Cover Page
Cover Page - shares | 9 Months Ended | |
Sep. 30, 2022 | Oct. 28, 2022 | |
Cover [Abstract] | ||
Document Type | 10-Q | |
Document Quarterly Report | true | |
Document Period End Date | Sep. 30, 2022 | |
Document Transition Report | false | |
Entity File Number | 001-38118 | |
Entity Registrant Name | DERMTECH, INC. | |
Entity Incorporation, State or Country Code | DE | |
Entity Tax Identification Number | 84-2870849 | |
Entity Address, Address Line One | 11099 N. Torrey Pines Road | |
Entity Address, Address Line Two | Suite 100 | |
Entity Address, City or Town | La Jolla | |
Entity Address, State or Province | CA | |
Entity Address, Postal Zip Code | 92037 | |
City Area Code | 858 | |
Local Phone Number | 450-4222 | |
Title of 12(b) Security | Common Stock, par value $0.0001 per share | |
Trading Symbol | DMTK | |
Security Exchange Name | NASDAQ | |
Entity Current Reporting Status | Yes | |
Entity Interactive Data Current | Yes | |
Entity Filer Category | Large Accelerated Filer | |
Entity Small Business | true | |
Entity Emerging Growth Company | false | |
Entity Shell Company | false | |
Entity Common Stock, Shares Outstanding | 30,214,705 | |
Entity Central Index Key | 0001651944 | |
Current Fiscal Year End Date | --12-31 | |
Document Fiscal Year Focus | 2022 | |
Document Fiscal Period Focus | Q3 | |
Amendment Flag | false |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheets - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Current assets: | ||
Cash and cash equivalents | $ 95,492 | $ 176,882 |
Short-term marketable securities | 53,636 | 48,449 |
Accounts receivable | 6,101 | 3,847 |
Inventory | 1,391 | 480 |
Prepaid expenses and other current assets | 4,212 | 3,166 |
Total current assets | 160,832 | 232,824 |
Property and equipment, net | 4,943 | 4,549 |
Operating lease right-of-use assets | 24,644 | 7,744 |
Restricted cash | 3,477 | 3,025 |
Other assets | 167 | 167 |
Total assets | 194,063 | 248,309 |
Current liabilities: | ||
Accounts payable | 2,997 | 2,880 |
Accrued compensation | 8,321 | 5,120 |
Accrued liabilities | 3,539 | 1,227 |
Short-term deferred revenue | 417 | 1,380 |
Current portion of operating lease liabilities | 1,588 | 1,453 |
Current portion of finance lease obligations | 124 | 121 |
Total current liabilities | 16,986 | 12,181 |
Warrant liability | 20 | 146 |
Long-term finance lease obligations, less current portion | 77 | 136 |
Operating lease liabilities, long-term | 21,992 | 6,148 |
Total liabilities | 39,075 | 18,611 |
Stockholders’ equity: | ||
Common stock, $0.0001 par value per share; 50,000,000 shares authorized as of September 30, 2022 and December 31, 2021; 30,213,206 and 29,772,922 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively | 3 | 3 |
Additional paid-in capital | 450,904 | 436,183 |
Accumulated other comprehensive loss | (1,095) | (124) |
Accumulated deficit | (294,824) | (206,364) |
Total stockholders’ equity | 154,988 | 229,698 |
Total liabilities and stockholders’ equity | $ 194,063 | $ 248,309 |
Condensed Consolidated Balanc_2
Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares | Sep. 30, 2022 | Dec. 31, 2021 |
Statement of Financial Position [Abstract] | ||
Common stock, par value per share (in usd per share) | $ 0.0001 | $ 0.0001 |
Common stock, shares authorized (in shares) | 50,000,000 | 50,000,000 |
Common stock, shares issued (in shares) | 30,213,206 | 29,772,922 |
Common stock, shares outstanding (in shares) | 30,213,206 | 29,772,922 |
Condensed Consolidated Statemen
Condensed Consolidated Statements of Operations - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Revenues: | ||||
Total revenues | $ 3,573 | $ 3,030 | $ 11,524 | $ 8,673 |
Cost of revenues: | ||||
Total cost of revenues | 3,694 | 2,898 | 10,521 | 7,524 |
Gross (loss) profit | (121) | 132 | 1,003 | 1,149 |
Operating expenses: | ||||
Sales and marketing | 14,632 | 9,826 | 45,076 | 24,245 |
Research and development | 5,702 | 4,426 | 18,955 | 10,271 |
General and administrative | 8,806 | 6,199 | 26,258 | 17,672 |
Total operating expenses | 29,140 | 20,451 | 90,289 | 52,188 |
Loss from operations | (29,261) | (20,319) | (89,286) | (51,039) |
Other income/(expense): | ||||
Interest income, net | 485 | 38 | 700 | 107 |
Change in fair value of warrant liability | 4 | 169 | 126 | (1,350) |
Total other income/(expense) | 489 | 207 | 826 | (1,243) |
Net loss | $ (28,772) | $ (20,112) | $ (88,460) | $ (52,282) |
Weighted average shares outstanding used in computing net loss per share, basic (in shares) | 30,096,261 | 29,639,802 | 29,969,435 | 28,599,375 |
Weighted average shares outstanding used in computing net loss per share, diluted (in shares) | 30,096,261 | 29,639,802 | 29,969,435 | 28,599,375 |
Net loss per share of common stock outstanding, basic (in usd per share) | $ (0.96) | $ (0.68) | $ (2.95) | $ (1.83) |
Net loss per share of common stock outstanding, diluted (in usd per share) | $ (0.96) | $ (0.68) | $ (2.95) | $ (1.83) |
Assay revenue | ||||
Revenues: | ||||
Total revenues | $ 3,433 | $ 2,954 | $ 11,098 | $ 8,054 |
Cost of revenues: | ||||
Total cost of revenues | 3,644 | 2,875 | 10,410 | 7,450 |
Contract revenue | ||||
Revenues: | ||||
Total revenues | 140 | 76 | 426 | 619 |
Cost of revenues: | ||||
Total cost of revenues | $ 50 | $ 23 | $ 111 | $ 74 |
Condensed Consolidated Statem_2
Condensed Consolidated Statements of Comprehensive Loss - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Statement of Comprehensive Income [Abstract] | ||||
Net loss | $ (28,772) | $ (20,112) | $ (88,460) | $ (52,282) |
Unrealized net loss on available-for-sale marketable securities | (230) | (10) | (971) | (7) |
Comprehensive loss | $ (29,002) | $ (20,122) | $ (89,431) | $ (52,289) |
Condensed Consolidated Statem_3
Condensed Consolidated Statements of Stockholders’ Equity - USD ($) $ in Thousands | Total | Common stock | Additional paid-in capital | Accumulated other comprehensive income/(loss) | Accumulated deficit |
Beginning balance (in shares) at Dec. 31, 2020 | 20,740,413 | ||||
Beginning balance at Dec. 31, 2020 | $ 61,840 | $ 2 | $ 189,868 | $ (1) | $ (128,029) |
Issuance of stock, net of issuance costs shares (in shares) | 4,872,881 | ||||
Issuance of stock, net of issuance costs | 134,582 | $ 1 | 134,581 | ||
Issuance of common stock from option exercises and RSU releases (in shares) | 176,673 | ||||
Issuance of common stock from option exercises and RSU releases | 408 | 408 | |||
Issuance of common stock from warrant exercises (in shares) | 3,089,325 | ||||
Issuance of common stock from warrant exercises | 72,081 | 72,081 | |||
Issuance of common stock from Employee Stock Purchase Plan (in shares) | 39,960 | ||||
Issuance of common stock from Employee Stock Purchase Plan | 392 | 392 | |||
Unrealized net loss on available-for-sale marketable securities | 9 | 9 | |||
Stock-based compensation | 2,172 | 2,172 | |||
Reclassification of warrant liability due to Private SPAC Warrants not held by original holder | 411 | 411 | |||
Net loss | (15,068) | (15,068) | |||
Ending balance (in shares) at Mar. 31, 2021 | 28,919,252 | ||||
Ending balance at Mar. 31, 2021 | 256,827 | $ 3 | 399,913 | 8 | (143,097) |
Beginning balance (in shares) at Dec. 31, 2020 | 20,740,413 | ||||
Beginning balance at Dec. 31, 2020 | 61,840 | $ 2 | 189,868 | (1) | (128,029) |
Unrealized net loss on available-for-sale marketable securities | (7) | ||||
Reclassification of warrant liability due to Private SPAC Warrants not held by original holder | 434 | ||||
Net loss | (52,282) | ||||
Ending balance (in shares) at Sep. 30, 2021 | 29,717,198 | ||||
Ending balance at Sep. 30, 2021 | 251,921 | $ 3 | 432,237 | (8) | (180,311) |
Beginning balance (in shares) at Dec. 31, 2020 | 20,740,413 | ||||
Beginning balance at Dec. 31, 2020 | 61,840 | $ 2 | 189,868 | (1) | (128,029) |
Ending balance (in shares) at Dec. 31, 2021 | 29,772,922 | ||||
Ending balance at Dec. 31, 2021 | 229,698 | $ 3 | 436,183 | (124) | (206,364) |
Beginning balance (in shares) at Mar. 31, 2021 | 28,919,252 | ||||
Beginning balance at Mar. 31, 2021 | 256,827 | $ 3 | 399,913 | 8 | (143,097) |
Issuance of stock, net of issuance costs shares (in shares) | 530,551 | ||||
Issuance of stock, net of issuance costs | 23,836 | 23,836 | |||
Issuance of common stock from option exercises and RSU releases (in shares) | 157,277 | ||||
Issuance of common stock from option exercises and RSU releases | 188 | 188 | |||
Issuance of common stock from warrant exercises (in shares) | 314 | ||||
Issuance of common stock from warrant exercises | 5 | 5 | |||
Unrealized net loss on available-for-sale marketable securities | (6) | (6) | |||
Stock-based compensation | 3,538 | 3,538 | |||
Reclassification of warrant liability due to Private SPAC Warrants not held by original holder | 23 | ||||
Net loss | (17,102) | (17,102) | |||
Ending balance (in shares) at Jun. 30, 2021 | 29,607,394 | ||||
Ending balance at Jun. 30, 2021 | 267,309 | $ 3 | 427,503 | 2 | (160,199) |
Issuance of common stock from option exercises and RSU releases (in shares) | 76,768 | ||||
Issuance of common stock from option exercises and RSU releases | 81 | 81 | |||
Issuance of common stock from warrant exercises (in shares) | 14,881 | ||||
Issuance of common stock from warrant exercises | 343 | 343 | |||
Issuance of common stock from Employee Stock Purchase Plan (in shares) | 18,155 | ||||
Issuance of common stock from Employee Stock Purchase Plan | 574 | 574 | |||
Unrealized net loss on available-for-sale marketable securities | (10) | (10) | |||
Stock-based compensation | 3,736 | 3,736 | |||
Net loss | (20,112) | (20,112) | |||
Ending balance (in shares) at Sep. 30, 2021 | 29,717,198 | ||||
Ending balance at Sep. 30, 2021 | 251,921 | $ 3 | 432,237 | (8) | (180,311) |
Beginning balance (in shares) at Dec. 31, 2021 | 29,772,922 | ||||
Beginning balance at Dec. 31, 2021 | 229,698 | $ 3 | 436,183 | (124) | (206,364) |
Issuance of common stock from option exercises and RSU releases (in shares) | 109,275 | ||||
Issuance of common stock from option exercises and RSU releases | 40 | 40 | |||
Issuance of common stock from warrant exercises (in shares) | 11,101 | ||||
Issuance of common stock from warrant exercises | 12 | 12 | |||
Issuance of common stock from Employee Stock Purchase Plan (in shares) | 47,339 | ||||
Issuance of common stock from Employee Stock Purchase Plan | 515 | 515 | |||
Unrealized net loss on available-for-sale marketable securities | (570) | (570) | |||
Stock-based compensation | 3,894 | 3,894 | |||
Net loss | (30,108) | (30,108) | |||
Ending balance (in shares) at Mar. 31, 2022 | 29,940,637 | ||||
Ending balance at Mar. 31, 2022 | 203,481 | $ 3 | 440,644 | (694) | (236,472) |
Beginning balance (in shares) at Dec. 31, 2021 | 29,772,922 | ||||
Beginning balance at Dec. 31, 2021 | 229,698 | $ 3 | 436,183 | (124) | (206,364) |
Unrealized net loss on available-for-sale marketable securities | (971) | ||||
Reclassification of warrant liability due to Private SPAC Warrants not held by original holder | 0 | ||||
Net loss | (88,460) | ||||
Ending balance (in shares) at Sep. 30, 2022 | 30,213,206 | ||||
Ending balance at Sep. 30, 2022 | 154,988 | $ 3 | 450,904 | (1,095) | (294,824) |
Beginning balance (in shares) at Mar. 31, 2022 | 29,940,637 | ||||
Beginning balance at Mar. 31, 2022 | 203,481 | $ 3 | 440,644 | (694) | (236,472) |
Issuance of common stock from option exercises and RSU releases (in shares) | 88,591 | ||||
Issuance of common stock from option exercises and RSU releases | 0 | ||||
Issuance of common stock from warrant exercises (in shares) | 9,219 | ||||
Issuance of common stock from warrant exercises | 10 | 10 | |||
Unrealized net loss on available-for-sale marketable securities | (171) | (171) | |||
Stock-based compensation | 4,837 | 4,837 | |||
Net loss | (29,580) | (29,580) | |||
Ending balance (in shares) at Jun. 30, 2022 | 30,038,447 | ||||
Ending balance at Jun. 30, 2022 | 178,577 | $ 3 | 445,491 | (865) | (266,052) |
Issuance of common stock from option exercises and RSU releases (in shares) | 74,010 | ||||
Issuance of common stock from option exercises and RSU releases | 0 | ||||
Issuance of common stock from Employee Stock Purchase Plan (in shares) | 100,749 | ||||
Issuance of common stock from Employee Stock Purchase Plan | 477 | 477 | |||
Unrealized net loss on available-for-sale marketable securities | (230) | (230) | |||
Stock-based compensation | 4,936 | 4,936 | |||
Net loss | (28,772) | (28,772) | |||
Ending balance (in shares) at Sep. 30, 2022 | 30,213,206 | ||||
Ending balance at Sep. 30, 2022 | $ 154,988 | $ 3 | $ 450,904 | $ (1,095) | $ (294,824) |
Condensed Consolidated Statem_4
Condensed Consolidated Statements of Stockholders’ Equity (Parenthetical) - USD ($) $ in Millions | 3 Months Ended | |
Jun. 30, 2021 | Mar. 31, 2021 | |
Issuance costs | $ 0.7 | |
Common stock | ||
Issuance price per share (in usd per share) | $ 29.50 | |
Issuance costs | $ 9.1 | |
Common stock | At-The Market Offering | ||
Issuance price per share (in usd per share) | $ 46.33 |
Condensed Consolidated Statem_5
Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | 12 Months Ended | |||
Sep. 30, 2022 | Sep. 30, 2021 | Mar. 31, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | Dec. 31, 2021 | |
Cash flows from operating activities: | ||||||
Net loss | $ (88,460) | $ (52,282) | ||||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||
Depreciation | $ 400 | $ 300 | 1,187 | 654 | ||
Change in fair value of warrant liability | (4) | (169) | (126) | 1,350 | ||
Amortization of operating lease right-of-use assets | 1,788 | 909 | ||||
Stock-based compensation | 13,667 | 9,446 | ||||
Amortization of premiums, net of accretion of discounts on marketable securities | 328 | 463 | ||||
Loss on disposal of equipment | 350 | 13 | ||||
Changes in operating assets and liabilities: | ||||||
Accounts receivable | (2,254) | (1,339) | ||||
Inventory | (911) | (320) | ||||
Prepaid expenses and other current assets | (1,046) | (104) | ||||
Operating lease liabilities | (2,709) | (1,130) | ||||
Accounts payable, accrued liabilities and deferred revenue | 955 | 1,525 | ||||
Accrued compensation | 3,201 | 1,389 | ||||
Net cash used in operating activities | (74,030) | (39,426) | ||||
Cash flows from investing activities: | ||||||
Purchases of marketable securities | (26,420) | (25,150) | ||||
Sales of marketable securities | 0 | 350 | ||||
Maturities of marketable securities | 19,934 | 18,475 | ||||
Purchases of property and equipment | (1,372) | (1,664) | ||||
Net cash used in investing activities | (7,858) | (7,989) | ||||
Cash flows from financing activities: | ||||||
Proceeds from exercise of common stock warrants | 22 | 70,271 | ||||
Proceeds from RSU releases (par value only) and the exercise of stock options | 40 | 677 | ||||
Proceeds from contributions to the employee stock purchase plan | 992 | 966 | ||||
Principal repayments of finance lease obligations | (104) | (80) | ||||
Net cash provided by financing activities | 950 | 230,252 | ||||
Net (decrease)/increase in cash, cash equivalents and restricted cash | (80,938) | 182,837 | ||||
Cash, cash equivalents and restricted cash, beginning of period | $ 24,248 | 179,907 | 24,248 | $ 24,248 | ||
Cash, cash equivalents and restricted cash, end of period | 98,969 | 207,085 | 98,969 | 207,085 | 179,907 | |
Reconciliation of cash, cash equivalents and restricted cash, end of period: | ||||||
Cash and cash equivalents | 95,492 | 204,061 | 95,492 | 204,061 | $ 176,882 | |
Restricted cash | 3,477 | 3,024 | 3,477 | 3,024 | ||
Total cash, cash equivalents and restricted cash | $ 98,969 | $ 207,085 | 98,969 | 207,085 | ||
Supplemental cash flow information: | ||||||
Cash paid for interest on finance lease obligations | 10 | 13 | ||||
Supplemental disclosure of noncash investing and financing activities: | ||||||
Purchases of property and equipment recorded in accounts payable | 511 | 462 | ||||
Reclassification of warrant liability due to Private SPAC Warrants not held by original holder | $ 411 | 0 | 434 | |||
Cashless exercise of common stock warrants | 0 | 2,158 | ||||
Right-of-use assets obtained in exchange for lease obligations | 18,688 | 9,071 | ||||
Property and equipment acquired under finance leases | 48 | 105 | ||||
Change in net unrealized losses on available-for-sale marketable securities | (971) | (7) | ||||
Public Follow-on Offering | ||||||
Cash flows from financing activities: | ||||||
Proceeds from issuance of common stock | 0 | 134,582 | ||||
At-The Market Offering | ||||||
Cash flows from financing activities: | ||||||
Proceeds from issuance of common stock | $ 0 | $ 23,836 |
The Company and a Summary of it
The Company and a Summary of its Significant Accounting Policies | 9 Months Ended |
Sep. 30, 2022 | |
Accounting Policies [Abstract] | |
