EHSI 10-Q
Elite Health Systems Inc. (EHSI)
10-Q
2021-08-11
For: 2021-06-30
View Original
Added on
April 06, 2026
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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For the quarterly period ended June 30, 2021
or
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
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For the transition period from to .
Commission file number: 0-15586
(Exact name of registrant as specified in its charter)
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(State or other jurisdiction of incorporation or organization)
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(I.R.S. Employer Identification No.)
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(Address of principal executive offices)
(301 ) 208-8998
(Registrant's telephone number)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the preceding 12 months (or for such shorter period that the registrant was required to file
such reports), and (2) has been subject to such filing requirements for the past 90 days.Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required
to be submitted and posted pursuant to Rule 405 of Regulation S-T (Section 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,”
“accelerated filer,” “smaller reporting company, and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
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Large accelerated filer ☐
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Accelerated filer ☐
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Smaller reporting company
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(do not check if a smaller reporting company)
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Emerging Growth Company
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of
the Exchange Act ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐
No ☒
The number of shares of the registrant’s common stock, $0.01 par value, outstanding as of June 30, 2021 was 7,792,185 .
U.S. NEUROSURGICAL HOLDINGS, INC. AND SUBSIDIARIES
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June 30,
2021
(Unaudited)
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December 31,
2020
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ASSETS
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Current assets:
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Cash and cash equivalents
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$
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$
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Accounts receivable
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Investment in sales-type sublease - current
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Other current assets
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Total current assets
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Other assets:
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Due from related parties
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Investments in unconsolidated entities
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Total other assets
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Property and equipment:
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Operating lease right-of-use asset
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Total property and equipment
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TOTAL ASSETS
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$
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$
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LIABILITIES
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Current liabilities:
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Obligations under finance lease - current portion
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$
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$
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Operating lease right-of-use liability - current portion
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Accounts payable and accrued expenses
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Income taxes payable
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Total current liabilities
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Operating lease right-of-use liability - net of current portion
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Guarantee liability
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Total liabilities
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STOCKHOLDERS’ EQUITY
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| Common stock - par value $ |
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Additional paid-in capital
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Retained earnings
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Total stockholders' equity
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TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY
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$
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$
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The accompanying notes to condensed consolidated financial statements are an integral part hereof.
U.S. NEUROSURGICAL HOLDINGS, INC. AND SUBSIDIARIES
(UNAUDITED)
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Three Months Ended
June 30,
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2021
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2020
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Revenue
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$
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$
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Costs and expenses:
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Patient expenses
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Selling, general and administrative
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Total
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Operating (deficit) income
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(
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)
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Interest expense
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(
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)
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(
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)
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Interest income - sales-type sublease
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Loss from investments in unconsolidated entities, net
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(
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)
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(
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)
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(Loss) income before income taxes
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(
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)
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Provision for income taxes
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(
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)
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(
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)
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Net (loss) income
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$
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(
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)
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$
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Basic and diluted net (loss) income per share
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$
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(
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)
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$
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Weighted average common shares outstanding
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The accompanying notes to condensed consolidated financial statements are an integral part hereof.
U.S. NEUROSURGICAL HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
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Six Months Ended
June 30,
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2021
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2020
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Revenue
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$
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$
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Costs and expenses:
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Patient expenses
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Selling, general and administrative
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Total
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Operating income
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Interest expense
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(
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)
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(
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)
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Interest income - sales-type sublease
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Loss from investments in unconsolidated entities, net
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(
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)
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(
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)
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Income before income taxes
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Provision for income taxes
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(
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)
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(
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)
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Net (loss) income
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$
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(
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)
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$
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Basic and diluted net (loss) income per share
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$
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(
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) |
$
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Weighted average common shares outstanding
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The accompanying notes to condensed consolidated financial statements are an integral part hereof.
U.S. NEUROSURGICAL HOLDINGS, INC. AND SUBSIDIARIES
(UNAUDITED)
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Six Months Ended
June 30,
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2021
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2020
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Cash flows from operating activities:
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Net (loss) income
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$
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(
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)
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$
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Adjustments to reconcile net (loss) income to net cash provided by operating activities:
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Amortization of operating lease right-of-use asset
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Loss from investments in unconsolidated entities, net
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Distributed earnings from unconsolidated entities
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Deferred income taxes
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(
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)
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Changes in:
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Accounts receivable
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Income taxes payable
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Other current assets
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Accounts payable and accrued expenses
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(
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(
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Deferred revenue
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Operating lease right-of-use liability
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(
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(
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Net cash provided by operating activities
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Cash flows from investing activities:
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Advances to unconsolidated entities
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(
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(
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Repayments from loans to unconsolidated entities
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Captial contributions to unconsolidated entities
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(
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Principal payments received under sales-type sublease
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Net cash provided by investing activities
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Cash flows from financing activities:
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Repayment of finance lease obligations
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(
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(
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Net cash used in financing activities
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(
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)
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(
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Net change in cash and cash equivalents
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Cash and cash equivalents - beginning of period
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Cash and cash equivalents - end of period
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$
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$
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Supplemental disclosures of cash flow information:
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Cash paid for:
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Interest
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$
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$
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| Income taxes |
$ | $ | ||||||
The accompanying notes to condensed consolidated financial statements are an integral part hereof.
U.S. NEUROSURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Note A - Basis of Preparation
The accompanying Condensed Consolidated Financial
Statements of U.S. NeuroSurgical Holdings, Inc. and Subsidiaries (the “Company”) as of June 30, 2021, and 2020, 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, 2020 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 six months ended June 30, 2021 and 2020 was net income or loss 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 was considered contingent income and had been 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.
