,256)
NC Clinics
Cash flows from investing activities:
Acquisition of clinics	0	(1,105,000)
CA Clinics
Cash flows from investing activities:
Acquisition of clinics	$ (1,050,000)	$ 0

XML

Supplemental cash flow disclosures

9 Months Ended

Sep. 30, 2023

Supplemental Cash Flow Information [Abstract]

Supplemental cash flow disclosures

Supplemental cash flow disclosures:

The following table represents supplemental cash flow disclosures and non-cash investing and financing activities:

	Nine Months Ended September 30,
	2023		2022
Net cash paid for:
Interest	$	163,334	$	43,938
Income taxes	$	468,289	$	69,274
Non-cash investing and financing activity:
Unpaid purchases of property and equipment	$	155,340	$	225,967
Non-cash investment in acquisition of franchised clinics	$	28,997	$	115,372

XML

Nature of Operations and Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Nature of Operations and Summary of Significant Accounting Policies

Nature of Operations and Summary of Significant Accounting Policies

Basis of Presentation

These unaudited financial statements represent the condensed consolidated financial statements of The Joint Corp. (“The Joint”), which includes its variable interest entities (“VIEs”) and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC (collectively, the “Company”). The accompanying unaudited condensed consolidated interim financial statements reflect all adjustments which are necessary for a fair statement of the financial position, results of operations and cash flows for the periods presented in accordance with U.S. generally accepted accounting principles (“GAAP”). Such unaudited condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. These unaudited condensed consolidated interim financial statements should be read in conjunction with The Joint Corp. and Subsidiary and Affiliates consolidated financial statements and the notes thereto as set forth in The Joint’s Amended Annual Report on Form 10-K/A as of and for the year ended December 31, 2022, filed with the SEC on September 26, 2023 (“Form 10-K/A”), which included all disclosures required by GAAP. The results of operations for the periods ended September 30, 2023 and 2022 are not necessarily indicative of expected operating results for the full year. The information presented throughout the document as of and for the three and nine-month periods ended September 30, 2023 and 2022 is unaudited.

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amount of assets, liabilities, revenue, costs, expenses and other (expenses) income that are reported in the condensed consolidated financial statements and accompanying disclosures. These estimates are based on management’s best knowledge of current events, historical experience, actions that the Company may undertake in the future and on various other assumptions that are believed to be reasonable under the circumstances. As a result, actual results may be different from these estimates. For a discussion of significant estimates and judgments made in recognizing revenue, accounting for leases and accounting for income taxes, see this Note 1, Nature of Operations and Summary of Significant Accounting Policies.

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of The Joint and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC, which was dormant for all periods presented. The Company consolidates VIEs in which the Company is the primary beneficiary in accordance with Accounting Standards Codification 810, Consolidations (“ASC 810”). Non-controlling interests represent third-party equity ownership interests in VIEs. All significant inter-affiliate accounts and transactions between The Joint and its VIEs have been eliminated in consolidation.

Comprehensive Income

Net income was the same as comprehensive income for the three and nine months ended September 30, 2023 and 2022.

Restatement of Previously Issued Interim Condensed Financial Statements (Unaudited and Restated)

Subsequent to the issuance of the Company's consolidated financial statements as of and for the year ended December 31, 2022, included in the Company's Annual Report on Form 10-K filed with the SEC on March 10, 2023, the following errors were identified:

–The Company has historically recorded the re-acquired Regional Developer Rights as an intangible asset and amortized the re-acquired Regional Developer Rights over the contractual terms under the RD Agreement remaining at the time of the re-acquisition. The Company has concluded that this treatment was incorrect in accordance with U.S. GAAP. The Company should not have capitalized the re-acquired Regional Developer Rights but instead should have recognized the full cost of the re-acquisition as an expense in the respective period.

–The Company has historically recorded the upfront fee paid by the regional developer as a deferred liability, which was then recognized ratably to revenue as the regional developer performed various service obligations. However, the

Company concluded that the deferred liability should be ratably recognized against cost of revenue as an offset against future commissions instead of revenue.

–The Company has historically charged the VIEs a management fee for the benefit of the Company providing non-clinical administrative services needed by the professional corporation chiropractic practice. The economic compensation or profitability resulting from an intercompany transaction between two or more parties is based on each party’s relative contribution to the economic activity under analysis. The standalone professional corporations have not historically been profitable from an income tax perspective and are fully valuing their deferred tax assets and related attributes for ASC 740 purposes. The professional corporations' earned annual losses were not consistent with their function, risk and asset profile for transfer pricing. As such, the Company has estimated transfer pricing adjustments, which were computed based on assumed targets of profitability. The resulting operating profit, after incorporating estimated transfer pricing adjustments, were further used as a means for computing overall potential tax exposure and correlative benefit.

The Company assessed the impact of these errors on its previously issued interim financial statements and determined them to be quantitatively and qualitatively material to the period ended September 30, 2022 based on its analysis of Staff Accounting Bulletin (“SAB”) No. 99, “Materiality,” and SAB No. 108, “Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements”. These errors have been corrected in the consolidated balance sheets as of December 31, 2022 and 2021 and the consolidated income statements, statements of changes in stockholders’ equity and statements of cash flows for the years then ended.

The following table summarizes the effect of the errors on the Company’s condensed balance sheet as of September 30, 2022:

	September 30, 2022				September 30, 2022
	As Previously Reported		Adjustments		As Restated
Intangible assets, net	$	10,162,506	$	(2,124,740)	$	8,037,766
Deferred tax assets	9,115,231		3,333,327		12,448,558
Total assets	88,291,398		1,208,587		89,499,985
Current liabilities:
Deferred franchise and regional development fee revenue, current portion	2,974,993		(2,974,993)		—
Deferred franchise fee revenue, current portion	—		2,410,951		2,410,951
Upfront regional developer fees, current portion	—		564,042		564,042
Other current liabilities	522,500		73,533		596,033
Total current liabilities	21,637,706		73,533		21,711,239
Deferred franchise and regional development fee revenue, net of current portion	15,604,180		(15,604,180)		—
Deferred franchise fee revenue, net of current portion	—		13,870,401		13,870,401
Upfront regional developer fees, net of current portion	—		1,733,779		1,733,779
Other liabilities	27,230		1,162,607		1,189,837
Total liabilities	56,765,925		1,236,140		58,002,065
Accumulated deficit	(12,889,083)		(27,553)		(12,916,636)
Total The Joint Corp. stockholders' equity	31,500,473		(27,553)		31,472,920
Total equity	31,525,473		(27,553)		31,497,920
Total liabilities and stockholders' equity	88,291,398		1,208,587		89,499,985

The following table summarizes the effect of the errors on the Company’s condensed income statement for the three and nine months ended September 30, 2022:

	As Previously Reported				Adjustments				As Restated
	Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022
Revenues:
Regional developer fees	$	153,181	$	524,923	$	(153,181)	$	(524,923)	$	—	$	—
Total revenues	26,603,000		74,098,856		(153,181)		(524,923)		26,449,819		73,573,933
Cost of revenues:
Franchise and regional developer cost of revenues	2,141,945		6,219,646		(153,181)		(524,923)		1,988,764		5,694,723
Total cost of revenues	2,490,276		7,230,092		(153,181)		(524,923)		2,337,095		6,705,169
Depreciation and amortization	2,011,768		5,341,420		(231,844)		(762,970)		1,779,924		4,578,450
General and administrative expenses	17,796,806		49,703,451		—		2,197,082		17,796,806		51,900,533
Total selling, general and administrative expenses	23,347,861		65,711,371		(231,844)		1,434,112		23,116,017		67,145,483
Income (loss) from operations	500,472		797,253		231,844		(1,434,112)		732,316		(636,859)
Income before income tax expense (benefit)	475,237		736,585		231,844		(1,434,112)		707,081		(697,527)
Income tax expense (benefit)	(15,876)		106,527		(8,139)		(667,503)		(24,015)		(560,976)
Net income (loss)	$	491,113	$	630,058	$	239,983	$	(766,609)	$	731,096	$	(136,551)
Earnings per share:
Basic earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)
Diluted earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)

The following table summarizes the effect of the errors on the Company’s condensed statements of stockholders' equity as of September 30, 2022, June 30, 2022, March 31, 2022 and December 31, 2021:

	Accumulated Deficit		Total The Joint Corp. Stockholder's Equity		Total Equity
Balances, December 31, 2021 (as previously reported)	$	(13,519,142)	$	29,544,627	$	29,569,627
Adjustment due to cumulative error correction	739,057		739,057		739,057
Balances, December 31, 2021 (as restated)	$	(12,780,085)	$	30,283,684	$	30,308,684
Balances, March 31, 2022 (as previously reported)	$	(13,724,938)	$	29,709,412	$	29,734,412
Adjustment due to cumulative error correction	949,073		949,073		949,073
Balances, March 31, 2022 (as restated)	$	(12,775,865)	$	30,658,485	$	30,683,485
Balances, June 30, 2022 (as previously reported)	$	(13,380,196)	$	30,458,395	$	30,483,395
Adjustment due to cumulative error correction	(267,537)		(267,537)		(267,537)
Balances, June 30, 2022 (as restated)	$	(13,647,733)	$	30,190,858	$	30,215,858
Balances, September 30, 2022 (as previously reported)	$	(12,889,083)	$	31,500,473	$	31,525,473
Adjustment due to cumulative error correction	(27,553)		(27,553)		(27,553)
Balances, September 30, 2022 (as restated)	$	(12,916,636)	$	31,472,920	$	31,497,920

The following table summarizes the effect of the errors on the Company’s condensed statement of cash flows for the nine-month period ended September 30, 2022:

	Nine Months Ended September 30, 2022			Nine Months Ended September 30, 2022
	As Previously Reported		Adjustments	As Restated
Cash flows from operating activities:
Net income (loss)	$	630,058	(766,609)	$	(136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	5,341,420		(762,970)	4,578,450
Deferred income taxes	73,403		(1,035,162)	(961,759)
Changes in operating assets and liabilities:
Upfront regional developer fees	—		(977,841)	(977,841)
Deferred revenue	636,470		524,923	1,161,393
Other liabilities	360,790		367,659	728,449
Net cash provided by (used in) operating activities	5,682,415		(2,650,000)	3,032,415
Cash flows from investing activities:
Reacquisition and termination of regional developer rights	(2,650,000)		2,650,000	—
Net cash used in investing activities	(14,938,929)		2,650,000	(12,288,929)
Decrease in cash	(8,944,196)		—	(8,944,196)

Nature of Operations

The Joint Corp., a Delaware corporation, was formed on March 10, 2010 for the principal purpose of franchising and developing chiropractic clinics, selling regional developer rights, supporting the operations of franchised chiropractic clinics and operating and managing corporate chiropractic clinics at locations throughout the United States of America. The franchising of chiropractic clinics is regulated by the Federal Trade Commission and various state authorities.

The following table summarizes the number of clinics in operation under franchise agreements and as company-owned or managed clinics for the three and nine months ended September 30, 2023 and 2022:

	Three Months Ended September 30,		Nine Months Ended September 30,
Franchised clinics:	2023	2022	2023	2022
Clinics open at beginning of period	756	662	712	610
Opened during the period	24	33	76	91
Acquired during the period	—	1	—	1
Sold during the period	—	(4)	(3)	(8)
Closed during the period	(2)	(2)	(7)	(4)
Clinics in operation at the end of the period	778	690	778	690
	Three Months Ended September 30,		Nine Months Ended September 30,
Company-owned or managed clinics:	2023	2022	2023	2022
Clinics open at beginning of period	134	107	126	96
Opened during the period	2	5	9	12
Acquired during the period	—	4	3	8
Sold during the period	—	(1)	—	(1)
Closed during the period	—	—	(2)	—
Clinics in operation at the end of the period	136	115	136	115
Total clinics in operation at the end of the period	914	805	914	805
Clinic licenses sold but not yet developed	155	212	155	212
Licenses for future clinics subject to executed letters of intent	42	40	42	40

Variable Interest Entities

Certain states prohibit the “corporate practice of chiropractic,” which restricts business corporations from practicing chiropractic care by exercising control over clinical decisions by chiropractic doctors. In states that prohibit the corporate practice of chiropractic, the Company typically enters into long-term management agreements with professional corporations (“PCs”) that are owned by licensed chiropractic doctors, which, in turn, employ or contract with doctors who provide professional chiropractic care in its clinics. Under these management agreements with PCs, the Company provides, on an exclusive basis, all non-clinical services of the chiropractic practice. The Company has entered into such management agreements with four PCs, including one in New Jersey, in connection with the opening of company-managed clinics in April 2023. If an entity is deemed to be the primary beneficiary of a VIE, the entity is required to consolidate the VIE in its financial statements. An entity is deemed to be the primary beneficiary of a VIE if it has both of the following characteristics: (a) the power to direct the activities of a VIE that most significantly impact the VIE's economic performance; and (b) the obligation to absorb the majority of losses of the VIE or the right to receive the majority of benefits from the VIE. In accordance with relevant accounting guidance, these PCs were determined to be VIEs as fees paid by the PCs to the Company as its management service provider are considered variable interests because the fees do not meet all the following criteria: (1) The fees are compensation for services provided and are commensurate with the level of effort required to provide those services; (2) The decision maker or service provider does not hold other interests in the VIE that individually, or in the aggregate, would absorb more than an insignificant amount of the VIE’s expected losses or receive more than an insignificant amount of the VIE’s expected residual returns; and (3) The service arrangement includes only terms, conditions or amounts that are customarily present in arrangements for similar services negotiated at arm’s length. Additionally, the Company has determined that it has the ability to direct the activities that most significantly impact the performance of these PCs and has an obligation to absorb losses or receive benefits which could potentially be significant to the PCs. Accordingly, the PCs are VIEs for which the Company is the primary beneficiary and are consolidated by the Company.

VIE total revenue and general administrative expenses for the three and nine-months ended September 30, 2023 and 2022 were as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenues	$	10,688,500	$	9,150,103	$	30,997,617	$	25,433,407
General and administrative expenses	4,525,305		4,079,552		13,614,211		11,212,760

The carrying amount of the VIEs’ assets and liabilities was immaterial as of September 30, 2023 and December 31, 2022, except for their payroll liability balances and amounts collected in advance for membership and wellness packages, which are recorded as deferred revenue. The VIEs’ payroll liability and deferred revenue from company managed clinics balances as of September 30, 2023 and December 31, 2022 were as follows:

	September 30, 2023		December 31, 2022
Payroll liabilities	$	952,854	$	586,960
Deferred revenue from company managed clinics	4,553,228		4,702,044

Cash and Cash Equivalents

The Company considers all highly liquid instruments purchased with a maturity of three months or less at date of purchase to be cash equivalents. The Company continually monitors its positions with and credit quality of, the financial institutions with which it invests. As of the balance sheet date and periodically throughout the period, the Company has maintained balances in various operating accounts in excess of federally insured limits. The Company has invested substantially all its cash in short-term bank deposits. The Company had no cash equivalents as of September 30, 2023 and December 31, 2022.

Restricted Cash

Restricted cash relates to cash that franchisees and company-owned or managed clinics contribute to the Company’s National Marketing Fund and cash that franchisees provide to various voluntary regional Co-Op Marketing Funds. Cash contributed by franchisees to the National Marketing Fund is to be used in accordance with the Company’s Franchise Disclosure Document with a focus on regional and national marketing and advertising. While such cash balance is not legally segregated and restricted as to withdrawal or usage, the Company's accounting policy is to classify these funds as restricted cash.

Accounts Receivable

Accounts receivable primarily represents amounts due from franchisees for royalty fees. The Company records an allowance for credit losses as a reduction to its accounts receivables for amounts that the Company does not expect to recover. An allowance for credit losses is determined through assessments of collectability based on historical trends, the financial condition of the Company’s franchisees, including any known or anticipated bankruptcies and an evaluation of current economic conditions, as well as the Company’s expectations of conditions in the future. Actual losses ultimately could differ materially in the near term from the amounts estimated in determining the allowance. As of September 30, 2023 and December 31, 2022, the Company had an allowance for doubtful accounts of $0.

Property and Equipment

Property and equipment are stated at cost, or for property acquired as part of franchise acquisitions at fair value at the date of closing. Depreciation is computed using the straight-line method over estimated useful lives, which is generally three to ten years. Leasehold improvements are amortized using the straight-line method over the shorter of the lease term or the estimated useful lives of the assets. Maintenance and repairs are charged to expense as incurred; major renewals and improvements are capitalized. When items of property or equipment are sold or retired, the related cost and accumulated depreciation are removed from the accounts and any gain or loss is included in income. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $68,200 and $217,810 for the three and nine-months ended September 30, 2023, respectively. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $23,554 and $119,303 for the three and nine-months ended September 30, 2022, respectively.

Leases

The Company leases property and equipment under operating and finance leases. The Company leases its corporate office space and the space for each of the company-owned or managed clinics in the portfolio. The Company recognizes a right-of-use ("ROU") asset and lease liability for all leases. Certain leases include one or more renewal options, generally for the same period as the initial term of the lease. The exercise of lease renewal options is generally at the Company’s sole discretion and, as such, the Company typically determines that exercise of these renewal options is not reasonably certain. As a result, the Company does not include the renewal option period in the expected lease term and the associated lease payments are not included in the measurement of the right-of-use asset and lease liability. When available, the Company uses the rate implicit in the lease to discount lease payments; however, the rate implicit in the lease is not readily determinable for substantially all of its leases. In such cases, the Company estimates its incremental borrowing rate as the interest rate it would pay to borrow an amount equal to the lease payments over a similar term, with similar collateral as in the lease and in a similar economic environment. The Company estimates these rates using available evidence such as rates imposed by third-party lenders to the Company in recent financings or observable risk-free interest rate and credit spreads for commercial debt of a similar duration, with credit spreads correlating to the Company’s estimated creditworthiness.

For operating leases that include rent holidays and rent escalation clauses, the Company recognizes lease expense on a straight-line basis over the lease term from the date it takes possession of the leased property. Pre-opening costs are recorded as incurred in general and administrative expenses. Variable lease payments, such as percentage rentals based on location sales, periodic adjustments for inflation, reimbursement of real estate taxes, any variable common area maintenance and any other variable costs associated with the leased property are expensed as incurred and are also included in general and administrative expenses on the accompanying consolidated income statements.

