| Debt Disclosure [Text Block] |
On February 5, 2019, the Company and its primary lender entered into the fifth amendment (the “Fifth Amendment”) to its Credit Agreement, entered into on March 23, 2015 ( as amended, the “Credit Agreement”). The Fifth Amendment amended the Credit Agreement to, among other things: | | ● | increase our borrowing capacity under the equipment line to $8.0 million, which allows for capital expenditure financing to the Company for the sole purpose of purchasing medical equipment (the “Equipment Line”); | | | ● | revise the definition of earnings before interest, taxes, depreciation and amortization (“EBITDA”), a non-GAAP financial measure, to include additional add-back adjustments for the years ended December 31, 2018 and 2019;
| | | ● | revise the definition of fixed charge coverage ratio for the year ended December 31, 2019 to include an unfinanced portion of capital expenditures of up to $7.0 million for the year ended December 31, 2019;
| | | ● | revise the Credit Agreement's maximum permitted indebtedness to finance the acquisition, construction or improvement of any fixed or capital assets; and | | | ● | revise the maximum leverage ratio for each of the quarters during December 31, 2018 and December 31, 2019.
| On April 15, 2019, the Company sold for $2.0 million and immediately leased back certain medical equipment in rental service to a third party specializing in such transactions. The leaseback term is 36 months. Because the arrangement contains a purchase option that the Company is reasonably certain to exercise, this transaction did not qualify for the sale-leaseback accounting under ASC 842. The medical equipment remains recorded on the accompanying condensed consolidated balance sheet and the proceeds received have been classified as an Other Financing liability, which is being paid off monthly over the term of the lease. The balance of Other Financing as of September 30, 2020 was $1.1 million. On November 7, 2019, the Company and its primary lender entered into the sixth amendment (the “Sixth Amendment”) to its Credit Agreement. The Sixth Amendment amended the Credit Agreement to, among other things: | | ● | provide for a 2019 capital expenditure loan (the “2019 Equipment Line”) commitment of $10.0 million (in addition to the existing Equipment Line of $8.0 million), which may be drawn upon until the earlier of the full commitment being advanced or December 31, 2020, to be used solely to purchase eligible equipment to be used in the Company's business and in amounts not to exceed 90.0% of the invoiced hard costs of such acquired equipment; | | | ● | increase the commitment for the revolving credit facility (the “Revolver”) under the Credit Agreement to $11.8 million; | | | ● | revise the definition of EBITDA to include the following additional or revised add-back adjustments: (i) one -time charges in an aggregate amount not to exceed $0.3 million and incurred prior to December 31, 2019 relating to the Company's integration of business previously served by another major provider of electronic oncology pumps; (ii) one -time charges in an aggregate amount not to exceed $0.3 million and incurred prior to December 31, 2019 relating to the Company's facility move; (iii) lease buyout expenses not to exceed: ( x ) $0.1 million incurred on or prior to December 31, 2018; ( y) $0.2 million incurred after December 31, 2018 but on or prior to March 31, 2019; and (z) $0.2 million incurred after September 30, 2019 but on or prior to December 31, 2020; and (iv) any other non-cash charges for such period (but excluding certain non-cash charges); | | | ● | revise the definition of Fixed Charge Coverage Ratio to mean, for any period, the ratio of (a) EBITDA minus Maintenance Capital Expenditures (defined to mean, for any period, 50.0% of depreciation expense) to (b) Fixed Charges, all calculated for the Company and its subsidiaries on a consolidated basis in accordance with GAAP; | | | ● | revise the definitions of Revolving Credit Maturity Date and Term Maturity Date to mean the date five years after the Sixth Amendment Effective Date and add a definition for the 2019 Equipment Line Maturity Date to provide for the same maturity date; | | | ● | reflect the refinancing of the Term A Loans, Term B Loans and Term C Loan as a single term loan (the “Term Loan”) on