Quarterly report pursuant to Section 13 or 15(d)

Liquidity and Financial Condition (Details Narrative)

v3.22.2.2
Liquidity and Financial Condition (Details Narrative)
3 Months Ended 9 Months Ended 12 Months Ended
Jan. 01, 2018
USD ($)
ft²
Jan. 13, 2017
USD ($)
ft²
Sep. 30, 2022
USD ($)
Sep. 30, 2021
USD ($)
Sep. 30, 2022
USD ($)
Sep. 30, 2021
USD ($)
Dec. 31, 2020
USD ($)
Jun. 30, 2022
USD ($)
Mar. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Jun. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Relief funds         $ 13,500,000              
Revenues     $ 2,800,000 $ 1,000,000.0 7,600,000 $ 1,300,000            
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest         300,000              
Interest Payable, Current     5,413,828   5,413,828         $ 5,027,459    
Employee retention credits     1,500,000   1,500,000         1,500,000    
Working capital deficit     44,000,000.0   44,000,000.0              
Stockholders' deficit     29,914,446 37,509,708 29,914,446 37,509,708 $ 49,017,752 $ 28,572,885 $ 28,569,099 27,301,524 $ 41,340,428 $ 52,911,746
Net loss from continuing operations     1,339,865 $ (785,565) 4,105,838 4,371,860            
Cash used in operating activities         1,166,596 5,689,943            
Public Health and Social Services Emergency Fund [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Relief funds         100,000,000,000              
HHS Provider Relief Funds [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Revenues         12,100,000              
Contract with Customer, Liability, Revenue Recognized         12,100,000 $ 4,400,000 $ 8,000,000.0          
Interest Payable, Current     $ 1,400,000   1,400,000         $ 900,000    
Revenue recognized, liability         $ 12,100,000              
Jamestown Regional Medical Center [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Payments to acquire land $ 700,000                      
Land [Member] | Jamestown Regional Medical Center [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Area of Land | ft² 90,000                      
Asset Purchase Agreement [Member] | Scott County Community Hospital [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Bankruptcy, purchase price   $ 1,000,000.0                    
Asset Purchase Agreement [Member] | Building [Member] | Scott County Community Hospital [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Area of Land | ft²   52,000                    
Asset Purchase Agreement [Member] | Building Improvements [Member] | Scott County Community Hospital [Member]                        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]                        
Area of Land | ft²   6,300