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Basis of Preparation
9 Months Ended
Sep. 30, 2020
Basis of Preparation [Abstract]  
Basis of Preparation
Note A - Basis of Preparation

The accompanying Condensed Consolidated Financial Statements of U.S. NeuroSurgical Holdings, Inc. and Subsidiaries (the “Company”) as of September 30, 2020 and 2019, are unaudited.  However, in the opinion of management, such statements include all adjustments necessary for a fair statement of the information presented therein.  The Consolidated Balance Sheet at December 31, 2019 has been derived from the audited Consolidated Financial Statements at that date appearing in the Company's Annual Report on Form 10-K.

Pursuant to accounting requirements of the Securities and Exchange Commission applicable to quarterly reports on Form 10-Q, the accompanying Condensed Consolidated Financial Statements and notes do not include all disclosures required by accounting principles generally accepted in the United States of America for complete financial statements.  Accordingly, these statements should be read in conjunction with the Company's most recent annual Consolidated Financial Statements.

Consolidated results of operations for interim periods are not necessarily indicative of those to be achieved for full fiscal years. The only change to the Company’s equity in the three and nine months ended September 30, 2020, and the corresponding periods in 2019, was net income for the periods/

In May 2014, the Financial Accounting Standards Board (the “FASB”) issued ASU 2014-09, Revenue from Contracts with Customers (“Topic 606”), amending existing revenue recognition guidance and requiring more detailed disclosures to enable users of financial statements to understand the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. Topic 606 defines a five-step process to accomplish this objective, including identifying the contract with the customer and the performance obligations within the contract, determining the transaction price including estimates of any variable consideration, allocating the transaction price to each separate performance obligation, and recognizing revenue as the company satisfies the performance obligation. We adopted the provisions of Topic 606 as of January 1, 2018 on a modified retrospective basis and applied it to the Company's sole contract at the date of adoption. We concluded that the impact to the manner in which we recognize revenue is immaterial. Our revenue is primarily generated from a leasing arrangement with New York University (“NYU”), which is not within the scope of Topic 606, and from the sale of maintenance services with a single performance obligation, under which revenue is recognized in a similar manner as compared to the method under the prior revenue standards. The Company recognizes maintenance income ratably over time as patient procedures are performed.

Prior to October 2018, the Company’s agreement with NYU primarily consisted of an operating lease, and the associated patient revenue from the use of the gamma knife was primarily operating lease income. In October 2018, the agreement was reevaluated to be a sales-type sublease between the Company, the lessor, and NYU, the lessee. The present value of all fixed future minimum lease payments payable by NYU to the Company were recorded as an investment in sublease effective October 1, 2018.  The patient revenue under the tiered schedule (“Note B”) continues to be considered contingent income and is recognized on a systematic basis using an average fee per procedure.

We adopted the provisions of ASU 2016-02, Leases ("Topic 842"), as amended, as of January 1, 2019. The adoption of Topic 842 had a material impact on the Company’s Consolidated Balance Sheets due to the recognition of certain right-of-use (“ROU”) assets and lease liabilities. Although a significant amount of our revenue is now accounted for under Topic 842, this guidance did not have a material impact on our Consolidated Statements of Operations or Cash Flows. Because of the transition method we used to adopt Topic 842, Topic 842 will not be applied to periods prior to adoption and the adoption of Topic 842 had no impact on our previously reported results, or on opening equity at January 1, 2019.
 
The tables below present financial information associated with our leases.
 

Classification
 
September 30, 2020
  
September 30, 2019
 
Assets
       
Current
       
Finance lease assets
Investment in sales-type sublease - current
 
$
760,000
  
$
873,000
 
          
Long-term
         
Finance lease assets
Investment in sales-type sublease - net of current portion
  
-
   
760,000
 
Operating lease assets
Operating lease right-of-use asset
  
103,000
   
136,000
 
Total leased assets
   
$
863,000
  
$
1,769,000
 
          
Liabilities
         
Current
         
Finance lease liabilities
Obligations under finance lease - current portion
 
$
176,000
  
$
1,177,000
 
Operating lease liabilities
Operating lease right-of-use liability - current portion
  
39,000
   
35,000
 
          
Long-term
         
Finance lease liabilities
Obligations under finance lease - net of current portion
  
-
   
176,000
 
Operating lease liabilities
Operating lease right-of-use liability - net of current portion
  
77,000
   
115,000
 
Total lease liabilities
   
$
292,000
  
$
1,503,000
 
          
Lease Cost
         
Operating lease cost
Selling, general and administrative
 
$
32,000
  
$
32,000
 
          
Finance lease cost
         
Interest on lease liabilities
Interest expense
  
21,000
   
72,000
 
          
Sublease income
Interest income - sales-type sublease
  
60,000
   
104,000
 
Net lease (income)
   
$
(7,000
)
 
$
-
 

Maturity of lease liabilities (as of September 30, 2020)
 
Operating lease
  
Finance lease
 
2020
 
$
11,000
  
$
90,000
 
2021
  
45,000
   
90,000
 
2022
  
46,000
     
2023
  
24,000
   
-
 
Total
 
$
126,000
  
$
180,000
 
Less amount representing interest
  
10,000
   
4,000
 
Present value of lease liabilities
 
$
116,000
  
$
176,000
 
Discount rate
  
5.850
%
  
5.850
%

Reclassifications:

Certain balances for the nine months ended September 30, 2019 have been reclassified to conform with the 2020 presentation. These reclassifications had no effect on previously reported net income or cash flows.