Debt and lease liabilities (Tables)

9 Months Ended

Sep. 30, 2020

Debt And Leases [Abstract]

Schedule of Notes Payable

The Company has recognized these term notes, which have terms greater than twelve months, as follows:

	September 30, 2020		December 31, 2019
Notes payable	$	8,076	$	9,379
Less:
Current portion of notes payable	(1,815)		(1,750)
Net long-term notes payable	$	6,261	$	7,629

Schedule of Covenants

Under the terms of the Commercial Business Loan Agreement, the Company is subject to the following financial covenants:

Financial Covenant	Required Ratio	Ratio at September 30, 2020
Total Debt to Adjusted EBITDA (Quarterly)	not more than 1.50:1.00	0.35
Fixed Charge Coverage Ratio (Quarterly)	not less than 1.35:1.00	2.75
Loan-to-Value Ratio (Quarterly)	not more than 0.85	0.71

Schedule of Lease Liabilities

The Company has recognized finance lease liabilities for medical equipment and operating leases for land and buildings that have terms greater than twelve months, as follows:

	September 30, 2020		December 31, 2019
Lease liabilities	$	5,159	$	10,132
Less:
Current portion of lease liabilities	(4,207)		(7,093)
Net long-term lease liabilities	$	952	$	3,039