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 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 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 |