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Accrued expenses (Details) (USD $)
Dec. 31, 2014
Dec. 31, 2013
Customer deposits $ 2,516,202us-gaap_CustomerDepositsCurrent $ 1,795,803us-gaap_CustomerDepositsCurrent
Accrued compensation and benefits 984,227us-gaap_AccruedEmployeeBenefitsCurrent 795,584us-gaap_AccruedEmployeeBenefitsCurrent
Other payables 379,019us-gaap_OtherAccruedLiabilitiesCurrent 242,993us-gaap_OtherAccruedLiabilitiesCurrent
Accrued interest 1,025,623us-gaap_DepositLiabilitiesAccruedInterest 2,250us-gaap_DepositLiabilitiesAccruedInterest
Due to Arthrex 324,531nuot_AccruedPayableToArthrex 1,630,564nuot_AccruedPayableToArthrex
Accrued professional fees 285,446us-gaap_AccruedProfessionalFeesCurrent 199,634us-gaap_AccruedProfessionalFeesCurrent
Accrued loss on abandonment of lease, current portion 103,176nuot_AccruedLossOnAbandonmentOfLease 0nuot_AccruedLossOnAbandonmentOfLease
Accrued Angel machine refurbishment costs 600,000nuot_AccruedAngelMachineRefurbishmentCosts 0nuot_AccruedAngelMachineRefurbishmentCosts
Accrued Liabilities, Current $ 6,218,224us-gaap_AccruedLiabilitiesCurrent $ 4,666,828us-gaap_AccruedLiabilitiesCurrent