Long-Lived Assets

The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recovered. The Company looks primarily to estimated undiscounted future cash flows in its assessment of whether or not long-lived assets are recoverable. The Company records an impairment loss when the carrying amount of the asset is not recoverable and exceeds its fair value. During the three and nine months ended September 30, 2023, intangible assets related to a clinic planned for closure with a total carrying amount of approximately $80,000 was written down to zero. As a result, the Company recorded a noncash impairment loss of approximately $80,000 during the three and nine months ended September 30, 2023. During the three and nine months ended September 30, 2022, an operating lease ROU asset related to a closed clinic with a total carrying amount of approximately $250,000 was written down to zero. As a result, the Company recorded a noncash impairment loss of approximately $250,000 during the three and nine months ended September 30, 2022.

In connection with the planned sale of 16 company-owned and managed clinics, the Company reclassified $2,153,454 of property and equipment and $2,204,293 of ROU assets to Assets held for sale and reclassified $2,585,642 of ROU liability and $386,291 of deferred revenue from company clinics to Liabilities to be disposed of, in the consolidated balance sheet as of September 30, 2023. Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. As a result, the Company recorded a valuation allowance of $756,228 and $816,429 to adjust the carrying value of the disposal group to fair value less cost to sell during the three and nine months ended September 30, 2023, respectively.

Revenue Recognition

The Company generates revenue primarily through its company-owned and managed clinics and through royalties, franchise fees, advertising fund contributions, IT related income and computer software fees from its franchisees.

Revenues from Company-Owned or Managed Clinics. The Company earns revenues from clinics that it owns and operates or manages throughout the United States. Revenues are recognized when services are performed. The Company offers a variety of membership and wellness packages, which feature discounted pricing as compared with its single-visit pricing. Amounts collected in advance for membership and wellness packages are recorded as deferred revenue and recognized when the service is performed. Any unused visits associated with monthly memberships are recognized on a month-to-month basis. The Company recognizes a contract liability (or a deferred revenue liability) related to the prepaid treatment plans for which the Company has an ongoing performance obligation. The Company derecognizes this contract liability and recognizes revenue, as the patient consumes his or her visits related to the package and the Company transfers its services. If the Company determines that it is not subject to unclaimed property laws for the portion of wellness package that it does not expect to be redeemed (referred to as “breakage”), then it recognizes breakage revenue in proportion to the pattern of exercised rights by the patient.

Royalties and Advertising Fund Revenue. The Company collects royalties from its franchisees, as stipulated in the franchise agreement, equal to 7% of gross sales and a marketing and advertising fee currently equal to 2% of gross sales. Royalties,

including franchisee contributions to advertising funds, are calculated as a percentage of clinic sales over the term of the franchise agreement. The revenue accounting standard provides an exception for the recognition of sales-based royalties promised in exchange for a license (which generally requires a reporting entity to estimate the amount of variable consideration to which it will be entitled in the transaction price). Franchise agreement royalties, inclusive of advertising fund contributions, represent sales-based royalties that are related entirely to the Company’s performance obligation under the franchise agreement and therefore, such royalties are recognized as franchisee clinic level sales occur. Royalties are collected semi-monthly, two working days after each sales period has ended.

Franchise Fees. The Company requires the entire non-refundable initial franchise fee to be paid upon execution of a franchise agreement, which typically has an initial term of ten years. Initial franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement. The Company’s services under the franchise agreement include training of franchisees and staff, site selection, construction/vendor management and ongoing operations support. The Company provides no financing to franchisees and offers no guarantees on their behalf. The services provided by the Company are highly interrelated with the franchise license and as such are considered to represent a single performance obligation. Renewal franchise fees, as well as transfer fees, are also recognized as revenue on a straight-line basis over the term of the respective franchise agreement.

Software Fees.  The Company collects a monthly fee from its franchisees for use of its proprietary chiropractic software, computer support and internet services support. These fees are recognized ratably on a straight-line basis over the term of the respective franchise agreement.

Capitalized Sales Commissions: Sale commissions earned by the regional developers and the Company's sales force are considered incremental and recoverable costs of obtaining a franchise agreement with a franchisee. These costs are deferred and then amortized as the respective franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement.

Regional Developer Fees. The Company has a regional developer program where regional developers are granted an exclusive geographical territory and commit to a minimum development obligation within that defined territory. Regional developer fees paid to the Company are non-refundable and are amortized on a straight-line bases over the term of the regional developer agreement and recognized as a decrease to franchise cost of revenues.

In addition, regional developers receive fees that are funded by the initial franchise fees collected from franchisees upon the sale of franchises within their exclusive geographical territory and a royalty of 3% of sales generated by franchised clinics in their exclusive geographical territory. Initial fees related to the sale of franchises within their exclusive geographical territory are initially deferred as deferred franchise costs and are recognized as an expense in franchise cost of revenues when the respective revenue is recognized, which is generally over the term of the related franchise agreement. Royalties of 3% of sales generated by franchised clinics in their regions are also recognized as franchise cost of revenues as franchisee clinic level sales occur. This 3% fee is funded by the 7% royalties collected from the franchisees in their regions. Certain regional developer agreements result in the regional developer acquiring the rights to existing royalty streams from clinics already open in the respective territory. In those instances, the revenue associated from the sale of the royalty stream is recognized over the remaining life of the respective franchise agreements. The Company did not enter into any new regional developer agreements during the nine months ended September 30, 2023 and 2022.

Advertising Costs

Advertising costs are advertising and marketing expenses incurred by the Company, primarily through advertising funds. The Company expenses production costs of commercial advertising upon first airing and expenses the costs of communicating the advertising in the period in which the advertising occurs. Advertising expenses were $1,796,865 and $5,375,156 for the three and nine months ended September 30, 2023, respectively. Advertising expenses were $1,444,783 and $3,763,351 for the three and nine months ended September 30, 2022, respectively.

Income Taxes

Income tax expense during interim periods is based on applying an estimated annual effective income tax rate to year-to-date pre-tax income, plus any significant unusual or infrequently occurring items which are recorded in the interim period. The computation of the annual estimated effective tax rate at each interim period requires certain estimates and significant judgment, including, but not limited to, the expected pre-tax income for the year and permanent differences. The accounting estimates used to compute the provision for income taxes may change as new events occur, more experience is obtained, additional information becomes known or as the tax environment changes.

Earnings (Loss) per Common Share

Basic earnings per common share is computed by dividing the net income (loss) by the weighted-average number of common shares outstanding during the period. Diluted earnings per common share is computed by giving effect to all potentially dilutive common shares, including restricted stock and stock options.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net (loss) income	$	(716,273)	$	731,096	$	1,289,402	$	(136,551)
Weighted average common shares outstanding - basic	14,790,663		14,512,856		14,666,222		14,474,323
Effect of dilutive securities:
Unvested restricted stock and stock options	225,290		316,773		265,252		644,941
Weighted average common shares outstanding - diluted	15,015,953		14,829,629		14,931,474		15,119,264
Basic earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)
Diluted earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)

The following common stock equivalents were excluded from the computation of diluted earnings per share for the periods presented because including them would have been antidilutive:

	Three Months Ended September 30,		Nine Months Ended September 30,
Weighted average dilutive securities:	2023	2022	2023	2022
Restricted stocks	—	—	—	—
Stock options	121,699	77,485	89,883	41,293

Stock-Based Compensation

The Company accounts for share-based payments by recognizing compensation expense based upon the estimated fair value of the awards on the date of grant. The Company determines the estimated grant-date fair value of restricted shares using the closing price on the date of the grant and the grant-date fair value of stock options using the Black-Scholes-Merton model. In order to calculate the fair value of the options, certain assumptions are made regarding the components of the model, including risk-free interest rate, volatility, expected dividend yield and expected option life. Changes to the assumptions could cause significant adjustments to the valuation. The Company recognizes compensation costs ratably over the period of service using the straight-line method. Forfeitures are estimated based on historical and forecasted turnover, which is approximately 5%.

Loss Contingencies

ASC Topic 450 governs the disclosure of loss contingencies and accrual of loss contingencies in respect of litigation and other claims. The Company records an accrual for a potential loss when it is probable that a loss will occur and the amount of the loss can be reasonably estimated. When the reasonable estimate of the potential loss is within a range of amounts, the minimum of the range of potential loss is accrued, unless a higher amount within the range is a better estimate than any other amount within the range. Moreover, even if an accrual is not required, the Company provides additional disclosure related to litigation and other claims when it is reasonably possible (i.e., more than remote) that the outcomes of such litigation and other claims include potential material adverse impacts on the Company. Legal costs to be incurred in connection with a loss contingency are expensed as such costs are incurred.

Use of Estimates

The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Items subject to significant estimates and assumptions include the allowance for credit losses,

loss contingencies, share-based compensations, useful lives and realizability of long-lived assets, deferred revenue and revenue recognition related to breakage, deferred franchise costs, calculation of ROU assets and liabilities related to leases, realizability of deferred tax assets, impairment of goodwill, intangible assets, other long-lived assets and purchase price allocations and related valuations.

Recent Accounting Pronouncements Adopted and Not Yet Adopted

The Company reviewed newly issued accounting pronouncements and concluded that they either are not applicable to the Company's operations or that no material effect is expected on the Company's financial statements upon future adoption.

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Revenue Disclosures

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Revenue Disclosures

Revenue Disclosures

Company-Owned or Managed Clinics

The Company earns revenues from clinics that it owns and operates or manages throughout the United States.  Revenues are recognized when services are performed. The Company offers a variety of membership and wellness packages that feature discounted pricing as compared with its single-visit pricing.  Amounts collected in advance for membership and wellness packages are recorded as deferred revenue and recognized when the service is performed or in accordance with the Company’s breakage policy as discussed in Note 1, Revenue Recognition.  

Franchising Fees, Royalty Fees, Advertising Fund Revenue and Software Fees

The Company currently franchises its concept across 41 states, the District of Columbia and Puerto Rico. The franchise arrangement is documented in the form of a franchise agreement. The franchise arrangement requires the Company to perform various activities to support the brand that do not directly transfer goods and services to the franchisee, but instead represent a single performance obligation, which is the transfer of the franchise license. The intellectual property subject to the franchise license is symbolic intellectual property as it does not have significant standalone functionality and substantially all of the utility is derived from its association with the Company’s past or ongoing activities. The nature of the Company’s promise in granting the franchise license is to provide the franchisee with access to the brand’s symbolic intellectual property over the term of the license. The services provided by the Company are highly interrelated with the franchise license and as such are considered to represent a single performance obligation.

The transaction price in a standard franchise arrangement primarily consists of (a) initial franchise fees, (b) continuing franchise fees (royalties), (c) advertising fees, and (d) software fees. The revenue accounting standard provides an exception for the recognition of sales-based royalties promised in exchange for a license (which otherwise requires a reporting entity to estimate the amount of variable consideration to which it will be entitled in the transaction price).

The Company recognizes the primary components of the transaction price as follows:

•Initial and renewal franchise fees, as well as transfer fees, are recognized as revenue ratably on a straight-line basis over the term of the respective franchise agreement, commencing with the execution of the franchise, renewal or transfer agreement. As these fees are typically received in cash at or near the beginning of the contract term, the cash received is initially recorded as a contract liability until recognized as revenue over time.

•The Company is entitled to royalties and advertising fees based on a percentage of the franchisee's gross sales as defined in the franchise agreement. Royalty and advertising revenue are recognized when the franchisee's sales occur. Depending on timing within a fiscal period, the recognition of revenue results in either what is considered a contract asset (unbilled receivable) or, once billed, accounts receivable, on the balance sheet.

•The Company is entitled to a software fee, which is charged monthly. The Company recognizes revenue related to software fees ratably on a straight-line basis over the term of the franchise agreement.

In determining the amount and timing of revenue from contracts with customers, the Company exercises significant judgment with respect to collectability of the amount; however, the timing of recognition does not require significant judgment as it is based on either the franchise term or the reported sales of the franchisee, none of which require estimation. The Company believes its franchising arrangements do not contain a significant financing component.

The Company recognizes advertising fees received under franchise agreements as advertising fund revenue.

Capitalized Sales Commissions

Sales commissions earned by the regional developers and the Company’s sales force are considered incremental and recoverable costs of obtaining a franchise agreement with a franchisee. These costs are deferred and then amortized as the respective franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement.

Disaggregation of Revenue

The Company believes that the captions contained on the condensed consolidated income statements appropriately reflect the disaggregation of its revenue by major type for the three and nine months ended September 30, 2023 and 2022. Other revenues primarily consist of preferred vendor royalties associated with franchisees' credit card transactions.

The following table shows the Company's revenues disaggregated according to the timing of transfer of services:

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenue recognized at a point in time	$	27,418,343	$	24,697,661	$	81,155,737	$	68,436,945
Revenue recognized over time	2,055,606		1,752,158		5,926,216		5,136,988
Total Revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933

Rollforward of Contract Liabilities and Contract Assets

Changes in the Company's contract liability for deferred revenue from company clinics during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue from company clinics
Balance at December 31, 2022	$	7,471,549
Revenue recognized that was included in the contract liability at the beginning of the year	(5,959,308)
Net increase during the nine months ended September 30, 2023	5,026,472
Balance at September 30, 2023	$	6,538,713

Changes in the Company's contract liability for deferred franchise fees during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue short and long-term
Balance at December 31, 2022	$	16,629,735
Revenue recognized that was included in the contract liability at the beginning of the year	(2,042,823)
Net increase during the nine months ended September 30, 2023	1,906,196
Balance at September 30, 2023	$	16,493,108

The Company's deferred franchise and development costs represent capitalized sales commissions. Changes during the nine months ended September 30, 2023 were as follows:

	Deferred Franchise and Development Costs short and long-term
Balance at December 31, 2022	$	6,761,738
Cost of revenue recognized that was included in the contract asset at the beginning of the year	(863,619)
Net increase during the nine months ended September 30, 2022	566,339
Balance at September 30, 2023	$	6,464,458

The following table illustrates estimated revenues expected to be recognized in the future related to performance obligations that were unsatisfied (or partially unsatisfied) as of September 30, 2023:

Contract liabilities expected to be recognized in	Amount
2023 (remainder)	$	643,492
2024	2,495,683
2025	2,358,322
2026	2,264,085
2027	2,190,960
Thereafter	6,540,566
Total	$	16,493,108

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Acquisition and Assets Held for Sale

9 Months Ended

Sep. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Acquisition and Assets Held for Sale

Acquisitions and Assets Held for Sale

2023 Acquisition

On May 22, 2023, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the sellers three operating franchised clinics in California (the “CA Clinics Purchase”). As of the acquisition date, the Company operates the franchises as company-managed clinics. The total purchase price for the transaction was $1,188,764 to the seller (of which $109,767 is to be paid in the fourth quarter of 2023), less $28,997 of net deferred revenue, resulting in total purchase consideration of $1,159,767.

Based on the terms of the purchase agreement, the CA Clinics Purchase has been treated as an asset purchase under GAAP as there were no outputs or processes to generate outputs acquired as part of these transactions. Under an asset purchase, assets are recognized based on their cost to the acquiring entity. Cost is allocated to the individual assets acquired or liabilities assumed based on their relative fair values and does not give rise to goodwill.

The allocation of the total purchase price of the CA Clinics Purchase was as follows:

Property and equipment	$	313,995
Operating lease right-of-use asset	317,662
Intangible assets	1,004,513
Total assets acquired	1,636,170
Deferred revenue	(158,365)
Operating lease liability - current portion	(118,081)
Operating lease liability - net of current portion	(199,957)
Net purchase consideration	$	1,159,767

Intangible assets in the table above primarily consist of reacquired franchise rights of $0.7 million amortized over their estimated useful lives of six to seven years, customer relationships of $0.1 million amortized over an estimated useful life of two years and assembled workforce of $0.2 million amortized over an estimated useful life of two years.

2022 Acquisitions

On May 19, 2022, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the seller four operating franchises in Arizona (the "May 19th Acquisition"). The Company operates the franchises as company-owned clinics. The total purchase price for the transaction was $5,761,256, less $70,484 of net deferred revenue, resulting in total purchase consideration of $5,690,772.

On July 5, 2022, the Company entered into an Asset and Franchise Purchase Agreement under which the Company repurchased from the seller one operating franchise in Arizona (collectively, including the May 19th Acquisition, the “AZ Clinics Purchase”). The Company operates the franchise as a company-owned clinic. The total purchase price for the transaction was $1,205,667, less $13,241 of net deferred revenue, resulting in total purchase consideration of $1,192,426.

Based on the terms of the purchase agreements, the AZ Clinics Purchase has been treated as a business combination under U.S. GAAP using the acquisition method of accounting, which requires that assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill.

The allocation of the total purchase price of the AZ Clinics Purchase was as follows:

Property and equipment	$	241,511
Operating lease right-of-use asset	912,937
Intangible assets	3,689,100
Total identifiable assets acquired	4,843,548
Goodwill	3,408,205
Deferred revenue	(455,317)
Operating lease liability - current portion	(128,516)
Operating lease liability - net of current portion	(784,722)
Net purchase consideration	$	6,883,198

Intangible assets in the table above consist of re-acquired franchise rights of $2,892,100 amortized over estimated useful lives of approximately four to eight years and customer relationships of $797,000 amortized over estimated useful lives of two to three years. The fair value of re-acquired franchise rights are estimated using the multi-period excess earnings method. The multi-period excess earnings method model estimates revenues and cash flows derived from the primary asset and then deducts portions of the cash flow that can be attributed to supporting assets, such as assembled workforce and working capital that contributed to the generation of the cash flows. The resulting cash flow, which is attributable solely to the primary asset acquired, is then discounted at a rate of return commensurate with the risk of the asset to calculate a present value. Customer relationships are also calculated using the multi-period excess earnings method.

The valuation method involved the use of significant estimates and assumptions primarily related to forecasted revenue growth rates, gross margin, contributory asset charges, customer attrition rates and market-participant discount rates. These measures are based on significant Level 3 inputs not observable in the market. Key assumptions developed based on the Company's historical experience, future projections and comparable market data include future cash flows, long-term growth rates, attrition rates and discount rates.

Goodwill represents the excess of the purchase consideration over the fair value of the underlying acquired net tangible and intangible assets. The factors that contributed to the recognition of goodwill included synergies and benefits expected to be gained from leveraging the Company’s existing operations and infrastructures, as well as the expected associated revenue and cash flow projections. Goodwill has been allocated to the Company’s Corporate Clinics segment based on such expected benefits. Goodwill related to the acquisition is expected to be deductible for income tax purposes over 15 years. The Company completed the purchase price allocation during the fourth quarter of 2022.

