CONSOLIDATED BALANCE SHEETS - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 6,978,481	$ 2,931,415
Marketable securities - short term	0	1,529,464
Accounts receivable, net of allowance for doubtful accounts of $2,188,450 and $1,440,678, respectively.	10,159,727	11,119,892
Prepaid expenses and other current assets	959,037	798,977
Total current assets	18,097,245	16,379,748
Property and equipment, net	1,682,427	1,668,972
Other assets
Goodwill	9,853,342	9,853,342
Intangible assets, net of accumulated amortization	4,910,916	5,649,291
Referral and support services agreement advance	575,000	800,000
Marketable securities - long term	0	660,126
Right of use assets - operating lease	882,919	310,162
Right of use assets - finance lease	94,266	168,750
Other assets	79,539	66,919
Total other assets	16,395,982	17,508,590
Total assets	36,175,654	35,557,310
Current liabilities
Accounts payable	7,766,466	8,044,802
Accrued expenses and other current liabilities	8,440,764	5,162,458
Lease liability - operating lease	170,001	287,523
Lease liability - finance lease	63,219	101,003
Total current liabilities	16,440,450	13,595,786
Long-term liabilities
Deferred tax liability	107,000	107,000
Lease liability - operating lease	717,409	23,878
Lease liability - finance lease	24,243	70,597
Other long-term liabilities	17,874	10,733
Total long-term liabilities	866,526	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 137,983,918 and 120,137,124, respectively.	137,983	120,138
Additional paid-in capital	183,776,576	178,771,604
Accumulated other comprehensive loss	0	(84,868)
Accumulated deficit	(165,045,881)	(157,057,558)
Total stockholders' equity	18,868,678	21,749,316
Total liabilities and stockholders' equity	$ 36,175,654	$ 35,557,310