Quarterly report pursuant to Section 13 or 15(d)

Balance Sheet Components

v3.23.1
Balance Sheet Components
3 Months Ended
Mar. 31, 2023
Balance Sheet Related Disclosures [Abstract]  
Balance Sheet Components

4. Balance sheet components

Cash, cash equivalents and marketable securities

Cash, cash equivalents and marketable securities consist of the following:

 

 

 

March 31,

 

 

December 31,

 

Cash and cash equivalents

 

2023

 

 

2022

 

Cash

 

$

23,864

 

 

$

27,970

 

Money market accounts

 

 

99,048

 

 

 

113,534

 

Corporate bonds

 

 

5,985

 

 

 

6,474

 

U.S. Treasury securities

 

 

14,920

 

 

 

18,939

 

Institutional Insured Liquidity Deposit Savings

 

 

20,320

 

 

 

20,097

 

Total cash and cash equivalents

 

$

164,137

 

 

$

187,014

 

Marketable securities

 

 

 

 

 

 

U.S. Treasury securities

 

 

10,428

 

 

 

 

Total marketable securities

 

$

10,428

 

 

$

 

 

Accounts receivable and allowance for bad debts, returns, and adjustments

Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of March 31, 2023 and December 31, 2022 were as follows:

 

 

March 31,

 

 

December 31,

 

Net accounts receivable

 

2023

 

 

2022

 

Rental (1)

 

$

7,392

 

 

$

5,246

 

Business-to-business and other receivables (2)

 

 

46,493

 

 

 

57,479

 

Total net accounts receivable

 

$

53,885

 

 

$

62,725

 

 

 

(1)
Rental includes Medicare, Medicaid/other government, private insurance and patient pay.
(2)
Business-to-business receivables included extended terms for two customers: 1) One customer had accounts receivable balances of $7,734 and $9,861 as of March 31, 2023 and December 31, 2022, respectively. The 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 $12,000 in coverage as of March 31, 2023 and December 31, 2022, for this customer with a $400 deductible and 10% retention; and 2) One customer had an accounts receivable balance of $18,757 and $22,641 as of March 31, 2023 and December 31, 2022.

 

The following table sets forth the accounts receivable allowances as of March 31, 2023 and December 31, 2022:

 

 

March 31,

 

 

December 31,

 

Allowances - accounts receivable

 

2023

 

 

2022

 

Doubtful accounts

 

$

156

 

 

$

77

 

Sales returns

 

 

699

 

 

 

483

 

Total allowances - accounts receivable

 

$

855

 

 

$

560

 

Concentration of customers and vendors

The Company primarily sells its products to traditional home medical equipment providers, distributors, and resellers in the United States and in foreign countries on a credit basis. The Company also sells its products direct-to-consumers primarily on a prepayment basis. Two customers each represented more than 10% of the Company’s net accounts receivable balance with accounts receivable balances of $18,757 and $7,734, respectively, as of March 31, 2023, and two customers each represented more than 10% of the Company's net accounts receivable balance with accounts receivable balances of $22,641 and $9,861, respectively, as of December 31, 2022.

The Company also rents products directly to consumers for insurance reimbursement, which resulted in a customer concentration relating to Medicare’s service reimbursement programs. Medicare’s service reimbursement programs accounted for 73.8% and 79.0% of rental revenue in the three months ended March 31, 2023 and 2022, respectively, and based on total revenue were 16.6% and 12.8% for the three months ended March 31, 2023 and 2022, respectively. Accounts receivable balances relating to Medicare’s service reimbursement programs (including held and unbilled, net of allowances) amounted to $3,039 or 5.6% of total net accounts receivable as of March 31, 2023 compared to $2,138 or 3.4% of total net accounts receivable as of December 31, 2022.

The Company currently purchases raw materials from a limited number of vendors, which resulted in a concentration of three major vendors. The three major vendors supply the Company with raw materials used to manufacture the Company’s products. For the three months ended March 31, 2023, the Company’s three major vendors accounted for 34.1%, 13.1% and 7.3%, respectively, of total raw material purchases. For the three months ended March 31, 2022, the Company’s three major vendors accounted for 25.2%, 19.9% and 8.4%, respectively, of total raw material purchases.