The Company and a Summary of its Significant Accounting Policies | The Company and a Summary of its Significant Accounting Policies (a) Nature of Operations On August 29, 2019, DermTech, Inc., formerly known as Constellation Alpha Capital Corp, (the “Company”), and DermTech Operations, Inc., formerly known as DermTech, Inc., (“DermTech Operations”), consummated the transactions contemplated by the Agreement and Plan of Merger, dated as of May 29, 2019, by and among the Company, DT Merger Sub, Inc., a wholly owned subsidiary of the Company (“Merger Sub”), and DermTech Operations. The Company refers to this agreement, as amended by that certain First Amendment to Agreement and Plan of Merger dated as of August 1, 2019, as the Merger Agreement. Pursuant to the Merger Agreement, Merger Sub merged with and into DermTech Operations, with DermTech Operations surviving as a wholly-owned subsidiary of the Company. The Company refers to this transaction as the Business Combination. In connection with and two days prior to the completion of the Business Combination, the Company domesticated from the British Virgin Islands to Delaware. DermTech Operations changed its name from DermTech, Inc. to DermTech Operations, Inc. shortly before the completion of the Business Combination. On August 29, 2019, immediately following the completion of the Business Combination, the Company changed its name from Constellation Alpha Capital Corp. to DermTech, Inc., and then effected a one-for-two reverse stock split of its common stock. The Company is a molecular diagnostic company developing and marketing its Clinical Laboratory Improvement Amendments of 1988 (“CLIA”) laboratory services including genomic tests to facilitate the diagnosis of dermatologic conditions including melanoma. The Company has developed a proprietary, non-invasive technique for sampling the surface layers of the skin using an adhesive patch called the DermTech Smart Sticker™ (the “Smart Sticker”) to collect biological information for commercial applications in the medical diagnostic field. The ongoing COVID-19 pandemic has affected many segments of the global economy, including the cancer screening and diagnostics industry. The Company is considered an essential business due to the importance of early melanoma detection, which has allowed the Company’s CLIA laboratory to remain fully operational. The Company implemented additional safety measures in accordance with Centers for Disease Control and Prevention, Occupational Safety and Health Administration and other guidance within its CLIA laboratory operations. Additionally, and during this time, the Company transitioned administrative functions to predominantly remote work. The pandemic reduced patient access to clinician offices for in-person testing and reduced access by the Company's sales force for in-office sales calls, which negatively impacted the volume of billable samples. The level and nature of the disruption caused by COVID-19 is unpredictable, may be cyclical, and long-lasting and may again in the future, adversely affect the Company's operating results. (b) Basis of Presentation The condensed consolidated financial statements include the accounts of DermTech, Inc. and its subsidiaries. All intercompany balances and transactions among the consolidated entity have been eliminated in consolidation. These unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Securities and Exchange Commission (“SEC”), Regulation S-X. Accordingly, these unaudited condensed consolidated financial statements and accompanying notes do not include all the information and disclosures required by U.S. GAAP for complete financial statements and should be read together with the audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021. In the opinion of management, all adjustments, which include only normal recurring adjustments considered necessary for a fair presentation, have been included. The accompanying unaudited condensed consolidated financial statements reflect the application of certain significant accounting policies as described below and elsewhere in these notes to the unaudited condensed consolidated financial statements. As of September 30, 2022, there have been no material changes in the Company's significant accounting policies from those that were disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021. (c) Use of Estimates The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires that management make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the amounts of revenues and expenses reported during the period. On an ongoing basis, management evaluates these estimates and judgments, including but not limited to those related to assay revenue, stock-based compensation, short-term marketable securities, accounts receivable, accrued bonus, warrant liability, right-of-use (“ROU”) assets and the realization of deferred tax assets. Actual results may differ from those estimates. (d) Cash, Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with remaining maturities of three months or less when purchased to be cash equivalents. The Company maintains its cash balances at banks and financial institutions. The balances are insured up to the Federal Deposit Insurance Corporation legal limit. The Company maintains cash balances that have in the past and may, at times, exceed this insured limit. Restricted cash consists of cash deposited with a financial institution as collateral for the Company’s letters of credit for its facility leases. Restricted cash is classified as noncurrent based on the terms of the underlying lease arrangement. (e) Property and Equipment, Net Property and equipment, net is recorded at cost less accumulated depreciation. Property and equipment consists mainly of assets such as leasehold improvements, office, computer and laboratory equipment, including laboratory equipment acquired under finance lease arrangements. Depreciation is computed using the straight-line method over the estimated useful lives of the assets, which range from two Amortization of assets that are recorded under finance leases in depreciation expense is included in cost of revenues on the condensed consolidated statements of operations. Gross assets recorded under finance leases were $0.4 million as of September 30, 2022 and December 31, 2021. Accumulated amortization associated with finance leases was $0.1 million as of September 30, 2022 and December 31, 2021. Maintenance and repairs are expensed as incurred, and material improvements are capitalized. When assets are retired or otherwise disposed of, the cost and accumulated depreciation are removed from the balance sheet and any resulting gain or loss is reflected in the condensed consolidated statements of operations in the period realized. Loss of disposal on equipment was $0.1 million for the three months ended September 30, 2022 and $8,000 for the three months ended September 30, 2021 . Loss on disposal of equipment was $0.4 million and $13,000 for the nine months ended September 30, 2022 and 2021 , respectively. The Company assesses its long-lived assets, consisting primarily of property and equipment, for impairment when material events or changes in circumstances indicate that the carrying value may not be recoverable. There were no impairment losses for the three or nine months ended September 30, 2022 and 2021 . (f) Concentration of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. As of September 30, 2022, the Company maintained $64.6 million in a sweep account, which maintains cash balances throughout various interest-bearing bank accounts under the $250,000 insurance limit provided by the Federal Deposit Insurance Corporation for one federally insured financial institution. Approximately $0.3 million was held in excess of the Federal Deposit Insurance Corporation insured limit as of September 30, 2022. The Company has not experienced any losses in such accounts. (g) Revenue Recognition The Company’s revenue is generated from two revenue streams: contract revenue and assay revenue. The Company accounts for revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”). The core principle of ASC 606 is that the Company recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. The ASC 606 revenue recognition model consists of the following five steps: (1) identify the contracts with a customer, (2) identify the performance obligations in the contract, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations in the contract and (5) recognize revenue when (or as) the entity satisfies a performance obligation. The Company recognizes revenue from its assay and contract services in accordance with the core principles and key aspects considered by the Company. These considerations are described in detail below, first for Assay Revenue and then for Contract Revenue. Assay Revenue The Company generates revenues from its Pigmented Lesion Assay (“PLA”) and PLA plus (now referred to as the DermTech Melanoma Test or “DMT” which may consist at the option of the ordering clinician of either (i) the PLA or (ii) the PLA and PLA plus ), which assists a clinician’s diagnosis of melanoma in patients. The Company provides prescribing clinicians with its Smart Sticker to perform non-invasive skin biopsies of clinically ambiguous pigmented skin lesions on patients. The Company also offers clinicians a telemedicine solution where they can request the Smart Sticker collection kit be sent to the patient’s home for a clinician-guided remote collection on ambiguous pigmented skin lesions. A patient can also initiate the process by downloading the Company’s telemedicine app, DermTech Connect, which uses store-and-forward technology to allow the patient to take a picture of a suspicious lesion with their phone and have the picture reviewed by an independent clinician who is subscribing to the DermTech Connect platform to assess the suspicious lesion, and if medically necessary, order a DMT where a collection kit would be sent to the patient’s home. The DermTech Connect app and telemedicine service were initially beta tested in Florida and is currently available in most states where permitted by law and applicable standards of practice guidelines. Once the sample is collected by the patient via the telemedicine solution or by a healthcare clinician in person, it is returned to the Company’s CLIA laboratory for analysis. The patient’s ribonucleic acid (“RNA”) and deoxyribonucleic acid (“DNA”) are extracted from the Smart Sticker and analyzed using gene expression and sequencing technology to determine if the pigmented skin lesion contains certain genomic features indicative of melanoma. Upon completion of the gene expression analysis, a final report is drafted and provided to the clinician detailing the test results for the pigmented skin lesion indicating whether the sample collected is indicative of melanoma or not. The Company periodically updates its estimate of the variable consideration recognized for previously delivered performance obligations. These updates resulted in a decrease of $0.5 million and $0.5 million of revenue reported for the three and nine months ended September 30, 2022, respectively, and an additional $18,000 and $0.1 million of revenue reported for the three and nine months ended September 30, 2021, respectively. These amounts included (i) adjustments for actual collections versus estimated variable consideration as of the beginning of the reporting period and (ii) cash collections and the related recognition of revenue in the current period for tests delivered in prior periods due to the release of the constraint on variable consideration, offset by (iii) reductions in revenue for the accrual for reimbursement claims and settlements. Contract Revenue Contract revenue is generated from the sale of laboratory services and Smart Stickers to third-party companies through contract research agreements. Revenues are generated from providing genomic services to facilitate the development of drugs designed to treat dermatologic conditions. The provision of services may include sample collection using the Smart Sticker, assay development for research partners, patient segmentation and stratification, extraction, isolation, expression, amplification and detection of RNA, DNA, protein and microbiome, including data analysis and reporting. (a) Disaggregation of Revenue The following table presents the Company’s revenues disaggregated by revenue source during the three and nine months ended September 30, 2022 and 2021 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Assay Revenue DermTech Melanoma Test $ 3,433 $ 2,954 $ 11,098 $ 8,054 Contract Revenue Adhesive patch kits 22 14 126 329 RNA extractions 94 19 204 158 Project management fees 24 43 96 132 Total revenues $ 3,573 $ 3,030 $ 11,524 $ 8,673 The following table sets forth the percentages of total revenue or accounts receivable for the Company’s third-party payors that represent 10% or more of the respective amounts for the periods shown: Total Revenues Accounts Receivable Three Months Ended September 30, Nine Months Ended September 30, As of September 30, 2022 As of December 31, 2021 2022 2021 2022 2021 Assay Revenue Payor A 46 % 36 % 41 % 35 % 20 % 23 % Payor B * * * * 15 % 15 % * Less than 10% There were no other third-party payors or pharmaceutical customers that individually accounted for more than 10% of the Company’s total revenue or accounts receivable for the periods shown in the table above. (b) Deferred Revenue and Remaining Performance Obligations The timing of revenue recognition, billings and cash collections results in billed accounts receivable and deferred revenue on the condensed consolidated balance sheets. In a majority of historical agreements that produced contract revenue, the Company received a substantial up-front payment and additional payments upon the achievement of various milestones over the life of the agreement. This results in deferred revenue and is relieved upon delivery of the applicable Smart Stickers or RNA extraction results. Changes in accounts receivable and deferred revenue were not materially impacted by any other factors. The Company records a deferred revenue liability if a customer pays consideration before the Company transfers a good or service to the customer. Deferred revenue primarily represents upfront milestone payments, for which consideration is received prior to when goods/services are completed or delivered. Upfront fees that are estimated to be recognized as revenue more than one year from the date of collection are classified as long-term deferred revenue. Short-term deferred revenue as of September 30, 2022 and December 31, 2021 was $0.4 million and $1.4 million, respectively. As of September 30, 2022 we reclassified $0.9 million of short-term deferred revenue to accrued liabilities for a customer refund obligation in connection with cancellation of future services. Remaining performance obligations include deferred revenue and amounts the Company expects to receive for goods and services that have not yet been delivered or provided under existing agreements. For agreements that have an original duration of one year or less, the Company has elected the practical expedient applicable to such agreements and does not disclose the remaining performance obligations at the end of each reporting period. As of September 30, 2022, the estimated revenue expected to be recognized in future periods related to performance obligations that are unsatisfied for executed agreements with an original duration of one year or more was immaterial . The Company expects to recognize revenue on the majority of these remaining performance obligations over the next two (h) Accounts Receivable Assay Accounts Receivable Due to the nature of the Company’s assay revenue, it can take a significant amount of time to collect upon billed tests. The Company prepares an analysis on reimbursement collections and data obtained for each financial reporting period to determine the amount of receivables to be recorded relating to tests performed in the applicable period. The Company generally does not perform evaluations of customers’ financial condition and generally does not require collateral. Accounts receivables are written off when all efforts to collect the balance have been exhausted. Adjustments for implicit price concessions attributable to variable consideration are incorporated into the measurement of the accounts receivable balances. The Company recorded $5.9 million and $3.6 million of gross assay accounts receivable as of September 30, 2022 and December 31, 2021, respectively. Contract Accounts Receivable Contract accounts receivable are recorded at the net invoice value and are not interest bearing. The Company reserves specific receivables if collectability is no longer reasonably assured, and as of September 30, 2022, the Company did not maintain any reserves over contract receivables as they relate to large established credit worthy customers. The Company re-evaluates such reserves on a regular basis and adjusts its reserves as needed. Once a receivable is deemed to be uncollectible, such balance is charged against the reserve. The Company recorded $0.2 million and $0.2 million of contract accounts receivable as of September 30, 2022 and December 31, 2021, respectively. (i) Net Loss Per Share Basic and diluted net loss per share of common stock is determined by dividing net loss applicable to holders of common stock by the weighted average number of shares of common stock outstanding during the period. Because there is a net loss attributable to holders of common stock during the three and nine months ended September 30, 2022 and 2021, the outstanding common stock warrants, stock options, and restricted stock units (“RSUs”) have been excluded from the calculation of diluted loss per share of common stock because their effect would be anti-dilutive. Therefore, the weighted average shares used to calculate both basic and diluted loss per share are the same. Diluted net loss per share of common stock for the three and nine months ended September 30, 2022 excludes the effect of anti-dilutive equity instruments including 714,261 shares of common stock issuable upon the exercise of outstanding common stock warrants and 5,024,323 shares of common stock issuable upon the exercise of stock options and release of RSUs. Diluted net loss per share of common stock for the three and nine months ended September 30, 2021 excludes the effect of anti-dilutive equity instruments including 734,581 shares of common stock then issuable upon the exercise of outstanding warrants and 2,564,059 shares of common stock then issuable upon the exercise of stock options and release of RSUs. (j) Fair Value Measurements The Company measures certain financial assets and liabilities at fair value on a recurring basis. