2022 Q3 Form 10-K Financial Statement

#000156459022032555 Filed on September 28, 2022

View on sec.gov

Income Statement

Concept 2022 Q3 2022 Q2 2022
Revenue $11.04M $9.881M $41.34M
YoY Change 4.86% -4.39% 1.62%
Cost Of Revenue $4.369M $4.248M $16.42M
YoY Change 7.27% 7.71% 5.14%
Gross Profit $6.668M $5.633M $24.93M
YoY Change 3.35% -11.86% -0.57%
Gross Profit Margin 60.41% 57.01% 60.29%
Selling, General & Admin $6.820M $6.249M $24.38M
YoY Change 13.1% 213.55% 36.89%
% of Gross Profit 102.28% 110.94% 97.8%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $368.0K $460.0K $1.543M
YoY Change 10.51% 13.86% 13.37%
% of Gross Profit 5.52% 8.17% 6.19%
Operating Expenses $8.281M $7.844M $30.27M
YoY Change 11.23% 130.5% 30.47%
Operating Profit -$1.613M -$2.211M -$5.340M
YoY Change 62.44% -174.0% -385.41%
Interest Expense -$4.000K $3.000K -$15.00K
YoY Change -71.43% -142.86% -46.43%
% of Operating Profit
Other Income/Expense, Net
YoY Change
Pretax Income -$1.544M -$2.210M -$1.615M
YoY Change -176.89% -147.37% -123.07%
Income Tax $0.00 $107.0K $107.0K
% Of Pretax Income
Net Earnings -$1.558M -$2.365M -$2.009M
YoY Change -180.35% -150.46% -129.16%
Net Earnings / Revenue -14.12% -23.93% -4.86%
Basic Earnings Per Share -$0.22 -$0.29
Diluted Earnings Per Share -$0.22 -$340.1K -$0.29
COMMON SHARES
Basic Shares Outstanding 7.032M 6.945M
Diluted Shares Outstanding 6.983M 6.945M

Balance Sheet

Concept 2022 Q3 2022 Q2 2022
SHORT-TERM ASSETS
Cash & Short-Term Investments $4.951M
YoY Change -44.58%
Cash & Equivalents $4.951M $6.794M
Short-Term Investments
Other Short-Term Assets $2.166M
YoY Change -5.46%
Inventory $1.842M $1.748M
Prepaid Expenses
Receivables $4.686M
Other Receivables $1.761M
Total Short-Term Assets $15.41M $16.82M
YoY Change -28.06% -23.36%
LONG-TERM ASSETS
Property, Plant & Equipment $8.482M $8.217M
YoY Change 22.57% 25.37%
Goodwill
YoY Change
Intangibles $1.195M $1.201M
YoY Change -2.05% -2.12%
Long-Term Investments
YoY Change
Other Assets $630.0K $523.0K
YoY Change -2.93% -11.51%
Total Long-Term Assets $11.42M $11.13M
YoY Change 14.73% 15.64%
TOTAL ASSETS
Total Short-Term Assets $15.41M $16.82M
Total Long-Term Assets $11.42M $11.13M
Total Assets $26.83M $27.94M
YoY Change -14.48% -11.47%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $1.831M $1.347M
YoY Change 7.83% 22.9%
Accrued Expenses $5.822M
YoY Change 9.93%
Deferred Revenue
YoY Change
Short-Term Debt $0.00
YoY Change
Long-Term Debt Due $41.00K $40.00K
YoY Change 10.81% -98.67%
Total Short-Term Liabilities $8.163M $7.691M
YoY Change 8.19% -20.42%
LONG-TERM LIABILITIES
Long-Term Debt $3.000K $14.00K
YoY Change -93.18% -73.08%
Other Long-Term Liabilities $114.0K $106.0K
YoY Change -88.93% -19.08%
Total Long-Term Liabilities $1.053M $1.132M
YoY Change -1.96% 3.95%
TOTAL LIABILITIES
Total Short-Term Liabilities $8.163M $7.691M
Total Long-Term Liabilities $1.053M $1.132M
Total Liabilities $9.216M $8.823M
YoY Change 6.93% -17.96%
SHAREHOLDERS EQUITY
Retained Earnings $3.242M $4.800M
YoY Change -29.51%
Common Stock $14.26M $14.21M
YoY Change 0.36%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $17.61M
YoY Change
Total Liabilities & Shareholders Equity $26.83M $27.94M
YoY Change -14.48% -11.47%

Cashflow Statement

Concept 2022 Q3 2022 Q2 2022
OPERATING ACTIVITIES
Net Income -$1.558M -$2.365M -$2.009M
YoY Change -180.35% -150.46% -129.16%
Depreciation, Depletion And Amortization $368.0K $460.0K $1.543M
YoY Change 10.51% 13.86% 13.37%
Cash From Operating Activities -$1.271M -$4.000K
YoY Change 280.54% -100.29%
INVESTING ACTIVITIES
Capital Expenditures $624.0K $3.190M
YoY Change -9.83% 22.93%
Acquisitions
YoY Change
Other Investing Activities $51.00K $10.00K
YoY Change 920.0% -76.74%
Cash From Investing Activities -$562.0K -$3.128M
YoY Change -18.2% 22.57%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net $10.00K $36.00K
YoY Change 25.0% 2.86%
Cash From Financing Activities -10.00K -36.00K
YoY Change 25.0% 2.86%
NET CHANGE
Cash From Operating Activities -1.271M -4.000K
Cash From Investing Activities -562.0K -3.128M
Cash From Financing Activities -10.00K -36.00K
Net Change In Cash -1.843M -3.168M
YoY Change 79.11% 159.25%
FREE CASH FLOW
Cash From Operating Activities -$1.271M -$4.000K
Capital Expenditures $624.0K $3.190M
Free Cash Flow -$1.895M -$3.194M
YoY Change 84.7% 159.67%