A portion of revenue is earned from sales outside the United States. Approximately 77.0% and 73.2% of the non-U.S. revenue for the three months ended March 31, 2023 and 2022, 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, 2023 and 2022, respectively, is as follows:

 

 

Three months ended
March 31,

 

 

 

2023

 

 

2022

 

U.S. revenue

 

$

53,190

 

 

$

52,444

 

Non-U.S. revenue

 

 

18,972

 

 

 

27,941

 

Total revenue

 

$

72,162

 

 

$

80,385

 

 

 

Inventories

Inventories are stated at the lower of cost and net realizable value, using the first-in, first-out (FIFO) method. The Company records adjustments at least quarterly to inventory for potentially excess, obsolete, slow-moving or impaired items. The Company recorded noncurrent inventory related to inventories that are expected to be realized or consumed after one year of $1,296 and $1,249 as of March 31, 2023 and December 31, 2022, respectively. Noncurrent inventories are primarily related to raw materials purchased in bulk

to support long-term expected repairs to reduce costs and are classified in other assets. The Company had prepayments for raw materials of $3,041 and $7,017 as of March 31, 2023 and December 31, 2022, respectively, that were classified in prepaid expenses and other current assets. During the three months ended March 31, 2023 and 2022, $1,013 and $533, respectively, of inventory was transferred to rental equipment and was considered a noncash transaction in the production and purchase of rental equipment on the consolidated statements of cash flows. Inventories that are considered current consist of the following:

 

 

March 31,

 

 

December 31,

 

 

 

2023

 

 

2022

 

Raw materials and work-in-progress

 

$

25,689

 

 

$

26,496

 

Finished goods

 

 

14,291

 

 

 

9,324

 

Less: reserves

 

 

(1,158

)

 

 

(1,727

)

Inventories, net

 

$

38,822

 

 

$

34,093

 

 

Property and equipment

Repair and maintenance expense, which includes labor, parts and freight, for rental equipment was $1,311 and $1,030 for the three months ended March 31, 2023 and 2022, respectively.

Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for the three months ended March 31, 2023 and 2022, respectively.

 

 

Three months ended
March 31,

 

 

 

2023

 

 

2022

 

Rental equipment

 

$

3,078

 

 

$

2,638

 

Other property and equipment

 

 

982

 

 

 

975

 

Total depreciation and amortization

 

$

4,060

 

 

$

3,613

 

 

Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of March 31, 2023 and December 31, 2022, respectively.

 

 

March 31,

 

 

December 31,

 

Property and equipment

 

2023

 

 

2022

 

Rental equipment, net of allowances of $2,765 and $2,255, respectively

 

$

63,250

 

 

$

61,679

 

Other property and equipment

 

 

34,507

 

 

 

33,434

 

Property and equipment

 

 

97,757

 

 

 

95,113

 

 

 

 

 

 

 

 

Accumulated depreciation

 

 

 

 

 

 

Rental equipment

 

 

30,363

 

 

 

31,320

 

Other property and equipment

 

 

21,452

 

 

 

20,524

 

Accumulated depreciation

 

 

51,815

 

 

 

51,844

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

 

 

 

 

Rental equipment, net of allowances of $2,765 and $2,255, respectively

 

 

32,887

 

 

 

30,359

 

Other property and equipment

 

 

13,055

 

 

 

12,910

 

Property and equipment, net

 

$

45,942

 

 

$

43,269

 

 

Long-lived assets

The Company accounts for the impairment and disposition of long-lived assets in accordance with Accounting Standards Codification (ASC) 360 Property, Plant, and Equipment. In accordance with ASC 360, long-lived assets to be held are reviewed for events or changes in circumstances that indicate that their carrying value may not be recoverable. No impairments were recorded as of March 31, 2023 and March 31, 2022.

Goodwill

The changes in the carrying amount of goodwill for the three months ended March 31, 2023 were as follows:

 

Balance as of December 31, 2022

 

$

32,852

 

Translation adjustment

 

 

35

 

Balance as of March 31, 2023

 

$

32,887

 

 

As of March 31, 2023, the Company had no accumulated impairment losses related to goodwill.

 

Current liabilities

Accounts payable and accrued expenses as of March 31, 2023 and December 31, 2022 consisted of the following:

 

 

 

March 31,

 

 

December 31,

 

 

 

2023

 

 

2022

 

Accounts payable

 

$

18,043

 

 

$

18,237

 

Accrued inventory (in-transit and unvouchered receipts) and trade payables

 

 

8,688

 

 

 

10,837

 

Accrued purchasing card liability

 

 

3,459

 

 

 

2,606

 

Accrued franchise, sales and use taxes

 

 

480

 

 

 

492

 

Other accrued expenses

 

 

1,513

 

 

 

1,802

 

Accounts payable and accrued expenses

 

$

32,183

 

 

$

33,974

 

 

Accrued payroll as of March 31, 2023 and December 31, 2022 consisted of the following:

 

 

 

March 31,

 

 

December 31,

 

 

 

2023

 

 

2022

 

Accrued bonuses

 

$

2,076

 

 

$

2,620

 

Accrued wages and other payroll related items

 

 

5,043

 

 

 

4,967

 

Accrued vacation

 

 

3,449

 

 

 

3,133

 

Accrued employee stock purchase plan deductions

 

 

189

 

 

 

470

 

Accrued payroll

 

$

10,757

 

 

$

11,190