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Pay vs Performance Disclosure - USD ($)
 3 Months Ended 12 Months Ended
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2022
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure                        
Pay vs Performance Disclosure, Table                
Value of Initial Fixed $100
Investment Based On:
Fiscal YearSCT for PEOCAP to PEOAverage SCT for NEOsAverage CAP to NEOsTSRPeer Group TSRNet Income (Loss) ($M)Revenue ($M)
(a)
(b)1
(c)2
(d)3
(e)2
(f)4
(g)4
(h)5
(i)6
2023$7,279,813 $2,111,276 $663,439 $(312,230)$9.9 $106.3 $(162.8)$212.4 
2022$2,597,552 $2,761,857 $966,115 $673,736 $123.5 $99.8 $(82.3)$252.4 
2021$4,065,626 $6,422,427 $2,356,048 $2,997,001 $115.4 $125.4 $2.1 $231.3 
2020$1,334,582 $(350,182)$1,062,163 $853,506 $67.3 $130.0 $(23.9)$147.7 
      
Company Selected Measure Name                 revenue      
Named Executive Officers, Footnote                 The dollar amounts reported in column (d) are the average amounts of total compensation reported for the other NEOs for each corresponding year in the “Total” column of the Summary Compensation Table. Refer to our Summary Compensation Table in this section for each of 2023, 2022 2021, and 2020, the Non-PEO NEOs were:
2023202220212020
Stuart D. DrummondDaniel J. PlantsDaniel J. PlantsJasor R. Richey
Jeffrey S. JonesRohan R. SethRohan R. SethRohan R. Seth
Michael A. KaravitisMichael A. KaravitisMichael A. KaravitisFaud Ahmad
Stephana E. Patton
      
Peer Group Issuers, Footnote                 TSR is calculated by assuming that a $100 investment was made at the close of trading on December 31, 2019 and reinvesting all dividends until the last day of each Covered Year. The TSR peer group consists of the Nasdaq Health Care Index, as used in our performance graph in our annual report.      
PEO Total Compensation Amount                 $ 7,279,813 $ 2,597,552 $ 4,065,626 $ 1,334,582
PEO Actually Paid Compensation Amount                 $ 2,111,276 2,761,857 6,422,427 (350,182)
Adjustment To PEO Compensation, Footnote                 The dollar amounts reported in column (c) and (e) represent the amount of “compensation actually paid”, as computed in accordance with SEC rules. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under applicable SEC rules, as shown in the adjustment table below. We do not have a defined benefit plan so no adjustment for pension benefits is included in the table below. Similarly, no adjustment is made for dividends as none were paid during the measurement period.
The following table details the adjustments described in note 2 above:
Fiscal YearExecutivesSCTMinus Grant Date Fair Value of Equity Awards in Summary Compensation TablePlus Year End Fair Value of Equity Awards Granted During Year That Are Outstanding and Unvested at Fiscal Year EndPlus Year over Year Change in Fair Value of Outstanding and Unvested Equity AwardsPlus Fair Value as of Vesting Date of Equity Awards Granted and Vested in the YearPlus Year over Year Change in Fair Value or Equity Awards Granted in Prior Years that Vested in the YearTotal Equity CAPCAP
(a)(b)(i)(ii)(iii)(iv)(c)=(i)+(ii)+(iii)+(iv)(d)=(a)-(b)+(c)
2023PEO$7,279,813 $6,997,690 $1,829,153 $— $— $— $1,829,153 $2,111,276 
Non-PEO NEOs$663,439 $287,188 $63,625 $(614,062)$(138,044)$(688,481)$(312,230)
2022PEO$2,597,552 $1,530,185 $1,838,392 $(1,399,323)$— $1,255,421 $1,694,490 $2,761,857 
Non-PEO NEOs$966,115 $473,804 $559,128 $(568,799)$— $191,096 $181,425 $673,736 
2021PEO$4,065,626 $2,593,961 $2,677,682 $1,484,535 $— $788,545 $4,950,762 $6,422,427 
Non-PEO NEOs$2,356,048 $1,792,962 $1,746,178 $406,446 $— $281,291 $2,433,915 $2,997,001 
2020PEO$1,334,582 $673,024 $628,451 $(1,278,038)$— $(362,153)$(1,011,740)$(350,182)
Non-PEO NEOs$1,062,163 $449,147 $668,106 $(250,739)$— $(176,877)$240,490 $853,506 
(a)    The dollar amounts reported in the Summary Compensation Table for the applicable Covered Year.
(b)    The grant date fair value of equity awards represents the total of the amounts reported in the “Stock Awards” and “Option Awards” columns of the Summary Compensation Table for the applicable Covered Year.
(c)    The recalculated value of equity awards for each applicable Covered Year includes the addition (or subtraction, as applicable) of the following:
(i)    the year-end fair value of any equity awards granted in the applicable Covered Year that are outstanding and unvested as of the end of the Covered Year;
(ii)    the amount of change as of the end of the applicable Covered Year (from the end of the prior fiscal year) in fair value of any equity awards granted in prior fiscal years that are outstanding and unvested as of the end of the applicable Covered Year;
(iii)    the fair value as of the vesting date of any equity awards granted in the applicable Covered Year that vested in the Covered Year; and
(iv)    for equity awards granted in a prior fiscal year that vest in the applicable Covered Year, the change in the fair value as of the vesting date from the beginning of the applicable Covered Year.
(d)    Compensation actually paid” is a value calculated under applicable SEC rules and may be higher or lower than amounts, if any, that are actually realized by our NEOs.
      
