Balance Sheet Components (Tables)
|
3 Months Ended |
Mar. 31, 2016 |
Balance Sheet Related Disclosures [Abstract] |
|
Summary of Cash, Cash Equivalents and Short-term Investments |
Cash, cash equivalents and short-term investments consist of the following:
|
|
March 31,
|
|
|
December 31,
|
|
Cash and cash equivalents
|
|
2016
|
|
|
2015
|
|
Cash
|
|
$
|
55,309
|
|
|
$
|
52,164
|
|
Money market accounts
|
|
|
6,765
|
|
|
|
6,725
|
|
Certificates of deposit
|
|
|
10,326
|
|
|
|
7,217
|
|
Total cash and cash equivalents
|
|
$
|
72,400
|
|
|
$
|
66,106
|
|
Short-term investments
|
|
|
|
|
|
|
|
|
Certificates of deposit
|
|
$
|
13,694
|
|
|
$
|
16,793
|
|
Total short-term investments
|
|
$
|
13,694
|
|
|
$
|
16,793
|
|
|
Schedule of Gross Accounts Receivable Balance Concentrations by Major Category |
Gross accounts receivable balance concentrations by major category as of March 31, 2016 and December 31, 2015 were as follows:
|
|
March 31,
|
|
|
December 31,
|
|
Gross accounts receivable
|
|
2016
|
|
|
2015
|
|
Medicare
|
|
$
|
11,195
|
|
|
$
|
10,510
|
|
Medicaid/other government
|
|
|
683
|
|
|
|
683
|
|
Private insurance
|
|
|
4,970
|
|
|
|
4,852
|
|
Patient responsibility
|
|
|
3,928
|
|
|
|
3,603
|
|
Business-to-business & other receivables
|
|
|
10,495
|
|
|
|
6,369
|
|
Total gross accounts receivable
|
|
$
|
31,271
|
|
|
$
|
26,017
|
|
|
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, 2016 and December 31, 2015 were as follows:
|
|
March 31,
|
|
|
December 31,
|
|
Net accounts receivable
|
|
2016
|
|
|
2015
|
|
Medicare
|
|
$
|
7,432
|
|
|
$
|
7,441
|
|
Medicaid/other government
|
|
|
503
|
|
|
|
550
|
|
Private insurance
|
|
|
3,907
|
|
|
|
3,895
|
|
Patient responsibility
|
|
|
2,211
|
|
|
|
2,060
|
|
Business-to-business & other receivables
|
|
|
9,695
|
|
|
|
5,926
|
|
Total net accounts receivable
|
|
$
|
23,748
|
|
|
$
|
19,872
|
|
|
Schedule of Allowances for Accounts Receivable |
The following tables set forth the allowances for accounts receivable as of March 31, 2016 and December 31, 2015:
|
|
March 31,
|
|
|
December 31,
|
|
Allowances - accounts receivable
|
|
2016
|
|
|
2015
|
|
Doubtful accounts
|
|
$
|
2,021
|
|
|
$
|
1,664
|
|
Rental revenue adjustments
|
|
|
4,761
|
|
|
|
4,115
|
|
Sales returns
|
|
|
741
|
|
|
|
366
|
|
Total allowances - accounts receivable
|
|
$
|
7,523
|
|
|
$
|
6,145
|
|
|
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 68.3% and 22.0% of the non-U.S. revenue for the three months ended March 31, 2016 and March 31, 2015, respectively, was 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, 2016 and March 31, 2015 is as follows:
|
|
Three months ended March 31,
|
|
|
|
2016
|
|
|
2015
|
|
U.S. revenue
|
|
$
|
33,024
|
|
|
$
|
25,354
|
|
Non-U.S. revenue
|
|
|
9,965
|
|
|
|
8,398
|
|
Total revenue
|
|
$
|
42,989
|
|
|
$
|
33,752
|
|
|
|
|
|
|
|
|
|
|
|
Schedule of Inventories |
Inventories consist of the following:
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2016
|
|
|
2015
|
|
Raw materials and work-in-progress
|
|
$
|
8,785
|
|
|
$
|
7,097
|
|
Finished goods
|
|
|
1,655
|
|
|
|
1,679
|
|
Less: reserves
|
|
|
(165
|
)
|
|
|
(128
|
)
|
Inventories
|
|
$
|
10,275
|
|
|
$
|
8,648
|
|
|
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
|
|
2-5 years
|
Computer equipment and software
|
|
2-3 years
|
Furniture and equipment
|
|
3-5 years
|
Leasehold improvements
|
|
Shorter of 3-10 years or remaining life of underlying lease
|
|
Summary of Depreciation and Amortization Expense of Property and Equipment and Rental Equipment |
Depreciation and amortization expense related to property and equipment and rental equipment are summarized below for the three months ended March 31, 2016 and March 31, 2015, respectively.
