CONSOLIDATED BALANCE SHEETS - USD ($)	Mar. 31, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 1,969,583	$ 2,931,415
Marketable securities - short term	0	1,529,464
Accounts receivable, net of allowance for doubtful accounts of $1,401,803 and $1,440,678, respectively.	9,120,826	11,119,892
Prepaid expenses and other current assets	970,411	798,977
Total current assets	12,060,820	16,379,748
Property and equipment, net	1,687,309	1,668,972
Other assets
Goodwill	9,853,342	9,853,342
Intangible assets, net of accumulated amortization	5,403,166	5,649,291
Referral and support services agreement advance	725,000	800,000
Marketable securities - long term	0	660,126
Right of use assets - operating lease	220,740	310,162
Right of use assets - finance lease	138,108	168,750
Other assets	66,919	66,919
Total other assets	16,407,275	17,508,590
Total assets	30,155,404	35,557,310
Current liabilities
Accounts payable	5,506,837	8,044,802
Accrued expenses and other current liabilities	4,932,916	5,162,458
Line of credit	592,868	0
Lease liability - operating lease	209,658	287,523
Lease liability - finance lease	86,276	101,003
Total current liabilities	11,328,555	13,595,786
Long-term liabilities
Deferred tax liability	107,000	107,000
Lease liability - operating lease	12,322	23,878
Lease liability - finance lease	50,857	70,597
Other long-term liabilities	7,253	10,733
Total long-term liabilities	177,432	212,208
Preferred stock, $0.001 par value:
Authorized shares 500,000, none issued and outstanding	0	0
Common stock, $0.001 par value:
Authorized shares 200,000,000; issued and outstanding shares 121,640,362 and 120,137,124, respectively.	121,641	120,138
Additional paid-in capital	179,025,439	178,771,604
Accumulated other comprehensive loss	0	(84,868)
Accumulated deficit	(160,497,663)	(157,057,558)
Total stockholders' equity	18,649,417	21,749,316
Total liabilities and stockholders' equity	$ 30,155,404	$ 35,557,310