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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