Revenue Recognition Neurometric services - gross service revenue is recorded in the accounting records at the time the services are provided on an accrual basis at the providers established rates, regardless of whether the provider expects to collect that amount. The Company reserves a provision for contractual adjustment and discounts that are deducted from gross service revenue. The Company reports revenues net of any sales, use and value added taxes. Telepsychiatry services - The Company satisfies its performance obligation to stand ready to provide telepsychiatry services which occurs when the Companys clients have access to the telepsychiatry service. The Company generally bills for the telepsychiatry services on a monthly basis with payment terms generally being 30 days. There are not significant differences between the timing of revenue recognition and billing. Consequently, the Company has determined that client contracts do not include a financing component. Revenue is recognized in an amount that reflects the consideration that is expected in exchange for the service and this may include a variable transaction price as the number of members may vary from the initial billing. Based on historical experience, the Company estimates this amount which is recorded as a component of revenue. Accounting Standards Update (ASU) No. 2014-09, Revenue from Contracts with Customers (Topic 606), became effective for the Company on October 1, 2018. The Companys revenue recognition disclosure reflects its updated accounting policies that are affected by this new standard. The Company applied the modified retrospective transition method for open contracts for the implementation of Topic 606 . As sales are and have been primarily from providing healthcare services, and the Company has no significant post-delivery obligations, this new standard did not result in a material recognition of revenue on the Companys accompanying consolidated financial statements for the cumulative impact of applying this new standard. The Company made no adjustments to its previously-reported total revenues, as those periods continue to be presented in accordance with its historical accounting practices under Topic 605, Revenue Recognition . Revenue from providing neurometric and telepsychiatry services are recognized under Topic 606 in a manner that reasonably reflects the delivery of its services to customers in return for expected consideration and includes the following elements: ? executed contracts with the Companys customers that it believes are legally enforceable; ? identification of performance obligations in the respective contract; ? determination of the transaction price for each performance obligation in the respective contract; ? allocation the transaction price to each performance obligation; and ? recognition of revenue only when the Company satisfies each performance obligation.