Accelerate Diagnostics (AXDX) 10-Q 6 Nov 20 2020 Q3 Quarterly report Financial data

Cover Page

Cover Page - shares	9 Months Ended
	Sep. 30, 2020	Nov. 03, 2020
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2020
Document Transition Report	false
Entity File Number	001-31822
Entity Registrant Name	ACCELERATE DIAGNOSTICS, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	84-1072256
Entity Address, Address Line One	3950 South Country Club Road,
Entity Address, Address Line Two	Suite 470
Entity Address, City or Town	Tucson,
Entity Address, State or Province	AZ
Entity Address, Postal Zip Code	85714
City Area Code	520
Local Phone Number	365-3100
Title of 12(b) Security	Common Stock, $0.001 par
Trading Symbol	AXDX
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		57,029,694
Entity Central Index Key	0000727207
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2020

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEET - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Current assets:
Cash and cash equivalents	$ 27,029	$ 61,014
Investments	50,463	47,437
Trade accounts receivable	2,610	3,222
Inventory	9,459	8,059
Prepaid expenses	961	955
Other current assets	1,517	1,165
Total current assets	92,039	121,852
Property and equipment, net	7,104	7,905
Right of use assets	3,402	3,917
Other non-current assets	1,674	750
Total assets	104,219	134,424
Current liabilities:
Accounts payable	2,372	2,351
Accrued liabilities	3,176	3,828
Accrued interest	191	1,262
Deferred revenue	338	271
Current portion of long-term debt	511	0
Current operating lease liability	482	450
Total current liabilities	7,070	8,162
Non-current operating lease liability	3,231	3,579
Other non-current liabilities	259	19
Long-term debt	5,028	0
Convertible notes	138,299	130,043
Total liabilities	153,887	141,803
Commitments and contingencies
Stockholders’ deficit:
Preferred shares	0	0
Common stock	57	55
Contributed capital	469,302	452,344
Treasury stock	(45,067)	(45,067)
Accumulated deficit	(474,054)	(414,653)
Accumulated other comprehensive income (loss)	94	(58)
Total stockholders’ deficit	(49,668)	(7,379)
Total liabilities and stockholders’ deficit	$ 104,219	$ 134,424

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEET (Parenthetical) - $ / shares	Sep. 30, 2020	Dec. 31, 2019
Statement of Financial Position [Abstract]
Preferred Stock, par value (usd per share)	$ 0.001	$ 0.001
Preferred Stock, shares authorized (shares)	5,000,000	5,000,000
Preferred Stock, shares outstanding (shares)	0	0
Common Stock, par value (usd per share)	$ 0.001	$ 0.001
Common Stock, shares authorized (shares)	85,000,000	85,000,000
Common Stock, shares issued (shares)	57,027,429	54,708,792
Common Stock, shares outstanding (shares)	57,027,429	54,708,792

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS - USD ($) shares in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Income Statement [Abstract]
Net sales	$ 3,588,000	$ 2,271,000	$ 8,056,000	$ 5,827,000
Cost of sales	2,287,000	1,117,000	4,745,000	2,940,000
Gross profit	1,301,000	1,154,000	3,311,000	2,887,000
Costs and expenses:
Research and development	5,001,000	6,064,000	16,191,000	19,145,000
Sales, general and administrative	11,465,000	12,743,000	35,738,000	38,302,000
Total costs and expenses	16,466,000	18,807,000	51,929,000	57,447,000
Loss from operations	(15,165,000)	(17,653,000)	(48,618,000)	(54,560,000)
Other income (expense):
Interest expense	(3,955,000)	(3,598,000)	(11,540,000)	(10,585,000)
Foreign currency exchange gain (loss)	229,000	(89,000)	191,000	(142,000)
Interest income	149,000	676,000	753,000	2,329,000
Other expense, net	(15,000)	(9,000)	(82,000)	(12,000)
Total other expense, net	(3,592,000)	(3,020,000)	(10,678,000)	(8,410,000)
Net loss before income taxes	(18,757,000)	(20,673,000)	(59,296,000)	(62,970,000)
Provision for income taxes	0	239,000	0	0
Net loss	$ (18,757,000)	$ (20,434,000)	$ (59,296,000)	$ (62,970,000)
Basic and diluted net loss per share (usd per share)	$ (0.33)	$ (0.37)	$ (1.07)	$ (1.16)
Weighted average shares outstanding (shares)	56,560	54,553	55,617	54,456
Other comprehensive loss:
Net loss	$ (18,757,000)	$ (20,434,000)	$ (59,296,000)	$ (62,970,000)
Net unrealized gain (loss) on debt securities available-for-sale	(117,000)	10,000	62,000	229,000
Foreign currency translation adjustment	71,000	(113,000)	90,000	(139,000)
Comprehensive loss	$ (18,803,000)	$ (20,537,000)	$ (59,144,000)	$ (62,880,000)

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Cash flows from operating activities:
Net loss	$ (59,296,000)	$ (62,970,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	2,270,000	1,862,000
Amortization of investment discount	43,000	(400,000)
Equity-based compensation	12,291,000	9,409,000
Amortization of debt discount and issuance costs	8,256,000	7,370,000
Realized loss on sale of investments	3,000	0
Loss on disposal of property and equipment	546,000	577,000
Contributions to deferred compensation plan	(248,000)	0
(Increase) decrease in assets:
Accounts receivable	532,000	(782,000)
Inventory and instruments in property and equipment	(1,734,000)	(3,286,000)
Prepaid expense and other	(1,267,000)	(319,000)
Increase (decrease) in liabilities:
Accounts payable	76,000	788,000
Accrued liabilities, and other	(759,000)	(2,115,000)
Accrued interest	(1,071,000)	(1,071,000)
Deferred revenue and income	67,000	33,000
Deferred compensation	240,000	(25,000)
Net cash used in operating activities	(40,051,000)	(50,929,000)
Cash flows from investing activities:
Purchases of equipment	(1,364,000)	(148,000)
Purchase of marketable securities	(44,589,000)	(20,710,000)
Proceeds from sales of marketable securities	0	13,400,000
Maturities of marketable securities	41,707,000	78,922,000
Net cash (used in) provided by investing activities	(4,246,000)	71,464,000
Cash flows from financing activities:
Proceeds from issuance of common stock	296,000	1,363,000
Proceeds from exercise of options	4,458,000	4,879,000
Proceeds from debt	5,552,000	0
Payment of debt	(13,000)	0
Net cash provided by financing activities	10,293,000	6,242,000
Effect of exchange rate on cash	19,000	(99,000)
(Decrease) increase in cash and cash equivalents	(33,985,000)	26,678,000
Cash and cash equivalents, beginning of period	61,014,000	66,260,000
Cash and cash equivalents, end of period	27,029,000	92,938,000
Non-cash investing activities:
Net transfer of instruments from inventory to property and equipment	1,284,000	3,225,000
Supplemental cash flow information:
Interest paid	4,288,000	4,288,000
Income taxes paid, net of refunds	$ 46,000	$ 54,000

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) - USD ($) $ in Thousands	Total	Common stock	Contributed capital	Accumulated deficit	Accumulated deficitAdjustment	Treasury stock	Accumulated other comprehensive (loss) income
Beginning Balance (shares) at Dec. 31, 2018		54,232,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (shares)		56,000
Exercise of options (shares)		334,000
Issuance of common stock under employee purchase plan (shares)		19,000
Ending Balance (shares) at Sep. 30, 2019		54,641,000
Beginning Balance, amount at Dec. 31, 2018		$ 54	$ 432,885	$ (330,348)	$ 0	$ (45,067)	$ (149)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Proceeds from issuance of common stock			1,000
Exercise of options		1	4,879
Issuance of common stock under employee purchase plan			362
Equity-based compensation			9,483
Net loss	$ (62,970)			(62,970)
Unrealized loss on available-for-sale securities	229						229
Foreign currency translation adjustment	(139)						(139)
Ending Balance, amount at Sep. 30, 2019	10,220	$ 55	448,609	(393,318)		(45,067)	(59)
Beginning Balance (shares) at Jun. 30, 2019		54,512,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (shares)		56,000
Exercise of options (shares)		66,000
Issuance of common stock under employee purchase plan (shares)		7,000
Ending Balance (shares) at Sep. 30, 2019		54,641,000
Beginning Balance, amount at Jun. 30, 2019		$ 55	443,857	(372,884)		(45,067)	44
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Proceeds from issuance of common stock			1,000
Exercise of options		0	510
Issuance of common stock under employee purchase plan			112
Equity-based compensation			3,130
Net loss	(20,434)			(20,434)
Unrealized loss on available-for-sale securities	10						10
Foreign currency translation adjustment	(113)						(113)
Ending Balance, amount at Sep. 30, 2019	$ 10,220	$ 55	448,609	(393,318)		(45,067)	(59)
Beginning Balance (shares) at Dec. 31, 2019		54,709,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (shares)		0
Exercise of options (shares)	2,219,281	2,287,000
Issuance of common stock under employee purchase plan (shares)		31,000
Ending Balance (shares) at Sep. 30, 2020		57,027,000
Beginning Balance, amount at Dec. 31, 2019	$ (7,379)	$ 55	452,344	(414,653)	$ (105)	(45,067)	(58)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Proceeds from issuance of common stock			0
Exercise of options		2	4,458
Issuance of common stock under employee purchase plan			294
Equity-based compensation			12,206
Net loss	(59,296)			(59,296)
Unrealized loss on available-for-sale securities	62						62
Foreign currency translation adjustment	90						90
Ending Balance, amount at Sep. 30, 2020	(49,668)	$ 57	469,302	(474,054)		(45,067)	94
Beginning Balance (shares) at Jun. 30, 2020		56,249,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (shares)		0
Exercise of options (shares)		770,000
Issuance of common stock under employee purchase plan (shares)		8,000
Ending Balance (shares) at Sep. 30, 2020		57,027,000
Beginning Balance, amount at Jun. 30, 2020		$ 56	463,178	(455,297)		(45,067)	140
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Proceeds from issuance of common stock			0
Exercise of options		1	1,427
Issuance of common stock under employee purchase plan			79
Equity-based compensation			4,618
Net loss	(18,757)			(18,757)
Unrealized loss on available-for-sale securities	(117)						(117)
Foreign currency translation adjustment	71						71
Ending Balance, amount at Sep. 30, 2020	$ (49,668)	$ 57	$ 469,302	$ (474,054)		$ (45,067)	$ 94