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Classification
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June 30, 2021
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June 30, 2020
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Assets
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Current
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Finance lease assets
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Investment in sales-type sublease - current
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$
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$
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Long-term
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Finance lease assets
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Investment in sales-type sublease - net of current portion
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Operating lease assets
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Operating lease right-of-use asset
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Total leased assets
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$
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$
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Liabilities
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Current
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Finance lease liabilities
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Obligations under finance lease - current portion
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$
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$
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Operating lease liabilities
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Operating lease right-of-use liability - current portion
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Long-term
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Finance lease liabilities
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Obligations under finance lease - net of current portion
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Operating lease liabilities
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Operating lease right-of-use liability - net of current portion
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Total lease liabilities
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$
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$
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Lease Cost
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Operating lease cost
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Selling, general and administrative
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$
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$
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Finance lease cost
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Interest on lease liabilities
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Interest expense
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Sublease income
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Interest income - sales-type sublease
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Net lease expense (income)
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$
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$
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(
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)
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Maturity of lease liabilities (as of June
30, 2021)
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Operating lease
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2021
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2022
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2023
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Total
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$
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Less amount representing interest
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Present value of lease liabilities
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$
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Discount rate
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%
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Note B – Gamma Knife at NYU
Medical Center
U.S. NeuroSurgical, Inc. (“USN”), a wholly-owned subsidiary of U.S. NeuroSurgical Holdings, Inc., opened a New York gamma knife treatment center in July 1997 on the campus of New York University (“NYU”) Medical Center. The Company’s contract with NYU, its only customer, ended in March 2021. Upon termination of the NYU contract, the Company recognized a gain of $100,000 relating to previously accrued expenses. This gain was included as a reduction in selling, general and administrative expense in the quarter ended March 31, 2021. The Company is
actively seeking new business ventures and believes that its cash reserves, which are in excess of $2.8 million at June 30, 2021, will
allow the Company the opportunity do so. Such plans include possible new operations or extensions of its activities in Florida and California, where it has established working relationships with physician groups, hospitals and other
organizations. In addition to these activities, the Company has been exploring possible combinations with other existing businesses that would create a larger operating entity that would better justify the expenses involved in continuing as an
independent publicly traded company.
Note C – The Southern California Regional Gamma Knife
Center
During 2007, the Company, through a noncontrolling
interest in joint ventures, managed the formation of the Southern California Regional Gamma Knife Center at San Antonio Regional Hospital (“SARH”) in Upland, California. Corona Gamma Knife, LLC (“CGK”) is party to a 14 -year agreement with SARH to renovate space in the hospital and install and operate a Leksell PERFEXION gamma knife. CGK leases the gamma
knife from NeuroPartners LLC, which holds the gamma knife equipment. In addition to returns on its ownership interests, USNC expects to receive fees for management services relating to the facility.
USNC is a 20 % owner of NeuroPartners LLC and owns 39 % of CGK.
USNC was a 20 % guarantor on NeuroPartners LLC’s seven-year lease
with respect to the gamma knife equipment and certain leasehold improvements at SARH. In February 2016, NeuroPartners LLC negotiated a new five-year
lease to fund the reloading of cobalt and related construction services. The new lease of $1,663,000 included a balance of $668,000 from the prior lease obligations. This new lease was payable over 60 months. The first payment of $31,000 was paid in April 2016 and
the final payment was paid in March 2021.
Construction of the SARH gamma knife center was
completed in December 2008 and the first patient was treated in January 2009. The project has been funded principally by outside investors. While the Company, through its joint ventures, has led the effort in organizing the business and
overseeing the development and operation of the SARH center, its investment to date in the SARH center has been minimal.
At June 30, 2021 and December 31, 2020, the Company’s
combined recorded investment of NeuroPartners LLC and CGK was $19,000 and $26,000 , respectively. For the six months ended June 30, 2021, the Company’s combined equity in loss of NeuroPartners LLC and CGK was $7,000 compared to combined equity in earnings of $114,000
for the six months ended June 30, 2020. At June 30, 2021 and December 31, 2020, amounts due from related parties was $14,000
and $9,000 , respectively.
The following tables present the aggregation of
summarized financial information of NeuroPartners LLC and CGK:
NeuroPartners LLC and CGK Condensed
Combined Income Statement Information
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Six Months Ended
June 30,
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2021
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2020
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Patient Revenue
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$
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$
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Net income
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$
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$
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USNC's equity in (loss) earnings of
NeuroPartners LLC and CGK
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$
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(
|
)
|
$
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Three Months Ended
June 30,
|
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2021
|
2020
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Patient Revenue
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$
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$
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|
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Net income
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$
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$
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USNC's equity in (loss) earnings of
NeuroPartners LLC and CGK
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$
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(
|
)
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$
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NeuroPartners LLC and CGK Condensed Combined Balance
Sheet Information
|
June 30,
2021
|
December 31,
2020
|
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Current assets
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$
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$
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Noncurrent assets
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Total assets
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$
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$
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Current liabilities
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$
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|
$
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Equity
|
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|
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Total liabilities and equity
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$
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$
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Note D – Florida Oncology Partners
During 2010, through the formation of a joint
venture, in which it has a noncontrolling interest, the Company expanded its market strategy to include opportunities to develop cancer centers featuring radiation therapy. These centers utilize linear accelerators with Intensity
Modulated Radiation Therapy (“IMRT”) and Image Guided Radiation Therapy (“IGRT”) capabilities. In 2010, the Company formed Florida Oncology Partners, LLC (“FOP”) in partnership with local physicians and other investors. USNC owns a 24 % interest in the venture. FOP’s first center was located in Miami, Florida and opened in the second quarter of 2011.
During 2011, FOP entered into a seven-year capital lease with Key Bank for $5,800,000 .
Under the terms of the capital lease, USN agreed to guarantee a maximum of $1,433,000 , approximately 25 % of the original lease obligation in the event of default. USN was a guarantor jointly with most of the other members of FOP. The
guarantee was eliminated upon repayment of the outstanding lease balance in May 2018.
