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Acquisition of Businesses - Schedule of preliminary allocation of assets acquired and liabilities assumed (Details) - USD ($) |  |  |  |  |  |  |  |  | 6 Months Ended |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Apr. 02, 2023 | Apr. 01, 2023 | Mar. 31, 2023 | Dec. 09, 2022 | Oct. 12, 2022 | Aug. 09, 2022 | Jul. 13, 2022 | Jul. 06, 2022 | Jun. 30, 2023 | Dec. 31, 2022
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  |  |  |  |  |  | $ 52,979,760 |
Stock Consideration |  |  |  |  |  |  |  |  | 4,000,000 |
Due to Seller |  |  |  |  |  |  |  |  | 17,279,201 |
Amounts held under an escrow account |  |  |  |  |  |  |  |  | 1,333,333 |
Contingent Liability |  |  |  |  |  |  |  |  | 26,489,294 | $ 10,555,540
Contingent lability, gross |  |  |  |  |  |  |  |  | 26,377,730 |
Total consideration |  |  |  |  |  |  |  |  | 101,970,024 |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  |  |  |  |  |  | 9,796,533 |
Accounts receivable |  |  |  |  |  |  |  |  | 23,264,637 |
Other current assets |  |  |  |  |  |  |  |  | 1,761,911 |
Property, plant and equipment |  |  |  |  |  |  |  |  | 9,648,473 |
Intangible assets |  |  |  |  |  |  |  |  | 29,167,150 |
Total identifiable assets acquired |  |  |  |  |  |  |  |  | 73,638,704 |
Accounts payable |  |  |  |  |  |  |  |  | 2,288,289 |
Due to Seller |  |  |  |  |  |  |  |  | 12,377,494 |
Other current liabilities |  |  |  |  |  |  |  |  | 6,476,000 |
Total liabilities assumed |  |  |  |  |  |  |  |  | 21,141,783 |
Goodwill |  |  |  |  |  |  |  |  | 42,473,103 |
Additional paid-in-capital |  |  |  |  |  |  |  |  | 4,432,963 |
Noncontrolling interests |  |  |  |  |  |  |  |  | 2,567,037 |
Total purchase price |  |  |  |  |  |  |  |  | 101,970,024 |
Cardiac RMS LLC |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  | $ 9,000,000 |  |  |  |  |  |  |
Stock Consideration |  |  | 1,000,000 |  |  |  |  |  |  |
Due to Seller |  |  | 0 |  |  |  |  |  |  |
Amounts held under an escrow account |  |  | 0 |  |  |  |  |  |  |
Contingent Liability |  |  | 15,822,190 |  |  |  |  |  |  |
Total consideration |  |  | 25,822,190 |  |  |  |  |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  | 1,574,604 |  |  |  |  |  |  |
Accounts receivable |  |  | 2,033,533 |  |  |  |  |  |  |
Other current assets |  |  | 293,478 |  |  |  |  |  |  |
Property, plant and equipment |  |  | 0 |  |  |  |  |  |  |
Intangible assets |  |  | 15,930,000 |  |  |  |  |  |  |
Total identifiable assets acquired |  |  | 19,831,615 |  |  |  |  |  |  |
Accounts payable |  |  | 28,978 |  |  |  |  |  |  |
Due to Seller |  |  | 2,448,460 |  |  |  |  |  |  |
Other current liabilities |  |  | 174,177 |  |  |  |  |  |  |
Total liabilities assumed |  |  | 2,651,615 |  |  |  |  |  |  |
Goodwill |  |  | 8,642,190 |  |  |  |  |  |  |
Additional paid-in-capital |  |  | 0 |  |  |  |  |  |  |
Noncontrolling interests |  |  | 0 |  |  |  |  |  |  |
Total purchase price |  |  | $ 25,822,190 |  |  |  |  |  |  |
Ambulnz-FMC North America LLC |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration | $ 4,000,000 | $ 4,000,000 |  |  |  |  |  |  |  |
Stock Consideration | 3,000,000 | $ 3,000,000 |  |  |  |  |  |  |  |
Due to Seller | 0 |  |  |  |  |  |  |  |  |
Amounts held under an escrow account | 0 |  |  |  |  |  |  |  |  |
Contingent Liability | 0 |  |  |  |  |  |  |  |  |
Total consideration | 7,000,000 |  |  |  |  |  |  |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash | 0 |  |  |  |  |  |  |  |  |
Accounts receivable | 0 |  |  |  |  |  |  |  |  |
Other current assets | 0 |  |  |  |  |  |  |  |  |
Property, plant and equipment | 0 |  |  |  |  |  |  |  |  |
