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Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2021
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment
   December 31, 
   2021   2020 
Transportation equipment  $1,548,978   $1,263,860 
Medical equipment   28,308,857    24,234,134 
Electrical equipment   2,418,966    2,300,036 
Office equipment and other   1,451,612    1,354,139 
Buildings   28,908,532    28,139,226 
Software   203,478    198,063 
Total fixed assets at cost   62,840,423    57,489,458 
Accumulated depreciation   (13,703,422)   (10,213,582)
Total fixed assets, net  $49,137,001   $47,275,876 
Reclass to Right-of-use assets   (15,974,184)   (15,820,452)