Balance Sheet Components | 5. Balance sheet components Cash, cash equivalents and marketable securities The Company considers all short-term highly liquid investments with a maturity of three months or less to be cash equivalents. The Company’s marketable debt securities are classified and accounted for as available-for-sale. Cash equivalents are recorded at cost plus accrued interest, which is considered adjusted cost, and approximates fair value. Marketable debt securities are included in cash equivalents and marketable securities based on the maturity date of the security. Short-term investments are included in marketable securities in the current period presentation. The Company considers investments with maturities greater than three months, but less than one year, to be marketable securities. Investments are reported at fair value with realized and unrealized gains or losses reported in other income (expense), net. The Company reviews its investments to identify and evaluate investments that have an indication of possible impairment. Factors considered in determining whether a loss is temporary include the length of time and extent to which fair value has been less than the cost basis, the financial condition and near-term prospects of the investee, and the Company's intent and ability to hold the investment for a period of time sufficient to allow for any anticipated recovery in market value. Credit losses and other-than-temporary impairments are declines in fair value that are not expected to recover and are charged to other income (expense), net. March 31, December 31, Cash and cash equivalents 2020 2019 Cash $ 50,238 $ 51,560 Money market accounts 158,124 146,477 Total cash and cash equivalents $ 208,362 $ 198,037 Marketable securities Corporate bonds $ — $ 2,013 U.S. Treasury securities — 9,044 Total marketable securities $ — $ 11,057 Accounts receivable and allowance for bad debts, returns, and adjustments Accounts receivable are customer obligations due under normal sales and rental terms. The Company performs credit evaluations of the customers’ financial condition and generally does not require collateral. The allowance for doubtful accounts is maintained at a level that, in management’s opinion, is adequate to absorb potential losses related to accounts receivable and is based upon the Company’s continuous evaluation of the collectability of outstanding balances. Management’s evaluation takes into consideration such factors as past bad debt experience, economic conditions and information about specific receivables. The Company’s evaluation also considers the age and composition of the outstanding amounts in determining their net realizable value. The allowance for doubtful accounts is based on estimates, and ultimate losses may vary from current estimates. As adjustments to these estimates become necessary, they are reported in general and administrative expense for sales revenue and as a reduction of rental revenue in the periods in which they become known. The allowance is increased by bad debt provisions, net of recoveries, and is reduced by direct write-offs. The Company generally does not allow returns from providers for reasons not covered under its standard warranty. Therefore, provision for returns applies primarily to direct-to-consumer sales. This reserve is calculated based on actual historical return rates under the Company’s 30-day return program and is applied to the related sales revenue for the last month of the quarter reported. The Company also records an allowance for rental revenue adjustments which is recorded as a reduction of rental revenue and net rental accounts receivable balances. These adjustments result from contractual adjustments, audit adjustments, untimely claims filings, or billings not paid due to another provider performing same or similar functions for the patient in the same period, all of which prevent billed revenue from becoming realizable. The reserve is based on historical revenue adjustments as a percentage of rental revenue billed and unbilled during the related period. When recording the allowance for doubtful accounts for sales revenue, the bad debt expense account (general and administrative expense account) is charged; when recording allowance for sales returns, the sales returns account (contra sales revenue account) is charged; and when recording the allowances for rental reserve adjustments and doubtful accounts, the rental revenue adjustments account (contra rental revenue account) is charged. As of March 31, 2020 and December 31, 2019, included in accounts receivable on the consolidated balance sheets were earned but unbilled receivables of $596 and $590, respectively. These balances reflect gross unbilled receivables prior to any allowances for adjustments and write-offs. The Company consistently applies its allowance estimation methodology from period-to-period. The Company’s best estimate is made on an accrual basis and adjusted in future periods as required. Any adjustments to the prior period estimates are included in the current period. As additional information becomes known, the Company adjusts its assumptions accordingly to change its estimate of the allowance. Gross accounts receivable balance concentrations by major category as of March 31, 2020 and December 31, 2019 were as follows: March 31, December 31, Gross accounts receivable 2020 2019 Rental (1) $ 3,442 $ 3,003 Business-to-business and other receivables (2) 38,706 33,101 Total gross accounts receivable $ 42,148 $ 36,104 Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of March 31, 2020 and December 31, 2019 were as follows: March 31, December 31, Net accounts receivable 2020 2019 Rental (1) $ 2,912 $ 2,464 Business-to-business and other receivables (2) 37,484 31,861 Total net accounts receivable $ 40,396 $ 34,325 (1) Rental includes Medicare, Medicaid/other government, private insurance and patient pay. (2) Business-to-business receivables included one customer with a gross accounts receivable balance of $8,978 and $10,695 as of March 31, 2020 and December 31, 2019, respectively. This 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 $20,000 in coverage as of March 31, 2020 and allocated up to $20,000 in coverage as of December 31, 2019 for this customer with a $400 deductible and 10% retention. The following tables set forth the accounts receivable allowances as of March 31, 2020 and December 31, 2019: March 31, December 31, Allowances - accounts receivable 2020 2019 Doubtful accounts $ 167 $ 205 Rental revenue adjustments 409 411 Sales returns 1,176 1,163 Total allowances - accounts receivable $ 1,752 $ 1,779 Concentration of credit risk Financial instruments that potentially subject the Company to concentration of credit risk consist principally of cash, cash equivalents, marketable securities and accounts receivable. At times, cash account balances may be in excess of the amounts insured by the Federal Deposit Insurance Corporation (FDIC). However, management believes the risk of loss to be minimal. The Company performs periodic evaluations of the relative credit standing of these institutions and has not experienced any losses on its cash and cash equivalents to date. The Company has also entered into hedging relationships with a single counterparty to offset the forecasted Euro-based revenues. The credit risk has been reduced due to a net settlement arrangement whereby the Company is allowed to net settle transactions with a single net amount payable by one party to the other. 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 primarily on a credit basis. The Company also sells its products direct-to-consumers on a primarily prepayment basis. One single customer represented more than 10% of the Company’s total revenue for the three months ended March 31, 2020, and no single customer represented more than 10% of the Company’s total revenue for the three months ended March 31, 2019. Two customers each represented more than 10% of the Company’s net accounts receivable balance with accounts receivable balances of $10,341 and $8,978, respectively, as of March 31, 2020, and $10,695 and $5,228, respectively, as of December 31, 2019. 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, 2020, the Company’s three major vendors accounted for 23.6%, 15.2%, and 9.4%, respectively, of total raw material purchases. For the three months ended March 31, 2019, the Company’s three major vendors accounted for 20.6%, 11.6% and 11.4%, respectively, of total raw material purchases. A portion of revenue is earned from sales outside the United States. Approximately 68.7% and 72.5% of the non-U.S. revenue for the three months ended March 31, 2020 and March 31, 2019, 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, 2020 and March 31, 2019, respectively, is as follows: Three months ended March 31, 2020 2019 U.S. revenue $ 68,406 $ 70,399 Non-U.S. revenue 20,083 19,803 Total revenue $ 88,489 $ 90,202 Inventories Inventories are stated at the lower of cost and net realizable value. Cost is determined using a standard cost method, including material, labor and manufacturing overhead, whereby the standard costs are updated at least quarterly to reflect approximate actual costs 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 $2,150 and $1,076 as of March 31, 2020 and December 31, 