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Leases (Tables)
 3 Months Ended
Mar. 31, 2020
Leases [Abstract]  
Schedule of lease revenues and fees
  Three Months ended 
   March 31, 
   2020   2019 
Lease billings and accruals  $31,380,632   $29,129,723 
Provision for doubtful accounts   7,682,927    7,344,944 
Lease revenues and fees  $23,697,705   $21,784,779 
Schedule of future minimum annual lease payments

2020  $305,000 
2021   428,000 
2022   419,000 
2023   429,000 
2024   437,000 
Thereafter   1,616,000 
   $3,634,000 
Schedule of balance sheet information related to leases
   Balance Sheet Classification  March 31,
2020		   December 31,
2019		 
Assets           
Operating Lease Asset  Property and Equipment, net  $1,813,072   $1,847,932 
Finance Lease Asset  Property and Equipment, net   33,322    31,299 
Total Lease Assets     $1,846,394   $1,879,231 
              
Liabilities             
Operating Lease Liability - current portion  Current Lease Liabilities  $122,221   $22,088 
Finance Lease Liability - current portion  Current Lease Liabilities   6,982    5,638 
Operating Lease Liability- net of current portion  Long Term Lease Liabilities   2,003,638    2,040,576 
Finance Lease Liability - net of current portion  Long Term Lease Liabilities   27,732    26,608 
Total Lease Liabilities     $2,160,573   $2,094,910 
Schedule of weighted-average discount rate and weighted-average remaining lease term
   Weighted Average Discount Rate   Weighted Average Remaining Lease Term
(in years)		 
Operating Leases   13.44%   8 
Finance Leases   13.30%   4 
Schedule of supplemental cash flow information

   Three Months ended 
   March 31, 
   2020   2019 
Cash payments for operating leases  $6,864   $66,000 
Cash payments for finance leases   2,661    - 
New operating lease asset obtained in exchange for lease liabilities   -    191,000 
New finance lease asset obtained in exchange for lease liabilities   4,033    - 
Schedule of undiscounted operating lease liabilities

    Operating Leases  
2020   $ 296,813  
2021     416,998  
2022     407,450  
2023     419,674  
2024     432,264  
2025 and thereafter     1,615,830  
Total undiscounted cash flows     3,589,029  
Less: interest     (1,463,170 )
Present value of lease liabilities   $ 2,125,859  
Schedule of undiscounted finance lease liabilities

    Finance Leases  
2020   $ 8,388  
2021     11,184  
2022     11,184  
2023     9,699  
2024     4,782  
Total undiscounted cash flows     45,237  
Less: interest     (10,523 )
Present value of lease liabilities   $ 34,714