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Credit Facility, Bank Loans, and Lines of Credit - Additional Information (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Jan. 25, 2022
USD ($)
Jun. 16, 2021
USD ($)
Aug. 05, 2020
Jul. 27, 2020
Jul. 03, 2020
May 31, 2021
USD ($)
Sep. 30, 2023
USD ($)
financial_ratio
Sep. 30, 2022
USD ($)
Sep. 30, 2023
USD ($)
financial_ratio
Sep. 30, 2022
USD ($)
Dec. 31, 2022
USD ($)
Jun. 30, 2021
USD ($)
Apr. 30, 2021
USD ($)
Sep. 30, 2019
USD ($)
Sep. 10, 2019
USD ($)
Debt Instrument [Line Items]                              
Unamortized financing costs             $ 2,609,000   $ 2,609,000   $ 3,319,000        
Interest expense             3,779,000 $ 2,422,000 10,680,000 $ 5,348,000          
Medical Property Partners LLC                              
Debt Instrument [Line Items]                              
Long-term debt             5,800,000   5,800,000            
Debt instrument, covenant, debt coverage ratio, minimum         1.25                    
Medical Property Partners LLC | Prime Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate         0.50%                    
AMG Properties LLC                              
Debt Instrument [Line Items]                              
Long-term debt             600,000   600,000            
Debt instrument, covenant, debt coverage ratio, minimum     1.25                        
AMG Properties LLC | Prime Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate     0.30%                        
ZLL Partners LLC                              
Debt Instrument [Line Items]                              
Long-term debt             600,000   600,000            
Debt instrument, covenant, debt coverage ratio, minimum       1.25                      
ZLL Partners LLC | Prime Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate       0.50%                      
120 Hellman LLC                              
Debt Instrument [Line Items]                              
Long-term debt             15,700,000   15,700,000            
Debt, principal sum $ 16,300,000                            
Debt instrument, covenant, cash flow to debt service ratio, minimum 1.25                            
Debt covenant, threshold percentage for occupation of property 35.00%                            
120 Hellman LLC | Prime Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate 2.00%                            
Amended Credit Agreement                              
Debt Instrument [Line Items]                              
Annual agent fee   $ 50,000                          
Amended Credit Agreement | Truist Bank | Standby Letters of Credit                              
Debt Instrument [Line Items]                              
Maximum loan availability             $ 36,500,000   $ 36,500,000            
Term of facility                 1 year            
Amended Credit Agreement | Minimum                              
Debt Instrument [Line Items]                              
Required annual facility fee   0.175%                          
Amended Credit Agreement | Minimum | Secured Overnight Financing Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate   1.25%                          
Amended Credit Agreement | Minimum | Base Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate   0.25%                          
Amended Credit Agreement | Maximum                              
Debt Instrument [Line Items]                              
Required annual facility fee   0.35%                          
Amended Credit Agreement | Maximum | Secured Overnight Financing Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate   2.50%                          
Amended Credit Agreement | Maximum | Base Rate                              
Debt Instrument [Line Items]                              
Basis spread on variable rate   1.50%                          
Credit Agreement                              
Debt Instrument [Line Items]                              
Number of key financial ratios | financial_ratio             2   2            
Maximum consolidated leverage ratio (not greater than)             3.75   3.75            
Debt covenant, aggregate purchase price, maximum             $ 75,000,000   $ 75,000,000            
Consolidated leverage ratio, annual decrease             0.25   0.25            
Debt instrument, covenant, leverage ratio, adjusted maximum             4.00   4.00            
Minimum consolidated interest coverage ratio (not less than)                 3.25            
Average effective interest rate                 6.07% 2.83%          
Interest expense             $ 200,000 $ 200,000 $ 700,000 $ 700,000          
Construction Loan | Tag-8 Medical Investment Group, LLC                              
Debt Instrument [Line Items]                              
Long-term debt             $ 7,100,000   $ 7,100,000            
Debt, principal sum                         $ 10,700,000    
Construction Loans | Tag-8 Medical Investment Group, LLC                              
Debt Instrument [Line Items]                              
Debt instrument, covenant, cash flow coverage ratio, minimum                 1.25            
Subordinated Loan Agreement | Subordinated Debt                              
Debt Instrument [Line Items]                              
Basis spread on variable rate           1.00%                  
Debt, principal sum           $ 2,000,000                  
Revolver Loan | Amended Credit Agreement                              
Debt Instrument [Line Items]                              
Revolving credit facility term   5 years                          
Interest rate             6.92%   6.92%            
Deferred financing costs                       $ 700,000      
Revolver Loan | Amended Credit Agreement | Line of Credit                              
Debt Instrument [Line Items]                              
Maximum loan availability   $ 400,000,000                          
Revolver Loan | Credit Agreement                              
Debt Instrument [Line Items]                              
Deferred financing costs                           $ 6,500,000  
Line of Credit | APC Business Loan Agreement | APC | Preferred Bank                              
Debt Instrument [Line Items]                              
Maximum loan availability                             $ 4,100,000
Letter of Credit | Amended Credit Agreement | Line of Credit                              
Debt Instrument [Line Items]                              
Maximum loan availability   25,000,000         $ 50,000,000   $ 50,000,000            
Bridge Loan | Amended Credit Agreement | Line of Credit                              
Debt Instrument [Line Items]                              
Maximum loan availability   $ 25,000,000                          
Standby Letters of Credit | APC                              
Debt Instrument [Line Items]                              
Maximum loan availability             100,000   $ 100,000            
Term of facility                 1 year            
Standby Letters of Credit | Alpha Care Medical Group, Inc. | Preferred Bank                              
Debt Instrument [Line Items]                              
Maximum loan availability             $ 3,800,000   $ 3,800,000            
Term of facility                 1 year            
Standby Letters of Credit | Amended Credit Agreement | Minimum                              
Debt Instrument [Line Items]                              
Required annual facility fee   1.25%                          
Standby Letters of Credit | Amended Credit Agreement | Maximum                              
Debt Instrument [Line Items]                              
Required annual facility fee   2.50%