Quarterly report [Sections 13 or 15(d)]

Balance Sheet Components

v3.26.1
Balance Sheet Components
3 Months Ended
Mar. 31, 2026
Balance Sheet Related Disclosures [Abstract]  
Balance Sheet Components

4. Balance sheet components

Restricted cash

The Company's restricted cash is a legally restricted deposit held as a compensating balance against its corporate credit card balances.

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the Company's consolidated balance sheet that are shown in aggregate in the accompanying consolidated statement of cash flows:

 

 

 

March 31,

 

 

March 31,

 

 

 

2026

 

 

2025

 

Cash and cash equivalents

 

$

93,112

 

 

$

118,893

 

Restricted cash

 

 

1,296

 

 

 

3,646

 

Total cash, cash equivalents and restricted cash

 

$

94,408

 

 

$

122,539

 

Accounts receivable and allowance for credit losses, returns, and adjustments

Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of March 31, 2026 and December 31, 2025 were as follows:

 

 

March 31,

 

 

December 31,

 

Net accounts receivable

 

2026

 

 

2025

 

Rental (1)

 

$

5,476

 

 

$

4,725

 

Business-to-business and other receivables

 

 

36,398

 

 

 

34,138

 

Total net accounts receivable

 

$

41,874

 

 

$

38,863

 

 

(1) Rental includes Medicare, Medicaid/other government, private insurance, and patient pay.

The following table sets forth the accounts receivable allowances as of March 31, 2026 and December 31, 2025:

 

 

March 31,

 

 

December 31,

 

Allowances - accounts receivable

 

2026

 

 

2025

 

Credit losses

 

$

212

 

 

$

60

 

Sales returns

 

 

455

 

 

 

418

 

Total allowances - accounts receivable

 

$

667

 

 

$

478

 

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. One customer represented more than 10% of the Company’s net accounts receivable balance as of March 31, 2026 and December 31, 2025.

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 62.6% and 55.0% of rental revenue in the three months ended March 31, 2026 and 2025, respectively.

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, 2026, the Company’s three major vendors accounted for 14.4%, 12.0%, and 9.6%, respectively, of total raw material purchases. For the three months ended March 31, 2025, the Company’s three major vendors accounted for 17.9%, 10.8%, and 10.6%, respectively, of total raw material purchases.

A portion of revenue is earned from sales outside the United States. Approximately 81.7% and 78.9% of the international revenue for the three months ended March 31, 2026 and 2025, respectively, were invoiced in Euros. A breakdown of the Company’s revenue from U.S. and international sources for the three months ended March 31, 2026 and 2025, respectively, is as follows:

 

 

Three months ended
March 31,

 

 

 

2026

 

 

2025

 

U.S. revenue

 

$

47,441

 

 

$

50,295

 

International revenue

 

 

37,668

 

 

 

31,985

 

Total revenue

 

$

85,109

 

 

$

82,280

 

Inventories

Inventories are stated at the lower of cost and net realizable value, using the first-in, first-out, or FIFO, method. The Company records adjustments to inventory for potentially excess, obsolete, slow-moving or impaired items, and losses on firm purchase commitments as a component of cost of sales in the consolidated statements of comprehensive loss. The Company recorded noncurrent inventory related to inventories that are expected to be realized or consumed after one year of $1,918 and $966 as of March 31, 2026 and December 31, 2025, 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. Inventories that are considered current consist of the following:

 

 

March 31,

 

 

December 31,

 

 

 

2026

 

 

2025

 

Raw materials and work-in-progress

 

$

13,872

 

 

$

14,945

 

Finished goods

 

 

11,120

 

 

 

11,024

 

Inventories

 

$

24,992

 

 

$

25,969

 

Property and equipment

Expenditures for additions, improvements and replacements are capitalized and depreciated to a salvage value of $0. Repair and maintenance costs on rental equipment are included in cost of rental revenue on the consolidated statements of comprehensive loss. Repair and maintenance expense, which includes labor, parts and freight, for rental equipment was $1,809 and $1,838 for the three months ended March 31, 2026 and 2025, respectively.

Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for the three months ended March 31, 2026 and 2025, respectively.

 

 

Three months ended
March 31,

 

 

 

2026

 

 

2025

 

Rental equipment

 

$

2,628

 

 

$

3,034

 

Other property and equipment

 

 

980

 

 

 

1,016

 

Total depreciation and amortization

 

$

3,608

 

 

$

4,050

 

 

Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of March 31, 2026 and December 31, 2025, respectively.