Organization and Nature of Busi

Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies	9 Months Ended
	Sep. 30, 2020
Accounting Policies [Abstract]
Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies	NOTE 1. ORGANIZATION AND NATURE OF BUSINESS; BASIS OF PRESENTATION; PRINCIPLES OF CONSOLIDATION; SIGNIFICANT ACCOUNTING POLICIES Accelerate Diagnostics, Inc. (“we” or “us” or “our” or “Accelerate” or the “Company”) is an in vitro diagnostics company dedicated to providing solutions that improve patient outcomes and lower healthcare costs through the rapid diagnosis of serious infections. Basis of Presentation The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“U.S. GAAP”) and applicable rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to such rules and regulations. Therefore, these condensed consolidated financial statements should be read in conjunction with the condensed consolidated financial statements and notes included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, as filed with the SEC on February 28, 2020. The condensed consolidated balance sheet as of December 31, 2019 included herein was derived from the audited financial statements as of that date, but does not include all disclosures such as notes required by U.S. GAAP. The accompanying unaudited condensed consolidated financial statements reflect all normal recurring adjustments necessary to present fairly the financial position, results of operations, and cash flows for the interim periods presented, but are not necessarily indicative of the results of operations to be anticipated for the entire year ending December 31, 2020, or any future period. All amounts are rounded to the nearest thousand dollars unless otherwise indicated. Principles of Consolidation The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries after elimination of intercompany transactions and balances. Use of Estimates The preparation of the Company’s condensed consolidated financial statements requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities and the related disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. The more significant areas requiring the use of management estimates and assumptions relate to accounts receivable, inventory, property and equipment, accrued liabilities, warranty liabilities, tax valuation accounts and equity–based compensation. Actual results could differ materially from those estimates. Estimated Fair Value of Financial Instruments The Company follows Accounting Standards Codification (“ASC”) 820, Fair Value Measurement, which has defined fair value and requires the Company to establish a framework for measuring and disclosing fair value. The framework requires the valuation of assets and liabilities subject to fair value measurements using a three tiered approach and fair value measurement be classified and disclosed in one of the following three categories: • Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities; • Level 2: Quoted prices for similar assets and liabilities in active markets, quoted prices in markets that are not active, or inputs that are observable, either directly or indirectly, for substantially the full term of the asset or liability; • Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e. supported by little or no market activity). The carrying amounts of financial instruments such as cash and cash equivalents, trade accounts receivable, prepaid expenses, other current assets, accounts payable, accrued liabilities, and other current liabilities approximate the related fair values due to the short-term maturities of these instruments. The estimated fair value of the Company’s convertible note represents a Level 2 measurement. See Note 11, Convertible Notes for further detail on the Company’s convertible notes. The estimated fair value of the Company’s long-term debt represents a Level 3 measurement. The promissory notes issued under the Paycheck Protection Program (PPP) and other long-term debt is privately held with no public market. The carrying amount of these notes approximates fair value. See Note 10, Long-Term Debt for further detail on the Company’s long-term debt. Cash and Cash Equivalents All highly liquid investments with an original maturity of three months or less at time of purchase are considered to be cash equivalents. Cash and cash equivalents include overnight repurchase agreement accounts and other investments. As part of our cash management process, excess operating cash is invested in overnight repurchase agreements with our bank. Repurchase agreements and other investments classified as cash and cash equivalents are not deposits and are not insured by the U.S. Government, the FDIC or any other government agency and involve investment risk including possible loss of principal. We believe, however, that the market risk arising from holding these financial instruments is minimal. Investments The Company invests in various debt securities available-for-sale and equity securities which are primarily held in the custody of major financial institutions. Debt securities available-for-sale consist of certificates of deposit, U.S. government and agency securities, commercial paper, asset-backed securities, and corporate notes and bonds. Equity securities consist of mutual funds. The Company records these investments in the condensed consolidated balance sheet at fair value. Unrealized gains or losses for debt securities available-for-sale are included in accumulated other comprehensive income (loss), a component of stockholders’ equity. Unrealized gains or losses for equity securities are included in other income (expense), net, a component of statements of operations and comprehensive loss. The Company considers all debt securities available-for-sale, including those with maturity dates beyond 12 months, as available to support current operational liquidity needs. The Company classifies its investments as current based on the nature of the investments and their availability for use in current operations. On a quarterly basis, we perform an assessment to determine whether there have been any events or economic circumstances to indicate that a debt security available-for-sale in an unrealized loss position has suffered impairment as a result of credit loss or other factors. A debt security available-for-sale is considered impaired if its fair value is less than its amortized cost basis at the reporting date. If we intend to sell the debt security or if it is more-likely-than-not that we will be required to sell the debt security before the recovery of its amortized cost basis, the impairment is recognized and the unrealized loss is recorded as a direct write-down of the security's amortized cost basis with an offsetting entry to earnings. If we do not intend to sell the debt security or believe we will not be required to sell the debt security before the recovery of its amortized cost basis, the impairment is assessed to determine if a credit loss component exists. We use a discounted cash flow method to determine the credit loss component. In the event a credit loss exists, an allowance for credit losses is recorded in earnings for the credit loss component of the impairment while the remaining portion of the impairment attributable to factors other than credit loss is recognized, net of tax, in accumulated other comprehensive income (loss). The amount of impairment recognized due to credit factors is limited to the excess of the amortized cost basis over the fair value of the security available-for-sale. Inventory Inventory is stated at the lower of cost or net realizable value. The Company determines the cost of inventory using the first-in, first out method. The Company estimates the recoverability of inventory by reference to internal estimates of future demands and product life cycles, including expiration. The Company periodically analyzes its inventory levels to identify inventory that may expire prior to expected sale or has a cost basis in excess of its estimated realizable value and records a charge to expense for such inventory as appropriate. Accounts Receivable Accounts receivable consist of amounts due to the Company for sales to customers and are based on what we expect to collect in exchange for goods and services. Receivables are considered past due based on the contractual payment terms and are written off if reasonable collection efforts prove unsuccessful. We maintain an allowance for credit losses for expected uncollectible accounts receivable, which is recorded as an offset to accounts receivable and changes in such are classified as general and administrative expense in the condensed consolidated statements of operations. We assess collectibility by reviewing accounts receivable on a collective basis where similar characteristics exist and on an individual basis when we identify specific customers with known disputes or collectibility issues. In determining the amount of the allowance for credit losses, we consider historical collectibility and make judgments about the creditworthiness of customers based on credit evaluations. We also consider customer-specific information, current market conditions and reasonable and supportable forecasts of future economic conditions to inform adjustments to historical loss data. The allowance for credit losses as of September 30, 2020 was $0.3 million. Property and Equipment Property and equipment are recorded at cost. Maintenance and repairs are charged to expense as incurred and expenditures for major improvements are capitalized. Gains and losses from retirement or replacement are included in costs and expenses. Depreciation of property and equipment is computed using the straight-line method over the estimated useful life of the assets, ranging from one Instruments Classified as Property and Equipment Property and equipment includes Accelerate Pheno systems (also referred to as instruments) used for sales demonstrations, instruments under rental agreements and instruments used for research and development. Depreciation expense for instruments used for sales demonstrations is recorded as a component of sales, general and administrative expense. Depreciation expense for instruments placed at customer sites pursuant to reagent rental agreements is recorded as a component of cost of sales. Depreciation expense for instruments used in our laboratory and research is recorded as a component of research and development expense. The Company retains title to these instruments and depreciates them over five years. Losses from the retirement of returned instruments are included in costs and expenses. The Company evaluates the recoverability of the carrying amount of its instruments whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable, and this evaluation is performed at least annually. This evaluation is based on our estimate of future cash flows and the estimated fair value of such long-lived assets, and provides for impairment if such undiscounted cash flows or the estimated fair value are insufficient to recover the carrying amount of instruments. No impairment charges have been recorded as of September 30, 2020 and December 31, 2019. Long-lived Assets Long-lived assets and certain identifiable intangibles to be held and used by the Company are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. The Company continuously evaluates the recoverability of its long-lived assets based on estimated future cash flows from and the estimated fair value of such long-lived assets, and provides for impairment if such undiscounted cash flows or the estimated fair value are insufficient to recover the carrying amount of the long-lived asset. Warranty Reserve Instruments are typically sold with a one year limited warranty, while kits and accessories are typically sold with a sixty days limited warranty. Accordingly, a provision for the estimated cost of the limited warranty repair is recorded at the time revenue is recognized. Our estimated warranty provision is based on our estimate of future repair events and the related estimated cost of repairs. The Company periodically assesses the adequacy of the warranty reserve and adjusts the amount as necessary. The expense incurred for these provisions is included in cost of sales on the condensed consolidated statements of operations and comprehensive loss. Warranty reserve activity for the three and nine months ended September 30, 2020 and 2019 is as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Beginning balance $ 305 $ 196 $ 403 $ 215 Provisions 72 77 72 147 Warranty cost incurred (40) (51) (138) (140) Ending balance $ 337 $ 222 $ 337 $ 222 Paycheck Protection Program (PPP) Loan The PPP was established by the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act, through a significant expansion of the Small Business Administration (“SBA”) 7(a) loan program. On April 14, 2020, the Company entered into a promissory note (the “PPP Note”) evidencing an unsecured loan in the amount of $4.8 million. The Company elected to account for the PPP Note in accordance with ASC 470, Debt, with interest accrued in accordance with the interest method under ASC 835-30, Imputation of Interest. The Company recognized the entire PPP Note amount as a liability on the balance sheet, with interest accrued and expensed over the term of the loan. The Company did not impute additional interest at a market rate because transactions where interest rates are prescribed by governmental agencies are excluded from the scope of ASC 835-30. The PPP Note will remain a liability until either of the following criteria are met: • the Company has been legally released from being the primary obligor under the liability (i.e. the PPP Note is forgiven); or • the Company pays the lender and is relieved of its obligation for the liability See Note 10, Long-Term Debt for further detail regarding the PPP Note. Convertible Notes The Company accounts for convertible debt instruments that may be settled in cash or equity upon conversion, which includes the 2.50% Senior Convertible Notes due 2023 (the “Notes”), by separating the liability and equity components of the instruments in a manner that reflects our nonconvertible debt borrowing rate. The Company determined the carrying amount of the liability component of the Notes by using estimates and assumptions that market participants would use in pricing a debt instrument. These estimates and assumptions are judgmental in nature and could have a significant impact on the determination of the debt component, and the associated non-cash interest expense. The equity component is treated as a discount on the liability component of the Notes, which is amortized over the term of the Notes using the effective interest rate method. Debt issuance costs related to the Notes are allocated to the liability and equity components of the Notes based on their relative values. Debt issuance costs allocated to the liability component are amortized over the life of the Notes as additional non-cash interest expense. Transaction costs allocated to equity are netted with the equity component of the convertible debt instrument in stockholders’ deficit. Revenue Recognition The Company recognizes revenue when control of the promised good or service is transferred to our customers in an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services. Sales taxes are excluded from revenues. The Company determines revenue recognition through the following steps: • Identification of the contract with a customer • Identification of the performance obligations in the contract • Determination of the transaction price • Allocation of the transaction price to the performance obligations • Recognition of revenue as we satisfy a performance obligation Product revenue is derived from the sale or rental of our instruments and sales of related consumable products. When an instrument is sold, revenue is generally recognized upon installation of the unit consistent with contract terms, which do not include a right of return. When a consumable product is sold, revenue is generally recognized upon shipment. Invoices are generally issued when revenue is recognized and the term between invoicing and when payment is due is not typically significant. Service revenue is derived from the sale of extended service agreements which are generally non-cancellable. This revenue is recognized on a straight-line basis over the contract term beginning on the effective date of the contract because the Company is standing ready to provide services. Invoices are generally issued annually and coincide with the beginning of individual service terms. Our contracts with customers may include multiple performance obligations. For such arrangements, we allocate revenue to each performance obligation based on its relative standalone selling price. We generally determine relative standalone selling prices based on the price charged to customers for each individual performance obligation. Sales commissions earned by our sales force are considered incremental and recoverable costs of obtaining a contract with a customer. The Company has determined these costs would have an amortization period of less than one year and has elected to recognize them as an expense when incurred. Contract asset opening and closing balances were immaterial for the three and nine months ended September 30, 2020. Cost of Sales Cost of sales includes cost of materials, direct labor, equity-based compensation, facility and other manufacturing overhead costs for consumable tests and instruments sold to customers. Cost of sales for instruments also includes depreciation on revenue generating instruments that have been placed with our customers under a reagent rental agreement. Cost of sales includes repair and maintenance cost for instruments covered by a service agreement or instruments covered by a reagent rental agreement. Cost of sales also includes warranty related expenses. Shipping and Handling Shipping and handling costs billed to customers are included as a component of revenue. The corresponding expense incurred with third party carriers is included as a component of sales, general and administrative costs on the condensed consolidated statements of operations and comprehensive loss. Restructure Activity During the three months ended September 30, 2020, following the completion of a strategic review of its Europe, the Middle East and Africa (“EMEA”) business, the Company's board of directors approved a plan to reduce its workforce, focus the geographies it plans to operate in, and terminate agreements with some distributors in geographies it plans on exiting (collectively, the “EMEA Restructuring Plan”). As of September 30, 2020, the Company substantially completed the workforce reduction portion of the EMEA Restructuring Plan, while the remaining restructuring activities are likely to occur through the end of the year. Restructuring charges are primarily comprised of employee severance and other post-employment benefits. The Company evaluates the nature of these costs to determine if they relate to on-going benefit arrangements which are accounted for under ASC 712 or one-time benefit arrangements which are accounted for under ASC 420. The Company incurred expense of $0.4 million in connection with the EMEA Restructuring Plan. Leases The Company accounts for commercial leases in accordance with ASC 842, Leases. We determine if an arrangement is or contains a lease and the type of lease at inception. The Company classifies commercial leases as finance leases (lessee) or sales-type leases (lessor) when there is either a transfer of ownership of the underlying asset by the end of the lease term, the lease contains an option to purchase the asset that we are reasonably certain will be exercised, the lease term is for the major part of the remaining economic life of the asset, the present value of the lease payments and any residual value guarantee equals or substantially exceeds all the fair value of the asset, or the asset is of such a specialized nature that it will have no alternative use to the lessor at the end of the lease term. Payments contingent on future events (i.e. based on usage) are considered variable and excluded from lease payments for the purposes of classification and initial measurement. Several of our leases include options to renew or extend the term upon mutual agreement of the parties and others include one-year extensions exercisable by the lessee. None of our leases contain residual value guarantees, restrictions, or covenants. To determine whether a contract contains a lease, the Company uses its judgment in assessing whether the lessor retains a material amount of economic benefit from an underlying asset, whether explicitly or implicitly identified, which party holds control over the direction and use of the asset, and whether any substantive substitution rights over the asset exist. Lessee Operating leases are included in right-of-use (“ROU”) assets and operating lease liabilities within our consolidated balance sheets. These assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. ROU assets and their related liabilities are recognized at commencement date based on the present value of lease payments over the lease term. Typically, we use our incremental borrowing rate based on the information available at commencement in determining the present value of lease payments. We use the implicit rate when readily determinable. ROU assets are net of lease payments made and exclude lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term, which may include options to extend or terminate the lease when it is reasonably certain that we will exercise the option. As of September 30, 2020 and December 31, 2019, the Company was not party to finance lease arrangements. Our operating leases consist primarily of leased office, factory, and laboratory space in the U.S. and office space in Europe, have between two Lessor The Company leases instruments to customers under “reagent rental” agreements, whereby the customer agrees to purchase consumable products over a stated term, typically five years or less, for a volume-based price that includes an embedded rental for the instruments. When collectibility is probable, that amount is recognized as income at lease commencement for sales-type leases and as product is shipped, typically in a straight–line pattern, over the term for operating leases, which typically include a termination without cause or penalty provision given a short notice period. Consideration is allocated between lease and non-lease components based on stand-alone selling price in accordance with ASC 606, Revenue from Contracts with Customers. Net investment in sales-type leases are included within our condensed consolidated balance sheets as a component of other current assets and other non-current assets, which include the present value of lease payments not yet received and the present value of the residual asset, which are determined using the information available at commencement, including the lease term, estimated useful life, rate implicit in the lease, and expected fair value of the instrument. Nonqualified Cash Deferral Plan The Company's Cash Deferral Plan (the “Deferral Plan”), provides certain key employees, with an opportunity to defer the receipt of such participant's base salary. The Deferral Plan is intended to be a nonqualified deferred compensation plan that complies with the provisions of Section 409A of the Internal Revenue Code. All of the investments held in the Deferral Plan are equity securities consisting of mutual funds and recorded at fair value with changes in the investments' fair value recognized as earnings in the period they occur. The corresponding liability for the Deferral Plan is included in other non-current liabilities in the condensed consolidated balance sheet. Equity-Based Compensation The Company may award stock options, restricted stock units (“RSUs”), performance-based awards, and other equity-based instruments to its employees, directors and consultants. Compensation cost related to equity-based instruments is based on the fair value of the instrument on the grant date, and is recognized over the requisite service period on a straight-line basis over the vesting period for each tranche (an accelerated attribution method) except for performance-based awards. Performance-based awards vest based on the achievement of performance targets. Compensation costs associated with performance-based awards are recognized over the requisite service period based on probability of achievement. Performance-based awards require management to make assumptions regarding the likelihood of achieving performance targets. The Company estimates the fair value of service based and performance based stock option awards, including modifications of stock option awards, using the Black-Scholes option pricing model. This model derives the fair value of stock options based on certain assumptions related to expected stock price volatility, expected option life, risk-free interest rate and dividend yield. • Volatility: The expected volatility is based on the historical volatility of the Company's stock price over the most recent period commensurate with the expected term of the stock option award. • Expected term: The estimated expected term for employee awards is based on the calculation published by the SEC in SAB110 for use when there is not a sufficient history of employee exercise patterns. For consultant awards, the estimated expected term is the same as the life of the award. • Risk-free interest rate: The risk-free interest rate is based on published U.S. Treasury rates for a term commensurate with the expected term. • Dividend yield: The dividend yield is estimated as zero as the Company has not paid dividends in the past and does not have any plans to pay any dividends in the foreseeable future. The Company records the fair value of RSUs or stock grants based on published closing market price on the day before the grant date. The Company accounts for forfeitures as they occur rather than on an estimated basis. Deferred Tax Assets Deferred tax assets and liabilities are recorded for the estimated future tax effects of temporary differences between the tax basis of assets and liabilities and amounts reported in the accompanying balance sheets. The change in deferred tax assets and liabilities for the period represents the deferred tax provision or benefit for the period. Effects of changes in enacted tax laws in deferred tax assets and liabilities are reflected as an adjustment to the tax provision or benefit in the period of enactment. The Company follows the provisions of ASC 740, Income Taxes, to account for any uncertainty in income taxes with respect to the accounting for all tax positions taken (or expected to be taken) on any income tax return. This guidance applies to all open tax periods in all tax jurisdictions in which the Company is required to file an income tax return. Under U.S. GAAP, in order to recognize an uncertain tax benefit, the taxpayer must be more likely than not certain of sustaining the position, and the measurement of the benefit is calculated as the largest amount that is more likely than not to be realized upon resolution of the position. Interest and penalties, if any, would be recorded within tax expense. Foreign Currency Translation and Foreign Currency Transactions Adjustments resulting from translating foreign functional currency financial statements into U.S. Dollars are included in the foreign currency translation adjustment, a component of accumulated other comprehensive income (loss). The Company has assets and liabilities, including receivables and payables, which are denominated in currencies other than their functional currency. These balance sheet items are subject to re-measurement, the impact of which is recorded in foreign currency exchange gain and loss, within the condensed consolidated statement of operations and comprehensive loss. Loss Per Share Basic loss per share includes no dilution and is computed by dividing loss available to common stockholders by the weighted average number of common shares outstanding for the period. Potentially dilutive common shares consist of shares issuable from stock options and unvested RSUs. Potentially dilutive common shares would also include common shares that would be outstanding if the Notes at the balance sheet date were converted. Diluted earnings are not presented when the effect of adding such additional common shares is antidilutive. Comprehensive Loss In addition to net loss, comprehensive loss includes all changes in equity during a period, except those resulting from investments by and distributions to owners. The Company holds investments classified as debt securities available-for-sale and records the change in fair market value as a component of comprehensive loss. The Company also has adjustments resulting from translating foreign functional currency financial statements into U.S. Dollars which is included as a component of comprehensive loss.