2019, 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. During the three months ended March 31, 2020 and March 31, 2019, $368 and $441, 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 flow. Inventories that are considered current consist of the following: March 31, December 31, 2020 2019 Raw materials and work-in-progress $ 33,066 $ 31,676 Finished goods 5,931 5,174 Less: reserves (1,397 ) (1,186 ) Inventories, net $ 37,600 $ 35,664 Property and equipment 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 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 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 income. Repair and maintenance expense, which includes labor, parts and freight, for rental equipment was $524 and $662 for the three months ended March 31, 2020 and March 31, 2019, respectively. Included within property and equipment is construction in process, primarily related to the design and engineering of tooling, jigs and other machinery. In addition, this item also includes computer software or development costs that have been purchased but have not completed the final configuration process for implementation into the Company’s systems. These items have not been placed in service; therefore, no depreciation or amortization was recognized for these items in the respective periods. Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for the three months ended March 31, 2020 and March 31, 2019, respectively. Three months ended March 31, 2020 2019 Rental equipment $ 1,299 $ 1,705 Other property and equipment 921 761 Total depreciation and amortization $ 2,220 $ 2,466 Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of March 31, 2020 and December 31, 2019, respectively. March 31, December 31, Property and equipment 2020 2019 Rental equipment, net of allowances of $395 and $395, respectively $ 38,995 $ 39,308 Other property and equipment 26,496 24,986 Property and equipment 65,491 64,294 Accumulated depreciation Rental equipment 31,035 30,984 Other property and equipment 14,789 13,872 Accumulated depreciation 45,824 44,856 Property and equipment, net Rental equipment, net of allowances of $395 and $395, respectively 7,960 8,324 Other property and equipment 11,707 11,114 Property and equipment, net $ 19,667 $ 19,438 Long-lived assets The Company accounts for the impairment and disposition of long-lived assets in accordance with ASC 360 — Property, Plant, and Equipment Goodwill The changes in the carrying amount of goodwill for the three months ended March 31, 2020 were as follows: Balance as of December 31, 2019 $ 32,954 Translation adjustment (42 ) Balance as of March 31, 2020 $ 32,912 Intangible assets There were no impairments recorded related to the Company’s intangible assets as of March 31, 2020 and March 31, 2019. Amortization expense for intangible assets for the three months ended March 31, 2020 and March 31, 2019 was $2,242 and $328, respectively. The following tables represent the changes in net carrying values of intangible assets as of the respective dates: Average estimated Gross useful lives carrying Accumulated March 31, 2020 (in years) amount amortization Net amount Technology 10 $ 77,700 $ 4,856 $ 72,844 Licenses 10 185 167 18 Patents and websites 5 4,274 2,479 1,795 Customer relationships 4 1,320 963 357 Commercials 2-3 777 509 268 Total $ 84,256 $ 8,974 $ 75,282 Average estimated Gross useful lives carrying Accumulated December 31, 2019 (in years) amount amortization Net amount Technology 10 $ 77,700 $ 2,914 $ 74,786 Licenses 10 185 165 20 Patents and websites 5 4,274 2,308 1,966 Customer relationships 4 1,346 897 449 Commercials 2-3 777 465 312 Total $ 84,282 $ 6,749 $ 77,533 Annual estimated amortization expense for each of the succeeding fiscal years is as follows: March 31, 2020 Remaining 9 months of 2020 $ 6,722 2021 8,678 2022 8,367 2023 7,792 2024 7,787 Thereafter 35,936 $ 75,282 Current liabilities Accounts payable and accrued expenses as of March 31, 2020 and December 31, 2019 consisted of the following: March 31, December 31, 2020 2019 Accounts payable $ 18,727 $ 16,399 Accrued inventory (in-transit and unvouchered receipts) and trade payables 11,129 11,124 Accrued purchasing card liability 1,940 1,675 Accrued franchise, sales and use taxes 501 713 Other accrued expenses 556 819 Accounts payable and accrued expenses $ 32,853 $ 30,730 Accrued payroll as of March 31, 2020 and December 31, 2019 consisted of the following: March 31, December 31, 2020 2019 Accrued bonuses $ 1,143 $ 87 Accrued wages and other payroll related items 4,939 3,158 Accrued vacation 2,262 2,169 Accrued employee stock purchase plan deductions 306 801 Accrued payroll $ 8,650 $ 6,215 |