 

 

March 31,

 

 

December 31,

 

Property and equipment

 

2026

 

 

2025

 

Rental equipment

 

$

57,009

 

 

$

59,400

 

Other property and equipment

 

 

26,189

 

 

 

25,926

 

Property and equipment

 

 

83,198

 

 

 

85,326

 

 

 

 

 

 

 

 

Accumulated depreciation

 

 

 

 

 

 

Rental equipment

 

 

32,757

 

 

 

33,101

 

Other property and equipment

 

 

16,755

 

 

 

15,863

 

Accumulated depreciation

 

 

49,512

 

 

 

48,964

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

 

 

 

 

Rental equipment

 

 

24,252

 

 

 

26,299

 

Other property and equipment

 

 

9,434

 

 

 

10,063

 

Property and equipment, net

 

$

33,686

 

 

$

36,362

 

Long-lived assets

The Company accounts for the impairment and disposition of long-lived assets in accordance with Accounting Standards Codification, or ASC, 360 Property, Plant, and Equipment. Long-lived assets are reviewed for indicators of impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. No impairments were recorded for the three months ended March 31, 2026 and 2025.

Goodwill and other identifiable intangible assets

Goodwill

The changes in the carrying amount of goodwill for the three months ended March 31, 2026 were as follows:

 

Balance as of December 31, 2025 (1)

 

$

10,698

 

Translation adjustment

 

 

(215

)

Balance as of March 31, 2026 (1)

 

$

10,483

 

(1) Includes $32,894 of accumulated impairment losses as of March 31, 2026 and December 31, 2025.

Intangible assets

Intangible assets as of March 31, 2026 and December 31, 2025 consisted of the following:

 

 

Average

 

 

 

 

 

 

 

 

 

 

 

estimated

 

Gross

 

 

 

 

 

 

 

 

 

useful lives

 

carrying

 

 

Accumulated

 

 

 

 

March 31, 2026

 

(in years)

 

amount

 

 

amortization

 

 

Net amount

 

Developed technology

 

10

 

$

34,713

 

 

$

8,823

 

 

$

25,890

 

Licenses

 

10

 

 

159

 

 

 

159

 

 

 

 

Patents and websites

 

5

 

 

3,776

 

 

 

3,773

 

 

 

3

 

Customer relationships

 

4-10

 

 

3,100

 

 

 

1,817

 

 

 

1,283

 

Trade name

 

4

 

 

215

 

 

 

137

 

 

 

78

 

Commercials

 

3

 

 

494

 

 

 

487

 

 

 

7

 

Internally developed software

 

3

 

 

3,707

 

 

 

2,058

 

 

 

1,649

 

Total

 

 

 

$

46,164

 

 

$

17,254

 

 

$

28,910

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average

 

 

 

 

 

 

 

 

 

 

 

estimated

 

Gross

 

 

 

 

 

 

 

 

 

useful lives

 

carrying

 

 

Accumulated

 

 

 

 

December 31, 2025

 

(in years)

 

amount

 

 

amortization

 

 

Net amount

 

Developed technology

 

10

 

$

35,424

 

 

$

8,118

 

 

$

27,306

 

Licenses

 

10

 

 

159

 

 

 

159

 

 

 

 

Patents and websites

 

5

 

 

3,775

 

 

 

3,771

 

 

 

4

 

Customer relationships

 

4-10

 

 

3,165

 

 

 

1,811

 

 

 

1,354

 

Trade name

 

4

 

 

219

 

 

 

126

 

 

 

93

 

Commercials

 

3

 

 

494

 

 

 

446

 

 

 

48

 

Internally developed software

 

3

 

 

3,707

 

 

 

1,749

 

 

 

1,958

 

Total

 

 

 

$

46,943

 

 

$

16,180

 

 

$

30,763

 

Annual estimated amortization expense for each of the succeeding fiscal years is as follows:

 

 

March 31,

 

 

 

2026

 

Remaining 9 months of 2026

 

$

3,709

 

2027

 

 

4,307

 

2028

 

 

3,740

 

2029

 

 

3,643

 

2030

 

 

3,489

 

Thereafter

 

 

10,022

 

Total

 

$

28,910

 

Current liabilities

Accounts payable and accrued expenses as of March 31, 2026 and December 31, 2025 consisted of the following:

 

 

 

March 31,

 

 

December 31,

 

 

 

2026

 

 

2025

 

Accounts payable

 

$

24,088

 

 

$

20,264

 

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

 

 

7,208

 

 

 

9,177

 

Accrued loss on purchase commitments

 

 

108

 

 

 

427

 

Forward contract payable

 

 

 

 

 

373

 

Other accrued expenses

 

 

1,291

 

 

 

3,700

 

Total accounts payable and accrued expenses

 

$

32,695

 

 

$

33,941

 

 

Accrued payroll as of March 31, 2026 and December 31, 2025 consisted of the following:

 

 

 

March 31,

 

 

December 31,

 

 

 

2026

 

 

2025

 

Accrued bonuses

 

$

2,109

 

 

$

3,899

 

Accrued wages and payroll taxes

 

 

3,981

 

 

 

2,783

 

Accrued vacation

 

 

3,995

 

 

 

3,480

 

Other accrued payroll expenses

 

 

107

 

 

 

467

 

Total accrued payroll

 

$

10,192

 

 

$

10,629