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<p style="margin-bottom:0pt;margin-top:12pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">1. BUSINESS OPERATIONS</p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:6.67%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">SunLink Health Systems, Inc., through subsidiaries (“SunLink”, “we”, “our”, “ours”, “us” or the “Company”), owns businesses which are providers of healthcare services in certain markets in the United States. SunLink’s business is composed of the ownership of two business segments:</p> <p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Healthcare Services</p> <p style="margin-bottom:0pt;margin-top:18pt;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;text-indent:6.67%;"><span style="font-weight:normal;">The Healthcare Services business is composed of:</span></p> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-family:Times New Roman;">A subsidiary which owns and operates Trace Regional Medical Center (“Trace”) which is comprised of a 49 licensed-bed acute care hospital, located in Houston, Mississippi. Our Medical Center also includes an 18-bed geriatric psychiatry unit (“GPU”), and a 66-bed extended care and rehabilitation center. This facility focuses primarily on senior healthcare services.</span></p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-size:10pt;font-family:'Times New Roman'">A</span><span style="font-size:10pt;font-family:'Times New Roman'"> </span><span style="font-family:Times New Roman;">subsidiary, SunLink Health Systems Technology (“SHST Technology”), which provides information technology (“IT”) to outside customers and to SunLink subsidiaries. </span><span style="font-family:Calibri;font-size:11pt;"> </span></p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-size:10pt;font-family:'Times New Roman'">A</span><span style="font-size:10pt;font-family:'Times New Roman'"> </span><span style="font-family:Times New Roman;">subsidiary which owns approximately five (5) acres of unimproved land in Houston, Mississippi</span>. </p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-family:Times New Roman;">A subsidiary which owns approximately 25 acres of unimproved land in Ellijay, Georgia.</span> </p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Pharmacy</p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:6.67%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The Pharmacy business, which is composed of four operational areas:</p> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-family:Times New Roman;">Retail pharmacy products and services, consisting of retail pharmacy sales conducted in rural markets at two locations in Louisiana</span>. </p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-family:Times New Roman;">Institutional pharmacy services consisting of the provision of specialty and non-specialty pharmaceutical and biological products to institutional clients or to patients in institutional settings, such as extended care and rehabilitation centers, nursing homes, assisted living facilities, behavioral and specialty hospitals, hospice, and correctional facilities.</span></p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-family:Times New Roman;">Non-institutional Pharmacy services consisting of the provision of specialty and non-specialty pharmaceutical and biological products to clients or patients in non-institutional settings including private residential homes. </span></p></td></tr></table></div> <div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:9.07%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"> </p></td> <td style="width:4.54%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/><span style="font-size:10pt;font-family:'Times New Roman'">•</span><span style="font-size:10pt;font-family:'Times New Roman';font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"/></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:6pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;font-family:'Times New Roman';font-size:10pt;"><span style="font-size:10pt;font-family:'Times New Roman'"> </span><span style="font-family:Times New Roman;">Durable medical equipment products and services (“DME”), consisting primarily of the sale and rental of products for institutional clients or to patients in institutional settings and patient-administered home care.</span></p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:12pt;text-indent:6.67%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">SunLink subsidiaries have conducted the Healthcare Services business since 2001 and the Pharmacy operations since 2008. Our Pharmacy segment currently is operated through Carmichael’s Cashway Pharmacy, Inc. (“Carmichael”), a subsidiary of our SunLink ScriptsRx, LLC subsidiary. </p> <p style="margin-bottom:0pt;margin-top:12pt;text-indent:6.67%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Throughout these notes to the consolidated financial statements, SunLink Health Systems, Inc., and its consolidated subsidiaries are referred to on a collective basis as “SunLink”, “we”, “our”, “ours”, “us” or the “Company.” This drafting style is not meant to indicate that the publicly traded Company or any particular subsidiary of the Company owns or operates any asset, business or property. The operations and businesses described in this filing are owned and operated by distinct and indirect subsidiaries of SunLink Health System, Inc. </p> <p