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Balance Sheet Components
12 Months Ended
Dec. 31, 2023
Balance Sheet Components  
Balance Sheet Components

6.    Balance Sheet Components

​

Allowance for Doubtful Accounts

​

The following is a roll-forward of the allowances for doubtful accounts related to trade accounts receivable for the years ended December 31, 2023, 2022 and 2021:

​

​

​

​

​

​

​

​

​

​

​

​

    

December 31, 

​

​

2023

​

2022

​

2021

​

​

(in thousands)

Beginning balance

​

$

3,830

​

$

2,429

​

$

4,220

Provision for doubtful accounts

​

​

2,645

​

​

1,770

​

​

(156)

Write-offs

​

​

6

​

​

(369)

​

​

(1,635)

Total

​

$

6,481

​

$

3,830

​

$

2,429

​

Property and Equipment, net

​

The Company’s property and equipment consisted of the following:

​

​

​

​

​

​

​

​

​

​

​

​

    

​

​

December 31, 

​

December 31, 

​

​

    

Useful Life

    

2023

    

2022

​

​

​

​

​

(in thousands)

​

Machinery and equipment

 

3-5 years

 

$

85,626

​

$

66,262

​

Computer equipment

 

3 years

 

​

1,850

​

 

1,308

​

Purchased and capitalized software held for internal use

​

3 years

​

​

11,636

​

​

5,464

​

Leasehold improvements

 

Lesser of useful life or lease term

 

​

38,999

​

 

29,747

​

Construction-in-process

​

​

 

​

29,392

​

 

25,370

​

​

​

​

 

​

167,503

​

 

128,151

​

Less: Accumulated depreciation and amortization

​

​

 

​

(56,293)

​

 

(35,698)

​

Total Property and Equipment, net

​

​

​

$

111,210

​

$

92,453

​

​

The Company’s property and equipment are mostly located in the United States.

​

During the years ended December 31, 2023, 2022, and 2021, depreciation expense of $22.7 million, $16.7 million, $11.3 million was recorded, respectively. The Company did not incur any material impairment charges during the years ended December 31, 2023, 2022, and 2021.

​

As of December 31, 2023, 2022, and 2021, the Company’s consolidated balance sheets included $5.5 million, $4.7 million, and $3.5 million, respectively, of capitalized cloud-based implementation costs recorded as other assets within the Company’s consolidated balance sheets. These balances primarily consist of capitalized implementation costs

related to the enterprise resource planning system which the Company implemented in 2022. Accumulated amortization associated with these assets was $2.5 million, $0.9 million, and $1.5 million as of December 31, 2023, 2022, and 2021, respectively. The net book value of these capitalized cloud-based implementation was $3.0 million, $3.8 million, and $2.1 million for the years ended December 31, 2023, 2022, and 2021, respectively.

​

Accrued Compensation

​

The Company’s accrued compensation consisted of the following:

​

​

​

​

​

​

​

​

​

​

    

December 31,

    

December 31,

​

​

   

2023

   

2022

 

​

​

(in thousands)

​

Accrued paid time off

​

$

3,121

​

$

2,930

​

Accrued commissions

​

 

10,522

​

 

11,821

​

Accrued bonuses

​

 

24,651

​

 

20,426

​

Other accrued compensation

​

 

7,563

​

 

8,833

​

Total accrued compensation

​

$

45,857

​

$

44,010

​

​

Other Accrued Liabilities

​

The Company’s other accrued liabilities consisted of the following:

​

​

​

​

​

​

​

​

​

​

    

December 31, 

    

December 31, 

 

​

    

2023

    

2022

 

​

​

(in thousands)

Reserves for refunds to insurance carriers

​

$

23,245

​

$

18,948

​

Accrued charges for third-party testing

​

​

14,823

​

​

17,036

​

Testing and laboratory materials from suppliers

​

​

11,229

​

​

13,281

​

Marketing and corporate affairs

​

​

10,085

​

​

8,943

​

Legal, audit and consulting fees

​

​

43,897

​

​

36,710

​

Accrued shipping charges

​

​

3,646

​

​

485

​

Sales and income tax payable

​

​

3,731

​

​

4,319

​

Accrued third-party service fees

​

​

7,111

​

​

6,631

​

Clinical trials and studies

​

 

12,126

​

 

23,301

​

Operating lease liabilities, current portion

​

​

11,621

​

​

7,639

​

Property and equipment purchases

​

​

4,316

​

​

1,821

​

Other accrued interest

​

​

1,078

​

​

1,078

​

Other accrued expenses

​

 

2,497

​

 

4,022

​

Total other accrued liabilities

​

$

149,405

​

$

144,214

​

​

Reserves for refunds to insurance carriers include overpayments from and amounts to be refunded to insurance carriers, and additional amounts that the Company estimates for potential refund requests during the period. When and if these previously accrued amounts are no longer required based on actual refunds requested, any remaining reserve amounts are released. When the Company releases these previously accrued amounts, they are recognized as product revenues in the statements of operations and comprehensive loss.

​

The following table summarizes the reserve balance and activities for refunds to insurance carriers for the years ended December 31, 2023 and 2022:

​

​

​

​

​

​

​

​

​

    

December 31, 

    

December 31, 

​

    

2023

    

2022

​

​

(in thousands)

Beginning balance

​

$

18,948

​

$

17,210

Additional reserves

​

​

14,974

​

​

23,717

Refunds to carriers

​

​

(1,583)

​

​

(1,800)

Reserves released to revenue

​

​

(9,094)

​

​

(20,179)

Ending balance

​

$

23,245

​

$

18,948

​

​

​

​

​

​

​

​