Balance Sheet Components (Tables)
|
3 Months Ended |
Mar. 31, 2020 |
Balance Sheet Related Disclosures [Abstract] |
|
Summary of Cash, Cash Equivalents and Short-term Investments |
Cash, cash equivalents, and marketable securities consist of the following:
|
|
March 31,
|
|
|
December 31,
|
|
Cash and cash equivalents
|
|
2020
|
|
|
2019
|
|
Cash
|
|
$
|
50,238
|
|
|
$
|
51,560
|
|
Money market accounts
|
|
|
158,124
|
|
|
|
146,477
|
|
Total cash and cash equivalents
|
|
$
|
208,362
|
|
|
$
|
198,037
|
|
Marketable securities
|
|
|
|
|
|
|
|
|
Corporate bonds
|
|
$
|
—
|
|
|
$
|
2,013
|
|
U.S. Treasury securities
|
|
|
—
|
|
|
|
9,044
|
|
Total marketable securities
|
|
$
|
—
|
|
|
$
|
11,057
|
|
|
Schedule of Gross Accounts Receivable Balance Concentrations by Major Category |
Gross accounts receivable balance concentrations by major category as of March 31, 2020 and December 31, 2019 were as follows:
|
|
March 31,
|
|
|
December 31,
|
|
Gross accounts receivable
|
|
2020
|
|
|
2019
|
|
Rental (1)
|
|
$
|
3,442
|
|
|
$
|
3,003
|
|
Business-to-business and other receivables (2)
|
|
|
38,706
|
|
|
|
33,101
|
|
Total gross accounts receivable
|
|
$
|
42,148
|
|
|
$
|
36,104
|
|
(1)
|
Rental includes Medicare, Medicaid/other government, private insurance and patient pay.
|
(2)
|
Business-to-business receivables included one customer with a gross accounts receivable balance of $8,978 and $10,695 as of March 31, 2020 and December 31, 2019, respectively. This customer received extended payment terms through a direct financing plan offered. The Company also has a credit insurance policy in place, which allocated up to $20,000 in coverage as of March 31, 2020 and allocated up to $20,000 in coverage as of December 31, 2019 for this customer with a $400 deductible and 10% retention.
|
|
Schedule of Net Accounts Receivable Balance Concentrations by Major Category |
Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of March 31, 2020 and December 31, 2019 were as follows:
|
|
March 31,
|
|
|
December 31,
|
|
Net accounts receivable
|
|
2020
|
|
|
2019
|
|
Rental (1)
|
|
$
|
2,912
|
|
|
$
|
2,464
|
|
Business-to-business and other receivables (2)
|
|
|
37,484
|
|
|
|
31,861
|
|
Total net accounts receivable
|
|
$
|
40,396
|
|
|
$
|
34,325
|
|
(1)
|
Rental includes Medicare, Medicaid/other government, private insurance and patient pay.
|
(2)
|
Business-to-business receivables included one customer with a gross accounts receivable balance of $8,978 and $10,695 as of March 31, 2020 and December 31, 2019, respectively. This customer received extended payment terms through a direct financing plan offered. The Company also has a credit insurance policy in place, which allocated up to $20,000 in coverage as of March 31, 2020 and allocated up to $20,000 in coverage as of December 31, 2019 for this customer with a $400 deductible and 10% retention.