On July 29, 2022, the Company entered into Asset and Franchise Purchase Agreements under which the Company repurchased from the sellers three operating franchises in North Carolina (the “NC Clinics Purchase”). The Company operates the franchises as company-managed clinics. The total purchase price for the transactions was $1,317,312, less $31,647 of net deferred revenue, resulting in total purchase consideration of $1,285,665.

Based on the terms of the purchase agreement, the NC Clinics Purchase has been treated as asset purchases under U.S. GAAP as there were no outputs or processes to generate outputs acquired as part of this transaction. Under an asset purchase, assets are recognized based on their cost to the acquiring entity. Cost is allocated to the individual assets acquired or liabilities assumed based on their relative fair values and does not give rise to goodwill.

The allocation of the purchase price for the NC Clinics Purchase was as follows:

Property and equipment	$	142,395
Operating lease right-of-use asset	122,641
Intangible assets	1,299,607
Total identifiable assets acquired	1,564,643
Deferred revenue	(153,176)
Operating lease liability - current portion	(85,414)
Operating lease liability - net of current portion	(40,388)
Net purchase consideration	$	1,285,665

Intangible assets in the table above consist of re-acquired franchise rights of $546,033 amortized over estimated useful lives of approximately two to four years, customer relationships of $426,489 amortized over estimated useful lives of approximately three to four years and assembled workforce of $327,085 amortized over an estimated useful life of two years.

Pro Forma Results of Operations (Unaudited)

The following table summarizes selected unaudited pro forma consolidated income statements for the three and nine months ended September 30, 2023 and 2022 for the 2023 and 2022 acquisitions, as if the CA Clinics Purchase in 2023 and the NC Clinics Purchase in 2022 (which have been accounted for as an asset purchase) and the AZ Clinics Purchase in 2022 (which have been accounted for as a business combination) had all been completed on January 1, 2022.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues, net	$	29,473,949	$	26,905,560	$	87,820,694	$	76,866,953
Net income	(703,681)		697,316		1,290,407		(491,325)

The pro forma financial information is presented for informational purposes only and is not indicative of the results of operations that would have been achieved if the purchases had taken place on January 1, 2022 or of results that may occur in the future. For 2022, this information includes actual data recorded in the Company’s consolidated financial statements for the period subsequent to the date of the acquisition.

The Company’s condensed consolidated income statements for the three and nine months ended September 30, 2023 include net revenue and net income, excluding corporate clinic segment overhead costs, of the acquired California clinics as follows:

	Three Months Ended		Nine Months Ended
	September 30,		September 30,
	2023		2023
Revenues, net	$	375,625	$	544,344
Net income	41,847		80,936

Assets Held for Sale

In June 2023, the Company entered into negotiations to sell one of its company-managed clinics in California to a franchisee for a total of $0.1 million. The Company executed an LOI with the buyer in October 2023 and the sale is expected to close before the end of 2023, subject to the execution of the purchase agreement and other customary closing conditions contained in the purchase agreement. This transaction did not represent a major strategic shift for the Company, and, therefore, it does not meet the criteria to be classified as a discontinued operation. As a result, the results of this clinic will continue to be reported in the Company’s operating results and in its Corporate Clinics segment until the sale is finalized. Effective with the designation as held for sale in June 2023, the Company discontinued recording depreciation on property and equipment, net and amortization of ROU assets for the clinic as required by GAAP. The Company also separately classified the related assets and liabilities of the clinics as held for sale in its September 30, 2023 condensed consolidated balance sheet.

During Q3 2023, the Company committed to a plan to sell specific corporate owned or managed clinics making up under 10% the corporate clinic portfolio with an estimated fair value of $1.6 million. The clinics are in varying stages of sales negotiations with all of them expected to close within one year. The clinics identified to commit to sell during Q3 2023 did not represent a major strategic shift and therefore, they do not meet the criteria to be classified as a discontinued operation. As a result, the results of these clinics will continue to be reported in the Company’s operating results and in its Corporate Clinics segment until the sales are each finalized. Effective with the designation as held for sale in September 2023, the Company discontinued recording depreciation on property and equipment, net, amortization of intangible assets, net and amortization of ROU assets for the clinics as required by GAAP. The Company also separately classified the related assets and liabilities of the clinics as held for sale in its September 30, 2023 condensed consolidated balance sheet.

Long-lived assets that meet the criteria for the held for sale designation are reported at the lower of their carrying value or fair value less estimated cost to sell. As a result of its evaluation of the recoverability of the carrying value of the assets and liabilities held for sale relative to the agreed upon sales prices or the clinics fair values, the Company recorded an estimated loss on disposal of $756,228 and $816,429 during the three and nine months ended September 30, 2023 as Net loss on disposition or impairment in its condensed consolidated income statement and a valuation allowance included in assets held for sale on its condensed consolidated balance sheet.

The principal components of the held for sale assets and liabilities as of September 30, 2023 were as follows:

	September 30, 2023
Assets
Property and equipment, net	$	2,153,454
Operating lease right-of-use asset	2,204,293
Intangible assets, net	386,280
Goodwill	44,515
Valuation allowance	(816,429)
Total assets held for sale	$	3,972,113
Liabilities
Operating lease liability, current and non-current	$	2,585,642
Deferred revenue from company clinics	386,291
Total liabilities to be disposed of	$	2,971,933

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Property and Equipment

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Property and Equipment

Property and Equipment

Property and equipment consisted of the following, excluding amounts related to properties classified as held for sale:

	September 30, 2023		December 31, 2022
Office and computer equipment	$	5,693,432	$	5,207,833
Leasehold improvements	18,625,522		17,842,901
Software developed	6,048,742		5,843,758
Finance lease assets	151,396		151,396
	30,519,092		29,045,888
Accumulated depreciation and amortization	(16,206,966)		(12,675,085)
	14,312,126		16,370,803
Construction in progress	1,043,629		1,104,349
Property and equipment, net	$	15,355,755	$	17,475,152

Depreciation expense was $1,381,170 and $1,046,495 for the three months ended September 30, 2023 and 2022, respectively. Depreciation expense was $4,027,906 and $2,866,737 for the nine months ended September 30, 2023 and 2022, respectively.

Amortization expense related to finance lease assets was $7,570 and $7,570 for the three months ended September 30, 2023 and 2022, respectively. Amortization expense related to finance lease assets was $22,709 and $48,001 for the nine months ended September 30, 2023 and 2022, respectively.

Construction in progress at September 30, 2023 and December 31, 2022 principally related to development and construction costs for the company-owned or managed clinics

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Fair Value Measurements

9 Months Ended

Sep. 30, 2023

Fair Value Disclosures [Abstract]

Fair Value Measurements

Fair Value Measurements

The Company’s financial instruments include cash, restricted cash, accounts receivable, accounts payable, accrued expenses and debt under the Credit Agreement (defined in Note 7, Debt). The carrying amounts of its financial instruments, except for debt, approximate their fair value due to their short maturities. The carrying value of the Company's debt under the Credit Agreement approximates fair value due to its interest rate being calculated from observable quoted prices for similar instruments, which is considered a Level 2 fair value measurement.

Authoritative guidance defines fair value as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the measurement date. The guidance establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs that market participants would use in pricing the asset or liability, developed based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions of what market participants would use in pricing the asset or liability developed based on the best information available in the circumstances. The hierarchy is broken down into three levels based on reliability of the inputs as follows:

Level 1:    Observable inputs such as quoted prices in active markets;

Level 2:    Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

Level 3:    Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

As of September 30, 2023 and December 31, 2022, the Company did not have any financial instruments that were measured on a recurring basis as Level 1, 2 or 3.

The Company’s non-financial assets, which primarily consist of goodwill, intangible assets, property, plant and equipment and operating lease right-of-use assets, are not required to be measured at fair value on a recurring basis and instead are reported at

their carrying amount. However, on a periodic basis whenever events or changes in circumstances indicate that their carrying amount may not be fully recoverable (and at least annually for goodwill), non-financial assets are assessed for impairment. If the fair value is determined to be lower than the carrying amount, an impairment charge is recorded to write down the asset to its fair value, which is considered Level 3 within the fair value hierarchy.

The assets and liabilities resulting from the Acquisitions (see Note 3, Acquisitions and Assets Held for Sale) were recorded at fair values on a nonrecurring basis and are considered Level 3 within the fair value hierarchy.

Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. The estimated fair values of the company-owned or managed clinics classified as Held for Sale (see Note 3, Acquisitions and Assets Held for Sale) were recorded at fair values on a nonrecurring basis and are based upon Level 2 inputs, which include potential buyer agreed upon selling prices or Level 3 inputs, which include historical and future expected financial performance of the clinic and historical acquisition trends based on previous reacquired franchise clinic purchases. As a result, the Company recorded a valuation allowance of $756,228 and $816,429 to adjust the carrying value of the disposal group to fair value less cost to sell during the three and nine months ended September 30, 2023, respectively.

During the three and nine months ended September 30, 2022, an operating lease ROU asset related to a closed clinic with a total carrying amount of approximately $250,000 was written down to zero. The associated operating lease liability had a life of 39 months as of September 30, 2022. However, the ROU asset was fully impaired due to the abandonment of the lease as of September 30, 2022. The Company considers the ROU asset as abandoned as it lacks the ability to sublease the underlying asset and obtain economic benefits. As a result, the Company recorded a noncash impairment loss of approximately $250,000 during the three and nine months ended September 30, 2022.

During the three and nine months ended September 30, 2023, intangible assets related to a clinic planned for closure with a total carrying amount of approximately $80,000 was written down to zero. The remaining life of the intangible assets related to the clinic extend through December 2025. However, the clinic is planned to close at the end of its lease term in November 2023. The Company considers the intangible assets fully impaired as the ability to obtain economic benefits in the remaining period the clinic will operate is unlikely. As a result, the Company recorded a noncash impairment loss of approximately $80,000 during the three and nine months ended September 30, 2023.

In connection with the planned sale of certain company-owned and managed clinics, the Company reclassified $2,153,454 of net property and equipment, $386,280 of intangible assets, net, $44,515 of goodwill and $2,204,293 of ROU assets to Assets held for sale and reclassified $2,585,642 of lease liability and $386,291 of deferred revenue from Company clinics to Liabilities to be disposed of in the condensed balance sheet as of September 30, 2023. Long-lived assets that meet the held for sale criteria are reported at the lower of their carrying value or fair value, less estimated costs to sell. The estimated fair value of assets held for sale are based upon Level 2 inputs, which includes a potential buyer agreed upon selling price or Level 3 inputs, which include historical and future expected financial performance of the clinic and historical acquisition trends based on previous reacquired franchise clinic purchases.

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Intangible Assets

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Intangible Assets

Intangible Assets

In May 2022, the Company recognized $2.4 million and $0.5 million of reacquired franchise rights and customer relationships, respectively, from the Acquisition (see Note 3, Acquisitions and Assets Held for Sale).

In May 2023, the Company recognized $0.7 million, $0.1 million and $0.2 million of reacquired franchise rights, customer relationships and acquired workforce, respectively, from the Acquisition (see Note 3, Acquisitions and Assets Held for Sale).

Intangible assets consisted of the following:

	As of September 30, 2023
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,924,858	$	(6,069,013)	$	6,855,845
Customer relationships	4,306,684		(3,126,081)		1,180,603
Assembled workforce	1,065,311		(478,644)		586,667
	$	18,296,853	$	(9,673,738)	$	8,623,115

	As of December 31, 2022
	(as restated)
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,881,894	$	(4,755,286)	$	8,126,608
Customer relationships	4,330,365		(2,352,500)		1,977,865
Assembled workforce	959,837		(136,015)		823,822
	$	18,172,096	$	(7,243,801)	$	10,928,295

Amortization expense related to the Company’s intangible assets was $960,466 and $725,859 for the three months ended September 30, 2023 and 2022, respectively. Amortization expense was $2,842,914 and $1,663,712 for the nine months ended September 30, 2023 and 2022, respectively.

Estimated amortization expense for 2023 and subsequent years is as follows:

	Amount
2023 (remainder)	$	901,345
2024	2,675,174
2025	1,602,969
2026	1,272,426
2027	717,394
Thereafter	$	1,453,807
Total	$	8,623,115

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Debt

9 Months Ended

Sep. 30, 2023

Debt Disclosure [Abstract]

Debt

Debt

Credit Agreement

On February 28, 2020, the Company entered into a Credit Agreement (the “Credit Agreement”), with JPMorgan Chase Bank, N.A., individually and as Administrative Agent and Issuing Bank (the “Lender”). The Credit Agreement provided for senior secured credit facilities (the "Credit Facilities") in the amount of $7,500,000, including a $2,000,000 revolver (the "Revolver") and $5,500,000 development line of credit (the "Line of Credit"). The Revolver included amounts available for letters of credit of up to $1,000,000 and an uncommitted additional amount of $2,500,000. All outstanding principal and interest on the Revolver were due on February 28, 2022.

On February 28, 2022, the Company entered into an amendment to its Credit Facilities (as amended, the “2022 Credit Facility”) with the Lender. Under the 2022 Credit Facility, the Revolver increased to $20,000,000 (from $2,000,000), the portion of the Revolver available for letters of credit increased to $5,000,000 (from $1,000,000), the uncommitted additional amount increased to $30,000,000 (from $2,500,000) and the developmental line of credit of $5,500,000 was terminated. The Revolver will be used for working capital needs, general corporate purposes and for acquisitions, development and capital improvement uses. At the option of the Company, borrowings under the 2022 Credit Facility bear interest at (i) the adjusted SOFR rate, plus 0.10%, plus

1.75%, payable on the last day of the selected interest period of one, three or six months and on the three-month anniversary of the beginning of any six month interest period, if applicable; or (ii) an Alternative Base Rate (ABR), plus 1.00%, payable monthly. The ABR is the greatest of (A) the prime rate (as published by the Wall Street Journal); (B) the Federal Reserve Bank of New York rate, plus 0.5%; and (C) the adjusted one-month term SOFR rate. Amounts outstanding under the Revolver on February 28, 2022 continued to bear interest at the rate selected under the Credit Facilities prior to the amendment until the last day of the interest period in effect, at which time, if not repaid, the amounts outstanding under the Revolver will bear interest at the 2022 Credit Facility rate. The 2022 Credit Facility will terminate and all principal and interest will become due and payable on the fifth anniversary of the amendment (February 28, 2027).

The Credit Facilities contain customary events of default, including but not limited to nonpayment; material inaccuracy of representations and warranties, violations of covenants, certain bankruptcies and liquidations, cross-default to material indebtedness, certain material judgments and certain fundamental changes such as a merger or sale of substantially all assets (as further defined in the Credit Facilities). The Credit Facilities require the Company to comply with customary affirmative, negative and financial covenants, including minimum interest coverage and maximum net leverage. A breach of any of these operating or financial covenants would result in a default under the Credit Facilities. If an event of default occurs and is continuing, the lenders could elect to declare all amounts then outstanding, together with accrued interest, to be immediately due and payable. The Credit Facilities are collateralized by substantially all of the Company’s assets, including the assets in the Company’s company-owned or managed clinics. The interest rate on funds borrowed under the Revolver as of September 30, 2023 was 7.09%. As of September 30, 2023, the Company was in compliance with all applicable financial and non-financial covenants under the Credit Agreement and $2,000,000 remains outstanding as of September 30, 2023.

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Stock-Based Compensation

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation

Stock-Based Compensation 

The Company grants stock-based awards under its Amended and Restated 2014 Incentive Stock Plan (the “2014 Plan”). The shares issued as a result of stock-based compensation transactions generally have been funded with the issuance of new shares of the Company’s common stock. The Company may grant the following types of incentive awards under the 2014 Plan: (i) non-qualified stock options; (ii) incentive stock options; (iii) stock appreciation rights; (iv) restricted stock; and (v) restricted stock units. Each award granted under the 2014 Plan is subject to an award agreement that incorporates, as applicable, the exercise price, the term of the award, the periods of restriction, the number of shares to which the award pertains and such other terms and conditions as the plan committee determines. Awards granted under the 2014 Plan are classified as equity awards, which are recorded in stockholders’ equity in the Company’s consolidated balance sheets. Through September 30, 2023, the Company has granted under the 2014 Plan (i) non-qualified stock options, (ii) incentive stock options, and (iii) restricted stock. There were no stock appreciation rights and restricted stock units granted under the 2014 Plan as of September 30, 2023.

Stock Options

The Company’s closing price on the date of grant is the basis of fair value of its common stock used in determining the value of share-based awards. To the extent the value of the Company’s share-based awards involves a measure of volatility, the Company uses available historical volatility of the Company’s common stock over a period of time corresponding to the expected stock option term. The Company historically has used the simplified method to calculate the expected term of stock option grants to employees as the Company did not have sufficient historical exercise data to provide a reasonable basis upon which to estimate the expected term of stock options granted to employees. Accordingly, the expected life of the options granted is based on the average of the vesting term, which is generally four years and the contractual term, which is generally ten years. The Company will continue to evaluate the appropriateness of utilizing such method. The risk-free interest rate is based on United States Treasury yields in effect at the date of grant for periods corresponding to the expected stock option term. Forfeitures are estimated based on historical and forecasted turnover, which is approximately 5%.

The Company did not grant options during the three and nine months ended September 30, 2023.

The information below summarizes the stock option activity for the nine months ended September 30, 2023:

	Number of Shares	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (Years)
Outstanding at December 31, 2022	531,923	$	9.20	4.7
Granted	—	—
Exercised	(25,623)	7.90
Forfeited	(7,375)	28.58
Expired	(12,591)	13.07
Outstanding at September 30, 2023	486,334	$	8.88	3.9
Exercisable at September 30, 2023	453,194	$	7.29	3.7

For the three months ended September 30, 2023 and 2022, stock-based compensation expense for stock options was $85,366 and $113,324, respectively. For the nine months ended September 30, 2023 and 2022, stock-based compensation expense for stock options was $235,972 and $420,680, respectively.

Restricted Stock

Restricted stock granted to employees generally vests in four equal annual installments, although on May 25, 2023, the Company granted 51,401 shares of restricted stock as part of a special award to certain high performing employees that vest in one installment on the first anniversary of the grant. Restricted stock granted to non-employee directors typically vests in full one year after the date of grant.

The information below summarizes the restricted stock activity for the nine months ended September 30, 2023:

Restricted Stock Awards	Shares	Weighted Average Grant-Date Fair Value per Award
Non-vested at December 31, 2022	70,312	$	29.05
Granted	204,122	14.54
Vested	(33,782)	21.95
Forfeited	(6,010)	34.43
Non-vested at September 30, 2023	234,642	$	18.88

For the three months ended September 30, 2023 and 2022, stock-based compensation expense for restricted stock was $440,703 and $192,491, respectively. For the nine months ended September 30, 2023 and 2022, stock-based compensation expense for restricted stock was $973,324 and $548,882, respectively.

