2022 ANNUAL REPORT
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2022
OR
☒
☐
For the transition period from to
Commission file number: 001-38319
QUANTERIX CORPORATION
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
900 Middlesex Turnpike, Billerica, MA
(Address of principal executive offices)
20-8957988
(I.R.S. Employer Identification No.)
01821
(Zip Code)
Securities registered pursuant to Section 12(b) of the Exchange Act:
Registrant’s telephone number, including area code: (617) 301-9400
Title of each class
Common Stock, $0.001 par value per share
Trading Symbol(s)
QTRX
Name of each exchange on which registered
The Nasdaq Global Market
Securities registered pursuant to Section 12(g) of the Exchange Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes No
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes No
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the
preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past
90 days. Yes No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T
during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging
growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the
Exchange Act.
Large accelerated filer
Non-accelerated filer
Accelerated filer
Smaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised
financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over
financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect
the correction of an error to previously issued financial statements. ☐
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the
registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
As of the last business day of the registrant’s most recently completed second fiscal quarter (June 30, 2022), the aggregate market value of the voting and non-voting
common equity held by non-affiliates of the registrant, based on the last reported sales price for the registrant’s common stock, par value $0.001 per share, on The Nasdaq
Global Market on such date, was approximately $558 million.
As of February 28, 2023, the registrant had 37,248,605 shares of common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s definitive proxy statement for its 2023 Annual Meeting of Stockholders, which the registrant intends to file with the Securities and Exchange
Commission pursuant to Regulation 14A within 120 days after the end of the registrant’s fiscal year ended December 31, 2022, are incorporated by reference into Part III of
this Annual Report on Form 10-K.
TABLE OF CONTENTS
PART I
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 1.
Item 1A. Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 1B. Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 2.
Item 3.
Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 4. Mine Safety Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of
Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 6. Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations . . . . . . . .
Item 7A. Quantitative and Qualitative Disclosures about Market Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Financial Statements and Supplementary Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 8.
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure . . . . . . . .
Item 9.
Item 9A. Controls and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 9B. Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections . . . . . . . . . . . . . . . . . . . . . . . . . .
PART III
Item 10. Directors, Executive Officers and Corporate Governance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 11. Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder
Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 13. Certain Relationships and Related Transactions, and Director Independence . . . . . . . . . . . . . . . . . . . .
Item 14. Principal Accountant Fees and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 15. Exhibits and Financial Statement Schedules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item 16. Form 10-K Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signatures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART IV
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Special Note Regarding Forward-Looking Statements
This Annual Report on Form 10-K contains forward-looking statements (within the meaning of the U.S. Private
Securities Litigation Reform Act of 1995) that involve risks and uncertainties. All statements other than statements of
historical facts contained in this Annual Report on Form 10-K are forward-looking statements. In some cases,
forward-looking statements can be identified by words such as “anticipate,” “believe,” “contemplate,” “continue,”
“could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “seek,” “should,” “target,”
“will,” “would,” or the negative of these words or other comparable terminology. These forward-looking statements
include, but are not limited to, statements about:
•
•
•
•
•
•
•
•
•
•
•
the implementation of our business model and strategic plans for our business, products and services,
especially following the restructuring and strategic realignment we commenced in the third quarter of
2022;
the potential size of the markets and fields addressable by our Simoa technology platforms;
the commercialization and adoption of our existing products and services and the success of our new
product and service offerings;
the accuracy of our estimates regarding expenses, future revenues, capital requirements and our needs for
additional financing;
the ability of our Simoa technology’s sensitivity to improve existing diagnostics and to enable the
development of new diagnostic tests and tools;
the potential of our Simoa technology in the field of screening/diagnostic tests linked to therapeutic drugs
and adoption by healthcare professionals;
the impact of our Simoa technology on proteomic research;
our ability to implement and realize the intended benefits of our restructuring and assay improvement
program;
our ability to retain and expand our customer base and achieve sufficient market acceptance of our
products;
the ability of our contract manufacturers to reliably and consistently manufacture and supply our Simoa
HD-X instrument and our Simoa SR-X instrument;
the usefulness of the data generated by our Simoa technology in the life science research and diagnostics
fields; and
•
our financial performance.
These forward-looking statements are subject to a number of risks, uncertainties and assumptions, including
those further described in “Part I, Item 1A, Risk Factors” and elsewhere in this Annual Report on Form 10-K. Moreover,
we operate in a very competitive and rapidly changing environment, and new risks emerge from time to time. It is not
possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent
to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any
forward-looking statements we may make. In light of these risks, uncertainties and assumptions, the forward-looking
events and circumstances discussed in this Annual Report on Form 10-K may not occur and actual results could differ
materially and adversely from those anticipated or implied in the forward-looking statements.
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Readers should not rely upon forward-looking statements as predictions of future events. Although we believe
that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee that the future
results, levels of activity, performance or events and circumstances reflected in the forward-looking statements will be
achieved or occur. We undertake no obligation to update publicly any forward-looking statements for any reason after
the date of this Annual Report on Form 10-K to conform these statements to new information, actual results or to
changes in our expectations, except as required by law.
Readers should read this Annual Report on Form 10-K and the documents that we reference herein and have
filed with the Securities and Exchange Commission (SEC) as exhibits to this Annual Report on Form 10-K with the
understanding that our actual future results, levels of activity, performance, and events and circumstances may be
materially different from what we expect.
This Annual Report on Form 10-K includes statistical and other industry and market data that we obtained from
industry publications and research, surveys and studies conducted by third parties. Industry publications and third-party
research, surveys and studies generally indicate that their information has been obtained from sources believed to be
reliable, although they do not guarantee the accuracy or completeness of such information. Such data involves a number
of assumptions and limitations and contains projections and estimates of the future performance of the markets in which
we operate and intend to operate that are subject to a high degree of uncertainty. We caution not to give undue weight to
such projections, assumptions and estimates.
Service Marks, Trademarks and Trade Names
Unless the context otherwise requires, the terms “Quanterix,” the “Company,” “we,” “us” and “our” in this
Annual Report on Form 10-K refer to Quanterix Corporation and its subsidiaries. “Quanterix,” “Simoa,” “Simoa HD-X,”
“Simoa HD-1,” “SR-X,” “SP-X”, “HD-X”, “NF-light” and our logo are our trademarks. All other service marks,
trademarks and trade names appearing in this Annual Report on Form 10-K are the property of their respective owners.
We do not intend our use or display of other companies’ trade names, trademarks or service marks to imply a
relationship with, or endorsement or sponsorship of us by, these other companies.
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Item 1. BUSINESS
Overview
PART I
We are a life sciences company that has developed next-generation, ultra-sensitive digital immunoassay
platforms that advance life sciences research and diagnostics. Our platforms are based on our proprietary digital “Simoa”
detection technology. Our Simoa bead-based and planar array platforms enable customers to reliably detect protein
biomarkers in extremely low concentrations in blood, serum and other fluids that, in many cases, are undetectable using
conventional, analog immunoassay technologies, and also allow researchers to define and validate the function of novel
protein biomarkers that are only present in very low concentrations. These capabilities provide our customers with
insight into the role of protein biomarkers in human health that has not been possible with other existing technologies
and enable researchers to unlock unique insights into the continuum between health and disease. We believe this greater
insight will enable the development of novel therapies and diagnostics and facilitate a paradigm shift in healthcare from
an emphasis on treatment to a focus on earlier detection, monitoring, prognosis and, ultimately, prevention.
We believe that our Simoa platforms are among the most sensitive commercially available multiplex protein
detection platforms and significantly advance enzyme-linked immunosorbent assay (ELISA) technology, which has been
the industry standard for protein detection for over 45 years. Proteins are complex molecules that are required for the
structure, function and regulation of the body’s tissues and organs, and are the functional units that carry out specific
tasks in every cell. The human body contains approximately 20,000 genes, each of which can produce multiple proteins.
It is estimated that these 20,000 genes can produce over 100,000 different proteins, of which 10,000 – 15,000 are
estimated to be secreted in blood. Proteins are considered to be the best analytes – providing the most real-time picture
of disease, and researchers and clinicians rely extensively on protein biomarkers for use as research and clinical tools.
However, normal physiological levels of many proteins are not detectable in easily accessible blood samples using
conventional, analog immunoassay technologies, and many of these technologies can only detect proteins once they have
reached levels that reflect more advanced disease or injury. For many other low abundance proteins, these technologies
cannot detect proteins even at disease- or injury-elevated levels. We believe that Simoa’s sensitivity offers a new way to
monitor healthy individuals and detect proteins associated with nascent disease or injury early in the disease cascade,
which holds the key to intervention before disease or injury has advanced to the point where more significant clinical
signs and symptoms have appeared.
Our Simoa platforms have achieved significant scientific validation and commercial adoption. Simoa
technology has been cited in over 2,000 scientific publications in areas of high unmet medical need and research interest
such as neurology, oncology, cardiology, infectious disease and inflammation. Our growing customer base is comprised
of over 1,300 customers across our end markets.
Restructuring and Strategic Re-Alignment
Following a strategic review and assessment of our operations and cost structure, in the third quarter of 2022 we
announced a plan of restructuring and strategic re-alignment (the Restructuring Plan). As part of this plan, we began an
assay redevelopment program with the ultimate objective of improving our ability to manufacture and deliver high-
quality assays at scale. The Restructuring Plan aligns our investments to best serve the needs of customers, focuses
innovation efforts on key platforms and provides the foundation for our entry into translational pharma and clinical
markets, which we believe will be required to access new growth categories. The Restructuring Plan included the
elimination of 119 positions and other cost-saving measures. The workforce reduction was substantially completed by
the end of the third quarter of 2022.
Our Products and Services
Our proprietary Simoa technology is based on traditional ELISA technology, which has been the most widely
used method of detection of proteins for over 45 years. Given our target customers’ familiarity with the core ELISA
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technology, we believe this offers us a significant competitive advantage. Our Simoa bead-based platform differs,
however, from conventional ELISA in its ability to trap single molecules in tiny microwells, 40 trillionths of a milliliter,
that are 2.5 billion times smaller than traditional ELISA wells, allowing for an analysis and digital readout of each
individual molecule, which is not possible with conventional ELISA technology. Leveraging our proprietary
sophisticated Simoa image analysis and data analysis algorithms, we have also developed a planar array technology to
provide sensitivity similar to that found in our Simoa bead-based platform. We currently offer the following three Simoa
instruments, which we believe are among the most sensitive multiplex protein detection platforms commercially
available today:
• HD-X: We commercially launched our HD-X instrument in the second half of 2019. The HD-X is an
upgraded version of the Simoa HD-1 (our first Simoa instrument, which was launched in January 2014)
that was designed to deliver significant productivity and operational efficiency improvements, as well as
greater user flexibility. The HD-X is based on our bead-based technology, and assays run on the HD-X are
fully automated.
• SR-X: We commercially launched our SR-X instrument in December 2017. The SR-X utilizes the same
Simoa bead-based technology and assay kits as the HD-X in a compact benchtop form with a lower price
point, more flexible assay preparation, and a wider range of potential applications.
• SP-X: We commercially launched our SP-X instrument in April 2019. The SP-X is based on our Simoa
planar array technology, which allows for significantly greater multiplexing capabilities, and is, we believe,
ideal for oncology and immunology applications.
The current menu of approximately 36 analyte-specific single-plex and multi-plex bead-based assay kits
includes assays for biomarkers in the areas of neurology, infectious disease, immunology, oncology and cardiology for
both human and mouse samples. The current menu of Simoa planar array reagent kits includes approximately 115
biomarkers ranging from 1-10 analytes per assay in the areas of immunology and oncology research. In addition, both
the bead-based platform and the planar array platform allow ease and flexibility in assay design, enabling our customers
to develop their own in-house assays, called “homebrew” assays.
We also provide contract research services for customers through our CLIA-certified Accelerator Laboratory.
The Accelerator Laboratory provides customers with access to Simoa technology and supports multiple projects and
services, including sample testing, homebrew assay development and custom assay development. To date, we have
completed over 1,900 projects for more than 400 customers from all over the world using our Simoa platforms. We have
recently begun offering laboratory developed tests (LDTs) through the Accelerator Laboratory. LDTs are diagnostic
tests that are developed, validated and performed by a single laboratory. In July 2022, we launched an LDT to
quantitatively measure phospho-Tau 181 (pTau-181) in plasma as an aid in diagnostic evaluation of Alzheimer’s disease,
and in January 2023, we launched an LDT to quantitatively measure neurofilament light chain (NfL) in serum as an aid
in the evaluation of individuals for possible neurodegenerative conditions or other causes of neuronal or central nervous
system damage.
In August 2019, we acquired UmanDiagnostics AB (Uman), a company located in Umeå, Sweden, that
commercializes proprietary NfL antibodies and NfL ELISA kits. Uman’s NfL antibodies are widely recognized by
researchers and biopharmaceutical and diagnostics companies world-wide as the premier solution for the detection of
NfL to advance the development of therapeutics and diagnostics for certain neurodegenerative conditions. Since we
commercially launched the first assay that could reliably measure NfL in blood using Uman’s antibodies and our Simoa
technology in 2017, NfL has seen dramatic growth as a neurological biomarker. The Uman acquisition secured the NfL
antibody supply critical to our industry-leading ultrasensitive Simoa NfL assays and services and provides us with
additional revenue via the sale of the NfL antibodies and NfL ELISA kits.
We sell our instruments, consumables and services to the life science, pharmaceutical and diagnostics industries
through a direct sales force and support organizations in North America and Europe and through distributors or sales
agents in select markets. In addition, we sell Uman’s NfL antibodies and NfL ELISA kits directly and in conjunction
with a distributor worldwide. We have an extensive base of customers in world class academic and governmental
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research institutions, as well as pharmaceutical, biotechnology and contract research companies, using our technology to
gather information to better understand human health.
Our Competitive Strengths
We believe that our competitive strengths include the following:
• Proprietary ultra-sensitive Simoa digital immunoassay technology platforms. We believe our Simoa
platforms are among the most sensitive, commercially available protein detection platforms, and can detect
and quantify proteins of clinical interest that are undetectable using conventional, analog immunoassay
technologies. This sensitivity allows researchers to measure critical protein biomarkers at earlier stages in
the progression of a disease or injury, which we believe will enable the development of novel therapies and
diagnostics and facilitate a paradigm shift in healthcare from an emphasis on treatment to a focus on earlier
detection, monitoring, prognosis and, ultimately, prevention. The sensitivity of our Simoa technology also
allows researchers to gather biomarker information from smaller samples that can be collected less
invasively than samples required by other assay technologies.
• Technology platforms that leverage and improve upon industry standard ELISA technology. Simoa uses
the basic principles of conventional bead-based ELISA immunoassay technology, which has been the most
widely used method of detection of proteins for over 45 years. Adding digital capability to this industry
standard platform has resulted in expanded capabilities and improved performance. Given our target
customers’ familiarity with the core ELISA technology, our Simoa platforms are easily integrated with
existing customer workflows including data analysis.
• Deep and expanding scientific validation and customer base. Our Simoa technology has been cited in
over 2,000 publications to date, including JAMA Neurology and Nature, and is becoming a vital tool in
cutting edge life sciences research. We have established relationships with key opinion leaders, and our
growing base of over 1,300 customers includes some of the world’s leading academic and government
research institutions and many of the world’s largest biopharmaceutical companies.
• Leading position in market solidified by robust customization capabilities, assay design flexibility and
automation of our HD-X instrument. Our technical capabilities and expertise allow our customers to
design high-quality, customized assays utilizing our Simoa platforms. The needs of our customers vary
widely, and the flexibility of the Simoa detection technology utilized across both our bead-based and planar
array platforms allows us to provide innovative, low cost solutions for customers in multiple markets
across various applications. In addition, the HD-X instrument provides fully automated analysis from
sample introduction to analytical results, and our proprietary approach to ELISA digitization enables rapid
digital data acquisition and assay results. This automation and speed provides customers high research and
development productivity through greater throughput and lab efficiency.