Recently Issued Accounting Pron

Recently Issued Accounting Pronouncements	9 Months Ended
	Sep. 30, 2020
Accounting Changes and Error Corrections [Abstract]
Recently Issued Accounting Pronouncements	NOTE 2. RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS Standards that were recently adopted In August 2018, the Financial Accounting Standards Board (“FASB”) issued ASU 2018-13, Fair Value Measurement (Topic 820); Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. ASU 2018-13 modifies, among other things, the disclosures required for Level 3 fair value measurements, including the range and weighted average of significant unobservable inputs. The guidance removes, among other things, the disclosure requirement to disclose transfers between Levels 1 and 2. Level 3 fair value measurement disclosures should be applied prospectively while all other amendments should be applied retrospectively. The Company adopted ASU 2018-13 on January 1, 2020, which had no impact to our condensed consolidated financial statements as the Company did not carry Level 3 fair value items upon implementing this ASU on January 1, 2020. In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326); Measurement of Credit Losses on Financial Instruments. In November 2018, ASU 2018-19 was issued which amended the standard to clarify that receivables arising from operating leases are within the scope of lease accounting standards. Further, the FASB issued ASU 2019-04, 2019-05, 2019-10, ASU 2019-11, 2020-02 and 2020-03 to provide additional guidance on the credit losses standard. ASU 2016-13 amends the guidance on measuring credit losses on financial assets (including trade accounts receivable and available for sale debt securities) held at amortized cost. Previously, an “incurred loss” methodology was used for recognizing credit losses which delays recognition until it is probable a loss has been incurred. This amendment requires assets valued at amortized cost to be presented at the net amount expected to be collected using an allowance for credit losses. Reversal of credit losses on available for sale debt securities are now recorded in current period net income. The Company adopted ASU 2016-13 Standards not yet adopted In August 2020, the FASB issued ASU 2020-06, Debt - Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2020-06 reduces the complexity associated with applying U.S. GAAP for certain financial instruments with characteristics of liabilities and equity. In addressing the complexity, this ASU amends the guidance on convertible instruments and the guidance on the derivatives scope exception for contracts in an entity’s own equity. This ASU will reduce the number of accounting models for convertible debt instruments and convertible preferred stock. Limiting the accounting models results in fewer embedded conversion features being separately recognized from the host contract as compared with current U.S. GAAP standards. Convertible instruments that continue to be subject to separation models are (1) those with embedded conversion features that are not clearly and closely related to the host contract, that meet the definition of a derivative, and that do not qualify for a scope exception from derivative accounting and (2) convertible debt instruments issued with substantial premiums for which the premiums are recorded as paid-in capital. This ASU is effective for us on January 1, 2022, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements. In January 2020, the FASB issued ASU 2020-01, Investments-Equity Securities (Topic 321), Investments-Equity Method and Joint Ventures (Topic 323), and Derivatives and Hedging (Topic 815), Clarifying the Interactions between Topic 321, Topic 323, and Topic 815 (a consensus of the FASB Emerging Issues Task Force). ASU 2020-01 clarifies the interaction of the accounting for equity securities under Topic 321, the accounting for the equity method investments in Topic 323 and the accounting for certain forward contracts and purchased options in Topic 815. This ASU is effective for us on January 1, 2021, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements. In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740); Simplifying the Accounting for Income Taxes. ASU 2019-12 reduces complexity in the accounting standard. This ASU is effective for us on January 1, 2021, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements.

Concentration of Credit Risk

Concentration of Credit Risk	9 Months Ended
	Sep. 30, 2020
Risks and Uncertainties [Abstract]
Concentration of Credit Risk	NOTE 3. CONCENTRATION OF CREDIT RISK Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash equivalents, short-term investments and accounts receivable, including receivables from major customers. The Company has financial institutions for banking operations that hold 10% or more of the Company’s cash and cash equivalents. As of September 30, 2020, four of the Company's financial institutions held 18%, 38%, 21% and 11% of the Company’s cash and cash equivalents, respectively. As of December 31, 2019, two of the Company's financial institutions held 73% and 18% of the Company’s cash and cash equivalents, respectively.

Fair Value of Financial Instrum

Fair Value of Financial Instruments	9 Months Ended
	Sep. 30, 2020
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments	NOTE 4. FAIR VALUE OF FINANCIAL INSTRUMENTS The following tables represent the financial instruments measured at fair value on a recurring basis in the financial statements of the Company and the valuation approach applied to each class of financial instruments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 Quoted Prices Significant Significant Total Assets: Cash and cash equivalents: Money market funds $ 5,013 $ — $ — $ 5,013 Commercial paper — 1,875 — 1,875 Total cash and cash equivalents 5,013 1,875 — 6,888 Equity investments: Mutual funds 248 — — 248 Total equity investments 248 — — 248 Debt securities available-for-sale: Certificates of deposit — 6,857 — 6,857 U.S. Treasury securities 13,484 — — 13,484 Commercial paper — 9,345 — 9,345 Corporate notes and bonds — 20,529 — 20,529 Debt securities available-for-sale 13,484 36,731 — 50,215 Total assets measured at fair value $ 18,745 $ 38,606 $ — $ 57,351 December 31, 2019 Quoted Prices Significant Significant Total Assets: Cash and cash equivalents: Money market funds $ 43,745 $ — $ — $ 43,745 Commercial paper — 1,993 — 1,993 Corporate notes and bonds — 1,006 — 1,006 Total cash and cash equivalents 43,745 2,999 — 46,744 Debt securities available-for-sale: Certificates of deposit — 5,663 — 5,663 U.S. Treasury securities 12,579 — — 12,579 U.S. Agency securities — 3,998 — 3,998 Commercial paper — 2,491 — 2,491 Corporate notes and bonds — 22,706 — 22,706 Debt securities available-for-sale 12,579 34,858 — 47,437 Total assets measured at fair value $ 56,324 $ 37,857 $ — $ 94,181 Highly liquid investments with an original maturity of three months or less at time of purchase are included in cash and cash equivalents on the condensed consolidated balance sheet. Level 1 assets are priced using quoted prices in active markets for identical assets which include money market funds, U.S. Treasury securities and mutual funds as these specific assets are liquid. Level 2 available-for-sale securities are priced using quoted market prices for similar instruments or nonbinding market prices that are corroborated by observable market data. The Company uses inputs such as actual trade data, benchmark yields, broker/dealer quotes, and other similar data, which are obtained from quoted market prices, independent pricing vendors, or other sources, to determine the ultimate fair value of these assets and liabilities. The Company uses such pricing data as the primary input to make its assessments and determinations as to the ultimate valuation of its investment portfolio and has not made, during the periods presented, any material adjustments to such inputs. In 2018, the Company issued the Notes, for total proceeds of $171.5 million, as described in Note 11, Convertible Notes. At September 30, 2020 and December 31, 2019, the fair value of the Notes were $110.7 million and $133.8 million, respectively. The fair value of the Notes is highly correlated to the Company’s stock price and as a result, significant changes to the Company’s stock price will have a significant impact on the calculated fair value. The fair value of the Notes are classified as Level 2 within the fair value hierarchy. See Note 11, Convertible Notes for further detail on the Company’s convertible notes. The Company's PPP Note along with its other long-term notes, cumulatively $5.5 million, approximate their fair value. The estimated fair value of the Company’s long-term debt represents a Level 3 measurement. See Note 10, Long-Term Debt for further detail on the Company's long-term debt.

Investments

Investments	9 Months Ended
	Sep. 30, 2020
Investments, Debt and Equity Securities [Abstract]
Investments	NOTE 5. INVESTMENTS The following tables summarize the Company’s debt securities available-for-sale investments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 Amortized Gross Gross Fair Value Certificates of deposit $ 6,838 $ 19 $ — $ 6,857 U.S. Treasury securities 13,435 49 — 13,484 U.S. Agency securities — — — — Commercial paper 9,345 1 (1) 9,345 Corporate notes and bonds 20,513 19 (3) 20,529 Total $ 50,131 $ 88 $ (4) $ 50,215 December 31, 2019 Amortized Gross Gross Fair Value Certificates of deposit $ 5,646 $ 17 $ — $ 5,663 U.S. Treasury securities 12,564 16 (1) 12,579 U.S. Agency securities 4,002 — (4) 3,998 Commercial paper 2,492 — (1) 2,491 Corporate notes and bonds 22,711 6 (11) 22,706 Total $ 47,415 $ 39 $ (17) $ 47,437 The following table summarizes the maturities of the Company’s debt securities available-for-sale investments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 December 31, 2019 Amortized Fair Value Amortized Fair Value Due in less than 1 year $ 49,874 $ 49,958 $ 43,627 $ 43,650 Due in 1-3 years 257 257 3,788 3,787 $ 50,131 $ 50,215 $ 47,415 $ 47,437 Proceeds from sales of debt securities available-for-sale (including principal paydowns) for each of the three months ended September 30, 2020 and 2019 was $0, and for the nine months ended September 30, 2020 and 2019 were $0 and $13.4 million, respectively. The Company determines gains and losses of marketable securities based on specific identification of the securities sold. There were no material realized gains or losses from debt securities available-for-sale for the three and nine months ended September 30, 2020 and 2019. No material balances were reclassified out of accumulated other comprehensive income (loss) for the three and nine months ended September 30, 2020 and 2019. As of September 30, 2020, there were no holdings of debt securities available-for-sale of any one issuer, other than the U.S. government, in an amount greater than 10%. As of September 30, 2020 there were no debt securities available-for-sale in a material unrealized loss position. As of September 30, 2020 the Company carried debt securities available-for-sale that were certificates of deposits, which were not covered by a rating agency or the credit rating was below the Company's minimum credit rating. As of September 30, 2020 all of the Company's certificate deposits were below the FDIC's insurance limit of $250,000 per depositor which mitigated the Company's investment risk. All other debt securities available-for-sale had a credit rating of A- or better as of September 30, 2020. Equity securities are comprised of investments in mutual funds. The fair value of equity securities at September 30, 2020 was $0.2 million. There were no material unrealized gains or losses on equity securities recorded in income for the three and nine months ended September 30, 2020. These unrealized gains or losses are recorded as a component of other income (expense), net. There were no realized gains or losses from equity securities for the three and nine months ended September 30, 2020.

Inventory

Inventory	9 Months Ended
	Sep. 30, 2020
Inventory Disclosure [Abstract]
Inventory	NOTE 6. INVENTORY Inventories consisted of the following at September 30, 2020 and December 31, 2019 (in thousands): September 30, December 31, 2020 2019 Raw materials $ 5,128 $ 4,854 Work in process 2,257 1,561 Finished goods 2,074 1,644 $ 9,459 $ 8,059

Property and Equipment

Property and Equipment	9 Months Ended
	Sep. 30, 2020
Property, Plant and Equipment [Abstract]
Property and Equipment	NOTE 7. PROPERTY AND EQUIPMENT Property and equipment consisted of the following at September 30, 2020 and December 31, 2019 (in thousands): September 30, December 31, 2020 2019 Computer equipment $ 2,599 $ 2,477 Technical equipment 3,943 3,681 Facilities 3,690 3,883 Instruments 6,599 7,491 Capital projects in progress 1,047 238 Total property and equipment $ 17,878 $ 17,770 Accumulated depreciation (10,774) (9,865) Property and equipment, net $ 7,104 $ 7,905 Depreciation expense for each of the three months ended September 30, 2020 and 2019 was $0.6 million, and for the nine months ended September 30, 2020 and 2019 was $1.8 million and $1.7 million, respectively. Gross assets under operating leases where the Company is the lessor at September 30, 2020 and December 31, 2019 were $4.3 million and $4.6 million, respectively. The underlying accumulated depreciation under operating leases where the Company is the lessor at September 30, 2020 and December 31, 2019 was $1.1 million and $0.8 million, respectively.

License Agreements and Grants

License Agreements and Grants	9 Months Ended
	Sep. 30, 2020
Research and Development [Abstract]
License Agreements and Grants	NOTE 8. LICENSE AGREEMENTS AND GRANTS National Institute of Health Grant In February 2015, the National Institute of Health awarded Denver Health and the Company a five-year, $5.0 million grant to develop a fast and reliable identification and categorical susceptibility test for carbepenem-

Deferred Revenue and Remaining

Deferred Revenue and Remaining Performance Obligations	9 Months Ended
	Sep. 30, 2020
Deferred Revenue Disclosure [Abstract]
Deferred Revenue and Remaining Performance Obligations	NOTE 9. DEFERRED REVENUE AND REMAINING PERFORMANCE OBLIGATIONS Deferred revenue consists of amounts received for products or services not yet delivered or earned. If we anticipate revenue will not be earned within the following twelve months, the amount is reported as other non-current liabilities. A summary of the balances as of September 30, 2020 and December 31, 2019 follows (in thousands): September 30, December 31, 2020 2019 Products and services not yet delivered $ 338 $ 271 We recognized $0.1 million and $0.2 million of revenues that were included in the beginning contract liabilities balances during the three and nine months ended September 30, 2020, respectively, and $0.2 million and $0.3 million of revenues that were included in the beginning contract liabilities balances during the three and nine months ended September 30, 2019. No material amount of revenue recognized during the period was from performance obligations satisfied in prior periods. Transaction Price Allocated to Remaining Performance Obligations As of September 30, 2020, $8.6 million of revenue is expected to be recognized from remaining performance obligations. This balance primarily relates to product shipments for reagents sold to customers under sales-type lease agreements. These agreements have between two and four year terms and revenue is recognized as product is shipped, typically on a straight-line basis. The remaining balance relates to executed service contracts that begin as warranty periods expire. These service contracts typically provide for four-year terms and revenue is recognized on a straight-line basis. The Company elects not to disclose the value of unsatisfied performance obligations for (i) contracts with an expected length of one year or less and (ii) contracts for which we recognize revenue at the amount to which we have the right to invoice for services performed.

Long-term Debt

Long-term Debt	9 Months Ended
	Sep. 30, 2020
Debt Disclosure [Abstract]
Long-term Debt	NOTE 10. LONG-TERM DEBT As of September 30, 2020 and December 31, 2019, long-term debt consisted of the following (in thousands): September 30, December 31, 2020 2019 PPP Loan - 1% interest $ 4,803 $ — Other Loans - various interest 736 — Total debt 5,539 — Current portion of long-term debt 511 — Long-term debt $ 5,028 $ — The following presents maturities of future principal obligations of long-term debt as of September 30, 2020 (in thousands): Remainder of 2020 $ 76 2021 825 2022 1,604 2023 1,291 2024 1,304 Thereafter 439 Total $ 5,539 Other notes payable During the three months ended September 30, 2020, the Company entered into three loan agreements with two capital asset financing companies. Loan proceeds were $0.7 million, with interest rates ranging from 9.8% to 12.4% and maturities ranging from January 1, 2022 to September 2022. As of September 30, 2020, the current portion of long-term debt was $0.3 million and long-term debt was $0.4 million. PPP Loan On April 14, 2020, the Company entered into the PPP Note evidencing an unsecured loan in the amount of $4.8 million made to the Company under the PPP. The PPP was established under the CARES Act and is administered by the SBA. On September 3, 2020 the Company's loan provider amended the PPP Note per the Paycheck Protection Program Flexibility Act (“PPP Flexibility Act”), which was enacted after the PPP Note was approved and funded. The PPP Flexibility Act amended the CARES Act to require that all PPP Notes made prior to June 5, 2020 be extended to a 5-year term. In accordance with this amendment the PPP Notes' original maturity date of April 14, 2022 was amended to April 14, 2025. The original terms of the loan required 18 monthly payments of principal and interest in the amount of $0.3 million starting November 14, 2020. These amended terms now require 45 monthly payments of principal and interest in the amount of $0.1 million starting August 14, 2021. The PPP Note's interest rate was unchanged and bears interest at a rate of 1% per annum. The PPP Note may be prepaid by the Company at any time prior to maturity with no prepayment penalties. The proceeds from the PPP Note may only be used for payroll costs (including benefits), interest on mortgage obligations, rent, utilities and interest on certain other debt obligations. The PPP Note contains customary events of default relating to, among other things, payment defaults, making materially false and misleading representations to the lender or breaching the terms of the PPP Note documents. The occurrence of an event of default will result in an increase in the interest rate to 18% per annum and provides the lender with customary remedies, including the right to require immediate payment of all amounts owed under the PPP Note. Pursuant to the terms of the CARES Act and the PPP, the Company may apply to the lender for forgiveness for the amount due on the PPP Note. The amount eligible for forgiveness is based on the amount of PPP Note proceeds used by the Company (during the 24 week period after the lender makes the first disbursement of PPP Note proceeds) for the payment of certain covered costs, including payroll costs (including benefits), rent and utilities, subject to certain limitations and reductions in accordance with the CARES Act and the PPP. No assurance can be given that the Company will obtain forgiveness of the PPP Note in whole or in part. As of September 30, 2020 the Company had submitted their application for forgiveness to the loan provider, which is currently under review.