Intangible assets | 0 |  |  |  |  |  |  |  |  |
Total identifiable assets acquired | 0 |  |  |  |  |  |  |  |  |
Accounts payable | 0 |  |  |  |  |  |  |  |  |
Due to Seller | 0 |  |  |  |  |  |  |  |  |
Other current liabilities | 0 |  |  |  |  |  |  |  |  |
Total liabilities assumed | 0 |  |  |  |  |  |  |  |  |
Goodwill | 0 |  |  |  |  |  |  |  |  |
Additional paid-in-capital | 4,432,963 |  |  |  |  |  |  |  |  |
Noncontrolling interests | 2,567,037 |  |  |  |  |  |  |  |  |
Total purchase price | $ 7,000,000 |  |  |  |  |  |  |  |  |
Location Medical Services |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  | $ 302,450 |  |  |  |  |  |
Stock Consideration |  |  |  | 0 |  |  |  |  |  |
Due to Seller |  |  |  | 11,279,201 |  |  | $ 6,000,000 |  | 11,279,201 |
Amounts held under an escrow account |  |  |  | 0 |  |  |  |  |  |
Contingent Liability |  |  |  | 2,475,540 |  |  |  |  | $ 2,587,104 |
Total consideration |  |  |  | 14,057,191 |  |  |  |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  | 5,404,660 |  |  |  |  |  |
Accounts receivable |  |  |  | 623,635 |  |  |  |  |  |
Other current assets |  |  |  | 134,216 |  |  |  |  |  |
Property, plant and equipment |  |  |  | 519,391 |  |  |  |  |  |
Intangible assets |  |  |  | 2,419,600 |  |  |  |  |  |
Total identifiable assets acquired |  |  |  | 9,101,502 |  |  |  |  |  |
Accounts payable |  |  |  | 40,447 |  |  |  |  |  |
Due to Seller |  |  |  | 0 |  |  |  |  |  |
Other current liabilities |  |  |  | 1,012,992 |  |  |  |  |  |
Total liabilities assumed |  |  |  | 1,053,439 |  |  |  |  |  |
Goodwill |  |  |  | 6,009,128 |  |  |  |  |  |
Additional paid-in-capital |  |  |  | 0 |  |  |  |  |  |
Noncontrolling interests |  |  |  | 0 |  |  |  |  |  |
Total purchase price |  |  |  | $ 14,057,191 |  |  |  |  |  |
Community Ambulance Service |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  |  | $ 5,541,269 |  |  |  |  |
Stock Consideration |  |  |  |  | 0 |  |  |  |  |
Due to Seller |  |  |  |  | 0 |  |  |  |  |
Amounts held under an escrow account |  |  |  |  | 0 |  |  |  |  |
Contingent Liability |  |  |  |  | 0 |  |  |  |  |
Total consideration |  |  |  |  | 5,541,269 |  |  |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  |  | 892,218 |  |  |  |  |
Accounts receivable |  |  |  |  | 7,002,325 |  |  |  |  |
Other current assets |  |  |  |  | 1,167,326 |  |  |  |  |
Property, plant and equipment |  |  |  |  | 4,548,956 |  |  |  |  |
Intangible assets |  |  |  |  | 0 |  |  |  |  |
Total identifiable assets acquired |  |  |  |  | 13,610,825 |  |  |  |  |
Accounts payable |  |  |  |  | 2,036,714 |  |  |  |  |
Due to Seller |  |  |  |  | 0 |  |  |  |  |
Other current liabilities |  |  |  |  | 4,439,230 |  |  |  |  |
Total liabilities assumed |  |  |  |  | 6,475,944 |  |  |  |  |
Goodwill |  |  |  |  | (1,593,612) |  |  |  |  |
Additional paid-in-capital |  |  |  |  | 0 |  |  |  |  |
Noncontrolling interests |  |  |  |  | 0 |  |  |  |  |
Total purchase price |  |  |  |  | $ 5,541,269 |  |  |  |  |
Ryan Brothers |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  |  |  | $ 7,422,252 |  |  |  |
Stock Consideration |  |  |  |  |  | 0 |  |  |  |
Due to Seller |  |  |  |  |  | 0 |  |  |  |
Amounts held under an escrow account |  |  |  |  |  | 0 |  |  |  |
Contingent Liability |  |  |  |  |  | 4,000,000 |  |  |  |
Total consideration |  |  |  |  |  | 11,422,252 |  |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  |  |  | 620,548 |  |  |  |
Accounts receivable |  |  |  |  |  | 5,844,494 |  |  |  |
Other current assets |  |  |  |  |  | 136,157 |  |  |  |
Property, plant and equipment |  |  |  |  |  | 2,125,134 |  |  |  |