• Business model that leverages growing installed base of instruments. Our installed instrument base
increased to 876 instruments as of December 31, 2022. The integration of our technology into our
customers’ projects provides ongoing sales of assays and consumables, and as we continue to grow our
installed instrument base, optimize workflows and expand our assay menu, we expect to increase our
revenues derived from consumables.
• Our highly experienced senior management team. We are led by a dedicated and highly experienced
senior management team with significant industry experience.
Our Strategy
Our goal is to enable new research into biomarkers to allow greater insight into their role in human health in
ways that have not been possible with any other current research and diagnostic technology. We believe this greater
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insight will facilitate a paradigm shift in healthcare from an emphasis on treatment to a focus on earlier detection,
monitoring, prognosis and, ultimately, prevention.
Our strategy to achieve this includes:
• Focus on the highly attractive, expanding market for protein detection and analysis. Our focus on the
detection of protein biomarkers is driven by a growing understanding of the essential role and impact of
proteins on human health. While genomic research provides valuable information about the role of genes in
health and disease, proteins are both more prevalent than nucleic acids and, we believe, more relevant to a
precise understanding of the nuanced continuum between health and disease. Protein measurement goes
beyond genetic predisposition, indicating the impact of a range of influences on health, including
environmental factors and lifestyle, providing deeper and more relevant insight into what is happening in a
person’s body in real time. Our technology provides a unique bridge between understanding the human
genotype and phenotype, which we believe addresses a large unmet need in life science research,
translational medicine and diagnostic and drug development.
• Continue to drive adoption of our Simoa technology in the life science research/pharma market. We
believe our Simoa technology has the potential to significantly expand the life science research market
because of its unrivaled sensitivity, in particular by enabling researchers to perform studies on protein
biomarkers that they were previously unable to perform. We also believe that our Simoa technology is
uniquely positioned for use by pharmaceutical companies in drug trials as biomarkers are being
increasingly used as an adjunct to help increase the potential of regulatory approval. We have focused
initially on these markets because we believe there is reduced regulatory and reimbursement risk for us in
these markets.
• Expand our presence in the diagnostics market. We believe Simoa technology has the capability to enable
the development of a new category of less-invasive diagnostic tests and tools based on blood, serum, saliva
and other fluids that could replace current invasive, expensive and inconvenient diagnostic methods,
including spinal tap, diagnostic imaging and biopsy. In July 2022, we launched an LDT to quantitatively
measure pTau-181 in plasma as an aid in diagnostic evaluation of Alzheimer’s disease, and in
January 2023, we launched an LDT to quantitatively measure neurofilament light chain (NfL) in serum as
an aid in the evaluation of individuals for possible neurodegenerative conditions or other causes of
neuronal or central nervous system damage.
• Leverage the growing importance of neurological biomarkers to advance the development of
therapeutics and diagnostics for neurodegenerative conditions. The importance of neurological
biomarkers, such as NfL, pTau-181 and pTau-217, has increased significantly in recent years, and our
ultra-sensitive Simoa platforms have allowed research of neurological disorders, previously limited
primarily to cerebrospinal fluid (CSF), to expand significantly. Neuro biomarkers, such as NfL, pTau-217
and pTau-181, have shown increasing relevance in neurological research and drug development. In 2021,
Eli Lilly and Company (Lilly) presented new data from its Phase 2 TRAILBLAZER-ALZ study of its
Alzheimer’s disease drug candidate donanemab, which employed our ultra-sensitive Simoa technology to
measure plasma pTau-217, using antibodies developed by Lilly. Lilly reported a significant reduction in
blood levels of phosphorylated Tau protein after treatment with donanemab, and that a reduction in plasma
pTau-217 levels correlated with the slowing of cognitive decline. In November 2022, Eisai Co., Ltd.
and Biogen Corporation presented results from the Phase 3 clinical trial (Clarity AD) of lecanemab, an
investigational drug aimed at slowing the progression of cognitive decline caused by Alzheimer’s disease.
Target engagement and activity of the drug in downstream processes was explored with a panel of fluid
biomarkers, including plasma pTau-181, glial fibrillary acidic protein (GFAP) and NfL using Quanterix’s
ultrasensitive Simoa assay kits We believe that the use of biomarkers in clinical trials for neurological
conditions is becoming increasingly important. With Simoa’s sensitivity and its ability to detect many
neurological biomarkers in blood and plasma that cannot be detected by many other technologies, we
believe that we are uniquely positioned to take advantage of this opportunity.
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• Expand further into indications beyond neurology. Because the blood-brain barrier severely restricts the
movement of proteins and other substances into blood circulation, we believe that our ultra-sensitive Simoa
platforms are particularly well suited for neurology indications. We also believe, however, that the ability
of our Simoa technology to detect and quantify low abundance proteins is a distinct advantage in detecting
disease earlier in other indications, including oncology, cardiology, infectious disease and inflammation,
and there are nearly 700 scientific publications using our Simoa technologies in these non-neurology
indications. We intend to expand further into these markets, with a particular focus on oncology.
Industry Background
We intend to pursue the application of our Simoa technology to the life science research/pharma and
diagnostics markets. Our initial commercial strategy has targeted the large and growing life science research/pharma
markets, and we believe that the diagnostics market represents a significant commercial opportunity for Simoa. Based on
industry estimates, we believe the aggregate commercial opportunity across these markets is approximately $75 billion.
Proteins are versatile macromolecules and serve critical functions in nearly all biological processes. They are
complex molecules that organisms require for the structure, function and regulation of the body’s tissues and organs. For
example, proteins provide immune protection, generate movement, transmit nerve impulses and control cell growth and
differentiation. Understanding an organism’s proteome, the complete set of proteins and their expression levels, can
provide a powerful and unique window into its health, a window that other types of research, such as genomics, cannot
provide.
The human body contains approximately 20,000 genes. One of the core functions of genes, which are
comprised of DNA, is to regulate protein production—which ones are produced, the volume of each, and for how long—
influenced by both biological and environmental factors. These 20,000 genes help govern the expression of over
100,000 proteins, of which 10,000 – 15,000 are estimated to be secreted in blood, the majority of which cannot be
consistently detected in healthy individuals using conventional immunoassay technologies. Accordingly, the study of
much of the proteome has not been practical given the limited level of sensitivity of existing technologies.
Much like the sequencing of the human genome with the Human Genome Project and the development of both
polymerase chain reaction (PCR) and next generation sequencing technologies to detect nucleic acids, both of which
accelerated biomedical genomic research, we believe the ability to study more of the proteome enabled by our more
sensitive protein detection technology will have a profound impact on proteomic research. With our ultra-sensitive
Simoa detection technology, researchers can assess the symptoms of disease or injury and compare them to the presence
and levels of relevant proteins that are not detectable using conventional technologies, leading to a better understanding
of how proteins individually and/or collectively impact and influence important biological processes and the health and
well-being of individuals. We believe this research into understanding the individual characteristics and functioning of
proteins will be central to earlier detection, monitoring, prognosis and, ultimately, prevention by providing researchers
with the ability to assess the impact of particular proteins on the progress of disease and injury from the time of early
onset of symptoms.
Existing Technologies and Their Limitations
Protein Analysis
ELISA has been the most widely used method of sensitive detection of proteins for over 45 years. In simple
terms, in ELISA, an unknown amount of antigen (e.g., protein, peptide, antibody, hormone) is affixed to a solid surface,
usually a polystyrene multiwell plate, either directly, or indirectly through use of a conjugated secondary or “capture”
antibody (sandwich ELISA). A specific “detection” antibody is applied over the surface to bind to the antigen. This
detection antibody is linked to an enzyme, and in the final step, a substance called an enzyme substrate is added, and the
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enzyme converts to colored or fluorescent product molecules, which are detected by a plate reader. Sandwich ELISA is
depicted in the graphic below:
Aside from ELISA, there are other technologies available for protein analysis today, such as Western blotting,
mass spectrometry, chromatography, surface plasmon resonance, Raman-enhanced signal detection, immuno-PCR, and
biobarcode assay. However, the proteins detectable by these conventional, analog immunoassay technologies represent a
mere fraction of the 10,000-15,000 secreted proteins in circulation in human blood. While a number of techniques have
been used to attempt to increase sensitivity of detection, we believe all of these approaches have limitations, including:
•
•
•
•
dilution of colored or fluorescent product molecules due to large volume of liquid in traditional-sized wells,
limiting sensitivity;
narrow dynamic range (i.e., the range of concentration of proteins being detected), that may require sample
dilution, diluting molecules and increasing sample volume requiring additional enzymes to reach detection
limit;
low detection limit of readers restricts sensitivity and ability to detect low abundance proteins, particularly
when proteins are at normal physiological levels; and
limited success in increasing sensitivity of detection due to procedural complexity and length.
Genomic Analysis
Over the past few decades, scientists have developed a variety of genomic analysis methods to measure an
increasing number of genomic biomarkers aimed at detecting diseases. The most widely used method for genetic testing
is PCR, which involves amplifying, or generating billions of copies of, the DNA sequence in question and then detecting
the DNA with the use of fluorescent dyes. PCR is used to amplify the nucleic acid through the use of enzymes and
repeated heating and cooling cycles, with fluorescent dyes incorporated during each amplification cycle. The expression
of the nucleic acid is then inferred based on the number of amplification cycles required for the target to become
detectable. PCR is sometimes referred to as an analog technology because the number of cycles of amplification, rather
than a direct measure, is used to infer the level of gene expression. The wide availability of PCR chemistry makes it a
popular approach for measuring the expression of nucleic acids, but the use of enzymes in numerous cycles of
amplification can introduce distortion and bias into the data, potentially compromising the reliability of results,
particularly at low concentrations.
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Our Simoa Technology
Our Simoa technology significantly advances conventional sandwich ELISA technology and is capable of
unprecedented protein detection sensitivity.
Simoa Bead-Based Technology
Simoa bead-based digital immunoassays utilize the basic principles of conventional bead-based sandwich
ELISA and require two antibodies: one for capture, which is applied to the beads, and one for detection. Unlike ELISA,
which runs the enzyme-substrate reaction on all molecules in one well, Simoa bead-based reactions are run on individual
molecules in tiny microwells, 40 trillionths of a milliliter that are 2.5 billion times smaller than traditional ELISA wells.
Traditional ELISA analog measurements increase in intensity only as the concentration of a sample increases. Simoa
bead-based digital technology measurements, however, are independent of sample concentration intensity and rely on a
binary signal/no signal readout, enabling detection sensitivity that was not previously possible.
Our Simoa bead-based platform is highly flexible, designed to enable practical high-sensitivity protein analysis
for academic researchers looking at novel proteins all the way through to high throughput analysis performed by large
biopharmaceutical organizations. The following chart describes the steps through which our Simoa bead-based
technology detects proteins:
Simoa Bead-Based Analytic Process
Sample Preparation of ELISA Sandwich
Simoa bead-based technology uses beads coated with
capture antibodies that bind specifically to the protein being
measured. After an enzyme-linked detection antibody binds
to the protein, the enzyme substrate is added (as depicted by
the white star in the graphic on the left). The enzyme
associated with the enzyme-linked detection antibody then
reacts with the enzyme substrate causing the enzyme
substrate to become fluorescent (as depicted by the change
in color of the star in the graphic).
Injection of Bead/Substrate Solution into Simoa Disk
This mixture of beads and enzyme substrate is then injected
into our proprietary Simoa disk, which contains 24 arrays of
microwells arranged radially. Each 3 × 4 millimeter array
contains approximately 239,000 microwells, each of which
is large enough to accommodate only a single bead.
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Bead/Substrate Solution Settles and Wells are Sealed
The bead/substrate solution is drawn across the array and
the beads settle by gravity onto the surface of the array, and
a fraction of them fall into the microwells. The remainder
lie on the surface, and oil is introduced into the channel to
displace the substrate solution and excess beads, and to seal
the wells.
Simoa Readout
The entire array is then imaged using ultrasensitive digital
imaging, and the sealed wells that contain beads associated
with captured and enzyme labeled protein molecules are
identified.
The ability to multiplex, or simultaneously measure multiple proteins (or other biomarkers) in a single assay,
can be important to researchers to maximize the biological information from a sample and to develop more specific
diagnostic tests. However, one of the main issues with multiplexing can be the loss of sensitivity. Our Simoa platforms
maintain single plex precision, while competitive platforms lose sensitivity when multiplexing is used. Multiplexing is
achieved with our Simoa bead-based technology by using beads labeled with different fluorescent dyes specific to the
biomarker being analyzed. After the assay is run, the array of microwells is imaged across the wavelengths of the
different labeled beads. The results are measured for each protein captured by each of the different beads. In 2017, we
commercially launched a Simoa neurology 4-plex assay (NfL, tau, GFAP and UCH-L1) for the study of
neurodegenerative conditions and traumatic brain injury. In 2020, we introduced a Simoa 4-plex assay (Aβ40, Aβ42,
GFAP, NfL) designed to measure key biomarkers of Alzheimer’s disease and related disorders. Whereas other assay
technologies require CSF to detect all four of these markers, or are limited to only single-plex measurement in serum and
plasma, due to Simoa’s sensitivity, we believe this is the only assay that can detect all of these biomarkers directly from
serum and plasma samples in a multiplex assay format. This is a significant advantage in terms of ease of use, patient
comfort, speed and cost-effectiveness. While we have demonstrated the ability to identify and differentiate up to 35
different bead subpopulations on the HD-X, which is a prerequisite to our ability to develop assays with the capacity to
detect an equivalent number of proteins in a single sample, we believe that the ability to multiplex at high levels and
maintain single-plex sensitivity and precision is currently limited using bead-based technology due to constraints in the
number of bead-containing wells for each plex that are imaged on the Simoa disk. However, our bead-based assay
technology was used by researchers to demonstrate a novel workflow to expand multiplexing through a process of
sequential incubation steps. We plan to explore this and other methods to potentially expand the multiplexing
capabilities of our Simoa assay technology to enable plexing of 10-20 plex over the next several years.
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Simoa Planar Array Technology
Simoa planar array immunoassays utilize the basic principles of conventional microplate-based sandwich
ELISA and require two antibodies: one for capture, which is applied to the beads, and one for detection. Unlike ELISA,
which runs the enzyme-substrate reaction on all molecules coating the entire bottom surface in one well, Simoa planar
array reactions are run on spatially segregated micro-spots within the bottom of microtiter plate wells that concentrate
the signal to a surface area 1,000 times smaller than a traditional ELISA. The small spot size and spatial segregation of
each spot enables multiplexing up to 12 different assays within a single sample well.
Our Simoa planar array platform is highly flexible, designed to enable practical high-sensitivity multiplex
protein analysis for drug discovery and development applications as well as translational biomarker research. The
following chart describes the steps through which our Simoa planar array technology detects proteins:
Simoa Planar Array Analytic Process
A)
B)
C)
D)
E)
F)
Analyte-specific capture antibodies are printed in microspots (100 microns) in a circular pattern in the bottom
of a 96-well microtiter plate. Each microspot contains capture antibodies that are specific for different analytes.
Up to 12 spatially resolved microspots can be printed in each well.
Samples are added to the plate and incubated with a benchtop plate shaker to bind the target analyte molecules
to the microspots. Unbound molecules are removed by washing the plate with a benchtop plate washer or
manual wash manifold.
A mixture of biotinylated detection antibodies are added to the plate to form the antibody sandwich. Excess
detection antibodies are removed by washing.
Streptavidin-HRP (horseradish peroxidase enzyme) conjugated is added to the plate to bind to the biotin groups
forming the complete immunocomplex followed by a washing step.
