Accrued Expenses

9 Months Ended

Sep. 30, 2023

Payables and Accruals [Abstract]

Accrued Expenses

Note 5 – 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

Accrued payroll and related liabilities included approximately $7.0 million and $7.0 million, respectively, for accrued past due payroll taxes and associated penalties and interest as of September 30, 2023 and December 31, 2022, respectively.

As of December 31, 2022, the Company had Medicare cost reports settlement reserves of $2.1 million. During the nine months ended September 30, 2023, the Company reduced its reserve amount by $1.2 million due to payments (recoupments) and various final and estimated cost report settlements leaving Medicare cost report settlement reserves of $0.9 million at September 30, 2023.