Annual report pursuant to Section 13 and 15(d)

Summary of Significant Accounting Policies (Tables)

v3.24.0.1
Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2023
Accounting Policies [Abstract]  
Sales Revenue Disaggregated by Sales Channel and Geographic Region The following table sets forth the Company’s sales revenue disaggregated by sales channel and geographic region:

 

 

 

Years ended December 31,

 

Revenue by region and category

 

2023

 

 

2022

 

 

2021

 

Business-to-business domestic sales

 

$

66,196

 

 

$

86,049

 

 

$

91,371

 

Business-to-business international sales

 

 

89,401

 

 

 

101,163

 

 

 

79,460

 

Direct-to-consumer domestic sales

 

 

96,010

 

 

 

133,337

 

 

 

140,899

 

Total sales revenue

 

$

251,607

 

 

$

320,549

 

 

$

311,730

 

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, 2023

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

Marketable

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

securities

 

Cash

 

$

12,611

 

 

$

 

 

$

12,611

 

 

$

12,611

 

 

$

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

72,368

 

 

 

 

 

 

72,368

 

 

 

72,368

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate bonds

 

 

2,979

 

 

 

 

 

 

2,979

 

 

 

 

 

 

2,979

 

U.S. Treasury securities

 

 

19,252

 

 

 

136

 

 

 

19,388

 

 

 

19,388

 

 

 

 

Institutional Insured Liquidity Deposit Savings

 

 

21,125

 

 

 

 

 

 

21,125

 

 

 

21,125

 

 

 

 

Total

 

$

128,335

 

 

$

136

 

 

$

128,471

 

 

$

125,492

 

 

$

2,979

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of December 31, 2022

 

 

 

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

 

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

 

 

Cash

 

$

27,970

 

 

$

 

 

$

27,970

 

 

$

27,970

 

 

 

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

113,534

 

 

 

 

 

 

113,534

 

 

 

113,534

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate bonds

 

 

6,474

 

 

 

 

 

 

6,474

 

 

 

6,474

 

 

 

 

U.S. Treasury securities

 

 

18,913

 

 

 

26

 

 

 

18,939

 

 

 

18,939

 

 

 

 

Institutional Insured Liquidity Deposit Savings

 

 

20,097

 

 

 

 

 

 

20,097

 

 

 

20,097

 

 

 

 

Total

 

$

186,988

 

 

$

26

 

 

$

187,014

 

 

$

187,014

 

 

 

 

Summary of Components of Accumulated Other Comprehensive Income (Loss)

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

 

 

 

As of December 31, 2023

 

 

 

Foreign

 

 

Unrealized

 

 

Unrealized

 

 

Accumulated

 

 

 

currency

 

 

gains

 

 

gains (losses)

 

 

other

 

 

 

translation

 

 

on marketable

 

 

on cash

 

 

comprehensive

 

 

 

adjustments

 

 

securities

 

 

flow hedges

 

 

income (loss)

 

Balance as of December 31, 2022

 

$

(269

)

 

$

26

 

 

$

 

 

$

(243

)

Other comprehensive income

 

 

1,358

 

 

 

110

 

 

 

 

 

 

1,468

 

Balance as of December 31, 2023

 

$

1,089

 

 

$

136

 

 

$

 

 

$

1,225

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of December 31, 2022

 

 

 

Foreign

 

 

Unrealized

 

 

Unrealized

 

 

Accumulated

 

 

 

currency

 

 

gains

 

 

gains (losses)

 

 

other

 

 

 

translation

 

 

on marketable

 

 

on cash

 

 

comprehensive

 

 

 

adjustments

 

 

securities

 

 

flow hedges

 

 

income (loss)

 

Balance as of December 31, 2021

 

$

328

 

 

$

1

 

 

$

1,140

 

 

$

1,469

 

Other comprehensive income (loss)

 

 

(597

)

 

 

25

 

 

 

(1,140

)

 

 

(1,712

)

Balance as of December 31, 2022

 

$

(269

)

 

$

26

 

 

$

 

 