A high-sensitivity chemiluminescent substate reagent is added to each well. The enzyme associated with the
enzyme linked detection antibody then reacts with the enzyme substrate causing the enzyme substrate to emit
light.
The plate is placed into the Quanterix SP-X imaging system. A scientific-grade CCD camera images the entire
plate and all micro-spots simultaneously. The low background of the plate surface and the high-sensitivity of
the camera enable detection of very low levels of light with a high dynamic range. The imaging software
utilizes algorithms to optimize exposure time
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and combine multiple images in the image analysis. Protein concentrations are determined by comparing the
intensity of microspots to known analytical standards.
Below is an image of a 96-well Simoa planar array plate containing 12 microspots. Each microspot represents a
different analyte measured in each sample well.
We believe the Simoa planar array technology is well-suited for researchers who value the ability to measure
critical immunomodulatory biomarkers in patient serum and plasma with ultra-sensitive detection in a multiplex assay
format. The figure below demonstrates 10-plex detection of key cytokines in human serum from normal healthy donors
with corresponding assay Limit of Detection (LoD) listed in femtogram per ml.
Nucleic Acid Testing
Our initial focus has been on the use of Simoa technology to detect protein biomarkers. However, our Simoa
bead-based technology has also been used to detect nucleic acids in biological samples. While methods for measuring
nucleic acid molecules have advanced substantially, currently available techniques still have drawbacks. For example,
PCR is a sensitive method that is widely used for measuring gene expression. However, PCR carries the potential for
data distortion and bias from the repeated addition of enzymes, and heating and cooling cycles needed to amplify a copy
of the nucleic acid being measured. In nucleic acid analysis, we believe that Simoa has the potential to provide the same
sensitivity as traditional PCR-based assays with the following benefits:
•
•
•
no need for amplification of the targeted nucleic acid, which can result in amplification distortion and bias;
reduced cross-contamination because of direct detection of single molecules vs. the detection of a large
number of copies of the nucleic acid; and
the ability to detect some samples without requiring purification of the nucleic acid, such as in
environmental water or serum samples.
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For detection of nucleic acids with our Simoa bead-based technology, instead of coating the beads with capture
antibodies as is done for detecting proteins, the beads are coated with nucleic acid capture probes. Samples with the
target nucleic acid molecules are then added and are captured by the beads. Nucleic acid detection probes (instead of
detection antibodies) are then added and attach to the target nucleic acid molecules which are then labeled using an
enzyme substrate that is detected and counted using the Simoa disk and instrument.
Our Market Opportunities
Our commercial strategy is to pursue the application of our Simoa technology to the life science
research/pharma and diagnostics markets.
Life Science Research/Pharma Markets
We have initially targeted the large and growing life science research and pharma markets. We have chosen
these markets to target initially because of the reduced regulatory and reimbursement risk. We believe our Simoa
platforms are well-positioned to capture a significant share of these markets because of superior sensitivity, automated
workflow capabilities, multiplexing and the ability to work with a broader range of sample types.
Proteomics, the study of the proteins produced by the body, is important to understanding disease, and
researchers study proteins to understand the biological basis for disease and how to improve diagnosis and treatment.
The proteins detectable by conventional, analog immunoassay technologies represent a mere fraction of the proteins that
can be detected by Simoa technology, and we believe that Simoa can inspire a new level of research into these
previously undetectable proteins and their role in disease. By substantially lowering the limit of detection of protein
biomarkers, our Simoa platforms hold significant potential to expand research into the diseases associated with the
thousands of proteins that were previously undetectable, as well as into earlier detection of the proteins currently
detectable by other technologies only after they have reached levels that reflect more advanced disease or injury. Simoa
technology provides researchers the ability to see the nuanced continuum of health to disease more efficiently and
effectively than any other technology commercially available today, offering the potential for the first time to better
understand the onset of disease cascades and catalyzing a new era of medical and life science research, drug discovery
and disease prevention.
In addition, as pharmaceutical companies look for ways to more efficiently and effectively develop and obtain
regulatory approval for drugs, use of biomarkers in clinical drug trials is becoming more prevalent. Biomarkers are
increasingly being used as clinical endpoints in clinical trials. Drug developers can also use diagnostics to stratify
patients and select only those patients for whom a drug is expected to be most effective and safe. Using Simoa’s
unprecedented sensitivity to measure previously undetectable levels of target biomarkers prior to and following
administration of a drug, drug developers can non-invasively and objectively determine whether a drug candidate is
having a desired impact on the target biomarker. In addition, researchers can also use Simoa to monitor a drug
candidate’s unwanted effect on “off-target” biomarkers and predict side effects, addressing the significant issue of drug
toxicity, which is a leading cause of death in the United States. With Simoa’s sensitivity and its ability to detect many
biomarkers in blood, plasma and other non-invasive samples that cannot be detected by many other technologies, we
believe that we are uniquely positioned to take advantage of this opportunity.
Based on industry estimates, we believe the proteomics life science research/pharma total addressable market is
approximately $20 billion.
Diagnostics
The diagnostic market represents a significant commercial opportunity for our Simoa technology as well. We
believe existing biomarker diagnostics can be improved by Simoa’s sensitivity to enable earlier detection of diseases and
injuries, and that new diagnostics may be developed using protein biomarkers that are not detectable using conventional,
analog immunoassay technologies but are detectable using Simoa technology. We also believe that the ultra-sensitive
protein detection provided by our Simoa platforms can enable the development of a new category of non-invasive
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diagnostic tests and tools based on blood, serum and other fluids that have the potential to replace current more invasive,
expensive and inconvenient diagnostic methods, including spinal tap, diagnostic imaging and biopsy.
Simoa technology also has significant potential in the emerging field of screening and diagnostics. A screen, aid
to diagnostic, or diagnostic test is a biomarker test that is specifically linked to a therapeutic drug that can help predict
how a patient will respond to the drug. Drug developers can use these tests to stratify patients and select only those
patients for whom a drug is expected to be most effective and safe. Such tests have demonstrated the ability to both
improve the probability of approval and accelerate approval of new drugs. Not only could Simoa be used to develop tests
to stratify patients in clinical trials and for treatment, but Simoa’s sensitivity can also enable the development of tests
based on protein biomarkers that can actively and regularly monitor whether an approved drug is having the desired
biological effect. This would quickly and efficiently enable doctors to adjust the course of treatment as appropriate by
increasing or decreasing dosages or even switching therapies.
The ability of our Simoa platforms to detect and quantify normal physiological levels of low abundance
proteins that are undetectable using conventional, analog immunoassay technologies could enable our technology to be
used to monitor protein biomarker levels of seemingly healthy, asymptomatic people, and potentially to signal and
provide earlier detection of the onset of disease. This has the potential to facilitate a paradigm shift in healthcare, from
an emphasis on treatment to a focus on earlier detection, monitoring, prognosis and, ultimately, prevention.
We recently launched our first diagnostic LDTs in our Accelerator Laboratory. In July 2022, we launched an
LDT to quantitatively measure pTau-181 in plasma as an aid in diagnostic evaluation of Alzheimer’s disease, and in
January 2023, we launched an LDT to quantitatively measure NfL in serum as an aid in the evaluation of individuals for
possible neurodegenerative conditions or other causes of neuronal or central nervous system damage.
There has also been significant interest from third parties to use our technology to develop applications for the
diagnostic market. Following our acquisition of Uman, we entered into a licensing and supply arrangement with
Siemens Healthineers for access to Uman’s proprietary NfL antibodies, which will allow Siemens to begin developing
blood-based NfL clinical diagnostic tests for future commercialization. Additionally, in September 2020, we entered
into a non-exclusive License Agreement with Abbott Laboratories, pursuant to which we granted Abbott a non-
exclusive, worldwide, royalty-bearing license under our bead-based single molecule detection patents for IVD use.
Based on industry estimates, we believe the proteomics diagnostic total addressable market is approximately
$55 billion.
See “Government Regulation” and “Risk Factors—Risks Related to Governmental Regulation and Diagnostic
Product Reimbursement” for a discussion regarding the regulatory approvals that may be required for use of our
products for diagnostic purposes, and related risks.
Our Key Focus Areas
We have focused the application of our Simoa technology on areas of high growth and high unmet need and
where existing platforms have significant shortcomings that our technology addresses, including neurology and
oncology, as well as cardiology, infectious disease and inflammation.
Neurology
We believe that the ability of our Simoa technology to detect neurological biomarkers in blood at ultra-low
levels, which have traditionally only been detectable in CSF, has the potential to rapidly advance neurology research and
drug development, and transform the way brain diseases and injuries are diagnosed and treated. Prior to the launch of our
pTau-181 LDT for clinical use in July 2022, the brain was the only organ in the body for which there was not a blood-
based diagnostic test. The challenge with developing blood-based tests for the brain is that the blood-brain barrier, which
is formed by endothelial cells lining the cerebral microvasculature, is very tight and severely restricts the movement of
proteins and other substances between these endothelial cells and into blood circulation. Accordingly, diagnosis of brain
disease and injury has traditionally required either brain imaging or a spinal tap to collect CSF, both of which are costly
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and highly invasive for the patient. The sensitivity of the Simoa technology has enabled researchers to discover that
extremely small amounts of critical neural biomarkers diffuse through the blood-brain barrier and are released into the
blood during injury and in connection with many neurodegenerative brain diseases. However, the concentrations of
many these neural biomarkers in the blood can be so low that they are difficult to detect by conventional, analog
immunoassay technologies.
To date, there have been over 1,400 neurology-related scientific publications using our Simoa technologies, and
we believe that ultra-sensitive digital detection of neural-related biomarkers in the blood is becoming an essential
research and development tool for an increasing range of neurological disorders, including Alzheimer’s disease, multiple
sclerosis, frontotemporal dementia, Parkinson’s disease, and traumatic brain injury (TBI). The goal of this research is to
eventually develop accurate diagnostic tools, predictive health screens and, ultimately, more effective treatments. The
importance of neurological biomarkers, such as NfL, pTau-181, pTau-217, GFAP and Aβ42/40, has increased
dramatically in recent years. In addition, biomarkers are being increasingly used as an adjunct by pharmaceutical
companies in clinical trials to help increase the potential for regulatory approval, particularly in neurological indications.
With Simoa’s sensitivity and its ability to detect many neurological biomarkers in blood and plasma that cannot be
detected by many other technologies, we believe that we are uniquely positioned to take advantage of this opportunity, in
particular with respect to Alzheimer’s disease and multiple sclerosis.
Dementia/Alzheimer’s Disease
Dementia is a collective name for brain syndromes that affect memory, thinking, behavior and emotion.
According to Alzheimer’s Disease International, as of 2021, there were more than 55 million people worldwide living
with dementia, a figure expected to increase to over 139 million by 2050, and the annual global cost of dementia is now
above $1.3 trillion. Alzheimer’s disease is a progressive neurodegenerative disorder that affects cognition, function and
behavior and is the most common cause of dementia.
In November 2022 at the 15th Clinical Trials on Alzheimer’s Disease (CTAD) conference, Eisai Co., Ltd. and
Biogen Corporation presented results from the Phase 3 clinical trial (Clarity AD) of lecanemab, an investigational drug
aimed at slowing the progression of cognitive decline caused by Alzheimer’s disease. Target engagement and activity of
the drug in downstream processes was explored with a panel of fluid biomarkers, including plasma pTau-181, GFAP and
NfL, using Quanterix’s ultrasensitive Simoa assay kits. In January 2023, the FDA approved lecanemab for the treatment
of patients with mild cognitive impairment or mild dementia due to Alzheimer’s disease.
In 2021, Lilly presented new data from its Phase 2 TRAILBLAZER-ALZ study of its Alzheimer’s disease drug
candidate donanemab, which employed our ultra-sensitive Simoa technology to measure plasma pTau-217, using
antibodies developed by Lilly. Lilly reported a significant reduction in blood levels of phosphorylated Tau protein after
treatment with donanemab, and that a reduction in plasma pTau-217 levels correlated with the slowing of cognitive
decline. In addition, following the FDA approval of its Alzheimer’s disease drug ADUHELM™, Biogen conducted
Simoa biomarker studies on Phase 3 EMERGE and ENGAGE trial samples, utilizing Simoa technology to measure
plasma pTau-181. Preliminary data was reported that showed a dose-dependent reduction in plasma pTau-181 levels
following treatment with ADUHELM, which correlated with decreases in amyloid PET and a slowing of cognitive
decline across four independent assessment tools.
In October 2021, the FDA granted our Simoa pTau-181 blood test Breakthrough Device designation as an aid
in diagnostic evaluation of Alzheimer’s disease. The FDA’s Breakthrough Device designation is granted to products that
have the potential to offer more effective diagnosis of life-threatening diseases with an unmet medical need. The
program is designed to enable accelerated development, assessment and review processes, with the intention to provide
patients with more timely access to breakthrough technologies or devices. Proposed indications under the Breakthrough
Device designation include use of the test results in adult patients, aged 50 years and over, presenting with cognitive
impairment who are being evaluated for Alzheimer’s disease and other causes of cognitive decline as an aid in
diagnostic evaluation for Alzheimer’s disease.
In March 2022, we were awarded funding of $2.3 million by the Alzheimer’s Drug Discovery Foundation
(ADDF) in support of a proposal “Clinical Implementation of Blood-Based Biomarkers for Alzheimer’s Disease:
Clinical Validation, IVD Product Development, and Market Development.” ADDF is a philanthropic foundation which
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aims to accelerate Alzheimer’s drug and diagnostics development. The project is aimed at clinically validating a multi-
biomarker blood test for detection of Alzheimer’s disease in a large prospective trial that includes both primary care and
specialist memory clinical settings. The multi-biomarker approach is based on studies that have shown that combining
the signals from multiple biomarkers relevant to Alzheimer’s pathophysiology provides greater diagnostic accuracy than
any single biomarker alone. The Simoa pTau-181 assay will be part of the multi-biomarker test, as well as our GFAP,
NfL, Aβ42, and Aβ40 assays. The latter four assays are multiplexed into a single test that measures all biomarkers
simultaneously. Thus, this validation study will serve to validate pTau-181 as a standalone test and will also leverage
Simoa’s multiplexing capability to combine additional biomarkers for even greater accuracy.
In addition to the ADDF clinical validation program, we are nearing completion of a second prospective clinical
trial (BioHermes) in partnership with the Global Alzheimer’s Platform Foundation (GAPF). GAPF is a non-profit
organization dedicated to speeding the delivery of innovative therapies to Alzheimer’s patients by reducing the time and
cost of Alzheimer’s disease clinical trials. The BioHermes trial is being conducted across 17 clinical sites in the United
States and is examining blood test accuracy across 1,000 cognitively normal and mildly impaired Alzheimer’s patients in
comparison with amyloid PET scan. This study is expected to support a regulatory filing for FDA clearance of our
pTau-181 test pursuant to the Breakthrough Device designation.
Multiple Sclerosis
Multiple sclerosis is a chronic disease affecting the central nervous system (the brain and spinal cord). Multiple
sclerosis occurs when the immune system attacks nerve fibers and myelin sheathing (a fatty substance which
surrounds/insulates healthy nerve fibers) in the brain and spinal cord. This attack causes inflammation, which destroys
nerve cell processes and myelin, altering electrical messages in the brain. Multiple sclerosis is unpredictable and affects
each patient differently – some individuals may be mildly affected, while others may lose their ability to write, speak or
walk. According to the National MS Society, more than 2.3 million people have a diagnosis of multiple sclerosis
globally. In the U.S. alone, the National MS Society recently completed a prevalence study estimating nearly
1,000,000 people over the age of 18 live with a diagnosis of multiple sclerosis.