style="text-align:justify;Background-color:#FFFFFF;margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;color:#212529;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;"><span style="text-decoration:underline;">COVID-19 Pandemic and CARES Act Funding</span></p> <p style="text-align:justify;Background-color:#FFFFFF;margin-top:6pt;margin-bottom:8pt;text-indent:4.17%;color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">COVID-19 was declared a global pandemic by the World Health Organization on March 11, 2020. We have continued to monitor the impact on our operations of the COVID-19 pandemic and its aftermath and have taken significant steps intended to minimize the risk to our employees and patients. Certain employees have been working remotely, but we believe these remote work arrangements have not materially affected our ability to maintain critical business operations, which are being conducted substantially in accordance with our understanding of applicable government health and safety protocols and guidance issued in response to the COVID-19 pandemic, although such protocols and guidance have been subject to frequent changes and at times have been unclear. </p> <p style="text-align:justify;Background-color:#FFFFFF;margin-top:6pt;margin-bottom:8pt;color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Nevertheless, as in many healthcare environments, we have experienced </span><span style="color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">disruption of our operations, </span><span style="color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">COVID-19 illness, including deaths, and some employees have tested positive and were placed on leave or in quarantine. We believe the effect of the COVID-19 pandemic and certain public and certain governmental responses to it have negatively affected our last </span><span style="color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">ten</span><span style="color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"> quarter’s results. </span></p> <p style="text-align:justify;Background-color:#FFFFFF;margin-top:6pt;margin-bottom:8pt;text-indent:4.17%;color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In late December 2020, we began receiving allotments of COVID-19 vaccine and have vaccinated patients, providers, employees, and staff in accordance with the protocols and guidelines in the states where we operate. Not all such individuals have been vaccinated to date and some individuals have not consented to vaccination. The Company and its subsidiaries are currently developing and will implement plans to vaccinate employees to the extent required by the final rules of CMS. The Company believes the vaccine mandates have resulted in the loss of staff, including clinical staff, and together with the current state of the labor market, have negatively affected the Company’s ability to maintain the current levels of service. </p> <p style="text-align:justify;margin-bottom:6pt;margin-top:0pt;text-indent:6.67%;color:#212529;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In our Healthcare Segment business, we have experienced material reductions in demand and net revenues due to the COVID-19 pandemic and its aftermath. There continues to be reduced current demand for certain hospital services and for extended care, rehabilitation center and nursing home admissions and clinic visits. The availability and cost of medical supplies have adversely affected our Healthcare businesses and we continue to monitor supplies and seek additional sources of many supply items. A reduction in the availability of qualified employees accompanied by an increase in the levels of salaries, wages and benefits have occurred, and, despite good faith efforts to do so, we have not yet been able to rehire or fully replace staff reductions which were previously furloughed, laid off or retired.</p> <p style="text-align:justify;Background-color:#FFFFFF;margin-bottom:0pt;margin-top:0pt;text-indent:4.17%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">During the COVID-19 pandemic, our Pharmacy business has experienced reduced sales trends in certain areas, increased costs and reduced staff. Many of our primary physician referral sources have been operating at reduced capacity, and until these referral sources resume operating at full capacity, we believe the COVID-19 pandemic will have continuing to effects on the demand for DME products and Retail and Institutional Pharmacy drugs and products. Reductions in employee hours have been made in response to the lower demand. Extended care facilities and rehabilitation centers, nursing homes and other customers of our Institutional Pharmacy services continue to be adversely affected by the COVID-19 pandemic. Our Institutional Pharmacy services have experienced increased costs and operational inefficiencies due to measures taken to protect our employees and by access controls and other restrictions implemented by our institutional customers. The impact of the COVID-19 pandemic and its aftermath also has and continues to negatively affected our supply processes and costs generally.