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the measurement date. The Company uses a three-tier fair value hierarchy to prioritize the inputs used in the Company’s fair value measurements. These tiers include: Level 1, defined as observable inputs such as quoted prices in active markets for identical assets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions. The following table provides a summary of the assets and liabilities that are measured at fair value on a recurring basis as of September 30, 2022 (in thousands): September 30, 2022 Level 1 Level 2 Level 3 Total Assets: Cash equivalents $ 30,529 $ — $ — $ 30,529 Restricted cash 3,477 — — 3,477 Marketable securities, available for sale: Corporate debt securities — 14,938 — 14,938 Municipal debt securities — 2,320 — 2,320 U.S. government debt securities — 36,378 — 36,378 Total marketable securities, available for sale — 53,636 — 53,636 Total assets measured at fair value on a recurring basis $ 34,006 $ 53,636 $ — $ 87,642 Liabilities: Warrant liability $ — $ — $ 20 $ 20 Total liabilities measured at fair value on a recurring basis $ — $ — $ 20 $ 20 The following table provides a summary of the assets and liabilities that are measured at fair value on a recurring basis as of December 31, 2021 (in thousands): December 31, 2021 Level 1 Level 2 Level 3 Total Assets: Cash equivalents $ 16,380 $ — $ — $ 16,380 Restricted cash 3,025 — — 3,025 Marketable securities, available for sale: Corporate debt — 15,352 — 15,352 Municipal debt securities — 7,412 — 7,412 U.S. government debt securities — 25,685 — 25,685 Total marketable securities, available for sale — 48,449 — 48,449 Total assets measured at fair value on a recurring basis $ 19,405 $ 48,449 $ — $ 67,854 Liabilities: Warrant liability $ — $ — $ 146 $ 146 Total liabilities measured at fair value on a recurring basis $ — $ — $ 146 $ 146 The Company’s marketable debt securities are classified as available-for-sale securities based on management’s intentions and are at Level 2 of the fair value hierarchy, as these investment securities are valued based upon quoted prices for identical or similar instruments in markets that are not active. The Company has classified marketable securities with original maturities of greater than one year as short-term investments based upon the Company’s ability to use all of those marketable securities to satisfy the liquidity needs of the Company’s current operations. The fair value of the Private SPAC Warrants (as defined below) was determined using the Black-Scholes-Merton valuation model and included an unobservable input: expected volatility. Expected volatility is considered by the Company to be an unobservable input and is calculated using a weighted average of historical volatilities of a combination of the Company and peer companies, due to the lack of sufficient historical data of the Company’s own stock price. The model also incorporated several observable assumptions at each valuation date including: the price of the Company’s common stock on the date of valuation, the remaining contractual term of the warrant and the risk-free interest rate over the remaining term. The following assumptions were used to calculate the fair value of the Company’s warrant liability using the Black-Scholes-Merton valuation model: Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Assumed risk-free interest rate 4.22% 0.53% 2.37% - 4.22% 0.46% - 0.64% Assumed volatility 118.13% 89.77% 92.77% - 118.13% 85.85% - 89.77% Expected term 1.92 years 2.92 years 1.92 - 2.42 years 2.92 - 3.42 years Expected dividend yield — — — — The following table summarizes the changes in the fair value of the Company’s Level 3 liabilities (in thousands): Balance as of December 31, 2021 $ 146 Change in fair value of warrant liability (17) Balance as of March 31, 2022 129 Change in fair value of warrant liability (105) Balance as of June 30, 2022 $ 24 Change in fair value of warrant liability (4) Balance as of September 30, 2022 $ 20 As of September 30, 2022 and December 31, 2021, the Company maintains letters of credit of $3.5 million and $3.0 million, respectively, related to its lease arrangements, which are secured by money market accounts in accordance with certain of its lease agreements. The amounts are recorded at fair value using Level 1 inputs and included as restricted cash in the condensed consolidated balance sheets. The Company believes the carrying amount of cash and cash equivalents, accounts payable and accrued expenses approximate their estimated fair values due to the short-term nature of these accounts. (k) Accounting Pronouncements Issued But Not Yet Effective In June 2022, the Financial Accounting Standards Board issued ASU No. 2022-03, Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions (“ASU 2022-03“). Under the guidance of ASU 2022-03, a contractual restriction on the sale of an equity security is not considered in measuring the security’s fair value. ASU 2022-03 also requires certain disclosures for equity securities that are subject to contractual restrictions. For public business entities, the provisions of ASU 2022-03 are effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years. For all other entities, the amendments are effective for fiscal years beginning after December 15, 2024, and interim periods within those fiscal years. Early adoption is permitted for both interim and annual financial statements that have not yet been issued or made available for issuance. The Company is still evaluating the impact of this pronouncement on the consolidated financial statements. The Company does not believe that any other recently issued, but not yet effective accounting pronouncements, if adopted, would have a material impact on its condensed consolidated financial statements or disclosures. |
Balance Sheet Details
Balance Sheet Details | 9 Months Ended |
Sep. 30, 2022 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Balance Sheet Details | Balance Sheet Details Short-Term Marketable Securities The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value of debt securities classified as available-for-sale securities by major security type and class of security as of September 30, 2022 were as follows (in thousands): September 30, 2022 Amortized Cost Gross Unrealized Gross Unrealized Estimated Short-term marketable securities, available-for-sale: Corporate debt securities $ 15,259 $ — $ (321) $ 14,938 Municipal debt securities 2,339 — (19) 2,320 U.S. government debt securities 37,133 3 (758) 36,378 Total short-term marketable securities, available-for-sale $ 54,731 $ 3 $ (1,098) $ 53,636 The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value of debt securities classified as available-for-sale securities by major security type and class of security as of December 31, 2021 were as follows (in thousands): December 31, 2021 Amortized Cost Gross Unrealized Gross Unrealized Estimated Short-term marketable securities, available-for-sale: Corporate debt securities $ 15,385 $ — $ (33) $ 15,352 Municipal debt securities 7,417 — (5) 7,412 U.S. government debt securities 25,771 1 (87) 25,685 Total short-term marketable securities, available-for-sale $ 48,573 $ 1 $ (125) $ 48,449 As of September 30, 2022, the estimated market value of debt securities with contractual maturities of less than twelve months was $38.3 million; the remaining debt securities that the Company held at that date had an estimated market value of $15.3 million and contractual maturities of up to 21 months. As of December 31, 2021, the estimated market value of debt securities with contractual maturities of less than twelve months was $21.2 million; the remaining debt securities that the Company held at that date had an estimated market value of $27.2 million and contractual maturities of up to 23 months. The Company evaluates securities with unrealized losses to determine whether such losses, if any, are due to credit-related factors. It was determined that no credit losses existed as of September 30, 2022 or December 31, 2021, because the change in market value for those securities in an unrealized loss position has resulted from fluctuating interest rates rather than a deterioration of the credit worthiness of the issuers. Gross realized gains and losses on the Company’s debt securities for the three and nine months ended September 30, 2022 and 2021 were not significant. Prepaid Expenses and Property and Equipment, Net Condensed consolidated balance sheet details are as follows (in thousands): September 30, December 31, Prepaid expenses and other current assets: Prepaid insurance $ 1,547 $ 1,801 Prepaid trade shows 693 440 Prepaid software fees 1,038 551 Prepaid employee compensation 291 238 Other current assets 643 136 Total prepaid expenses and other current assets $ 4,212 $ 3,166 Property and equipment, gross: Laboratory equipment $ 4,744 $ 4,805 Computer equipment 356 171 Furniture and fixtures 807 124 Leasehold improvements 1,009 1,074 Construction-in-progress 585 — Total property and equipment, gross 7,501 6,174 Less accumulated depreciation (2,558) (1,625) Total property and equipment, net $ 4,943 $ 4,549 Accrued Compensation and Accrued Liabilities Condensed consolidated balance sheet details are as follows (in thousands): September 30, December 31, Accrued compensation: Accrued paid time off $ 1,790 $ 1,245 Accrued wages, bonus and other 6,531 3,875 Total accrued compensation $ 8,321 $ 5,120 Accrued liabilities: Accrued consulting services $ 1,173 $ 775 Customer refund liability 926 — Other accrued expenses 1,440 452 Total accrued liabilities $ 3,539 $ 1,227 |
Stockholders' Equity
Stockholders' Equity | 9 Months Ended |
Sep. 30, 2022 | |
Stockholders' Equity Note [Abstract] | |
Stockholders' Equity | Stockholders’ Equity (a) Classes of Stock The Company’s amended and restated certificate of incorporation authorizes it to issue 50,000,000 shares of common stock and 5,000,000 shares of preferred stock. Both classes of stock have a par value of $0.0001 per share. (b) At-The-Market Offering On November 10, 2020, the Company entered into a sales agreement (the “November 2020 Sales Agreement”) with Cowen and Company, LLC (“Cowen”) relating to the sale of shares of the Company’s common stock from time to time with an aggregate offering price of up to $50.0 million. During 2020, the Company issued an aggregate of 951,792 shares of common stock pursuant to the November 2020 Sales Agreement at a weighted average purchase price of $20.97 resulting in aggregate gross proceeds of approximately $20.0 million, reduced by $0.9 million in issuance costs, resulting in net proceeds to the Company of approximately $19.1 million. For the nine months ended September 30, 2022, the Company did not issue any shares pursuant to the November 2020 Sales Agreement. For the year ended December 31, 2021, the Company issued an aggregate of 530,551 shares of common stock pursuant to the November 2020 Sales Agreement at a weighted average purchase price of $46.33 resulting in aggregate gross proceeds of approximately $24.6 million, reduced by $0.7 million in issuance costs, resulting in net proceeds to the Company of approximately $23.8 million. On August 8, 2022, the Company entered into a second sales agreement (the “August 2022 Sales Agreement”) with Cowen relating to the sale of shares of the Company’s common stock from time to time with an aggregate offering price of up to $75.0 million under a second at-the-market offering program. For the nine months ended September 30, 2022, the Company did not issue any shares pursuant to the August 2022 Sales Agreement. (c) 2021 Underwritten Public Offering On January 6, 2021, the Company entered into an underwriting agreement with Cowen and William Blair & Company, L.L.C. as representatives of the several underwriters (the "Underwriters"). The Company agreed to issue and sell up to 4,237,288 shares of its common stock including up to 635,593 shares that could be purchased by the Underwriters pursuant to a 30-day option granted to the Underwriters by the Company. On January 11, 2021, the Company closed the underwritten public offering of 4,872,881 shares of its common stock, which included the exercise in full by the Underwriters of their option to purchase up to 635,593 additional shares, at a price to the public of $29.50 per share. The Company received aggregate gross proceeds of approximately $143.7 million, and net proceeds of approximately $134.6 million, after deducting underwriting discounts and commissions and other offering expenses. (d) Warrants SPAC Warrants The Company previously issued a total of 14,936,250 SPAC warrants (the "SPAC Warrants") to purchase common stock in public and private placement offerings which were consummated on June 23, 2017. As part of the public offering, the Company issued 14,375,000 warrants (the "Public SPAC Warrants") and as part of the private placement offering, the Company issued 561,250 warrants (the "Private SPAC Warrants"). The SPAC Warrants have a five-year life from the date the Business Combination was consummated and every four SPAC Warrants entitle the holder to purchase one whole share of common stock at an exercise price of $23.00 per whole share. The Private SPAC Warrants are identical to the Public SPAC Warrants, but they (i) are exercisable either for cash or on a cashless basis at the holder’s option, (ii) are not redeemable by the Company as long as such warrants are held by the initial purchasers or their affiliates and permitted transferees, and (iii) may be subject to the limitations on exercise as specified in the warrant agreement. As a result of these difference in features between the Public SPAC Warrants and Private SPAC Warrants, the Company concluded that the Private SPAC Warrants should be classified as a liability, if still held by the original Private SPAC Warrant holder, and marked to market each financial reporting period in the Company’s statement of operations. Between January 1, 2021 and September 30, 2021, a total of 12,120,397 SPAC Warrants were exercised, resulting in the Company’s issuance of 3,030,092 shares of common stock and the receipt of $69.7 million in gross proceeds. Outstanding SPAC Warrants totaled 2,815,853 as of September 30, 2022 and December 31, 2021. Private SPAC Warrants that were still owned by the original holder totaled 80,350 as of September 30, 2022 and December 31, 2021. Placement Agent Warrants In connection with several of DermTech Operations’ financings that took place between 2015 and 2018, DermTech Operations engaged a registered placement agent to assist in marketing and selling of common and preferred units. From 2015 to 2016, DermTech Operations issued 168,522 seven-year warrants to purchase one share of common stock each at an exercise price of $8.68 per share. From 2016 to 2018, DermTech Operations issued 72,658 seven-year warrants to purchase one share of common stock at an exercise price of $9.54 per share. In 2020, the Company issued 15,724 