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Intangible and Other Assets (Tables)
9 Months Ended
Sep. 30, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of intangible and other assets

The following table summarizes our intangible and other assets:

  

    September 30,     December 31,     Estimated
    2019     2018     Useful Life
Intangible assets subject to amortization:                 
Tradenames and trademarks   $ 417,307     $ 417,307     2.5  - 8.0 years
Accreditations     85,395       85,395     5.0 years
Customer relationships     3,350,551       3,350,551     3.0 - 15.0 years
Patents     970,100       970,100     4.0 years
Non-compete agreements     121,000       121,000     5.0 years
      4,944,353       4,944,353      
Less accumulated amortization     2,031,882       1,577,558      
      2,912,471       3,366,795      
Tradenames/trademarks (not subject to amortization)     465,000       465,000      
      3,377,471       3,831,795      
Other assets     20,326       20,326      
    Intangible and other assets:   $ 3,397,797     $ 3,852,121