Quarterly report pursuant to Section 13 or 15(d)

Accounts Receivable and Income Tax Refunds Receivable - Schedule of Accounts Receivable (Details)

v3.20.2
Accounts Receivable and Income Tax Refunds Receivable - Schedule of Accounts Receivable (Details) - USD ($)
Sep. 30, 2020
Dec. 31, 2019
Less: Allowance for bad debts $ (4,331,671) $ (5,245,817)
Less: Accounts receivable sold under sales agreements (966,188) (1,073,854)
Accounts receivable, net 2,431,715 3,565,447
Hospital Operations [Member]    
Accounts receivable, gross 21,920,386 26,687,028
Less: Allowance for discounts $ (14,190,812) $ (16,801,910)