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Income Taxes	9 Months Ended
	Sep. 30, 2023
Income Tax Disclosure [Abstract]
Income Taxes	Income TaxesDuring the three months ended September 30, 2023 and 2022, the Company recorded income tax benefit of $188,018 and $24,015, respectively. During the nine months ended September 30, 2023 and 2022, the Company recorded income tax expense of $493,286 and income tax benefit of $560,976, respectively. The Company’s effective tax rates differ from the federal statutory tax rate due to permanent differences, discrete items and state taxes. The Company's effective tax rate differs from the statutory rate for the nine months ended September 30, 2023 primarily due to the Company's ERC refunds from the Internal Revenue Service. The tax effect of the refund amount, net of the related consulting fees, is treated as a discrete item for the nine months ended September 30, 2023. The effective tax rate for the three months ended September 30, 2023 and for the three and nine months ended September 30, 2022 differs from the statutory rate primarily due to the pre-tax income reported by The Joint without the VIEs.

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and ContingenciesLeases

The table below summarizes the components of lease expense and income statement location for the three and nine months ended September 30, 2023 and 2022:

	Line Item in the Company’s Condensed Consolidated Income Statements	Three Months Ended September 30, 2023		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Finance lease costs:
Amortization of assets	Depreciation and amortization	$	7,570	$	7,570	$	22,709	$	48,001
Interest on lease liabilities	Other expense, net	760		1,015		2,473		3,564
Total finance lease costs		8,330		8,585		25,182		51,565
Operating lease costs	General and administrative expenses	1,633,469		$	1,426,010	4,910,181		$	4,138,801
Total lease costs		$	1,641,799	$	1,434,595	$	4,935,363	$	4,190,366

Supplemental information and balance sheet location related to leases (excluding amounts related to leases classified as held for sale) is as follows:

	September 30, 2023		December 31, 2022
Operating Leases:
Operating lease right-of -use asset	$19,803,896		$20,587,199
Operating lease liability - current portion	$5,392,944		$5,295,830
Operating lease liability - net of current portion	17,200,146		18,672,719
Total operating lease liability	$22,593,090		$23,968,549
Finance Leases:
Property and equipment, at cost	$151,396		$151,396
Less accumulated amortization	(110,362)		(87,652)
Property and equipment, net	$41,034		$63,744
Finance lease liability - current portion	25,223		24,433
Finance lease liability - net of current portion	44,490		63,507
Total finance lease liabilities	$69,713		$87,940
Weighted average remaining lease term (in years):
Operating leases	5.1		5.4
Finance lease	2.6		3.4
Weighted average discount rate:
Operating leases	5.1	%	4.8	%
Finance leases	4.3	%	4.3	%

Supplemental cash flow information related to leases is as follows:

	Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Cash paid for amounts included in measurement of liabilities:
Operating cash flows from operating leases	$	5,263,092	$	4,309,229
Operating cash flows from finance leases	2,473		3,564
Financing cash flows from finance leases	18,227		43,907
Non-cash transactions: ROU assets obtained in exchange for lease liabilities
Operating lease	$	4,287,622	$	4,402,229
Finance lease	—		—

`

Maturities of lease liabilities as of September 30, 2023 were as follows:

	Operating Leases		Finance Lease
2023 (remainder)	$	1,633,006	$	6,900
2024	6,236,923		27,600
2025	5,592,674		27,600
2026	3,979,181		11,500
2027	3,099,193		—
Thereafter	5,193,199		—
Total lease payments	$	25,734,176	$	73,600
Less: Imputed interest	(3,141,086)		(3,887)
Total lease obligations	22,593,090		69,713
Less: Current obligations	(5,392,944)		(25,223)
Long-term lease obligation	$	17,200,146	$	44,490

All leases entered into by the Company have commenced as of September 30, 2023.

Guarantee in Connection with the Sale of the Divested Business

In connection with the sale of a company-managed clinic in 2022, the Company guaranteed one future operating lease commitment assumed by the buyers. The Company is obligated to perform under the guarantee if the buyers fail to perform under the lease agreement at any time during the remainder of the lease agreement, which expires on May 31, 2027. At the date of sale, the undiscounted maximum potential future payments totaled $247,296. As of September 30, 2023, the undiscounted remaining lease payments under the agreement totaled $196,896. The Company had not recorded a liability with respect to the guarantee obligation as of September 30, 2023, as the Company concluded that payment under the lease guarantee was not probable.

Litigation

In the normal course of business, the Company is party to litigation and claims from time to time. The Company maintains insurance to cover certain litigation and claims.

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Segment Reporting

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

Segment Reporting

Segment Reporting

An operating segment is defined as a component of an enterprise for which discrete financial information is available and is reviewed regularly by the Chief Operating Decision Maker (“CODM”) to evaluate performance and make operating decisions. The Company has identified its CODM as the Chief Executive Officer.

The Company has two operating business segments and one non-operating business segment. The Corporate Clinics segment is composed of the operating activities of the company-owned or managed clinics. As of September 30, 2023, the Company operated or managed 136 clinics under this segment. The Franchise Operations segment is composed of the operating activities of

the franchise business unit. As of September 30, 2023, the franchise system consisted of 778 clinics in operation. Corporate is a non-operating segment that develops and implements strategic initiatives and supports the Company’s two operating business segments by centralizing key administrative functions such as finance and treasury, information technology, insurance and risk management, legal and human resources. Corporate also provides the necessary administrative functions to support the Company as a publicly traded company. A portion of the expenses incurred by Corporate are allocated to the operating segments.

The tables below present financial information for the Company’s two operating business segments.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues:			(as restated)				(as restated)
Corporate clinics	$	17,882,303	$	15,836,327	$	52,813,098	$	42,936,298
Franchise operations	11,591,646		10,613,492		34,268,855		30,637,635
Total revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933
Depreciation and amortization:
Corporate clinics	$	2,067,803	$	1,504,914	$	6,027,561	$	3,780,283
Franchise operations	190,867		189,426		597,557		549,161
Corporate administration	90,536		85,584		268,411		249,006
Total depreciation and amortization	$	2,349,206	$	1,779,924	$	6,893,529	$	4,578,450
Segment operating income (loss):
Corporate clinics	$	(931,366)	$	(60,022)	$	(1,331,630)	$	345,657
Franchise operations	5,139,006		5,195,558		13,913,150		11,606,763
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Reconciliation of total segment operating income to consolidated earnings before income taxes:
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Unallocated corporate	(5,105,687)		(4,403,220)		(14,507,231)		(12,589,279)
Consolidated (loss) income from operations	(898,047)		732,316		(1,925,711)		(636,859)
Other income (expense), net	(6,244)		(25,235)		3,708,399		(60,668)
(Loss) income before income tax benefit	$	(904,291)	$	707,081	$	1,782,688	$	(697,527)

Segment assets:	September 30, 2023		December 31, 2022
			(as restated)
Corporate clinics	$	54,861,935	$	56,008,234
Franchise operations	12,299,470		12,360,878
Total segment assets	67,161,405		68,369,112
Unallocated cash and cash equivalents	17,142,353		10,550,417
Unallocated property and equipment	708,471		915,216
Other unallocated assets	13,560,397		13,655,632
Total assets	$	98,572,626	$	93,490,377

“Unallocated cash and cash equivalents and restricted cash” relates primarily to corporate cash and cash equivalents and restricted cash (see Note 1, Nature of Operations and Summary of Significant Accounting Policies), “unallocated property and equipment” relates primarily to corporate fixed assets and “other unallocated assets” relates primarily to deposits, prepaid and other assets.

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Employee Retention Credit

9 Months Ended

Sep. 30, 2023

Unusual or Infrequent Items, or Both [Abstract]

Employee Retention Credit

Employee Retention Credit

The employee retention credit ("ERC"), as originally enacted through the Coronavirus Aid, Relief and Economic Security Act (“CARES Act”) on March 27, 2020, is a refundable credit against certain employment taxes equal to 50% of the qualified wages an eligible employer paid to employees from March 17, 2020 to December 31, 2020. The Disaster Tax Relief Act, enacted on December 27, 2020, extended the ERC for qualified wages paid from January 1, 2021 to June 30, 2021 and the credit was increased to 70% of qualified wages an eligible employer paid to employees during the extended period. The American Rescue Plan Act of 2021, enacted on March 11, 2021, further extended the ERC through December 31, 2021.

In October 2022, the Company filed an application with the IRS for the ERC. Employers are eligible for the credit if they experienced full or partial suspension or modification of operations during any calendar quarter because of governmental orders due to the pandemic or a significant decline in gross receipts based on a comparison of quarterly revenue results for 2020 and/or 2021 with the comparable quarter in 2019. The Company’s ERC application was equal to 70% of qualified wages paid to employees during the period from January 1, 2021 to June 30, 2021 for a maximum quarterly credit of $7,000 per employee. In March 2023, the Company received notice and refunds from the IRS related to the overpayment of Federal Employment Tax plus interest in the amount of $4.8 million related to the ERC application. The $4.8 million ERC is subject to a 20% consulting fee. The Company's eligibility remains subject to audit by the IRS for a period of five years.

Since there are no generally accepted accounting principles for for-profit business entities that receive government assistance that is not in the form of a loan, an income tax credit or revenue from a contract with a customer, we determined the appropriate accounting treatment by analogy to other guidance. We accounted for the ERC by analogy to International Accounting Standards (“IAS”) 20, Accounting for Government Grants and Disclosure of Government Assistance, of International Financial Reporting Standards.

Under an IAS 20 analogy, a business entity would recognize the ERC on a systematic basis over the periods in which the entity recognizes the payroll expenses for which the grant (i.e., tax credit) is intended to compensate when there is reasonable assurance (i.e., it is probable) that the entity will comply with any conditions attached to the grant and the grant (i.e., tax credit) will be received.

We have accounted for the $3.8 million ERC, net of the consulting fee, for the nine months ended September 30, 2023 as other income on the Statement of Income when the Company was reasonably assured that the Company met all requirements of the ERC and the grant would be received. The ERC refund is not taxable; however, the credit is subject to expense disallowance rules which increased income tax expense as a discrete item by $0.9 million, net of the consulting expense deduction, for the nine months ended September 30, 2023.

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Subsequent Events

9 Months Ended

Sep. 30, 2023

Subsequent Events [Abstract]

Subsequent Events

Subsequent Events

In October 2023, the Company entered into two separate letters of intent to sell two of its company-owned or managed clinics that were part of the 10% clinics identified for sale and classified as held for sale as of September 30, 2023 for a combined total sales price of $185,000. The sales are expected to close during the fourth quarter of 2023, subject to customary closing conditions.

On November 6, 2023, the Company discussed certain strategic initiatives of the Company with the Board of Directors and were authorized to initiate a plan to re-franchise the majority of its corporate-owned or managed clinics with plans to retain a small portion of high-performing clinics. Based on the timing and varied scope of the initiative, the Company is unable to estimate the financial impact.

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Pay vs Performance Disclosure - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Pay vs Performance Disclosure
Net income (loss)	$ (716,273)	$ 731,096	$ 1,289,402	$ (136,551)

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Insider Trading Arrangements	3 Months Ended
	Sep. 30, 2023
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

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Nature of Operations and Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation

These unaudited financial statements represent the condensed consolidated financial statements of The Joint Corp. (“The Joint”), which includes its variable interest entities (“VIEs”) and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC (collectively, the “Company”). The accompanying unaudited condensed consolidated interim financial statements reflect all adjustments which are necessary for a fair statement of the financial position, results of operations and cash flows for the periods presented in accordance with U.S. generally accepted accounting principles (“GAAP”). Such unaudited condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. These unaudited condensed consolidated interim financial statements should be read in conjunction with The Joint Corp. and Subsidiary and Affiliates consolidated financial statements and the notes thereto as set forth in The Joint’s Amended Annual Report on Form 10-K/A as of and for the year ended December 31, 2022, filed with the SEC on September 26, 2023 (“Form 10-K/A”), which included all disclosures required by GAAP. The results of operations for the periods ended September 30, 2023 and 2022 are not necessarily indicative of expected operating results for the full year. The information presented throughout the document as of and for the three and nine-month periods ended September 30, 2023 and 2022 is unaudited.

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amount of assets, liabilities, revenue, costs, expenses and other (expenses) income that are reported in the condensed consolidated financial statements and accompanying disclosures. These estimates are based on management’s best knowledge of current events, historical experience, actions that the Company may undertake in the future and on various other assumptions that are believed to be reasonable under the circumstances. As a result, actual results may be different from these estimates.

Principles of Consolidation

Principles of ConsolidationThe accompanying condensed consolidated financial statements include the accounts of The Joint and its wholly owned subsidiary, The Joint Corporate Unit No. 1, LLC, which was dormant for all periods presented. The Company consolidates VIEs in which the Company is the primary beneficiary in accordance with Accounting Standards Codification 810, Consolidations (“ASC 810”). Non-controlling interests represent third-party equity ownership interests in VIEs. All significant inter-affiliate accounts and transactions between The Joint and its VIEs have been eliminated in consolidation.

Comprehensive Income

Comprehensive Income

Net income was the same as comprehensive income for the three and nine months ended September 30, 2023 and 2022.

Nature of Operations

Nature of Operations

The Joint Corp., a Delaware corporation, was formed on March 10, 2010 for the principal purpose of franchising and developing chiropractic clinics, selling regional developer rights, supporting the operations of franchised chiropractic clinics and operating and managing corporate chiropractic clinics at locations throughout the United States of America. The franchising of chiropractic clinics is regulated by the Federal Trade Commission and various state authorities.

Variable Interest Entities

Variable Interest EntitiesCertain states prohibit the “corporate practice of chiropractic,” which restricts business corporations from practicing chiropractic care by exercising control over clinical decisions by chiropractic doctors. In states that prohibit the corporate practice of chiropractic, the Company typically enters into long-term management agreements with professional corporations (“PCs”) that are owned by licensed chiropractic doctors, which, in turn, employ or contract with doctors who provide professional chiropractic care in its clinics. Under these management agreements with PCs, the Company provides, on an exclusive basis, all non-clinical services of the chiropractic practice. The Company has entered into such management agreements with four PCs, including one in New Jersey, in connection with the opening of company-managed clinics in April 2023. If an entity is deemed to be the primary beneficiary of a VIE, the entity is required to consolidate the VIE in its financial statements. An entity is deemed to be the primary beneficiary of a VIE if it has both of the following characteristics: (a) the power to direct the activities of a VIE that most significantly impact the VIE's economic performance; and (b) the obligation to absorb the majority of losses of the VIE or the right to receive the majority of benefits from the VIE. In accordance with relevant accounting guidance, these PCs were determined to be VIEs as fees paid by the PCs to the Company as its management service provider are considered variable interests because the fees do not meet all the following criteria: (1) The fees are compensation for services provided and are commensurate with the level of effort required to provide those services; (2) The decision maker or service provider does not hold other interests in the VIE that individually, or in the aggregate, would absorb more than an insignificant amount of the VIE’s expected losses or receive more than an insignificant amount of the VIE’s expected residual returns; and (3) The service arrangement includes only terms, conditions or amounts that are customarily present in arrangements for similar services negotiated at arm’s length. Additionally, the Company has determined that it has the ability to direct the activities that most significantly impact the performance of these PCs and has an obligation to absorb losses or receive benefits which could potentially be significant to the PCs. Accordingly, the PCs are VIEs for which the Company is the primary beneficiary and are consolidated by the Company.

Cash and Cash Equivalents

Cash and Cash EquivalentsThe Company considers all highly liquid instruments purchased with a maturity of three months or less at date of purchase to be cash equivalents. The Company continually monitors its positions with and credit quality of, the financial institutions with which it invests. As of the balance sheet date and periodically throughout the period, the Company has maintained balances in various operating accounts in excess of federally insured limits. The Company has invested substantially all its cash in short-term bank deposits.

Restricted Cash

Restricted CashRestricted cash relates to cash that franchisees and company-owned or managed clinics contribute to the Company’s National Marketing Fund and cash that franchisees provide to various voluntary regional Co-Op Marketing Funds. Cash contributed by franchisees to the National Marketing Fund is to be used in accordance with the Company’s Franchise Disclosure Document with a focus on regional and national marketing and advertising. While such cash balance is not legally segregated and restricted as to withdrawal or usage, the Company's accounting policy is to classify these funds as restricted cash.

Accounts Receivable

Accounts ReceivableAccounts receivable primarily represents amounts due from franchisees for royalty fees. The Company records an allowance for credit losses as a reduction to its accounts receivables for amounts that the Company does not expect to recover. An allowance for credit losses is determined through assessments of collectability based on historical trends, the financial condition of the Company’s franchisees, including any known or anticipated bankruptcies and an evaluation of current economic conditions, as well as the Company’s expectations of conditions in the future. Actual losses ultimately could differ materially in the near term from the amounts estimated in determining the allowance.

Property and Equipment

Property and Equipment

Property and equipment are stated at cost, or for property acquired as part of franchise acquisitions at fair value at the date of closing. Depreciation is computed using the straight-line method over estimated useful lives, which is generally three to ten years. Leasehold improvements are amortized using the straight-line method over the shorter of the lease term or the estimated useful lives of the assets. Maintenance and repairs are charged to expense as incurred; major renewals and improvements are capitalized. When items of property or equipment are sold or retired, the related cost and accumulated depreciation are removed from the accounts and any gain or loss is included in income. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $68,200 and $217,810 for the three and nine-months ended September 30, 2023, respectively. The losses on disposed of or retired property or equipment were recorded in net loss on disposition or impairment of $23,554 and $119,303 for the three and nine-months ended September 30, 2022, respectively.

Leases

Leases

The Company leases property and equipment under operating and finance leases. The Company leases its corporate office space and the space for each of the company-owned or managed clinics in the portfolio. The Company recognizes a right-of-use ("ROU") asset and lease liability for all leases. Certain leases include one or more renewal options, generally for the same period as the initial term of the lease. The exercise of lease renewal options is generally at the Company’s sole discretion and, as such, the Company typically determines that exercise of these renewal options is not reasonably certain. As a result, the Company does not include the renewal option period in the expected lease term and the associated lease payments are not included in the measurement of the right-of-use asset and lease liability. When available, the Company uses the rate implicit in the lease to discount lease payments; however, the rate implicit in the lease is not readily determinable for substantially all of its leases. In such cases, the Company estimates its incremental borrowing rate as the interest rate it would pay to borrow an amount equal to the lease payments over a similar term, with similar collateral as in the lease and in a similar economic environment. The Company estimates these rates using available evidence such as rates imposed by third-party lenders to the Company in recent financings or observable risk-free interest rate and credit spreads for commercial debt of a similar duration, with credit spreads correlating to the Company’s estimated creditworthiness.

