Annual report pursuant to Section 13 and 15(d)

Accrued Expenses (Details Narrative)

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Accrued Expenses (Details Narrative) - USD ($)
Dec. 31, 2023
Dec. 31, 2022
Line of Credit Facility [Line Items]    
Employee related liabilities current and non current $ 7,300,000 $ 7,000,000.0
Accrued expenses 21,591,968 19,384,803
Accrued expenses long-term 6,192,700
HHS Provider Relief Funds [Member]    
Line of Credit Facility [Line Items]    
Accrued expenses $ 100,000 $ 600,000