Annual report pursuant to Section 13 and 15(d)

Note 13 - Commitments and Contingencies

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Note 13 - Commitments and Contingencies
 12 Months Ended
Dec. 31, 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 years ended
December 31, 2018
and
2017
was
$2,844,010
and
$2,808,837,
respectively.
 
Future minimum annual lease payments are as follows:
 
2019   $
2,630,443
  
2020    
2,406,645
  
2021    
2,299,887
  
2022    
2,195,077
  
2023    
1,474,396
  
Thereafter    
2,772,575
  
Total   $
13,779,023
  
 
 
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    
(48,885
 )
Lease exit liability at December 31, 2018   $
347,999
  
 
The Company has recorded the lease exit liability in other current liabilities and other liabilities in the consolidated balance sheets.
 
Litigation
 
In the normal course of business, the Company is party to litigation from time to time. The Company maintains insurance to cover certain actions and believes that resolution of such litigation will
not
have a material adverse effect on the Company.