Non-PEO NEO Average Total Compensation Amount                 $ 663,439 966,115 2,356,048 1,062,163
Non-PEO NEO Average Compensation Actually Paid Amount                 $ (312,230) 673,736 2,997,001 853,506
Adjustment to Non-PEO NEO Compensation Footnote                 The dollar amounts reported in column (c) and (e) represent the amount of “compensation actually paid”, as computed in accordance with SEC rules. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under applicable SEC rules, as shown in the adjustment table below. We do not have a defined benefit plan so no adjustment for pension benefits is included in the table below. Similarly, no adjustment is made for dividends as none were paid during the measurement period.
The following table details the adjustments described in note 2 above:
Fiscal YearExecutivesSCTMinus Grant Date Fair Value of Equity Awards in Summary Compensation TablePlus Year End Fair Value of Equity Awards Granted During Year That Are Outstanding and Unvested at Fiscal Year EndPlus Year over Year Change in Fair Value of Outstanding and Unvested Equity AwardsPlus Fair Value as of Vesting Date of Equity Awards Granted and Vested in the YearPlus Year over Year Change in Fair Value or Equity Awards Granted in Prior Years that Vested in the YearTotal Equity CAPCAP
(a)(b)(i)(ii)(iii)(iv)(c)=(i)+(ii)+(iii)+(iv)(d)=(a)-(b)+(c)
2023PEO$7,279,813 $6,997,690 $1,829,153 $— $— $— $1,829,153 $2,111,276 
Non-PEO NEOs$663,439 $287,188 $63,625 $(614,062)$(138,044)$(688,481)$(312,230)
2022PEO$2,597,552 $1,530,185 $1,838,392 $(1,399,323)$— $1,255,421 $1,694,490 $2,761,857 
Non-PEO NEOs$966,115 $473,804 $559,128 $(568,799)$— $191,096 $181,425 $673,736 
2021PEO$4,065,626 $2,593,961 $2,677,682 $1,484,535 $— $788,545 $4,950,762 $6,422,427 
Non-PEO NEOs$2,356,048 $1,792,962 $1,746,178 $406,446 $— $281,291 $2,433,915 $2,997,001 
2020PEO$1,334,582 $673,024 $628,451 $(1,278,038)$— $(362,153)$(1,011,740)$(350,182)
Non-PEO NEOs$1,062,163 $449,147 $668,106 $(250,739)$— $(176,877)$240,490 $853,506 
(a)    The dollar amounts reported in the Summary Compensation Table for the applicable Covered Year.
(b)    The grant date fair value of equity awards represents the total of the amounts reported in the “Stock Awards” and “Option Awards” columns of the Summary Compensation Table for the applicable Covered Year.
(c)    The recalculated value of equity awards for each applicable Covered Year includes the addition (or subtraction, as applicable) of the following:
(i)    the year-end fair value of any equity awards granted in the applicable Covered Year that are outstanding and unvested as of the end of the Covered Year;
(ii)    the amount of change as of the end of the applicable Covered Year (from the end of the prior fiscal year) in fair value of any equity awards granted in prior fiscal years that are outstanding and unvested as of the end of the applicable Covered Year;
(iii)    the fair value as of the vesting date of any equity awards granted in the applicable Covered Year that vested in the Covered Year; and
(iv)    for equity awards granted in a prior fiscal year that vest in the applicable Covered Year, the change in the fair value as of the vesting date from the beginning of the applicable Covered Year.
(d)    Compensation actually paid” is a value calculated under applicable SEC rules and may be higher or lower than amounts, if any, that are actually realized by our NEOs.
      
