Quarterly report pursuant to Section 13 or 15(d)

Schedule of Accrued Expenses (Details)

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Schedule of Accrued Expenses (Details) - USD ($)
Sep. 30, 2021
Dec. 31, 2020
Payables and Accruals [Abstract]    
Accrued payroll and related liabilities $ 9,152,027 $ 8,263,940
HHS Provider Relief Funds (See Note 2) 4,400,000
Accrued interest 5,989,653 4,728,942
Accrued legal 1,097,318 1,097,318
Other accrued expenses 1,203,166 645,369
Accrued expenses $ 17,442,164 $ 19,135,569