Quarterly report pursuant to Section 13 or 15(d)

Accrued Expenses (Tables)

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Accrued Expenses (Tables)
9 Months Ended
Sep. 30, 2023
Payables and Accruals [Abstract]  
Schedule of Accrued Expenses

Accrued expenses at September 30, 2023 (unaudited) and December 31, 2022 consisted of the following:

    September 30,     December 31,  
    2023     2022  
Accrued payroll and related liabilities   $ 8,525,232     $ 8,533,710  
HHS Provider Relief Funds     266,527       552,099  
Accrued interest     6,720,113       5,736,096  
Accrued legal expenses and settlements     498,000       534,550  
Medicare cost report settlement reserves     861,046       2,101,837  
Other accrued expenses     2,589,245       2,105,516  
Accrued expenses   $ 19,460,163     $ 19,563,808