In December 2015, FOP entered into an agreement with
21st Century Oncology for the sale of FOP’s Varian Rapid Arc linear accelerator and other medical equipment at the FOP location. 21st Century Oncology paid FOP $1,000,000 as a down payment for the equipment and agreed to make monthly payments of $172,000
for the equipment and all monthly payments due under the equipment lease with Key Bank. As of this date, 21st Century Oncology has not satisfied all of the terms of the agreement. In May 2017, 21st Century Oncology filed for Chapter 11
bankruptcy protection and FOP was listed as an unsecured creditor. As a result, since June 2017, FOP has not received the agreed rental payments beyond the monthly payments for the equipment lease. As noted above, the equipment lease was
repaid in May 2018 and title to the equipment was transferred to 21st Century Oncology. In December 2018, FOP was awarded 10,820
shares of 21st Century Oncology Holdings Inc. common stock as part of the bankruptcy proceedings. The title to these shares was transferred to USNC during 2020. The market value of these shares is unclear at this time as there is no
readily available market for them, and accordingly, no value has been recorded for these shares at June 30, 2021 by USNC. During the year ended December 31, 2020, FOP received a payment of approximately $158,000 from 21st Century Oncology. FOP used these funds to repay $155,000 of previous advances from USNC. FOP will continue to monitor the impact of 21st Century Oncology’s bankruptcy and pursue amounts that it is owed. However, there can be no
assurance that FOP will be successful in these efforts.
Late in 2016, FOP took initial steps toward the
development of a new radiation therapy center in Homestead, Florida. In December 2016, FOP entered into a ten-year lease
agreement for office space located at 20405 Old Cutler Towne Center. FOP had to deliver an $88,000 letter of credit in
conjunction with this office lease which collateral is being held in a restricted certificate of deposit. FOP began incurring architecture costs for planning/refitting the new space. During the first half of 2017, a financing agreement
with BB&T Bank for the medical equipment and leasehold improvements was negotiated and then signed on August 31, 2017. In November 2017, the amounts for the equipment and leasehold improvements costs were finalized and paid under
this financing agreement for a total loan of $4,106,000 to be paid over seven years . Under the terms of the financing agreement, USN agreed to guarantee the amount initially borrowed. USN is the guarantor with several other members of FOP. The
outstanding balance on the financing facility was $2,914,000 at June 30, 2021 and $3,066,000 at December 31, 2020. Effective November 15, 2019, FOP transferred this loan, along with the equipment acquired with the loan proceeds, to CB Oncology
Partners, LLC (“CBOP”.) The Company expects any potential liability from this guarantee to be reduced by the recoveries of the respective collateral. Late in the third quarter of 2017, it was determined that the business opportunity at
this new location should be pursued by a different investor group, and FOP arranged to sell the opportunity to this group. CBOP was organized on September 1, 2017, to acquire the assets and rights in this new center from FOP.
In June 2017, FOP entered into an agreement with a
third-party owner of a radiation therapy center located in Miami, Florida, whereby FOP took over the operation of the center effective September 22, 2017, for a ten-year initial term, and up to three additional terms of five years each. This agreement was accounted for as a capital lease and, accordingly, FOP recorded assets and capital lease liabilities
totaling $14,321,000 at September 22, 2017. The lease required monthly payments in the first year of $160,000 , increasing by 2 % each
year; currently the payment is $170,000 . FOP abandoned its operations at this radiation center on June 28, 2019 due to
continued losses at the site and lack of success in good faith efforts to renegotiate the agreement after several months of discussion. FOP could be considered in default of the agreement and the third-party owner could pursue action
against FOP. Due to the circumstances, FOP derecognized the associated assets and liabilities and calculated a contingent liability equal to the net liabilities derecognized. FOP has not, however, been released from its contractual
obligation to the third-party owner. At June 30, 2021, FOP was obligated to make a further $17.6 million of lease payments for
the period from July 2019 to September 2027, with no payments made since June 2019. Due to abandoning the operations of the
Miami center as well as continued working capital deficits, FOP’s ability to continue as a going concern will require FOP to restructure debt, raise new capital, and successfully settle the agreement at the center in Miami, Florida. Since
these plans are preliminary and have not been approved at this date, there is substantial doubt about FOP’s ability to continue as a going concern within the next twelve months from the date these Condensed Consolidated Financial
Statements are available to be issued.
The Company’s recorded investment in FOP at June 30,
2021 and December 31, 2020 has been reduced to zero No
During the year ended December 31, 2020, the Company
wrote off all amounts due from FOP and accrued interest thereon. The Company recorded amounts written off and increases in the allowances as a component of loss from investments in unconsolidated entities and as a deduction in interest
income for interest earned.
Because of loans made to FOP, FOP is considered a
variable interest entity of the Company. However, as the Company is not deemed to be the primary beneficiary of FOP, since it does not have the power to direct the operating activities that most significantly affect FOP’s economic
performance, the entity is not consolidated, but certain disclosures are provided herein.