For operating leases that include rent holidays and rent escalation clauses, the Company recognizes lease expense on a straight-line basis over the lease term from the date it takes possession of the leased property. Pre-opening costs are recorded as incurred in general and administrative expenses. Variable lease payments, such as percentage rentals based on location sales, periodic adjustments for inflation, reimbursement of real estate taxes, any variable common area maintenance and any other variable costs associated with the leased property are expensed as incurred and are also included in general and administrative expenses on the accompanying consolidated income statements.

Long-Lived Assets

Long-Lived AssetsThe Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recovered. The Company looks primarily to estimated undiscounted future cash flows in its assessment of whether or not long-lived assets are recoverable. The Company records an impairment loss when the carrying amount of the asset is not recoverable and exceeds its fair value.

Revenue Recognition

Revenue Recognition

The Company generates revenue primarily through its company-owned and managed clinics and through royalties, franchise fees, advertising fund contributions, IT related income and computer software fees from its franchisees.

Revenues from Company-Owned or Managed Clinics. The Company earns revenues from clinics that it owns and operates or manages throughout the United States. Revenues are recognized when services are performed. The Company offers a variety of membership and wellness packages, which feature discounted pricing as compared with its single-visit pricing. Amounts collected in advance for membership and wellness packages are recorded as deferred revenue and recognized when the service is performed. Any unused visits associated with monthly memberships are recognized on a month-to-month basis. The Company recognizes a contract liability (or a deferred revenue liability) related to the prepaid treatment plans for which the Company has an ongoing performance obligation. The Company derecognizes this contract liability and recognizes revenue, as the patient consumes his or her visits related to the package and the Company transfers its services. If the Company determines that it is not subject to unclaimed property laws for the portion of wellness package that it does not expect to be redeemed (referred to as “breakage”), then it recognizes breakage revenue in proportion to the pattern of exercised rights by the patient.

Royalties and Advertising Fund Revenue. The Company collects royalties from its franchisees, as stipulated in the franchise agreement, equal to 7% of gross sales and a marketing and advertising fee currently equal to 2% of gross sales. Royalties,

including franchisee contributions to advertising funds, are calculated as a percentage of clinic sales over the term of the franchise agreement. The revenue accounting standard provides an exception for the recognition of sales-based royalties promised in exchange for a license (which generally requires a reporting entity to estimate the amount of variable consideration to which it will be entitled in the transaction price). Franchise agreement royalties, inclusive of advertising fund contributions, represent sales-based royalties that are related entirely to the Company’s performance obligation under the franchise agreement and therefore, such royalties are recognized as franchisee clinic level sales occur. Royalties are collected semi-monthly, two working days after each sales period has ended.

Franchise Fees. The Company requires the entire non-refundable initial franchise fee to be paid upon execution of a franchise agreement, which typically has an initial term of ten years. Initial franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement. The Company’s services under the franchise agreement include training of franchisees and staff, site selection, construction/vendor management and ongoing operations support. The Company provides no financing to franchisees and offers no guarantees on their behalf. The services provided by the Company are highly interrelated with the franchise license and as such are considered to represent a single performance obligation. Renewal franchise fees, as well as transfer fees, are also recognized as revenue on a straight-line basis over the term of the respective franchise agreement.

Software Fees.  The Company collects a monthly fee from its franchisees for use of its proprietary chiropractic software, computer support and internet services support. These fees are recognized ratably on a straight-line basis over the term of the respective franchise agreement.

Capitalized Sales Commissions: Sale commissions earned by the regional developers and the Company's sales force are considered incremental and recoverable costs of obtaining a franchise agreement with a franchisee. These costs are deferred and then amortized as the respective franchise fees are recognized ratably on a straight-line basis over the term of the franchise agreement.

Regional Developer Fees. The Company has a regional developer program where regional developers are granted an exclusive geographical territory and commit to a minimum development obligation within that defined territory. Regional developer fees paid to the Company are non-refundable and are amortized on a straight-line bases over the term of the regional developer agreement and recognized as a decrease to franchise cost of revenues.

In addition, regional developers receive fees that are funded by the initial franchise fees collected from franchisees upon the sale of franchises within their exclusive geographical territory and a royalty of 3% of sales generated by franchised clinics in their exclusive geographical territory. Initial fees related to the sale of franchises within their exclusive geographical territory are initially deferred as deferred franchise costs and are recognized as an expense in franchise cost of revenues when the respective revenue is recognized, which is generally over the term of the related franchise agreement. Royalties of 3% of sales generated by franchised clinics in their regions are also recognized as franchise cost of revenues as franchisee clinic level sales occur. This 3% fee is funded by the 7% royalties collected from the franchisees in their regions. Certain regional developer agreements result in the regional developer acquiring the rights to existing royalty streams from clinics already open in the respective territory. In those instances, the revenue associated from the sale of the royalty stream is recognized over the remaining life of the respective franchise agreements. The Company did not enter into any new regional developer agreements during the nine months ended September 30, 2023 and 2022.

Advertising Costs

Advertising CostsAdvertising costs are advertising and marketing expenses incurred by the Company, primarily through advertising funds. The Company expenses production costs of commercial advertising upon first airing and expenses the costs of communicating the advertising in the period in which the advertising occurs.

Income Taxes

Income Taxes

Income tax expense during interim periods is based on applying an estimated annual effective income tax rate to year-to-date pre-tax income, plus any significant unusual or infrequently occurring items which are recorded in the interim period. The computation of the annual estimated effective tax rate at each interim period requires certain estimates and significant judgment, including, but not limited to, the expected pre-tax income for the year and permanent differences. The accounting estimates used to compute the provision for income taxes may change as new events occur, more experience is obtained, additional information becomes known or as the tax environment changes.

Earnings (Loss) per Common Share

Earnings (Loss) per Common Share

Basic earnings per common share is computed by dividing the net income (loss) by the weighted-average number of common shares outstanding during the period. Diluted earnings per common share is computed by giving effect to all potentially dilutive common shares, including restricted stock and stock options.

Stock-Based Compensation

Stock-Based Compensation

The Company accounts for share-based payments by recognizing compensation expense based upon the estimated fair value of the awards on the date of grant. The Company determines the estimated grant-date fair value of restricted shares using the closing price on the date of the grant and the grant-date fair value of stock options using the Black-Scholes-Merton model. In order to calculate the fair value of the options, certain assumptions are made regarding the components of the model, including risk-free interest rate, volatility, expected dividend yield and expected option life. Changes to the assumptions could cause significant adjustments to the valuation. The Company recognizes compensation costs ratably over the period of service using the straight-line method. Forfeitures are estimated based on historical and forecasted turnover, which is approximately 5%.

Loss Contingencies

Loss Contingencies

ASC Topic 450 governs the disclosure of loss contingencies and accrual of loss contingencies in respect of litigation and other claims. The Company records an accrual for a potential loss when it is probable that a loss will occur and the amount of the loss can be reasonably estimated. When the reasonable estimate of the potential loss is within a range of amounts, the minimum of the range of potential loss is accrued, unless a higher amount within the range is a better estimate than any other amount within the range. Moreover, even if an accrual is not required, the Company provides additional disclosure related to litigation and other claims when it is reasonably possible (i.e., more than remote) that the outcomes of such litigation and other claims include potential material adverse impacts on the Company. Legal costs to be incurred in connection with a loss contingency are expensed as such costs are incurred.

Use of Estimates

Use of Estimates

The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Items subject to significant estimates and assumptions include the allowance for credit losses,

loss contingencies, share-based compensations, useful lives and realizability of long-lived assets, deferred revenue and revenue recognition related to breakage, deferred franchise costs, calculation of ROU assets and liabilities related to leases, realizability of deferred tax assets, impairment of goodwill, intangible assets, other long-lived assets and purchase price allocations and related valuations.

Recent Accounting Pronouncements Adopted and Not Yet Adopted

Recent Accounting Pronouncements Adopted and Not Yet Adopted

The Company reviewed newly issued accounting pronouncements and concluded that they either are not applicable to the Company's operations or that no material effect is expected on the Company's financial statements upon future adoption.

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Nature of Operations and Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Schedule of Correction of Immaterial Error

The following table summarizes the effect of the errors on the Company’s condensed balance sheet as of September 30, 2022:

	September 30, 2022				September 30, 2022
	As Previously Reported		Adjustments		As Restated
Intangible assets, net	$	10,162,506	$	(2,124,740)	$	8,037,766
Deferred tax assets	9,115,231		3,333,327		12,448,558
Total assets	88,291,398		1,208,587		89,499,985
Current liabilities:
Deferred franchise and regional development fee revenue, current portion	2,974,993		(2,974,993)		—
Deferred franchise fee revenue, current portion	—		2,410,951		2,410,951
Upfront regional developer fees, current portion	—		564,042		564,042
Other current liabilities	522,500		73,533		596,033
Total current liabilities	21,637,706		73,533		21,711,239
Deferred franchise and regional development fee revenue, net of current portion	15,604,180		(15,604,180)		—
Deferred franchise fee revenue, net of current portion	—		13,870,401		13,870,401
Upfront regional developer fees, net of current portion	—		1,733,779		1,733,779
Other liabilities	27,230		1,162,607		1,189,837
Total liabilities	56,765,925		1,236,140		58,002,065
Accumulated deficit	(12,889,083)		(27,553)		(12,916,636)
Total The Joint Corp. stockholders' equity	31,500,473		(27,553)		31,472,920
Total equity	31,525,473		(27,553)		31,497,920
Total liabilities and stockholders' equity	88,291,398		1,208,587		89,499,985

The following table summarizes the effect of the errors on the Company’s condensed income statement for the three and nine months ended September 30, 2022:

	As Previously Reported				Adjustments				As Restated
	Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2022
Revenues:
Regional developer fees	$	153,181	$	524,923	$	(153,181)	$	(524,923)	$	—	$	—
Total revenues	26,603,000		74,098,856		(153,181)		(524,923)		26,449,819		73,573,933
Cost of revenues:
Franchise and regional developer cost of revenues	2,141,945		6,219,646		(153,181)		(524,923)		1,988,764		5,694,723
Total cost of revenues	2,490,276		7,230,092		(153,181)		(524,923)		2,337,095		6,705,169
Depreciation and amortization	2,011,768		5,341,420		(231,844)		(762,970)		1,779,924		4,578,450
General and administrative expenses	17,796,806		49,703,451		—		2,197,082		17,796,806		51,900,533
Total selling, general and administrative expenses	23,347,861		65,711,371		(231,844)		1,434,112		23,116,017		67,145,483
Income (loss) from operations	500,472		797,253		231,844		(1,434,112)		732,316		(636,859)
Income before income tax expense (benefit)	475,237		736,585		231,844		(1,434,112)		707,081		(697,527)
Income tax expense (benefit)	(15,876)		106,527		(8,139)		(667,503)		(24,015)		(560,976)
Net income (loss)	$	491,113	$	630,058	$	239,983	$	(766,609)	$	731,096	$	(136,551)
Earnings per share:
Basic earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)
Diluted earnings (loss) per share	$	0.03	$	0.04	$	0.02	$	(0.05)	$	0.05	$	(0.01)

The following table summarizes the effect of the errors on the Company’s condensed statements of stockholders' equity as of September 30, 2022, June 30, 2022, March 31, 2022 and December 31, 2021:

	Accumulated Deficit		Total The Joint Corp. Stockholder's Equity		Total Equity
Balances, December 31, 2021 (as previously reported)	$	(13,519,142)	$	29,544,627	$	29,569,627
Adjustment due to cumulative error correction	739,057		739,057		739,057
Balances, December 31, 2021 (as restated)	$	(12,780,085)	$	30,283,684	$	30,308,684
Balances, March 31, 2022 (as previously reported)	$	(13,724,938)	$	29,709,412	$	29,734,412
Adjustment due to cumulative error correction	949,073		949,073		949,073
Balances, March 31, 2022 (as restated)	$	(12,775,865)	$	30,658,485	$	30,683,485
Balances, June 30, 2022 (as previously reported)	$	(13,380,196)	$	30,458,395	$	30,483,395
Adjustment due to cumulative error correction	(267,537)		(267,537)		(267,537)
Balances, June 30, 2022 (as restated)	$	(13,647,733)	$	30,190,858	$	30,215,858
Balances, September 30, 2022 (as previously reported)	$	(12,889,083)	$	31,500,473	$	31,525,473
Adjustment due to cumulative error correction	(27,553)		(27,553)		(27,553)
Balances, September 30, 2022 (as restated)	$	(12,916,636)	$	31,472,920	$	31,497,920

The following table summarizes the effect of the errors on the Company’s condensed statement of cash flows for the nine-month period ended September 30, 2022:

	Nine Months Ended September 30, 2022			Nine Months Ended September 30, 2022
	As Previously Reported		Adjustments	As Restated
Cash flows from operating activities:
Net income (loss)	$	630,058	(766,609)	$	(136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	5,341,420		(762,970)	4,578,450
Deferred income taxes	73,403		(1,035,162)	(961,759)
Changes in operating assets and liabilities:
Upfront regional developer fees	—		(977,841)	(977,841)
Deferred revenue	636,470		524,923	1,161,393
Other liabilities	360,790		367,659	728,449
Net cash provided by (used in) operating activities	5,682,415		(2,650,000)	3,032,415
Cash flows from investing activities:
Reacquisition and termination of regional developer rights	(2,650,000)		2,650,000	—
Net cash used in investing activities	(14,938,929)		2,650,000	(12,288,929)
Decrease in cash	(8,944,196)		—	(8,944,196)

Schedule of Franchisor Disclosure

The following table summarizes the number of clinics in operation under franchise agreements and as company-owned or managed clinics for the three and nine months ended September 30, 2023 and 2022:

	Three Months Ended September 30,		Nine Months Ended September 30,
Franchised clinics:	2023	2022	2023	2022
Clinics open at beginning of period	756	662	712	610
Opened during the period	24	33	76	91
Acquired during the period	—	1	—	1
Sold during the period	—	(4)	(3)	(8)
Closed during the period	(2)	(2)	(7)	(4)
Clinics in operation at the end of the period	778	690	778	690
	Three Months Ended September 30,		Nine Months Ended September 30,
Company-owned or managed clinics:	2023	2022	2023	2022
Clinics open at beginning of period	134	107	126	96
Opened during the period	2	5	9	12
Acquired during the period	—	4	3	8
Sold during the period	—	(1)	—	(1)
Closed during the period	—	—	(2)	—
Clinics in operation at the end of the period	136	115	136	115
Total clinics in operation at the end of the period	914	805	914	805
Clinic licenses sold but not yet developed	155	212	155	212
Licenses for future clinics subject to executed letters of intent	42	40	42	40

Schedule of Revenue

VIE total revenue and general administrative expenses for the three and nine-months ended September 30, 2023 and 2022 were as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenues	$	10,688,500	$	9,150,103	$	30,997,617	$	25,433,407
General and administrative expenses	4,525,305		4,079,552		13,614,211		11,212,760

The following table shows the Company's revenues disaggregated according to the timing of transfer of services:

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenue recognized at a point in time	$	27,418,343	$	24,697,661	$	81,155,737	$	68,436,945
Revenue recognized over time	2,055,606		1,752,158		5,926,216		5,136,988
Total Revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933

Schedule of VIEs' Payroll Liability

The carrying amount of the VIEs’ assets and liabilities was immaterial as of September 30, 2023 and December 31, 2022, except for their payroll liability balances and amounts collected in advance for membership and wellness packages, which are recorded as deferred revenue. The VIEs’ payroll liability and deferred revenue from company managed clinics balances as of September 30, 2023 and December 31, 2022 were as follows:

	September 30, 2023		December 31, 2022
Payroll liabilities	$	952,854	$	586,960
Deferred revenue from company managed clinics	4,553,228		4,702,044

Schedule of Earnings (Loss) per Common Share

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net (loss) income	$	(716,273)	$	731,096	$	1,289,402	$	(136,551)
Weighted average common shares outstanding - basic	14,790,663		14,512,856		14,666,222		14,474,323
Effect of dilutive securities:
Unvested restricted stock and stock options	225,290		316,773		265,252		644,941
Weighted average common shares outstanding - diluted	15,015,953		14,829,629		14,931,474		15,119,264
Basic earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)
Diluted earnings (loss) per share	$	(0.05)	$	0.05	$	0.09	$	(0.01)

The following common stock equivalents were excluded from the computation of diluted earnings per share for the periods presented because including them would have been antidilutive:

	Three Months Ended September 30,		Nine Months Ended September 30,
Weighted average dilutive securities:	2023	2022	2023	2022
Restricted stocks	—	—	—	—
Stock options	121,699	77,485	89,883	41,293

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Revenue Disclosures (Tables)

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Schedule of Revenue

VIE total revenue and general administrative expenses for the three and nine-months ended September 30, 2023 and 2022 were as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenues	$	10,688,500	$	9,150,103	$	30,997,617	$	25,433,407
General and administrative expenses	4,525,305		4,079,552		13,614,211		11,212,760

The following table shows the Company's revenues disaggregated according to the timing of transfer of services:

	Three Months Ended September 30, 2023				Nine Months Ended September 30, 2023
	2023		2022		2023		2022
			(as restated)				(as restated)
Revenue recognized at a point in time	$	27,418,343	$	24,697,661	$	81,155,737	$	68,436,945
Revenue recognized over time	2,055,606		1,752,158		5,926,216		5,136,988
Total Revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933

Schedule of Contract with Customer, Asset and Liability

Changes in the Company's contract liability for deferred revenue from company clinics during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue from company clinics
Balance at December 31, 2022	$	7,471,549
Revenue recognized that was included in the contract liability at the beginning of the year	(5,959,308)
Net increase during the nine months ended September 30, 2023	5,026,472
Balance at September 30, 2023	$	6,538,713

Changes in the Company's contract liability for deferred franchise fees during the nine months ended September 30, 2023 were as follows:

	Deferred Revenue short and long-term
Balance at December 31, 2022	$	16,629,735
Revenue recognized that was included in the contract liability at the beginning of the year	(2,042,823)
Net increase during the nine months ended September 30, 2023	1,906,196
Balance at September 30, 2023	$	16,493,108