seven-year warrants to purchase one share of common stock at an exercise price of $9.54 per share in connection with the Company’s 2018 bridge note financing. Outstanding placement agent warrants totaled 10,039 as of September 30, 2022 and December 31, 2021. Management Warrants Warrants to purchase shares of DermTech Operations' common stock were issued to executive officers of DermTech Operations in lieu of issuing certain stock options (the “Management Warrants”). The Management Warrants were assumed by the Company in connection with the Business Combination. The Management Warrants have a ten-year life and are exercisable shares of the Company's common stock at $1.08 per share. For the nine months ended September 30, 2022, the Company issued 20,320 shares of common stock pursuant to the exercise of Management Warrants. The Management Warrants vested monthly over a four-year period. Outstanding Management Warrants totaled zero and 20,320 as of September 30, 2022 and December 31, 2021, respectively. (e) Stock-Based Compensation Stock-based compensation expense for employee options, RSUs, the purchase rights issued under the 2020 ESPP, and consultant options was recorded in the condensed consolidated statements of operations as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Cost of revenue $ 353 $ 299 $ 986 $ 709 Sales and marketing 1,294 1,098 3,822 2,580 Research and development 1,074 644 2,899 1,473 General and administrative 2,215 1,695 5,960 4,684 Total stock-based compensation $ 4,936 $ 3,736 $ 13,667 $ 9,446 The total compensation cost related to non-vested awards not yet recognized as of September 30, 2022 was $49.1 million, which is expected to be recognized over a weighted average term of 2.28 years. Equity Incentive Plans In May 2020, the Company adopted the 2020 Equity Incentive Plan (the “2020 Plan”), which replaced our Amended and Restated 2010 Stock Plan and provides for the granting of incentive and non-qualified stock options, restricted stock and stock-based awards to employees, directors and consultants providing services to the Company. Under the 2020 Plan, incentive and non-qualified stock options may be granted at not less than 100% of the fair market value of the Company’s common stock on the date of grant. If an incentive stock option is granted to an individual who owns more than 10% of the combined voting power of all classes of the Company’s capital stock, the exercise price may not be less than 110% of the fair market value of the Company’s common stock on the date of grant and the term of the option may not be longer than five years. The 2020 Plan authorizes the Company to issue up to 1,900,000 shares of the Company’s common stock pursuant to awards granted under the 2020 Plan, plus the number of shares underlying any stock option and other stock-based awards previously granted under the 2010 Plan that are forfeited, canceled, or terminated (other than by exercise) on or after May 26, 2020; provided that no more than 1,400,000 shares may be added to the 2020 Plan pursuant to such forfeitures, cancellations and terminations. In addition, the number of shares available for issuance under the 2020 Plan will automatically increase on the first day of each fiscal year beginning in fiscal year 2021 and ending on the second day of fiscal year 2025, by an amount equal to the smaller of (i) 3.5% of the number of shares of common stock outstanding on such date and (ii) an amount determined by the administrator of the 2020 Plan. The 2020 Plan will expire on April 12, 2030 or an earlier date approved by a vote of the Company’s stockholders or board of directors. The contractual term of options granted under the 2020 Plan is not more than ten years. Vesting provisions vary based on the specific terms of the individual option awards. In March 2022, the Company’s board of directors adopted the 2022 Inducement Equity Incentive Plan (as amended, the “Inducement Plan”), pursuant to which the Company reserved 950,000 shares of its common stock (subject to customary adjustments in the event of a change in capital structure of the Company) for the issuance of equity awards under the Inducement Plan. In September 2022, the Company amended and restated the Inducement Plan to reserve an additional 1,000,000 shares of its common stock. The Inducement Plan and its amendment were approved by the Company’s board of directors without stockholder approval pursuant to Rule 5635(c)(4) of the Nasdaq Listing Rules. The Inducement Plan may be used exclusively for grants of awards to individuals who were not previously employees or directors of the Company, or following a bona fide period of non-employment, as an inducement material to the individual’s entry into employment with the Company within the meaning of Rule 5635(c)(4) of the Nasdaq Listing Rules. As of September 30, 2022, 1,002,843 shares remained available for future grant under our equity incentive plans. Employee Stock Purchase Plan In May 2020, the Company adopted the 2020 Employee Stock Purchase Plan (as amended, the "2020 ESPP"), which allows for full-time and certain part-time employees of the Company to purchase shares of common stock at a discount to fair market value. The 2020 ESPP authorizes the Company to issue up to 400,000 shares of the Company’s common stock. In addition, the number of shares available for issuance under the 2020 ESPP will automatically increase on the first day of each of the Company’s fiscal years beginning in 2021 and ending on the first day of 2030, in an amount equal to the lesser of (i) 300,000 shares, (ii) 1% of the shares of Company common stock outstanding on the last day of the immediately preceding fiscal year, or (iii) such lesser number of shares as is determined by the board of directors of the Company, subject to adjustment upon changes in capitalization of the Company. The 2020 ESPP permits our eligible employees to purchase discounted shares of our common stock at semi-annual intervals through periodic payroll deductions. Shares are purchased at a price equal to 85% of the lower of: (i) the fair market value of the Company’s common stock on the first business day of an offering period or (ii) the fair market value of the Company’s common stock on the last business day of an offering period. A new offering period commences every year on approximately March 1 and September 1. At the end of each offering period, the accumulated contributions are used to purchase shares of the Company’s common stock. The last business day of each purchase period is referred to as the purchase date. Purchase dates are every six months on February 28 or February 29 and August 31. In August 2022, the Company’s board of directors approved an amendment to the 2020 ESPP. Effective September 1, 2022, each offering period is twenty-four months and consists of four six-month purchase periods during which payroll deductions of the participants are accumulated under the 2020 ESPP. Prior to September 1, 2022, each offering period was six months. On February 28, 2021 and August 31, 2021, the Company issued 39,960 and 18,155 shares of its common stock, respectively, pursuant to scheduled purchases under the 2020 ESPP. As of December 31, 2021, 549,289 shares of common stock were reserved for future issuance under the 2020 ESPP. On January 1, 2022, an additional 297,729 shares of common stock became available under the 2020 ESPP pursuant to an automatic annual increase. On February 28, 2022 and August 31, 2022, the Company issued 47,339 and 100,749 shares of its common stock, respectively, pursuant to scheduled purchases under the 2020 ESPP. As of September 30, 2022, 698,930 shares of common stock remained available for future grants under the 2020 ESPP. Common Stock Reserved for Future Issuance Common stock reserved for future issuance consists of the following as of September 30, 2022 and December 31, 2021 (in thousands): September 30, December 31, Warrants to purchase common stock 10 31 SPAC Warrants to purchase common stock* 704 704 Stock options issued and outstanding 1,732 1,721 RSUs issued and outstanding 3,292 983 Authorized for future equity grants 1,003 603 Authorized for future ESPP purchases 699 549 Total common stock reserved for future issuance 7,440 4,591 *Four SPAC Warrants are needed to purchase one share of common stock. The numbers presented above reflect the amount of shares of common stock underlying SPAC Warrants. |
Leases, Commitments and Conting
Leases, Commitments and Contingencies | 9 Months Ended |
Sep. 30, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
Leases, Commitments and Contingencies | Leases, Commitments and Contingencies Adoption of ASC 842 In the third quarter of 2021, the Company adopted ASU 2016-02, and ASC Topic 842, Leases (“ASC 842”) using the modified retrospective approach with an effective date of January 1, 2021. Finance Leases The Company leases certain laboratory equipment from various third parties, through equipment finance leases (previously referred to as “capital leases”). These leases either include a bargain purchase option or the terms of the leases are at least 75 percent of the useful lives of the assets and are therefore classified as finance leases. These leases are capitalized in property and equipment, net on the accompanying condensed consolidated balance sheets. Initial asset values and finance lease obligations are based on the present value of future minimum lease payments. Gross assets recorded under finance leases were $0.4 million and $0.4 million as of September 30, 2022 and December 31, 2021, respectively. Accumulated amortization associated with finance leases was $0.1 million and $0.1 million as of September 30, 2022 and December 31, 2021, respectively. Total finance lease interest expense was approximately $3,000 and $5,000 for the three months ended September 30, 2022 and 2021, respectively, and $10,000 and $13,000 for the nine months ended September 30, 2022 and 2021, respectively, and is included within interest income, net on the condensed consolidated statements of operations. Long-term finance lease obligations are as follows (in thousands): September 30, 2022 December 31, 2021 Gross finance lease obligations $ 215 $ 274 Less imputed interest (14) (17) Present value of net minimum lease payments 201 257 Less current portion of finance lease obligations (124) (121) Total long-term finance lease obligations $ 77 $ 136 Operating Leases Del Mar Heights Lease On July 1, 2021, the Company entered into an Office Lease (the “Del Mar Lease”) with Kilroy Realty, L.P. (the “Landlord”), with respect to an aggregate of 95,997 rentable square feet consisting of the entire building located at 12340 El Camino Real, San Diego, California 92130 (the “Entire Premises”). The Entire Premises covered by the Del Mar Lease will serve as the Company’s new principal office. The Del Mar Lease provides for a tenant improvement allowance of $125.00 per rentable square foot of the Entire Premises for a total of $12.0 million that the Landlord will use to fund the installation and/or construction of certain improvements to the Entire Premises in four phases, with each phase pertaining to a specified portion of the Entire Premises. The initial term of the Del Mar Lease is ten years and six months beginning on the earlier to occur of (i) January 1, 2023 and (ii) the date that Landlord tenders possession of the Phase III Premises (as defined in the Del Mar Lease) to the Company following the substantial completion of the improvements to the Phase III Premises required by the Del Mar Lease. The Company has the option to extend the term of the Del Mar Lease for two additional five-year periods, subject to the terms of the Del Mar Lease. As the Landlord tenders possession of each portion of the Entire Premises for which the applicable improvements required by the Del Mar Lease are substantially complete, the Company will be obligated to make monthly payments of base rent with respect to such portion of the Entire Premises as set forth on Schedule 1 to the Del Mar Lease. In the event the Company exercises its option to extend the Del Mar Lease term, the Del Mar Lease provides for monthly rent payments during the additional five-year periods at the then-current market rent as determined in accordance with the Del Mar Lease. In addition to rent, the Del Mar Lease requires the Company to pay additional rent amounts for taxes, insurance, maintenance and other expenses. During year ended December 31, 2021, the Company took initial possession of the first phase of its corporate headquarters, and the Company capitalized a ROU asset and related lease liability of $5.7 million associated with the first phase. During the three months ended March 31, 2022, the lease for the second phase of the Company’s corporate headquarters commenced and the Company capitalized a ROU asset and related lease liability of $15.8 million. The extension option periods were not considered in the determination of the ROU asset or the lease liability as the Company did not consider it reasonably certain that it would exercise such extension options. Del Mar Lease Amendments During April 2022, the Company amended the Del Mar Lease through the execution of the First Amendment to Office Lease (the "First Amendment") and the Second Amendment to Office Lease (the "Second Amendment") (collectively, the "Del Mar Lease Amendments"). Pursuant to the First Amendment to the Del Mar Lease, the Company elected to utilize a one-time increase in an additional improvement allowance of $25.00 per rentable square foot, which increased the tenant improvement allowance by $2.4 million to $14.4 million, provided under the Del Mar Lease to make certain improvements to the Entire Premises. As a result, the Company will pay an increased monthly base rent to the Landlord, in order to repay costs relating to the additional design and construction. Pursuant to the Second Amendment, the Company elected to expand the Entire Premises to include 14,085 rentable square feet comprising the executive parking level (the “Expansion Premises”), which increased the tenant improvement allowance by $2.1 million to $16.5 million. The Landlord will tender possession of the Expansion Premises following substantial completion of improvements, pursuant to an agreed upon work letter and will run contemporaneously with the term of the Existing Premises. The Company intends to use the additional space for general office and laboratory use. As the Landlord tenders possession of the Expansion Premises, the Company will be obligated to pay the Landlord increased monthly installments of base rent for the Expansion Premises. Upon inclusion of the Expansion Premises, the Company will lease approximately 110,082 rentable square feet rentable square feet from the Landlord. The Del Mar Lease Amendments were negotiated with a single commercial objective and are treated as a combined contract for accounting purposes. The Company evaluated the Del Mar Lease Amendments under ASC 842 and concluded that the Del Mar Lease Amendments would be accounted for as a single contract with the Del Mar Lease because the additional lease payments related to the tenant improvement allowance due to the Del Mar Lease Amendments were not commensurate with ROU asset granted to the Company. Accordingly, the Company remeasured the lease liability using the additional monthly rent payments and the incremental borrowing rate at the effective date of the modification of 6.50%. The remeasurement for the modification resulted in an increase to the lease liability and the ROU asset of approximately $1.2 million. The extension option periods were not considered in the determination of the ROU asset or the lease liability as the Company did not consider it reasonably certain that it would exercise such extension options. Pending execution of the Landlord's obligations to prepare leased spaces for occupancy, the Company expects the operating leases for the additional office and laboratory space to commence on various dates in the year ending December 31, 2022. The Company has an estimated future lease payment obligation of approximately $54.0 million related to corporate office facilities that were in the process of being constructed as of September 30, 2022. The lease liabilities and the corresponding ROU assets associated with these lease obligations will be recorded upon the commencement date of the operating leases using the Company’s incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The incremental borrowing rate is the rate of interest that a lessee would have to pay to borrow on a collateralized basis over a similar term and at an amount equal to the lease payments in a similar economic environment. The Company calculates its incremental borrowing rates for specific lease terms, used to discount future lease payments, as a function of the