Convertible Notes

Convertible Notes	9 Months Ended
	Sep. 30, 2020
Debt Disclosure [Abstract]
Convertible Notes	NOTE 11. CONVERTIBLE NOTES On March 27, 2018, the Company issued $150.0 million aggregate principal amount of 2.50% Senior Convertible Notes due 2023. In connection with the offering of the Notes, the Company granted the initial purchasers of the Notes a 13-day option to purchase up to an additional $22.5 million aggregate principal amount of the Notes on the same terms and conditions. On April 4, 2018, the option was partially exercised, which resulted in $21.5 million of additional proceeds, for total proceeds of $171.5 million. The Notes are the Company's senior unsecured obligations and mature on March 15, 2023 (the “Maturity Date”), unless earlier repurchased or converted into shares of common stock under certain circumstances described below. The Notes are convertible into shares of the Company’s common stock, can be repurchased for cash, or a combination thereof, at the Company’s election, at an initial conversion rate of 32.3428 shares of common stock per $1,000 principal amount of the Notes, which is equivalent to an initial conversion price of approximately $30.92 per share of common stock, subject to adjustment. The Company pays interest on the Notes semi-annually in arrears on March 15 and September 15 of each year. The $171.5 million of proceeds received from the issuance of the Notes were allocated between long-term debt (the “liability component”) of $116.6 million and contributed capital (the “equity component”) of $54.9 million. The fair value of the liability component was measured using rates determined for similar debt instruments without a conversion feature. The carrying amount of the equity component, representing the conversion option, was determined by deducting the fair value of the liability component from the aggregate face value of the Notes. The liability component will be accreted up to the face value of the Notes of $171.5 million, which will result in additional non-cash interest expense being recognized through the Maturity Date. The equity component will not be remeasured as long as it continues to meet the conditions for equity classification. The Company incurred approximately $5.0 million of issuance costs related to the issuance of the Notes, of which $3.4 million and $1.6 million were recorded to long-term debt and contributed capital, respectively. The $3.4 million of issuance costs recorded as long-term debt on the condensed consolidated balance sheet are being amortized over the five-year contractual term of the Notes using the effective interest method. The effective interest rate on the Notes, including accretion of the Notes to par and debt issuance cost amortization, is 11.52%. The Notes include customary terms and covenants, including certain events of default upon which the Notes may be due and payable immediately. Holders have the option to convert the Notes in multiples of $1,000 principal amount at any time prior to December 15, 2022, but only in the following circumstances: • if the Company’s stock price exceeds 130% of the conversion price for 20 of the last 30 trading days of any calendar quarter after June 30, 2018; • during the 5 business day period after any 5 consecutive trading day period in which the Notes’ trading price is less than 98% of the product of the common stock price times the conversion rate; or • the occurrence of certain corporate events, such as a change of control, merger or liquidation. At any time on or after December 15, 2022, a holder may convert its Notes in multiples of $1,000 principal amount. Holders of the Notes who convert their Notes in connection with a make-whole fundamental change (as defined in the Indenture pursuant to which the Notes were issued) are, under certain circumstances, entitled to an increase in the conversion rate. In addition, in the event of a fundamental change or event of default prior to the Maturity Date, holders will, subject to certain conditions, have the right, at their option, to require the Company to repurchase for cash all or part of the Notes at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus accrued and unpaid interest up to, but excluding, the repurchase date. The Notes at September 30, 2020 and December 31, 2019 consisted of the following (in thousands): September 30, December 31, 2020 2019 Outstanding principal $ 171,500 $ 171,500 Unamortized debt discount (31,267) (39,042) Unamortized debt issuance (1,934) (2,415) Net carrying amount of the liability component $ 138,299 $ 130,043 Interest expense for the three and nine months ended September 30, 2020 and 2019 were as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Contractual coupon interest $ 1,072 $ 1,072 $ 3,216 $ 3,216 Amortization of the debt discount 2,666 2,379 7,775 6,940 Amortization of debt issuance costs 165 147 481 429 Total interest expense on convertible notes $ 3,903 $ 3,598 $ 11,472 $ 10,585 As of September 30, 2020 and December 31, 2019, no Notes were convertible pursuant to their terms. In connection with the Notes issuance, the Company entered into a prepaid forward stock repurchase transaction (“Prepaid Forward”) with a financial institution (“Forward Counterparty”). Pursuant to the Prepaid Forward, the Company used approximately $45.1 million of the net proceeds from its issuance of the Notes to fund the Prepaid Forward. The aggregate number of shares of the Company’s common stock underlying the Prepaid Forward was approximately 1,858,500. The expiration date for the Prepaid Forward is March 15, 2023, although it may be settled earlier in whole or in part. Upon settlement of the Prepaid Forward, at expiration or upon any early settlement, the Forward Counterparty will deliver to the Company the number of shares of common stock underlying the Prepaid Forward or the portion thereof being settled early. The shares purchased under the Prepaid Forward are treated as treasury stock and not outstanding for purposes of the calculation of basic and diluted earnings per share, but will remain outstanding for corporate law purposes, including for purposes of any future stockholders’ votes, until the Forward Counterparty delivers the shares underlying the Prepaid Forward to the Company. The Company’s Prepaid Forward hedge transaction exposes the Company to credit risk to the extent that its counterparty may be unable to meet the terms of the transaction. The Company mitigates this risk by limiting its counterparty to a major financial institution.

Earnings Per Share

Earnings Per Share	9 Months Ended
	Sep. 30, 2020
Earnings Per Share [Abstract]
Earnings Per Share	NOTE 12. EARNINGS PER SHARE Basic net loss per common share was determined by dividing net loss applicable to common stockholders by the weighted average common shares outstanding during the period. Basic and diluted net loss per share are the same because all outstanding common stock equivalents have been excluded, as they are anti-dilutive due to the Company’s losses. The following potentially issuable common shares were not included in the computation of diluted net loss per share because they would have an anti-dilutive effect for each of the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Shares issuable upon the release of restricted stock units 722 20 722 20 Shares issuable upon exercise of stock options 8,952 10,159 8,952 10,159 9,674 10,179 9,674 10,179 Potentially dilutive common shares would also include common shares that would be outstanding if Notes convertible at the balance sheet date were converted. As discussed in Note 11, Convertible Notes, the Company issued $171.5 million of Notes due 2023. The Notes are convertible into shares of the Company’s common stock, can be repurchased for cash, or a combination thereof, at the Company’s election, at an initial conversion rate of 32.3428 shares of common stock per $1,000 principal amount of the Notes. As of September 30, 2020, no Notes were convertible pursuant to their terms. The number of shares issuable upon conversion of the Notes is 5.5 million shares. In connection with the Notes, the Company entered into a prepaid forward stock repurchase transaction. The aggregate number of shares of the Company’s common stock underlying the Prepaid Forward was approximately 1,858,500. The shares purchased under the Prepaid Forward are treated as treasury stock and not outstanding for purposes of the calculation of basic and diluted earnings per share, but will remain outstanding for corporate law purposes, including for purposes of any future stockholders’ votes, until the Forward Counterparty delivers the shares underlying the Prepaid Forward to the Company.

Employee Equity-Based Compensat

Employee Equity-Based Compensation	9 Months Ended
	Sep. 30, 2020
Share-based Payment Arrangement [Abstract]
Employee Equity-Based Compensation	NOTE 13. EMPLOYEE EQUITY-BASED COMPENSATION The following table summarizes option activity under all plans for the nine months ended September 30, 2020: Number of Shares Weighted Average Exercise Price per Share Options Outstanding January 1, 2020 10,132,562 $ 12.28 Granted 1,693,083 8.55 Forfeited (486,864) 13.86 Exercised (2,219,281) 2.01 Expired (167,187) 19.83 Options Outstanding September 30, 2020 8,952,313 $ 13.89 The table below summarizes the resulting weighted average inputs used to calculate the estimated fair value of options awarded for the three months ended September 30, 2020 and 2019: Three Months Ended September 30, 2020 2019 Expected term (in years) 6.14 6.46 Volatility 62 % 59 % Expected dividends — — Risk free interest rates 0.42 % 1.47 % Weighted average fair value $ 8.10 $ 9.66 The following table shows summary information for outstanding options and options that are exercisable (vested) as of September 30, 2020: Options Options Number of options 8,952,313 4,767,274 Weighted average remaining contractual term (in years) 6.26 4.51 Weighted average exercise price $ 13.89 $ 13.28 Weighted average fair value $ 8.73 $ 8.60 Aggregate intrinsic value (in thousands) $ 15,514 $ 12,387 The following table summarizes RSU and restricted stock award activity for the nine months ended September 30, 2020: Number of Shares Weighted Average Grant Date Fair Value per Share Outstanding January 1, 2020 14,332 $ 16.66 Granted 807,751 11.47 Forfeited (31,307) 9.72 Vested/released (68,641) 9.85 Outstanding September 30, 2020 722,135 $ 11.80 The table below summarizes equity-based compensation expense for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cost of sales $ 119 $ 65 $ 249 $ 172 Research and development 1,349 897 2,807 3,226 Sales, general and administrative 3,208 2,169 9,235 6,011 $ 4,676 $ 3,131 $ 12,291 $ 9,409 The table below summarizes share-based compensation cost capitalized to inventory or inventory transferred to property and equipment (also referred to as instruments) for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cost capitalized to inventory $ 61 $ 92 $ 199 $ 332 As of September 30, 2020, unrecognized equity-based compensation expense related to unvested stock options and unvested RSUs was $17.4 million and $3.9 million, respectively. This is expected to be recognized over the years 2020 through 2025. Included in the above-noted stock options outstanding and stock compensation expense are performance-based stock options which vest only upon the achievement of certain targets. Performance-based stock options are generally granted at-the-money, contingently vest over a period of 1 to 2 years, depending on the nature of the performance goal, and have contractual lives of 10 years. These options were valued in the same manner as the time-based options, with the assumption that performance goals will be achieved. The inputs for expected volatility, expected dividends, and risk-free rate used in estimating those options’ fair value are the same as the time-based options issued under the plan. The expected term for performance-based stock options is 5 to 7 years. However, the Company only recognizes stock compensation expense to the extent that the targets are determined to be probable of being achieved, which triggers the vesting of the performance options. In August 2018, the Company granted 225,000 performance-based stock options. Of these performance-based stock options performance obligations had been met for 75,000 options which became exercisable in the prior year. The remaining 150,000 options were forfeited for the performance targets not being achieved. Of the total options forfeited, 50,000 of those options were forfeited during the nine months ended September 30, 2020. No stock compensation expense for the forfeited performance-based stock options was recognized. The stock compensation expense for the vested options was recorded in prior periods. During the nine months ended September 30, 2020, the Company granted another 105,000 performance-based stock options. During the three and nine months ended September 30, 2020, 22,500 performance-based stock options vested due to the performance obligations being achieved. None of these options have been forfeited as of September 30, 2020. The table below summarizes share-based compensation cost in connection with performance-based stock options for the nine months ended September 30, 2020 and 2019 (in thousands): Nine Months Ended September 30, 2020 2019 Performance-based stock option expense $ 109 $ 107 Included in the above-noted RSU and restricted stock award outstanding amount are performance-based RSU's which vest only upon the achievement of certain targets. Performance-based RSU's contingently vest over a period of 1 to 3 years, depending on the nature of the performance goal, and have contractual lives of 10 years. These units were valued in the same manner as other RSUs, based on the published closing market price on the day before the grant date. However, the Company only recognizes stock compensation expense to the extent that the targets are determined to be probable of being achieved, which triggers the vesting of the performance options. During the nine months ended September 30, 2020, the Company granted 361,338 performance-based RSU's. During the three and nine months ended September 30, 2020, 40,500 performance-based RSU's were released due to the performance obligations being achieved. At September 30, 2020 306,785 performance-based RSU's were outstanding. None of these performance-based RSU have been forfeited due to performance obligations not being achieved. The table below summarizes share-based compensation cost in connection with performance-based stock options for the nine months ended September 30, 2020 and 2019 (in thousands): Nine Months Ended September 30, 2020 2019 Performance-based RSU expense $ 401 $ —

Income Taxes

Income Taxes	9 Months Ended
	Sep. 30, 2020
Income Tax Disclosure [Abstract]
Income Taxes	NOTE 14. INCOME TAXES For the nine months ended September 30, 2020, the Company did not carry an income tax provision amount as the Company does not recognize tax benefits from current year tax losses in the U.S. and other foreign jurisdictions. The Company’s tax expense for the nine months ended September 30, 2020 differs from the tax expense computed by applying the U.S. statutory tax rate to its year-to-date pre-tax loss of $59.3 million, as no tax benefits were recorded for tax losses generated in the U.S. and other foreign jurisdictions. At September 30, 2020, the Company had deferred tax assets primarily related to U.S. federal and state tax loss carryforwards and a deferred tax liability related to amortization of the Notes. The Company provided a valuation allowance against its net deferred tax assets as future realization of such assets is not more likely than not to occur. On March 27, 2020, the U.S. enacted the CARES Act. The CARES Act is an emergency economic stimulus package that includes spending and tax breaks to strengthen the U.S. economy and fund a nationwide effort to curtail the effect of COVID-19. While the CARES Act provides sweeping tax changes in response to the COVID-19 pandemic, some of the more significant provisions include removal of certain limitations on utilization of net operating losses, increasing the loss carryback period for certain losses to five years, and increasing the ability to deduct interest expense, as well as amending certain provisions of the previously enacted Tax Cuts and Jobs Act. Management does not expect the CARES Act to have a material impact on the Company’s income tax position for financial reporting purposes. The Company will continue its assessment of the CARES Act on its financial statements, as changes in tax legislation and further guidance for the CARES Act become available in the subsequent quarters. The Company accounts for uncertain tax positions pursuant to the recognition and measurement criteria under ASC 740, Income Taxes. For the three and nine months ended September 30, 2020, we did not note any significant changes to our uncertain tax positions. We do not anticipate significant changes to uncertain tax positions within the next 12 months.

Leases

Leases	9 Months Ended
	Sep. 30, 2020
Leases [Abstract]
Leases	NOTE 15. LEASES The following presents supplemental information related to our leases in which we are the lessee for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cash paid for amounts included in lease liabilities Operating cash flows from operating leases $ 185 $ 168 $ 556 $ 333 ROU assets obtained in exchange for lease obligations Operating leases $ — $ 3,639 $ 17 $ 3,639 Lease Cost Operating leases $ 277 $ 213 $ 790 $ 378 Short-term leases $ 17 $ 103 $ 45 $ 697 The weighted average remaining lease term on our operating leases is 4.7 years. The weighted average discount rate on those leases is 7%. The following presents maturities of operating lease liabilities in which we are the lessee as of September 30, 2020 (in thousands): Remainder of 2020 $ 174 2021 753 2022 877 2023 968 2024 1,055 Thereafter 619 Total lease payments 4,446 Less imputed interest (733) $ 3,713 The net investment in sales-type leases, where we are the lessor, is a component of other current assets and other non-current assets in our condensed consolidated balance sheet. As of September 30, 2020, the total net investment in these leases was $2.6 million. The following presents maturities of lease receivables under sales-type leases as of September 30, 2020 (in thousands): Remainder of 2020 $ 223 2021 851 2022 794 2023 431 2024 123 Thereafter 150 Total undiscounted cash flows 2,572 Less imputed interest — Present value of lease payments $ 2,572
Leases	NOTE 15. LEASES The following presents supplemental information related to our leases in which we are the lessee for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cash paid for amounts included in lease liabilities Operating cash flows from operating leases $ 185 $ 168 $ 556 $ 333 ROU assets obtained in exchange for lease obligations Operating leases $ — $ 3,639 $ 17 $ 3,639 Lease Cost Operating leases $ 277 $ 213 $ 790 $ 378 Short-term leases $ 17 $ 103 $ 45 $ 697 The weighted average remaining lease term on our operating leases is 4.7 years. The weighted average discount rate on those leases is 7%. The following presents maturities of operating lease liabilities in which we are the lessee as of September 30, 2020 (in thousands): Remainder of 2020 $ 174 2021 753 2022 877 2023 968 2024 1,055 Thereafter 619 Total lease payments 4,446 Less imputed interest (733) $ 3,713 The net investment in sales-type leases, where we are the lessor, is a component of other current assets and other non-current assets in our condensed consolidated balance sheet. As of September 30, 2020, the total net investment in these leases was $2.6 million. The following presents maturities of lease receivables under sales-type leases as of September 30, 2020 (in thousands): Remainder of 2020 $ 223 2021 851 2022 794 2023 431 2024 123 Thereafter 150 Total undiscounted cash flows 2,572 Less imputed interest — Present value of lease payments $ 2,572

