Annual report pursuant to Section 13 and 15(d)

Summary of Significant Accounting Policies (Tables)

v3.6.0.2
Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2016
Accounting Policies [Abstract]  
Summary of Fair Value Assets Measured on Recurring Basis for Cash, Cash Equivalents and Marketable Securities

The following table summarizes fair value measurements by level for the assets measured at fair value on a recurring basis for cash, cash equivalents and marketable securities:

 

 

 

As of December 31, 2016

 

 

 

 

 

 

 

Gross

 

 

 

 

 

 

Cash

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

 

and cash

 

 

Marketable

 

(amounts in thousands)

 

cost

 

 

losses

 

 

Fair value

 

 

equivalents

 

 

securities

 

Cash

 

$

48,533

 

 

$

 

 

$

48,533

 

 

$

48,533

 

 

$

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

39,277

 

 

 

 

 

 

39,277

 

 

 

39,277

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificates of deposit

 

 

15,904

 

 

 

(8

)

 

 

15,896

 

 

 

5,041

 

 

 

10,855

 

Corporate bonds

 

 

10,200

 

 

 

(22

)

 

 

10,178

 

 

 

 

 

 

10,178

 

Total

 

$

113,914

 

 

$

(30

)

 

$

113,884

 

 

$

92,851

 

 

$

21,033

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of December 31, 2015

 

 

 

 

 

 

 

Gross

 

 

 

 

 

 

Cash

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

 

and cash

 

 

Marketable

 

(amounts in thousands)

 

cost

 

 

losses

 

 

Fair value

 

 

equivalents

 

 

securities

 

Cash

 

$

52,164

 

 

$

 

 

$

52,164

 

 

$

52,164

 

 

$

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

6,725

 

 

 

 

 

 

6,725

 

 

 

6,725

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificates of deposit

 

 

24,047

 

 

 

(37

)

 

 

24,010

 

 

 

7,217

 

 

 

16,793

 

Total

 

$

82,936

 

 

$

(37

)

 

$

82,899

 

 

$

66,106

 

 

$

16,793

 

 

Summary of Estimated Fair Value of Company's Investments in Marketable Debt Securities, Accounted for as Available-for-Sale Securities

The following table summarizes the estimated fair value of the Company’s investments in marketable securities, accounted for as available-for-sale securities and classified by the contractual maturity date of the securities:

 

 

December 31,

 

(amounts in thousands)

2016

 

Due within one year

$

21,033

 

Due in one year through five years

 

 

Total

$

21,033

 

 

Summary of Components of Accumulated Other Comprehensive Income (Loss), Net of Tax

The components of accumulated other comprehensive income (loss), net of tax, were as follows:

 

 

Unrealized

 

 

Unrealized

 

 

Accumulated

 

 

gains (losses) on

 

 

gains (losses)

 

 

other

 

 

available-for-

 

 

on cash

 

 

comprehensive

 

(amounts in thousands)

sale investments

 

 

flow hedges

 

 

income (loss)

 

Balance as of December 31, 2015

$

(23

)

 

$

(14

)

 

$

(37

)

Other comprehensive gain (loss), net of tax

 

(59

)

 

 

61

 

 

 

2

 

Balance as of December 31, 2016

$

(82

)

 

$

47

 

 

$

(35

)

 

Summary of Cash, Cash Equivalents and Short-term Investments

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

 

(amounts in thousands)

December 31,

 

Cash and cash equivalents

2016

 

 

2015

 

Cash

$

48,533

 

 

$

52,164

 

Money market accounts

 

39,277

 

 

 

6,725

 

Certificates of deposit

 

5,041

 

 

 

7,217

 

Total cash and cash equivalents

$

92,851

 

 

$

66,106

 

Marketable securities

 

 

 

 

 

 

 

Certificates of deposit

$

10,855

 

 

$

16,793

 

Corporate bonds

 

10,178

 

 

 

 

Total marketable securities

$

21,033

 

 

$

16,793

 

 

Schedule of Gross Accounts Receivable Balance Concentrations by Major Category

Gross accounts receivable balance concentrations by major category as of December 31, 2016 and December 31, 2015 were as follows:

 

 

 

As of

 

 

As of

 

(amounts in thousands)

 

December 31, 2016

 

 

December 31, 2015

 

