Leases (Details Narrative)	3 Months Ended		9 Months Ended
	Sep. 30, 2024 USD ($) Integer	Sep. 30, 2023 USD ($)	Sep. 30, 2024 USD ($) Integer	Sep. 30, 2023 USD ($)	Dec. 31, 2023 Integer
Leases
Cumulative number of facilities	114		114		107
Cumulative number of properties	104		104		97
Rental expense | $	$ 53,000	$ 52,000	$ 160,000	$ 157,000