Evidence of the potential clinical utility of NfL as a biomarker in multiple sclerosis is progressing rapidly, and
Simoa’s role in that progression has been foundational. The Simoa NfL assay pioneered measurement of NfL in blood,
and in the past five years, the Simoa NfL assay has been used in hundreds of published studies. In 2022, Simoa
technology supported 35 scientific presentations at the 38th Congress of the European Committee for Treatment and
Research in Multiple Sclerosis (ECTRIMS), the world’s largest meeting dedicated to advancing research for multiple
sclerosis. In 2021, Simoa technology supported 31 scientific presentations at ECTRIMS. In 2020, Simoa supported
42 presentations at ECTRIMS. At ECTRIMS in 2019, there were nearly 50 presentations in which our Simoa NfL assay
was used.
As an example, in one 2019 presentation, Novartis presented positive data from its Phase III ASCLEPIOS I and
II studies of its multiple sclerosis drug candidate, ofatumumab. One of the secondary endpoints included serum levels of
NfL as measured using our Simoa NfL assay. Novartis presented data that showed that, starting at three months after
initiation of ofatumumab treatment, and then at 12 and 24 months timepoints, patients given ofatumumab had
significantly lower blood levels of NfL, compared to those in the comparator arm of teriflunomide treated patients.
In another ECTRIMS presentation in 2019, Roche presented retrospective data from its Phase III OPERA I,
OPERA II and ORATORIO trials of its approved multiple sclerosis drug OCREVUS (ocrelizumab). In the data
presented at ECTRIMS, it was shown that treatment with OCREVUS lowered blood NfL levels and increased the
proportion of patients reaching healthy donor range for NfL in both relapsing multiple sclerosis and primary progressive
multiple sclerosis. Roche believes that this data helps advance the understanding of NfL as a potential biomarker of
disease activity and for treatment monitoring and may provide insight into the neuroprotective effects of the drug.
In an article published by Bjornevik, et al. in JAMA Neurology in September 2019, researchers presented data
that showed that levels of serum NfL, as measured by the Simoa NfL assay, were increased six years before the clinical
onset of multiple sclerosis. The researchers concluded that these data indicate that multiple sclerosis may have a
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prodromal phase lasting several years and that neuroaxonal damage occurs during this phase, emphasizing the
importance of early diagnosis and treatment.
In a study published in Science in January 2022, researchers leveraged Simoa’s ability to detect the NfL at
ultra-low levels to show that Epstein-Barr virus (EBV) increases susceptibility toward developing multiple sclerosis.
Researchers of the study tested the hypothesis that multiple sclerosis is caused by EBV in a cohort comprising more than
10 million young adults on active duty in the U.S. military, 955 of whom were diagnosed with multiple sclerosis during
their period of service. Risk of multiple sclerosis increased 32-fold after infection with EBV, but was not increased after
infection with other viruses, including the similarly transmitted cytomegalovirus. Serum levels of NfL, a biomarker of
neuroaxonal degeneration, increased only after EBV seroconversion, suggesting that EBV played a role in nerve cell
damage.
In April 2022, the FDA granted our Simoa NfL plasma test Breakthrough Device designation as a prognostic
aid in assessing the risk of disease activity in patients diagnosed with relapsing-remitting multiple sclerosis (RRMS).
The test has shown promise to be used in conjunction with clinical, imaging and laboratory findings as an aid in
identifying RRMS patients who are at lower or higher risk for relapse within four years. We believe this prognostic
information could be clinically useful in tailoring the therapeutic approach to more effectively treat the disease.
Traumatic Brain Injury (TBI)
TBIs lead to approximately five million individuals visiting emergency rooms per year in the United States
alone, often with broad and inconclusive diagnosis. Current methods of TBI diagnosis involve CT scans that fail to
diagnose approximately 90% of mild TBI. Simoa technology has demonstrated the sensitivity to identify relevant
neurological biomarkers, such as NfL, tau, GFAP and UCH-L1, to more adequately address diagnosis of TBIs and
overall brain health.
Leading researchers in neurology have used Simoa technology to study biomarkers in the blood of athletes after
concussion in many high-impact sports. Simoa can measure critical neural biomarkers in blood that correlate repeated
head trauma from both concussions and subconcussive events with poor patient outcomes, including the potential
development of Chronic Traumatic Encephalopathy (CTE), which currently can only be diagnosed after death via a brain
autopsy. A publication by a National Institute of Health researcher indicates that measuring tau in the blood with Simoa
may help identify concussed individuals requiring additional rest before they can safely return to play.
Oncology
Our ultra-sensitive Simoa technology has the potential to detect increased levels of oncology biomarkers during
the very early stages in disease development. Biomarkers can be useful tools for diagnostics, prognostics and predictive
cancer detection. However, many traditional assay technologies can only detect these biomarkers after the disease has
progressed and the patient has become symptomatic. Simoa’s highly sensitive detection capability may result in earlier
detection, better monitoring and treatment and improved prognoses for patients. Additionally, Simoa technology has
shown early promise as a liquid biopsy alternative to more invasive diagnostic procedures.
Cancer immunotherapy is a promising new area that is significantly affecting cancer remission rates. One
challenge of immunotherapy approaches is that the elicited immune responses are not always predictable and can vary
from person to person and protocol to protocol. There exists a significant need to develop biomarker tools to monitor
these drugs and their effects. Circulating (serum and plasma) protein biomarkers have the potential to be used in the field
of immuno-oncology to stratify patients, predict response, predict recurrence, reveal mechanism of action and monitor
for adverse effects. One technical challenge facing the immuno-oncology drug development process has been the
availability of immunoassays with sufficient sensitivity to measure immunomodulatory biomarkers directly in serum and
plasma. We have developed a number of tumor biomarker and immune modulation assays (cytokines and chemokines)
that can be used to monitor tumor proliferation and host immune response. In particular key immune regulatory cells
(T-regs, dendritic cells, macrophages) secrete very low amounts of the protein Interferon gamma (IFN-gamma) and these
levels cannot be reliably measured in serum and plasma using conventional, immunoassay technology, however they can
be tracked with our Simoa IFN-gamma assay. Additionally, we have developed an ultra-sensitive assay for IL-6, which
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is one of the cytokines commonly measured for monitoring cytokine release syndrome as an adverse effect in
immunotherapies. Several studies have shown that our ultrasensitive assays can be valuable tools for monitoring
immuno-oncology drugs and protocols.
We also believe residual cancer cell detection post-surgery or post-treatment may significantly improve
outcomes for a variety of cancer types, by helping identify and segment patients at a greater risk of reoccurrence
post-surgery due to residual cancer. For example, we have developed an ultra-sensitive biomarker assay for Prostate
Specific Antigen (PSA) that is over 1,000-fold more sensitive than conventional ELISA assays. This assay is the only
currently available technology that can detect levels of PSA in blood samples of prostate cancer patients shortly
following radical prostatectomy, and we and researchers from Johns Hopkins and NYU conducted a pilot study on the
utility of this assay to predict recurrence of prostate cancer after this procedure. In this study, the blood of prostate
cancer patients taken three to six months following a radical prostatectomy at least five years earlier was analyzed with
Simoa. The majority of samples had PSA levels below the detectable limits of traditional PSA assays. Our Simoa
technology, however, was able to detect and quantify PSA levels in all samples. As shown in the following graph, the
study demonstrated that the PSA assay using our Simoa technology has the potential to be highly predictive of prostate
cancer recurrence over a five-year period. This has the potential to be a powerful prognostic tool, and allowing adjuvant
radiation treatment to be targeted only to the men who actually would benefit.
Inflammation
Inflammation underlies the response of the body to injury in a variety of diseases. Simoa assays can measure
inflammatory and anti-inflammatory molecules in serum and plasma with unprecedented sensitivity. This has the
potential to enable new discoveries into the role of inflammation in the biology of health and disease. Our Simoa
technology measures low levels of inflammatory proteins, including cytokines and chemokines, that characterize a range
of inflammatory diseases, including Crohn’s disease, asthma, rheumatoid arthritis and neuro-inflammation. We believe
the sensitivity of Simoa technology can provide a clearer picture of the underlying state of the immune response and
disease progression.
Our Simoa technology also has the potential to be used by companies developing anti-inflammatory drugs to
quantify the effect a drug has on a particular inflammatory cytokine and to monitor therapeutic efficacy. For example,
we conducted a study in conjunction with the Mayo Clinic using our Simoa technology on patients with clinically active
Crohn’s disease undergoing anti-TNF-α therapy with Remicade, Humira or Enbrel. As shown in the graph below,
researchers were able to detect and quantify the TNF-α levels of the patients before and after treatment. These levels
were all below the LoD of traditional immunoassays.
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We believe that a better understanding of the inflammatory response will be critical to future opportunities for
wellness screening and disease response monitoring. Anti-inflammatory drugs are expensive and can have serious side
effects, such as increased risk of infection. By monitoring biomarkers indicative of response, clinicians may be able to
adjust dose to reduce side effects or increase efficacy.
Infectious Disease
The ability to detect infectious disease biomarkers before the onset of an immune response, where a virus is
most contagious and multiplying rapidly, is critical for controlling the spread of disease. We believe that our Simoa
technology has the potential to have a significant impact in reducing the spread of infectious diseases by making early
stage detection more specific and widely available.
Today, early detection of infectious disease is conducted using nucleic acid testing to detect the nucleic acid of
the viral or bacterial organism because the levels of infectious disease specific antigens are too low in the early stage of
disease to be detected by traditional immunoassay technology. However, the sensitivity of our single molecule detection
capabilities enables the detection of extremely low levels of infectious disease specific antigens with sensitivity that can
rival the use of nucleic acid testing in this application, without the potential biases inherent in amplification technologies,
such as PCR.
For example, we have developed a simple Simoa assay with more than 4,000-fold greater sensitivity than
conventional ELISA assays capable of detecting the HIV-specific antigen, p24. This Simoa p24 sensitivity matches the
sensitivity of more expensive and complex nucleic acid testing methods. The following graph shows a comparison that
we conducted in 2011 of the Simoa p24 assay with a commercially available nucleic acid testing method, as well as two
commercially available p24 immunoassay methods for early detection of HIV infection. The Simoa p24 assay detects
infection as early as the nucleic acid testing method (11 days from initial blood draw), and a full week before the earliest
signs of infection by the conventional p24 immunoassay methods. This early detection of acute HIV infection can be
critical for controlling the spread of HIV, as HIV is ten times more infectious in the acute phase.
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In addition, we believe the detection of a specific protein is more relevant to the determination of the
pathogenic effect than detection of the organism itself because someone may carry a pathogenic organism with no
pathogenic effect. Researchers have demonstrated that Simoa technology can detect Clostridium difficile (C. diff) toxins
A and B with sensitivities similar to the PCR detection of the C. diff organism itself. Because the C. diff organism does
not always produce toxins, PCR methods that detect the C. diff organism suffer from very high false positive rates,
which may result in incorrect diagnoses and the overuse of antibiotics. We believe that using Simoa to detect the toxins
rather than the organism has the potential to provide a higher level of sensitivity and specificity, greatly reducing false
positives.
Cardiology
Heart disease and related cardiovascular ailments remain the leading cause of death in the United States,
contributing to nearly one in four deaths in the United States, according to the CDC. A significant need remains for early
prediction of heart attacks and other cardiac events. Simoa’s highly sensitive digital measurement capabilities have the
potential to be used to predict early cardiac disease.
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Our Products and Services
Our Quanterix commercial portfolio includes research use only (RUO) instruments, assay kits and other
consumables, and contract research services offered through our Accelerator Laboratory, as follows:
Product
HD-X
SR-X
Key attributes
• Commercially launched the next-generation HD-X in the second
half of 2019 to replace the HD-1 launched in 2014
• Simoa bead-based platform technology
• Most widely referenced ultra-sensitive multiplex immunoassay
platform on market
• Fully automated, floor-standing instrument
• Wide dynamic range
• Multiplexing capability (up to 4-plex) with small sample volume
• Up to 400 samples per eight-hour shift
• Homebrew capabilities
• Commercially launched in December 2017
• Simoa bead-based platform technology
• Reader only, benchtop instrument with lower price point
• Similar sensitivity, dynamic range and homebrew capabilities as
HD-X
• Multiplexing capability: SR-X currently has up to 4-plex
capability
• Sample prep and assay protocol flexibility
SP-X
• Commercially launched in April 2019
• Simoa planar array platform technology
• Reader only, benchtop instrument with lower price point
• Similar sensitivity, dynamic range and homebrew capabilities as
HD-X
• Multiplexing capability: SP-X currently has up to 10-plex
capability
• Sample prep and assay protocol flexibility
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Product
Simoa assays and other consumables
• Menu of approximately 36 single-plex and multi-plex
Key attributes
bead-based assay kits includes assays for biomarkers in the areas
of neurology, infectious disease, immunology and oncology
• Menu of Simoa planar array reagent kits includes approximately
115 biomarkers ranging from 1-10 analytes per assay in the
areas of immunology and oncology research
• Homebrew kits containing reagents and supporting user guides
enabling customers to develop custom assays
• Proprietary Simoa disk with 24 arrays, each containing
approximately 239,000 microwells for Simoa bead-based assays
NfL antibodies and NfL ELISA kits
• Sold through our wholly-owned subsidiary, Uman, which we
acquired in 2019
• NfL capture/detection antibodies with unparalleled sensitivity
and specificity
• NfL ELISA kits for CSF (CE-certified in Europe; RUO outside
of Europe)
• NfL ELISA kits for serum (RUO)
• Licensing and supply arrangement with Siemens Healthineers
that will allow Siemens to begin developing blood-based NfL
clinical tests for future commercialization
Services
• Contract research services provided through our Accelerator
Laboratory
• Over 1,900 projects completed to date
• Extended warranty and service contracts
• CLIA-certified lab available – LDT for pTau-181 launched in
July 2022 and LDT for NfL launched in January 2023
Instruments and Consumables
HD-X
We commercially launched our HD-X instrument in the second half of 2019. The HD-X is an upgraded version
of the Simoa HD-1, our very first instrument, which was launched in January 2014. The HD-X was designed to deliver
significant productivity and operational efficiency improvements, as well as greater user flexibility. The HD-X uses our
Simoa bead-based technology and is the most sensitive automated multiplex protein detection platform commercially
available. Assays for the HD-X are fully automated (i.e., from sample in to result out), and results for up to 66 samples
are available in approximately one hour. Samples can be input into the instrument via 96-well microtiter plates or sample
tubes where the system can multiplex and process tests in a variety of assay protocol configurations.
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Specialized software controls the Simoa instrumentation, analyzes the digital images produced, and provides
customers with detailed analysis of their samples, such as the concentration of multiple biological molecules. The HD-X
software automates the processes for running the instrument and analyzing data from the user-defined protocols.
Proprietary image analysis software is embedded in the system, which converts the raw images into signals for each
biological molecule being analyzed within a sample. Data reduction software automatically converts those signals to
concentrations for the different biological molecules.
By the end of 2022, approximately 79% of the HD installed base were HD-X instruments.
SR-X
We commercially launched the SR-X instrument in the fourth quarter of 2017. The SR-X utilizes the same
Simoa bead-based technology and assay kits as the HD-X in a compact benchtop form with a lower price point designed
to address the needs of researchers who value the ultra-sensitive detection capabilities enabled by Simoa.
In contrast to the fully automated workflow of the HD-X, the assay incubation and washing steps for the SR-X
are performed outside of the instruments using conventional liquid handling methods. The offline sample prep provides
additional flexibility to enable researchers to apply Simoa detection in an expanded range of applications including
direct detection of nucleic acids. The SR-X system automates the steps loading Simoa beads onto Simoa disks with
subsequent imaging, detection and data reduction. Processing time for imaging a 96 well plate is approximately
2.5 hours.