Gross accounts receivable

 

$

 

 

%

 

 

$

 

 

%

 

Medicare

 

$

12,500

 

 

 

31.8

%

 

$

10,510

 

 

 

40.4

%

Medicaid/other government

 

 

617

 

 

 

1.6

%

 

 

683

 

 

 

2.6

%

Private insurance

 

 

3,475

 

 

 

8.8

%

 

 

4,852

 

 

 

18.6

%

Patient responsibility

 

 

3,227

 

 

 

8.2

%

 

 

3,603

 

 

 

13.9

%

Business-to-business & other receivables

 

 

19,541

 

 

 

49.6

%

 

 

6,369

 

 

 

24.5

%

Total gross accounts receivable

 

$

39,360

 

 

 

100.0

%

 

$

26,017

 

 

 

100.0

%

 

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 December 31, 2016 and December 31, 2015 were as follows:

 

 

 

As of

 

 

As of

 

(amounts in thousands)

 

December 31, 2016

 

 

December 31, 2015

 

Net accounts receivable

 

$

 

 

%

 

 

$

 

 

%

 

Medicare

 

$

7,208

 

 

 

23.4

%

 

$

7,441

 

 

 

37.4

%

Medicaid/other government

 

 

410

 

 

 

1.3

%

 

 

550

 

 

 

2.8

%

Private insurance

 

 

1,832

 

 

 

6.0

%

 

 

3,895

 

 

 

19.6

%

Patient responsibility

 

 

2,538

 

 

 

8.2

%

 

 

2,060

 

 

 

10.4

%

Business-to-business & other receivables

 

 

18,840

 

 

 

61.1

%

 

 

5,926

 

 

 

29.8

%

Total net accounts receivable

 

$

30,828

 

 

 

100.0

%

 

$

19,872

 

 

 

100.0

%

 

Schedule of Percentage Breakdown of Net Accounts Receivable by Aging Category by Invoice Due Date

 

The following table sets forth the percentage breakdown of the Company’s net accounts receivable (gross accounts receivable net of allowances) by aging category by invoice due date as of December 31, 2016 and December 31, 2015.

 

 

 

As of

 

 

As of

 

(amounts in thousands)

 

December 31, 2016

 

 

December 31, 2015

 

Net accounts receivable by aging category

 

$

 

 

%

 

 

$

 

 

%

 

Held & Unbilled

 

$

4,163

 

 

 

13.5

%

 

$

4,140

 

 

 

20.8

%

Aged 0-90 days

 

 

22,634

 

 

 

73.4

%

 

 

10,818

 

 

 

54.5

%

Aged 91-180 days

 

 

1,452

 

 

 

4.7

%

 

 

1,666

 

 

 

8.4

%

Aged 181-365 days

 

 

1,801

 

 

 

5.9

%

 

 

2,446

 

 

 

12.3

%

Aged over 365 days

 

 

778

 

 

 

2.5

%

 

 

802

 

 

 

4.0

%

Total net accounts receivable

 

$

30,828

 

 

 

100.0

%

 

$

19,872

 

 

 

100.0

%

 

Schedule of Allowances for Accounts Receivable

 

The following table sets forth the accounts receivable allowances as of December 31, 2016 and December 31, 2015:

 

 

 

As of

 

 

As of

 

(amounts in thousands)

 

December 31, 2016

 

 

December 31, 2015

 

Allowances - accounts receivable

 

$

 

 

%

 

 

$

 

 

%

 

Doubtful accounts

 

$

1,869

 

 

 

4.7

%

 

$

1,664

 

 

 

6.4

%

Rental revenue adjustments

 

 

6,078

 

 

 

15.4

%

 

 

4,115

 

 

 

15.8

%

Sales returns

 

 

585

 

 

 

1.5

%

 

 

366

 

 

 

1.4

%

Total allowances - accounts receivable

 

$

8,532

 

 

 

21.6

%

 

$

6,145

 

 

 

23.6

%

 

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 70.6% of the non-U.S. revenue for 2016 were invoiced in Euros. A breakdown of the Company’s revenue from U.S. and non-U.S. sources for the years ended December 31, 2016, 2015 and 2014 is as follows:

 

 

Years ended December 31,

 

(amounts in thousands)

2016

 

 

2015

 

 