Industry, Geographic and Revenu

Industry, Geographic and Revenue Disaggregation	9 Months Ended
	Sep. 30, 2020
Segment Reporting [Abstract]
Industry, Geographic and Revenue Disaggregation	NOTE 16. INDUSTRY, GEOGRAPHIC AND REVENUE DISAGGREGATION The Company operates as one operating segment. Sales to customers outside the U.S. represented 6% and 23% for the three months ended September 30, 2020 and 2019, respectively, and 7% and 26% for the nine months ended September 30, 2020 and 2019, respectively. As of September 30, 2020 and December 31, 2019, balances due from foreign customers, in U.S. dollars, were $1.2 million and $2.1 million, respectively. The following presents total net sales by geographic territory for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Domestic $ 3,386 $ 1,757 $ 7,477 $ 4,308 Foreign 202 514 579 1,519 $ 3,588 $ 2,271 $ 8,056 $ 5,827 The following presents total net sales by line of business for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Accelerate Pheno revenue $ 3,582 $ 2,221 $ 7,980 $ 5,702 Other revenue 6 50 76 125 $ 3,588 $ 2,271 $ 8,056 $ 5,827 The following presents total net sales by products and services for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Products $ 3,402 $ 2,143 $ 7,481 $ 5,531 Services 186 128 575 296 $ 3,588 $ 2,271 $ 8,056 $ 5,827 Lease revenue included in net sales was $1.7 million and $0.2 million for the three months ended September 30, 2020 and 2019, respectively, and $2.4 million and $0.6 million for the nine months ended September 30, 2020 and 2019, respectively, which does not represent revenues recognized from contracts with customers. The following presents property and equipment, net by geographic territory (in thousands): September 30, December 31, 2020 2019 Domestic $ 6,563 $ 7,244 Foreign 541 661 $ 7,104 $ 7,905

Related Party Transactions

Related Party Transactions	9 Months Ended
	Sep. 30, 2020
Related Party Transactions [Abstract]
Related Party Transactions	NOTE 17. RELATED PARTY TRANSACTIONS As discussed in Note 11, Convertible Notes, the Company issued Notes in March 2018. As of September 30, 2020 and December 31, 2019 an entity controlled by one member of the Company's board of directors held an aggregate of $42.0 million of the Notes. On August 20, 2019, the Company and an entity affiliated with the then Chief Operating Officer and current Chief Executive Officer of the Company entered into a securities purchase agreement (the “Purchase Agreement”) for the issuance and sale by the Company of an aggregate of 55,586 shares of the Company’s common stock (the “Shares”) in an offering exempt from registration pursuant to Section 4(a)(2) of the Securities Act of 1933, as amended, and Rule 506 promulgated thereunder. The Shares were sold at a purchase price (determined in accordance with Nasdaq rules relating to the “market value” of the shares) of $17.99 per share, which was equal to the consolidated closing bid price reported by Nasdaq immediately preceding the time the Company entered into the Purchase Agreement. The $1.0 million of proceeds were recorded to contributed capital.

Organization and Nature of Bu_2

Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2020
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“U.S. GAAP”) and applicable rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to such rules and regulations. Therefore, these condensed consolidated financial statements should be read in conjunction with the condensed consolidated financial statements and notes included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, as filed with the SEC on February 28, 2020. The condensed consolidated balance sheet as of December 31, 2019 included herein was derived from the audited financial statements as of that date, but does not include all disclosures such as notes required by U.S. GAAP. The accompanying unaudited condensed consolidated financial statements reflect all normal recurring adjustments necessary to present fairly the financial position, results of operations, and cash flows for the interim periods presented, but are not necessarily indicative of the results of operations to be anticipated for the entire year ending December 31, 2020, or any future period. All amounts are rounded to the nearest thousand dollars unless otherwise indicated.
Principles of Consolidation	Principles of Consolidation The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries after elimination of intercompany transactions and balances.
Use of Estimates	Use of Estimates The preparation of the Company’s condensed consolidated financial statements requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities and the related disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. The more significant areas requiring the use of management estimates and assumptions relate to accounts receivable, inventory, property and equipment, accrued liabilities, warranty liabilities, tax valuation accounts and equity–based compensation. Actual results could differ materially from those estimates.
Estimated Fair Value of Financial Instruments	Estimated Fair Value of Financial Instruments The Company follows Accounting Standards Codification (“ASC”) 820, Fair Value Measurement, which has defined fair value and requires the Company to establish a framework for measuring and disclosing fair value. The framework requires the valuation of assets and liabilities subject to fair value measurements using a three tiered approach and fair value measurement be classified and disclosed in one of the following three categories: • Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities; • Level 2: Quoted prices for similar assets and liabilities in active markets, quoted prices in markets that are not active, or inputs that are observable, either directly or indirectly, for substantially the full term of the asset or liability; • Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e. supported by little or no market activity). The carrying amounts of financial instruments such as cash and cash equivalents, trade accounts receivable, prepaid expenses, other current assets, accounts payable, accrued liabilities, and other current liabilities approximate the related fair values due to the short-term maturities of these instruments.
Cash and Cash Equivalents	Cash and Cash Equivalents All highly liquid investments with an original maturity of three months or less at time of purchase are considered to be cash equivalents. Cash and cash equivalents include overnight repurchase agreement accounts and other investments. As part of our cash management process, excess operating cash is invested in overnight repurchase agreements with our bank. Repurchase agreements and other investments classified as cash and cash equivalents are not deposits and are not insured by the U.S. Government, the FDIC or any other government agency and involve investment risk including possible loss of principal. We believe, however, that the market risk arising from holding these financial instruments is minimal.
Investments	Investments The Company invests in various debt securities available-for-sale and equity securities which are primarily held in the custody of major financial institutions. Debt securities available-for-sale consist of certificates of deposit, U.S. government and agency securities, commercial paper, asset-backed securities, and corporate notes and bonds. Equity securities consist of mutual funds. The Company records these investments in the condensed consolidated balance sheet at fair value. Unrealized gains or losses for debt securities available-for-sale are included in accumulated other comprehensive income (loss), a component of stockholders’ equity. Unrealized gains or losses for equity securities are included in other income (expense), net, a component of statements of operations and comprehensive loss. The Company considers all debt securities available-for-sale, including those with maturity dates beyond 12 months, as available to support current operational liquidity needs. The Company classifies its investments as current based on the nature of the investments and their availability for use in current operations. On a quarterly basis, we perform an assessment to determine whether there have been any events or economic circumstances to indicate that a debt security available-for-sale in an unrealized loss position has suffered impairment as a result of credit loss or other factors. A debt security available-for-sale is considered impaired if its fair value is less than its amortized cost basis at the reporting date. If we intend to sell the debt security or if it is more-likely-than-not that we will be required to sell the debt security before the recovery of its amortized cost basis, the impairment is recognized and the unrealized loss is recorded as a direct write-down of the security's amortized cost basis with an offsetting entry to earnings. If we do not intend to sell the debt security or believe we will not be required to sell the debt security before the recovery of its amortized cost basis, the impairment is assessed to determine if a credit loss component exists. We use a discounted cash flow method to determine the credit loss component. In the event a credit loss exists, an allowance for credit losses is recorded in earnings for the credit loss component of the impairment while the remaining portion of the impairment attributable to factors other than credit loss is recognized, net of tax, in accumulated other comprehensive income (loss). The amount of impairment recognized due to credit factors is limited to the excess of the amortized cost basis over the fair value of the security available-for-sale.
Inventory	Inventory Inventory is stated at the lower of cost or net realizable value. The Company determines the cost of inventory using the first-in, first out method. The Company estimates the recoverability of inventory by reference to internal estimates of future demands and product life cycles, including expiration. The Company periodically analyzes its inventory levels to identify inventory that may expire prior to expected sale or has a cost basis in excess of its estimated realizable value and records a charge to expense for such inventory as appropriate.
Accounts Receivable	Accounts Receivable Accounts receivable consist of amounts due to the Company for sales to customers and are based on what we expect to collect in exchange for goods and services. Receivables are considered past due based on the contractual payment terms and are written off if reasonable collection efforts prove unsuccessful.
Property and Equipment	Property and Equipment Property and equipment are recorded at cost. Maintenance and repairs are charged to expense as incurred and expenditures for major improvements are capitalized. Gains and losses from retirement or replacement are included in costs and expenses. Depreciation of property and equipment is computed using the straight-line method over the estimated useful life of the assets, ranging from one Instruments Classified as Property and Equipment Property and equipment includes Accelerate Pheno systems (also referred to as instruments) used for sales demonstrations, instruments under rental agreements and instruments used for research and development. Depreciation expense for instruments used for sales demonstrations is recorded as a component of sales, general and administrative expense. Depreciation expense for instruments placed at customer sites pursuant to reagent rental agreements is recorded as a component of cost of sales. Depreciation expense for instruments used in our laboratory and research is recorded as a component of research and development expense. The Company retains title to these instruments and depreciates them over five years. Losses from the retirement of returned instruments are included in costs and expenses. The Company evaluates the recoverability of the carrying amount of its instruments whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable, and this evaluation is performed at least annually. This evaluation is based on our estimate of future cash flows and the estimated fair value of such long-lived assets, and provides for impairment if such undiscounted cash flows or the estimated fair value are insufficient to recover the carrying amount of instruments. No impairment charges have been recorded as of September 30, 2020 and December 31, 2019.
Long-lived Assets	Long-lived Assets Long-lived assets and certain identifiable intangibles to be held and used by the Company are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. The Company continuously evaluates the recoverability of its long-lived assets based on estimated future cash flows from and the estimated fair value of such long-lived assets, and provides for impairment if such undiscounted cash flows or the estimated fair value are insufficient to recover the carrying amount of the long-lived asset.
Warranty Reserve	Warranty Reserve Instruments are typically sold with a one year limited warranty, while kits and accessories are typically sold with a sixty days limited warranty. Accordingly, a provision for the estimated cost of the limited warranty repair is recorded at the time revenue is recognized. Our estimated warranty provision is based on our estimate of future repair events and the related estimated cost of repairs. The Company periodically assesses the adequacy of the warranty reserve and adjusts the amount as necessary. The expense incurred for these provisions is included in cost of sales on the condensed consolidated statements of operations and comprehensive loss.
Convertible Notes	Convertible Notes The Company accounts for convertible debt instruments that may be settled in cash or equity upon conversion, which includes the 2.50% Senior Convertible Notes due 2023 (the “Notes”), by separating the liability and equity components of the instruments in a manner that reflects our nonconvertible debt borrowing rate. The Company determined the carrying amount of the liability component of the Notes by using estimates and assumptions that market participants would use in pricing a debt instrument. These estimates and assumptions are judgmental in nature and could have a significant impact on the determination of the debt component, and the associated non-cash interest expense. The equity component is treated as a discount on the liability component of the Notes, which is amortized over the term of the Notes using the effective interest rate method. Debt issuance costs related to the Notes are allocated to the liability and equity components of the Notes based on their relative values. Debt issuance costs allocated to the liability component are amortized over the life of the Notes as additional non-cash interest expense. Transaction costs allocated to equity are netted with the equity component of the convertible debt instrument in stockholders’ deficit.
Revenue Recognition	Revenue Recognition The Company recognizes revenue when control of the promised good or service is transferred to our customers in an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services. Sales taxes are excluded from revenues. The Company determines revenue recognition through the following steps: • Identification of the contract with a customer • Identification of the performance obligations in the contract • Determination of the transaction price • Allocation of the transaction price to the performance obligations • Recognition of revenue as we satisfy a performance obligation Product revenue is derived from the sale or rental of our instruments and sales of related consumable products. When an instrument is sold, revenue is generally recognized upon installation of the unit consistent with contract terms, which do not include a right of return. When a consumable product is sold, revenue is generally recognized upon shipment. Invoices are generally issued when revenue is recognized and the term between invoicing and when payment is due is not typically significant. Service revenue is derived from the sale of extended service agreements which are generally non-cancellable. This revenue is recognized on a straight-line basis over the contract term beginning on the effective date of the contract because the Company is standing ready to provide services. Invoices are generally issued annually and coincide with the beginning of individual service terms. Our contracts with customers may include multiple performance obligations. For such arrangements, we allocate revenue to each performance obligation based on its relative standalone selling price. We generally determine relative standalone selling prices based on the price charged to customers for each individual performance obligation. Sales commissions earned by our sales force are considered incremental and recoverable costs of obtaining a contract with a customer. The Company has determined these costs would have an amortization period of less than one year and has elected to recognize them as an expense when incurred. Contract asset opening and closing balances were immaterial for the three and nine months ended September 30, 2020. Cost of Sales Cost of sales includes cost of materials, direct labor, equity-based compensation, facility and other manufacturing overhead costs for consumable tests and instruments sold to customers. Cost of sales for instruments also includes depreciation on revenue generating instruments that have been placed with our customers under a reagent rental agreement. Cost of sales includes repair and maintenance cost for instruments covered by a service agreement or instruments covered by a reagent rental agreement. Cost of sales also includes warranty related expenses. Shipping and Handling Shipping and handling costs billed to customers are included as a component of revenue. The corresponding expense incurred with third party carriers is included as a component of sales, general and administrative costs on the condensed consolidated statements of operations and comprehensive loss.
Restructure Activity	Restructure ActivityDuring the three months ended September 30, 2020, following the completion of a strategic review of its Europe, the Middle East and Africa (“EMEA”) business, the Company's board of directors approved a plan to reduce its workforce, focus the geographies it plans to operate in, and terminate agreements with some distributors in geographies it plans on exiting (collectively, the “EMEA Restructuring Plan”). As of September 30, 2020, the Company substantially completed the workforce reduction portion of the EMEA Restructuring Plan, while the remaining restructuring activities are likely to occur through the end of the year. Restructuring charges are primarily comprised of employee severance and other post-employment benefits. The Company evaluates the nature of these costs to determine if they relate to on-going benefit arrangements which are accounted for under ASC 712 or one-time benefit arrangements which are accounted for under ASC 420.
Leases, Lessor	Leases The Company accounts for commercial leases in accordance with ASC 842, Leases. We determine if an arrangement is or contains a lease and the type of lease at inception. The Company classifies commercial leases as finance leases (lessee) or sales-type leases (lessor) when there is either a transfer of ownership of the underlying asset by the end of the lease term, the lease contains an option to purchase the asset that we are reasonably certain will be exercised, the lease term is for the major part of the remaining economic life of the asset, the present value of the lease payments and any residual value guarantee equals or substantially exceeds all the fair value of the asset, or the asset is of such a specialized nature that it will have no alternative use to the lessor at the end of the lease term. Payments contingent on future events (i.e. based on usage) are considered variable and excluded from lease payments for the purposes of classification and initial measurement. Several of our leases include options to renew or extend the term upon mutual agreement of the parties and others include one-year extensions exercisable by the lessee. None of our leases contain residual value guarantees, restrictions, or covenants. To determine whether a contract contains a lease, the Company uses its judgment in assessing whether the lessor retains a material amount of economic benefit from an underlying asset, whether explicitly or implicitly identified, which party holds control over the direction and use of the asset, and whether any substantive substitution rights over the asset exist. Lessor The Company leases instruments to customers under “reagent rental” agreements, whereby the customer agrees to purchase consumable products over a stated term, typically five years or less, for a volume-based price that includes an embedded rental for the instruments. When collectibility is probable, that amount is recognized as income at lease commencement for sales-type leases and as product is shipped, typically in a straight–line pattern, over the term for operating leases, which typically include a termination without cause or penalty provision given a short notice period. Consideration is allocated between lease and non-lease components based on stand-alone selling price in accordance with ASC 606, Revenue from Contracts with Customers. Net investment in sales-type leases are included within our condensed consolidated balance sheets as a component of other current assets and other non-current assets, which include the present value of lease payments not yet received and the present value of the residual asset, which are determined using the information available at commencement, including the lease term, estimated useful life, rate implicit in the lease, and expected fair value of the instrument.
Lessee	Lessee Operating leases are included in right-of-use (“ROU”) assets and operating lease liabilities within our consolidated balance sheets. These assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. ROU assets and their related liabilities are recognized at commencement date based on the present value of lease payments over the lease term. Typically, we use our incremental borrowing rate based on the information available at commencement in determining the present value of lease payments. We use the implicit rate when readily determinable. ROU assets are net of lease payments made and exclude lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term, which may include options to extend or terminate the lease when it is reasonably certain that we will exercise the option. As of September 30, 2020 and December 31, 2019, the Company was not party to finance lease arrangements. Our operating leases consist primarily of leased office, factory, and laboratory space in the U.S. and office space in Europe, have between two
Nonqualified Cash Deferral Plan	Nonqualified Cash Deferral Plan The Company's Cash Deferral Plan (the “Deferral Plan”), provides certain key employees, with an opportunity to defer the receipt of such participant's base salary. The Deferral Plan is intended to be a nonqualified deferred compensation plan that complies with the provisions of Section 409A of the Internal Revenue Code. All of the investments held in the Deferral Plan are equity securities consisting of mutual funds and recorded at fair value with changes in the investments' fair value recognized as earnings in the period they occur. The corresponding liability for the Deferral Plan is included in other non-current liabilities in the condensed consolidated balance sheet.
Equity-Based Compensation	Equity-Based Compensation The Company may award stock options, restricted stock units (“RSUs”), performance-based awards, and other equity-based instruments to its employees, directors and consultants. Compensation cost related to equity-based instruments is based on the fair value of the instrument on the grant date, and is recognized over the requisite service period on a straight-line basis over the vesting period for each tranche (an accelerated attribution method) except for performance-based awards. Performance-based awards vest based on the achievement of performance targets. Compensation costs associated with performance-based awards are recognized over the requisite service period based on probability of achievement. Performance-based awards require management to make assumptions regarding the likelihood of achieving performance targets. The Company estimates the fair value of service based and performance based stock option awards, including modifications of stock option awards, using the Black-Scholes option pricing model. This model derives the fair value of stock options based on certain assumptions related to expected stock price volatility, expected option life, risk-free interest rate and dividend yield. • Volatility: The expected volatility is based on the historical volatility of the Company's stock price over the most recent period commensurate with the expected term of the stock option award. • Expected term: The estimated expected term for employee awards is based on the calculation published by the SEC in SAB110 for use when there is not a sufficient history of employee exercise patterns. For consultant awards, the estimated expected term is the same as the life of the award. • Risk-free interest rate: The risk-free interest rate is based on published U.S. Treasury rates for a term commensurate with the expected term. • Dividend yield: The dividend yield is estimated as zero as the Company has not paid dividends in the past and does not have any plans to pay any dividends in the foreseeable future. The Company records the fair value of RSUs or stock grants based on published closing market price on the day before the grant date. The Company accounts for forfeitures as they occur rather than on an estimated basis.
Deferred Tax Assets	Deferred Tax Assets Deferred tax assets and liabilities are recorded for the estimated future tax effects of temporary differences between the tax basis of assets and liabilities and amounts reported in the accompanying balance sheets. The change in deferred tax assets and liabilities for the period represents the deferred tax provision or benefit for the period. Effects of changes in enacted tax laws in deferred tax assets and liabilities are reflected as an adjustment to the tax provision or benefit in the period of enactment. The Company follows the provisions of ASC 740, Income Taxes, to account for any uncertainty in income taxes with respect to the accounting for all tax positions taken (or expected to be taken) on any income tax return. This guidance applies to all open tax periods in all tax jurisdictions in which the Company is required to file an income tax return. Under U.S. GAAP, in order to recognize an uncertain tax benefit, the taxpayer must be more likely than not certain of sustaining the position, and the measurement of the benefit is calculated as the largest amount that is more likely than not to be realized upon resolution of the position. Interest and penalties, if any, would be recorded within tax expense.
Foreign Currency Translation and Foreign Currency Transactions	Foreign Currency Translation and Foreign Currency Transactions Adjustments resulting from translating foreign functional currency financial statements into U.S. Dollars are included in the foreign currency translation adjustment, a component of accumulated other comprehensive income (loss). The Company has assets and liabilities, including receivables and payables, which are denominated in currencies other than their functional currency. These balance sheet items are subject to re-measurement, the impact of which is recorded in foreign currency exchange gain and loss, within the condensed consolidated statement of operations and comprehensive loss.
Loss Per Share	Loss Per Share Basic loss per share includes no dilution and is computed by dividing loss available to common stockholders by the weighted average number of common shares outstanding for the period. Potentially dilutive common shares consist of shares issuable from stock options and unvested RSUs. Potentially dilutive common shares would also include common shares that would be outstanding if the Notes at the balance sheet date were converted. Diluted earnings are not presented when the effect of adding such additional common shares is antidilutive.
Comprehensive Loss	Comprehensive Loss In addition to net loss, comprehensive loss includes all changes in equity during a period, except those resulting from investments by and distributions to owners. The Company holds investments classified as debt securities available-for-sale and records the change in fair market value as a component of comprehensive loss. The Company also has adjustments resulting from translating foreign functional currency financial statements into U.S. Dollars which is included as a component of comprehensive loss.
Standards That Were Recently Adopted and Standards not Yet Adopted	Standards that were recently adopted In August 2018, the Financial Accounting Standards Board (“FASB”) issued ASU 2018-13, Fair Value Measurement (Topic 820); Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. ASU 2018-13 modifies, among other things, the disclosures required for Level 3 fair value measurements, including the range and weighted average of significant unobservable inputs. The guidance removes, among other things, the disclosure requirement to disclose transfers between Levels 1 and 2. Level 3 fair value measurement disclosures should be applied prospectively while all other amendments should be applied retrospectively. The Company adopted ASU 2018-13 on January 1, 2020, which had no impact to our condensed consolidated financial statements as the Company did not carry Level 3 fair value items upon implementing this ASU on January 1, 2020. In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326); Measurement of Credit Losses on Financial Instruments. In November 2018, ASU 2018-19 was issued which amended the standard to clarify that receivables arising from operating leases are within the scope of lease accounting standards. Further, the FASB issued ASU 2019-04, 2019-05, 2019-10, ASU 2019-11, 2020-02 and 2020-03 to provide additional guidance on the credit losses standard. ASU 2016-13 amends the guidance on measuring credit losses on financial assets (including trade accounts receivable and available for sale debt securities) held at amortized cost. Previously, an “incurred loss” methodology was used for recognizing credit losses which delays recognition until it is probable a loss has been incurred. This amendment requires assets valued at amortized cost to be presented at the net amount expected to be collected using an allowance for credit losses. Reversal of credit losses on available for sale debt securities are now recorded in current period net income. The Company adopted ASU 2016-13 Standards not yet adopted In August 2020, the FASB issued ASU 2020-06, Debt - Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2020-06 reduces the complexity associated with applying U.S. GAAP for certain financial instruments with characteristics of liabilities and equity. In addressing the complexity, this ASU amends the guidance on convertible instruments and the guidance on the derivatives scope exception for contracts in an entity’s own equity. This ASU will reduce the number of accounting models for convertible debt instruments and convertible preferred stock. Limiting the accounting models results in fewer embedded conversion features being separately recognized from the host contract as compared with current U.S. GAAP standards. Convertible instruments that continue to be subject to separation models are (1) those with embedded conversion features that are not clearly and closely related to the host contract, that meet the definition of a derivative, and that do not qualify for a scope exception from derivative accounting and (2) convertible debt instruments issued with substantial premiums for which the premiums are recorded as paid-in capital. This ASU is effective for us on January 1, 2022, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements. In January 2020, the FASB issued ASU 2020-01, Investments-Equity Securities (Topic 321), Investments-Equity Method and Joint Ventures (Topic 323), and Derivatives and Hedging (Topic 815), Clarifying the Interactions between Topic 321, Topic 323, and Topic 815 (a consensus of the FASB Emerging Issues Task Force). ASU 2020-01 clarifies the interaction of the accounting for equity securities under Topic 321, the accounting for the equity method investments in Topic 323 and the accounting for certain forward contracts and purchased options in Topic 815. This ASU is effective for us on January 1, 2021, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements. In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740); Simplifying the Accounting for Income Taxes. ASU 2019-12 reduces complexity in the accounting standard. This ASU is effective for us on January 1, 2021, with early adoption permitted. We are currently assessing the impact this will have on our condensed consolidated financial statements.

