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Revenue (Tables)
9 Months Ended
Sep. 30, 2022
Revenue from Contract with Customer [Abstract]  
Schedule of disaggregate revenue
                       
    Three months ended September 30   Nine months ended September 30
    2022   2021   2022   2021
Hospital Division:                        
Net patient service revenue   $  20,821,725   $  117,416,373   $  150,866,044   $  266,677,307
Management fees      422,580      555,359      1,110,182      1,452,339
Total Hospital Division revenue      21,244,305      117,971,732      151,976,226      268,129,646
                         
Population Health Management Division:                        
Capitation revenue, net      4,888,094      -      10,038,436      -
Management fees      1,701,719      -      2,704,519      -
SaaS revenue      560,940      -      851,052      -
Total Population Health Management Division revenue      7,150,753      -      13,594,007      -
Total revenue   $  28,395,058   $  117,971,732   $  165,570,233   $  268,129,646
Schedule of allocation of the estimated transaction price
                       
    Three months ended September 30   Nine months ended September 30
    2022   2021   2022   2021
Insurance     91%     95%     94%     96%
Self pay     7%     4%     5%     3%
Workers compensation     1%     1%     1%     1%
Medicare/Medicaid     1%     0%     0%     0%
Total     100%     100%     100%     100%