SP-X
We commercially launched the SP-X instrument in April 2019. The SP-X uses the Simoa planar array
technology developed initially by Aushon Biosystems (Aushon), which we acquired in 2018, for multiplex
chemiluminescent immunoassay measurement, which we refined by leveraging our proprietary sophisticated Simoa
image analysis and data analysis algorithms to provide sensitivity similar to that found in our Simoa bead-based
platform. The Simoa planar array technology utilizes a 96-well microtiter plate with up to 10 different assay
measurements performed in each well of the plate from as little as 12.5 microliters of sample.
Similar to the SR-X, the assay prep workflow utilized for the SP-X involves assay incubation and washing steps
performed outside of the instrument using the same conventional liquid handling methods as the SR-X. The SP-X
instrument automates the imaging, detection and data reduction process. Processing time for imaging a 96 well plate is
less than five minutes.
Simoa Assays and Consumables
Recurring revenue is derived through the sale of consumables used to run assays on our instruments and from
our growing menu of Simoa digital biomarker assays. The current menu of approximately 36 analyte-specific single-plex
and multi-plex assay kits for our bead-based instruments includes assays for biomarkers in the areas of neurology,
infectious disease, immunology and oncology for both human and mouse samples. The current menu of assay kits for the
planar array instrument includes approximately 115 biomarkers ranging from 1-10 analytes per assay in the areas of
immunology and oncology research.
In addition to these assays we have developed, both of the Simoa platforms allow ease and flexibility in assay
design, enabling our customers to develop their own proprietary in-house assays, called homebrew assays, using our
homebrew assay kits. These kits include all components required for customers to run tests using their own antibodies.
Our consumables portfolio for our bead-based platform also includes our proprietary Simoa disks that are unique to our
bead-based platform, as well as cuvettes and disposable tips. Our goal is to continue to add to our assay kits to extend
our application base.
We have staffed our assay development and manufacturing teams to do the upfront work of antibody sourcing,
assay development and optimization, sample testing and validation, transfer to manufacturing and final documentation.
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We outsource some of our assay development activities to other antibody and/or assay development providers and
expect to continue to do so to achieve our aggressive menu expansion goals.
NfL Antibodies and NfL ELISA Kits
Uman is our wholly owned subsidiary that supplies NfL antibodies and ELISA kits for NfL detection. Uman’s
NfL antibodies are widely recognized by researchers and biopharmaceutical and diagnostics companies worldwide as the
premier solution for the detection of NfL to advance the development of therapeutics and diagnostics for
neurodegenerative conditions. Through Uman we sell proprietary NfL capture and detection antibodies, as well as two
NfL ELISA kits for CSF, one of which is CE-certified in Europe and one RUO NfL ELISA kit for serum.
Services
Through our Accelerator Laboratory, which includes a CLIA-certified laboratory, we provide customers a
contract research option. Researchers, academics and principal investigators can work with our scientists to test
specimens with existing Simoa assays, or prototype, develop and optimize new assays. The Accelerator Laboratory
supports multiple projects and services, including:
•
Sample testing. Utilizing commercially available Simoa kits, we have run large studies for customers with
thousands of specimens and small experiments with just a few samples. The sample protocol can be
tailored precisely to the customer’s needs and even large studies can be run quickly. We have extensive
experience testing many different sample types where biomarkers may be present at very low levels.
• Homebrew assay development. Utilizing proprietary or commercially available reagents in combination
with our Homebrew Assay Development Kit, we can rapidly develop a prototype assay exhibiting
improved sensitivity compared to traditional ELISA. The Accelerator Laboratory can also be used to screen
reagents to identify the optimal assay format or expand prototype efforts for further assay optimization or
validation to ultimately deliver the highest level of performance.
• Custom development. After identifying the optimal assay and conditions, the Accelerator Laboratory can be
used to generate qualified bulk reagents or custom assay kits, providing customer access to validated kits
for assays not yet commercially available on the Simoa platform.
• LDT Testing. We have recently begun offering LDT testing through our CLIA-certified laboratory. In
July 2022, we launched an LDT to quantitatively measure pTau-181 in plasma as an aid in diagnostic
evaluation of Alzheimer’s disease, and in January 2023, we launched an LDT to quantitatively measure
NfL in serum as an aid in the evaluation of individuals for possible neurodegenerative conditions or other
causes of neuronal or central nervous system damage.
To date, we have completed over 1,900 projects for more than 400 customers from all over the world using our
Simoa platforms. In addition to being an important source of revenue, we have also found the Accelerator Laboratory to
be a catalyst for placing additional instruments, as a number of customers for whom we have provided contract research
services have subsequently purchased an instrument from us.
We also generate revenues through extended-warranty and service contracts for our installed base of
instruments.
Research and Development
We continually seek to improve our platform and technology to enable more sensitive detection and
measurement of biological molecules. This evaluation includes examining new assay formats and instrumentation
improvements and upgrades to increase the performance of our Simoa assays and instruments. We also intend to
selectively expand our assay menu to extend the scope of applications for our platform to biomarkers of significant
22
interest to the scientific community. Our assay menu expansion is driven by a number of factors, including input from
key opinion leaders, customer feedback, homebrew projects, Accelerator Laboratory projects, new publications on
biomarkers of industry interest, and feedback from our sales and marketing team. We also intend to continue to develop
and market new instruments with different and/or improved capabilities in order to further broaden our market reach.
Sales and Marketing
We distribute our Simoa instruments and consumables via direct field sales and support organizations located in
North America and Europe and through a combination of our own sales force and third-party distributors in additional
major markets, including Australia, Brazil, China, Czech Republic, India, Hong Kong, Israel, Japan, New Zealand,
Qatar, Saudi Arabia, Singapore, South Africa, South Korea, Taiwan, and UAE. In addition, we sell Uman’s NfL
antibodies and NfL ELISA kits directly and in conjunction with a distributor worldwide. Our domestic and international
sales force informs our current and potential customers of current product offerings, new product and new assay
introductions, and technological advances in Simoa systems, workflows, and notable research being performed by our
customers or us. As our primary point of contact in the marketplace, our sales force focuses on delivering a consistent
marketing message and high level of customer service, while also attempting to help us better understand evolving
market and customer needs.
As of December 31, 2022, we had 125 full-time employees in sales, sales support and marketing, including
technical field application scientists and field service personnel. This staff is primarily located in North America and
Europe. We expect we will expand our sales, support, and marketing efforts in the future by expanding our direct
footprint in Europe as well as developing a comprehensive distribution and support network in China where significant
new market opportunities exist. Additionally, we believe that there is significant opportunity in other Asia-Pacific region
countries such as South Korea and Australia as well as in South America. We are expanding into these regions via initial
penetration with distributors and then subsequent support with Quanterix-employed sales and support personnel.
Our sales and marketing efforts are targeted at key opinion leaders, laboratory directors and principal
investigators at leading biotechnology and pharmaceutical companies and governmental research institutions.
In addition to our selling activities, we align with key opinion leaders at leading institutions and clinical
research laboratories to help increase scientific and commercial awareness of our technologies, demonstrate the benefits
relative to existing technologies and accelerate adoption. We also seek to increase awareness of our products through
participation at trade shows, academic conferences, online webinars and dedicated scientific events attended by
prominent users and prospective customers.
Our instruments require a capital investment by our customers. The sales process typically involves numerous
interactions and demonstrations with multiple people within an organization. Some potential customers conduct in-depth
evaluations of the instruments including running experiments in the Accelerator Laboratory and comparing results from
competing systems. In addition, in most countries, sales to academic or governmental institutions require participation in
a tender process involving preparation of extensive documentation and a lengthy review process. As a result of these
factors and the budget cycles of our customers, our sales cycle, the time from initial contact with a customer to our
receipt of a purchase order, can often be six to 12 months, or longer.
Manufacturing and Supply
We outsource the development and manufacturing of our Simoa bead-based instruments to third-party
manufacturers, and we develop and manufacture our planar array instrument and all assay kits in our own facilities.
Instruments
The HD-X instrument is manufactured by STRATEC Biomedical AG (STRATEC), based in Birkenfeld,
Germany, and is manufactured and shipped from their Birkenfeld and Beringen, Switzerland facilities. The SR-X is
manufactured by Paramit Corporation (Paramit), based in Morgan Hill, California, and is shipped to our global
customers by Paramit. See “—Key Agreements” for a description of our agreements with STRATEC and Paramit.
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Installation of, and training on, our instruments is provided by our employees in the markets where we conduct direct
sales, and by distributors in those markets where we operate with distributors.
We believe this manufacturing strategy is efficient and conserves capital. However, in the event it becomes
necessary to utilize a different contract manufacturer for the HD-X or the SR-X, we would experience additional costs,
delays and difficulties in doing so, and our business could be harmed.
The SP-X instruments are manufactured, tested, shipped and supported by us from our Billerica, Massachusetts
facility. All internal components are sourced domestically except one significant component that is sourced in Germany.
These components are sourced from a limited number of suppliers, including certain single-source suppliers. Although
we believe that alternatives would be available, it would take time to identify and validate replacement components,
which could negatively affect our ability to supply instruments on a timely basis.
Consumables
We assemble our assay kits for our bead-based platform in our Billerica, Massachusetts facility. Reagents for
our bead-based assays include all components required to run an enzyme based immunoassay, such as beads, capture and
detector reagents, enzyme reagents and enzyme substrate. These reagents are sourced from a limited number of
suppliers, including certain single-source suppliers. Although we believe that alternatives would be available, it would
take time to identify and validate replacement reagents for our assay kits, which could negatively affect our ability to
supply assay kits on a timely basis. In an effort to mitigate this risk through inventory control, we are working to
increase the shelf life of our bead-based assays to 12 months or more.
Simoa disks for our bead-based platform are supplied through a single source supplier pursuant to a long-term
supply agreement with STRATEC Consumables, a subsidiary of STRATEC Biomedical. We believe that this agreement
provides for a sufficient notification period to allow for supply continuity and the identification and tech transfer to a
new supplier in the event either party wishes to terminate the relationship. Our cuvettes for our bead-based platform are
single sourced through STRATEC Biomedical, and the disposable tips used in our bead-based platform are
commercially available.
We assemble our 96 well sample plate kits for our planar array platform in our Billerica, Massachusetts facility.
Reagents for our planar array assays include all components required to run an enzyme-based chemiluminescent
immunoassay, such as capture antibody printed plates and detector reagents, enzyme reagents and enzyme substrate.
These reagents are sourced from a limited number of suppliers, including certain single-source suppliers. Although we
believe that alternatives would be available, it would take time to identify and validate replacement reagents for our
assay kits, which could negatively affect our ability to supply assay kits on a timely basis. Because our planar array
assays have a shelf life of 12 months, we believe we are able to mitigate this risk through inventory control.
NfL antibodies and NfL ELISA Kits
The storage of Uman’s proprietary NfL antibody producing hybridomas as well as the cultivation and
purification of the antibodies is outsourced to a contract manufacturer, and bulk material of purified antibodies is
delivered to Uman’s site in Umeå, Sweden. Functional testing and verification of concentration are performed at Uman
before the material is approved for use in production activities. The antibodies can be aliquoted and sold as single
reagents or used for the production of Uman’s NfL ELISA kits. The antibody reagents are labeled and released to market
after testing. The contract manufacturer of antibodies is audited regularly, and we have entered into a written supply
agreement with the contract manufacturer. The current shelf-life of the antibodies is 18 months.
All components in Uman’s NfL ELISA kits are manufactured in-house at Uman from starting materials sourced
from suppliers that have been evaluated and approved. Uman has entered into supply agreements with critical suppliers.
All incoming goods are subject to receipt control and any deviations related to quality deficiencies are registered. The kit
components include buffers (sample diluents and wash solutions), ELISA 96-well plates coated with a capture antibody,
detector antibodies, streptavidine conjugates, substrates (TMB) and stop reagents. The kit components are labeled (either
RUO or CE) and assembled. The final ELISA kit products are subject to quality control procedures, which include
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testing of human CSF or human serum quality control samples to assure a high batch consistency. After testing and
batch record review, the material is released to market. The current shelf-life of the kits is 18 months (NF-light ELISA
(CSF)) or 13 months (NF-light Serum ELISA).
Key Agreements
Development Agreement and Supply Agreement with STRATEC
In August 2011, we entered into a Strategic Development Services and Equity Participation Agreement with
STRATEC, pursuant to which STRATEC undertook the development of the Simoa HD instrument. In September 2011,
we also entered into a Supply and Manufacturing Agreement with STRATEC (the STRATEC Supply Agreement),
pursuant to which STRATEC agreed to supply HD instruments to us, and we agreed to procure those instruments
exclusively from STRATEC, subject to STRATEC’s ability to supply the instruments. We are responsible for obtaining
any regulatory approval necessary to sell the instruments. We agreed to purchase a certain number of instruments in the
seven years following the acceptance of the first validation instrument. The STRATEC Supply Agreement was amended
in November 2016 to reduce the number of HD instruments we were committed to procure from STRATEC, and this
commitment has been met. The instrument price stipulated in the STRATEC Supply Agreement was established based
on certain specified assumptions and is subject to certain adjustments.
The STRATEC Supply Agreement is terminable by either party on 12 months’ notice to the other party. The
STRATEC Supply Agreement may also be terminated on the insolvency of a party or the uncured material breach of a
party, or, by us, on a change of control of our company (subject to certain obligations to compensate STRATEC on such
termination). On termination by us for STRATEC’s insolvency or uncured material breach or termination by STRATEC
for convenience, we are granted a nonexclusive royalty free license of STRATEC intellectual property to manufacture
the instruments. In certain of these circumstances, we could be obligated to issue warrants to purchase our common
stock.
Paramit Manufacturing Services Agreement
In November 2016, we entered into a Manufacturing Services Agreement (the Paramit Agreement) with
Paramit. Under the terms of the Paramit Agreement, we engaged Paramit to produce and test our SR-X instrument on an
as-ordered basis. We also engaged Paramit to supply spare parts for the SR-X instrument. Paramit has no obligation to
manufacture our instrument without a purchase order and no obligation to maintain inventory in excess of any open
purchase orders or materials in excess of the amount Paramit reasonably determines will be consumed within 90 days or
within the lead time of manufacturing our instrument, whichever is greater. We have an obligation to purchase any
material or instruments deemed in excess pursuant to the Paramit Agreement. The price is determined according to a
mutually agreed-upon pricing formula. The parties agreed to review the pricing methodology yearly or upon a material
change in cost.
The Paramit Agreement had an initial three-year term with automatic one year extensions. It is terminable by
either party for convenience with written notice to the other party given at least nine months prior to the end of the
then-current term. The agreement may also be terminated by us with three months’ notice to Paramit upon the
occurrence of (i) a failure of Paramit to obtain any necessary governmental licenses, registrations or approvals required
to manufacture our instrument or (ii) an assignment by Paramit of its rights or obligations under the agreement without
our consent. The Paramit Agreement is terminable by Paramit with 30 days’ notice to us in the event of a material breach
after written notice and a 60-day opportunity to cure the breach.
Competition
We compete with both established and development-stage life science companies that design, manufacture and
market instruments for proteomics discovery and clinical research applications. For example, companies such as
Bio-Techne, Luminex, MesoScale Discovery, Gyros, O-Link, SEER, Somalogic, MilliporeSigma, Bio-Rad Laboratories,
Thermo Fisher Scientific, and others, have products for protein measurements in biofluids that compete in certain
segments of the market in which we sell our products. Our Accelerator Laboratory competes with other research
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laboratories such as Covance, Q2 Solutions, Rules Based Medicine, Monogram Biosciences, PPD Laboratories, and
others, some of whom are customers of ours. In addition, as we or our partners expand the applications for our products
to include diagnostics, we expect to compete with companies such as Siemens, Abbott, Roche, Ortho Clinical
Diagnostics and Thermo Fisher Scientific. Furthermore, our technology and products are showing promise for
non-invasive early disease detection, and in the future, we could experience competition from companies that develop
and market imaging and other molecular detection technologies. In addition, a number of other companies and academic
groups are in the process of developing novel technologies for the life science research and diagnostic markets. Many of
the companies with which we compete or will compete have substantially greater resources than we have.