The Company's deferred franchise and development costs represent capitalized sales commissions. Changes during the nine months ended September 30, 2023 were as follows:

	Deferred Franchise and Development Costs short and long-term
Balance at December 31, 2022	$	6,761,738
Cost of revenue recognized that was included in the contract asset at the beginning of the year	(863,619)
Net increase during the nine months ended September 30, 2022	566,339
Balance at September 30, 2023	$	6,464,458

Schedule of Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction

The following table illustrates estimated revenues expected to be recognized in the future related to performance obligations that were unsatisfied (or partially unsatisfied) as of September 30, 2023:

Contract liabilities expected to be recognized in	Amount
2023 (remainder)	$	643,492
2024	2,495,683
2025	2,358,322
2026	2,264,085
2027	2,190,960
Thereafter	6,540,566
Total	$	16,493,108

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Acquisition and Assets Held for Sale (Tables)

9 Months Ended

Sep. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Schedule of Recognized Identified Assets Acquired and Liabilities Assumed

The allocation of the total purchase price of the CA Clinics Purchase was as follows:

Property and equipment	$	313,995
Operating lease right-of-use asset	317,662
Intangible assets	1,004,513
Total assets acquired	1,636,170
Deferred revenue	(158,365)
Operating lease liability - current portion	(118,081)
Operating lease liability - net of current portion	(199,957)
Net purchase consideration	$	1,159,767

The allocation of the total purchase price of the AZ Clinics Purchase was as follows:

Property and equipment	$	241,511
Operating lease right-of-use asset	912,937
Intangible assets	3,689,100
Total identifiable assets acquired	4,843,548
Goodwill	3,408,205
Deferred revenue	(455,317)
Operating lease liability - current portion	(128,516)
Operating lease liability - net of current portion	(784,722)
Net purchase consideration	$	6,883,198

The allocation of the purchase price for the NC Clinics Purchase was as follows:

Property and equipment	$	142,395
Operating lease right-of-use asset	122,641
Intangible assets	1,299,607
Total identifiable assets acquired	1,564,643
Deferred revenue	(153,176)
Operating lease liability - current portion	(85,414)
Operating lease liability - net of current portion	(40,388)
Net purchase consideration	$	1,285,665

Schedule of Business Acquisition, Pro Forma Information

The following table summarizes selected unaudited pro forma consolidated income statements for the three and nine months ended September 30, 2023 and 2022 for the 2023 and 2022 acquisitions, as if the CA Clinics Purchase in 2023 and the NC Clinics Purchase in 2022 (which have been accounted for as an asset purchase) and the AZ Clinics Purchase in 2022 (which have been accounted for as a business combination) had all been completed on January 1, 2022.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues, net	$	29,473,949	$	26,905,560	$	87,820,694	$	76,866,953
Net income	(703,681)		697,316		1,290,407		(491,325)

The Company’s condensed consolidated income statements for the three and nine months ended September 30, 2023 include net revenue and net income, excluding corporate clinic segment overhead costs, of the acquired California clinics as follows:

	Three Months Ended		Nine Months Ended
	September 30,		September 30,
	2023		2023
Revenues, net	$	375,625	$	544,344
Net income	41,847		80,936

Summary Of Assets And Liabilities Held For Sale

The principal components of the held for sale assets and liabilities as of September 30, 2023 were as follows:

	September 30, 2023
Assets
Property and equipment, net	$	2,153,454
Operating lease right-of-use asset	2,204,293
Intangible assets, net	386,280
Goodwill	44,515
Valuation allowance	(816,429)
Total assets held for sale	$	3,972,113
Liabilities
Operating lease liability, current and non-current	$	2,585,642
Deferred revenue from company clinics	386,291
Total liabilities to be disposed of	$	2,971,933

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Property and Equipment (Tables)

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Schedule of Property, Plant and Equipment

Property and equipment consisted of the following, excluding amounts related to properties classified as held for sale:

	September 30, 2023		December 31, 2022
Office and computer equipment	$	5,693,432	$	5,207,833
Leasehold improvements	18,625,522		17,842,901
Software developed	6,048,742		5,843,758
Finance lease assets	151,396		151,396
	30,519,092		29,045,888
Accumulated depreciation and amortization	(16,206,966)		(12,675,085)
	14,312,126		16,370,803
Construction in progress	1,043,629		1,104,349
Property and equipment, net	$	15,355,755	$	17,475,152

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Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Intangible Assets

Intangible assets consisted of the following:

	As of September 30, 2023
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,924,858	$	(6,069,013)	$	6,855,845
Customer relationships	4,306,684		(3,126,081)		1,180,603
Assembled workforce	1,065,311		(478,644)		586,667
	$	18,296,853	$	(9,673,738)	$	8,623,115

	As of December 31, 2022
	(as restated)
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Intangible assets subject to amortization:
Reacquired franchise rights	$	12,881,894	$	(4,755,286)	$	8,126,608
Customer relationships	4,330,365		(2,352,500)		1,977,865
Assembled workforce	959,837		(136,015)		823,822
	$	18,172,096	$	(7,243,801)	$	10,928,295

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense

Estimated amortization expense for 2023 and subsequent years is as follows:

	Amount
2023 (remainder)	$	901,345
2024	2,675,174
2025	1,602,969
2026	1,272,426
2027	717,394
Thereafter	$	1,453,807
Total	$	8,623,115

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Stock-Based Compensation  (Tables)

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Share-based Payment Arrangement, Option, Activity

The information below summarizes the stock option activity for the nine months ended September 30, 2023:

	Number of Shares	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (Years)
Outstanding at December 31, 2022	531,923	$	9.20	4.7
Granted	—	—
Exercised	(25,623)	7.90
Forfeited	(7,375)	28.58
Expired	(12,591)	13.07
Outstanding at September 30, 2023	486,334	$	8.88	3.9
Exercisable at September 30, 2023	453,194	$	7.29	3.7

Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity

The information below summarizes the restricted stock activity for the nine months ended September 30, 2023:

Restricted Stock Awards	Shares	Weighted Average Grant-Date Fair Value per Award
Non-vested at December 31, 2022	70,312	$	29.05
Granted	204,122	14.54
Vested	(33,782)	21.95
Forfeited	(6,010)	34.43
Non-vested at September 30, 2023	234,642	$	18.88

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Schedule of Lease, Cost

The table below summarizes the components of lease expense and income statement location for the three and nine months ended September 30, 2023 and 2022:

	Line Item in the Company’s Condensed Consolidated Income Statements	Three Months Ended September 30, 2023		Three Months Ended September 30, 2022		Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Finance lease costs:
Amortization of assets	Depreciation and amortization	$	7,570	$	7,570	$	22,709	$	48,001
Interest on lease liabilities	Other expense, net	760		1,015		2,473		3,564
Total finance lease costs		8,330		8,585		25,182		51,565
Operating lease costs	General and administrative expenses	1,633,469		$	1,426,010	4,910,181		$	4,138,801
Total lease costs		$	1,641,799	$	1,434,595	$	4,935,363	$	4,190,366

Schedule of Assets And Liabilities, Lessee

Supplemental information and balance sheet location related to leases (excluding amounts related to leases classified as held for sale) is as follows:

	September 30, 2023		December 31, 2022
Operating Leases:
Operating lease right-of -use asset	$19,803,896		$20,587,199
Operating lease liability - current portion	$5,392,944		$5,295,830
Operating lease liability - net of current portion	17,200,146		18,672,719
Total operating lease liability	$22,593,090		$23,968,549
Finance Leases:
Property and equipment, at cost	$151,396		$151,396
Less accumulated amortization	(110,362)		(87,652)
Property and equipment, net	$41,034		$63,744
Finance lease liability - current portion	25,223		24,433
Finance lease liability - net of current portion	44,490		63,507
Total finance lease liabilities	$69,713		$87,940
Weighted average remaining lease term (in years):
Operating leases	5.1		5.4
Finance lease	2.6		3.4
Weighted average discount rate:
Operating leases	5.1	%	4.8	%
Finance leases	4.3	%	4.3	%

Supplemental cash flow information related to leases is as follows:

	Nine Months Ended September 30, 2023		Nine Months Ended September 30, 2022
Cash paid for amounts included in measurement of liabilities:
Operating cash flows from operating leases	$	5,263,092	$	4,309,229
Operating cash flows from finance leases	2,473		3,564
Financing cash flows from finance leases	18,227		43,907
Non-cash transactions: ROU assets obtained in exchange for lease liabilities
Operating lease	$	4,287,622	$	4,402,229
Finance lease	—		—

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Schedule of Lessee, Operating Lease, Liability, Maturity

Maturities of lease liabilities as of September 30, 2023 were as follows:

	Operating Leases		Finance Lease
2023 (remainder)	$	1,633,006	$	6,900
2024	6,236,923		27,600
2025	5,592,674		27,600
2026	3,979,181		11,500
2027	3,099,193		—
Thereafter	5,193,199		—
Total lease payments	$	25,734,176	$	73,600
Less: Imputed interest	(3,141,086)		(3,887)
Total lease obligations	22,593,090		69,713
Less: Current obligations	(5,392,944)		(25,223)
Long-term lease obligation	$	17,200,146	$	44,490

Schedule of Finance Lease, Liability, Maturity

Maturities of lease liabilities as of September 30, 2023 were as follows:

	Operating Leases		Finance Lease
2023 (remainder)	$	1,633,006	$	6,900
2024	6,236,923		27,600
2025	5,592,674		27,600
2026	3,979,181		11,500
2027	3,099,193		—
Thereafter	5,193,199		—
Total lease payments	$	25,734,176	$	73,600
Less: Imputed interest	(3,141,086)		(3,887)
Total lease obligations	22,593,090		69,713
Less: Current obligations	(5,392,944)		(25,223)
Long-term lease obligation	$	17,200,146	$	44,490

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Segment Reporting (Tables)

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

Schedule of Segment Reporting Information, by Segment

The tables below present financial information for the Company’s two operating business segments.

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Revenues:			(as restated)				(as restated)
Corporate clinics	$	17,882,303	$	15,836,327	$	52,813,098	$	42,936,298
Franchise operations	11,591,646		10,613,492		34,268,855		30,637,635
Total revenues	$	29,473,949	$	26,449,819	$	87,081,953	$	73,573,933
Depreciation and amortization:
Corporate clinics	$	2,067,803	$	1,504,914	$	6,027,561	$	3,780,283
Franchise operations	190,867		189,426		597,557		549,161
Corporate administration	90,536		85,584		268,411		249,006
Total depreciation and amortization	$	2,349,206	$	1,779,924	$	6,893,529	$	4,578,450
Segment operating income (loss):
Corporate clinics	$	(931,366)	$	(60,022)	$	(1,331,630)	$	345,657
Franchise operations	5,139,006		5,195,558		13,913,150		11,606,763
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Reconciliation of total segment operating income to consolidated earnings before income taxes:
Total segment operating income	$	4,207,640	$	5,135,536	$	12,581,520	$	11,952,420
Unallocated corporate	(5,105,687)		(4,403,220)		(14,507,231)		(12,589,279)
Consolidated (loss) income from operations	(898,047)		732,316		(1,925,711)		(636,859)
Other income (expense), net	(6,244)		(25,235)		3,708,399		(60,668)
(Loss) income before income tax benefit	$	(904,291)	$	707,081	$	1,782,688	$	(697,527)

Schedule of Reconciliation of Assets from Segment to Consolidated

Segment assets:	September 30, 2023		December 31, 2022
			(as restated)
Corporate clinics	$	54,861,935	$	56,008,234
Franchise operations	12,299,470		12,360,878
Total segment assets	67,161,405		68,369,112
Unallocated cash and cash equivalents	17,142,353		10,550,417
Unallocated property and equipment	708,471		915,216
Other unallocated assets	13,560,397		13,655,632
Total assets	$	98,572,626	$	93,490,377

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Supplemental cash flow disclosures (Details) - USD ($)	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Interest	$ 163,334	$ 43,938
Income taxes	468,289	69,274
Unpaid purchases of property and equipment	155,340	225,967
Non-cash investment in acquisition of franchised clinics	16,493,108		$ 16,629,735
Franchise Fees Collected Upon Franchise Agreement
Non-cash investment in acquisition of franchised clinics	$ 28,997	$ 115,372

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Nature of Operations and Summary of Significant Accounting Policies - Restatement of Previously Issued Interim Consolidated Financial Statements (Unaudited and Restated) (Details) - USD ($)	3 Months Ended						9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Dec. 31, 2021
ASSETS
Intangible assets, net	$ 8,623,115			$ 8,037,766			$ 8,623,115	$ 8,037,766	$ 10,928,295
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)	11,741,090			12,448,558			11,741,090	12,448,558	11,928,152
Total assets	98,572,626			89,499,985			98,572,626	89,499,985	93,490,377
Current liabilities:
Deferred franchise and regional development fee revenue, current portion				0				0
Deferred franchise revenue, current portion	2,512,350			2,410,951			2,512,350	2,410,951	2,468,601
Upfront regional developer fees, current portion	383,972			564,042			383,972	564,042	487,250
Other current liabilities	516,249			596,033			516,249	596,033	597,294
Total current liabilities	27,674,539			21,711,239			27,674,539	21,711,239	23,217,017
Deferred franchise and regional development fee revenue, net of current portion				0				0
Deferred franchise revenue, net of current portion	13,980,758			13,870,401			13,980,758	13,870,401	14,161,134
Upfront regional developer fees, net of current portion	1,099,718			1,733,779			1,099,718	1,733,779	1,500,278
Other liabilities ($1.3 million and $1.3 million attributable to VIE)	1,287,880			1,189,837			1,287,880	1,189,837	1,287,879
Total liabilities	63,287,531			58,002,065			63,287,531	58,002,065	60,902,534
Stockholders' equity:
Accumulated deficit	(10,863,978)			(12,916,636)			(10,863,978)	(12,916,636)	(12,153,380)
Total The Joint Corp. stockholders' equity	35,260,095			31,472,920			35,260,095	31,472,920	32,562,843
Total equity	35,285,095	$ 35,476,494	$ 35,316,037	31,497,920	$ 30,215,859	$ 30,683,485	35,285,095	31,497,920	32,587,843	$ 30,308,684
Total liabilities and stockholders' equity	98,572,626			89,499,985			98,572,626	89,499,985	93,490,377
Revenues:
Total revenues	29,473,949			26,449,819			87,081,953	73,573,933
Cost of revenues:
Total cost of revenues	2,604,100			2,337,095			7,674,296	6,705,169
Depreciation and amortization	2,349,206			1,779,924			6,893,529	4,578,450
General and administrative expenses	20,212,750			17,796,806			60,156,022	51,900,533
Total selling, general and administrative expenses	26,862,973			23,116,017			80,218,630	67,145,483
Loss from operations	(898,047)			732,316			(1,925,711)	(636,859)
Income before income tax expense (benefit)	(904,291)			707,081			1,782,688	(697,527)
Income tax (benefit) expense	(188,018)			(24,015)			493,286	(560,976)
Net income	$ (716,273)	(320,489)	2,326,164	$ 731,096	(871,867)	4,220	$ 1,289,402	$ (136,551)
Earnings per share:
Basic earnings (loss) per share (in dollars per share)	$ (0.05)			$ 0.05			$ 0.09	$ (0.01)
Diluted earnings (loss) per share (in dollars per share)	$ (0.05)			$ 0.05			$ 0.09	$ (0.01)
Statement of Stockholders' Equity [Abstract]
Total equity	$ 35,285,095	35,476,494	35,316,037	$ 31,497,920	30,215,859	30,683,485	$ 35,285,095	$ 31,497,920	32,587,843	30,308,684
Cash flows from operating activities:
Net income (loss)	(716,273)	(320,489)	2,326,164	731,096	(871,867)	4,220	1,289,402	(136,551)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	2,349,206			1,779,924			6,893,529	4,578,450
Deferred income taxes							187,062	(961,759)
Changes in operating assets and liabilities, net of acquisitions:
Upfront regional developer fees							(496,730)	(977,841)
Deferred revenue							(551,226)	1,161,393
Other liabilities							34,638	728,449
Net cash provided by (used in) operating activities							11,294,757	3,032,415
Cash flows from investing activities:
Reacquisition and termination of regional developer rights								0
Net cash used in investing activities							(4,883,148)	(12,288,929)
Decrease in cash							6,591,936	(8,944,196)
Accumulated Deficit
Stockholders' equity:
Total equity	(10,863,978)	(10,147,705)	(9,827,216)	(12,916,636)	(13,647,732)	(12,775,865)	(10,863,978)	(12,916,636)	(12,153,380)	(12,780,085)
Cost of revenues:
Net income	(716,273)	(320,489)	2,326,164	731,096	(871,867)	4,220
Statement of Stockholders' Equity [Abstract]
Total equity	(10,863,978)	(10,147,705)	(9,827,216)	(12,916,636)	(13,647,732)	(12,775,865)	(10,863,978)	(12,916,636)	(12,153,380)	(12,780,085)
Cash flows from operating activities:
Net income (loss)	(716,273)	(320,489)	2,326,164	731,096	(871,867)	4,220
Total The Joint Corp. stockholders' equity
Stockholders' equity:
Total equity	35,260,095	35,451,494	35,291,037	31,472,920	30,190,859	30,658,485	35,260,095	31,472,920	32,562,843	30,283,684
Cost of revenues:
Net income	(716,273)	(320,489)	2,326,164	731,096	(871,867)	4,220
Statement of Stockholders' Equity [Abstract]
Total equity	35,260,095	35,451,494	35,291,037	31,472,920	30,190,859	30,658,485	35,260,095	31,472,920	$ 32,562,843	30,283,684
Cash flows from operating activities:
Net income (loss)	(716,273)	$ (320,489)	$ 2,326,164	731,096	(871,867)	4,220
Regional developer fees
Revenues:
Total revenues				0				0
Franchise fees/Franchise and regional development cost of revenues
Revenues:
Total revenues	754,029			642,405			2,179,822	1,970,256
Cost of revenues:
Cost of revenues	$ 2,228,689			1,988,764			$ 6,605,964	5,694,723
As Previously Reported
ASSETS
Intangible assets, net				10,162,506				10,162,506
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)				9,115,231				9,115,231
Total assets				88,291,398				88,291,398
Current liabilities:
Deferred franchise and regional development fee revenue, current portion				2,974,993				2,974,993
Deferred franchise revenue, current portion				0				0
Upfront regional developer fees, current portion				0				0
Other current liabilities				522,500				522,500
Total current liabilities				21,637,706				21,637,706
Deferred franchise and regional development fee revenue, net of current portion				15,604,180				15,604,180
Deferred franchise revenue, net of current portion				0				0
Upfront regional developer fees, net of current portion				0				0
Other liabilities ($1.3 million and $1.3 million attributable to VIE)				27,230				27,230
Total liabilities				56,765,925				56,765,925
Stockholders' equity:
Accumulated deficit				(12,889,083)				(12,889,083)
Total The Joint Corp. stockholders' equity				31,500,473				31,500,473
Total equity				31,525,473	30,483,395	29,734,412		31,525,473		29,569,627
Total liabilities and stockholders' equity				88,291,398				88,291,398
Revenues:
Total revenues				26,603,000				74,098,856
Cost of revenues:
Total cost of revenues				2,490,276				7,230,092
Depreciation and amortization				2,011,768				5,341,420
General and administrative expenses				17,796,806				49,703,451
Total selling, general and administrative expenses				23,347,861				65,711,371
Loss from operations				500,472				797,253
Income before income tax expense (benefit)				475,237				736,585
Income tax (benefit) expense				(15,876)				106,527
Net income				$ 491,113				$ 630,058
Earnings per share:
Basic earnings (loss) per share (in dollars per share)				$ 0.03				$ 0.04
Diluted earnings (loss) per share (in dollars per share)				$ 0.03				$ 0.04
Statement of Stockholders' Equity [Abstract]
Total equity				$ 31,525,473	30,483,395	29,734,412		$ 31,525,473		29,569,627
Cash flows from operating activities:
Net income (loss)				491,113				630,058
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization				2,011,768				5,341,420
Deferred income taxes								73,403
Changes in operating assets and liabilities, net of acquisitions:
Upfront regional developer fees								0
Deferred revenue								636,470
Other liabilities								360,790
Net cash provided by (used in) operating activities								5,682,415
Cash flows from investing activities:
Reacquisition and termination of regional developer rights								(2,650,000)
Net cash used in investing activities								(14,938,929)
Decrease in cash								(8,944,196)
As Previously Reported | Accumulated Deficit
Stockholders' equity:
Total equity				(12,889,083)	(13,380,196)	(13,724,938)		(12,889,083)		(13,519,142)
Statement of Stockholders' Equity [Abstract]
Total equity				(12,889,083)	(13,380,196)	(13,724,938)		(12,889,083)		(13,519,142)
As Previously Reported | Total The Joint Corp. stockholders' equity
Stockholders' equity:
Total equity				31,500,473	30,458,395	29,709,412		31,500,473		29,544,627
Statement of Stockholders' Equity [Abstract]
Total equity				31,500,473	30,458,395	29,709,412		31,500,473		29,544,627
As Previously Reported | Regional developer fees
Revenues:
Total revenues				153,181				524,923
As Previously Reported | Franchise fees/Franchise and regional development cost of revenues
Cost of revenues:
Cost of revenues				2,141,945				6,219,646
Adjustments
ASSETS
Intangible assets, net				(2,124,740)				(2,124,740)
Deferred tax assets ($1.0 million and $1.0 million attributable to VIE)				3,333,327				3,333,327
Total assets				1,208,587				1,208,587
Current liabilities:
Deferred franchise and regional development fee revenue, current portion				(2,974,993)				(2,974,993)
Deferred franchise revenue, current portion				2,410,951				2,410,951
Upfront regional developer fees, current portion				564,042				564,042
Other current liabilities				73,533				73,533
Total current liabilities				73,533				73,533
Deferred franchise and regional development fee revenue, net of current portion				(15,604,180)				(15,604,180)
Deferred franchise revenue, net of current portion				13,870,401				13,870,401
Upfront regional developer fees, net of current portion				1,733,779				1,733,779
Other liabilities ($1.3 million and $1.3 million attributable to VIE)				1,162,607				1,162,607
Total liabilities				1,236,140				1,236,140
Stockholders' equity:
Accumulated deficit				(27,553)				(27,553)
Total The Joint Corp. stockholders' equity				(27,553)				(27,553)
Total equity				(27,553)	(267,537)	949,073		(27,553)		739,057
Total liabilities and stockholders' equity				1,208,587				1,208,587
Revenues:
Total revenues				(153,181)				(524,923)
Cost of revenues:
Total cost of revenues				(153,181)				(524,923)
Depreciation and amortization				(231,844)				(762,970)
General and administrative expenses				0				2,197,082
Total selling, general and administrative expenses				(231,844)				1,434,112
Loss from operations				231,844				(1,434,112)
Income before income tax expense (benefit)				231,844				(1,434,112)
Income tax (benefit) expense				(8,139)				(667,503)
Net income				$ 239,983				$ (766,609)
Earnings per share:
Basic earnings (loss) per share (in dollars per share)				$ 0.02				$ (0.05)
Diluted earnings (loss) per share (in dollars per share)				$ 0.02				$ (0.05)
Statement of Stockholders' Equity [Abstract]
Total equity				$ (27,553)	(267,537)	949,073		$ (27,553)		739,057
Cash flows from operating activities:
Net income (loss)				239,983				(766,609)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization				(231,844)				(762,970)
Deferred income taxes								(1,035,162)
Changes in operating assets and liabilities, net of acquisitions:
Upfront regional developer fees								(977,841)
Deferred revenue								524,923
Other liabilities								367,659
Net cash provided by (used in) operating activities								(2,650,000)
Cash flows from investing activities:
Reacquisition and termination of regional developer rights								2,650,000
Net cash used in investing activities								2,650,000
Decrease in cash								0
Adjustments | Accumulated Deficit
Stockholders' equity:
Total equity				(27,553)	(267,537)	949,073		(27,553)		739,057
Statement of Stockholders' Equity [Abstract]
Total equity				(27,553)	(267,537)	949,073		(27,553)		739,057
Adjustments | Total The Joint Corp. stockholders' equity
Stockholders' equity:
Total equity				(27,553)	(267,537)	949,073		(27,553)		739,057
Statement of Stockholders' Equity [Abstract]
Total equity				(27,553)	$ (267,537)	$ 949,073		(27,553)		$ 739,057
Adjustments | Regional developer fees
Revenues:
Total revenues				(153,181)				(524,923)
Adjustments | Franchise fees/Franchise and regional development cost of revenues
Cost of revenues:
Cost of revenues				$ (153,181)				$ (524,923)

