Leases

9 Months Ended

Sep. 30, 2022

Leases [Abstract]

Leases

Note 9 – Leases

We have entered into hospital property, office and equipment rental agreements with various lessors including related parties. The discount rates used in determining the present value of lease payment at commencement was 5% and 15%, respectively, for building and equipment leases. The following tables disclose information about our leases of property and equipment:

	Three months ended September 30				Nine months ended September 30
	2022		2021		2022		2021
Operating lease cost	$	661,115	$	4,610	$	2,216,426	$	1,018,071
Finance lease cost:
Amortization of right-of-use assets		2,512,445		541,888		6,980,078		1,670,911
Interest on lease liabilities		2,694,576		476,844		7,445,253		1,479,240
Total finance lease cost	$	5,207,021	$	1,018,732	$	14,425,331	$	3,150,151

	Operating leases				Finance leases
Minimum lease payments for the next five years:	Third-parties		Related parties		Third-parties		Related parties
2022	$	658,068	$	81,113	$	627,033	$	3,430,409
2023		2,337,232		332,561		2,450,062		12,124,541
2024		2,371,153		342,538		2,129,408		12,324,511
2025		2,422,485		352,814		1,905,419		12,529,177
2026		2,334,239		363,399		1,949,506		12,738,656
2027		2,326,357		374,301		1,994,625		12,954,643
Thereafter		10,014,219		3,507,670		33,997,249		248,601,810
Total minimum lease payments		22,463,753		5,354,396		45,053,302		314,703,747
Less interest		(4,739,575)		(1,544,093)		(17,322,517)		(133,735,657)
Total lease liabilities	$	17,724,178	$	3,810,303	$	27,730,785	$	180,968,090