|
|
Three months ended March 31,
|
|
|
|
2016
|
|
|
2015
|
|
Rental equipment
|
|
$
|
2,947
|
|
|
$
|
2,956
|
|
Other property and equipment
|
|
|
478
|
|
|
|
467
|
|
Total depreciation and amortization
|
|
$
|
3,425
|
|
|
$
|
3,423
|
|
|
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 for March 31, 2016 and December 31, 2015, respectively.
|
|
March 31,
|
|
|
December 31,
|
|
Property and equipment
|
|
2016
|
|
|
2015
|
|
Rental equipment, net of allowances of $850 and $850
|
|
$
|
54,876
|
|
|
$
|
54,677
|
|
Other property and equipment
|
|
|
12,310
|
|
|
|
11,596
|
|
Property and equipment
|
|
|
67,186
|
|
|
|
66,273
|
|
|
|
|
|
|
|
|
|
|
Accumulated depreciation
|
|
|
|
|
|
|
|
|
Rental equipment
|
|
|
30,365
|
|
|
|
28,894
|
|
Other property and equipment
|
|
|
7,177
|
|
|
|
6,699
|
|
Accumulated depreciation
|
|
|
37,542
|
|
|
|
35,593
|
|
|
|
|
|
|
|
|
|
|
Net property and equipment
|
|
|
|
|
|
|
|
|
Rental equipment
|
|
|
24,511
|
|
|
|
25,783
|
|
Other property and equipment
|
|
|
5,133
|
|
|
|
4,897
|
|
Property and equipment, net
|
|
$
|
29,644
|
|
|
$
|
30,680
|
|
|
Summary of Intangible Assets |
The following tables represent the changes in net carrying values of the intangibles as of the respective dates:
|
|
Average
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
estimated
|
|
Gross
|
|
|
|
|
|
|
|
|
|
|
|
useful lives
|
|
carrying
|
|
|
Accumulated
|
|
|
|
|
|
March 31, 2016
|
|
(in years)
|
|
amount
|
|
|
amortization
|
|
|
Net amount
|
|
Licenses
|
|
10
|
|
$
|
185
|
|
|
$
|
104
|
|
|
$
|
81
|
|
Patents and websites
|
|
5
|
|
|
873
|
|
|
|
787
|
|
|
|
86
|
|
Commercials
|
|
2
|
|
|
174
|
|
|
|
135
|
|
|
|
39
|
|
Total
|
|
|
|
$
|
1,232
|
|
|
$
|
1,026
|
|
|
$
|
206
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
estimated
|
|
Gross
|
|
|
|
|
|
|
|
|
|
|
|
useful lives
|
|
carrying
|
|
|
Accumulated
|
|
|
|
|
|
December 31, 2015
|
|
(in years)
|
|
amount
|
|
|
amortization
|
|
|
Net amount
|
|
Licenses
|
|
10
|
|
$
|
185
|
|
|
$
|
100
|
|
|
$
|
85
|
|
Patents and websites
|
|
5
|
|
|
873
|
|
|
|
779
|
|
|
|
94
|
|
Commercials
|
|
2
|
|
|
174
|
|
|
|
124
|
|
|
|
50
|
|
Total
|
|
|
|
$
|
1,232
|
|
|
$
|
1,003
|
|
|
$
|
229
|
|
|
Schedule of Accounts Payable and Accrued Expenses |
Accounts payable and accrued expenses as of March 31, 2016 and December 31, 2015 consisted of the following:
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2016
|
|
|
2015
|
|
Accounts payable
|
|
$
|
8,504
|
|
|
$
|
7,448
|
|
Accrued inventory (in-transit and unvouchered receipts) and trade payables
|
|
|
5,398
|
|
|
|
3,548
|
|
Accrued purchasing card liability
|
|
|
2,754
|
|
|
|
1,581
|
|
Accrued franchise and use taxes
|
|
|
49
|
|
|
|
45
|
|
Other accrued expenses
|
|
|
515
|
|
|
|
245
|
|
Accounts payable and accrued expenses
|
|
$
|
17,220
|
|
|
$
|
12,867
|
|
|