Organization and Nature of Bu_3

Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies (Tables)	9 Months Ended
	Sep. 30, 2020
Accounting Policies [Abstract]
Schedule of Product Warranty Reserve Activity	Warranty reserve activity for the three and nine months ended September 30, 2020 and 2019 is as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Beginning balance $ 305 $ 196 $ 403 $ 215 Provisions 72 77 72 147 Warranty cost incurred (40) (51) (138) (140) Ending balance $ 337 $ 222 $ 337 $ 222

Fair Value of Financial Instr_2

Fair Value of Financial Instruments (Tables)	9 Months Ended
	Sep. 30, 2020
Fair Value Disclosures [Abstract]
Schedule of Fair Value Measurement	The following tables represent the financial instruments measured at fair value on a recurring basis in the financial statements of the Company and the valuation approach applied to each class of financial instruments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 Quoted Prices Significant Significant Total Assets: Cash and cash equivalents: Money market funds $ 5,013 $ — $ — $ 5,013 Commercial paper — 1,875 — 1,875 Total cash and cash equivalents 5,013 1,875 — 6,888 Equity investments: Mutual funds 248 — — 248 Total equity investments 248 — — 248 Debt securities available-for-sale: Certificates of deposit — 6,857 — 6,857 U.S. Treasury securities 13,484 — — 13,484 Commercial paper — 9,345 — 9,345 Corporate notes and bonds — 20,529 — 20,529 Debt securities available-for-sale 13,484 36,731 — 50,215 Total assets measured at fair value $ 18,745 $ 38,606 $ — $ 57,351 December 31, 2019 Quoted Prices Significant Significant Total Assets: Cash and cash equivalents: Money market funds $ 43,745 $ — $ — $ 43,745 Commercial paper — 1,993 — 1,993 Corporate notes and bonds — 1,006 — 1,006 Total cash and cash equivalents 43,745 2,999 — 46,744 Debt securities available-for-sale: Certificates of deposit — 5,663 — 5,663 U.S. Treasury securities 12,579 — — 12,579 U.S. Agency securities — 3,998 — 3,998 Commercial paper — 2,491 — 2,491 Corporate notes and bonds — 22,706 — 22,706 Debt securities available-for-sale 12,579 34,858 — 47,437 Total assets measured at fair value $ 56,324 $ 37,857 $ — $ 94,181

Investments (Tables)

Investments (Tables)	9 Months Ended
	Sep. 30, 2020
Investments, Debt and Equity Securities [Abstract]
Schedule of Available-for-Sale Investments	The following tables summarize the Company’s debt securities available-for-sale investments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 Amortized Gross Gross Fair Value Certificates of deposit $ 6,838 $ 19 $ — $ 6,857 U.S. Treasury securities 13,435 49 — 13,484 U.S. Agency securities — — — — Commercial paper 9,345 1 (1) 9,345 Corporate notes and bonds 20,513 19 (3) 20,529 Total $ 50,131 $ 88 $ (4) $ 50,215 December 31, 2019 Amortized Gross Gross Fair Value Certificates of deposit $ 5,646 $ 17 $ — $ 5,663 U.S. Treasury securities 12,564 16 (1) 12,579 U.S. Agency securities 4,002 — (4) 3,998 Commercial paper 2,492 — (1) 2,491 Corporate notes and bonds 22,711 6 (11) 22,706 Total $ 47,415 $ 39 $ (17) $ 47,437
Schedule of Available-For-Sale Investment Maturities	The following table summarizes the maturities of the Company’s debt securities available-for-sale investments at September 30, 2020 and December 31, 2019 (in thousands): September 30, 2020 December 31, 2019 Amortized Fair Value Amortized Fair Value Due in less than 1 year $ 49,874 $ 49,958 $ 43,627 $ 43,650 Due in 1-3 years 257 257 3,788 3,787 $ 50,131 $ 50,215 $ 47,415 $ 47,437

Inventory (Tables)

Inventory (Tables)	9 Months Ended
	Sep. 30, 2020
Inventory Disclosure [Abstract]
Components of Inventories	Inventories consisted of the following at September 30, 2020 and December 31, 2019 (in thousands): September 30, December 31, 2020 2019 Raw materials $ 5,128 $ 4,854 Work in process 2,257 1,561 Finished goods 2,074 1,644 $ 9,459 $ 8,059

Property and Equipment (Tables)

Property and Equipment (Tables)	9 Months Ended
	Sep. 30, 2020
Property, Plant and Equipment [Abstract]
Property and Equipment	Property and equipment consisted of the following at September 30, 2020 and December 31, 2019 (in thousands): September 30, December 31, 2020 2019 Computer equipment $ 2,599 $ 2,477 Technical equipment 3,943 3,681 Facilities 3,690 3,883 Instruments 6,599 7,491 Capital projects in progress 1,047 238 Total property and equipment $ 17,878 $ 17,770 Accumulated depreciation (10,774) (9,865) Property and equipment, net $ 7,104 $ 7,905

Deferred Revenue and Remainin_2

Deferred Revenue and Remaining Performance Obligations (Tables)	9 Months Ended
	Sep. 30, 2020
Deferred Revenue Disclosure [Abstract]
Deferred Revenue and Income Summary	A summary of the balances as of September 30, 2020 and December 31, 2019 follows (in thousands): September 30, December 31, 2020 2019 Products and services not yet delivered $ 338 $ 271

Long-term Debt (Tables)

Long-term Debt (Tables)	9 Months Ended
	Sep. 30, 2020
Debt Disclosure [Abstract]
Schedule of Long-term Debt	As of September 30, 2020 and December 31, 2019, long-term debt consisted of the following (in thousands): September 30, December 31, 2020 2019 PPP Loan - 1% interest $ 4,803 $ — Other Loans - various interest 736 — Total debt 5,539 — Current portion of long-term debt 511 — Long-term debt $ 5,028 $ —
Schedule of Maturities of Future Principal Obligations	The following presents maturities of future principal obligations of long-term debt as of September 30, 2020 (in thousands): Remainder of 2020 $ 76 2021 825 2022 1,604 2023 1,291 2024 1,304 Thereafter 439 Total $ 5,539

Convertible Notes (Tables)

Convertible Notes (Tables)	9 Months Ended
	Sep. 30, 2020
Debt Disclosure [Abstract]
Convertible Notes	The Notes at September 30, 2020 and December 31, 2019 consisted of the following (in thousands): September 30, December 31, 2020 2019 Outstanding principal $ 171,500 $ 171,500 Unamortized debt discount (31,267) (39,042) Unamortized debt issuance (1,934) (2,415) Net carrying amount of the liability component $ 138,299 $ 130,043
Schedule of Interest Expense	Interest expense for the three and nine months ended September 30, 2020 and 2019 were as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Contractual coupon interest $ 1,072 $ 1,072 $ 3,216 $ 3,216 Amortization of the debt discount 2,666 2,379 7,775 6,940 Amortization of debt issuance costs 165 147 481 429 Total interest expense on convertible notes $ 3,903 $ 3,598 $ 11,472 $ 10,585

Earnings Per Share (Tables)

Earnings Per Share (Tables)	9 Months Ended
	Sep. 30, 2020
Earnings Per Share [Abstract]
Schedule of Potentially Issuable Common Shares not Included in Computation of Diluted Net Loss Per Share	The following potentially issuable common shares were not included in the computation of diluted net loss per share because they would have an anti-dilutive effect for each of the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Shares issuable upon the release of restricted stock units 722 20 722 20 Shares issuable upon exercise of stock options 8,952 10,159 8,952 10,159 9,674 10,179 9,674 10,179