</p> <p style="margin-bottom:0pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;text-indent:0%;font-family:Times New Roman;font-size:10pt;"> </p> <p style="margin-bottom:8pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;text-indent:6.27%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Our Healthcare and Pharmacy segments have received approximately $6,173 in general and targeted Provider Relief Funds ("PRF") during the period April 1, 2020 through June 30, 2022 under the CARES Act, which was enacted in March 2020 in response to the COVID-19 pandemic. The PRF distributions have been accounted for as government grants, and a total of $5,652 have been recognized since April l, 2020 as other income under the gain contingency recognition method.</p> <p style="margin-bottom:8pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;text-indent:6.27%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">During the quarter ended June 30, 2020, our Healthcare and Pharmacy segments received $3,234 in Paycheck Protection Plan (“PPP”) loans provided under the CARES Act. These loans were forgivable upon compliance with conditions specified under the PPP loan program. As of June 30, 2022, all our PPP loans have been forgiven.</p> <p style="Background-color:#FFFFFF;margin-bottom:7pt;margin-top:5pt;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;text-indent:6.67%;">The Taxpayer Certainty and Disaster Tax Relief Act of 2020, enacted December 27, 2020, made a number of changes to employer retention tax credits previously made available under the CARES Act, including modifying and extending the Employee Retention Credit ("ERC") for the six calendar months ending June 30, 2021. As a result of such legislation, the Company qualified for ERC for the first and second calendar quarters of 2021 due to the decrease in its gross receipts and has applied for ERC of $3,586 through amended quarterly payroll tax filings for the applicable quarters. Through the date of this filing, the Company has received $1,803 of ERC which we applied for. We continue to monitor compliance with the terms and conditions of the ERC and PPP programs and developing interpretations and enforcement of the ERC and PPP program rules and the regulations.   </p> <p style="margin-bottom:12pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;text-indent:0%;color:#1B1B1B;font-size:10pt;font-family:Calibri;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">    <span style="margin-left:36pt;"/><span style="font-family:Times New Roman;color:#000000;">PRF distributions are subject to Federal audits and Single Audits not subject to repayment provided we are able to attest to and comply with the terms and conditions of the funding, including demonstrating that the funds received have been used for designated, allowable healthcare-related expenses and capital expenditures attributable to COVID-19 and for "Lost Revenues" as defined by the department of “HHS”. We continue to monitor compliance with the terms and conditions of the PRF and developing interpretations and enforcement of PRF rules and regulations, as well as the impact of the pandemic on our revenues and expenses. If we are unable to attest to or comply with current or future terms and conditions, and there is no assurance we will be able to do so, our ability to retain some or all of the PRF received may be impacted, and we may have to return the unutilized portion of those funds, if any, in the future.</span></p> <p style="margin-bottom:12pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;text-indent:6.67%;">The Company is unable to determine the extent to which the COVID-19 pandemic and its aftermath will continue to affect its assets and operations. Our ability to make estimates of the effect of the COVID-19 pandemic on revenues, expenses or changes in accounting judgments that have had or are reasonably likely to have a material effect on our financial statements is currently limited. </p> <p style="margin-bottom:12pt;margin-top:0pt;margin-left:0.32%;margin-right:0.19%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The nature and extent of the </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">continuing </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">effect of the COVID-19 pandemic</span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"> and its aftermath </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">on our balance sheet and results of operations will depend on the severity and length of the pandemic</span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"> or to evolving strains of COVID-19</span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">; </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">any