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Note 3 - Long-term Debt Financing (Details Textual)
3 Months Ended 6 Months Ended
Apr. 09, 2021
USD ($)
Jun. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2020
USD ($)
Finance Lease, Principal Payments         $ 8,919,000 $ 1,981,000
Gain (Loss) on Extinguishment of Debt, Total   $ (401,000)   $ 0 (401,000) $ 0
Long-term Debt, Total   16,041,000     16,041,000  
Gamma Knife Debt and Finance Leases [Member]            
Short-term Debt, Refinanced, Amount $ 6,774,000          
The Credit Agreement [Member] | Fifth Third Bank, N.A. [Member]            
Debt Instrument, Term (Year) 5 years          
Line of Credit Facility, Maximum Borrowing Capacity $ 22,000,000          
Number of Debt Instruments 3          
Gain (Loss) on Extinguishment of Debt, Total   (401,000)        
Debt Issuance Costs, Net, Total   $ 310,000     $ 310,000  
Debt Instrument, Covenant, Minimum Fixed Charge Coverage Ratio 1.25          
Debt Instrument, Covenant, Maximum Funded Debt to EDITDA Ratio 3.0          
The Credit Agreement, First Loan Facility [Member] | Fifth Third Bank, N.A. [Member]            
Debt Instrument, Face Amount $ 9,500,000          
Finance Lease, Principal Payments     $ 1,665,000      
Cash, Ending Balance 1,061,000          
The Credit Agreement, Second Loan Facility [Member] | Fifth Third Bank, N.A. [Member]            
Debt Instrument, Face Amount 5,500,000          
Finance Lease, Principal Payments $ 5,026,000          
The Credit Agreement, Third Loan Facility [Member] | Fifth Third Bank, N.A. [Member] | Revolving Credit Facility [Member]            
Debt Instrument, Term (Year) 5 years          
Line of Credit Facility, Maximum Borrowing Capacity $ 7,000,000          
The Credit Agreement, Third Loan Facility [Member] | Fifth Third Bank, N.A. [Member] | Revolving Credit Facility [Member] | London Interbank Offered Rate (LIBOR) [Member]            
Debt Instrument, Basis Spread on Variable Rate 3.00%