|
|
Schedule of Allowances for Accounts Receivable |
The following tables set forth the accounts receivable allowances as of March 31, 2020 and December 31, 2019:
|
|
March 31,
|
|
|
December 31,
|
|
Allowances - accounts receivable
|
|
2020
|
|
|
2019
|
|
Doubtful accounts
|
|
$
|
167
|
|
|
$
|
205
|
|
Rental revenue adjustments
|
|
|
409
|
|
|
|
411
|
|
Sales returns
|
|
|
1,176
|
|
|
|
1,163
|
|
Total allowances - accounts receivable
|
|
$
|
1,752
|
|
|
$
|
1,779
|
|
|
Breakdown of Company's Revenue from U.S. and Non-U.S. Sources |
A portion of revenue is earned from sales outside the United States. Approximately 68.7% and 72.5% of the non-U.S. revenue for the three months ended March 31, 2020 and March 31, 2019, respectively, were invoiced in Euros. A breakdown of the Company’s revenue from U.S. and non-U.S. sources for the three months ended March 31, 2020 and March 31, 2019, respectively, is as follows:
|
|
Three months ended
March 31,
|
|
|
|
2020
|
|
|
2019
|
|
U.S. revenue
|
|
$
|
68,406
|
|
|
$
|
70,399
|
|
Non-U.S. revenue
|
|
|
20,083
|
|
|
|
19,803
|
|
Total revenue
|
|
$
|
88,489
|
|
|
$
|
90,202
|
|
|
Schedule of Inventories |
Inventories that are considered current consist of the following:
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2020
|
|
|
2019
|
|
Raw materials and work-in-progress
|
|
$
|
33,066
|
|
|
$
|
31,676
|
|
Finished goods
|
|
|
5,931
|
|
|
|
5,174
|
|
Less: reserves
|
|
|
(1,397
|
)
|
|
|
(1,186
|
)
|
Inventories, net
|
|
$
|
37,600
|
|
|
$
|
35,664
|
|
|
Computation of Depreciation and Amortization using Straight Line Method Over Estimated Useful Lives of Assets |
Property and equipment are stated at cost. Depreciation and amortization are calculated using the straight-line method over the assets’ estimated useful lives as follows:
Rental equipment
|
|
1.5-5 years
|
Manufacturing equipment and tooling
|
|
3-5 years
|
Computer equipment and software
|
|
2-3 years
|
Furniture and equipment
|
|
3-5 years
|
Leasehold improvements
|
|
Lesser of estimated useful life or remaining lease term
|
|
Summary of Depreciation and Amortization Expense of Rental Equipment and Other Property and Equipment |
Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for the three months ended March 31, 2020 and March 31, 2019, respectively.
|
|
Three months ended
March 31,
|
|
|
|
2020
|
|
|
2019
|
|
Rental equipment
|
|
$
|
1,299
|
|
|
$
|
1,705
|
|
Other property and equipment
|
|
|
921
|
|
|
|
761
|
|
Total depreciation and amortization
|
|
$
|
2,220
|
|
|
$
|
2,466
|
|
|
Summary of Property Plant and Equipment and Rental Equipment with Associated Accumulated Depreciation |
Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of March 31, 2020 and December 31, 2019, respectively.
|
|
March 31,
|
|
|
December 31,
|
|
Property and equipment
|
|
2020
|
|
|
2019
|
|
Rental equipment, net of allowances of $395 and $395, respectively
|
|
$
|
38,995
|
|
|
$
|
39,308
|
|
Other property and equipment
|
|
|
26,496
|
|
|
|
24,986
|
|
Property and equipment
|
|
|
65,491
|
|
|
|
64,294
|
|
|
|
|
|
|
|
|
|
|
Accumulated depreciation
|
|
|
|
|
|
|
|
|
Rental equipment
|
|
|
31,035
|
|
|
|
30,984
|
|
Other property and equipment
|
|
|
14,789
|
|
|
|
13,872
|
|
Accumulated depreciation
|
|
|
45,824
|
|
|
|
44,856
|
|
|
|
|
|
|
|
|
|
|
Property and equipment, net
|
|
|
|
|
|
|
|
|
Rental equipment, net of allowances of $395 and $395, respectively
