Annual report pursuant to Section 13 and 15(d)

Schedule of Accrued Expenses (Details)

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Schedule of Accrued Expenses (Details) - USD ($)
Dec. 31, 2022
Dec. 31, 2021
Payables and Accruals [Abstract]    
Accrued payroll and related liabilities $ 8,533,710 $ 7,528,464
HHS Provider Relief Funds 552,099 863,452
Accrued interest 5,736,096 5,027,459
Accrued legal expenses and settlements 534,550 632,318
Medicare overpayment reserve 2,101,837
Other accrued expenses 2,105,516 1,448,242
Accrued expenses $ 19,563,808 $ 15,499,935