$

(243

)

Summary of Reconciliation of Earnout Liability Measured and Carried Fair Value on a Recurring Basis

The reconciliation of the earnout liabilities measured and carried at fair value on a recurring basis is as follows:

 

Balance as of December 31, 2021

 

$

16,016

 

Change in fair value

 

 

(16,016

)

Balance as of December 31, 2022

 

$

 

Addition for acquisition

 

 

3,178

 

Change in fair value

 

 

6,822

 

Balance as of December 31, 2023

 

$

10,000

 

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, 2023 and December 31, 2022 were as follows:

 

 

 

As of

 

 

As of

 

 

 

December 31, 2023

 

 

December 31, 2022

 

Net accounts receivable

 

$

 

 

%

 

 

$

 

 

%

 

Rental (1)

 

$

6,401

 

 

 

15.2

%

 

$

5,246

 

 

 

8.4

%

Business-to-business and other receivables (2)

 

 

35,840

 

 

 

84.8

%

 

 

57,479

 

 

 

91.6

%

Total net accounts receivable

 

$

42,241

 

 

 

100.0

%

 

$

62,725

 

 

 

100.0

%

 

(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 a net accounts receivable balance of $8,639 and $22,641 as of December 31, 2023 and December 31, 2022, respectively; and 2) one customer had a net accounts receivable balance of $4,994 and $9,861 as of December 31, 2023 and December 31, 2022, respectively. Each customer received extended payment terms through a direct financing plan offered.
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 by aging category and invoice due date as of December 31, 2023 and December 31, 2022.

 

 

 

As of

 

 

As of

 

 

 

December 31, 2023

 

 

December 31, 2022

 

Net accounts receivable by aging category

 

$

 

 

%

 

 

$

 

 

%

 

Held and Unbilled

 

$

1,388

 

 

 

3.3

%

 

$

303

 

 

 

0.5

%

Aged 0-90 days

 

 

32,020

 

 

 

75.8

%

 

 

61,556

 

 

 

98.1

%

Aged 91-180 days

 

 

8,222

 

 

 

19.5

%

 

 

565

 

 

 

0.9

%

Aged 181-365 days

 

 

574

 

 

 

1.4

%

 

 

287

 

 

 

0.5

%

Aged over 365 days

 

 

37

 

 

 

0.0

%

 

 

14

 

 

 

0.0

%

Total net accounts receivable

 

$

42,241

 

 

 

100.0

%

 

$

62,725

 

 

 

100.0

%

 

Schedule of Allowances for Accounts Receivable

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

 

 

 

As of

 

 

As of

 

 

 

December 31, 2023

 

 

December 31, 2022

 

Allowances - accounts receivable

 

$

 

 

%

 

 

$

 

 

%

 

Doubtful accounts

 

$

2,341

 

 

 

5.2

%

 

$

77

 

 

 

0.1

%

Sales returns

 

 

479

 

 

 

1.1

%

 

 

483

 

 

 

0.8

%

Total allowances - accounts receivable

 

$

2,820

 

 

 

6.3

%

 

$

560

 

 

 

0.9

%

 

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 77.7%, 70.9% and 74.1% of the non-U.S. revenue for the years ended December 31, 2023, 2022 and 2021, respectively, 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, 2023, 2022 and 2021, respectively, is as follows:

 

 

 

Years ended December 31,

 

 

 

2023

 

 

2022

 

 

2021

 

U.S. revenue

 

$

226,259

 

 

$

276,078

 

 

$

278,543

 

Non-U.S. revenue

 

 

89,401

 

 

 

101,163

 

 

 

79,460

 

Total revenue

 

$

315,660

 

 

$

377,241

 

 

$

358,003

 

 

Schedule of Inventories Inventories that are considered current consist of the following:

 

 

December 31,

 

 

 

2023

 

 

2022

 

Raw materials and work-in-progress

 

$

18,036

 

 

$

26,496

 

Finished goods

 

 

6,871

 

 

 

9,324

 

Less: reserves

 

 

(3,067

)

 

 

(1,727

)

Inventories, net

 

$

21,840

 

 

$

34,093

 

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

 

1.5-8 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 years ended December 31, 2023, 2022 and 2021, respectively.