|
|
|
7,960
|
|
|
|
8,324
|
|
Other property and equipment
|
|
|
11,707
|
|
|
|
11,114
|
|
Property and equipment, net
|
|
$
|
19,667
|
|
|
$
|
19,438
|
|
|
Schedule of Changes in Carrying Amount of Goodwill |
The changes in the carrying amount of goodwill for the three months ended March 31, 2020 were as follows:
Balance as of December 31, 2019
|
|
$
|
32,954
|
|
Translation adjustment
|
|
|
(42
|
)
|
Balance as of March 31, 2020
|
|
$
|
32,912
|
|
|
Summary of Changes in Net Carrying Values of Intangible Assets |
The following tables represent the changes in net carrying values of intangible assets as of the respective dates:
|
|
Average
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
estimated
|
|
Gross
|
|
|
|
|
|
|
|
|
|
|
|
useful lives
|
|
carrying
|
|
|
Accumulated
|
|
|
|
|
|
March 31, 2020
|
|
(in years)
|
|
amount
|
|
|
amortization
|
|
|
Net amount
|
|
Technology
|
|
10
|
|
$
|
77,700
|
|
|
$
|
4,856
|
|
|
$
|
72,844
|
|
Licenses
|
|
10
|
|
|
185
|
|
|
|
167
|
|
|
|
18
|
|
Patents and websites
|
|
5
|
|
|
4,274
|
|
|
|
2,479
|
|
|
|
1,795
|
|
Customer relationships
|
|
4
|
|
|
1,320
|
|
|
|
963
|
|
|
|
357
|
|
Commercials
|
|
2-3
|
|
|
777
|
|
|
|
509
|
|
|
|
268
|
|
Total
|
|
|
|
$
|
84,256
|
|
|
$
|
8,974
|
|
|
$
|
75,282
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
estimated
|
|
Gross
|
|
|
|
|
|
|
|
|
|
|
|
useful lives
|
|
carrying
|
|
|
Accumulated
|
|
|
|
|
|
December 31, 2019
|
|
(in years)
|
|
amount
|
|
|
amortization
|
|
|
Net amount
|
|
Technology
|
|
10
|
|
$
|
77,700
|
|
|
$
|
2,914
|
|
|
$
|
74,786
|
|
Licenses
|
|
10
|
|
|
185
|
|
|
|
165
|
|
|
|
20
|
|
Patents and websites
|
|
5
|
|
|
4,274
|
|
|
|
2,308
|
|
|
|
1,966
|
|
Customer relationships
|
|
4
|
|
|
1,346
|
|
|
|
897
|
|
|
|
449
|
|
Commercials
|
|
2-3
|
|
|
777
|
|
|
|
465
|
|
|
|
312
|
|
Total
|
|
|
|
$
|
84,282
|
|
|
$
|
6,749
|
|
|
$
|
77,533
|
|
|
Schedule of Annual Estimated Amortization Expense |
Annual estimated amortization expense for each of the succeeding fiscal years is as follows:
|
|
March 31,
|
|
|
|
2020
|
|
Remaining 9 months of 2020
|
|
$
|
6,722
|
|
2021
|
|
|
8,678
|
|
2022
|
|
|
8,367
|
|
2023
|
|
|
7,792
|
|
2024
|
|
|
7,787
|
|
Thereafter
|
|
|
35,936
|
|
|
|
$
|
75,282
|
|
|
Schedule of Accounts Payable and Accrued Expenses |
Accounts payable and accrued expenses as of March 31, 2020 and December 31, 2019 consisted of the following:
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2020
|
|
|
2019
|
|
Accounts payable
|
|
$
|
18,727
|
|
|
$
|
16,399
|
|
Accrued inventory (in-transit and unvouchered receipts) and trade payables
|
|
|
11,129
|
|
|
|
11,124
|
|
Accrued purchasing card liability
|
|
|
1,940
|
|
|
|
1,675
|
|
Accrued franchise, sales and use taxes
|
|
|
501
|
|
|
|
713
|
|
Other accrued expenses
|
|
|
556
|
|
|
|
819
|
|
Accounts payable and accrued expenses
|
|
$
|
32,853
|
|
|
$
|
30,730
|
|
|
Schedule of Accrued Payroll |
Accrued payroll as of March 31, 2020 and December 31, 2019 consisted of the following:
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2020
|
|
|
2019
|
|
Accrued bonuses
|
|
$
|
1,143
|
|
|
$
|
87
|
|
Accrued wages and other payroll related items
|
|
|
4,939
|
|
|
|
3,158
|
|
Accrued vacation
|
|
|
2,262
|
|
|
|
2,169
|
|
Accrued employee stock purchase plan deductions
|
|
|
306
|
|
|
|
801
|
|
Accrued payroll
|
|
$
|
8,650
|
|
|
$
|
6,215
|
|
|