further </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">government actions to </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">address</span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;"> the pandemic's </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">continuing </span><span style="font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">effect; regulatory changes in response to the pandemic, especially those that affect our hospital, extended care, rehabilitation center, nursing home, clinics, and our pharmacy operations; existing and potential government assistance that may be provided; and the requirements of PRF receipts, including our ability to retain such PRF received.</span></p>
CY2022 us-gaap Number Of Reportable Segments
NumberOfReportableSegments
2
CY2022 ssy Employee Retention Credit Qualified Wages Limited Per Employee Per Quarter
EmployeeRetentionCreditQualifiedWagesLimitedPerEmployeePerQuarter
3586000
CY2022 us-gaap Use Of Estimates
UseOfEstimates
<p style="margin-bottom:0pt;margin-top:12pt;text-indent:6.67%;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;">Management Estimates<span style="font-weight:normal;font-style:normal;"> —The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Some of the more significant estimates made by management involve reserves for adjustments to net patient service revenues, evaluation of the recoverability of assets, including accounts receivable and intangible assets, and the assessment of litigation and contingencies, including income taxes and related tax asset valuation allowances, all as discussed in more detail in the remainder of these notes to the consolidated financial statements. Actual results could differ materially from these estimates.</span></p>
CY2022 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="margin-bottom:0pt;margin-top:0pt;text-indent:6.67%;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;">Concentrations of Credit Risk<span style="font-weight:normal;font-style:normal;"> —SunLink’s Healthcare Services segment subsidiaries grant unsecured credit to their patients, most of who reside in the service area of the subsidiaries’ facilities and are insured under third-party agreements. Medicare and </span></p> <p style="margin-bottom:0pt;margin-top:0pt;font-weight:bold;font-style:italic;font-size:10pt;font-family:Times New Roman;text-transform:none;font-variant: normal;"><span style="font-weight:normal;font-style:normal;">Medicaid patient accounts represent SunLink’s only significant concentrations of credit risk. For SunLink’s Healthcare Services segment, Medicare net revenues were approximately </span>57<span style="font-weight:normal;font-style:normal;">% and </span><span style="font-weight:normal;font-style:normal;">52</span><span style="font-weight:normal;font-style:normal;">% of net revenues for the years ended June 30, 20</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;"> and 20</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;">1</span><span style="font-weight:normal;font-style:normal;">, respectively. For SunLink’s Healthcare Services segment, Medicaid was approximately </span>32<span style="font-weight:normal;font-style:normal;">% and </span>31<span style="font-weight:normal;font-style:normal;">% net revenues for the years ended June 30, 20</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;"> and 20</span><span style="font-weight:normal;font-style:normal;">2</span><span style="font-weight:normal;font-style:normal;">1</span><span style="font-weight:normal;font-style:normal;">, respectively.  </span></p> <p style="margin-bottom:0pt;margin-top:12pt;text-indent:6.67%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">SunLink’s Pharmacy segment subsidiary grants unsecured credit to individual customers and institutional customers. Individual customers primarily are insured under third-party agreements, including Medicare and Medicaid, while the institutional customers are granted credit according to their determined credit risk. Medicare receivables were approximately 30% and 21% of the Pharmacy segment’s receivables at June 30, 2022 and 2021, respectively, while Medicaid receivables were approximately 17% and 24% of the Pharmacy segment receivable at June 30, 2022 and 2021, respectively. </p>
CY2022Q2 us-gaap Cash
Cash
6794000
CY2022Q2 ssy Cash Deposits In Excess Of Federally Insured Limits
CashDepositsInExcessOfFederallyInsuredLimits
5995000
CY2022 ssy Overnight Repurchase Agreements Collateralized By Government Backed Securities
OvernightRepurchaseAgreementsCollateralizedByGovernmentBackedSecurities
1.02
CY2022 us-gaap Property Plant And Equipment Depreciation Methods
PropertyPlantAndEquipmentDepreciationMethods
Depreciation is recognized over the estimated useful lives of the assets, which range from 3 to 45 years, on a straight-line basis.
