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CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($)
Total
Common Stock
Additional Paid-in Capital
Retained Earnings (Accumulated Deficit)
Noncontrolling Interests
Beginning balance (in shares) at Dec. 31, 2021   3,951,944      
Beginning balance at Dec. 31, 2021 $ 191,581,010 $ 3,952 $ 12,331,731 $ 102,315,623 $ 76,929,704
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Reverse acquisition with Clinigence (in shares)   339,741      
Reverse acquisition with Clinigence 436,695,013 $ 340 436,499,926   194,747
Deconsolidation of Real Estate Entities (38,803,892)     (6,466,946) (32,336,946)
Debt conversion to common stock (in shares)   23,163      
Debt conversion to common stock 5,385,372 $ 23 5,385,349    
Common stock issued for exercise of warrants (in shares)   14,315      
Common stock issued for exercise of warrants 4,119,141 $ 14 4,119,127    
Common stock issued for exercise of options (in shares)   2,080      
Common stock issued for exercise of options 644,974 $ 2 644,972    
Common stock issued for acquisition 0        
Rescission of warrant exercise (in shares)   (5,460)      
Rescission of warrant exercise (26,391) $ (5) (26,386)    
Equity financing agreement Lincoln Park Capital Fund, LLC (in shares)   9,042      
Equity financing agreement Lincoln Park Capital Fund, LLC 0 $ 9 (9)    
Common stock received in sale of business 0        
Stock-based compensation 189,581   189,581    
Contributions 4,513,867       4,513,867
Distributions (51,231,657)     (34,354,156) (16,877,501)
Net income (loss) (432,739,618)     (424,780,446) (7,959,172)
End balance (in shares) at Dec. 31, 2022   4,334,825      
Ending balance at Dec. 31, 2022 120,327,400 $ 4,335 459,144,291 (363,285,925) 24,464,699
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Deconsolidation of Real Estate Entities (4,258,133)       (4,258,133)
Debt conversion to common stock (in shares)   142,384      
Debt conversion to common stock 6,217,737 $ 142 6,217,595    
Common stock issued for exercise of warrants (in shares)   8,456      
Common stock issued for exercise of warrants $ 0 $ 8 (8)    
Common stock issued for exercise of options (in shares) 0        
Common stock issued (in shares)   6,667      
Common stock issued $ 1,900,000 $ 7 1,899,993    
Common stock issued for Employee Stock Purchase Plan (in shares)   515      
Common stock issued for Employee Stock Purchase Plan 14,288 $ 1 14,287    
Common stock issued for acquisition (in shares)   16,943      
Common stock issued for acquisition 905,234 $ 17 905,217    
Rescission of warrant exercise 0        
Common stock received in sale of business 0        
Stock-based compensation (in shares)   1,409      
Stock-based compensation 935,967 $ 1 935,966    
Warrants issued with convertible debt 1,403,877   1,403,877    
Contributions 298,032       298,032
Distributions (5,214,581)       (5,214,581)
Net income (loss) (43,423,715)     (45,786,614) 2,362,899
End balance (in shares) at Dec. 31, 2023   4,511,199      
Ending balance at Dec. 31, 2023 79,106,106 $ 4,511 470,521,218 (409,072,539) 17,652,916
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Debt conversion to common stock (in shares)   11,824      
Debt conversion to common stock $ 320,688 $ 12 320,676    
Common stock issued for exercise of options (in shares) 0        
Common stock issued (in shares)   444,444      
Common stock issued $ 1,540,943 $ 444 1,540,499    
Common stock issued for Employee Stock Purchase Plan (in shares)   8,405      
Common stock issued for Employee Stock Purchase Plan 85,491 $ 9 85,482    
Common stock issued for acquisition (in shares)   64,746      
Common stock issued for acquisition 406,158 $ 65 406,093    
Rescission of warrant exercise 0        
Warrant exercises (in shares)   444,445      
Warrant exercises 11,643,865 $ 444 11,643,421    
Common stock received in sale of business (in shares)   (5,060)      
Common stock received in sale of business (30,250) $ (5) (30,245)    
Vesting of Restricted Stock Units (in shares)   1,298      
Vesting of Restricted Stock Units 0 $ 1 (1)    
Reverse stock split adjustment (in shares)   3,116      
Reverse stock split adjustment 0 $ 3 (3)    
Stock-based compensation (in shares)   27,035      
Stock-based compensation 198,898 $ 27 198,871    
Contributions 6,892,395   4,722,970   2,169,425
Distributions (6,437,966)       (6,437,966)
Net income (loss) 94,805,484     52,096,040 42,709,444
End balance (in shares) at Dec. 31, 2024   5,511,452      
Ending balance at Dec. 31, 2024 $ 188,531,812 $ 5,511 $ 489,408,981 $ (356,976,499) $ 56,093,819