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Acquisition of Businesses - Additional Information (Details) - USD ($)
3 Months Ended 6 Months Ended 12 Months Ended
May 10, 2023
Apr. 02, 2023
Apr. 01, 2023
Mar. 31, 2023
Dec. 09, 2022
Oct. 12, 2022
Aug. 09, 2022
Jul. 13, 2022
Jun. 30, 2023
Dec. 31, 2022
Jun. 30, 2023
Dec. 31, 2022
Dec. 31, 2022
Jul. 06, 2022
Acquisition of Businesses (Details) [Line Items]                            
Deferred consideration                 $ 634,526 $ 706,528 $ 634,526 $ 706,528 $ 706,528  
Deferred consideration                 17,279,201   17,279,201      
Contingent consideration                 26,489,294 10,555,540 26,489,294 10,555,540 10,555,540  
Cash Consideration                     101,970,024      
Cash                     52,979,760      
Equity interest issued                     4,000,000      
Community Ambulance Service                            
Acquisition of Businesses (Details) [Line Items]                            
Cash paid           $ 5,541,269                
Net assets acquired           7,134,881                
Gain on bargain purchase           1,593,612                
Government Medical Services LLC                            
Acquisition of Businesses (Details) [Line Items]                            
Voting interest                           100.00%
Cash consideration                           $ 20,338,789
Additional consideration                           $ 3,000,000
Acquisition costs                         1,001,883  
Exceptional Medical Transport                            
Acquisition of Businesses (Details) [Line Items]                            
Voting interest               100.00%            
Cash consideration               $ 7,708,333            
Acquisition costs                         56,571  
Total consideration               13,708,333            
Deferred consideration               $ 6,000,000            
Contingent consideration period (in months)               24 months            
Contingent consideration               $ 1,080,000            
Cash Consideration               14,788,333            
Cash               6,375,000            
Equity interest issued               0            
Ryan Brothers Fort Atkinson LLC                            
Acquisition of Businesses (Details) [Line Items]                            
Voting interest             100.00%              
Cash consideration             $ 7,422,252              
Acquisition costs                         230,175  
Contingent consideration period (in months)             24 months              
Contingent consideration             $ 4,000,000              
Cash Consideration             $ 11,422,252              
Community Ambulance Service                            
Acquisition of Businesses (Details) [Line Items]                            
Acquisition costs                   $ 171,779     171,779  
Deferred consideration           0                
Contingent consideration           0                
Cash Consideration           5,541,269                
Cash           5,541,269                
Equity interest issued           $ 0                
Location Medical Services                            
Acquisition of Businesses (Details) [Line Items]                            
Voting interest         100.00%                  
Cash consideration         $ 302,450                  
Additional consideration         11,279,201                  
Acquisition costs                       $ 4,200 $ 4,200  
Deferred consideration         11,279,201     $ 6,000,000 11,279,201   11,279,201      
Contingent consideration         2,475,540       2,587,104   2,587,104      
Cash Consideration         14,057,191                  
Cash         302,450                  
Equity interest issued         $ 0                  
Cardiac RMS LLC                            
Acquisition of Businesses (Details) [Line Items]                            
Voting interest       51.00%                    
Cash consideration       $ 10,000,000                    
Additional consideration       9,000,000                    
Deferred consideration       $ 0                    
Contingent consideration period (in months)       36 months                    
Contingent consideration       $ 15,822,190                    
Cash Consideration       25,822,190                    
Contingent liability       1,000,000                    
Consideration for remaining equity       $ 15,822,190                    
Contingent consideration period to purchase remaining voting interest       49.00%                    
Acquisition costs       $ 229,937                    
Cash       9,000,000                    
Equity interest issued       $ 1,000,000                    
Ambulnz-FMC North America LLC                            
Acquisition of Businesses (Details) [Line Items]                            
Acquisition costs                 $ 35,560   $ 35,560      
Deferred consideration   $ 0                        
Contingent consideration   0                        
Cash Consideration   7,000,000                        
Cash   4,000,000 $ 4,000,000                      
Equity interest issued   $ 3,000,000 $ 3,000,000                      
Rapid Reliable Testing                            
Acquisition of Businesses (Details) [Line Items]                            
Remaining outstanding shares of common stock from joint venture $ 1,385,156