2014

 

U.S. revenue

$

152,723

 

 

$

123,660

 

 

$

88,094

 

Non-U.S. revenue

 

50,106

 

 

 

35,345

 

 

 

24,443

 

Total revenue

$

202,829

 

 

$

159,005

 

 

$

112,537

 

 

Schedule of Inventories

Inventories consist of the following:

 

 

December 31,

 

(amounts in thousands)

2016

 

 

2015

 

Raw materials and work-in-progress

$

12,382

 

 

$

7,097

 

Finished goods

 

2,152

 

 

 

1,679

 

Less: reserves

 

(191

)

 

 

(128

)

Inventories

$

14,343

 

 

$

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

Lesser of estimated useful life or remaining lease term

 

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 years ended December 31, 2016, 2015 and 2014, respectively.

 

 

Years ended December 31,

 

(amounts in thousands)

2016

 

 

2015

 

 

2014

 

Rental equipment

$

11,429

 

 

$

11,965

 

 

$

10,339

 

Other property and equipment

 

2,028

 

 

 

1,961

 

 

 

1,591

 

Total depreciation and amortization

$

13,457

 

 

$

13,926

 

 

$

11,930

 

 

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 December 31, 2016 and 2015, respectively.

 

(amounts in thousands)

December 31,

 

Property and equipment

2016

 

 

2015

 

Rental equipment, net of allowances of $725 and $850, respectively

$

54,582

 

 

$

54,677

 

Other property and equipment

 

12,633

 

 

 

11,596

 

Property and equipment

 

67,215

 

 

 

66,273

 

Accumulated depreciation

 

 

 

 

 

 

 

Rental equipment

 

33,937

 

 

 

28,894

 

Other property and equipment

 

8,079

 

 

 

6,699

 

Accumulated depreciation

 

42,016

 

 

 

35,593

 

Net property and equipment

 

 

 

 

 

 

 

Rental equipment

 

20,645

 

 

 

25,783

 

Other property and equipment

 

4,554

 

 

 

4,897

 

Property and equipment, net

$

25,199

 

 

$

30,680

 

 

Computation of Earnings Per Share

The computation of EPS is as follows:

 

 

Years ended December 31,

 

(amounts in thousands, except share and per share amounts)

2016

 

 

2015

 

 

2014

 

Numerator—basic:

 

 

 

 

 

 

 

 

 

 

 

Net income

$

20,519

 

 

$

11,585

 

 

$

6,826

 

Less deemed dividend on redeemable convertible preferred stock

 

 

 

 

 

 

 

(987

)

Net income before preferred rights dividend

 

20,519

 

 

 

11,585

 

 

 

5,839

 

Less undistributed earnings to preferred stock - basic

 

 

 

 

 

 

 

(567

)

Net income attributable to common stockholders - basic

$

20,519

 

 

$

11,585

 

 

$

5,272

 

 

 

 

 

 

 

 

 

 

 

 

 

Numerator—diluted:

 

 

 

 

 

 

 

 

 

 

 

Net income

$

20,519

 

 

$

11,585

 

 

$

6,826

 

Less deemed dividend on redeemable convertible preferred stock

 

 

 

 

 

 

 

(987

)

Net income before preferred rights dividend

 

20,519

 

 

 

11,585

 

 

 

5,839

 

Less undistributed earnings to preferred stock - diluted

 

 

 

 

 

 

 

(514

)

Net income attributable to common stockholders - diluted

$

20,519

 

 

$

11,585

 

 

$

5,325

 

 

 

 

 

 

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares - basic common stock

 

20,067,152

 

 

 

19,398,991

 

 

 

16,182,569

 

Weighted-average common shares - diluted common stock

 

21,095,867

 

 

 

20,708,170

 

 

 

18,037,498

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share - basic common stock

$

1.02

 

 

$

0.60

 

 

$

0.33

 

Net income per share - diluted common stock

$

0.97

 

 

$

0.56

 

 

$

0.30

 

 

 

 

 

 

 

 

 

 

 

 

 

Denominator calculation from basic to diluted:

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares - basic common stock

 

20,067,152

 

 

 

19,398,991

 

 

 

16,182,569

 

Warrants

 

 

 

 

10,579

 

 

 

128,016

 

Stock options

 

1,028,715

 

 

