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Revenue (Tables)
6 Months Ended
Jun. 30, 2022
Revenue from Contract with Customer [Abstract]  
Schedule of disaggregate revenue
                    
   Three months ended June 30  Six months ended June 30
   2022  2021  2022  2021
Hospital Division:                    
Net patient service revenue  $51,209,741   $62,347,436   $130,025,739   $149,260,934 
Management fees   394,938    467,236    706,182    896,980 
Total Hospital Division revenue   51,604,679    62,814,672    130,731,921    150,157,914 
                     
Population Health Management Division:                    
Capitation revenue, net   5,150,342          5,150,342       
SaaS revenue   290,112          290,112       
Management fees   1,002,800          1,002,800       
Total Population Health Management Division revenue   6,443,254          6,443,254       
Net revenue  $58,047,933   $62,814,672   $137,175,175   $150,157,914 
Schedule of allocation of the estimated transaction price
                    
   Three months ended June 30  Six months ended June 30
   2022  2021  2022  2021
Insurance   92%   97%   92%   96%
Self pay   8%   2%   8%   3%
Workers compensation   0%   1%   0%   1%
Medicare/Medicaid   0%   0%   0%   0%
Total   100%   100%   100%   100%