| Schedule of Income Tax (Expense) Benefit | 
 The
provision for income taxes for the years ended December 31, 2022 and 2021 consists of the following: 
 Schedule of Income Tax (Expense) Benefit 
  
    |   | 
  | 
    Year Ended  December 31, 2022 | 
  | 
  | 
    Year Ended  December 31, 2021 | 
  | 
 
  
    | Current | 
  | 
      | 
             | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Federal | 
  | 
    $ | 
(301,766
 | 
) | 
  | 
    $ | 
(14,860 | 
) | 
 
  
    | State | 
  | 
      | 
(11,083  | 
) | 
  | 
      | 
(164,670 | 
) | 
 
  
    | Total Current | 
  | 
      | 
(312,849  | 
) | 
  | 
      | 
(179,530 | 
) | 
 
  
    |   | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Deferred | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Federal | 
  | 
      | 
- | 
  | 
  | 
      | 
- | 
  | 
 
  
    | State | 
  | 
      | 
- | 
  | 
  | 
      | 
- | 
  | 
 
  
    | Total Deferred | 
  | 
      | 
- | 
  | 
  | 
      | 
- | 
  | 
 
  
    |   | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Provision for income taxes | 
  | 
    $ | 
(312,849 | 
) | 
  | 
    $ | 
(179,530 | 
) | 
 
   
 
 | 
| Schedule of Effective Income Tax Rate Reconciliation | 
 The
following reconciles the Federal statutory income tax rate to the Company’s effective tax rate for the years ended December 31,
2022 and 2021: 
 Schedule of Effective Income Tax Rate Reconciliation 
  
    |   | 
  | 
    Year Ended  December 31, 2022 | 
  | 
  | 
    Year Ended  December 31, 2021 | 
  | 
 
  
    |   | 
  | 
    % | 
  | 
  | 
    % | 
  | 
 
  
    | Federal statutory rate | 
  | 
      | 
21.0 | 
  | 
  | 
      | 
21.0 | 
  | 
 
  
    | Permanent and other items | 
  | 
      | 
(17.0  | 
) | 
      | 
  | 
0.6 | 
 
  
    | Federal income taxes audit and other adjustments | 
  | 
      | 
- | 
  | 
  | 
      | 
63.5 | 
  | 
 
  
    | Change in valuation allowance | 
  | 
      | 
(14.5 | 
) | 
  | 
      | 
(81.6 | 
) | 
 
  
    | Effective income tax rate | 
  | 
      | 
(10.5 | 
) | 
  | 
      | 
3.5 | 
  | 
 
   
 
 | 
| Schedule of Deferred Tax Assets and Liabilities | 
 Deferred
tax assets and liabilities are comprised of the following at December 31, 2022 and 2021: 
 Schedule of Deferred Tax Assets and Liabilities 
  
    |   | 
  | 
    December 31, 2022 | 
  | 
  | 
    December 31, 2021 | 
  | 
 
  
    | Deferred income tax assets: | 
  | 
      | 
         | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Amortization | 
  | 
    $ | 
375,821  | 
  | 
  | 
    $ | 
460,537 | 
  | 
 
  
    | Net operating loss carryforward | 
  | 
      | 
15,445,916  | 
  | 
  | 
      | 
15,164,992 | 
  | 
 
  
    | Allowance for doubtful accounts | 
  | 
      | 
387,818  | 
  | 
  | 
      | 
401,436 | 
  | 
 
  
    | Charitable contributions | 
  | 
      | 
644  | 
  | 
  | 
      | 
644 | 
  | 
 
  
    | Stock options | 
  | 
      | 
1,003,453  | 
  | 
  | 
      | 
1,003,453 | 
  | 
 
  
    | Accrued liabilities | 
  | 
      | 
1,826,839  | 
  | 
  | 
      | 
1,711,890 | 
  | 
 
  
    | HHS Provider Relief Funds | 
  | 
      | 
67,685 | 
  | 
  | 
      | 
- | 
  | 
 
  
    | Employee retention credit | 
  | 
      | 
292,282  | 
  | 
  | 
      | 
292,282 | 
  | 
 
  
    | HTS and AMSG basis difference | 
  | 
      | 
878,709 | 
  | 
  | 
      | 
878,709 | 
  | 
 
  
    | Deferred state tax asset | 
  | 
      | 
4,089,682 | 
  | 
  | 
      | 
3,683,024 | 
  | 
 
  
    | Total deferred income tax
    assets | 
  | 
      | 
24,368,849 | 
  | 
  | 
      | 
23,596,967 | 
  | 
 
  
    | Deferred income tax liabilities: | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Depreciation | 
  | 
      | 
(
583,812 | 
) | 
  | 
      | 
(691,456 | 
) | 
 
  
    | Deferred tax asset, net | 
  | 
      | 
23,785,037 | 
  | 
  | 
      | 
22,905,511 | 
  | 
 
  
    |   | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Less: valuation allowance | 
  | 
      | 
(23,785,037 | 
) | 
  | 
      | 
(22,905,511 | 
) | 
 
  
    |   | 
  | 
      | 
  | 
  | 
  | 
      | 
  | 
  | 
 
  
    | Net deferred tax assets | 
  | 
    $ | 
- | 
  | 
  | 
    $ | 
- | 
  | 
 
   
 
 |