Year Ended December 31,

2018

2017

Cash paid for interest

$

313,918

$

1,200,759

Cash paid for income taxes

$

23,362

$

541,313

Acquisition of Jamestown Regional Medical Center:

Inventory

$

450,682

$

-

Prepaid and other assets

310,385

-

Property and equipment

7,129,484

-

Intangible assets

504,806

-

Accrued expenses

(193,966

)

-

Non-cash investing and financing activities:

Cashless exercise of warrants

4,619,150

-

Exchange of debentures for Series I-2 Preferred Stock

3,127,556

-

Note payable and accrued expenses settled through issuance of Series J Preferred Stock

250,000

-

Common stock issued for conversion of Series I-2 Preferred Stock

1,513,105

-

Beneficial conversion feature

192,308

Services and severance settled through the issuances of common stock

-

161,003

Exchange of convertible debentures for convertible debentures and warrants

-

10,734,336

Series F Preferred Stock issued for business acquisition

-

174,097

Notes payable and warrants settled through issuance of common stock

-

440,000

Convertible debentures issued in exchange for Series H Preferred Stock

-

2,695,760

Debentures converted into common stock

8,128,044

7,306,314

Deemed dividend for trigger of down round provision feature

231,843,826

53,341,619

Conversions of preferred stock into common stock

-

7,785,000

Value of convertible liabilities

-

12,435,250