The life science instrumentation and lab services industries are highly competitive and expected to grow more
competitive with the increasing knowledge gained from ongoing research and development. We believe the principal
competitive factors in our target markets include:
•
•
•
•
•
•
•
sensitivity;
cost of instruments and consumables;
assay menu;
reputation among customers and key opinion leaders;
innovation in product offerings;
accuracy and reproducibility of results; and
customer support infrastructure.
We believe that we are well positioned with respect to these competitive factors and expect to enhance our
position through ongoing global expansion, innovative new product introductions and ongoing collaborations and
partnerships with key opinion leaders.
Intellectual Property
Our core Simoa bead-based technology, directed to general methods and devices for single molecule detection,
originated at Tufts University (Tufts), in the laboratory of Professor David Walt, who is the founder of Quanterix and a
current member of our Board of Directors. Prof. Walt and his students pioneered the single molecule array technology,
including technologies that enabled the detection of single enzyme labels in arrays of microwells, thereby facilitating the
ultra-sensitive detection of proteins, nucleic acids, and cells. We have exclusively licensed from Tufts the relevant patent
filings related to these technologies. (See “—License Agreement with Tufts University” below). In addition to licensed
patents, we have developed our own portfolio of issued patents and patent applications directed to commercial products
and technologies for potential development. Our portfolio also includes issued patents and patent applications acquired
as part of our 2018 acquisition of Aushon Biosystems. We believe our proprietary platforms are a core strength of our
business and our strategy includes the continued development of our patent portfolio.
Our patent strategy is multilayered, providing coverage of aspects of the core technology as well as specific
uses and applications, some of which are reflected in our current products and some of which are not. The first layer is
based on protecting the fundamental methods for detecting single molecules independent of the specific analyte to be
detected. The second layer covers embodiments of the core technology directed to the detection of specific analytes. The
third layer protects novel instrumentation, consumables, and manufacturing processes used in applying the invention to
certain commercial products or future product opportunities. The fourth layer is concerned with specific uses of the core
technology (e.g., biomarkers and diagnostics). Our patent strategy is both offensive and defensive in nature, seeking to
protect not only technology we currently practice but also alternative, related embodiments.
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Simoa and Related Technology
As of March 1, 2023, we had exclusively licensed 17 patents and two patent applications from Tufts. These
patents and patent applications include eight issued U.S. patents and two pending U.S. patent applications, three granted
European patents, three granted Japanese patents, two granted Canadian patents and one granted Australian patent.
A first patent family licensed from Tufts is directed to methods for detecting single molecules. This patent
family includes seven granted U.S. patents, one pending U.S. patent application, three granted European patents (each
nationalized and active in seven or eight countries), three granted Japanese patents, two granted Canadian patents and
one granted Australian patent. The standard patent expiration date for U.S. patents in this family is February 16, 2027,
and for the non-U.S. patents is February 20, 2027 or August 30, 2027.
A second patent family licensed from Tufts is directed to methods for detecting the presence of target analytes
in multiple samples. This patent family includes one granted U.S. patent. The standard patent expiration date for the U.S.
patent in this family is August 22, 2025.
A third patent family licensed from Tufts is directed to methods for detecting short nucleic acids. This patent
family includes one pending U.S. patent application. The standard patent expiration date for any U.S. patents that may
issue in this family is May 29, 2039.
As of March 1, 2023, we owned 29 issued U.S. patents and 17 pending U.S. patent applications, eight granted
European patents and three pending European patent applications, six granted Japanese patents and one pending
Japanese patent application, four granted Chinese patents and two pending Chinese patent application, four granted
Canadian patents and one pending Canadian patent application, and one registered Hong Kong patent application.
A first patent family owned by us is directed to methods for determining a measure of the concentration of
analyte molecules or particles in a fluid sample, and in particular to methods for analyte capture on beads, including
multiplexing. This patent family includes four granted U.S. patents and two pending U.S. patent applications, three
granted European patents (nationalized and active in eight countries) and one pending European application, two granted
Japanese patents, two granted Chinese patents, and one granted Canadian patent. The standard patent expiration date for
the U.S. patents in this family is March 24, 2030, and for the non-U.S. patents is March 1, 2031.
A second patent family owned by us is directed to methods and systems for determining a measure of the
concentration of analyte molecules or particles in a fluid sample, and in particular to methods or systems for determining
concentration based on either counting or measured intensity (extending the dynamic range). This patent family includes
five granted U.S. patents and one pending U.S. patent application, one granted European patent (nationalized and active
in seven countries), two granted Japanese patents, one granted Chinese patent, and one granted Canadian patent. The
standard patent expiration date for the U.S. patents in this family is March 24, 2030, and for the non-U.S. patents is
March 1, 2031.
A third patent family owned by us is directed to methods for determining a measure of the concentration of
analyte molecules or particles in a fluid sample, and in particular to methods for analyte capture on beads with or without
dissociation. This patent family includes two granted U.S. patents. The standard patent expiration date for the U.S.
patents in this family is September 28, 2028.
A fourth patent family owned by us is directed to methods for determining a measure of the concentration of
analyte molecules or particles in a fluid sample, and in particular to methods for determining concentration using
multiple binding ligands for the same analyte molecule. This patent family includes one granted U.S. patent. The
standard patent expiration date for the U.S. patent in this family is March 24, 2030.
A fifth patent family owned by us is directed to instruments and consumables. This patent family includes two
granted U.S. patents and one pending U.S. patent application, one granted European patent (nationalized and active in
eleven countries) and one pending European patent application, two granted Japanese patents, one granted Chinese
patent and one pending Chinese patent applications, one registered Hong Kong patent application, and one granted
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Canadian patent. The standard patent expiration date for the U.S. patents in this family is February 25, 2031, and for any
non-U.S. patents is January 27, 2032.
A sixth patent family owned by us is directed to methods and materials for covalently associating a molecular
species with a surface. This patent family includes one pending U.S. patent application. The standard patent expiration
date for any U.S. patents that may issue from this family is May 9, 2034.
A seventh patent family owned by us is directed to methods for improving the accuracy of capture based assays.
This patent family includes one pending U.S. patent application. The standard patent expiration date for any U.S. patents
that may issue from this family is January 13, 2036.
An eighth patent family owned by us is directed to methods and systems for reducing and/or preventing signal
decay. This patent family includes one pending U.S. patent application. The standard patent expiration date for any U.S.
patents that may issue from this family is September 20, 2038.
A ninth patent family owned by us is directed to methods and systems for highly sensitive assays, including
methods and systems for improving capture object loading efficiency and/or use of low numbers of capture objects in
assays. This patent family includes one pending U.S. patent application, one pending European patent application, one
pending Japanese patent application, one pending Chinese patent application, and one pending Canadian patent
application. The standard patent expiration date for any patents that may issue from this family is April 14, 2041.
In addition to the nine patent families described above, we own or co-own nine additional patent families
directed to the measurement of particular types of analytes, including β-amyloid peptide, tau protein, toxin B of C.
difficile, neurofilament light, glial fibrillary acidic protein, ubiquitin carboxyl-terminal hydrolase L1, antigens from
infectious organisms such as viruses (e.g., coronaviruses), and DNA or RNA molecules. Among the granted patents and
pending patent applications in these nine families are two granted U.S. patents directed to methods for determining
treatment protocols and/or a prognosis of a patient’s recovery from a brain injury based on measurements of tau protein
in blood and one granted U.S. patent and one granted European patent (nationalized and active in three countries)
directed to detection of C. difficile. Any patents that may issue from these patent applications would have standard
expiration dates between 2032 and 2041.
With the acquisition of Aushon in January 2018, we acquired their patent portfolio for our planar array
technology. As of March 1, 2023, the acquired patent portfolio includes at least ten issued U.S. patents and one pending
U.S. patent application, one granted Canadian patent, and two granted European patents (nationalized and active in eight
countries).
We have licensed additional patents and patent applications from third parties. These include a portfolio of
patent filings we licensed from Harvard University directed to additional single molecule assay technologies originated
in the laboratory of Professor David Walt, who is the founder of Quanterix and a current member of our Board of
Directors.
A first patent family exclusively licensed by us from Harvard University is directed to assays that provide
digital measurement methods to detect proteins and other biomolecules, e.g., at low- to mid-attomolar concentrations.
This patent family includes one pending International Patent Application. The standard patent expiration date for any
patents that may issue from this family is June 22, 2041.
A second patent family exclusively licensed by us from Harvard University is directed to single molecule
assays for ultrasensitive detection of analytes. The standard patent expiration date for any patents that may issue from
this family will be in 2042.
A third patent family exclusively licensed by us from Harvard University is directed to high-sensitivity methods
for detection and quantification of target analytes in liquid samples (e.g., biological or environmental samples). The
standard patent expiration date for any patents that may issue from this family is August 15, 2039.
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A fourth patent family non-exclusively licensed by us from Harvard University is directed to methods and
compositions to detect Mycobacterium tuberculosis antigens, e.g., lipoarabinomannan (LAM) and/or Ag85B (Rv1886c),
in a sample (e.g., a human urine sample) for diagnosis of tuberculosis. The standard patent expiration date for any
patents that may issue from this family is December 17, 2040.
In addition to pursuing patents on our technology, we have taken steps to protect our intellectual property and
proprietary technology by entering into confidentiality agreements and intellectual property assignment agreements with
our employees, consultants, corporate partners and, when needed, our advisors.
License Agreement with Tufts University
In June 2007, as amended in April 2013, August 2017, and September 2020, we entered into a license
agreement with Tufts, pursuant to which we obtained an exclusive, worldwide license to research, develop,
commercialize, use, make, or have made, import or have imported, distribute or have distributed, offer or have offered,
and sell or have sold products and services covered by patent rights to the Simoa bead-based technology owned by Tufts,
as well as a non-exclusive license to related know-how. The rights licensed to us are for all fields of use and are
sublicensable for a fee.
Under the terms of the agreement, as amended, we paid a one-time, non-refundable upfront fee and issued Tufts
shares of our common stock. In addition, in connection with the April 2013 amendment, we issued Tufts shares of our
Series C-1 Preferred Stock, which converted into shares of our common stock in connection with our initial public
offering. We are required to pay Tufts low single-digit royalties on all net sales of products and services that use the
licensed technology, as well as a portion of any sublicensing revenues. We are also obligated to pay annual maintenance
fees, which are fully creditable against any royalty payments made by us, and a milestone payment upon any sublicense
by us. We were also required to reimburse Tufts for all patent prosecution cost incurred prior to the agreement and for all
future patent prosecution costs.
The term of the license agreement will continue on a country-by-country basis so long as there is a valid claim
of a licensed patent in such country. Tufts may terminate the agreement or convert to a non-exclusive license in the event
(1) we fail to pay any undisputed amount when required and fail to cure such non-payment within 60 days after receipt
of notice from Tufts, (2) we are in breach of any material provision of the agreement and fail to remedy such breach
within 60 days after receipt of notice from Tufts, (3) we do not demonstrate diligent efforts to develop a product
incorporating the licensed technology, (4) we are found on five separate audits to have underpaid pursuant to the terms
of the agreement, (5) we cease to carry on the business related to the licensed technology either directly or indirectly, or
(6) we are adjudged insolvent, make an assignment for the benefit of creditors or have a petition in bankruptcy filed for
or against us that is not removed within 60 days. We may terminate the agreement at any time upon at least 60 days’
written notice. Upon termination of the agreement, all rights revert to Tufts.
Government Regulation
The majority of our products are currently intended for research use only (RUO) applications, although our
customers may use our products to develop their own products that are subject to regulation by the FDA or the Center
for Medicare & Medicaid Services (CMS). Although most in vitro diagnostic products intended for RUO are not
currently required to obtain premarket clearance or approval by the FDA, products labeled as RUO are subject to the
FDA’s premarket review requirements if they are determined to be intended for use for clinical rather than research
purposes. Consequently, other than our two laboratory developed tests intended for clinical testing, our products are
labeled and intended “For Research Use Only. Not for Diagnostic Procedures.”
The FDA has issued Final Guidance for Industry and Food and Drug Administration Staff on “Distribution of
In Vitro Diagnostic Products Labeled for Research Use Only or Investigational Use Only” (the RUO/IUO Guidance).
The purpose of an FDA guidance document is to provide the FDA’s current thinking on when IVD products are properly
labeled for RUO or for investigational use only (IUO) and when products labeled RUO or IUO will be viewed by the
FDA as intended for clinical use, but as with all FDA guidance documents, this guidance does not establish legally
enforceable responsibilities and should be viewed as recommendations unless specific regulatory or statutory
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requirements are cited. The RUO/IUO Guidance explains that the FDA will review the totality of the circumstances
when evaluating whether equipment and testing components are properly labeled as RUO. Merely including a labeling
statement that a product is intended for research use only will not necessarily exempt the device from the FDA’s
premarket notification and clearance process (510(k)), premarket approval, or other requirements, if the circumstances
surrounding the distribution of the product indicate that the manufacturer intends its product to be used for clinical
diagnostic use. These circumstances may include written or verbal marketing claims or links to articles regarding a
product’s performance in clinical applications, a manufacturer’s provision of technical support for clinical validation or
clinical applications, or solicitation of business from clinical laboratories, all of which could be considered evidence of
intended uses that conflict with RUO labeling. Although the RUO/IUO Guidance was not intended as a compliance
requirement, we believe that our labeling and promotion of our products, including the custom assay RUO products
developed by the Accelerator Laboratory, is consistent with the RUO/IUO Guidance because we have not promoted our
products for clinical use in humans.
IVD tests intended for clinical diagnostic use are regulated by the FDA as medical devices, however, the FDA
has traditionally not regulated certain laboratory tests referred to as laboratory developed tests (LDTs) (as discussed
further below). The FDA defines a medical device in part as an instrument, apparatus, implement, machine, contrivance,
implant, in vitro reagent, or other similar or related article which is intended for the diagnosis of disease or other
conditions or in the cure, mitigation, treatment, or prevention of disease in man. This means that the FDA will regulate
the development, testing, manufacturing, marketing, post-market surveillance, distribution, advertising and labeling of
our clinical IVD devices (other than our LDTs) and we will be required to register as a medical device manufacturer and
list our marketed products.
The FDA classifies medical devices into one of three classes on the basis of the intended use of the device, the
risk associated with the use of the device for that indication, as determined by the FDA, and on the controls deemed by
the FDA to be necessary to reasonably ensure their safety and effectiveness. Class I devices, which have the lowest level
of risk associated with them, are subject to general controls. Class II devices are subject to general controls and special
controls, including performance standards and guidance documents setting out labeling and testing requirements.
Class III devices, which have the highest level of risk associated with them, are subject to general controls and premarket
approval, including any conditions imposed as part of the approval. Most Class I devices and some Class II devices are
exempt from a requirement that the manufacturer submit a premarket notification (510(k)) and receive clearance from
the FDA, which is otherwise a premarketing requirement for Class I and Class II devices that are not exempt. Class III
devices may not be commercialized until a premarket approval application (PMA) is submitted to and approved by the
FDA. Novel devices that have not been classified require either approval of a PMA or FDA review of a de novo
classification request before they can be marketed.