The following tables present the summarized financial
information of FOP:
FOP Condensed Income Statement
Information
|
Six Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Income
|
$
|
|
$
|
|
||||
|
Net (loss) income
|
$
|
(
|
)
|
$
|
|
|||
|
USNC's equity in (loss) earnings of FOP
|
$
|
(
|
)
|
$
|
|
|||
|
Three Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Income
|
$
|
|
$
|
|
||||
|
Net loss
|
$
|
(
|
)
|
$
|
|
|||
|
USNC's equity in (loss) earnings of FOP
|
$
|
(
|
)
|
$
|
|
|||
FOP Condensed Balance Sheet Information
|
June 30,
2021
|
December 31,
2020
|
|||||||
|
Current assets
|
$
|
|
$
|
|
||||
|
Noncurrent assets
|
|
|
||||||
|
Total assets
|
$
|
|
$
|
|
||||
|
Current liabilities
|
$
|
|
$
|
|
||||
|
Noncurrent liabilities
|
|
|
||||||
|
Deficit
|
(
|
)
|
(
|
)
|
||||
|
Total liabilities and deficit
|
$
|
|
$
|
|
||||
Note E – Boca Oncology Partners
During the quarter ended June 30, 2011, the Company,
through the formation of a joint venture, in which it had a noncontrolling interest, participated in the formation of Boca Oncology Partners, LLC (“BOP”), for the purpose of owning and operating a cancer center in Boca Raton, Florida. In
June 2011, Boca Oncology Partners RE, LLC (“BOPRE”,) an affiliated entity, purchased a 20 % interest in Boca West IMP, owner of
a medical office building in West Boca, Florida in which BOP operates. BOP occupies 6,000 square feet of the 32,000 square foot building. The Company invested $225,000 initially and had a 22.5 % interest in BOP and BOPRE. In February 2014, the Company
and other members sold their interests in BOP.
In June 2012, BOPRE purchased an additional 3.75 % of Boca West IMP from another investor bringing its total interest to 23.75 %. BOPRE accounts for this investment under the cost method since it does not exercise significant influence over Boca West, IMP.
During the years ended December 31, 2018 and 2017,
several investors relinquished part of their ownership interest in BOPRE, and those interests were distributed among the remaining investors in relationship to their percentages owned. As a result, the Company now holds a 21.22 145,000 and $134,000 at June
30, 2021 and December 31, 2020, respectively
USNC was a 10 % guarantor of 50 % of the outstanding balance of
Boca West IMP’s ten-year mortgage. This mortgage had an original balance of $3,000,000 and is secured by the medical office building in which BOP operates. In April 2020, the partners of Boca West IMP refinanced the mortgage in order to
recover some of the cash that was invested before the building was completely occupied and removed USNC as a guarantor.
The following tables present the summarized financial
information of BOPRE:
BOPRE Condensed
Income Statement Information
|
Six Months Ended
June 30, |
||||||||
|
2021
|
2020
|
|||||||
|
Rental income
|
$
|
|
$
|
|
||||
|
Net income
|
$
|
|
$
|
|
||||
|
USNC's equity in earnings of BOPRE
|
$
|
|
$
|
|
||||
|
Three Months Ended
June 30, |
||||||||
|
2021
|
2020
|
|||||||
|
Rental income
|
$
|
|
$
|
|
||||
|
Net income
|
$
|
|
$
|
|
||||
|
USNC's equity in earnings of BOPRE
|
$
|
|
$
|
|
||||
BOPRE Condensed Balance Sheet Information
|
June 30,
2021
|
December 31,
2020
|
|||||||
|
Current assets
|
$
|
|
$
|
|
||||
|
Noncurrent assets
|
|
|
||||||
|
Total assets
|
$
|
|
$
|
|
||||
|
Current liabilities
|
$
|
|
$
|
|
||||
|
Noncurrent liabilities
|
|
|
||||||
|
Equity
|
|
|
||||||
|
Total liabilities and equity
|
$
|
|
$
|
|
||||
Note F - Medical Oncology Partners
In April 2015, Medical Oncology Partners, LLC
(“MOP”,) was formed in partnership with local physicians and other investors. MOP was established to acquire a 100 % equity
interest in United Oncology Medical Associates of Florida, LLC (“UOMA”.) USNC was not a member of MOP at the time of formation as it was not able to participate due to the fact that USNC was not a physician. Nevertheless, USNC wished to
eventually obtain an equity interest in MOP and loaned Dr. Jaime Lozano, the principal investor in MOP and a co-investor in FOP, $173,000 .
Dr. Lozano used these funds, along with an equal amount of his own funds (a total of $345,000 ), to purchase a 76.67 % interest in MOP. Other investors paid a further $105,000 for the remaining equity in MOP. MOP used the $450,000 of financing to acquire a 100 % equity interest in UOMA. An application was filed for a waiver to allow USNC to hold an equity interest notwithstanding the physician
requirement and on December 22, 2016, USNC was cleared to become a part owner of MOP. Dr. Lozano agreed to exchange half of his membership interest to USNC in settlement of the note to USNC. USNC and Dr. Lozano also agreed to share
equally in providing a 5 % equity interest in MOP to an additional investor as a consulting fee for services rendered in the
administration of MOP and UOMA. At December 22, 2016, USNC owned 35.83 % of MOP with an initial carrying value of $161,000 . The Company recorded its share of losses of $12,000 for the period from December 22, 2016 to December 31, 2016, against its investment which resulted in a reduction of its equity investment to $149,000 .
Due to increasing costs, continued net losses since
April 2015, and reliance on related party and other debt for operating cash flows, the fair value of UOMA is less than its carrying amount. The Company tested its investment for impairment at December 31, 2016 and determined that the
investment was impaired, and an impairment loss was recorded against the entire equity balance in MOP, as well as loans from USN and USNC to MOP and UOMA. For the six months ended June 30, 2021 and 2020, the Company’s equity in loss of
MOP was $34,000 and $249,000 ,
respectively, but was not recorded due to prior losses.
During the year ended December 31, 2020, the Company
wrote off all remaining amounts due from MOP and UOMA and accrued interest thereon, resulting in a $686,000 loss. Increases in
allowances and amounts written off have been recorded as losses from investments in unconsolidated entities. During the six months ended June 30, 2021, the Company advanced an additional $277,000 , all of which has been fully impaired. These allowances and write offs were recorded as losses from investments in unconsolidated entities.