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Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details) - clinic	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]
Closed during the period			(2)	0
Clinics in operation at the end of the period	914	805	914	805
Clinic licenses sold but not yet developed	155	212	155	212
Licenses for future clinics subject to executed letters of intent	42	40	42	40
Franchised Clinics
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]
Clinics open at beginning of period	756	662	712	610
Opened during the period	24	33	76	91
Acquired during the period	0	1	0	1
Sold during the period	0	(4)	(3)	(8)
Closed during the period	(2)	(2)	(7)	(4)
Clinics in operation at the end of the period	778	690	778	690
Company-Owned or Managed Clinics
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]
Clinics open at beginning of period	134	107	126	96
Opened during the period	2	5	9	12
Acquired during the period	0	4	3	8
Sold during the period	0	(1)	0	(1)
Closed during the period	0	0
Clinics in operation at the end of the period	136	115	136	115

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Nature of Operations and Summary of Significant Accounting Policies - Narrative (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($) option clinic corporation	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) option clinic corporation	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Product Information [Line Items]
Number of professional corporations | corporation	4		4
Payroll liabilities	$ 3,875,453		$ 3,875,453		$ 2,030,510
Deferred franchise revenue, current portion	2,512,350	$ 2,410,951	2,512,350	$ 2,410,951	2,468,601
Cash equivalents	0		0		0
Allowance for credit losses	0		0		0
Loss on disposal	$ 68,200	23,554	$ 217,810	119,303
Number of lease renewal options | option	1		1
Impairments of long-lived assets	$ 80,000	250,000	$ 80,000	250,000
Operating lease right-of-use asset	$ 19,803,896		$ 19,803,896		20,587,199
Number of clinics sold | clinic	16		16
Percentage of franchise royalty sales			7.00%
Marketing fee percentage			2.00%
Initial term of franchise agreement			10 years
Percentage royalty of sales generated by franchised clinics			3.00%
Advertising costs	$ 1,796,865	1,444,783	$ 5,375,156	3,763,351
Disposal Group, Held-for-sale, Not Discontinued Operations
Product Information [Line Items]
Property and equipment, net	2,153,454		2,153,454
Operating lease right-of-use asset	2,204,293		2,204,293
Operating lease liability, current and non-current	2,585,642		2,585,642
Deferred revenue from company clinics	386,291		386,291
Estimated loss valuation allowance	756,228		816,429
Estimate of Fair Value Measurement
Product Information [Line Items]
Operating lease right-of-use asset	$ 0	$ 0	$ 0	$ 0
Minimum
Product Information [Line Items]
Property and equipment, useful life	3 years		3 years
Maximum
Product Information [Line Items]
Property and equipment, useful life	10 years		10 years
Variable Interest Entity, Primary Beneficiary
Product Information [Line Items]
Payroll liabilities	$ 952,854		$ 952,854		586,960
Deferred franchise revenue, current portion	$ 4,553,228		$ 4,553,228		$ 4,702,044
NORTH CAROLINA
Product Information [Line Items]
Number of professional corporations | corporation	1		1

XML

Nature of Operations and Summary of Significant Accounting Policies - Revenue (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Variable Interest Entity [Line Items]
Total revenues	$ 29,473,949	$ 26,449,819	$ 87,081,953	$ 73,573,933
General and administrative expenses	20,212,750	17,796,806	60,156,022	51,900,533
Variable Interest Entity
Variable Interest Entity [Line Items]
Total revenues	10,688,500	9,150,103	30,997,617	25,433,407
General and administrative expenses	$ 4,525,305	$ 4,079,552	$ 13,614,211	$ 11,212,760

XML

Nature of Operations and Summary of Significant Accounting Policies - VIEs' Payroll Liability (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Product Information [Line Items]
Payroll liabilities	$ 3,875,453	$ 2,030,510
Deferred franchise revenue, current portion	2,512,350	2,468,601	$ 2,410,951
Variable Interest Entity, Primary Beneficiary
Product Information [Line Items]
Payroll liabilities	952,854	586,960
Deferred franchise revenue, current portion	$ 4,553,228	$ 4,702,044

XML

Nature of Operations and Summary of Significant Accounting Policies - Earnings per Common Share (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Product Information [Line Items]
Net income (loss)	$ (716,273)	$ 731,096	$ 1,289,402	$ (136,551)
Weighted average common shares outstanding - basic (in shares)	14,790,663	14,512,856	14,666,222	14,474,323
Effect of dilutive securities:
Unvested restricted stock and stock options (in shares)	225,290	316,773	265,252	644,941
Weighted average common shares outstanding - diluted (in shares)	15,015,953	14,829,629	14,931,474	15,119,264
Basic earnings (loss) per share (in dollars per share)	$ (0.05)	$ 0.05	$ 0.09	$ (0.01)
Diluted earnings (loss) per share (in dollars per share)	$ (0.05)	$ 0.05	$ 0.09	$ (0.01)
Restricted stocks
Effect of dilutive securities:
Weighted average dilutive securities (in shares)	0	0	0	0
Stock options
Effect of dilutive securities:
Weighted average dilutive securities (in shares)	121,699	77,485	89,883	41,293

XML

Revenue Disclosures - Narrative (Details)	Sep. 30, 2023 state
Revenue from Contract with Customer [Abstract]
Franchises, number of states and district	41

XML

Revenue Disclosures - Disaggregation of Revenue (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Disaggregation of Revenue [Line Items]
Total revenues	$ 29,473,949	$ 26,449,819	$ 87,081,953	$ 73,573,933
Transferred at Point in Time
Disaggregation of Revenue [Line Items]
Total revenues	27,418,343	24,697,661	81,155,737	68,436,945
Transferred over Time
Disaggregation of Revenue [Line Items]
Total revenues	$ 2,055,606	$ 1,752,158	$ 5,926,216	$ 5,136,988

XML

Revenue Disclosures - Changes in Contract Assets and Contract Liabilities (Details)	9 Months Ended
	Sep. 30, 2023 USD ($)
Deferred Revenue from company clinics
Balance, beginning	$ 7,471,549
Revenue recognized that was included in the contract liability at the beginning of the year	(5,959,308)
nine months ended September 30, 2023	5,026,472
Balance, ending	6,538,713
Deferred Revenue short and long-term
Balance, beginning	16,629,735
Revenue recognized that was included in the contract liability at the beginning of the year	(2,042,823)
nine months ended September 30, 2023	1,906,196
Balance, ending	16,493,108
Deferred Franchise and Development Costs short and long-term
Balance, beginning	6,761,738
Cost of revenue recognized that was included in the contract asset at the beginning of the year	(863,619)
nine months ended September 30, 2022	566,339
Balance, ending	$ 6,464,458

XML

Revenue Disclosures - Schedule of Contract Liabilities Expected to be Recognized (Details)	Sep. 30, 2023 USD ($)
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 16,493,108
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-10-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 643,492
Revenue expected to be recognized, period	3 months
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-01-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 2,495,683
Revenue expected to be recognized, period	1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2025-01-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 2,358,322
Revenue expected to be recognized, period	1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2026-01-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 2,264,085
Revenue expected to be recognized, period	1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2027-01-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 2,190,960
Revenue expected to be recognized, period	1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2028-01-01
Disaggregation of Revenue [Line Items]
Revenue expected to be recognized, amount	$ 6,540,566
Revenue expected to be recognized, period

XML

Acquisition and Assets Held for Sale - Narrative (Details)					3 Months Ended		9 Months Ended
	May 22, 2023 USD ($) clinic	Jul. 29, 2022 USD ($) franchise	Jul. 05, 2022 USD ($) franchise	May 19, 2022 USD ($) franchise	Dec. 31, 2023 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2023 USD ($)	Oct. 31, 2023 USD ($)	Jun. 30, 2023 USD ($)	May 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	May 31, 2022 USD ($)
Business Acquisition [Line Items]
Non-cash investment in acquisition of franchised clinics						$ 16,493,108	$ 16,493,108				$ 16,629,735
Disposal Group, Held-for-sale, Not Discontinued Operations
Business Acquisition [Line Items]
Total consideration									$ 100,000
Estimated loss valuation allowance						$ 756,228	$ 816,429
Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Managed Clinics
Business Acquisition [Line Items]
Sale and classified as held for sale Clinics, percentage						0.10	0.10
Estimated fair value						$ 1,600,000	$ 1,600,000
Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Subsequent Event | Managed Clinics
Business Acquisition [Line Items]
Total consideration								$ 185,000
Sale and classified as held for sale Clinics, percentage								0.10
Reacquired franchise rights | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life		4 years
Customer relationships | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life		4 years
Asset and Franchise Purchase Agreement, Arizona
Business Acquisition [Line Items]
Number of businesses acquired | franchise			1	4
Purchase price			$ 1,205,667	$ 5,761,256
Non-cash investment in acquisition of franchised clinics			13,241	70,484
Net purchase consideration			$ 1,192,426	5,690,772
Intangible assets				3,689,100
Asset and Franchise Purchase Agreement, Arizona | Reacquired franchise rights
Business Acquisition [Line Items]
Intangible assets				$ 2,892,100								$ 2,400,000
Asset and Franchise Purchase Agreement, Arizona | Reacquired franchise rights | Minimum
Business Acquisition [Line Items]
Intangible assets, useful life				4 years
Asset and Franchise Purchase Agreement, Arizona | Reacquired franchise rights | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life				8 years
Asset and Franchise Purchase Agreement, Arizona | Customer relationships
Business Acquisition [Line Items]
Intangible assets				$ 797,000								$ 500,000
Asset and Franchise Purchase Agreement, Arizona | Customer relationships | Minimum
Business Acquisition [Line Items]
Intangible assets, useful life				2 years
Asset and Franchise Purchase Agreement, Arizona | Customer relationships | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life				3 years
Asset and Franchise Purchase Agreement, North Carolina
Business Acquisition [Line Items]
Number of businesses acquired | franchise		3
Purchase price		$ 1,317,312
Non-cash investment in acquisition of franchised clinics		31,647
Net purchase consideration		1,285,665
Intangible assets		1,299,607
Asset and Franchise Purchase Agreement, North Carolina | Reacquired franchise rights
Business Acquisition [Line Items]
Intangible assets		$ 546,033
Asset and Franchise Purchase Agreement, North Carolina | Reacquired franchise rights | Minimum
Business Acquisition [Line Items]
Intangible assets, useful life		2 years
Asset and Franchise Purchase Agreement, North Carolina | Customer relationships
Business Acquisition [Line Items]
Intangible assets		$ 426,489
Asset and Franchise Purchase Agreement, North Carolina | Customer relationships | Minimum
Business Acquisition [Line Items]
Intangible assets, useful life		3 years
Asset and Franchise Purchase Agreement, North Carolina | Assembled workforce
Business Acquisition [Line Items]
Intangible assets		$ 327,085
Intangible assets, useful life		2 years
Asset and Franchise Purchase Agreement, California
Business Acquisition [Line Items]
Number of businesses acquired | clinic	3
Purchase price	$ 1,188,764
Non-cash investment in acquisition of franchised clinics	28,997
Net purchase consideration	1,159,767
Intangible assets	$ 1,004,513
Asset and Franchise Purchase Agreement, California | Subsequent Event
Business Acquisition [Line Items]
Purchase price					$ 109,767
Asset and Franchise Purchase Agreement, California | Reacquired franchise rights
Business Acquisition [Line Items]
Intangible assets										$ 700,000
Asset and Franchise Purchase Agreement, California | Reacquired franchise rights | Minimum
Business Acquisition [Line Items]
Intangible assets, useful life	6 years
Asset and Franchise Purchase Agreement, California | Reacquired franchise rights | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life	7 years
Asset and Franchise Purchase Agreement, California | Customer relationships
Business Acquisition [Line Items]
Intangible assets				$ 100,000						100,000
Asset and Franchise Purchase Agreement, California | Customer relationships | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life	2 years
Asset and Franchise Purchase Agreement, California | Assembled workforce
Business Acquisition [Line Items]
Intangible assets										$ 200,000
Asset and Franchise Purchase Agreement, California | Assembled workforce | Maximum
Business Acquisition [Line Items]
Intangible assets, useful life	2 years

