Acquisition of Businesses - Schedule of preliminary allocation of assets acquired and liabilities assumed (Details) - USD ($)									6 Months Ended
	Apr. 02, 2023	Apr. 01, 2023	Mar. 31, 2023	Dec. 09, 2022	Oct. 12, 2022	Aug. 09, 2022	Jul. 13, 2022	Jul. 06, 2022	Jun. 30, 2023	Dec. 31, 2022
Consideration:
Cash Consideration									$ 52,979,760
Stock Consideration									4,000,000
Due to Seller									17,279,201
Amounts held under an escrow account									1,333,333
Contingent Liability									26,489,294	$ 10,555,540
Contingent lability, gross									26,377,730
Total consideration									101,970,024
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash									9,796,533
Accounts receivable									23,264,637
Other current assets									1,761,911
Property, plant and equipment									9,648,473
Intangible assets									29,167,150
Total identifiable assets acquired									73,638,704
Accounts payable									2,288,289
Due to Seller									12,377,494
Other current liabilities									6,476,000
Total liabilities assumed									21,141,783
Goodwill									42,473,103
Additional paid-in-capital									4,432,963
Noncontrolling interests									2,567,037
Total purchase price									101,970,024
Cardiac RMS LLC
Consideration:
Cash Consideration			$ 9,000,000
Stock Consideration			1,000,000
Due to Seller			0
Amounts held under an escrow account			0
Contingent Liability			15,822,190
Total consideration			25,822,190
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash			1,574,604
Accounts receivable			2,033,533
Other current assets			293,478
Property, plant and equipment			0
Intangible assets			15,930,000
Total identifiable assets acquired			19,831,615
Accounts payable			28,978
Due to Seller			2,448,460
Other current liabilities			174,177
Total liabilities assumed			2,651,615
Goodwill			8,642,190
Additional paid-in-capital			0
Noncontrolling interests			0
Total purchase price			$ 25,822,190
Ambulnz-FMC North America LLC
Consideration:
Cash Consideration	$ 4,000,000	$ 4,000,000
Stock Consideration	3,000,000	$ 3,000,000
Due to Seller	0
Amounts held under an escrow account	0
Contingent Liability	0
Total consideration	7,000,000
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash	0
Accounts receivable	0
Other current assets	0
Property, plant and equipment	0
Intangible assets	0
Total identifiable assets acquired	0
Accounts payable	0
Due to Seller	0
Other current liabilities	0
Total liabilities assumed	0
Goodwill	0
Additional paid-in-capital	4,432,963
Noncontrolling interests	2,567,037
Total purchase price	$ 7,000,000
Location Medical Services
Consideration:
Cash Consideration				$ 302,450
Stock Consideration				0
Due to Seller				11,279,201			$ 6,000,000		11,279,201
Amounts held under an escrow account				0
Contingent Liability				2,475,540					$ 2,587,104
Total consideration				14,057,191
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash				5,404,660
Accounts receivable				623,635
Other current assets				134,216
Property, plant and equipment				519,391
Intangible assets				2,419,600
Total identifiable assets acquired				9,101,502
Accounts payable				40,447
Due to Seller				0
Other current liabilities				1,012,992
Total liabilities assumed				1,053,439
Goodwill				6,009,128
Additional paid-in-capital				0
Noncontrolling interests				0
Total purchase price				$ 14,057,191
Community Ambulance Service
Consideration:
Cash Consideration					$ 5,541,269
Stock Consideration					0
Due to Seller					0
Amounts held under an escrow account					0
Contingent Liability					0
Total consideration					5,541,269
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash					892,218
Accounts receivable					7,002,325
Other current assets					1,167,326
Property, plant and equipment					4,548,956
Intangible assets					0
Total identifiable assets acquired					13,610,825
Accounts payable					2,036,714
Due to Seller					0
Other current liabilities					4,439,230
Total liabilities assumed					6,475,944
Goodwill					(1,593,612)
Additional paid-in-capital					0
Noncontrolling interests					0
Total purchase price					$ 5,541,269
Ryan Brothers
Consideration:
Cash Consideration						$ 7,422,252
Stock Consideration						0
Due to Seller						0
Amounts held under an escrow account						0
Contingent Liability						4,000,000
Total consideration						11,422,252
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash						620,548
Accounts receivable						5,844,494
Other current assets						136,157
Property, plant and equipment						2,125,134
Intangible assets						387,550
Total identifiable assets acquired						9,113,883
Accounts payable						44,911
Due to Seller						5,844,494
Other current liabilities						286,792
Total liabilities assumed						6,176,197
Goodwill						8,484,566
Additional paid-in-capital						0
Noncontrolling interests						0
Total purchase price						$ 11,422,252
Exceptional Medical Transport
Consideration:
Cash Consideration							6,375,000
Stock Consideration							0
Due to Seller							6,000,000
Amounts held under an escrow account							1,333,333
Contingent Liability							1,080,000
Total consideration							14,788,333
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash							299,050
Accounts receivable							3,785,490
Other current assets							0
Property, plant and equipment							2,450,900
Intangible assets							125,000
Total identifiable assets acquired							6,660,440
Accounts payable							0
Due to Seller							4,084,540
Other current liabilities							0
Total liabilities assumed							4,084,540
Goodwill							12,212,433
Additional paid-in-capital							0
Noncontrolling interests							0
Total purchase price							$ 14,788,333
Government Medical Services
Consideration:
Cash Consideration								$ 20,338,789
Stock Consideration								0
Due to Seller								0
Amounts held under an escrow account								0
Contingent Liability								3,000,000
Total consideration								23,338,789
Recognized amounts of identifiable assets acquired and liabilities assumed
Cash								1,005,453
Accounts receivable								3,975,160
Other current assets								30,734
Property, plant and equipment								4,092
Intangible assets								10,305,000
Total identifiable assets acquired								15,320,439
Accounts payable								137,239
Due to Seller								0
Other current liabilities								562,809
Total liabilities assumed								700,048
Goodwill								8,718,398
Additional paid-in-capital								0
Noncontrolling interests								0
Total purchase price								$ 23,338,789