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Intangibles | 9 Months Ended | 12 Months Ended
--- | --- | ---
Sep. 30, 2021 | Dec. 31, 2020
Ambulnz, Inc. [Member] |  |
Intangibles [Line Items] |  |
Intangibles | 6. Intangibles Intangible assets consist of the following as of September 30, 2021 and December 31, 2020:
|  | September 30, 2021
|  | Estimated Useful Life (Years) |  | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount
Patents |  | 15 years |  | $ | 37,530 |  | $ | (5,605 | ) |  | $ | 31,925
Computer software |  | 5 years |  |  | 294,147 |  |  | (204,874 | ) |  |  | 89,273
Operating licenses |  | Indefinite |  |  | 8,375,514 |  |  | — |  |  |  | 8,375,514
Internally developed software |  | 4-5 years |  |  | 5,747,473 |  |  | (3,431,103 | ) |  |  | 2,316,370
|  |  |  | $ | 14,454,664 |  | $ | (3,641,582 | ) |  | $ | 10,813,082
|  | December 31, 2020
|  | Estimated Useful Life (Years) |  | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount
Patents |  | 15 years |  | $ | 23,382 |  | $ | (4,107 | ) |  | $ | 19,275
Computer software |  | 5 years |  |  | 294,148 |  |  | (161,332 | ) |  |  | 132,816
Operating licenses |  | Indefinite |  |  | 8,375,514 |  |  | — |  |  |  | 8,375,514
Internally developed software |  | 4-5 years |  |  | 4,189,662 |  |  | (2,043,161 | ) |  |  | 2,146,501
|  |  |  | $ | 12,882,706 |  | $ | (2,208,600 | ) |  | $ | 10,674,106
The Company recorded amortization expense of $1,432,983 and $1,087,456 for the nine months ended September 30, 2021 and 2020, respectively. The Company recorded amortization expense of $552,999 and $362,434 for the three months ended September 30, 2021 and 2020, respectively. Future amortization expense at September 30, 2021 for the next five years and in the aggregate are as follows:
|  | Amortization Expense
2021, remaining |  | $ | 308,075
2022 |  |  | 1,206,873
2023 |  |  | 641,265
2024 |  |  | 151,934
2025 |  |  | 108,141
Thereafter |  |  | 21,280
Total |  | $ | 2,437,568
| 6. Intangibles Intangible assets consist of the following as of December 31, 2020 and 2019:
|  | December 31, 2020
Estimated Useful Life (Years) |  | Gross Carrying Amount |  | Additions |  | Accumulated Amortization |  | Net Carrying Amount
Patents |  | 15 years |  | $ | 17,197 |  | $ | 6,185 |  | $ | (4,107 | ) |  | $ | 19,275
Computer software |  | 5 years |  |  | 279,249 |  |  | 14,899 |  |  | (161,332 | ) |  |  | 132,816
Operating licenses |  | Indefinite |  |  | 8,175,514 |  |  | 200,000 |  |  | — |  |  |  | 8,375,514
Internally developed software |  | 4 – 5 years |  |  | 2,256,001 |  |  | 1,933,661 |  |  | (2,043,161 | ) |  |  | 2,146,501
|  |  |  | $ | 10,727,961 |  | $ | 2,154,745 |  | $ | (2,208,600 | ) |  | $ | 10,674,106
|  | December 31, 2019
|  | Estimated Useful Life (Years) |  | Gross Carrying Amount |  | Additions |  | Accumulated Amortization |  | Net Carrying Amount
Patents |  | 15 years |  | $ | 9,630 |  | $ | 7,567 |  | $ | (2,783 | ) |  | $ | 14,414
Computer software |  | 5 years |  |  | 258,901 |  |  | 20,348 |  |  | (103,120 | ) |  |  | 176,129
Operating licenses |  | Indefinite |  |  | 7,462,210 |  |  | 713,304 |  |  | — |  |  |  | 8,175,514
Internally developed software |  | 4 – 5 years |  |  | 645,112 |  |  | 1,610,889 |  |  | (651,482 | ) |  |  | 1,604,519
|  |  |  | $ | 8,375,853 |  | $ | 2,352,108 |  | $ | (757,385 | ) |  | $ | 9,970,576
The Company recorded amortization expense of $1,451,214 and $640,086 for the years ended December 31, 2020 and 2019, respectively. The Company capitalized software development costs for internal use purposes of approximately $1,933,661 and $1,610,889 during the years ended December 31, 2020 and 2019, respectively. Future amortization expense at December 31, 2020 for the next five years and in the aggregate are as follows:
Years ending December 31, |  | Amortization Expense
2021 |  |  | 899,762
2022 |  |  | 889,158
2023 |  |  | 438,741
2024 |  |  | 50,275
Thereafter |  |  | 20,656
Total |  | $ | 2,298,592

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