Due to loans made to MOP and UOMA, MOP and UOMA are
considered to be variable interest entities of the Company. However, as the Company is not deemed to be the primary beneficiary of MOP or UOMA, since it does not have the power to direct the operating activities that most significantly
affect MOP’s or UOMA’s economic performance, the entities are not consolidated, but certain disclosures are provided herein.
The following table presents the summarized financial
information of MOP:
MOP Condensed Consolidated Income Statement
Information
|
Six Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Patient revenue
|
$
|
|
$
|
|
||||
|
Net loss
|
$
|
(
|
)
|
$
|
(
|
)
|
||
|
USNC's equity in loss in MOP
|
$
|
(
|
)
|
$
|
(
|
)
|
||
|
Three Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Patient revenue
|
$
|
|
$
|
|
||||
|
Net income (loss)
|
$
|
|
$
|
(
|
)
|
|||
|
USNC's equity in earnings (loss) of MOP
|
$
|
|
$
|
(
|
)
|
|||
MOP Condensed Consolidated Balance Sheet Information
|
June 30,
2021
|
December 31,
2020
|
|||||||
|
Current assets
|
$
|
|
$
|
|
||||
|
Noncurrent assets
|
|
|
||||||
|
Total assets
|
$
|
|
$
|
|
||||
|
Current liabilities
|
$
|
|
$
|
|
||||
|
Noncurrent liabilities
|
|
|
||||||
|
Deficit
|
(
|
)
|
(
|
)
|
||||
|
Total liabilities and deficit
|
$
|
|
$
|
|
||||
Note G - CB Oncology Partners
CBOP was organized September 1, 2017, to acquire the
rights of the new center from FOP. USNC originally had a 24 % equity interest in CBOP. Beginning in October of 2017, CBOP
began paying the remainder of the costs associated with opening the center. The medical center opened and treated its first patient in January of 2018.
Effective November 15, 2019, FOP transferred to, and
CBOP assumed, a loan with BB&T bank, that it had entered into in order to finance the purchase of equipment and build out of the new center, as well as the associated property and equipment. In addition, CBOP and BB&T agreed to
reduce the monthly loan repayments for the next nine months, and to extend the term of the loan from November 2024 to July 2025. In July 2020 CBOP and BB&T further agreed to reduce the monthly payments for the life of the loan and
extended the loan to July of 2027.
In June 2020, CBOP made a $500,000 capital call to its members. UNSC converted previously-made advances totaling $121,000 into equity in CBOP to meet its capital requirement, and other members contributed $212,000 in cash. The remaining capital contributions are not expected to be met and, accordingly, the Company’s equity interest in CBOP increased to 28.58 % in June 2020.
Amounts due from CBOP at June 30, 2021, total $2,159,000 of outstanding principal, less $1,251,000
of allowances, for a net receivable of $908,000 all of which is included in due from related parties on the accompanying
Condensed Consolidated Balance Sheet. At December 31, 2020, CBOP owed the Company $2,154,000 of which $1,251,000 had been reserved for a net receivable of $903,000 all of which is included in due from related parties on the accompanying Condensed Consolidated Balance Sheet. These balances accrue interest at 6 % per annum. Interest earned by the Company from the amounts owed by CBOP totaled $62,000 and $63,000 for the six months ended June 30, 2021, and 2020,
respectively. At June 30, 2021 and December 31, 2020, total accrued interest was $335,000 and $273,000 , respectively, all of which has been fully reserved for. The Company records increases in the allowance, when applicable, as a
component of loss from investments in unconsolidated entities and as a deduction in interest income for interest earned.
Due to loans made to CBOP, CBOP is considered to be a
variable interest entity of the Company. However, as the Company is not deemed to be the primary beneficiary of CBOP, since it does not have the power to direct the operating activities that most significantly affect CBOP’s economic
performance, the entity is not consolidated, but certain disclosures are provided herein.
The following table presents the summarized financial
information of CBOP:
CBOP Condensed Income Statement Information
|
Six Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Patient revenue
|
$
|
|
$
|
|
||||
|
Net income (loss)
|
$
|
|
$
|
(
|
)
|
|||
|
USNC's equity in earnings (loss) of CBOP
|
$
|
|
$
|
(
|
)
|
|||
|
Three Months Ended
June 30,
|
||||||||
|
2021
|
2020
|
|||||||
|
Patient revenue
|
$
|
|
$
|
|
||||
|
Net income (loss)
|
$
|
|
$
|
(
|
)
|
|||
|
USNC's equity in earnings (loss) of CBOP
|
$
|
|
$
|
(
|
)
|
|||
CBOP Condensed Balance Sheet Information
| June 30, | December 31, |
|||||||
|
2021
|
2020
|
|||||||
|
Current assets
|
$
|
|
$
|
|
||||
|
Noncurrent assets
|
|
|
||||||
|
Total assets
|
$
|
|
$
|
|
||||
|
Current liabilities
|
$
|
|
$
|
|
||||
|
Noncurrent liabilities
|
|
|
||||||
|
Deficit
|
(
|
)
|
(
|
)
|
||||
|
Total liabilities and deficit
|
$
|
|
$
|
|
||||
Note H – Income Taxes
The Company’s income tax rate, which includes federal and state income taxes, was approximately 122 %, for the
six months ended June 30, 2021, and 25 % for the six months ended June 30, 2020. The Company recorded a tax charge of $194,000 and $73,000 for the six months
ended June 30, 2021, and 2020, respectively. The higher income tax expense in 2021 is primarily due to the annualized effect of the NYU contract ending in March 2021, including the catch-up tax effects of a cash basis tax payer with no
operations, and the tax effect of a valuation allowance expected to be necessary for any deferred tax asset at the end of the year.
| Item 2. |
Management Discussion and Analysis of Financial Condition and Results of Operations.
|
Critical Accounting Policies
The Condensed Consolidated Financial Statements of U.S. NeuroSurgical Holdings, Inc. and subsidiaries (the “Company”) have been prepared in accordance with accounting principles generally
accepted in the United States of America. As such, some accounting policies have a significant impact on amounts reported in the Condensed Consolidated Financial Statements. A summary of those significant accounting policies can be found in
Note B to the Consolidated Financial Statements, in our 2020 Annual Report on Form 10-K. In particular, judgment is used in areas such as determining and assessing possible asset impairments, including investments in, and advances, to
unconsolidated entities.