U.S. Treasury rate and an indicative Moody’s rating for operating leases. In connection with the original lease agreement, in lieu of a cash security deposit, the Company’s bank issued a letter of credit on its behalf, which is secured by a deposit, of $3.0 million and is included in restricted cash on the condensed consolidated balance sheet based on the term of the underlying lease. In April 2022, pursuant to the Second Amendment , the Company’s bank increased the letter of credit on its behalf by $0.5 million, totaling $3.5 million. As of September 30, 2022, none of the standby letter of credit amount has been used. Torrey Pines Lease In January 2013, DermTech Operations entered into a non-cancelable lease agreement for its operating facilities in Torrey Pines (the “Torrey Lease”). In January 2014, DermTech Operations signed an amendment to the Torrey Lease to extend the term through January 2017. In November 2016, DermTech Operations signed a second amendment to the Torrey Lease to extend the term through March 2022. In August 2019, DermTech Operations signed a third amendment to the Torrey Lease to add additional space, and in September 2019, the Company signed a fourth amendment to the Torrey Lease to add additional space. In February 2020, the Company signed a fifth amendment to the Torrey Lease to add additional space. In connection with the Business Combination, the Company assumed all obligations under the Torrey Lease, as amended, from DermTech Operations. As part of the fifth amendment, the Company was entitled to a tenant improvement allowance for certain costs incurred while performing these improvements in the amount of $0.3 million, which amount may be increased by up to $0.1 million at the Company’s election and subject to a corresponding increase in rent. Under the terms of the facilities leases, the Company is required to pay its proportionate share of property taxes, insurance and normal maintenance costs. The lease term for all leased space has an expiration date of April 30, 2023, and an option to extend the lease term on all leased space for one additional three-year term, which the Company is not reasonably certain that it will exercise. As such, the Company did not include this option in the determination of the total lease term. On January 1, 2021, in conjunction with the adoption of the guidance in ASU 2016-02, the Company recognized a ROU asset and corresponding lease liability for its facility lease as the present value of lease payments not yet paid at January 1, 2021. The ROU asset and corresponding lease liability was estimated assuming the remaining lease term of 28 months at January 1, 2021, and an estimated discount rate of 4.04%, which was the Company’s incremental borrowing rate at the date of adopting ASC 842. The Company recorded a lease liability of $3.1 million and a ROU asset of $2.8 million, which is net of $0.3 million of the Company’s previously capitalized tenant improvement allowance and deferred rent, upon adoption. The components of lease expense for the three and nine months ended September 30, 2022 was as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Operating lease cost Operating lease cost $ 1,056 $ 379 $ 2,724 $ 1,023 Variable lease costs (1) 188 171 680 486 Total operating lease cost $ 1,244 $ 550 $ 3,404 $ 1,509 Finance lease cost Amortization of leased assets $ 21 $ 17 $ 62 $ 53 Interest on lease liabilities 3 5 10 13 Total finance lease cost $ 24 $ 22 $ 72 $ 66 (1) Variable lease costs are primarily related to common area maintenance charges and property taxes. Other information related to leases was as shown in the table below. Nine Months Ended September 30, 2022 2021 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 3,621 $ 1,516 Operating cash flows from finance leases $ 10 $ 13 Financing cash flows from finance leases $ 104 $ 80 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 18,688 $ 9,071 Finance leases $ 48 $ 105 Weighted average remaining lease term in years: Operating leases 10.01 9.33 Finance leases 2.37 2.67 Weighted average discount rate: Operating leases 6.44 % 5.78 % Finance leases 5.81 % 5.76 % The Company’s future minimum lease payments under operating and financing leases at September 30, 2022 are as follows (in thousands): 2022 2023 2024 2025 2026 Thereafter Total Operating lease obligations, including interest $ 791 $ 2,948 $ 2,774 $ 2,853 $ 2,934 $ 20,612 $ 32,912 Finance lease obligations, including interest 25 133 19 19 15 4 215 Total future minimum lease payments $ 816 $ 3,081 $ 2,793 $ 2,872 $ 2,949 $ 20,616 $ 33,127 Amounts presented in the table above exclude non-cancelable future minimum lease payments for operating leases that have not commenced as of September 30, 2022. Legal Proceedings |
Related Party Transactions
Related Party Transactions | 9 Months Ended |
Sep. 30, 2022 | |
Related Party Transactions [Abstract] | |
Related Party Transactions | Related Party Transactions During 2021 and 2022, the Company engaged EVERSANA Life Science Services, LLC (“EVERSANA”) to provide certain marketing services to the Company. Leana Wood, the spouse of Todd Wood, the Company’s Chief Commercial Offer, is an employee of EVERSANA. The Company incurred $1.1 million and $0.9 million in costs for the three months ended September 30, 2022 and 2021, respectively, and $2.8 million and $1.8 million for the nine months ended September 30, 2022 and 2021, respectively. Amount due to EVERSANA were $0.7 million and $0.6 million as of September 30, 2022 and December 31, 2021, respectively. On October 1, 2019, the Company entered into a consulting agreement with Michael Dobak pursuant to which the Company will compensate Michael Dobak, in an amount not to exceed $100,000, for certain public relations and marketing services. On July 28, 2020, the Company and Michael Dobak entered into an amendment to such consulting agreement to modify the terms of Michael Dobak’s compensation. The amended consulting agreement compensated Michael Dobak $15,000 per month from May 11, 2020 through September 30, 2021 and also granted him a restricted stock unit award that fully vested in a single installment on August 31, 2020 and represented the contingent right to receive 5,000 shares of common stock on January 2, 2021. On November 11, 2020, the Company and Michael Dobak entered into an amendment to such consulting agreement to extend the term through December 31, 2021 with a continued monthly payment of $15,000. On February 26, 2021, the Company and Michael Dobak agreed to extend his agreement through April 30, 2021 with a revised monthly payment of $20,000. Michael Dobak is the brother of Dr. John Dobak, the Company’s Chief Executive Officer. The Company incurred zero costs for the three months ended September 30, 2022 and 2021, respectively, and zero and $0.1 million for the nine months ended September 30, 2022 and 2021. There were no other related party transactions identified during the nine months ended September 30, 2022 and 2021. |
Subsequent Events
Subsequent Events | 9 Months Ended |
Sep. 30, 2022 | |
Subsequent Events [Abstract] | |
Subsequent Events | . Subsequent EventsThe Company considered subsequent events through November 3, 2022, the date the condensed consolidated financial statements were available to be issued |
The Company and a Summary of _2
The Company and a Summary of its Significant Accounting Policies (Policies) | 9 Months Ended |
Sep. 30, 2022 | |
Accounting Policies [Abstract] | |
Nature of Operations | Nature of Operations On August 29, 2019, DermTech, Inc., formerly known as Constellation Alpha Capital Corp, (the “Company”), and DermTech Operations, Inc., formerly known as DermTech, Inc., (“DermTech Operations”), consummated the transactions contemplated by the Agreement and Plan of Merger, dated as of May 29, 2019, by and among the Company, DT Merger Sub, Inc., a wholly owned subsidiary of the Company (“Merger Sub”), and DermTech Operations. The Company refers to this agreement, as amended by that certain First Amendment to Agreement and Plan of Merger dated as of August 1, 2019, as the Merger Agreement. Pursuant to the Merger Agreement, Merger Sub merged with and into DermTech Operations, with DermTech Operations surviving as a wholly-owned subsidiary of the Company. The Company refers to this transaction as the Business Combination. In connection with and two days prior to the completion of the Business Combination, the Company domesticated from the British Virgin Islands to Delaware. DermTech Operations changed its name from DermTech, Inc. to DermTech Operations, Inc. shortly before the completion of the Business Combination. On August 29, 2019, immediately following the completion of the Business Combination, the Company changed its name from Constellation Alpha Capital Corp. to DermTech, Inc., and then effected a one-for-two reverse stock split of its common stock. The Company is a molecular diagnostic company developing and marketing its Clinical Laboratory Improvement Amendments of 1988 (“CLIA”) laboratory services including genomic tests to facilitate the diagnosis of dermatologic conditions including melanoma. The Company has developed a proprietary, non-invasive technique for sampling the surface layers of the skin using an adhesive patch called the DermTech Smart Sticker™ (the “Smart Sticker”) to collect biological information for commercial applications in the medical diagnostic field. |
Basis of Presentation | Basis of Presentation The condensed consolidated financial statements include the accounts of DermTech, Inc. and its subsidiaries. All intercompany balances and transactions among the consolidated entity have been eliminated in consolidation. These unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Securities and Exchange Commission (“SEC”), Regulation S-X. Accordingly, these unaudited condensed consolidated financial statements and accompanying notes do not include all the information and disclosures required by U.S. GAAP for complete financial statements and should be read together with the audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021. In the opinion of management, all adjustments, which include only normal recurring adjustments considered necessary for a fair presentation, have been included. The accompanying unaudited condensed consolidated financial statements reflect the application of certain significant accounting policies as described below and elsewhere in these notes to the unaudited condensed consolidated financial statements. As of September 30, 2022, there have been no material changes in the Company's significant accounting policies from those that were disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021. |
Use of Estimates | Use of Estimates The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires that management make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the amounts of revenues and expenses reported during the period. On an ongoing basis, management evaluates these estimates and judgments, including but not limited to those related to assay revenue, stock-based compensation, short-term marketable securities, accounts receivable, accrued bonus, warrant liability, right-of-use (“ROU”) assets and the realization of deferred tax assets. Actual results may differ from those estimates. |
Cash, Cash Equivalents and Restricted Cash | Cash, Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with remaining maturities of three months or less when purchased to be cash equivalents. The Company maintains its cash balances at banks and financial institutions. The balances are insured up to the Federal Deposit Insurance Corporation legal limit. The Company maintains cash balances that have in the past and may, at times, exceed this insured limit. Restricted cash consists of cash deposited with a financial institution as collateral for the Company’s letters of credit for its facility leases. Restricted cash is classified as noncurrent based on the terms of the underlying lease arrangement. |
Property and Equipment, Net | Property and Equipment, Net Property and equipment, net is recorded at cost less accumulated depreciation. Property and equipment consists mainly of assets such as leasehold improvements, office, computer and laboratory equipment, including laboratory equipment acquired under finance lease arrangements. Depreciation is computed using the straight-line method over the estimated useful lives of the assets, which range from two Amortization of assets that are recorded under finance leases in depreciation expense is included in cost of revenues on the condensed consolidated statements of operations. Gross assets recorded under finance leases were $0.4 million as of September 30, 2022 and December 31, 2021. Accumulated amortization associated with finance leases was $0.1 million as of September 30, 2022 and December 31, 2021. Maintenance and repairs are expensed as incurred, and material improvements are capitalized. When assets are retired or otherwise disposed of, the cost and accumulated depreciation are removed from the balance sheet and any resulting gain or loss is reflected in the condensed consolidated statements of operations in the period realized. Loss of disposal on equipment was $0.1 million for the three months ended September 30, 2022 and $8,000 for the three months ended September 30, 2021 . Loss on disposal of equipment was $0.4 million and $13,000 for the nine months ended September 30, 2022 and 2021 , respectively. |
Concentration of Credit Risk | Concentration of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. As of September 30, 2022, the Company maintained $64.6 million in a sweep account, which maintains cash balances throughout various interest-bearing bank accounts under the $250,000 insurance limit provided by the Federal Deposit Insurance Corporation for one federally insured financial institution. |
Revenue Recognition | Revenue Recognition The Company’s revenue is generated from two revenue streams: contract revenue and assay revenue. The Company accounts for revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”). The core principle of ASC 606 is that the Company recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. The ASC 606 revenue recognition model consists of the following five steps: (1) identify the contracts with a customer, (2) identify the performance obligations in the contract, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations in the contract and (5) recognize revenue when (or as) the entity satisfies a performance obligation. The Company recognizes revenue from its assay and contract services in accordance with the core principles and key aspects considered by the Company. These considerations are described in detail below, first for Assay Revenue and then for Contract Revenue. Assay Revenue The Company generates revenues from its Pigmented Lesion Assay (“PLA”) and PLA plus (now referred to as the DermTech Melanoma Test or “DMT” which may consist at the option of the ordering clinician of either (i) the PLA or (ii) the PLA and PLA plus ), which assists a clinician’s diagnosis of melanoma in patients. The Company provides prescribing clinicians with its Smart Sticker to perform non-invasive skin biopsies of clinically ambiguous pigmented skin lesions on patients. The Company also offers clinicians a telemedicine solution where they can request the Smart Sticker collection kit be sent to the patient’s home for a clinician-guided remote collection on ambiguous pigmented skin lesions. A patient can also initiate the process by downloading the Company’s telemedicine app, DermTech Connect, which uses store-and-forward technology to allow the patient to take a picture of a suspicious lesion with their phone and have the picture reviewed by an independent clinician who is subscribing to the DermTech Connect platform to assess the suspicious lesion, and if medically necessary, order a DMT where a collection kit would be sent to the patient’s home. The DermTech Connect app and telemedicine service were initially beta tested in Florida and is currently available in most states where permitted by law and applicable standards of practice guidelines. Once the sample is collected by the patient via the telemedicine solution or by a healthcare clinician in person, it is returned to the Company’s CLIA laboratory for analysis. The patient’s ribonucleic acid (“RNA”) and deoxyribonucleic acid (“DNA”) are extracted from the Smart Sticker and analyzed using gene expression and sequencing technology to determine if the pigmented skin lesion contains certain genomic features indicative of melanoma. Upon completion of the gene expression analysis, a final report is drafted and provided to the clinician detailing the test results for the pigmented skin lesion indicating whether the sample collected is indicative of melanoma or not. The Company