 

 

Years ended December 31,

 

 

 

2023

 

 

2022

 

 

2021

 

Rental equipment

 

$

12,893

 

 

$

11,103

 

 

$

8,860

 

Other property and equipment

 

 

4,057

 

 

 

3,942

 

 

 

3,993

 

Total depreciation and amortization

 

$

16,950

 

 

$

15,045

 

 

$

12,853

 

 

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, 2023 and 2022, respectively.

 

 

December 31,

 

Property and equipment

 

2023

 

 

2022

 

Rental equipment, net of allowances of $2,606 and $2,255, respectively

 

$

67,804

 

 

$

61,679

 

Other property and equipment

 

 

30,357

 

 

 

33,434

 

Property and equipment

 

$

98,161

 

 

$

95,113

 

 

 

 

 

 

 

 

Accumulated depreciation

 

 

 

 

 

 

Rental equipment

 

$

31,023

 

 

$

31,320

 

Other property and equipment

 

 

16,822

 

 

 

20,524

 

Accumulated depreciation

 

$

47,845

 

 

$

51,844

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

 

 

 

 

Rental equipment, net of allowances of $2,606 and $2,255, respectively

 

$

36,781

 

 

$

30,359

 

Other property and equipment

 

 

13,535

 

 

 

12,910

 

Property and equipment, net

 

$

50,316

 

 

$

43,269

 

Computation of Earnings Per Share

The computation of EPS is as follows:

 

 

Years ended December 31,

 

 

 

2023

 

 

2022

 

 

2021

 

Numerator—basic and diluted:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(102,449

)

 

$

(83,772

)

 

$

(6,333

)

 

 

 

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

 

 

 

 

Weighted average common shares - basic common stock (1)

 

 

23,176,098

 

 

 

22,852,571

 

 

 

22,490,027

 

Weighted average common shares - diluted common stock

 

 

23,176,098

 

 

 

22,852,571

 

 

 

22,490,027

 

 

 

 

 

 

 

 

 

 

 

Net loss per share - basic common stock

 

$

(4.42

)

 

$

(3.67

)

 

$

(0.28

)

Net loss per share - diluted common stock (2)

 

$

(4.42

)

 

$

(3.67

)

 

$

(0.28

)

 

 

 

 

 

 

 

 

 

 

Denominator calculation from basic to diluted:

 

 

 

 

 

 

 

 

 

Weighted average common shares - basic common stock (1)

 

 

23,176,098

 

 

 

22,852,571

 

 

 

22,490,027

 

Stock options and other dilutive awards

 

 

160,682

 

 

 

115,155

 

 

 

166,258

 

Weighted average common shares - diluted common stock

 

 

23,336,780

 

 

 

22,967,726

 

 

 

22,656,285

 

 

 

 

 

 

 

 

 

 

 

Shares excluded from diluted weighted-average shares:

 

 

 

 

 

 

 

 

 

Stock options

 

 

104,681

 

 

 

329,586

 

 

 

151,344

 

Restricted stock units and restricted stock awards

 

 

926,859

 

 

 

528,398

 

 

 

167,237

 

Shares excluded from diluted weighted average shares

 

 

1,031,540

 

 

 

857,984

 

 

 

318,581

 

 

(1)
Unvested restricted stock units and restricted stock awards are not included as shares outstanding in the calculation of basic earnings per share. Vested restricted stock units and restricted stock awards are included in basic earnings per share if all vesting and performance criteria have been met. Performance-based restricted stock units and restricted stock awards are included in the number of shares used to calculate diluted earnings per share as long as all applicable performance criteria are met, and their effect is dilutive. Restricted stock awards are eligible to receive all dividends declared on the Company’s common shares during the vesting period; however, such dividends are not paid until the restrictions lapse.
(2)
Due to net losses for the years ended December 31, 2023, 2022 and 2021, diluted loss per share is the same as basic.