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Property and Equipment
9 Months Ended
Sep. 30, 2022
Property, Plant and Equipment [Abstract]  
Property and Equipment

Note 5 - Property and Equipment

The principal categories of property and equipment are summarized as follows:

               
   Useful lives (yrs)  September 30, 2022  December 31, 2021
Buildings and improvements   39   $8,136,998   $82,794,329 
Land   —     1,972,509    18,201,804 
Leasehold improvements   10-39    28,838,691    27,038,503 
Construction in progress   —     11,994,089    4,299,614 
Medical equipment   10    27,080,061    25,686,562 
Office furniture and equipment   7    2,864,410    2,870,270 
Computer hardware and software   5    2,280,296    1,288,224 
Vehicles   5    135,590    161,590 
Signage   10    1,163,722    1,160,195 
Total cost        84,466,366    163,501,091 
Less: accumulated depreciation        (12,184,248)   (11,588,591)
Total property and equipment, net       $72,282,118   $151,912,500 

In the second quarter of 2022, we deconsolidated 17 Real Estate Entities. Refer to Note 19.

Depreciation and amortization of property and equipment for the three months ended September 30, 2022 and 2021 totaled $1,431,303 and $1,329,911 respectively, and for the nine months ended September 30, 2022 and 2021 totaled $2,106,596 and $4,202,528 respectively