CY2022 us-gaap Property Plant And Equipment Estimated Useful Lives
PropertyPlantAndEquipmentEstimatedUsefulLives
estimated useful lives of the assets, which range from 3 to 45 years, on a straight-line basis.
CY2022 us-gaap Depreciation
Depreciation
1517000
CY2021 us-gaap Depreciation
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1334000
CY2022Q2 us-gaap Finance Lease Weighted Average Discount Rate Percent
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CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
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361000
CY2022Q2 us-gaap Finance Lease Liability Payments Due Next Twelve Months
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42000
CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due Year Two
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352000
CY2022Q2 us-gaap Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
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CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
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CY2022Q2 us-gaap Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
0
CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
174000
CY2022Q2 us-gaap Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
0
CY2022Q2 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
857000
CY2022Q2 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
14000
CY2022Q2 ssy Long Term Debt Maturities Repayments Of Principal In Year Six And After Year Six
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearSixAndAfterYearSix
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CY2021 us-gaap Share Based Compensation
ShareBasedCompensation
0
CY2022 us-gaap Share Based Compensation
ShareBasedCompensation
0
CY2022 ssy Disposal Group Including Discontinued Operation Revenue Net Of Expenses
DisposalGroupIncludingDiscontinuedOperationRevenueNetOfExpenses
24000
CY2021 ssy Disposal Group Including Discontinued Operation Revenue Net Of Expenses
DisposalGroupIncludingDiscontinuedOperationRevenueNetOfExpenses
191000
CY2022 us-gaap Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationBeforeIncomeTax
-287000
CY2021 us-gaap Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationBeforeIncomeTax
-47000
CY2022 us-gaap Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
0
CY2021 us-gaap Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
0
CY2022 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Reporting Entity
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
-287000
CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Reporting Entity
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
-47000
CY2022Q2 us-gaap Change In Accounting Principle Accounting Standards Update Adoption Date
ChangeInAccountingPrincipleAccountingStandardsUpdateAdoptionDate
2018-07-01
CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
11000
CY2022Q2 us-gaap Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
0
CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
0
CY2022Q2 us-gaap Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
0
CY2022Q2 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
1228000
CY2022Q2 us-gaap Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
57000
CY2022Q2 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
19000
CY2022 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
41344000
CY2021 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
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40685000
CY2022 ssy Health Care Organization Significant Change In Estimates
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33000
CY2021 ssy Health Care Organization Significant Change In Estimates
HealthCareOrganizationSignificantChangeInEstimates
69000
CY2022Q2 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
0
CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Year Three
LongTermDebtContractualCommitmentsForInterestInYearThree
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CY2022Q2 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
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CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Year Four
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CY2022Q2 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
0
CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Year Five
LongTermDebtContractualCommitmentsForInterestInYearFive
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CY2022Q2 us-gaap Inventory Net
InventoryNet
1748000
CY2021Q2 us-gaap Inventory Net
InventoryNet
1890000
CY2022 us-gaap Operating Lease Cost
OperatingLeaseCost
468000
CY2021 us-gaap Operating Lease Cost
OperatingLeaseCost
514000
CY2022 ssy Short Term Lease Cost Income
ShortTermLeaseCostIncome
82000
CY2022 us-gaap Operating Lease Expense
OperatingLeaseExpense
552000
CY2021 us-gaap Operating Lease Expense
OperatingLeaseExpense
553000
CY2022 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
36000
CY2021 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
36000
CY2022 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
5000
CY2021 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
7000
CY2022 ssy Finance Lease Cost
FinanceLeaseCost
41000
CY2021 ssy Finance Lease Cost
FinanceLeaseCost
43000
CY2022Q2 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
1187000
CY2021Q2 us-gaap Operating Lease Right Of Use Asset
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1251000
CY2022Q2 us-gaap Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