periodically updates its estimate of the variable consideration recognized for previously delivered performance obligations. These updates resulted in a decrease of $0.5 million and $0.5 million of revenue reported for the three and nine months ended September 30, 2022, respectively, and an additional $18,000 and $0.1 million of revenue reported for the three and nine months ended September 30, 2021, respectively. These amounts included (i) adjustments for actual collections versus estimated variable consideration as of the beginning of the reporting period and (ii) cash collections and the related recognition of revenue in the current period for tests delivered in prior periods due to the release of the constraint on variable consideration, offset by (iii) reductions in revenue for the accrual for reimbursement claims and settlements. Contract Revenue Contract revenue is generated from the sale of laboratory services and Smart Stickers to third-party companies through contract research agreements. Revenues are generated from providing genomic services to facilitate the development of drugs designed to treat dermatologic conditions. The provision of services may include sample collection using the Smart Sticker, assay development for research partners, patient segmentation and stratification, extraction, isolation, expression, amplification and detection of RNA, DNA, protein and microbiome, including data analysis and reporting. The timing of revenue recognition, billings and cash collections results in billed accounts receivable and deferred revenue on the condensed consolidated balance sheets. In a majority of historical agreements that produced contract revenue, the Company received a substantial up-front payment and additional payments upon the achievement of various milestones over the life of the agreement. This results in deferred revenue and is relieved upon delivery of the applicable Smart Stickers or RNA extraction results. Changes in accounts receivable and deferred revenue were not materially impacted by any other factors. The Company records a deferred revenue liability if a customer pays consideration before the Company transfers a good or service to the customer. Deferred revenue primarily represents upfront milestone payments, for which consideration is received prior to when goods/services are completed or delivered. Upfront fees that are estimated to be recognized as revenue more than one year from the date of collection are classified as long-term deferred revenue. Short-term deferred revenue as of September 30, 2022 and December 31, 2021 was $0.4 million and $1.4 million, respectively. As of September 30, 2022 we reclassified $0.9 million of short-term deferred revenue to accrued liabilities for a customer refund obligation in connection with cancellation of future services. Remaining performance obligations include deferred revenue and amounts the Company expects to receive for goods and services that have not yet been delivered or provided under existing agreements. For agreements that have an original duration of one year or |
Accounts Receivable | Accounts Receivable Assay Accounts Receivable Due to the nature of the Company’s assay revenue, it can take a significant amount of time to collect upon billed tests. The Company prepares an analysis on reimbursement collections and data obtained for each financial reporting period to determine the amount of receivables to be recorded relating to tests performed in the applicable period. The Company generally does not perform evaluations of customers’ financial condition and generally does not require collateral. Accounts receivables are written off when all efforts to collect the balance have been exhausted. Adjustments for implicit price concessions attributable to variable consideration are incorporated into the measurement of the accounts receivable balances. The Company recorded $5.9 million and $3.6 million of gross assay accounts receivable as of September 30, 2022 and December 31, 2021, respectively. Contract Accounts Receivable |
Net Loss Per Share | Net Loss Per Share Basic and diluted net loss per share of common stock is determined by dividing net loss applicable to holders of common stock by the weighted average number of shares of common stock outstanding during the period. Because there is a net loss attributable to holders of common stock during the three and nine months ended September 30, 2022 and 2021, the outstanding common stock warrants, stock options, and restricted stock units (“RSUs”) have been excluded from the calculation of diluted loss per share of common stock because their effect would be anti-dilutive. Therefore, the weighted average shares used to calculate both basic and diluted loss per share are the same. Diluted net loss per share of common stock for the three and nine months ended September 30, 2022 excludes the effect of anti-dilutive equity instruments including 714,261 shares of common stock issuable upon the exercise of outstanding common stock warrants and 5,024,323 shares of common stock issuable upon the exercise of stock options and release of RSUs. Diluted net loss per share of common stock for the three and nine months ended September 30, 2021 excludes the effect of anti-dilutive equity instruments including 734,581 shares of common stock then issuable upon the exercise of outstanding warrants and 2,564,059 shares of common stock then issuable upon the exercise of stock options and release of RSUs. |
Fair Value Measurements | Fair Value MeasurementsThe Company measures certain financial assets and liabilities at fair value on a recurring basis. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the measurement date. The Company uses a three-tier fair value hierarchy to prioritize the inputs used in the Company’s fair value measurements. These tiers include: Level 1, defined as observable inputs such as quoted prices in active markets for identical assets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions. The Company’s marketable debt securities are classified as available-for-sale securities based on management’s intentions and are at Level 2 of the fair value hierarchy, as these investment securities are valued based upon quoted prices for identical or similar instruments in markets that are not active. The Company has classified marketable securities with original maturities of greater than one year as short-term investments based upon the Company’s ability to use all of those marketable securities to satisfy the liquidity needs of the Company’s current operations. The fair value of the Private SPAC Warrants (as defined below) was determined using the Black-Scholes-Merton valuation model and included an unobservable input: expected volatility. Expected volatility is considered by the Company to be an unobservable input and is calculated using a weighted average of historical volatilities of a combination of the Company and peer companies, due to the lack of sufficient historical data of the Company’s own stock price. The model also incorporated several observable assumptions at each valuation date including: the price of the Company’s common stock on the date of valuation, the remaining contractual term of the warrant and the risk-free interest rate over the remaining term. As of September 30, 2022 and December 31, 2021, the Company maintains letters of credit of $3.5 million and $3.0 million, respectively, related to its lease arrangements, which are secured by money market accounts in accordance with certain of its lease agreements. The amounts are recorded at fair value using Level 1 inputs and included as restricted cash in the condensed consolidated balance sheets. The Company believes the carrying amount of cash and cash equivalents, accounts payable and accrued expenses approximate their estimated fair values due to the short-term nature of these accounts. |
Accounting Pronouncements Issued But Not Yet Effective | Accounting Pronouncements Issued But Not Yet Effective In June 2022, the Financial Accounting Standards Board issued ASU No. 2022-03, Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions (“ASU 2022-03“). Under the guidance of ASU 2022-03, a contractual restriction on the sale of an equity security is not considered in measuring the security’s fair value. ASU 2022-03 also requires certain disclosures for equity securities that are subject to contractual restrictions. For public business entities, the provisions of ASU 2022-03 are effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years. For all other entities, the amendments are effective for fiscal years beginning after December 15, 2024, and interim periods within those fiscal years. Early adoption is permitted for both interim and annual financial statements that have not yet been issued or made available for issuance. The Company is still evaluating the impact of this pronouncement on the consolidated financial statements. The Company does not believe that any other recently issued, but not yet effective accounting pronouncements, if adopted, would have a material impact on its condensed consolidated financial statements or disclosures. |
The Company and a Summary of _3
The Company and a Summary of its Significant Accounting Policies (Tables) | 9 Months Ended |
Sep. 30, 2022 | |
Accounting Policies [Abstract] | |
Schedule of Revenues Disaggregated by Revenue Source | The following table presents the Company’s revenues disaggregated by revenue source during the three and nine months ended September 30, 2022 and 2021 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Assay Revenue DermTech Melanoma Test $ 3,433 $ 2,954 $ 11,098 $ 8,054 Contract Revenue Adhesive patch kits 22 14 126 329 RNA extractions 94 19 204 158 Project management fees 24 43 96 132 Total revenues $ 3,573 $ 3,030 $ 11,524 $ 8,673 |
Summary of Percentages of Total Revenue or Accounts Receivable for Third Party Payers and Pharmaceutical Customers | The following table sets forth the percentages of total revenue or accounts receivable for the Company’s third-party payors that represent 10% or more of the respective amounts for the periods shown: Total Revenues Accounts Receivable Three Months Ended September 30, Nine Months Ended September 30, As of September 30, 2022 As of December 31, 2021 2022 2021 2022 2021 Assay Revenue Payor A 46 % 36 % 41 % 35 % 20 % 23 % Payor B * * * * 15 % 15 % * Less than 10% |
Summary of Assets and Liabilities Measured at Fair Value on Recurring Basis | The following table provides a summary of the assets and liabilities that are measured at fair value on a recurring basis as of September 30, 2022 (in thousands): September 30, 2022 Level 1 Level 2 Level 3 Total Assets: Cash equivalents $ 30,529 $ — $ — $ 30,529 Restricted cash 3,477 — — 3,477 Marketable securities, available for sale: Corporate debt securities — 14,938 — 14,938 Municipal debt securities — 2,320 — 2,320 U.S. government debt securities — 36,378 — 36,378 Total marketable securities, available for sale — 53,636 — 53,636 Total assets measured at fair value on a recurring basis $ 34,006 $ 53,636 $ — $ 87,642 Liabilities: Warrant liability $ — $ — $ 20 $ 20 Total liabilities measured at fair value on a recurring basis $ — $ — $ 20 $ 20 The following table provides a summary of the assets and liabilities that are measured at fair value on a recurring basis as of December 31, 2021 (in thousands): December 31, 2021 Level 1 Level 2 Level 3 Total Assets: Cash equivalents $ 16,380 $ — $ — $ 16,380 Restricted cash 3,025 — — 3,025 Marketable securities, available for sale: Corporate debt — 15,352 — 15,352 Municipal debt securities — 7,412 — 7,412 U.S. government debt securities — 25,685 — 25,685 Total marketable securities, available for sale — 48,449 — 48,449 Total assets measured at fair value on a recurring basis $ 19,405 $ 48,449 $ — $ 67,854 Liabilities: Warrant liability $ — $ — $ 146 $ 146 Total liabilities measured at fair value on a recurring basis $ — $ — $ 146 $ 146 |
Schedule of Warrant Liability Valuation Method | The following assumptions were used to calculate the fair value of the Company’s warrant liability using the Black-Scholes-Merton valuation model: Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Assumed risk-free interest rate 4.22% 0.53% 2.37% - 4.22% 0.46% - 0.64% Assumed volatility 118.13% 89.77% 92.77% - 118.13% 85.85% - 89.77% Expected term 1.92 years 2.92 years 1.92 - 2.42 years 2.92 - 3.42 years Expected dividend yield — — — — |
Summary of Changes in Fair Value of Level 3 Liabilities | The following table summarizes the changes in the fair value of the Company’s Level 3 liabilities (in thousands): Balance as of December 31, 2021 $ 146 Change in fair value of warrant liability (17) Balance as of March 31, 2022 129 Change in fair value of warrant liability (105) Balance as of June 30, 2022 $ 24 Change in fair value of warrant liability (4) Balance as of September 30, 2022 $ 20 |
Balance Sheet Details (Tables)
Balance Sheet Details (Tables) | 9 Months Ended |
Sep. 30, 2022 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Schedule of Short-Term Marketable Securities | The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value of debt securities classified as available-for-sale securities by major security type and class of security as of September 30, 2022 were as follows (in thousands): September 30, 2022 Amortized Cost Gross Unrealized Gross Unrealized Estimated Short-term marketable securities, available-for-sale: Corporate debt securities $ 15,259 $ — $ (321) $ 14,938 Municipal debt securities 2,339 — (19) 2,320 U.S. government debt securities 37,133 3 (758) 36,378 Total short-term marketable securities, available-for-sale $ 54,731 $ 3 $ (1,098) $ 53,636 The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value of debt securities classified as available-for-sale securities by major security type and class of security as of December 31, 2021 were as follows (in thousands): December 31, 2021 Amortized Cost Gross Unrealized Gross Unrealized Estimated Short-term marketable securities, available-for-sale: Corporate debt securities $ 15,385 $ — $ (33) $ 15,352 Municipal debt securities 7,417 — (5) 7,412 U.S. government debt securities 25,771 1 (87) 25,685 Total short-term marketable securities, available-for-sale $ 48,573 $ 1 $ (125) $ 48,449 |
Schedule of Prepaid Expenses and PP&E | Condensed consolidated balance sheet details are as follows (in thousands): September 30, December 31, Prepaid expenses and other current assets: Prepaid insurance $ 1,547 $ 1,801 Prepaid trade shows 693 440 Prepaid software fees 1,038 551 Prepaid employee compensation 291 238 Other current assets 643 136 Total prepaid expenses and other current assets $ 4,212 $ 3,166 Property and equipment, gross: Laboratory equipment $ 4,744 $ 4,805 Computer equipment 356 171 Furniture and fixtures 807 124 Leasehold improvements 1,009 1,074 Construction-in-progress 585 — Total property and equipment, gross 7,501 6,174 Less accumulated depreciation (2,558) (1,625) Total property and equipment, net $ 4,943 $ 4,549 |
Schedule of Accrued Compensation and Accrued Liabilities | Condensed consolidated balance sheet details are as follows (in thousands): September 30, December 31, Accrued compensation: Accrued paid time off $ 1,790 $ 1,245 Accrued wages, bonus and other 6,531 3,875 Total accrued compensation $ 8,321 $ 5,120 Accrued liabilities: Accrued consulting services $ 1,173 $ 775 Customer refund liability 926 — Other accrued expenses 1,440 452 Total accrued liabilities $ 3,539 $ 1,227 |
Stockholders' Equity (Tables)
Stockholders' Equity (Tables) | 9 Months Ended |
Sep. 30, 2022 | |
Stockholders' Equity Note [Abstract] | |
Disclosure of Share-Based Compensation Arrangements by Share-Based Payment Award | Stock-based compensation expense for employee options, RSUs, the purchase rights issued under the 2020 ESPP, and consultant options was recorded in the condensed consolidated statements of operations as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Cost of revenue $ 353 $ 299 $ 986 $ 709 Sales and marketing 1,294 1,098 3,822 2,580 Research and development 1,074 644 2,899 1,473 General and administrative 2,215 1,695 5,960 4,684 Total stock-based compensation $ 4,936 $ 3,736 $ 13,667 $ 9,446 |
Summary of Common Stock Reserved for Future Issuance | Common stock reserved for future issuance consists of the following as of September 30, 2022 and December 31, 2021 (in thousands): September 30, December 31, Warrants to purchase common stock 10 31 SPAC Warrants to purchase common stock* 704 704 Stock options issued and outstanding 1,732 1,721 RSUs issued and outstanding 3,292 983 Authorized for future equity grants 1,003 603 Authorized for future ESPP purchases 699 549 Total common stock reserved for future issuance 7,440 4,591 *Four SPAC Warrants are needed to purchase one share of common stock. The numbers presented above reflect the amount of shares of common stock underlying SPAC Warrants. |
