CONSOLIDATED BALANCE SHEETS - USD ($)	Dec. 31, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 4,440,454	$ 2,931,415
Marketable securities - short term	0	1,529,464
Accounts receivable, net of allowance for doubtful accounts of $1,645,045 and $1,440,678, respectively	9,226,956	11,119,892
Prepaid expenses and other current assets	1,076,121	798,977
Total current assets	14,743,531	16,379,748
Property and equipment, net	1,680,788	1,668,972
Other assets
Right of use assets - operating lease	805,786	310,162
Right of use assets - finance lease	72,560	168,750
Referral and support services agreement advance	500,000	800,000
Marketable securities - long term	0	660,126
Intangible assets, net of accumulated amortization	4,664,791	5,649,291
Goodwill	9,853,342	9,853,342
Other assets	53,346	66,919
Total other assets	15,949,825	17,508,590
Total assets	32,374,144	35,557,310
Current liabilities
Accounts payable	6,432,120	8,044,802
Accrued expenses and other current liabilities	7,926,479	5,162,458
Lease liability - operating lease	123,074	287,523
Lease liability - finance lease	50,801	101,003
Total current liabilities	14,532,474	13,595,786
Long-term liabilities
Deferred tax liability	89,238	107,000
Lease liability - operating lease	751,821	23,878
Lease liability - finance lease	18,209	70,597
Other long-term liabilities	216	10,733
Total long-term liabilities	859,484	212,208
Stockholders' equity
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	184,291,414	178,771,604
Accumulated other comprehensive income	0	(84,868)
Accumulated deficit	(167,447,211)	(157,057,558)
Total stockholders' equity	16,982,186	21,749,316
Total liabilities and stockholders' equity	$ 32,374,144	$ 35,557,310