510(k) Clearance Pathway
To obtain 510(k) clearance for Class I and Class II devices that are not exempt, a sponsor must submit to the
FDA a premarket notification demonstrating that the device is substantially equivalent (SE) to a predicate device legally
marketed in the U.S. for which a PMA was not required. Substantial equivalence means that the device has the same
intended use as the predicate device and either (a) has the same technological characteristics as the predicate device or
(b) has different technological characteristics but does not raise difference questions of safety and effectiveness and
information in the premarket notification demonstrates the device is as safe and effective as the predicate. The FDA is
supposed to make a SE determination within 90 days of the FDA’s receipt of the 510(k), but it often takes longer if the
FDA requests additional information. Most 510(k)s do not require supporting data from clinical trials, but the FDA may
request such data. After a device receives 510(k) clearance, any modification that could significantly affect its safety or
effectiveness, or that would constitute a major change in its intended use, will require a new clearance or possibly a
pre-market approval.
Premarket Approval Pathway
A PMA must be submitted if a new device cannot be cleared through the 510(k) process. The PMA process is
generally more complex, costly and time consuming than the 510(k) process. A PMA must be supported by extensive
data including, but not limited to, technical, preclinical, clinical trials, manufacturing and labeling to demonstrate to the
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FDA’s satisfaction a reasonable assurance that the device is safe and effective for its intended use. After a PMA is
sufficiently complete, the FDA will accept the application for filing and begin an in-depth review of the submitted
information. By statute, the FDA has 180 days to review the accepted application, although review of the application
generally can take between one and three years. During this review period, the FDA may request additional information
or clarification of information already provided. Also, during the review period, an advisory panel of experts from
outside the FDA may be convened to review and evaluate the application and provide recommendations to the FDA as to
the approvability of the device. Although the FDA is not bound by the advisory panel decision, the panel’s
recommendations are important to the FDA’s overall decision making process. In addition, the FDA will conduct a
preapproval inspection of the manufacturing facility to ensure compliance with its quality system regulations (QSRs).
New premarket approval applications or premarket approval application supplements are also required for product
modifications that affect the safety and efficacy of the device.
De Novo Classification
Medical device types that the FDA has not previously classified as Class I, II or III are automatically classified
into Class III regardless of the level of risk they pose.
However, a de novo classification request allows a manufacturer whose novel device is automatically classified
into Class III to request down-classification of its medical device into Class I or Class II on the basis that the device
presents low or moderate risk, rather than requiring the submission and approval of a PMA application. Prior to the
enactment of the Food and Drug Administration Safety and Innovation Act of 2012 (FDASIA), a medical device could
only be eligible for de novo classification if the manufacturer first submitted a 510(k) premarket notification and
received a determination from the FDA that the device was not substantially equivalent. FDASIA streamlined the de
novo classification pathway by permitting manufacturers to request de novo classification directly without first
submitting a 510(k) premarket notification to the FDA and receiving a not substantially equivalent determination. Under
FDASIA, the FDA is required to classify the device within 120 days following receipt of the de novo classification
request, but the review often takes longer if the FDA requests additional information. If the manufacturer seeks
reclassification into Class II, the manufacturer must include a draft proposal for special controls that are necessary to
provide a reasonable assurance of the safety and effectiveness of the medical device. In addition, the FDA may reject the
reclassification petition if it identifies a legally marketed predicate device that would be appropriate for a 510(k) or
determines that the device is not low to moderate risk or that general controls would be inadequate to control the risks
and special controls cannot be developed.
Emergency Use Authorization
In emergency situations, such as a pandemic, the FDA has the authority to allow unapproved medical products
or unapproved uses of cleared or approved medical products to be used in an emergency to diagnose, treat or prevent
serious or life-threatening diseases or conditions caused by chemical, biological, radiological or nuclear warfare threat
agents when there are no adequate, approved, and available alternatives.
Under this authority, the FDA may issue an emergency use authorization (EUA) for an unapproved device if
the following four statutory criteria have been met: (1) a serious or life-threatening condition exists; (2) evidence of
effectiveness of the device exists; (3) a risk-benefit analysis shows that the benefits of the product outweigh the risks;
and (4) no other alternatives exist for diagnosing, preventing or treating the disease or condition. Evidence of
effectiveness includes medical devices that “may be effective” to prevent, diagnose, or treat the disease or condition
identified in a declaration of emergency issued by the Secretary of the Department of Health and Human Services
(HHS). The “may be effective” standard for EUAs requires a lower level of evidence than the “effectiveness” standard
that FDA uses for product approvals in non-emergency situations. The FDA assesses the potential effectiveness of a
possible EUA product on a case-by-case basis using a risk-benefit analysis. In determining whether the known and
potential benefits of the product outweigh the known and potential risks, the FDA examines the totality of the scientific
evidence to make an overall risk-benefit determination. Such evidence, which could arise from a variety of sources, may
include (but is not limited to) results of domestic and foreign clinical trials, in vivo efficacy data from animal models, in
vitro data, as well as the quality and quantity of the available evidence.
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Once granted, an EUA will remain in effect and generally terminate on the earlier of (1) the determination by
the Secretary of HHS that the public health emergency has ceased or (2) a change in the approval status of the product
such that the authorized use(s) of the product are no longer unapproved. After the EUA is no longer valid, the product is
no longer considered to be legally marketed and one of the FDA’s non-emergency premarket pathways would be
necessary to resume or continue distribution of the subject product.
The FDA also may revise or revoke an EUA if the circumstances justifying its issuance no longer exist, the
criteria for its issuance are no longer met, or other circumstances make a revision or revocation appropriate to protect the
public health or safety.
Clinical Trials
Clinical trials are usually required to support a PMA and are sometimes required for a 510(k) or a de novo
classification request. In the U.S., if the device is determined to present a “significant risk,” the manufacturer may not
begin a clinical trial until it submits an investigational device exemption (IDE) application and obtains approval of the
IDE from the FDA. Non-significant risk device studies do not require FDA approval of an IDE application. Both
significant risk and non-significant risk clinical trials are also subject to the review, approval and oversight of an
institutional review board (IRB). The clinical trials must be conducted in accordance with the FDA’s IDE regulations
and good clinical practices. A clinical trial may be suspended by the FDA, the sponsor or an IRB at its institution at any
time for various reasons, including a belief that the risks to the study participants outweigh the benefits of participation
in the trial. Even if a clinical trial is completed, the results may not demonstrate the safety and efficacy of a device to the
satisfaction of the FDA, or may be equivocal or otherwise not be sufficient to obtain approval of a device. Clinical trials
are also subject to a requirement to submit certain information to the ClincialTrials.gov database maintained by the
National Institutes of Health.
Breakthrough Device Designation
FDA Breakthrough Device designation is granted to certain medical devices and device-led combination
products that provide for more effective treatment or diagnosis of life-threatening or irreversibly debilitating diseases or
conditions. The goal is to give patients and doctors timely access to these medical devices by speeding up their
development, assessment, and review, while preserving the statutory standards for premarket approval. The
Breakthrough Devices Program offers device companies an opportunity to interact with the FDA's experts through
several different program options to efficiently address topics as they arise during the premarket review phase, which
can help companies receive feedback from the FDA and identify areas of agreement in a timely way. Recipients may
also receive prioritized review of their submission. Although Breakthrough Device designation or access to any other
expedited program may expedite the development or clearance/authorization/approval process, it is not guaranteed to do
so, and, more importantly, it does not change the standards for clearance/authorization/approval. Designation for any
expedited review procedure does not ensure that we will ultimately obtain regulatory clearance or approval for such
product.
FDA Enforcement
After a medical device is placed on the market, numerous regulatory requirements apply. These include among
other things:
•
•
establishment registration and device listing;
the QSR, which requires manufacturers, including third-party contract manufacturers, to follow stringent
design, testing, control, documentation and other quality assurance procedures during all aspects of the
manufacturing process;
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•
labeling regulations and the FDA prohibitions against the promotion of products for uncleared, unapproved
or “off-label” uses and other requirements related to promotional activities;
• medical device reporting regulations, which require that manufacturers report to the FDA if their device
may have caused or contributed to a death or serious injury, or if their device malfunctioned and the device
or a similar device marketed by the manufacturer would be likely to cause or contribute to a death or
serious injury if the malfunction were to recur;
•
•
corrections and removal reporting regulations, which require that manufacturers report to the FDA field
corrections or removals if undertaken to reduce a risk to health posed by a device or to remedy a violation
of the Federal Food, Drug, and Cosmetics Act that may present a risk to health; and
post market surveillance regulations, which apply to certain Class II or III devices when necessary to
protect the public health or to provide additional safety and effectiveness data for the device.
To ensure compliance with regulatory requirements, medical device manufacturers are subject to market
surveillance and periodic, pre-scheduled and unannounced inspections by the FDA. Failure to comply with applicable
regulatory requirements can result in enforcement action by the FDA, which may include sanctions, including but not
limited to, warning letters; fines, injunctions, consent decrees and civil penalties; recall or seizure of the device;
operating restrictions, partial suspension or total shutdown of production; refusal to grant PMA approvals of new
devices; withdrawal of PMA approvals; and civil or criminal prosecution.
Clinical Laboratory Improvement Amendments of 1988, Regulation of LDTs and State Regulation
We own and operate a CLIA-certified laboratory. The Clinical Laboratory Improvement Amendments of 1988
(CLIA) are federal regulatory standards that apply to all clinical laboratory testing performed on humans in the United
States (with the exception of research testing that does not report patient specific results). A clinical laboratory is defined
by CLIA as any facility that performs laboratory testing on specimens obtained from humans for the purpose of
providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of
health of, human beings. CLIA requires such laboratories to be certified by the federal government and mandates
compliance with various operational, personnel, facilities administration, quality and proficiency testing requirements
intended to ensure that testing services are accurate, reliable and timely. CLIA certification also is a prerequisite to be
eligible to bill state and federal health care programs, as well as many private insurers, for laboratory testing services.
In addition, CLIA requires certified laboratories to enroll in an approved proficiency testing program for each
of the specialties and subspecialties for which it is certified. If a laboratory fails to achieve a passing score on a
proficiency test, then its CLIA certificate may be suspended, limited or revoked, or other sanctions may be imposed.
As a condition of CLIA certification, laboratories are subject to survey and inspection every other year (except
laboratories with only a certificate of waiver or certificate of provider-performed microscopy procedures are not subject
to biennial inspections), in addition to being subject to additional random inspections. The biennial survey is conducted
by CMS, a CMS agent (typically a state agency), or a CMS-approved accreditation organization.
High complexity, CLIA-certified laboratories, such as ours, frequently develop testing procedures to provide
diagnostic results to customers. These tests have been traditionally offered by high-complexity laboratories for the last
few decades as LDTs, the validation and performance of which are subject to CMS oversight through its enforcement of
CLIA. The FDA also has claimed that it has regulatory authority over LDTs under the agency’s medical device
authorities, but has not exercised enforcement with respect to most LDTs offered by high complexity laboratories, and
not sought to require these laboratories to comply with FDA regulations regarding medical devices. In 2010, the FDA
announced that it had decided to exercise regulatory authority over these LDTs, and that it planned to issue guidance to
the industry regarding its regulatory approach. At that time, the FDA indicated that it would use a risk-based approach to
regulation and would direct more resources to tests with wider distribution and with the highest risk of injury, but that it
would be sensitive to the need to not adversely impact patient care or innovation. To date, the FDA has not issued such
guidance, and has indicated that Congress should enact legislation to address improved oversight of diagnostics,
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including LDTs, rather than the FDA addressing the issue through administrative proposals. However, FDA has
increased its oversight of what it perceived as especially high-risk LDTs, and in October 2018 the FDA issued a safety
communication warning against the use of unapproved LDTs that describe relationships between gene variants and
particular drugs (pharmacogenomic tests). FDA also regulated LDTs for Covid-19 under its EUA authority and related
guidance. HHS initially issued a policy in August 2020 stating that FDA could not require premarket review (including
EUAs) for LDTs. But this HHS policy was revoked in November 2021, reinstating FDA's prior approach for oversight
of Covid-19 LDTs. Thus, while FDA generally exercises enforcement discretion for LDTs it continues to exercise
oversight over certain high-risk tests. In addition, over the past several years, several bills to impose a new FDA
regulatory framework with similarities to the current medical device framework for “in vitro clinical tests,” which would
include both in vitro diagnostics and LDTs, have been introduced. We cannot predict the ultimate timing or form of any
such legislation or future FDA guidance or regulation or their potential impact. Any new regulatory approach for LDTs
by the FDA, whether through legislation or regulation, would likely lead to an increased regulatory burden, including
additional costs and delays in introducing new tests. While the ultimate impact of any changes to the FDA’s current
approach is unknown, it may be extensive and may result in significant change.
In addition, some states require that any laboratory be licensed by the appropriate state agency in the state in
which it operates. Laboratories must also hold state licenses or permits, as applicable, from various states including, but
not limited to, California, New York, Pennsylvania, Rhode Island and Maryland, to the extent that they accept specimens
from one or more of these states, each of which requires out-of-state laboratories to obtain licensure.
If a laboratory is out of compliance with state laws or regulations governing licensed laboratories or with CLIA,
it may be subject to enforcement actions that may include suspension, limitation or revocation of the license or CLIA
certificate, assessment of financial penalties or fines, or imprisonment. Loss of a laboratory’s CLIA certificate or state
license may also result in the inability to receive payments from state and federal health care programs as well as private
third-party payors.
When we perform clinical diagnostic testing, we are subject to the Health Insurance Portability and
Accountability Act of 1996 (HIPAA), as well as additional federal and state laws that impose a variety of fraud and
abuse prohibitions on healthcare providers, including clinical laboratories.
Europe/Rest of World Government Regulation
Whether or not we obtain FDA approval for a product, we must obtain the requisite approvals from regulatory
authorities in non-U.S. countries prior to the commencement of clinical trials or marketing of our product for clinical
diagnostic use in those countries. The regulations in other jurisdictions vary from those in the U.S. and may be easier or
more difficult to satisfy and are subject to change. For example, in the European Union (the E.U.) new regulations
recently entered into force that introduce greater regulation of medical devices and IVDs. The new IVD regulation (the
IVD Regulation) is significantly different from the European directive for IVD medical devices (the IVD Directive) that
it replaces in that it ensures that the new requirements apply uniformly and on the same schedule across the member
states, includes a risk-based classification system and increases the requirements for conformity assessment.
The CE registration for the Nf-L ELISA assay kit of our subsidiary Uman was approved in March 2014 under
the IVD Directive. Under the IVD Directive, the assay is classified as a general IVD product and required self-
certification with no involvement of a notified body/authority. The IVD Regulation introduces a new classification
system for IVDs and assessment by a notified body is required for class B, C and D products. Uman’s Nf-L ELISA assay
kit is classified as a class B product and must fully comply with (and have a CE mark issued under) the IVD Regulation
by May 2027. The new requirements include an ISO 13485 certification of the quality system (which Uman received in
July 2018) and increased technical evidence and follow-up of performance of the specific product (e.g., clinical evidence
and post-market activities). The work to evaluate and to meet the new technical requirements is on-going. When all
requirements are met, a notified body will be contacted, and the certification initiated.
The NF-light Serum ELISA is currently sold only as a RUO product (not intended for diagnostic use). Work is
on-going to prepare a technical file compliant with the IVD Regulation for this product as well.
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Other Governmental Regulation
Privacy and Data Security Laws and Regulations
As a business with a global footprint, compliance with evolving regulations and standards in privacy and data
security has resulted, and may continue to result, in increased costs, new compliance challenges, and the threat of
increased regulatory enforcement activity. Our business relies on the secure electronic transmission, storage and hosting
of sensitive information, including personal information, protected health information, financial information, intellectual
property and other sensitive information related to our customers and workforce.