the Sixth Amendment Effective Date and, commencing on the last Business Day of December 2019, the consecutive quarterly principal installment payments changed to approximately $1.2 million; and | | | ● | revise Section 5.01 (e) of the Credit Agreement, which governs the Company's obligation to deliver financial statements to the lender, to require the Company to provide financial statements ( x ) as soon as possible but in any event within 30 days of the end of each fiscal quarter, or within 30 days of the end of each calendar month if any revolving loans were outstanding in the month, (y) in connection with, and prior to, requesting any letter of credit and (z) at such other times as may be requested by the lender. | These debt amendments were accounted for as debt modifications. As of September 30, 2020, the Company was in compliance with all debt-related covenants under the Credit Agreement. As of September 30, 2020, the Company's Term Loan, Equipment Line and 2019 Equipment Line under the Credit Agreement had balances of $23.1 million, $6.4 million and $4.3 million, respectively. The availability under the Revolver is subject to a borrowing base, which is calculated as the sum of the Company's eligible accounts receivable and eligible inventory as defined by the Credit Agreement. As of September 30, 2020, the borrowing base was approximately $15.5 million, which exceeded the gross available borrowing amount of $11.8 million. The following table illustrates the net availability under the Revolver as of the applicable balance sheet date (in thousands): | | | | | | | | | | | | | | | | | Revolver: | | | | | | | | | | Gross availability | | $ | 11,750 | | | $ | 11,750 | | | Outstanding draws | | | - | | | | - | | | Letters of credit | | | (1,750 | ) | | | (1,750 | ) | | Landlord reserves | | | (162 | ) | | | (150 | ) | | Availability on Revolver | | $ | 9,838 | | | $ | 9,850 | | The Company had future maturities of loans and other financings as of September 30, 2020 as follows (in thousands): | | | | | | | | | | | | | | | | | | | | | Term Loan | | $ | 1,154 | | | $ | 4,615 | | | $ | 4,615 | | | $ | 4,615 | | | $ | 8,074 | | | $ | 23,073 | | | Equipment Line | | | 400 | | | | 1,600 | | | | 1,600 | | | | 1,600 | | | | 1,200 | | | | 6,400 | | | 2019 Equipment Line | | | 214 | | | | 855 | | | | 855 | | | | 855 | | | | 1,495 | | | | 4,274 | | | Unamortized value of the debt issuance costs | | | (4 | ) | | | (17 | ) | | | (17 | ) | | | (17 | ) | | | (15 | ) | | | (70 | ) | | Other financing | | | 169 | | | | 725 | | | | 222 | | | | - | | | | - | | | | 1,116 | | | Total | | $ | 1,933 | | | $ | 7,778 | | | $ | 7,275 | | | $ | 7,053 | | | $ | 10,754 | | | $ | 34,793 | | The following is a breakdown of the Company's current and long-term debt (in thousands): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Term Loan | | $ | 4,615 | | | $ | 18,458 | | | $ | 23,073 | | | | $ | 5,768 | | | $ | 21,919 | | | $ | 27,687 | | | Equipment Line | | | 1,600 | | | | 4,800 | | | | 6,400 | | | | | 1,600 | | | | 6,000 | | | | 7,600 | | | 2019 Equipment Line | | | 855 | | | | 3,419 | | | | 4,274 | | | | | 79 | | | | 1,495 | | | | 1,574 | | | Unamortized value of debt issuance costs | | | (17 | ) | | | (53 | ) | | | (70 | ) | Unamortized value of debt issuance costs | | | (17 | ) | | | (66 | ) | | | (83 | ) | | Other financing | | | 706 | | | | 410 | | | | 1,116 | | | | | 652 | | | | 947 | | | | 1,599 | | | Total | | $ | 7,759 | | | $ | 27,034 | | | $ | 34,793 | | | | $ | 8,082 | | | $ | 30,295 | | | $ | 38,377 | | As of September 30, 2020, interest on the credit facility is payable at our option as a (i) Eurodollar Loan, which bears interest at a per annum rate equal to the applicable 30 -day London Interbank Offered Rate (“LIBOR”) plus an applicable margin ranging from 2.00% to 3.00% or (ii) CB Floating Rate (“CBFR”) Loan, which bears interest at a per annum rate equal to the greater of (a) the lender's prime rate or (b) LIBOR plus 2.50%, in each case, plus a margin ranging from - 1.00% to 0.25% based on our leverage ratio as defined in the Credit Agreement. The actual Eurodollar Loan rate at September 30, 2020 was 2.44% (LIBOR of 0.19% plus 2.25% ). The actual CBFR Loan rate at September 30, 2020 was 2.50% (lender's prime rate of 3.25% minus 0.75% ).
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