Acquisitions (Tables)

12 Months Ended

Dec. 31, 2022

Acquisition of Businesses and Asset Acquisitions [Abstract]

Schedule of preliminary allocation of the assets acquired and liabilities assumed

	Location Medical Services		Community Ambulance Service			Ryan Brothers		Exceptional Medical Transport		Government Medical Services		Total
Consideration:
Cash consideration	$	302,450	$	5,541,269		$	7,422,252	$	6,375,000	$	20,338,789	$	39,979,760
Deferred consideration		11,279,201		-			-		6,000,000		-		17,279,201
Amounts held under an escrow account		-		-			-		1,333,333		-		1,333,333
Contingent consideration		2,475,540		-			4,000,000		1,080,000		3,000,000		10,555,540
Total consideration		14,057,191		5,541,269			11,422,252		14,788,333		23,338,789		69,147,834
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash	$	5,404,660	$	892,218		$	620,248	$	299,050	$	1,005,453	$	8,221,629
Accounts receivable		623,635		7,002,325			5,844,494		3,785,490		3,975,160		21,231,104
Other current assets		134,216		1,167,326			136,157		-		30,734		1,468,433
Property, plant and equipment		519,391		4,548,956			2,125,134		2,450,900		4,092		9,648,473
Intangible assets		2,419,600		-			387,550		125,000		10,305,000		13,237,150
Total identifiable assets acquired		9,101,502		13,610,825			9,113,583		6,660,440		15,320,439		53,806,789
Accounts payable	$	40,447	$	2,036,714		$	44,911	$	-	$	137,239	$	2,259,311
Due to seller		-		-			5,844,494		4,084,540		-		9,929,034
Other current liabilities		1,012,992		4,439,230			286,792		-		562,809		6,301,823
Total liabilities assumed		1,053,439		6,475,944			6,176,197		4,084,540		700,048		18,490,168
Goodwill/(Gain on bargain purchase)		6,009,128		(1,593,612	)		8,484,866		12,212,433		8,718,398		33,831,213
Total purchase price	$	14,057,191	$	5,541,269		$	11,422,252	$	14,788,333	$	23,338,789	$	69,147,834

Schedule of pro forma combined financial information

	2022		2021
Revenue	$	523,948,302	$	451,696,206
Net Income		38,164,837		38,743,940