Quarterly report pursuant to Section 13 or 15(d)

Note 13 - Commitments and Contingencies

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Note 13 - Commitments and Contingencies
 9 Months Ended
Sep. 30, 2018
Notes to Financial Statements  
Commitments and Contingencies Disclosure [Text Block]
Note
13:
Commitments and Contingencies
 
Operating Leases
 
The Company leases its corporate office space and the space for each of the company-owned or managed clinics in the portfolio. Total rent expense for the
three
and
nine
months ended
September 30, 2018
was
$725,867
and
$2,117,624,
respectively.  Total rent expense for the
three
and
nine
months ended
September 30, 2017
was
$688,031
and
$2,114,118,
respectively.
 
Future minimum annual lease payments are as follows:
 
2018 (remainder)   $
658,905
  
2019    
2,450,981
  
2020    
2,192,597
  
2021    
2,081,455
  
2022    
1,972,180
  
Thereafter    
3,377,973
  
Total   $
12,734,091
  
 
The Company has recognized liabilities from costs associated with the termination of certain operating leases. The Company has recorded the cumulative effect of a change resulting from a revision to either the timing or the amount of estimated cash flows in the period as follows:
 
Lease exit liability at December 31, 2017   $
299,400
  
Additions or changes in estimates    
250,704
  
Settlements    
(153,220
 )
Net accretion    
(36,614
 )
Lease exit liability at September 30, 2018   $
360,270