Employee Equity-Based Compens_2

Employee Equity-Based Compensation (Tables)	9 Months Ended
	Sep. 30, 2020
Share-based Payment Arrangement [Abstract]
Stock Option Activity	The following table summarizes option activity under all plans for the nine months ended September 30, 2020: Number of Shares Weighted Average Exercise Price per Share Options Outstanding January 1, 2020 10,132,562 $ 12.28 Granted 1,693,083 8.55 Forfeited (486,864) 13.86 Exercised (2,219,281) 2.01 Expired (167,187) 19.83 Options Outstanding September 30, 2020 8,952,313 $ 13.89
Inputs to Calculate Estimated Fair Value of Options Awarded	The table below summarizes the resulting weighted average inputs used to calculate the estimated fair value of options awarded for the three months ended September 30, 2020 and 2019: Three Months Ended September 30, 2020 2019 Expected term (in years) 6.14 6.46 Volatility 62 % 59 % Expected dividends — — Risk free interest rates 0.42 % 1.47 % Weighted average fair value $ 8.10 $ 9.66
Stock Option Supplemental Information	The following table shows summary information for outstanding options and options that are exercisable (vested) as of September 30, 2020: Options Options Number of options 8,952,313 4,767,274 Weighted average remaining contractual term (in years) 6.26 4.51 Weighted average exercise price $ 13.89 $ 13.28 Weighted average fair value $ 8.73 $ 8.60 Aggregate intrinsic value (in thousands) $ 15,514 $ 12,387
Restricted Stock Unit (RSU) Activity	The following table summarizes RSU and restricted stock award activity for the nine months ended September 30, 2020: Number of Shares Weighted Average Grant Date Fair Value per Share Outstanding January 1, 2020 14,332 $ 16.66 Granted 807,751 11.47 Forfeited (31,307) 9.72 Vested/released (68,641) 9.85 Outstanding September 30, 2020 722,135 $ 11.80
Equity-Based Compensation Expenses	The table below summarizes equity-based compensation expense for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cost of sales $ 119 $ 65 $ 249 $ 172 Research and development 1,349 897 2,807 3,226 Sales, general and administrative 3,208 2,169 9,235 6,011 $ 4,676 $ 3,131 $ 12,291 $ 9,409 The table below summarizes share-based compensation cost capitalized to inventory or inventory transferred to property and equipment (also referred to as instruments) for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cost capitalized to inventory $ 61 $ 92 $ 199 $ 332 The table below summarizes share-based compensation cost in connection with performance-based stock options for the nine months ended September 30, 2020 and 2019 (in thousands): Nine Months Ended September 30, 2020 2019 Performance-based stock option expense $ 109 $ 107 The table below summarizes share-based compensation cost in connection with performance-based stock options for the nine months ended September 30, 2020 and 2019 (in thousands): Nine Months Ended September 30, 2020 2019 Performance-based RSU expense $ 401 $ —

Leases (Tables)

Leases (Tables)	9 Months Ended
	Sep. 30, 2020
Leases [Abstract]
Assets And Liabilities	The following presents supplemental information related to our leases in which we are the lessee for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cash paid for amounts included in lease liabilities Operating cash flows from operating leases $ 185 $ 168 $ 556 $ 333 ROU assets obtained in exchange for lease obligations Operating leases $ — $ 3,639 $ 17 $ 3,639 Lease Cost Operating leases $ 277 $ 213 $ 790 $ 378 Short-term leases $ 17 $ 103 $ 45 $ 697
Lease Costs	The following presents supplemental information related to our leases in which we are the lessee for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Cash paid for amounts included in lease liabilities Operating cash flows from operating leases $ 185 $ 168 $ 556 $ 333 ROU assets obtained in exchange for lease obligations Operating leases $ — $ 3,639 $ 17 $ 3,639 Lease Cost Operating leases $ 277 $ 213 $ 790 $ 378 Short-term leases $ 17 $ 103 $ 45 $ 697
Maturities of Lease Liabilities	The following presents maturities of operating lease liabilities in which we are the lessee as of September 30, 2020 (in thousands): Remainder of 2020 $ 174 2021 753 2022 877 2023 968 2024 1,055 Thereafter 619 Total lease payments 4,446 Less imputed interest (733) $ 3,713
Sales-type Lease Receivable Maturity	The following presents maturities of lease receivables under sales-type leases as of September 30, 2020 (in thousands): Remainder of 2020 $ 223 2021 851 2022 794 2023 431 2024 123 Thereafter 150 Total undiscounted cash flows 2,572 Less imputed interest — Present value of lease payments $ 2,572

Industry, Geographic and Reve_2

Industry, Geographic and Revenue Disaggregation (Tables)	9 Months Ended
	Sep. 30, 2020
Segment Reporting [Abstract]
Disaggregation of Revenue	The following presents total net sales by geographic territory for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Domestic $ 3,386 $ 1,757 $ 7,477 $ 4,308 Foreign 202 514 579 1,519 $ 3,588 $ 2,271 $ 8,056 $ 5,827 The following presents total net sales by line of business for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Accelerate Pheno revenue $ 3,582 $ 2,221 $ 7,980 $ 5,702 Other revenue 6 50 76 125 $ 3,588 $ 2,271 $ 8,056 $ 5,827 The following presents total net sales by products and services for the three and nine months ended September 30, 2020 and 2019 (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2020 2019 2020 2019 Products $ 3,402 $ 2,143 $ 7,481 $ 5,531 Services 186 128 575 296 $ 3,588 $ 2,271 $ 8,056 $ 5,827
Long-lived Assets by Geographic Territory	The following presents property and equipment, net by geographic territory (in thousands): September 30, December 31, 2020 2019 Domestic $ 6,563 $ 7,244 Foreign 541 661 $ 7,104 $ 7,905

Organization and Nature of Bu_4

Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Apr. 14, 2020	Apr. 04, 2018	Mar. 27, 2018
Property, Plant and Equipment [Line Items]
Allowance for credit losses	$ 300,000		$ 300,000
Instrument warranty term			1 year
Kits and accessories warranty term			60 days
Lessor lease term	5 years		5 years
Expected dividends	0.00%	0.00%	0.00%
Restructuring expenses	$ 400,000
Unsecured obligations
Property, Plant and Equipment [Line Items]
Aggregate principal amount	$ 5,500,000		$ 5,500,000
2.50% Convertible notes due 2023 | Unsecured obligations
Property, Plant and Equipment [Line Items]
Aggregate principal amount					$ 171,500,000	$ 150,000,000
Interest rate	2.50%		2.50%			2.50%
PPP | Unsecured obligations
Property, Plant and Equipment [Line Items]
Aggregate principal amount				$ 4,800,000
Interest rate	1.00%		1.00%	1.00%
Instruments
Property, Plant and Equipment [Line Items]
Estimated useful life of assets			5 years
Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life of assets			1 year
Lease term	2 years		2 years
Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life of assets			7 years
Lease term	6 years		6 years

Organization and Nature of Bu_5

Organization and Nature of Business; Basis of Presentation; Principles of Consolidation; Significant Accounting Policies - Schedule of Product Warranty Reserve Activity (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Movement in Standard Product Warranty Accrual [Roll Forward]
Beginning balance	$ 305	$ 196	$ 403	$ 215
Provisions	72	77	72	147
Warranty cost incurred	(40)	(51)	(138)	(140)
Ending balance	$ 337	$ 222	$ 337	$ 222

Recently Issued Accounting Pr_2

Recently Issued Accounting Pronouncements (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Jun. 30, 2020	Jan. 01, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Cumulative-effect adjustment	$ 49,668			$ 7,379	$ (10,220)
Accounting Standards Update [Extensible List]	us-gaap:AccountingStandardsUpdate201613Member
Accumulated deficit
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Cumulative-effect adjustment	$ 474,054	$ 455,297		414,653	$ 393,318	$ 372,884	$ 330,348
Adjustment | Accumulated deficit
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Cumulative-effect adjustment			$ 100	$ 105			$ 0

Concentration of Credit Risk (D

Concentration of Credit Risk (Details)	9 Months Ended	12 Months Ended
	Sep. 30, 2020	Dec. 31, 2019
Net accounts receivable | Customer concentration | One customer
Concentration Risk [Line Items]
Risk concentration		11.00%
Financial institution A | Cash and cash equivalents | Concentration of credit risk
Concentration Risk [Line Items]
Risk concentration	18.00%	73.00%
Financial institution B | Cash and cash equivalents | Concentration of credit risk
Concentration Risk [Line Items]
Risk concentration	38.00%	18.00%
Financial institution C | Cash and cash equivalents | Concentration of credit risk
Concentration Risk [Line Items]
Risk concentration	21.00%
Financial institution D | Cash and cash equivalents | Concentration of credit risk
Concentration Risk [Line Items]
Risk concentration	11.00%

Fair Value of Financial Instr_3

Fair Value of Financial Instruments - Schedule of Fair Value Measurement (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of equity securities	$ 200
Fair Value	50,215	$ 47,437
Certificates of deposit
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	6,857	5,663
U.S. Treasury securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	13,484	12,579
U.S. Agency securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	3,998
Commercial paper
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	9,345	2,491
Corporate notes and bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	20,529	22,706
Fair value on a recurring basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	6,888	46,744
Fair value of equity securities	248
Fair Value	50,215	47,437
Total assets measured at fair value	57,351	94,181
Fair value on a recurring basis | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	5,013	43,745
Fair value of equity securities	248
Fair Value	13,484	12,579
Total assets measured at fair value	18,745	56,324
Fair value on a recurring basis | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	1,875	2,999
Fair value of equity securities	0
Fair Value	36,731	34,858
Total assets measured at fair value	38,606	37,857
Fair value on a recurring basis | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	0	0
Fair value of equity securities	0
Fair Value	0	0
Total assets measured at fair value	0	0
Fair value on a recurring basis | Mutual funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of equity securities	248
Fair value on a recurring basis | Mutual funds | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of equity securities	248
Fair value on a recurring basis | Mutual funds | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of equity securities	0
Fair value on a recurring basis | Mutual funds | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of equity securities	0
Fair value on a recurring basis | Certificates of deposit
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	6,857	5,663
Fair value on a recurring basis | Certificates of deposit | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | Certificates of deposit | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	6,857	5,663
Fair value on a recurring basis | Certificates of deposit | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | U.S. Treasury securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	13,484	12,579
Fair value on a recurring basis | U.S. Treasury securities | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	13,484	12,579
Fair value on a recurring basis | U.S. Treasury securities | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | U.S. Treasury securities | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | U.S. Agency securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value		3,998
Fair value on a recurring basis | U.S. Agency securities | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value		0
Fair value on a recurring basis | U.S. Agency securities | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value		3,998
Fair value on a recurring basis | U.S. Agency securities | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value		0
Fair value on a recurring basis | Commercial paper
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	9,345	2,491
Fair value on a recurring basis | Commercial paper | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | Commercial paper | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	9,345	2,491
Fair value on a recurring basis | Commercial paper | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | Corporate notes and bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents		1,006
Fair Value	20,529	22,706
Fair value on a recurring basis | Corporate notes and bonds | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value	0	0
Fair value on a recurring basis | Corporate notes and bonds | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents		1,006
Fair Value	20,529	22,706
Fair value on a recurring basis | Corporate notes and bonds | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents		0
Fair Value	0	0
Fair value on a recurring basis | Money market funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	5,013	43,745
Fair value on a recurring basis | Money market funds | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	5,013	43,745
Fair value on a recurring basis | Money market funds | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	0	0
Fair value on a recurring basis | Money market funds | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	0	0
Fair value on a recurring basis | Commercial paper
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	1,875	1,993
Fair value on a recurring basis | Commercial paper | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	0	0
Fair value on a recurring basis | Commercial paper | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	1,875	1,993
Fair value on a recurring basis | Commercial paper | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents	$ 0	0
Fair value on a recurring basis | Corporate notes and bonds | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash and cash equivalents		$ 0

Fair Value of Financial Instr_4

Fair Value of Financial Instruments - Narrative (Details) - USD ($)	Apr. 04, 2018	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019	Mar. 27, 2018
Debt Instrument [Line Items]
Proceeds from debt		$ 5,552,000	$ 0
Unsecured obligations
Debt Instrument [Line Items]
Aggregate principal amount		5,500,000
Unsecured obligations | 2.50% Convertible notes due 2023
Debt Instrument [Line Items]
Proceeds from debt	$ 171,500,000
Fair value		$ 110,700,000		$ 133,800,000
Aggregate principal amount	$ 171,500,000				$ 150,000,000

Investments - Schedule of Avail

Investments - Schedule of Available-for-sale Securities (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	$ 50,131	$ 47,415
Gross Unrealized Gains	88	39
Gross Unrealized Losses	(4)	(17)
Fair Value	50,215	47,437
Certificates of deposit
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	6,838	5,646
Gross Unrealized Gains	19	17
Gross Unrealized Losses	0	0
Fair Value	6,857	5,663
U.S. Treasury securities
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	13,435	12,564
Gross Unrealized Gains	49	16
Gross Unrealized Losses	0	(1)
Fair Value	13,484	12,579
U.S. Agency securities
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	0	4,002
Gross Unrealized Gains	0	0
Gross Unrealized Losses	0	(4)
Fair Value	0	3,998
Commercial paper
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	9,345	2,492
Gross Unrealized Gains	1	0
Gross Unrealized Losses	(1)	(1)
Fair Value	9,345	2,491
Corporate notes and bonds
Debt and Equity Securities, FV-NI [Line Items]
Amortized Cost	20,513	22,711
Gross Unrealized Gains	19	6
Gross Unrealized Losses	(3)	(11)
Fair Value	$ 20,529	$ 22,706

Investments - Schedule of Ava_2

Investments - Schedule of Available-for-Sale Investment Maturities (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Amortized Cost
Due in less than 1 year	$ 49,874	$ 43,627
Due in 1-3 years	257	3,788
Amortized Cost	50,131	47,415
Fair Value
Due in less than 1 year	49,958	43,650
Due in 1-3 years	257	3,787
Fair Value	$ 50,215	$ 47,437

Investments - Narrative (Detail

Investments - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Investments, Debt and Equity Securities [Abstract]
Proceeds from sales of marketable securities	$ 0	$ 0	$ 0	$ 13,400,000
Realized gains or losses from equity securities	0	$ 0	0	$ 0
Fair value of equity securities	200,000		200,000
Unrealized losses on equity securities	$ 0		$ 0

Inventory (Details)

Inventory (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Inventory Disclosure [Abstract]
Raw materials	$ 5,128	$ 4,854
Work in process	2,257	1,561
Finished goods	2,074	1,644
Inventory	$ 9,459	$ 8,059

Property and Equipment (Details

Property and Equipment (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Property, Plant and Equipment [Line Items]
Total property and equipment	$ 17,878	$ 17,770
Accumulated depreciation	(10,774)	(9,865)
Property and equipment, net	7,104	7,905
Computer equipment
Property, Plant and Equipment [Line Items]
Total property and equipment	2,599	2,477
Technical equipment
Property, Plant and Equipment [Line Items]
Total property and equipment	3,943	3,681
Facilities
Property, Plant and Equipment [Line Items]
Total property and equipment	3,690	3,883
Instruments
Property, Plant and Equipment [Line Items]
Total property and equipment	6,599	7,491
Capital projects in progress
Property, Plant and Equipment [Line Items]
Total property and equipment	1,047	238
Assets under operating leases
Property, Plant and Equipment [Line Items]
Accumulated depreciation	$ (1,100)	$ (800)

Property and Equipment - Narrat

Property and Equipment - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Property, Plant and Equipment [Line Items]
Depreciation	$ 600	$ 600	$ 1,800	$ 1,700
Accumulated depreciation	10,774		10,774		$ 9,865
Assets under operating leases
Property, Plant and Equipment [Line Items]
Gross assets	4,300		4,300		4,600
Accumulated depreciation	$ 1,100		$ 1,100		$ 800

License Agreements and Grants -

License Agreements and Grants - National Institute of Health Grant (Details) - USD ($) $ in Millions	1 Months Ended	9 Months Ended		68 Months Ended
	Feb. 28, 2015	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020
Research and Development Arrangement, Contract to Perform for Others [Line Items]
Cumulative amount awarded				$ 1.5
National Institute of Health Grant
Research and Development Arrangement, Contract to Perform for Others [Line Items]
Grant period	5 years
Total grant funding	$ 5	$ 0.1	$ 0.2

Deferred Revenue and Remainin_3

Deferred Revenue and Remaining Performance Obligations (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Disaggregation of Revenue [Line Items]
Deferred revenue and income	$ 338		$ 338		$ 271
Revenues recognized included in contract liabilities balances	100	$ 200	200	$ 300
Revenue expected to be recognized from remaining performance obligations	8,600		$ 8,600
Contact period			The remaining balance relates to executed service contracts that begin as warranty periods expire. These service contracts typically provide for four-year terms and revenue is recognized on a straight-line basis.
Products and services not yet delivered
Disaggregation of Revenue [Line Items]
Deferred revenue and income	$ 338		$ 338		$ 271

