Annual report pursuant to Section 13 and 15(d)

Accrued Expenses - Schedule of Accrued Expenses (Details)

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Accrued Expenses - Schedule of Accrued Expenses (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Accrued payroll and related liabilities $ 8,263,940 $ 7,603,077
Accrued interest 4,728,942 4,905,749
Accrued legal 1,097,318 1,226,997
Other accrued expenses 645,369 509,469
Accrued expenses 19,135,569 14,245,292
HHS Provider Relief Funds [Member]    
Deferred fund charges $ 4,400,000