Compensation Actually Paid vs. Total Shareholder Return                
CAP vs. TSR.jpg
      
Compensation Actually Paid vs. Net Income                
CAP vs. Net Income.jpg
      
Compensation Actually Paid vs. Company Selected Measure                
CAP vs. CSM.jpg
      
Total Shareholder Return Amount                 $ 9.9 123.5 115.4 67.3
Peer Group Total Shareholder Return Amount                 106.3 99.8 125.4 130.0
Net income (loss) $ (57,233,000) $ (44,274,000) $ (33,278,000) $ (28,048,000) $ (7,788,000) $ (12,134,000) $ (47,276,000) $ (15,142,000) $ (162,833,000) $ (82,340,000) $ 2,062,000 $ (23,900,000)
Company Selected Measure Amount                 212,400,000 252,400,000 231,300,000 147,700,000
PEO Name                 Taylor Harris      
Additional 402(v) Disclosure                 The dollar amounts reported in column (b) are the amounts of total compensation reported for the Chief Executive Officer and PEO, for each corresponding year in the “Total” column of the Summary Compensation Table.The dollar amounts reported are the Company’s net income or loss reflected in the Company’s audited financial statements.
For purposes of the adjustments to determine “compensation actually paid”, we computed the fair value of stock option awards and restricted stock units in accordance with FASB ASC Topic 718 as of the end of the relevant fiscal year, other than fair values
of equity awards that vested in the Covered Year, which are valued as of the applicable vesting date. Most valuation assumptions and processes used to recalculate fair values for this purpose did not materially differ from those disclosed in Note 8—Stockholders’ Equity, Stock Plans and Stock-Based Compensation Expense in this Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Option award fair values were recalculated as of each Covered Year end and vesting date, as applicable, based on the following assumptions:
Fiscal YearExpected TermVolatilityRisk-Free Rate
20235.3 - 7.0 years66.1% - 81.2%4.00% - 4.25%
20222.1 - 3.7 years67.0 %3.00 %
20210.7 - 3.5 years67.0 %0.86 %
20201.4 - 2.3 years67.0 %0.53 %
Performance-based award fair values were recalculated to value performance awards at target until board approval.
      
Measure:: 1                        
Pay vs Performance Disclosure                        
Non-GAAP Measure Description                 Our Company Selected Measure, based on our assessment of the most important financial performance measure used by us in 2023 to link compensation actually paid to performance, is revenue, consistent with the most heavily weighted metric in our Short-Term Incentive Program. The dollar amounts reported are our revenue reflected in our audited financial statements.      
PEO | Equity Awards Reported Value [Member]                        
Pay vs Performance Disclosure                        
Adjustment to Compensation, Amount                 $ 6,997,690 $ 1,530,185 $ 2,593,961 $ 673,024
PEO | Equity Awards Granted During The Year, Unvested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 1,829,153 1,838,392 2,677,682 628,451
PEO | Equity Awards Granted In Prior Years, Unvested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 0 (1,399,323) 1,484,535 (1,278,038)
PEO | Equity Awards Granted During The Year, Vested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 0 0 0 0
PEO | Equity Awards Granted In Prior Years, Vested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 0 1,255,421 788,545 (362,153)
PEO | Equity Award Adjustments [Member]                        
Pay vs Performance Disclosure                        
Adjustment to Compensation, Amount                 1,829,153 1,694,490 4,950,762 (1,011,740)
Non-PEO NEO | Equity Awards Reported Value [Member]                        
Pay vs Performance Disclosure                        
Adjustment to Compensation, Amount                 287,188 473,804 1,792,962 449,147
Non-PEO NEO | Equity Awards Granted During The Year, Unvested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 63,625 559,128 1,746,178 668,106
Non-PEO NEO | Equity Awards Granted In Prior Years, Unvested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 (614,062) (568,799) 406,446 (250,739)
Non-PEO NEO | Equity Awards Granted During The Year, Vested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 0 0 0
Non-PEO NEO | Equity Awards Granted In Prior Years, Vested [Member]                        
Pay vs Performance Disclosure                        
Adjustment To Compensation Amount, Equity Awards                 (138,044) 191,096 281,291 (176,877)
Non-PEO NEO | Equity Award Adjustments [Member]                        
Pay vs Performance Disclosure                        
Adjustment to Compensation, Amount                 $ (688,481) $ 181,425 $ 2,433,915 $ 240,490