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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 31, 2019
Dec. 31, 2019
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Jan. 01, 2019
Dec. 31, 2016
Property, Plant and Equipment [Line Items]              
Other comprehensive loss   $ 0   $ 0 $ 0    
Short-term investments   150,000,000 $ 150,000,000 0      
Restricted cash   1,270,000 1,270,000 179,000 280,000    
Allowance for doubtful accounts   1,245,000 1,245,000 575,000 51,000   $ 92,000
Goodwill impairment     0 0      
Capitalized computer software     5,600,000 4,000,000.0 1,600,000    
Capitalized computer software amortization     2,500,000 900,000 200,000    
Advance payments from partner     9,500,000 6,700,000      
Advertising expense     4,000,000.0 5,000,000.0 $ 3,000,000.0    
Cumulative effect adjustment from adoption of ASC 606           $ 4,685,000  
Deferred costs and other, current   16,051,000 16,051,000 6,022,000      
Deferred costs and other, noncurrent   5,700,000 5,700,000 2,447,000      
Accrued expenses and other current liabilities   (27,801,000) $ (27,801,000) $ (16,152,000)      
Minimum              
Property, Plant and Equipment [Line Items]              
Property, plant and equipment, useful life     2 years        
Maximum              
Property, Plant and Equipment [Line Items]              
Property, plant and equipment, useful life     3 years        
IPO              
Property, Plant and Equipment [Line Items]              
Offering expenses $ 2,400,000            
Livongo for Behavioral Health By myStrength Solution              
Property, Plant and Equipment [Line Items]              
Description of payment terms     In most agreements associated with our Livongo for Behavioral Health by myStrength solution, clients either pay a fixed upfront fee or a monthly fee based on the number of members to whom the solution is available. The contract term is generally one to three years, with one year auto-renewal terms.        
Blood Glucose Meter and Supplies              
Property, Plant and Equipment [Line Items]              
Description of payment terms     In most agreements associated with our Livongo for Diabetes, Livongo for Hypertension, and Livongo for Prediabetes and Weight Management solutions, clients primarily pay monthly subscription fees based on a per participant per month model, based on the number of active enrolled members each month. In addition, clients can choose to pay an upfront amount with a lower per participant per month fee. We have determined that access to our solution is a single continuous service comprised of a series of distinct services that are substantially the same and have the same pattern of transfer (i.e. distinct days of service). These services are consumed as they are received and we recognize revenue each month using the variable consideration allocation exception. We apply this exception because we concluded that the nature of our obligations and the variability of the payment being based on the number of active members are aligned.        
Accumulated Deficit              
Property, Plant and Equipment [Line Items]              
Cumulative effect adjustment from adoption of ASC 606           4,685,000  
ASC 606 | Impact of Adoption              
Property, Plant and Equipment [Line Items]              
Deferred costs and other, current   1,306,000 $ 1,306,000     3,700,000  
Deferred costs and other, noncurrent   1,867,000 1,867,000     800,000  
Accrued expenses and other current liabilities   $ 1,011,000 $ 1,011,000     $ 200,000