203000
CY2022Q2 us-gaap Property Plant And Equipment Owned Accumulated Depreciation
PropertyPlantAndEquipmentOwnedAccumulatedDepreciation
101000
CY2022Q2 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
40000
CY2022Q2 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
14000
CY2022 us-gaap Operating Lease Payments
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471000
CY2022 ssy Operating Cash Flows From Finance Lease
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5000
CY2022 us-gaap Finance Lease Principal Payments
FinanceLeasePrincipalPayments
36000
CY2022 us-gaap Right Of Use Asset Obtained In Exchange For Finance Lease Liability
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CY2022 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
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370000
CY2022Q2 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.0103
CY2022Q2 us-gaap Finance Lease Liability Undiscounted Excess Amount
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3000
CY2022Q2 us-gaap Operating Lease Liability
OperatingLeaseLiability
1209000
CY2022Q2 us-gaap Finance Lease Liability
FinanceLeaseLiability
54000
CY2022Q2 us-gaap Operating Lease Liability Current
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352000
CY2022Q2 us-gaap Finance Lease Liability Current
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40000
CY2022 us-gaap Amortization Of Intangible Assets
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26000
CY2021 us-gaap Amortization Of Intangible Assets
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27000
CY2022Q2 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
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21000
CY2022Q2 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
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CY2022Q2 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
0
CY2022Q2 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
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0
CY2022Q2 ssy Finite Lived Intangible Assets Amortization Expense Year Five And Thereafter Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFiveAndThereafterFive
0
CY2022Q2 us-gaap Finite Lived Intangible Assets Net
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21000
CY2022Q2 ssy Finance Lease Obligations
FinanceLeaseObligations
54000
CY2021Q2 ssy Finance Lease Obligations
FinanceLeaseObligations
89000
CY2022Q2 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
54000
CY2021Q2 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
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3061000
CY2022Q2 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
40000
CY2021Q2 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
3009000
CY2022Q2 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
14000
CY2021Q2 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
52000
CY2022Q2 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
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40000
CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Next Twelve Months
LongTermDebtContractualCommitmentsForInterestInNextTwelveMonths
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CY2022Q2 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
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14000
CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Year Two
LongTermDebtContractualCommitmentsForInterestInYearTwo
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CY2022Q2 ssy Long Term Debt Contractual Commitments For Interest In Year Six And After Year Six
LongTermDebtContractualCommitmentsForInterestInYearSixAndAfterYearSix
0
CY2022Q2 us-gaap Long Term Debt
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54000
CY2022Q2 ssy Long Term Debt Contractual Commitments
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3000
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480000
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410000
CY2021Q2 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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1.34
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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CY2022 us-gaap Stock Issued During Period Shares Stock Options Exercised
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CY2022 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
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1.67
CY2022 ssy Share Based Compensation Arrangement By Share Based Payments Award Options Exercised In Period Range Of Exercise Price
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1.67
CY2022Q2 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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380000
CY2022Q2 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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1.31
CY2021Q2 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
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410000
CY2021Q2 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
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ssy-ex321_11.htm Edgar Link pending
ssy-ex322_8.htm Edgar Link pending
ssy-20220630_def.xml Edgar Link unprocessable
ssy-20220630_lab.xml Edgar Link unprocessable
ssy-20220630_pre.xml Edgar Link unprocessable
ssy-10k_20220630_htm.xml Edgar Link completed
ssy-20220630_cal.xml Edgar Link unprocessable
FilingSummary.xml Edgar Link unprocessable