 

1,298,600

 

 

 

1,726,913

 

Weighted-average common shares - diluted common stock

 

21,095,867

 

 

 

20,708,170

 

 

 

18,037,498

 

Shares excluded from diluted weighted-average shares:

 

 

 

 

 

 

 

 

 

 

 

Stock options

 

841,760

 

 

 

744,301

 

 

 

546,142

 

Shares excluded from diluted weighted-average shares:

 

841,760

 

 

 

744,301

 

 

 

546,142

 

 

Schedule of Adoption of ASU Impacted on Previously Reported Unaudited Quarterly Results

The adoption of this ASU impacted our previously reported unaudited quarterly results during fiscal year 2016 as follows:

 

(unaudited)

 

 

March 31, 2016

 

 

June 30, 2016

 

 

September 30, 2016

 

(amounts in thousands)

As reported

 

 

As adjusted

 

 

As reported

 

 

As adjusted

 

 

As reported

 

 

As adjusted

 

Deferred tax assets

$

14,474

 

 

$

26,856

 

 

$

11,504

 

 

$

26,236

 

 

$

9,514

 

 

$

26,037

 

Total assets

 

168,400

 

 

 

180,782

 

 

 

182,786

 

 

 

197,518

 

 

 

194,791

 

 

 

211,314

 

Accumulated deficit

 

(42,743

)

 

 

(30,361

)

 

 

(37,601

)

 

 

(22,869

)

 

 

(34,146

)

 

 

(17,623

)

Total stockholders' equity

 

138,189

 

 

 

150,571

 

 

 

147,503

 

 

 

162,235

 

 

 

156,082

 

 

 

172,605

 

 

 

(unaudited)

 

 

For the Three Months Ended

 

(amounts in thousands, except share and

March 31, 2016

 

 

June 30, 2016

 

 

September 30, 2016

 

per share amounts)

As reported

 

 

As adjusted

 

 

As reported

 

 

As adjusted

 

 

As reported

 

 

As adjusted

 

Provision for income taxes

$

1,035

 

 

$

879

 

 

$

2,900

 

 

$

550

 

 

$

1,994

 

 

$

203

 

Net income

 

2,365

 

 

 

2,521

 

 

 

5,142

 

 

 

7,492

 

 

 

3,455

 

 

 

5,246

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares -

 

19,827,669

 

 

 

19,827,669

 

 

 

19,972,395

 

 

 

19,972,395

 

 

 

20,157,688

 

 

 

20,157,688

 

basic common stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares -

 

20,783,943

 

 

 

20,840,367

 

 

 

20,925,613

 

 

 

20,997,429

 

 

 

21,100,725

 

 

 

21,182,587

 

diluted common stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share - basic common stock

$

0.12

 

 

$

0.13

 

 

$

0.26

 

 

$

0.38

 

 

$

0.17

 

 

$

0.26

 

Net income per share - diluted common stock

 

0.11

 

 

 

0.12

 

 

 

0.25

 

 

 

0.36

 

 

 

0.16

 

 

 

0.25

 

 

 

 

 

 

 

(unaudited)

 

 

 

 

 

 

For the Six Months Ended

 

 

For the Nine Months Ended

 

(amounts in thousands, except share and

 

 

 

 

June 30, 2016

 

 

September 30, 2016

 

per share amounts)

 

 

 

 

As reported

 

 

As adjusted

 

 

As reported

 

 

As adjusted

 

Provision for income taxes

 

 

 

 

$

3,935

 

 

$

1,429

 

 

$

5,929

 

 

$

1,632

 

Net income

 

 

 

 

 

7,507

 

 

 

10,013

 

 

 

10,962

 

 

 

15,259

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares -

 

 

 

 

 

19,900,032

 

 

 

19,900,032

 

 

 

19,986,544

 

 

 

19,986,544

 

basic common stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares -

 

 

 

 

 

20,860,878

 

 

 

20,931,802

 

 

 

20,924,022

 

 

 

21,000,945

 

diluted common stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share - basic common stock

 

 

 

 

$

0.38

 

 

$

0.50

 

 

$

0.55

 

 

$

0.76

 

Net income per share - diluted common stock

 

 

 

 

 

0.36

 

 

 

0.48

 

 

 

0.52

 

 

 

0.73