Long-term Debt - Schedule of Lo

Long-term Debt - Schedule of Long-term Debt (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Apr. 14, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Total debt	$ 5,539		$ 0
Current portion of long-term debt	511		0
Long-term debt	5,028		0
PPP | PPP Loan - 1% interest
Debt Instrument [Line Items]
Total debt	$ 4,803		0
Interest rate	1.00%	1.00%
Other Loans - various interest | Other Loans - various interest
Debt Instrument [Line Items]
Total debt	$ 736		$ 0
Current portion of long-term debt	300
Long-term debt	$ 400

Long-term Debt - Schedule of Ma

Long-term Debt - Schedule of Maturities of Future Principal Obligations (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Debt Disclosure [Abstract]
Remainder of 2020	$ 76
2021	825
2022	1,604
2023	1,291
2024	1,304
Thereafter	439
Total debt	$ 5,539	$ 0

Long-term Debt - Narrative (Det

Long-term Debt - Narrative (Details)	Aug. 14, 2021USD ($)payment	Nov. 14, 2020USD ($)payment	Sep. 30, 2020USD ($)loan	Apr. 14, 2020USD ($)	Dec. 31, 2019USD ($)
Debt Instrument [Line Items]
Current portion of long-term debt			$ 511,000		$ 0
Long-term debt			5,028,000		$ 0
Unsecured obligations
Debt Instrument [Line Items]
Aggregate principal amount			$ 5,500,000
Other Loans - various interest | Other Loans - various interest
Debt Instrument [Line Items]
Number of loan agreements | loan			3
Proceeds from debt			$ 700,000
Current portion of long-term debt			300,000
Long-term debt			$ 400,000
Other Loans - various interest | Minimum | Other Loans - various interest
Debt Instrument [Line Items]
Interest rate			9.80%
Other Loans - various interest | Maximum | Other Loans - various interest
Debt Instrument [Line Items]
Interest rate			12.40%
PPP | Unsecured obligations
Debt Instrument [Line Items]
Interest rate			1.00%	1.00%
Aggregate principal amount				$ 4,800,000
PPP | Unsecured obligations | Forecast
Debt Instrument [Line Items]
Number of monthly payments | payment	45	18
Monthly payment	$ 100,000	$ 300,000

Convertible Notes - Narrative (

Convertible Notes - Narrative (Details)	Apr. 04, 2018USD ($)dayshares	Mar. 27, 2018USD ($)$ / shares	Sep. 30, 2020USD ($)	Sep. 30, 2019USD ($)	Sep. 30, 2020USD ($)	Sep. 30, 2019USD ($)	Dec. 31, 2019USD ($)
Debt Instrument [Line Items]
Over-allotment option, term		13 days
Over-allotment option		$ 22,500,000
Additional proceeds	$ 21,500,000
Proceeds from debt					$ 5,552,000	$ 0
Conversion ratio		0.0323428
Outstanding principal			$ 171,500,000		171,500,000		$ 171,500,000
Unamortized debt issuance			1,934,000		1,934,000		$ 2,415,000
Stock price conversion threshold, percentage	130.00%
Consecutive trading days | day	20
Threshold trading days | day	30
Trading price threshold, percentage	98.00%
Repurchase principal balance, percent	100.00%
Interest expense			1,072,000	$ 1,072,000	3,216,000	3,216,000
Amortization of debt issuance costs			165,000	147,000	481,000	429,000
Amortization of the debt discount			2,666,000	$ 2,379,000	7,775,000	$ 6,940,000
Net proceeds from notes to fund Prepaid Forward	$ 45,100,000
Aggregate number of shares (shares) | shares	1,858,500
Unsecured obligations
Debt Instrument [Line Items]
Aggregate principal amount			$ 5,500,000		$ 5,500,000
Unsecured obligations | 2.50% Convertible notes due 2023
Debt Instrument [Line Items]
Aggregate principal amount	$ 171,500,000	$ 150,000,000
Interest rate		2.50%	2.50%		2.50%
Proceeds from debt	171,500,000
Conversion multiple	1,000
Initial conversion price (usd per share) | $ / shares		$ 30.92
Outstanding principal	116,600,000
Equity component	(54,900,000)
Unamortized debt issuance	$ 5,000,000
Contractual term	5 years
Effective interest rate	11.52%
Unsecured obligations | 2.50% Convertible notes due 2023 | Long-term debt
Debt Instrument [Line Items]
Unamortized debt issuance	$ 3,400,000
Unsecured obligations | 2.50% Convertible notes due 2023 | Contributed capital
Debt Instrument [Line Items]
Unamortized debt issuance	$ 1,600,000

Convertible Notes - Schedule of

Convertible Notes - Schedule of Convertible Notes (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Debt Disclosure [Abstract]
Outstanding principal	$ 171,500	$ 171,500
Unamortized debt discount	(31,267)	(39,042)
Unamortized debt issuance	(1,934)	(2,415)
Net carrying amount of the liability component	$ 138,299	$ 130,043

Convertible Notes - Schedule _2

Convertible Notes - Schedule of Interest Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Debt Disclosure [Abstract]
Interest expense	$ 1,072	$ 1,072	$ 3,216	$ 3,216
Amortization of the debt discount	2,666	2,379	7,775	6,940
Amortization of debt issuance costs	165	147	481	429
Interest Expense, Debt	$ 3,903	$ 3,598	$ 11,472	$ 10,585

Earnings Per Share - Schedule o

Earnings Per Share - Schedule of Potentially Issuable Common Shares not Included in Computation of Diluted Net Loss Per Share (Details) - shares shares in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive common stock instruments outstanding (shares)	9,674	10,179	9,674	10,179
Shares issuable upon the release of restricted stock units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive common stock instruments outstanding (shares)	722	20	722	20
Shares issuable upon exercise of stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive common stock instruments outstanding (shares)	8,952	10,159	8,952	10,159

Earnings Per Share - Narrative

Earnings Per Share - Narrative (Details)	Apr. 04, 2018USD ($)shares	Mar. 27, 2018USD ($)	Sep. 30, 2020USD ($)shares
Debt Instrument [Line Items]
Conversion ratio		0.0323428
Aggregate number of shares (shares) | shares	1,858,500
Unsecured obligations
Debt Instrument [Line Items]
Aggregate principal amount | $			$ 5,500,000
Unsecured obligations | 2.50% Convertible notes due 2023
Debt Instrument [Line Items]
Aggregate principal amount | $	$ 171,500,000	$ 150,000,000
Conversion multiple | $	$ 1,000
Shares issued (shares) | shares			0
Unsecured obligations | 2.50% Convertible notes due 2023 | Maximum
Debt Instrument [Line Items]
Shares issued (shares) | shares			5,500,000

Employee Equity-Based Compens_3

Employee Equity-Based Compensation - Stock Option Activity (Details)	9 Months Ended
	Sep. 30, 2020$ / sharesshares
Number of Shares
Outstanding, beginning balance (shares) | shares	10,132,562
Granted (shares) | shares	1,693,083
Forfeited (shares) | shares	(486,864)
Exercised (shares) | shares	(2,219,281)
Expired (shares) | shares	(167,187)
Outstanding, ending balance (shares) | shares	8,952,313
Weighted Average Exercise Price per Share
Outstanding, beginning balance (dollars per share) | $ / shares	$ 12.28
Granted (dollars per share) | $ / shares	8.55
Forfeited (dollars per share) | $ / shares	13.86
Exercised (dollars per share) | $ / shares	2.01
Expired (dollars per share) | $ / shares	19.83
Outstanding, ending balance (dollars per share) | $ / shares	$ 13.89

Employee Equity-Based Compens_4

Employee Equity-Based Compensation - Inputs to Calculate Estimated Fair Value of Options Awarded (Details) - $ / shares	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020
Share-based Payment Arrangement [Abstract]
Expected term (in years)	6 years 1 month 20 days	6 years 5 months 15 days
Volatility	62.00%	59.00%
Expected dividends	0.00%	0.00%	0.00%
Risk free interest rates	0.42%	1.47%
Weighted average fair value (dollars per share)	$ 8.10	$ 9.66	$ 8.10

Employee Equity-Based Compens_5

Employee Equity-Based Compensation - Stock Option Supplemental Information (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2020	Dec. 31, 2019
Options Outstanding
Number of options (shares)	8,952,313	10,132,562
Weighted average remaining contractual term (in years)	6 years 3 months 3 days
Weighted average exercise price (dollars per share)	$ 13.89	$ 12.28
Weighted average fair value (dollars per share)	$ 8.73
Aggregate intrinsic value (in thousands)	$ 15,514
Options Exercisable
Number of options (shares)	4,767,274
Weighted average remaining contractual term (in years)	4 years 6 months 3 days
Weighted average exercise price (dollars per share)	$ 13.28
Weighted average fair value (dollars per share)	$ 8.60
Aggregate intrinsic value (in thousands)	$ 12,387

Employee Equity-Based Compens_6

Employee Equity-Based Compensation - Restricted Stock Activity (Details) - RSUs and RSAs	9 Months Ended
	Sep. 30, 2020$ / sharesshares
Number of Shares
Beginning balance (shares) | shares	14,332
Granted (shares) | shares	807,751
Forfeited (shares) | shares	(31,307)
Vested/Released (shares) | shares	(68,641)
Ending balance (shares) | shares	722,135
Weighted Average Grant Date Fair Value per Share
Beginning balance (dollars per share) | $ / shares	$ 16.66
Granted (dollars per share) | $ / shares	11.47
Forfeited (dollars per share) | $ / shares	9.72
Vested/Released (dollars per share) | $ / shares	9.85
Ending balance (dollars per share) | $ / shares	$ 11.80

Employee Equity-Based Compens_7

Employee Equity-Based Compensation - Equity-Based Compensation Expense and Tax Benefit (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense	$ 4,676	$ 3,131	$ 12,291	$ 9,409
Cost capitalized to inventory	61	92	199	332
Performance-based stock option expense
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense			109	107
Performance-based RSU expense
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense			401	0
Cost of sales
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense	119	65	249	172
Research and development
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense	1,349	897	2,807	3,226
Sales, general and administrative
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Equity-based compensation expense	$ 3,208	$ 2,169	$ 9,235	$ 6,011

Employee Equity-Based Compens_8

Employee Equity-Based Compensation - Narrative (Details) - USD ($) $ in Millions	1 Months Ended	3 Months Ended	9 Months Ended
	Aug. 31, 2018	Sep. 30, 2020	Sep. 30, 2020
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Unrecognized equity-based compensation cost		$ 17.4	$ 17.4
Shares issuable upon the release of restricted stock units
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Unrecognized equity-based compensation cost, restricted stock units		$ 3.9	$ 3.9
Performance-based stock option expense
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Contractual life			10 years
Granted (shares)	225,000		105,000
Vested (shares)	75,000	22,500	22,500
Forfeited (shares)	150,000		50,000
Performance-based stock option expense | Minimum
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			1 year
Performance-based stock option expense | Minimum | Granted in 2018
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			5 years
Performance-based stock option expense | Maximum
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			2 years
Performance-based stock option expense | Maximum | Granted in 2018
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			7 years
Performance-based RSU expense
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Contractual life			10 years
Granted (shares)			361,338
Vested (shares)		40,500	40,500
Outstanding (shares)		306,785	306,785
Performance-based RSU expense | Minimum
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			1 year
Performance-based RSU expense | Maximum
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Vesting period			3 years

Income Taxes (Details)

Income Taxes (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Income Tax Disclosure [Abstract]
Provision for income taxes	$ 0	$ (239,000)	$ 0	$ 0
Pre-tax loss	$ (18,757,000)	$ (20,673,000)	$ (59,296,000)	$ (62,970,000)

Leases - Assets and Liabilities

Leases - Assets and Liabilities (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Cash paid for amounts included in lease liabilities
Operating cash flows from operating leases	$ 185	$ 168	$ 556	$ 333
ROU assets obtained in exchange for lease obligations
Operating leases	0	3,639	17	3,639
Lease Cost
Operating leases	277	213	790	378
Short-term leases	$ 17	$ 103	$ 45	$ 697
Weighted average remaining lease term (years)	4 years 8 months 12 days		4 years 8 months 12 days
Weighted average discount rate (%)	7.00%		7.00%

Leases - Maturities of Lease Li

Leases - Maturities of Lease Liabilities (Details) $ in Thousands	Sep. 30, 2020USD ($)
Leases [Abstract]
Remainder of 2020	$ 174
2021	753
2022	877
2023	968
2024	1,055
Thereafter	619
Total lease payments	4,446
Less imputed interest	(733)
Lessee lease liabilities	$ 3,713

Leases - Sales-type Lease Recei

Leases - Sales-type Lease Receivable Maturity (Details) $ in Thousands	Sep. 30, 2020USD ($)
Leases [Abstract]
Net investment in leases	$ 2,600
Remainder of 2020	223
2021	851
2022	794
2023	431
2024	123
Thereafter	150
Total undiscounted cash flows	2,572
Less imputed interest	0
Present value of lease payments	$ 2,572

Industry, Geographic and Reve_3

Industry, Geographic and Revenue Disaggregation - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020USD ($)	Sep. 30, 2019USD ($)	Sep. 30, 2020USD ($)segment	Sep. 30, 2019USD ($)	Dec. 31, 2019USD ($)
Segment Reporting [Abstract]
Number of operating segments | segment			1
Segment Reporting Information [Line Items]
Trade accounts receivable	$ 2,610		$ 2,610		$ 3,222
Lease Income	$ 1,700	$ 200	$ 2,400	$ 600
Geographic concentration | Foreign | Total revenue
Segment Reporting Information [Line Items]
Risk concentration	6.00%	23.00%	7.00%	26.00%
Geographic concentration | Foreign | Net accounts receivable
Segment Reporting Information [Line Items]
Trade accounts receivable	$ 1,200		$ 1,200		$ 2,100

Industry, Geographic and Reve_4

Industry, Geographic and Revenue Disaggregation - Disaggregation of Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Disaggregation of Revenue [Line Items]
Net sales	$ 3,588	$ 2,271	$ 8,056	$ 5,827
Accelerate Pheno revenue
Disaggregation of Revenue [Line Items]
Net sales	3,582	2,221	7,980	5,702
Other revenue
Disaggregation of Revenue [Line Items]
Net sales	6	50	76	125
Products
Disaggregation of Revenue [Line Items]
Net sales	3,402	2,143	7,481	5,531
Services
Disaggregation of Revenue [Line Items]
Net sales	186	128	575	296
Domestic
Disaggregation of Revenue [Line Items]
Net sales	3,386	1,757	7,477	4,308
Foreign
Disaggregation of Revenue [Line Items]
Net sales	$ 202	$ 514	$ 579	$ 1,519

Industry, Geographic and Reve_5

Industry, Geographic and Revenue Disaggregation - Long-lived Assets by Geographic Territory (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Segment Reporting Information [Line Items]
Long-lived assets (excluding intangible assets)	$ 7,104	$ 7,905
Property and equipment | Geographic concentration
Segment Reporting Information [Line Items]
Long-lived assets (excluding intangible assets)	7,104	7,905
Property and equipment | Geographic concentration | Domestic
Segment Reporting Information [Line Items]
Long-lived assets (excluding intangible assets)	6,563	7,244
Property and equipment | Geographic concentration | Foreign
Segment Reporting Information [Line Items]
Long-lived assets (excluding intangible assets)	$ 541	$ 661

Related Party Transaction (Deta

Related Party Transaction (Details) - USD ($)	Aug. 20, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019	Aug. 19, 2019
Related Party Transaction [Line Items]
Share price (usd per share)					$ 17.99
Proceeds from issuance of common stock	$ 1,000,000	$ 296,000	$ 1,363,000
Chief Operating Officer
Related Party Transaction [Line Items]
Issuance of common stock (shares)	55,586
Director | Note holder | Chief Operating Officer
Related Party Transaction [Line Items]
Aggregate principal amount		$ 42,000,000		$ 42,000,000