We adopted the provisions of Topic 842 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 the 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 was not applied to periods prior to adoption and the adoption of Topic 842 had no impact on our previously reported results.
The following discussion and analysis provides information which the Company’s management believes is relevant to an assessment and understanding of the Company’s results of operations and
financial condition. This discussion should be read in conjunction with the Condensed Consolidated Financial Statements and notes thereto appearing elsewhere herein.
Recent events
The recent outbreak of the novel coronavirus COVID-19 has spread across the globe and has been declared a public health emergency by the World Health Organization and a National Emergency by the
President of the United States. Most states and municipalities in the U.S., including California, and Florida, have taken aggressive measures to reduce the spread of the disease, including limiting non-essential gatherings of people, ceasing all
non-essential travel, ordering certain businesses and government agencies to cease non-essential operations at physical locations and issuing “shelter-in-place” orders, which direct individuals to shelter at their places of residence (subject to
limited exceptions). Across the healthcare industry, resources are being prioritized for the treatment and management of the outbreak. Consequently, there are delays in delivering radiation therapy treatments. In addition, the COVID-19
pandemic poses the risk that the Company and its employees, contractors, customers, government and third party payors and others may be prevented from conducting business activities for an indefinite period of time, including due to spread of the
disease within these groups or due to shutdowns that have been and may continue to be requested or mandated by governmental authorities.
While the healthcare treatments that are provided by the Company are generally critical to the well-being of the patients it serves, a sustained COVID-19 pandemic, and continued measures by the
government and industry to contain the pandemic, could negatively impact results for the following reasons: (i) operations at medical facilities, including those operated by the Company, could be subject to reduced operation or prolonged closure;
(ii) medical facilities may defer Gamma Knife and other cancer therapy treatments for non-urgent patient cases in order to allocate resources to the care of patients with COVID-19; (iii) patients may defer or cancel treatments due to real or
perceived concerns about the potential spread of COVID-19 in a medical facility setting; (iv) the outbreak could materially impact operations for a sustained period of time due to the current travel bans and restrictions, quarantines,
shelter-in-place orders and shutdowns; and/or (v) members of the Company’s workforce may become ill or have family members who are ill and are absent as a result, or they may elect not to come to work due to the illness affecting others in our
office or facilities.
The occurrence of any of the foregoing events could have a material adverse effect on our business, financial condition and results of operations. The COVID-19 outbreak and mitigation measures
have had and may continue to have an adverse impact on global economic conditions which could have an adverse effect on our business and financial condition. The extent to which the COVID-19 outbreak impacts our results will depend on future
developments that are highly uncertain and cannot be predicted, including new information that may emerge concerning the severity of the virus and the actions to contain its impact. Although the Company’s contract with its only customer ended in
March 2021, the Company is actively seeking new business ventures and believes that its cash reserves, which are in excess of $2.8 million at June 30, 2021, will allow the Company the opportunity do so. Such plans include possible new operations
or extensions of its activities in Florida and California, where it has established working relationships with physician groups, hospitals and other organizations. In addition to these activities, the Company has been exploring possible
combinations with other existing businesses that would create a larger operating entity that would better justify the expenses involved in continuing as an independent publicly traded company.
Results of Operations
Three Months Ended June 30, 2021, Compared to Three Months Ended June 30, 2020
Patient revenue for the three months ended June 30, 2021, and 2020 was $0 and $596,000, respectively. Prior to the termination of the Company’s contract with NYU in
March 2021, the Company’s Gamma Knife facility at NYU Medical Center represented all of the Company’s patient revenue.
Patient expenses for the three months ended June 30, 2021, were $0, as compared to $116,000 reported for the comparable period in the previous year, primarily due to the annualized effects of the
NYU contract ending in March 2021.
Selling, general and administrative expense of $249,000 for the second quarter of 2021 was 27% lower than the $342,000 incurred during the comparable period in 2020, due to mostly timing
differences of the audit and audit-related fees during the three months ended June 30, 2021 and 2020.
The Company incurred $1,000 interest expense in the second quarter of 2021 and $7,000 in the comparable period in 2020 related to finance leases. Interest expense decreased due to repayment of
principal balances on the gamma knife, ICON unit, and Cobalt reload leases prior to April 1, 2021.
The Company earned $0 and $20,000 of interest income from its investment in a sales-type sublease for the three months ended June 30, 2021 and 2020, respectively.
During the three months ended June 30, 2021, the Company recognized a $135,000 loss from its investment in unconsolidated entities compared to a $91,000 loss during the same period in 2020. The
higher current quarter loss is primarily due to an increase of advances made to its unconsolidated entities and associated allowances.
During the three months ended June 30, 2021, the Company recognized an income tax provision of $189,000 compared to an income tax provision of $15,000 during the same period in 2020. The higher
tax expense in 2021 is primarily due to the annualized effects of the NYU contract ending in March 2021, forecasted taxable losses for the rest of the year, and the tax effect of a valuation allowance expected to be necessary for any deferred tax
asset at the end of the year.
For the three months ended June 30, 2021, the Company reported a net loss of $574,000 as compared to net income of $45,000 for the same period a year earlier. The
lower net income was primarily due to the lack of revenues due to the sale of the NYU gamma knife in 2021, and higher income tax expense.