Leases, Commitments and Conti_2
Leases, Commitments and Contingencies (Tables) | 9 Months Ended |
Sep. 30, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
Schedule of Long Term Finance Lease Obligations | Long-term finance lease obligations are as follows (in thousands): September 30, 2022 December 31, 2021 Gross finance lease obligations $ 215 $ 274 Less imputed interest (14) (17) Present value of net minimum lease payments 201 257 Less current portion of finance lease obligations (124) (121) Total long-term finance lease obligations $ 77 $ 136 |
Components of Lease Expense | The components of lease expense for the three and nine months ended September 30, 2022 was as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2022 2021 2022 2021 Operating lease cost Operating lease cost $ 1,056 $ 379 $ 2,724 $ 1,023 Variable lease costs (1) 188 171 680 486 Total operating lease cost $ 1,244 $ 550 $ 3,404 $ 1,509 Finance lease cost Amortization of leased assets $ 21 $ 17 $ 62 $ 53 Interest on lease liabilities 3 5 10 13 Total finance lease cost $ 24 $ 22 $ 72 $ 66 (1) Variable lease costs are primarily related to common area maintenance charges and property taxes. Other information related to leases was as shown in the table below. Nine Months Ended September 30, 2022 2021 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 3,621 $ 1,516 Operating cash flows from finance leases $ 10 $ 13 Financing cash flows from finance leases $ 104 $ 80 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 18,688 $ 9,071 Finance leases $ 48 $ 105 Weighted average remaining lease term in years: Operating leases 10.01 9.33 Finance leases 2.37 2.67 Weighted average discount rate: Operating leases 6.44 % 5.78 % Finance leases 5.81 % 5.76 % |
Schedule of Future Minimum Lease Payments Under Operating and Financing Leases | The Company’s future minimum lease payments under operating and financing leases at September 30, 2022 are as follows (in thousands): 2022 2023 2024 2025 2026 Thereafter Total Operating lease obligations, including interest $ 791 $ 2,948 $ 2,774 $ 2,853 $ 2,934 $ 20,612 $ 32,912 Finance lease obligations, including interest 25 133 19 19 15 4 215 Total future minimum lease payments $ 816 $ 3,081 $ 2,793 $ 2,872 $ 2,949 $ 20,616 $ 33,127 |
The Company and a Summary of _4
The Company and a Summary of its Significant Accounting Policies - Additional Information (Details) | 3 Months Ended | 9 Months Ended | 12 Months Ended | |||||
Sep. 30, 2022 USD ($) | Aug. 29, 2019 | Sep. 30, 2022 USD ($) shares | Mar. 31, 2022 USD ($) | Sep. 30, 2021 USD ($) shares | Sep. 30, 2022 USD ($) revenueStream shares | Sep. 30, 2021 USD ($) shares | Dec. 31, 2021 USD ($) | |
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Conversion ratio of reverse stock split | 0.5 | |||||||
Depreciation expense | $ 400,000 | $ 300,000 | $ 1,187,000 | $ 654,000 | ||||
Gross assets | $ 7,501,000 | 7,501,000 | 7,501,000 | $ 6,174,000 | ||||
Accumulated amortization | $ 100,000 | 100,000 | ||||||
Gain (loss) on disposition of property plant equipment | (100,000) | (8,000) | (400,000) | (13,000) | ||||
Impairment losses | 0 | 0 | 0 | 0 | ||||
Sweep account | 64,600,000 | 64,600,000 | 64,600,000 | |||||
Insured amount by FDIC | 250,000 | 250,000 | 250,000 | |||||
Cash held in excess of FDIC limit | 300,000 | 300,000 | $ 300,000 | |||||
Number of revenue streams (in number of streams) | revenueStream | 2 | |||||||
Increase (decrease) in revenue | (500,000) | $ 18,000 | $ (500,000) | $ 100,000 | ||||
Short term deferred revenue | 417,000 | 417,000 | 417,000 | 1,380,000 | ||||
Reclassification of deferred revenue | 900,000 | |||||||
Remaining performance obligation, estimated revenue expected to be recognized | 0 | 0 | 0 | |||||
Accounts receivable | 6,101,000 | 6,101,000 | 6,101,000 | 3,847,000 | ||||
Level 1 | Restricted Cash | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Letters of credit | 3,500,000 | $ 3,500,000 | $ 3,500,000 | 3,000,000 | ||||
Common Stock Warrants | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Anti-dilutive equity instruments excluded from diluted net loss per share of common stock | shares | 714,261 | 734,581 | 714,261 | 734,581 | ||||
Stock Options and RSUs | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Anti-dilutive equity instruments excluded from diluted net loss per share of common stock | shares | 5,024,323 | 2,564,059 | 5,024,323 | 2,564,059 | ||||
Assay revenue | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Accounts receivable gross | 5,900,000 | $ 5,900,000 | $ 5,900,000 | 3,600,000 | ||||
Contract revenue | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Accounts receivable | $ 200,000 | $ 200,000 | $ 200,000 | 200,000 | ||||
Minimum | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Useful life of the assets | 2 years | |||||||
Revenue, remaining performance obligation, expected timing of satisfaction, period | 2 years | 2 years | 2 years | |||||
Maximum | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Useful life of the assets | 11 years | |||||||
Revenue, remaining performance obligation, expected timing of satisfaction, period | 3 years | 3 years | 3 years | |||||
Amortization of Laboratory Equipment Acquired under Finance Leases | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Depreciation expense | $ 21,000 | $ 17,000 | $ 100,000 | $ 100,000 | ||||
Assets Recorded under Finance Leases | ||||||||
The Company and Summary of its Significant Accounting Policies [Line Items] | ||||||||
Gross assets | $ 400,000 | $ 400,000 | 400,000 | 400,000 | ||||
Accumulated amortization | $ 100,000 | $ 100,000 |
The Company and a Summary of _5
The Company and a Summary of its Significant Accounting Policies - Schedule of Revenues Disaggregated by Revenue Source (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Disaggregation Of Revenue [Line Items] | ||||
Total revenues | $ 3,573 | $ 3,030 | $ 11,524 | $ 8,673 |
DermTech Melanoma Test | ||||
Disaggregation Of Revenue [Line Items] | ||||
Total revenues | 3,433 | 2,954 | 11,098 | 8,054 |
Adhesive patch kits | ||||
Disaggregation Of Revenue [Line Items] | ||||
Total revenues | 22 | 14 | 126 | 329 |
RNA extractions | ||||
Disaggregation Of Revenue [Line Items] | ||||
Total revenues | 94 | 19 | 204 | 158 |
Project management fees | ||||
Disaggregation Of Revenue [Line Items] | ||||
Total revenues | $ 24 | $ 43 | $ 96 | $ 132 |
The Company and a Summary of _6
The Company and a Summary of its Significant Accounting Policies - Summary of Percentages of Total Revenue or Accounts Receivable for Third Party Payers and Pharmaceutical Customers (Details) - Customer Concentration Risk | 3 Months Ended | 9 Months Ended | 12 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | Dec. 31, 2021 | |
Total Revenues | Payor A | |||||
Product Information [Line Items] | |||||
Concentration risk, percentage | 46% | 36% | 41% | 35% | |
Accounts Receivable | Payor A | |||||
Product Information [Line Items] | |||||
Concentration risk, percentage | 20% | 23% | |||
Accounts Receivable | Payor B | |||||
Product Information [Line Items] | |||||
Concentration risk, percentage | 15% | 15% |
The Company and a Summary of _7
The Company and a Summary of its Significant Accounting Policies - Summary of Assets and Liabilities Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Assets: | ||
Restricted cash | $ 3,477 | $ 3,025 |
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 53,636 | 48,449 |
Fair Value, Recurring | ||
Assets: | ||
Cash equivalents | 30,529 | 16,380 |
Restricted cash | 3,477 | 3,025 |
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 53,636 | 48,449 |
Total assets measured at fair value on a recurring basis | 87,642 | 67,854 |
Liabilities: | ||
Warrant liability | 20 | 146 |
Total liabilities measured at fair value on a recurring basis | 20 | 146 |
Fair Value, Recurring | Level 1 | ||
Assets: | ||
Cash equivalents | 30,529 | 16,380 |
Restricted cash | 3,477 | 3,025 |
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
Total assets measured at fair value on a recurring basis | 34,006 | 19,405 |
Liabilities: | ||
Warrant liability | 0 | 0 |
Total liabilities measured at fair value on a recurring basis | 0 | 0 |
Fair Value, Recurring | Level 2 | ||
Assets: | ||
Cash equivalents | 0 | 0 |
Restricted cash | 0 | 0 |
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 53,636 | 48,449 |
Total assets measured at fair value on a recurring basis | 53,636 | 48,449 |
Liabilities: | ||
Warrant liability | 0 | 0 |
Total liabilities measured at fair value on a recurring basis | 0 | 0 |
Fair Value, Recurring | Level 3 | ||
Assets: | ||
Cash equivalents | 0 | 0 |
Restricted cash | 0 | 0 |
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
Total assets measured at fair value on a recurring basis | 0 | 0 |
Liabilities: | ||
Warrant liability | 20 | 146 |
Total liabilities measured at fair value on a recurring basis | 20 | 146 |
Corporate debt securities | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 14,938 | 15,352 |
Corporate debt securities | Fair Value, Recurring | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 14,938 | 15,352 |
Corporate debt securities | Fair Value, Recurring | Level 1 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
Corporate debt securities | Fair Value, Recurring | Level 2 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 14,938 | 15,352 |
Corporate debt securities | Fair Value, Recurring | Level 3 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
Municipal debt securities | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 2,320 | 7,412 |
Municipal debt securities | Fair Value, Recurring | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 2,320 | 7,412 |
Municipal debt securities | Fair Value, Recurring | Level 1 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
Municipal debt securities | Fair Value, Recurring | Level 2 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 2,320 | 7,412 |
Municipal debt securities | Fair Value, Recurring | Level 3 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
U.S. government debt securities | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 36,378 | 25,685 |
U.S. government debt securities | Fair Value, Recurring | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 36,378 | 25,685 |
U.S. government debt securities | Fair Value, Recurring | Level 1 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 0 | 0 |
U.S. government debt securities | Fair Value, Recurring | Level 2 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | 36,378 | 25,685 |
U.S. government debt securities | Fair Value, Recurring | Level 3 | ||
Marketable securities, available for sale: | ||
Total marketable securities, available for sale | $ 0 | $ 0 |
The Company and a Summary of _8
The Company and a Summary of its Significant Accounting Policies - Assumptions Used to Determine Fair Value of Each Option on Date of Grant Issued (Details) - Warranty liability | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Assumed risk-free interest rate | 4.22% | 0.53% | ||
Assumed risk-free interest rate, minimum | 2.37% | 0.46% | ||
Assumed risk-free interest rate, maximum | 4.22% | 0.64% | ||
Assumed volatility | 118.13% | 89.77% | ||
Assumed volatility, minimum | 92.77% | 85.85% | ||
Assumed volatility, maximum | 118.13% | 89.77% | ||
Expected term | 1 year 11 months 1 day | 2 years 11 months 1 day | ||
Expected dividend yield | 0% | 0% | 0% | 0% |
Minimum | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Expected term | 1 year 11 months 1 day | 2 years 11 months 1 day | ||
Maximum | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Expected term | 2 years 5 months 1 day | 3 years 5 months 1 day |
The Company and a Summary of _9
The Company and a Summary of its Significant Accounting Policies - Summary of Changes in Fair Value of Level 3 Liabilities (Details) - Level 3 - Warrant Liability - USD ($) $ in Thousands | 3 Months Ended | ||
Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] | |||
Beginning balance | $ 24 | $ 129 | $ 146 |
Change in fair value of warrant liability | (4) | (105) | (17) |
Ending balance | $ 20 | $ 24 | $ 129 |
Balance Sheet Details - Schedul
Balance Sheet Details - Schedule of Short-Term Marketable Securities (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Investment Holdings [Line Items] | ||
Amortized Cost | $ 54,731 | $ 48,573 |
Gross Unrealized Gains | 3 | 1 |
Gross Unrealized Losses | (1,098) | (125) |
Estimated Market Value | 53,636 | 48,449 |
Corporate debt securities | ||
Investment Holdings [Line Items] | ||
Amortized Cost | 15,259 | 15,385 |
Gross Unrealized Gains | 0 | 0 |
Gross Unrealized Losses | (321) | (33) |
Estimated Market Value | 14,938 | 15,352 |
Municipal debt securities | ||
Investment Holdings [Line Items] | ||
Amortized Cost | 2,339 | 7,417 |
Gross Unrealized Gains | 0 | 0 |
Gross Unrealized Losses | (19) | (5) |
Estimated Market Value | 2,320 | 7,412 |
U.S. government debt securities | ||
Investment Holdings [Line Items] | ||
Amortized Cost | 37,133 | 25,771 |
Gross Unrealized Gains | 3 | 1 |
Gross Unrealized Losses | (758) | (87) |
Estimated Market Value | $ 36,378 | $ 25,685 |
Balance Sheet Details - Additio
Balance Sheet Details - Additional Information (Details) - USD ($) | Sep. 30, 2022 | Dec. 31, 2021 |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | ||
Estimated market value of debt securities with contractual maturities of less than 12 months | $ 38,300,000 | $ 21,200,000 |
Estimated market value of remaining debt securities with contractual maturities of up to 23 months | 15,300,000 | 27,200,000 |
Credit losses | $ 0 | $ 0 |
Balance Sheet Details - Sched_2
Balance Sheet Details - Schedule of Prepaid Expenses and PP&E (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Prepaid expenses and other current assets: | ||
Prepaid insurance | $ 1,547 | $ 1,801 |
Prepaid trade shows | 693 | 440 |
Prepaid software fees | 1,038 | 551 |
Prepaid employee compensation | 291 | 238 |
Other current assets | 643 | 136 |
Total prepaid expenses and other current assets | 4,212 | 3,166 |
Property and equipment, gross: | ||
Laboratory equipment | 4,744 | 4,805 |
Computer equipment | 356 | 171 |
Furniture and fixtures | 807 | 124 |
Leasehold improvements | 1,009 | 1,074 |
Construction-in-progress | 585 | 0 |
Total property and equipment, gross | 7,501 | 6,174 |
Less accumulated depreciation | (2,558) | (1,625) |
Total property and equipment, net | $ 4,943 | $ 4,549 |
Balance Sheet Details - Sched_3
Balance Sheet Details - Schedule of Accrued Compensation and Accrued Liabilities (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Accrued compensation: | ||
Accrued paid time off | $ 1,790 | $ 1,245 |
Accrued wages, bonus and other | 6,531 | 3,875 |
Total accrued compensation | 8,321 | 5,120 |
Accrued liabilities: | ||
Accrued consulting services | 1,173 | 775 |
Customer refund liability | 926 | 0 |
Other accrued expenses | 1,440 | 452 |
Total accrued liabilities | $ 3,539 | $ 1,227 |
Stockholders' Equity - Addition
Stockholders' Equity - Additional Information (Details) $ / shares in Units, $ in Thousands | 1 Months Ended | 2 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended | 24 Months Ended | 36 Months Ended | ||||||||||||||
Sep. 01, 2022 period | Aug. 08, 2022 USD ($) | Aug. 31, 2021 shares | Feb. 28, 2021 shares | Jan. 11, 2021 USD ($) $ / shares shares | Jan. 06, 2021 shares | Nov. 10, 2020 USD ($) | Jun. 23, 2017 shares | Sep. 30, 2022 USD ($) $ / shares shares | Dec. 31, 2020 USD ($) $ / shares shares | Jun. 30, 2021 USD ($) shares | Mar. 31, 2021 USD ($) shares | Sep. 30, 2022 USD ($) Warrant $ / shares shares | Sep. 30, 2021 USD ($) shares | Dec. 31, 2021 USD ($) $ / shares shares | Dec. 31, 2016 $ / shares shares | Dec. 31, 2018 $ / shares shares | Aug. 31, 2022 shares | Mar. 31, 2022 shares | Feb. 28, 2022 shares | Jan. 01, 2022 shares | |
Class of Stock [Line Items] | |||||||||||||||||||||
Common stock, shares authorized (in shares) | 50,000,000 | 50,000,000 | 50,000,000 | ||||||||||||||||||
Preferred stock, shares authorized (in shares) | 5,000,000 | 5,000,000 | |||||||||||||||||||
Common stock, par value per share (in usd per share) | $ / shares | $ 0.0001 | $ 0.0001 | $ 0.0001 | ||||||||||||||||||
Preferred stock, par value per share (in usd per share) | $ / shares | $ 0.0001 | $ 0.0001 | |||||||||||||||||||
Issuance of preferred stock, total offering amount | $ | $ 23,836 | $ 134,582 | |||||||||||||||||||
Issuance of common stock, net of issuance costs shares (in shares) | 4,237,288 | ||||||||||||||||||||
Proceeds from issuance of common stock | $ | $ 134,600 | ||||||||||||||||||||
Shares purchased by underwriters (in shares) | 635,593 | 635,593 | |||||||||||||||||||
Number of days granted to underwriters option to purchase | 30 days | ||||||||||||||||||||
