XML 57 R44.htm IDEA: XBRL DOCUMENT v3.22.1
Note 6 - Long Term Debt (Details Textual)
3 Months Ended 12 Months Ended
Apr. 09, 2021
USD ($)
Mar. 31, 2021
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2022
Finance Lease, Principal Payments     $ 8,919,000 $ 3,199,000  
Gain (Loss) on Extinguishment of Debt, Total     (401,000) $ 0  
The Credit Agreement [Member] | Fifth Third Bank, N.A. [Member]          
Number of Debt Instruments 3        
Debt Instrument, Term (Year) 5 years        
Line of Credit Facility, Maximum Borrowing Capacity $ 22,000,000        
Gain (Loss) on Extinguishment of Debt, Total     (401,000)    
Debt Issuance Costs, Net, Total     $ 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 and Second Loan Facility [Member] | Fifth Third Bank, N.A. [Member]          
Debt Instrument, Face Amount $ 9,500,000        
The Credit Agreement, First Loan and Second Loan Facility [Member] | Fifth Third Bank, N.A. [Member] | Forecast [Member]          
Debt Instrument, Interest Rate, Stated Percentage         48.00%
The Credit Agreement, First Loan Facility [Member] | Fifth Third Bank, N.A. [Member]          
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        
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage     0.25%    
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%        
Notes Payable, Other Payables [Member]          
Number of Debt Instruments       7  
Debt Issuance Costs, Net, Total     $ 294,000    
Notes Payable, Other Payables [Member] | Trade Accounts Receivable [Member]          
Debt Instrument, Collateral Amount       $ 1,718,000  
Notes Payable, Other Payables [Member] | Gamma Knife Units [Member]          
Debt Instrument, Collateral Amount       $ 11,023,000  
Gamma Knife Debt and Finance Leases [Member]          
Short-term Debt, Refinanced, Amount $ 6,774,000