Intangible assets |  |  |  |  |  | 387,550 |  |  |  |
Total identifiable assets acquired |  |  |  |  |  | 9,113,883 |  |  |  |
Accounts payable |  |  |  |  |  | 44,911 |  |  |  |
Due to Seller |  |  |  |  |  | 5,844,494 |  |  |  |
Other current liabilities |  |  |  |  |  | 286,792 |  |  |  |
Total liabilities assumed |  |  |  |  |  | 6,176,197 |  |  |  |
Goodwill |  |  |  |  |  | 8,484,566 |  |  |  |
Additional paid-in-capital |  |  |  |  |  | 0 |  |  |  |
Noncontrolling interests |  |  |  |  |  | 0 |  |  |  |
Total purchase price |  |  |  |  |  | $ 11,422,252 |  |  |  |
Exceptional Medical Transport |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  |  |  |  | 6,375,000 |  |  |
Stock Consideration |  |  |  |  |  |  | 0 |  |  |
Due to Seller |  |  |  |  |  |  | 6,000,000 |  |  |
Amounts held under an escrow account |  |  |  |  |  |  | 1,333,333 |  |  |
Contingent Liability |  |  |  |  |  |  | 1,080,000 |  |  |
Total consideration |  |  |  |  |  |  | 14,788,333 |  |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  |  |  |  | 299,050 |  |  |
Accounts receivable |  |  |  |  |  |  | 3,785,490 |  |  |
Other current assets |  |  |  |  |  |  | 0 |  |  |
Property, plant and equipment |  |  |  |  |  |  | 2,450,900 |  |  |
Intangible assets |  |  |  |  |  |  | 125,000 |  |  |
Total identifiable assets acquired |  |  |  |  |  |  | 6,660,440 |  |  |
Accounts payable |  |  |  |  |  |  | 0 |  |  |
Due to Seller |  |  |  |  |  |  | 4,084,540 |  |  |
Other current liabilities |  |  |  |  |  |  | 0 |  |  |
Total liabilities assumed |  |  |  |  |  |  | 4,084,540 |  |  |
Goodwill |  |  |  |  |  |  | 12,212,433 |  |  |
Additional paid-in-capital |  |  |  |  |  |  | 0 |  |  |
Noncontrolling interests |  |  |  |  |  |  | 0 |  |  |
Total purchase price |  |  |  |  |  |  | $ 14,788,333 |  |  |
Government Medical Services |  |  |  |  |  |  |  |  |  |
Consideration: |  |  |  |  |  |  |  |  |  |
Cash Consideration |  |  |  |  |  |  |  | $ 20,338,789 |  |
Stock Consideration |  |  |  |  |  |  |  | 0 |  |
Due to Seller |  |  |  |  |  |  |  | 0 |  |
Amounts held under an escrow account |  |  |  |  |  |  |  | 0 |  |
Contingent Liability |  |  |  |  |  |  |  | 3,000,000 |  |
Total consideration |  |  |  |  |  |  |  | 23,338,789 |  |
Recognized amounts of identifiable assets acquired and liabilities assumed |  |  |  |  |  |  |  |  |  |
Cash |  |  |  |  |  |  |  | 1,005,453 |  |
Accounts receivable |  |  |  |  |  |  |  | 3,975,160 |  |
Other current assets |  |  |  |  |  |  |  | 30,734 |  |
Property, plant and equipment |  |  |  |  |  |  |  | 4,092 |  |
Intangible assets |  |  |  |  |  |  |  | 10,305,000 |  |
Total identifiable assets acquired |  |  |  |  |  |  |  | 15,320,439 |  |
Accounts payable |  |  |  |  |  |  |  | 137,239 |  |
Due to Seller |  |  |  |  |  |  |  | 0 |  |
Other current liabilities |  |  |  |  |  |  |  | 562,809 |  |
Total liabilities assumed |  |  |  |  |  |  |  | 700,048 |  |
Goodwill |  |  |  |  |  |  |  | 8,718,398 |  |
Additional paid-in-capital |  |  |  |  |  |  |  | 0 |  |
Noncontrolling interests |  |  |  |  |  |  |  | 0 |  |
Total purchase price |  |  |  |  |  |  |  | $ 23,338,789 |  |

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- Definition Amount due from customers or clients for goods or services, including trade receivables, that have been delivered or sold in the normal course of business, and amounts due from others, including related parties expected to be converted to cash, sold or exchanged within one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479907/805-20-50-1 + Details
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