Quarterly report pursuant to Section 13 or 15(d)

Schedule of Accounts Receivable (Details)

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Schedule of Accounts Receivable (Details) - USD ($)
Sep. 30, 2023
Dec. 31, 2022
Receivables [Abstract]    
Accounts receivable $ 10,994,910 $ 13,046,646
Allowance for contractual obligations (7,856,255) (8,529,904)
Allowance for doubtful accounts (1,347,703) (1,405,773)
Accounts receivable, net $ 1,790,952 $ 3,110,969