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Note 3 - Property and Equipment | 12 Months Ended
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Dec. 31, 2024
Notes to Financial Statements |
Property, Plant and Equipment Disclosure [Text Block] | NOTE 3 – PROPERTY AND EQUIPMENT Property and equipment consists of the following:
|  | December 31, |
|  | 2024 |  |  | 2023 |
Medical equipment and facilities |  | $ | 71,148,000 |  |  | $ | 77,150,000 |
Office equipment |  |  | 594,000 |  |  |  | 306,000 |
Construction in progress |  |  | 1,112,000 |  |  |  | 3,771,000 |
|  |  | 72,854,000 |  |  |  | 81,227,000 |
Accumulated depreciation |  |  | (41,729,000 | ) |  |  | (55,383,000 | )
Net property and equipment |  | $ | 31,125,000 |  |  | $ | 25,844,000 |
Equipment outside of the US |  | $ | 6,104,000 |  |  | $ | 6,174,000 |
Depreciation expense recorded in costs of revenue and selling and administrative expense in the consolidated statements of income for the years ended December 31, 2024 and 2023 is as follows:
|  | 2024 |  |  | 2023 |
Depreciation expense |  | $ | 6,174,000 |  |  | $ | 5,165,000 |
As of December 31, 2024 and 2023, the Company recognized a loss on the write down of impaired assets of $3,084,000 and $940,000, respectively. The impairment as of December 31, 2024, related to cash flow impairment for six of the Company’s domestic Gamma Knife units and estimated removal costs for one of the impaired units, which the Company expects to remove in the second quarter of 2025. The impairment as of December 31, 2023 was related to cash flow impairment for one of the Company’s Gamma Knife units and estimated removal costs of the two Gamma Knife contracts that expired during the year. The Company reviewed its PBRT equipment, in light of available information as of December 31, 2024 and 2023 and concluded no impairment exists.

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