Sale of stock, number of shares issued in transaction (in shares) | 4,872,881 | ||||||||||||||||||||
Public offering price (in usd per share) | $ / shares | $ 29.50 | ||||||||||||||||||||
Gross proceeds from offering, before deducting underwriting discounts and commissions and other offering expenses | $ | $ 143,700 | ||||||||||||||||||||
Warrants expiration period | 5 years | 5 years | |||||||||||||||||||
Total proceeds from exercise of public warrants | $ | $ 22 | $ 70,271 | |||||||||||||||||||
Compensation cost related to non-vested awards not yet recognized | $ | $ 49,100 | $ 49,100 | |||||||||||||||||||
Weighted average term expected to be recognized | 2 years 3 months 10 days | ||||||||||||||||||||
Duration of offering period (in months) | 24 months | ||||||||||||||||||||
Number of six month purchase periods | period | 4 | ||||||||||||||||||||
Common stock available for issuance (in shares) | 7,440 | 7,440 | 4,591 | ||||||||||||||||||
Common stock, shares issued (in shares) | 30,213,206 | 30,213,206 | 29,772,922 | ||||||||||||||||||
2020 Equity Incentive Plan | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Common stock, shares authorized (in shares) | 1,900,000 | 1,900,000 | |||||||||||||||||||
Common stock outstanding percentage | 3.50% | ||||||||||||||||||||
Contractual term of options granted | 10 years | ||||||||||||||||||||
Options remain available for issuance pursuant to future grants (in shares) | 1,002,843 | 1,002,843 | |||||||||||||||||||
2020 Employee Stock Purchase Plan | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Issuance of common stock, net of issuance costs shares (in shares) | 18,155 | 39,960 | |||||||||||||||||||
Shares, issued (in shares) | 300,000 | 300,000 | |||||||||||||||||||
Common stock outstanding percentage | 1% | ||||||||||||||||||||
Options remain available for issuance pursuant to future grants (in shares) | 698,930 | 698,930 | 297,729 | ||||||||||||||||||
Percentage of price at shares purchased | 85% | ||||||||||||||||||||
Common stock available for issuance (in shares) | 549,289 | ||||||||||||||||||||
Common stock, shares issued (in shares) | 100,749 | 47,339 | |||||||||||||||||||
2022 Inducement Equity Incentive Plan | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Common stock initially reserved for issuance (in shares) | 950,000 | ||||||||||||||||||||
Additional common stock reserved (in shares) | 1,000,000 | ||||||||||||||||||||
SPAC Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants issued to purchase common stock (in shares) | 14,936,250 | ||||||||||||||||||||
Number of warrants entitle holder to purchase one share | Warrant | 4 | ||||||||||||||||||||
Total number exercised of public warrants (in shares) | 12,120,397 | ||||||||||||||||||||
Common shares issued upon exercise of warrants (in shares) | 3,030,092 | ||||||||||||||||||||
Total proceeds from exercise of public warrants | $ | $ 69,700 | ||||||||||||||||||||
Warrants outstanding (in shares) | 2,815,853 | 2,815,853 | 2,815,853 | ||||||||||||||||||
Public SPAC Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants issued to purchase common stock (in shares) | 14,375,000 | ||||||||||||||||||||
Private SPAC Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants issued to purchase common stock (in shares) | 561,250 | ||||||||||||||||||||
Warrants outstanding (in shares) | 80,350 | 80,350 | 80,350 | ||||||||||||||||||
Placement Agent Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants issued to purchase common stock (in shares) | 168,522 | 72,658 | |||||||||||||||||||
Warrants expiration period | 7 years | 7 years | |||||||||||||||||||
Warrants outstanding (in shares) | 10,039 | 10,039 | 10,039 | ||||||||||||||||||
Placement Agent Warrants | 2018 Convertible Bridge Notes | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants issued to purchase common stock (in shares) | 15,724 | ||||||||||||||||||||
Warrants expiration period | 7 years | ||||||||||||||||||||
Management Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Warrants expiration period | 10 years | 10 years | |||||||||||||||||||
Warrants outstanding (in shares) | 0 | 0 | 20,320 | ||||||||||||||||||
Cowen and Company LLC | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Issuance of preferred stock, total offering amount | $ | $ 75,000 | $ 50,000 | |||||||||||||||||||
Issuance of common stock, net of issuance costs shares (in shares) | 951,792 | 0 | 530,551 | ||||||||||||||||||
Weighted average purchase price per share (in usd per share) | $ / shares | $ 20.97 | $ 46.33 | |||||||||||||||||||
Gross proceeds from issuance of common stock | $ | $ 20,000 | $ 24,600 | |||||||||||||||||||
Decrease in issuance costs | $ | 900 | 700 | |||||||||||||||||||
Proceeds from issuance of common stock | $ | $ 19,100 | $ 23,800 | |||||||||||||||||||
Common stock | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Issuance of preferred stock, total offering amount | $ | $ 1 | ||||||||||||||||||||
Issuance of common stock, net of issuance costs shares (in shares) | 530,551 | 4,872,881 | |||||||||||||||||||
Number of shares issued for each warrant (in shares) | 0.25 | 0.25 | |||||||||||||||||||
Common stock | SPAC Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Exercise price of warrant (in usd per share) | $ / shares | $ 23 | $ 23 | |||||||||||||||||||
Number of shares issued for each warrant (in shares) | 0.25 | 0.25 | |||||||||||||||||||
Common stock | Placement Agent Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Exercise price of warrant (in usd per share) | $ / shares | $ 8.68 | $ 9.54 | |||||||||||||||||||
Number of shares issued for each warrant (in shares) | 1 | 1 | |||||||||||||||||||
Common stock | Placement Agent Warrants | 2018 Convertible Bridge Notes | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Exercise price of warrant (in usd per share) | $ / shares | $ 9.54 | ||||||||||||||||||||
Number of shares issued for each warrant (in shares) | 1 | ||||||||||||||||||||
Common stock | Management Warrants | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Exercise price of warrant (in usd per share) | $ / shares | $ 1.08 | $ 1.08 | |||||||||||||||||||
Number of shares issued for each warrant (in shares) | 20,320 | 20,320 | |||||||||||||||||||
Warrants vesting period | 4 years | ||||||||||||||||||||
Minimum | 2020 Equity Incentive Plan | Incentive Stock Options | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Options granted, exercise price expressed as a percentage of fair market value | 110% | ||||||||||||||||||||
Minimum | 2020 Equity Incentive Plan | Incentive and Non-qualified Stock Options | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Options granted, exercise price expressed as a percentage of fair market value | 100% | ||||||||||||||||||||
Maximum | 2020 Equity Incentive Plan | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Term of the option | 5 years | ||||||||||||||||||||
Shares, issued (in shares) | 1,400,000 | 1,400,000 | |||||||||||||||||||
Maximum | 2020 Employee Stock Purchase Plan | |||||||||||||||||||||
Class of Stock [Line Items] | |||||||||||||||||||||
Common stock available for issuance (in shares) | 400,000 | 400,000 |
Stockholders' Equity - Share-Ba
Stockholders' Equity - Share-Based Compensation Expense (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Total stock-based compensation | $ 4,936 | $ 3,736 | $ 13,667 | $ 9,446 |
Cost of revenue | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Total stock-based compensation | 353 | 299 | 986 | 709 |
Sales and marketing | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Total stock-based compensation | 1,294 | 1,098 | 3,822 | 2,580 |
Research and development | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Total stock-based compensation | 1,074 | 644 | 2,899 | 1,473 |
General and administrative | ||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ||||
Total stock-based compensation | $ 2,215 | $ 1,695 | $ 5,960 | $ 4,684 |
Stockholders' Equity - Summary
Stockholders' Equity - Summary of Common Stock Reserved for Future Issuance (Detail) | 9 Months Ended | |
Sep. 30, 2022 Warrant shares | Dec. 31, 2021 shares | |
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 7,440 | 4,591 |
SPAC Warrants | ||
Class of Stock [Line Items] | ||
Number of warrants entitle holder to purchase one share | Warrant | 4 | |
Warrants to purchase common stock | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 10 | 31 |
SPAC Warrants to purchase common stock* | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 704 | 704 |
Stock options issued and outstanding | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 1,732 | 1,721 |
RSUs issued and outstanding | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 3,292 | 983 |
Authorized for future equity grants | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 1,003 | 603 |
Authorized for future ESPP purchases | ||
Class of Stock [Line Items] | ||
Total common stock reserved for future issuance | 699 | 549 |
Leases, Commitments and Conti_3
Leases, Commitments and Contingencies - Additional Information (Details) | 1 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended | ||||||
Apr. 22, 2022 USD ($) ft² | Jul. 01, 2021 USD ($) ft² $ / ft² | Apr. 30, 2022 USD ($) $ / ft² | Sep. 30, 2022 USD ($) period phase | Mar. 31, 2022 USD ($) | Sep. 30, 2021 USD ($) | Sep. 30, 2022 USD ($) period phase | Sep. 30, 2021 USD ($) | Dec. 31, 2021 USD ($) | Jan. 01, 2021 USD ($) | |
Commitments And Contingencies [Line Items] | ||||||||||
Percentage of useful lives of assets | 75% | |||||||||
Gross assets | $ 7,501,000 | $ 7,501,000 | $ 6,174,000 | |||||||
Accumulated amortization | $ 100,000 | 100,000 | ||||||||
Interest on lease liabilities | $ 3,000 | $ 5,000 | $ 10,000 | $ 13,000 | ||||||
Number of improvement phases | phase | 4 | 4 | ||||||||
Number of renewal terms | period | 1 | 1 | ||||||||
Renewal term | 3 years | 3 years | ||||||||
Operating lease right-of-use assets | $ 24,644,000 | $ 24,644,000 | 7,744,000 | $ 2,800,000 | ||||||
Operating lease, liability | 3,100,000 | |||||||||
Increase to operating lease liability | (2,709,000) | (1,130,000) | ||||||||
Total | 32,912,000 | 32,912,000 | ||||||||
Tenant improvement allowance | $ 300,000 | 300,000 | $ 300,000 | |||||||
Remaining lease term | 28 months | |||||||||
Estimated discount rate | 4.04% | |||||||||
Maximum | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Increase in tenant improvement allowance | $ 100,000 | |||||||||
Kilroy Realty, L.P | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Area of building (in square feet) | ft² | 110,082 | 95,997 | ||||||||
Tenant improvement allowance per rentable square foot (in usd per square foot) | $ / ft² | 125 | |||||||||
Tenant improvements | $ 12,000,000 | |||||||||
Number of renewal terms | period | 2 | 2 | ||||||||
Renewal term | 5 years | 5 years | ||||||||
Operating lease right-of-use assets | 15,800,000 | 5,700,000 | ||||||||
Operating lease, liability | $ 15,800,000 | 5,700,000 | ||||||||
Incremental borrowing rate | 6.50% | |||||||||
Increase to operating lease liability | $ 1,200,000 | |||||||||
Increase to operating right-of-use asset | 1,200,000 | |||||||||
Total | $ 54,000,000 | $ 54,000,000 | ||||||||
Remaining lease term | 10 years 6 months | 10 years 6 months | ||||||||
Kilroy Realty, L.P | First Amendment | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Tenant improvements | $ 14,400,000 | |||||||||
Increase in improvement allowance per rentable square foot (in usd per square foot) | $ / ft² | 25 | |||||||||
Increase in tenant improvement allowance | $ 2,400,000 | |||||||||
Kilroy Realty, L.P | Second Amendment | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Tenant improvements | 16,500,000 | |||||||||
Increase in tenant improvement allowance | $ 2,100,000 | |||||||||
Expansion premise (in square feet) | ft² | 14,085 | |||||||||
Kilroy Realty, L.P | Letter of Credit | Demand Deposits | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Restricted cash and cash equivalents | 3,500,000 | $ 3,000,000 | $ 3,000,000 | |||||||
Increase (decrease) to restricted cash and cash equivalents | $ 500,000 | |||||||||
Kilroy Realty, L.P | Standby Letter of Credit | Demand Deposits | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Restricted cash and cash equivalents | 0 | 0 | ||||||||
Interest Income, Net | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Interest on lease liabilities | 3,000 | $ 5,000 | 10,000 | $ 13,000 | ||||||
Assets Recorded under Finance Leases | ||||||||||
Commitments And Contingencies [Line Items] | ||||||||||
Gross assets | $ 400,000 | 400,000 | 400,000 | |||||||
Accumulated amortization | $ 100,000 | $ 100,000 |
Leases, Commitments and Conti_4
Leases, Commitments and Contingencies - Schedule of Long Term Finance Lease Obligations (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Commitments and Contingencies Disclosure [Abstract] | ||
Gross finance lease obligations | $ 215 | $ 274 |
Less imputed interest | (14) | (17) |
Present value of net minimum lease payments | 201 | 257 |
Less current portion of finance lease obligations | (124) | (121) |
Total long-term finance lease obligations | $ 77 | $ 136 |
Leases, Commitments and Conti_5
Leases, Commitments and Contingencies - Components of Lease Expense (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | ||
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | |
Operating lease cost | ||||
Operating lease cost | $ 1,056 | $ 379 | $ 2,724 | $ 1,023 |
Variable lease costs | 188 | 171 | 680 | 486 |
Total operating lease cost | 1,244 | 550 | 3,404 | 1,509 |
Finance lease cost | ||||
Amortization of leased assets | 21 | 17 | 62 | 53 |
Interest on lease liabilities | 3 | 5 | 10 | 13 |
Total finance lease cost | 24 | 22 | 72 | 66 |
Cash paid for amounts included in the measurement of lease liabilities: | ||||
Operating cash flows from operating leases | 3,621 | 1,516 | ||
Operating cash flows from finance leases | $ 3 | $ 5 | 10 | 13 |
Financing cash flows from finance leases | 104 | 80 | ||
Right-of-use assets obtained in exchange for operating lease obligations | 18,688 | 9,071 | ||
Right-of-use assets obtained in exchange for finance lease obligations | $ 48 | $ 105 | ||
Weighted-average remaining lease term of operating leases (in years) | 10 years 3 days | 9 years 3 months 29 days | 10 years 3 days | 9 years 3 months 29 days |
Weighted-average remaining lease term of finance leases (in years) | 2 years 4 months 13 days | 2 years 8 months 1 day | 2 years 4 months 13 days | 2 years 8 months 1 day |
Weighted-average discount rate for operating leases (in percent) | 6.44% | 5.78% | 6.44% | 5.78% |
Weighted-average discount rate for finance leases (in percent) | 5.81% | 5.76% | 5.81% | 5.76% |
Leases, Commitments and Conti_6
Leases, Commitments and Contingencies - Future Minimum Payments (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021 |
Operating lease obligations, including interest | ||
2022 | $ 791 | |
2023 | 2,948 | |
2024 | 2,774 | |
2025 | 2,853 | |
2026 | 2,934 | |
Thereafter | 20,612 | |
Total | 32,912 | |
Finance lease obligations, including interest | ||
2022 | 25 | |
2023 | 133 | |
2024 | 19 | |
2025 | 19 | |
2026 | 15 | |
Thereafter | 4 | |
Gross finance lease obligations | 215 | $ 274 |
Total future minimum lease payments | ||
Total future minimum lease payments due in 2022 | 816 | |
Total future minimum lease payments due in 2023 | 3,081 | |
Total future minimum lease payments due in 2024 | 2,793 | |
Total future minimum lease payments due in 2025 | 2,872 | |
Total future minimum lease payments due in 2026 | 2,949 | |
Total future minimum lease payments due thereafter | 20,616 | |
Operating And Capital Lease Liability Payments Due | $ 33,127 |
Related Party Transactions - Ad
Related Party Transactions - Additional Information (Details) - USD ($) | 3 Months Ended | 9 Months Ended | ||||||||
Feb. 26, 2021 | Nov. 11, 2020 | May 11, 2020 | Oct. 01, 2019 | Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | Dec. 31, 2021 | Jan. 02, 2021 | |
Related Party Transaction [Line Items] | ||||||||||
Common stock, shares issued (in shares) | 30,213,206 | 30,213,206 | 29,772,922 | |||||||
Related party transaction, other | $ 0 | $ 0 | ||||||||
EVERSANA | Leana Wood | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Related party certain marketing cost | $ 1,100,000 | $ 900,000 | 2,800,000 | 1,800,000 | ||||||
Due to related party | 700,000 | 700,000 | $ 600,000 | |||||||
DermTech Operations | Michael Dobak | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Related party certain marketing cost | $ 20,000 | $ 15,000 | $ 15,000 | $ 0 | $ 0 | $ 0 | $ 100,000 | |||
Common stock, shares issued (in shares) | 5,000 | |||||||||
DermTech Operations | Michael Dobak | Maximum | ||||||||||
Related Party Transaction [Line Items] | ||||||||||
Related party certain marketing cost | $ 100,000 |