Six Months Ended June 30, 2021, Compared to Six Months Ended June 30, 2020
Patient revenue for the six months ended June 30, 2021, and 2020 was $1,061,000 and $1,343,000, respectively. Prior to the termination of the Company’s contract with NYU in March 2021, the
Company’s Gamma Knife facility at NYU Medical Center represented all of the Company’s patient revenue
Patient expenses for the six months ended June 30, 2021, were $86,000 as compared to $195,000 reported for the comparable period in the previous year, primarily due to the annualized effects of
the NYU contract ending in March 2021.
Selling, general and administrative expense of $547,000 for the first six months of 2021 was 15% lower than the $644,000 incurred during the comparable period in 2020, offset by a $100,000 gain
on termination of the NYU contract and the cancellation of the flood insurance policy for the NYU facility at March 31, 2021.
The Company incurred $3,000 of interest expense in the first six months of 2021 and $19,000 in the comparable period in 2020 related to finance leases. Interest expense decreased due to lower
principal balances on the gamma knife, ICON unit, and Cobalt reload leases.
The Company earned $8,000 and $44,000 of interest income from its investment in a sales-type sublease for the six months ended June 30, 2021, and 2020, respectively.
During the six months ended June 30, 2021, the Company recognized a $274,000 loss from its investment in unconsolidated entities compared to a $236,000 loss during the same period in 2020. The
higher current year loss is primarily due to an increase of advances made to its unconsolidated entities and associated allowances.
During the six months ended June 30, 2021, the Company recognized an income tax provision of $194,000 compared to an income tax provision of $73,000 during the same period in 2020. The higher tax
expense in 2021 is primarily due to the annualized effects of the NYU contract ending in March 2021, forecasted taxable losses for the rest of the year, and the tax effect of a valuation allowance expected to be necessary for any deferred tax
asset at the end of the year.
For the six months ended June 30, 2021, the Company reported a net loss of $35,000 as compared to net income of $220,000 for the same period a year earlier. The lower net income was primarily due
to the lack of revenues due to the sale of the NYU gamma knife in 2021, and higher income tax expense.
Liquidity and Capital Resources
At June 30, 2021, the Company had working capital of $2,543,000 as compared to $2,597,000 at December 31, 2020. Cash and cash equivalents
at June 30, 2021 were $2,820,000 as compared to $2,030,000 at December 31, 2020.
Net cash provided by operating activities for the six months ended June 30, 2021, was $635,000 as compared to $983,000 in the same period a year earlier. The $348,000 lower net cash inflow in
2021 was primarily due the NYU contract ending in March 2021.
With respect to investing activities, the Company made $288,000 of advances to unconsolidated entities during the six months ended June 30, 2021, compared with $232,000 of loans and advances in
the same period a year earlier to FOP, CBOP, and MOP to assist with business operations and working capital requirements. During the first six months of 2020, the Company made $36,000 of capital contributions to
unconsolidated entities with no corresponding payments in the first six months of 2021. The Company also received $532,000 in principal payments under the NYU sales-type sublease in 2021, compared to $436,000 during the first six months of 2020.
With respect to financing activities, the Company’s contract with the NYU Medical Center ended in March 2021 along with all related lease arrangements. The Company had been receiving fixed
monthly payments of $50,000 through February 2021, and $30,000 through March 2021, as well as a final payment of $350,000 in March 2021. The Company is actively seeking new business ventures that could require investment beyond its current cash
reserves. Such plans include possible new operations or extensions of its activities in Florida and California, where it has established working relationships with physician groups, hospitals and other organizations.
Risk Factors
We desire to take advantage of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. The following factors, as well as the factors listed under the caption “Risk
Factors” in Annual Report on our Form 10-K for the fiscal year ended December 31, 2020, have affected or could affect our actual results and could cause such results to differ materially from those expressed in any forward-looking statements made
by us. Investors should carefully consider these risks and speculative factors inherent in and affecting our business and an investment in our common stock.
Termination of Business Activity at the New York University Gamma Knife Center. While it is the Company’s objective to expand activities
to additional cancer centers that rely on a broad range of diagnostic and radiation treatments, the Company had relied on the NYU gamma knife for substantially all of its revenue. In recent periods, services provided at NYU have represented over
90% of the Company’s revenues. The Company’s lease with NYU ended in March 2021, and it has transferred ownership of its gamma knife to NYU. The future of the Company will depend on whether it is able to achieve success with other existing and
new operations, and this will depend to a significant degree on whether it is able to identify and secure new business opportunities and achieve profitable operations at those businesses in the near term.
Availability of Working Capital. To date, we have earned sufficient income from operations to fund periodic operating losses and support
efforts to pursue new gamma knife or other types of cancer treatment centers.
Disclosure Regarding Forward Looking Statements
The Securities and Exchange Commission encourages companies to disclose forward looking information so that investors can better understand a company's future prospects and make informed
investment decisions. This document contains such "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, particularly statements anticipating future growth in revenues and cash flow. Words such
as "anticipates," "estimates," "expects," "projects," "targets," "intends," "plans," "believes," "will be," "will continue," "will likely result," and words and terms of similar substance used in connection with any discussion of future operating
or financial performance identify such forward-looking statements. Those forward-looking statements are based on management's present expectations about future events. As with any projection or forecast, they are inherently susceptible to
uncertainty and changes in circumstances, and the Company is under no obligation to (and expressly disclaims any such obligation to) update or alter its forward-looking statements whether as a result of such changes, new information, future
events or otherwise.