XML

Acquisition and Assets Held for Sale - Assets Acquired and Liabilities Assumed (Details) - USD ($)	Sep. 30, 2023	May 22, 2023	Dec. 31, 2022	Jul. 29, 2022	May 19, 2022
Business Acquisition [Line Items]
Goodwill	$ 8,448,893		$ 8,493,407
Asset and Franchise Purchase Agreement, California
Business Acquisition [Line Items]
Property and equipment		$ 313,995
Operating lease right-of-use asset		317,662
Intangible assets		1,004,513
Total identifiable assets acquired		1,636,170
Deferred revenue		(158,365)
Operating lease liability - current portion		(118,081)
Operating lease liability - net of current portion		(199,957)
Net purchase consideration		$ 1,159,767
Asset and Franchise Purchase Agreement, Arizona
Business Acquisition [Line Items]
Property and equipment					$ 241,511
Operating lease right-of-use asset					912,937
Intangible assets					3,689,100
Total identifiable assets acquired					4,843,548
Goodwill					3,408,205
Deferred revenue					(455,317)
Operating lease liability - current portion					(128,516)
Operating lease liability - net of current portion					(784,722)
Net purchase consideration					$ 6,883,198
Asset and Franchise Purchase Agreement, North Carolina
Business Acquisition [Line Items]
Property and equipment				$ 142,395
Operating lease right-of-use asset				122,641
Intangible assets				1,299,607
Total identifiable assets acquired				1,564,643
Deferred revenue				(153,176)
Operating lease liability - current portion				(85,414)
Operating lease liability - net of current portion				(40,388)
Net purchase consideration				$ 1,285,665

XML

Acquisition and Assets Held for Sale - Unaudited Pro Forma Information (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Assets and Franchise Agreement
Business Acquisition [Line Items]
Revenues, net	$ 29,473,949	$ 26,905,560	$ 87,820,694	$ 76,866,953
Net income	(703,681)	$ 697,316	1,290,407	$ (491,325)
Asset and Franchise Purchase Agreement, California
Business Acquisition [Line Items]
Revenues, net	375,625		544,344
Net income	$ 41,847		$ 80,936

XML

Acquisition and Assets Held for Sale - Assets and Liabilities Held For Sale (Details) - Disposal Group, Held-for-sale, Not Discontinued Operations	Sep. 30, 2023 USD ($)
Assets
Property and equipment, net	$ 2,153,454
Operating lease right-of-use asset	2,204,293
Intangible assets, net	386,280
Goodwill	44,515
Valuation allowance	(816,429)
Total assets held for sale	3,972,113
Liabilities
Operating lease liability, current and non-current	2,585,642
Deferred revenue from company clinics	386,291
Total liabilities to be disposed of	$ 2,971,933

XML

Property and Equipment - Summary of Property and Equipment (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Finance lease assets	$ 151,396	$ 151,396
Property and equipment, net	15,355,755	17,475,152
Construction in progress	1,043,629	1,104,349
Office and computer equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	5,693,432	5,207,833
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	18,625,522	17,842,901
Software developed
Property, Plant and Equipment [Line Items]
Property and equipment, gross	6,048,742	5,843,758
Finance lease assets
Property, Plant and Equipment [Line Items]
Finance lease assets	151,396	151,396
Property Plant and Equipment, Excluding Construction in Progress
Property, Plant and Equipment [Line Items]
Property and equipment, gross	30,519,092	29,045,888
Accumulated depreciation and amortization	(16,206,966)	(12,675,085)
Property and equipment, net	$ 14,312,126	$ 16,370,803

XML

Property and Equipment - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 1,381,170	$ 1,046,495	$ 4,027,906	$ 2,866,737
Amortization of assets	$ 7,570	$ 7,570	$ 22,709	$ 48,001

XML

Fair Value Measurements (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Impairments of long-lived assets	$ 80,000	$ 250,000	$ 80,000	$ 250,000
Operating lease right-of-use asset	19,803,896		19,803,896		$ 20,587,199
Operating lease liability, life		39 months		39 months
Disposal Group, Held-for-sale, Not Discontinued Operations
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Estimated loss valuation allowance	756,228		816,429
Property and equipment, net	2,153,454		2,153,454
Intangible assets, net	386,280		386,280
Goodwill	44,515		44,515
Operating lease right-of-use asset	2,204,293		2,204,293
Operating lease liability, current and non-current	2,585,642		2,585,642
Deferred revenue from company clinics	386,291		386,291
Estimate of Fair Value Measurement
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Operating lease right-of-use asset	$ 0	$ 0	$ 0	$ 0

XML

Intangible Assets - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	May 31, 2023	May 22, 2023	May 31, 2022	May 19, 2022
Finite-Lived Intangible Assets [Line Items]
Amortization expense	$ 960,466	$ 725,859	$ 2,842,914	$ 1,663,712
Asset and Franchise Purchase Agreement, Arizona
Finite-Lived Intangible Assets [Line Items]
Intangible assets								$ 3,689,100
Asset and Franchise Purchase Agreement, Arizona | Reacquired franchise rights
Finite-Lived Intangible Assets [Line Items]
Intangible assets							$ 2,400,000	2,892,100
Asset and Franchise Purchase Agreement, Arizona | Customer relationships
Finite-Lived Intangible Assets [Line Items]
Intangible assets							$ 500,000	797,000
Asset and Franchise Purchase Agreement, California
Finite-Lived Intangible Assets [Line Items]
Intangible assets						$ 1,004,513
Asset and Franchise Purchase Agreement, California | Reacquired franchise rights
Finite-Lived Intangible Assets [Line Items]
Intangible assets					$ 700,000
Asset and Franchise Purchase Agreement, California | Customer relationships
Finite-Lived Intangible Assets [Line Items]
Intangible assets					100,000			$ 100,000
Asset and Franchise Purchase Agreement, California | Assembled workforce
Finite-Lived Intangible Assets [Line Items]
Intangible assets					$ 200,000

XML

Intangible Assets - Intangible Assets Acquired (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 18,296,853	$ 18,172,096
Accumulated Amortization	(9,673,738)	(7,243,801)
Total	8,623,115	10,928,295
Reacquired franchise rights
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	12,924,858	12,881,894
Accumulated Amortization	(6,069,013)	(4,755,286)
Total	6,855,845	8,126,608
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	4,306,684	4,330,365
Accumulated Amortization	(3,126,081)	(2,352,500)
Total	1,180,603	1,977,865
Assembled workforce
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,065,311	959,837
Accumulated Amortization	(478,644)	(136,015)
Total	$ 586,667	$ 823,822

XML

Intangible Assets - Estimated Amortization Expense (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]
2023 (remainder)	$ 901,345
2024	2,675,174
2025	1,602,969
2026	1,272,426
2027	717,394
Thereafter	1,453,807
Total	$ 8,623,115	$ 10,928,295

XML

Debt (Details) - Line of Credit - USD ($)		9 Months Ended
	Feb. 28, 2022	Sep. 30, 2023	Feb. 28, 2020
Senior Secured Credit Facilities | Secured Debt
Debt Instrument [Line Items]
Maximum borrowing capacity			$ 7,500,000
Maximum borrowing capacity, additional amount	$ 2,500,000		2,500,000
Senior Secured Credit Facilities | Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity	2,000,000
Debt instrument, face amount			2,000,000
Interest rate on funds borrowed under the revolver		709.00%
Proceeds from lines of credit		$ 2,000,000
Senior Secured Credit Facilities | Development Line of Credit
Debt Instrument [Line Items]
Debt instrument, face amount			5,500,000
Termination of development line of credit	5,500,000
Senior Secured Credit Facilities | Letter of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity	1,000,000		$ 1,000,000
2022 Credit Facility | Secured Debt
Debt Instrument [Line Items]
Maximum borrowing capacity, additional amount	30,000,000
2022 Credit Facility | Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 20,000,000
2022 Credit Facility | Revolving Credit Facility | Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate | Minimum
Debt Instrument [Line Items]
Basis spread on variable rate	0.10%
2022 Credit Facility | Revolving Credit Facility | Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate | Maximum
Debt Instrument [Line Items]
Basis spread on variable rate	1.75%
2022 Credit Facility | Revolving Credit Facility | Base Rate
Debt Instrument [Line Items]
Basis spread on variable rate	1.00%
2022 Credit Facility | Revolving Credit Facility | Federal Reserve Bank Of New York Rate
Debt Instrument [Line Items]
Basis spread on variable rate	0.50%
2022 Credit Facility | Letter of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 5,000,000

XML

Stock-Based Compensation  - Narrative (Details)		3 Months Ended		9 Months Ended
	May 25, 2023 installment shares	Sep. 30, 2023 USD ($) installment	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) installment shares	Sep. 30, 2022 USD ($)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Forecasted turnover percentage		5.00%		5.00%
Stock options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting term				4 years
Contractual term				10 years
Forecasted turnover percentage		5.00%		5.00%
Stock-based compensation expense | $		$ 85,366	$ 113,324	$ 235,972	$ 420,680
Restricted stocks
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense | $		$ 440,703	$ 192,491	$ 973,324	$ 548,882
Number of installments | installment		4		4
Granted (in shares) | shares				204,122
Restricted stocks | Certain High Performing Employees
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting term	1 year
Number of installments | installment	1
Granted (in shares) | shares	51,401

XML

Stock-Based Compensation  - Stock Options Activity (Details) - Stock options	9 Months Ended	12 Months Ended
	Sep. 30, 2023 $ / shares shares	Dec. 31, 2022 $ / shares shares
Number of Shares
Outstanding, beginning (in shares) | shares	531,923
Granted (in shares) | shares	0
Exercised (in shares) | shares	(25,623)
Forfeited (in shares) | shares	(7,375)
Expired (in shares) | shares	(12,591)
Outstanding, ending (in shares) | shares	486,334	531,923
Exercisable (in shares) | shares	453,194
Weighted Average Exercise Price
Outstanding, beginning (in dollars per share) | $ / shares	$ 9.20
Granted (in dollars per share) | $ / shares	0
Exercised (in dollars per share) | $ / shares	7.90
Forfeited (in dollars per share) | $ / shares	28.58
Expired (in dollars per share) | $ / shares	13.07
Outstanding, ending (in dollars per share) | $ / shares	8.88	$ 9.20
Exercisable (in dollars per share) | $ / shares	$ 7.29
Outstanding, weighted average remaining contractual life (in years)	3 years 10 months 24 days	4 years 8 months 12 days
Exercisable, weighted average remaining contractual life (in years)	3 years 8 months 12 days

XML

Stock-Based Compensation  - Restricted Stock Activity (Details) - Restricted stocks	9 Months Ended
	Sep. 30, 2023 $ / shares shares
Shares
Unvested, beginning (in shares) | shares	70,312
Granted (in shares) | shares	204,122
vested (in shares) | shares	(33,782)
Forfeited (in shares) | shares	(6,010)
Unvested, ending (in shares) | shares	234,642
Weighted Average Grant-Date Fair Value per Award
Non-vested, beginning (in dollars per share) | $ / shares	$ 29.05
Granted (in dollar per share) | $ / shares	14.54
Vested (in dollars per share) | $ / shares	21.95
Forfeited (in dollars per share) | $ / shares	34.43
Non-vested, ending (in dollars per share) | $ / shares	$ 18.88

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Income Taxes (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Tax Disclosure [Abstract]
Income tax (benefit) expense	$ (188,018)	$ (24,015)	$ 493,286	$ (560,976)

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Commitments and Contingencies - Lease Expense and Supplemental Information (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Finance lease costs:
Amortization of assets	$ 7,570	$ 7,570	$ 22,709	$ 48,001
Interest on lease liabilities	760	1,015	2,473	3,564
Total finance lease costs	8,330	8,585	25,182	51,565
Operating lease costs	1,633,469	1,426,010	4,910,181	4,138,801
Total lease costs	1,641,799	$ 1,434,595	4,935,363	4,190,366
Operating Leases:
Operating lease right-of-use asset	19,803,896		19,803,896		$ 20,587,199
Operating lease liability, current portion	5,392,944		5,392,944		5,295,830
Operating lease liability - net of current portion	17,200,146		17,200,146		18,672,719
Total operating lease liability	22,593,090		22,593,090		23,968,549
Finance Leases:
Property and equipment, at cost	151,396		151,396		151,396
Less accumulated amortization	(110,362)		(110,362)		(87,652)
Property and equipment, net	41,034		41,034		63,744
Finance lease liability, current portion	25,223		25,223		24,433
Finance lease liability, net of current portion	44,490		44,490		63,507
Total finance lease liabilities	$ 69,713		$ 69,713		$ 87,940
Weighted average remaining lease term (in years):
Operating leases	5 years 1 month 6 days		5 years 1 month 6 days		5 years 4 months 24 days
Finance lease	2 years 7 months 6 days		2 years 7 months 6 days		3 years 4 months 24 days
Weighted average discount rate:
Operating leases	5.10%		5.10%		4.80%
Finance leases	4.30%		4.30%		4.30%
Cash paid for amounts included in measurement of liabilities:
Operating cash flows from operating leases			$ 5,263,092	4,309,229
Operating cash flows from finance leases			2,473	3,564
Financing cash flows from finance leases			18,227	43,907
Non-cash transactions: ROU assets obtained in exchange for lease liabilities
Operating lease			4,287,622	4,402,229
Finance lease			$ 0	$ 0

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Commitments and Contingencies - Maturities of Lease Liabilities (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Operating Leases
2023 (remainder)	$ 1,633,006
2024	6,236,923
2025	5,592,674
2026	3,979,181
2027	3,099,193
Thereafter	5,193,199
Total lease payments	25,734,176
Less: Imputed interest	(3,141,086)
Total operating lease liability	22,593,090	$ 23,968,549
Less: Current obligations	(5,392,944)	(5,295,830)
Long-term lease obligation	17,200,146	18,672,719
Finance Lease
2023 (remainder)	6,900
2024	27,600
2025	27,600
2026	11,500
2027	0
Thereafter	0
Total lease payments	73,600
Less: Imputed interest	(3,887)
Total finance lease liabilities	69,713	87,940
Less: Current obligations	(25,223)	(24,433)
Long-term lease obligation	$ 44,490	$ 63,507

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Commitments and Contingencies - Narrative (Details)	Sep. 30, 2023 USD ($)	Dec. 31, 2022 USD ($) lease
Commitments and Contingencies Disclosure [Abstract]
Number of future operating leases committed | lease		1
Maximum potential future payments		$ 247,296
Undiscounted remaining lease payments	$ 196,896

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Segment Reporting - Narrative (Details)	9 Months Ended
	Sep. 30, 2023 clinic segment	Jun. 30, 2023 clinic	Dec. 31, 2022 clinic	Sep. 30, 2022 clinic	Jun. 30, 2022 clinic	Dec. 31, 2021 clinic
Segment Reporting Information [Line Items]
Number of operating segments | segment	2
Number of non-operating segments | segment	1
Number of stores	914			805
Company-Owned or Managed Clinics
Segment Reporting Information [Line Items]
Number of stores	136	134	126	115	107	96
Franchised Clinics
Segment Reporting Information [Line Items]
Number of stores	778	756	712	690	662	610

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Segment Reporting - Segment Reporting Financial Information (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Segment Reporting Information [Line Items]
Revenues	$ 29,473,949	$ 26,449,819	$ 87,081,953	$ 73,573,933
Depreciation and amortization	2,349,206	1,779,924	6,893,529	4,578,450
Segment operating income (loss)	(898,047)	732,316	(1,925,711)	(636,859)
Other income (expense), net	(6,244)	(25,235)	3,708,399	(60,668)
Income (loss) before income tax (benefit) expense	(904,291)	707,081	1,782,688	(697,527)
Operating Segments
Segment Reporting Information [Line Items]
Segment operating income (loss)	4,207,640	5,135,536	12,581,520	11,952,420
Unallocated corporate
Segment Reporting Information [Line Items]
Segment operating income (loss)	(5,105,687)	(4,403,220)	(14,507,231)	(12,589,279)
Corporate clinics
Segment Reporting Information [Line Items]
Revenues	17,882,303	15,836,327	52,813,098	42,936,298
Corporate clinics | Operating Segments
Segment Reporting Information [Line Items]
Depreciation and amortization	2,067,803	1,504,914	6,027,561	3,780,283
Segment operating income (loss)	(931,366)	(60,022)	(1,331,630)	345,657
Franchise operations
Segment Reporting Information [Line Items]
Revenues	11,591,646	10,613,492	34,268,855	30,637,635
Franchise operations | Operating Segments
Segment Reporting Information [Line Items]
Depreciation and amortization	190,867	189,426	597,557	549,161
Segment operating income (loss)	5,139,006	5,195,558	13,913,150	11,606,763
Corporate administration
Segment Reporting Information [Line Items]
Depreciation and amortization	$ 90,536	$ 85,584	$ 268,411	$ 249,006

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Segment Reporting - Segment Reporting Information, Assets (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Segment Reporting Information [Line Items]
Total assets	$ 98,572,626	$ 93,490,377	$ 89,499,985
Unallocated cash and cash equivalents	17,142,353	10,550,417	$ 10,968,142	$ 19,912,338
Operating Segments
Segment Reporting Information [Line Items]
Total assets	67,161,405	68,369,112
Unallocated corporate
Segment Reporting Information [Line Items]
Unallocated cash and cash equivalents	17,142,353	10,550,417
Unallocated property and equipment	708,471	915,216
Other unallocated assets	13,560,397	13,655,632
Corporate clinics | Operating Segments
Segment Reporting Information [Line Items]
Total assets	54,861,935	56,008,234
Franchise operations | Operating Segments
Segment Reporting Information [Line Items]
Total assets	$ 12,299,470	$ 12,360,878

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Employee Retention Credit (Details) - USD ($) $ in Millions	1 Months Ended	9 Months Ended
	Mar. 31, 2023	Sep. 30, 2023
Unusual or Infrequent Items, or Both [Abstract]
Overpayment amount	$ 4.8
Consulting fee	20.00%
Employee retention credit		$ 3.8
Increase in income tax expense		$ 0.9

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Subsequent Events (Details) $ in Thousands	Oct. 31, 2023 USD ($) clinic letter	Sep. 30, 2023 clinic
Subsequent Event [Line Items]
Number of clinics sold		16
Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Managed Clinics
Subsequent Event [Line Items]
Sale and classified as held for sale Clinics, percentage		0.10
Subsequent Event | Disposal Group, Held-for-Sale or Disposed of by Sale, Not Discontinued Operations | Managed Clinics
Subsequent Event [Line Items]
Number of letters of intent | letter	2
Number of clinics sold	2
Sale and classified as held for sale Clinics, percentage	0.10
Total consideration | $	$ 185