The Company operates in a highly competitive and rapidly changing environment and in businesses that are dependent on our ability to: achieve profitability; increase revenues; sustain our current
level of operations; maintain satisfactory relations with business partners; attract and retain key personnel; maintain and expand our strategic alliances; and protect our intellectual property. The Company's actual results could differ
materially from management's expectations because of changes in such factors. New risk factors can arise and it is not possible for management to predict all such risk factors, nor can it assess the impact of all such risk factors on the
Company's business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not
place undue reliance on forward-looking statements as a prediction of actual results.
Investors should also be aware that while the Company might, from time to time, communicate with securities analysts, it is against the Company's policy to disclose to them any material
non-public information or other confidential commercial information. Accordingly, investors should not assume that the Company agrees with any statement or report issued by any analyst irrespective of the content of the statement or report.
Furthermore, the Company has a policy against issuing or confirming financial forecasts or projections issued by others. Thus, to the extent that reports issued by securities analysts or others contain any projections, forecasts or opinions,
such reports are not the responsibility of the Company.
In addition, the Company’s overall financial strategy, including growth in operations, maintaining financial ratios and strengthening the balance sheet, could be adversely affected by increased
interest rates, construction delays or other transactions, economic slowdowns and changes in the Company’s plans, strategies and intentions.
| Item 3. |
Quantitative and Qualitative Disclosures About Market Risk.
|
Not applicable.
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in the Company's reports under the Securities Exchange Act of 1934 is
recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms, and that such information is accumulated and communicated to our management, as appropriate, to allow timely decisions regarding required
disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management necessarily was required to apply its
judgment in evaluating the cost-benefit relationship of possible controls and procedures. We do realize that we are a very small company and as a small company with only the officers and directors participating in the day to day management, with
the ability to override controls, each officer and director has multiple positions and responsibilities that would normally be distributed among several employees in larger organizations with adequate segregation of duties to ensure the
appropriate checks and balances. Because the Company does not currently have a separate chief financial officer, the Chief Executive Officer performs these functions with the support of one of the Company’s outside directors who assists in the
reporting and disclosure process (the “Lead Director”).
Our management evaluated the effectiveness of the design and operation of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the
Securities Exchange Act of 1934) as of the end of the period covered by this report. Based upon that evaluation, the Company’s Chief Executive Officer concluded that the Company’s disclosure controls and procedures were not effective as of the
end of the period covered by this report for the information required to be disclosed by the Company in the reports it files or submits under the Securities Exchange Act of 1934, as amended, to be recorded, processed, summarized and reported
within the time periods specified in the Securities and Exchange Commission’s rules and forms, due to the material weakness in internal control over financial reporting described below.
Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Securities
Exchange Act of 1934). Internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in
accordance with accounting principles generally accepted in the United States of America. The Company’s internal control over financial reporting includes those policies and procedures that:
(i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the Company;
(ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with accounting principles generally accepted in the
United States of America, and that receipts and expenditures of the Company are being made only in accordance with authorizations of management and directors of the Company; and
(iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the Company’s assets that could have a material effect on the
financial statements.
Because of inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Therefore, even those systems determined to be effective can provide only
reasonable assurance of achieving their control objectives.
Our management assessed the effectiveness of the Company’s internal control over financial reporting as of June 30, 2021. A material weakness is a control deficiency, or a combination of control
deficiencies in internal controls over financial reporting, such that there is a reasonable possibility that a material misstatement of annual or interim financial statements will not be prevented or detected on a timely basis. In connection with
the assessment described above, management identified the following material weakness as of June 30, 2021: The Company did not maintain sufficient qualified personnel with the appropriate level of knowledge, experience and training in the
application of accounting principles generally accepted in the United States of America and in internal controls over financial reporting commensurate with its financial reporting requirements. Specifically, effective controls were not designed
and in place to ensure that the Company maintained, or had access to, appropriate resources with adequate experience and expertise in the area of financial reporting for transactions such as investments in unconsolidated entities, related party
receivables, impairments and income taxes, and to properly assess the application of new accounting pronouncements. The Company is in the process of developing efficient approaches to remediate this material weakness. To do this in a
cost-effective manner, considering the current extent of the Company’s operations, management is making arrangements with consultants and advisors to assist on an as-needed basis.
Changes in Internal Control over Financial Reporting
While there have not been any changes in the Company’s internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the
fiscal quarter ended June 30, 2021, management is in the process of developing plans to remediate the material weakness identified above.
| Item 1. |
Legal Proceedings
|
None
| Item 2. |
Unregistered Sales of Equity Securities and
Use of Proceeds
|
Not applicable.
| Item 3. |
Defaults Upon Senior Securities
|
Not applicable.
| Item 4. |
Submission of Matters to a Vote of
Security Holders
|
Not applicable.
| Item 5. |
Other
Information
|
Not applicable.
| Item 6. |
Exhibits
|
|
Certification of President and Chief Executive Officer (Principal Executive Officer and Principal Financial Officer) pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934, as adopted pursuant
to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.
|
|
|
Certification of President and Chief Executive Officer (Principal Executive Officer and Principal Financial Officer) pursuant to Rule 13a-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section
1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, filed herewith.
|
|
|
101
|
Interactive Data Files providing financial information from the Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2021 in XBRL
(eXtensible Business Reporting Language). Pursuant to Regulation 406T of Regulation S-T, these interactive data files are deemed not filed or part of a registration statement or prospectus for purposes of Section 11 or 12 of the
Securities Act of 1933, as amended, or Section 18 of the Securities Exchange Act of 1934, as amended, and are otherwise not subject to liability.
|
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
|
U.S. NeuroSurgical Holdings, Inc.
|
|||
|
(Registrant)
|
|||
|
Date: August 11, 2021
|
By:
|
/s/ Alan Gold
|
|
|
Alan Gold
|
|||
|
Director, President and
|
|||
|
Chief Executive Officer
|
|||
|
and
|
|||
|
Principal Financial Officer
|
|||
|
of the Registrant
|
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28