For example, in the U.S., the collection, maintenance, protection, use, transmission, disclosure and disposal of
certain personal information and the security of medical devices are regulated at the U.S. federal and state, international
and industry levels. U.S. federal and state laws protect the confidentiality of certain patient health information, including
patient medical records, and restrict the use and disclosure of patient health information by health care providers. Privacy
and Security Rules under HIPAA, as amended, and the Health Information Technology for Economic and Clinical
Health Act of 2009 (HITECH), govern the use, disclosure, and security of protected health information by “Covered
Entities,” (which are health care providers that submit electronic claims, health plans, and health care clearinghouses)
and by their “Business Associates” (which is anyone that performs a service on behalf of a Covered Entity involving the
use or disclosure of protected health information and is not a member of the Covered Entity’s workforce). Rules under
HIPAA and HITECH include specific security standards and breach notification requirements. HHS (through the Office
of Civil Rights) has direct civil enforcement authority against Covered Entities and Business Associates with regard to
both the Security and Privacy Rules. The U.S. Department of Justice has criminal enforcement authority against Covered
Entities, Business Associates, and certain other entities and individuals. In addition, State Attorneys General may being
enforcement actions under HIPAA. Generally Quanterix is not a Covered Entity, however, we may operate as a Business
Associate to Covered Entities under certain circumstances.
In addition to the regulation of personal health information, a number of states have also adopted laws and
regulations that may affect our privacy and data security practices for other kinds of personally identifiable information,
such as state laws that govern the use, disclosure and protection of sensitive personal information, such as Social
Security numbers, or that are designed to protect credit card account data. State consumer protection laws may also
establish privacy and security standards for use and management of personally identifiable information, including
information related to consumers and care providers.
Outside the U.S., we are impacted by the privacy and data security requirements at the international, national
and regional level, and on an industry specific basis. Legal requirements in foreign countries relating to the collection,
storage, handling and transfer of personal data and potentially intellectual property continue to evolve with increasingly
strict enforcement regimes. More privacy and security laws and regulations are being adopted, and more are being
enforced, with potential for significant financial penalties. In the E.U., stringent data protection and privacy rules which
substantially impact the use of patient data across the healthcare industry became effective in May 2018. The E.U.
General Data Protection Regulation (GDPR) applies uniformly across the E.U. and includes, among other things, a
requirement for prompt notice of data breaches to data subjects and supervisory authorities in certain circumstances and
significant fines for non-compliance. The GDPR also requires companies processing personal data of individuals
residing in the E.U. to comply with E.U. privacy and data protection rules.
Because the laws and regulations continue to expand, differ from jurisdiction to jurisdiction, and are subject to
evolving (and at times inconsistent) governmental interpretation, compliance with these laws and regulations may
require significant additional expenditures or changes in products or business that increase competition or reduce
revenue. Noncompliance could result in the imposition of fines, penalties, or orders to stop noncompliant activities.
Environmental Health and Safety Laws
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We are subject to federal, state, and local laws and regulations related to the protection of the environment, the
health and safety of employees and the handling, transportation, storage and disposal of medical specimens, infectious
and hazardous waste and radioactive materials. For example, the U.S. Occupational Safety and Health Administration
(OSHA), has established extensive requirements relating specifically to workplace safety for healthcare employers in the
U.S. This includes requirements to develop and implement multi-faceted programs to protect workers from exposure to
blood-borne pathogens, including preventing or minimizing any exposure through needle stick injuries. OSHA also
regulates the use of hazardous chemicals in the workplace. Likewise, we are subject to EPA and state requirements
relating to the management and disposal of hazardous waste, and state requirements relating to the disposal of regulated
medical waste. For purposes of transportation, some biological materials and laboratory supplies are classified as
hazardous materials and are subject to regulation by one or more of the following agencies: the U.S. Department of
Transportation, the U.S. Public Health Service, the United States Postal Service and the International Air Transport
Association. We generally use third-party vendors to dispose of regulated medical waste, hazardous waste and
radioactive materials that we may use during our research.
Employees and Human Capital
As of December 31, 2022, we had 370 full-time employees, of which 125 work in sales, sales support, field
service, and marketing, 85 work in engineering and research and development, 104 work in manufacturing and
operations and 56 work in general and administration. Of our 370 full-time employees, 309 were located in the United
States and 61 were located in 11 foreign countries. None of our employees are represented by a labor union or subject to
a collective bargaining agreement. We have a unique culture that stresses the impact our work has on the eradication of
human diseases. We invest in creating a diverse, inclusive and safe work environment where our employees can deliver
their workplace best every day.
Our success depends upon our ability to attract and retain highly qualified management and technical
employees. Talent management is critical to our ability to execute our long-term growth strategy, and we seek to
cultivate a superior pool of talent by providing career growth, on-the-job learning opportunities and competitive
compensation. We are committed to an inclusive culture which values equality, opportunity and respect. In support of
our inclusive culture, we sponsor an internal Diversity, Equity and Inclusion Committee comprised of employees and
executives, provide respectful workplace training to strengthen employee understanding and consciously strive to recruit
a diverse talent pool across all levels of the organization. As of December 31, 2022, approximately 44% of our
employees were women and approximately 36% were non-white.
Workforce Compensation and Pay Equity
We provide robust compensation and benefits programs to help meet the needs of our employees. We provide
our full-time employees with highly competitive salaries, as well a bonus and/or commission plan, a matching
401(k) Plan, healthcare and insurance benefits, paid time off and family leave. We also provide all of our employees
with targeted equity-based grants with vesting conditions designed to facilitate retention through the opportunity to
benefit financially from our growth and profitability.
Company Culture
We expect all of our employees and contractors to observe the highest levels of business ethics, integrity,
mutual respect, tolerance and inclusivity. Our employee handbook and Corporate Code of Conduct and Ethics set forth
policies reflecting these values and also provide direction for registering complaints in the event of any violation of our
policies. An “open door” policy is maintained at all levels of the organization, and any form of retaliation against an
employee is strictly prohibited.
Employee Engagement and Wellness
The success of our business is fundamentally connected to the physical and mental well-being of our people.
Accordingly, we are committed to the health, safety and wellness of our employees and contractors. We provide our
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employees with a wide range of benefits, including benefits directed to their health, safety and long-term financial
security.
Corporate Information
We were incorporated under the laws of the State of Delaware in April 2007 under the name “Digital
Genomics, Inc.” In August 2007, we changed our name to “Quanterix Corporation.” Our principal executive offices are
located at 900 Middlesex Turnpike, Billerica, Massachusetts 01821, and our telephone number is (617) 301-9400.
Information Available on the Internet
Our Internet website address is www.quanterix.com. The information contained on, or that can be accessed
through, our website is not a part of or incorporated by reference in this Annual Report on Form 10-K. We have included
our website address in this Annual Report on Form 10-K solely as an inactive textual reference. We make available free
of charge through our website our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on
Form 8-K and amendments to those reports filed or furnished pursuant to Sections 13(a) and 15(d) of the Securities
Exchange Act of 1934, as amended (Exchange Act). We make these reports available through the “Investors—Financial
Information—SEC Filings” section of our website as soon as reasonably practicable after we electronically file such
reports with, or furnish such reports to, the SEC. We also make available, free of charge on our website, the reports filed
with the SEC by our executive officers, directors and 10% stockholders pursuant to Section 16 under the Exchange Act
as soon as reasonably practicable after copies of those filings are provided to us by those persons. Our electronically
filed reports and other information that we file with the SEC can be viewed on the SEC’s website at http://www.sec.gov.
Item 1A. RISK FACTORS
The following risk factors and other information included in this Annual Report on Form 10-K should be
carefully considered. The risks and uncertainties described below are not the only ones we face. Additional risks and
uncertainties not presently known to us or that we presently deem less significant may also impair our business
operations. Please see page ii of this Annual Report on Form 10-K for a discussion of some of the forward-looking
statements that are qualified by these risk factors. If any of the following risks occur, our business, financial condition,
results of operations and future growth prospects could be materially and adversely affected.
Risk Factor Summary
Our business is subject to numerous risks and uncertainties. The following summary highlights some of the
risks to be considered with respect to our business and prospects. This summary is not complete and the risks
summarized below are not the only risks we face. Readers should review and carefully consider the risks and
uncertainties described in more detail below, which includes a more complete discussion of these risks.
• We have incurred annual losses since we were formed and expect to incur losses in the future. We cannot
be certain that we will achieve or sustain profitability.
• Our quarterly and annual operating results and cash flows have fluctuated in the past and might continue to
fluctuate, which could cause the value of our common stock to fluctuate or decline significantly.
•
If our products fail to achieve and sustain sufficient market acceptance, our revenue will be adversely
affected.
• Sales of our assays for neurological indications have become increasingly important to our business, and
any significant decrease in sales of such assays could have a material adverse effect on our business.
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• We may fail to achieve the intended cost savings, revenue improvement, and related benefits from our
Restructuring Plan.
• We may not be able to obtain the anticipated product and quality-related benefits from our assay
improvement program.
• Failure to remediate a material weakness in, or inherent limitations associated with, our internal accounting
controls could result in material misstatements in our financial statements.
• Because a significant portion of our revenue comes from a few large customers, any significant decrease in
sales to these customers, due to industry consolidation or otherwise, could harm our operating results.
• Our long-term results depend upon our ability to improve existing products, develop or acquire new
technology, and develop, introduce and market new products successfully.
•
If defects are discovered in our products, we may incur additional unforeseen costs, our products may be
subject to recalls, customers may not purchase our products, our reputation may suffer, and ultimately our
sales and operating earnings could be negatively affected.
• We may seek to enter into strategic collaborations and licensing arrangements with third parties, but we
may not be successful in establishing or maintaining such arrangements.
• We generate a substantial portion of our revenue internationally and we expect this will continue in the
future; as a result, our business is subject to various risks relating to our international activities, which
could adversely affect our business, operating results and financial condition.
• We rely on a single contract manufacturer to manufacture and supply our Simoa HD-X instrument and rely
on a different single contract manufacturer to manufacture and supply our Simoa SR-X. If either of these
manufacturers should fail to perform, or not perform satisfactorily, our ability to supply these instruments
would be negatively and adversely affected.
• We rely on a limited number of suppliers or, in some cases, one supplier, for some of our materials and
components used in our consumable products and our SP-X instrument, and we may not be able to find
replacements or immediately transition to alternative suppliers if any of these suppliers fail to perform,
which could have a material adverse effect on our business, financial condition, results of operations and
reputation.
• Epidemic diseases, such as COVID-19 and its variants, and other events could negatively affect various
aspects of our business, make it more difficult to meet our obligations to our customers and/or result in
reduced demand from our customers, each of which could have a material adverse effect on our business,
financial condition, results of operations or cash flows.
•
If the FDA determines that our products are subject to regulation as medical devices or if we seek to market
our products for clinical diagnostic or health screening use, we will be required to obtain regulatory
clearance(s) or approval(s) and may be required to cease or limit sales of our then-marketed products,
which could materially and adversely affect our business, financial condition and results of operations. Any
such regulatory process would be expensive, time-consuming and uncertain both in timing and in outcome.
• Cybersecurity breaches, loss of data and other disruptions could compromise sensitive information related
to our business or prevent us from accessing critical information and expose us to liability, which could
adversely affect our business and our reputation.
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•
•
•
If we do not comply with governmental regulations applicable to our CLIA-certified laboratory, we may
not be able to continue our operations or continue offering our LDTs.
If we are unable to protect our intellectual property, our ability to maintain any technological or
competitive advantage over our competitors and potential competitors may be reduced and our business
may be harmed.
If we or any of our partners are sued for infringing intellectual property rights of third parties, the resulting
litigation would be costly and time-consuming, and an unfavorable outcome in that litigation could have a
material adverse effect on our business.
• We may not be able to protect our intellectual property rights throughout the world, which could have a
materially adverse effect on our business.
• Our stock price may fluctuate significantly.
Risks Related to Our Financial Condition
We have incurred annual losses since we were formed and expect to incur losses in the future. We cannot be certain
that we will achieve or sustain profitability.
We incurred net losses of $96.7 million, $57.7 million and $31.5 million for the years ended December 31,
2022, 2021, and 2020, respectively. As of December 31, 2022, we had an accumulated deficit of $402.2 million. We
cannot predict if or when we will achieve profitability or if or when we will be able to sustain such profitability once
achieved. We expect that our losses will continue at least through the next 24 months as we continue to invest funds for
technology development, including our assay redevelopment program designed to improve our ability to manufacture
and deliver high-quality assays at scale and execute our strategy for our entry into translational pharma and clinical
markets. We may incur significant losses in the future for a number of reasons, many of which are beyond our control,
including the other risks described in this Annual Report on Form 10-K, the market acceptance of our products,
competitive products, future product development and our market penetration and margins.
Our quarterly and annual operating results and cash flows have fluctuated in the past and might continue to
fluctuate, which could cause the value of our common stock to fluctuate or decline significantly.
Numerous factors, many of which are outside of our control, may cause or contribute to significant fluctuations
in our quarterly and annual operating results. These fluctuations may make financial planning and forecasting difficult.
In addition, these fluctuations may result in unanticipated decreases in our available cash, which could negatively affect
our business and prospects. In addition, one or more of such factors may cause our revenue or operating expenses in one
period to be disproportionately higher or lower relative to the others. As a result, comparing our operating results on a
period-to-period basis might not be meaningful. Investors should not rely on our past results as indicative of our future
performance. Moreover, our stock price might be based on expectations of future performance that are unrealistic or that
we might not meet and, if our revenue or operating results fall below the expectations of investors or securities analysts,
the price of our common stock could decline significantly.
Our future capital needs are uncertain and we may need to raise additional funds in the future.
We believe that our existing cash and cash equivalents as of December 31, 2022, together with our cash
generated from commercial sales, will enable us to fund our operating expenses and capital expenditure requirements for
the foreseeable future. However, our future funding requirements will depend on many factors, including:
•
continued market acceptance of our products and the ability of our products to meet our customers’
expectations;
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•
•
•
•
•
•
•
•
the cost and timing of establishing additional sales, marketing and distribution capabilities;
the extent to which we achieve intended cost savings, revenue improvement and related benefits from our
Restructuring Plan;
the extent to which we are able to successfully complete our assay improvement program to enhance
product quality;
the cost of our research and development activities;
our ability to enter into collaborations in the future, and the success of any such collaborations;
potential opportunities to strategically acquire and integrate companies or technologies that may be
complementary to our business;
the cost and timing of potential regulatory clearances or approvals that may be required in the future for our
products; and
the effect of competing technological and market developments.
If we need additional capital in the future, we may not be able to obtain additional funds on acceptable terms, or
at all. If we raise additional funds by issuing equity or equity-linked securities, our stockholders may experience dilution.
Future debt financing, if available, may involve covenants restricting our operations or our ability to incur additional
debt. Any debt or equity financing may contain terms that are not favorable to us or our stockholders. If we raise
additional funds through collaboration and licensing arrangements with third parties, it may be necessary to relinquish
some rights to our technologies or our products, or grant licenses on terms that are not favorable to us. If we do not have,
or are not able to obtain, sufficient funds, we may have to delay development or commercialization of our products. We
also may have to reduce marketing, customer support or other resources devoted to our products or cease operations.
Any of these factors could have a material adverse effect on our financial condition, operating results and business.
Failure to remediate a material weakness in, or inherent limitations associated with, internal accounting controls
could result in material misstatements in our financial statements.
Our management has identified material weaknesses in our internal control over financial reporting related to
the operating effectiveness of our internal controls associated with (i) the accounting for inventory, including excess and
obsolescence reserves, (ii) the accounting for salary and commissions expense, (iii) the financial statement close process,
including financial reporting, share-based compensation and non-recurring transactions such as impairment of assets and
accounting for leases, and (iv) the accounting for property and equipment, net. See “Item 9A. Controls and Procedures”.
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such
that there is a reasonable possibility that a material misstatement of the Company’s annual or interim financial
statements will not be prevented or detected on a timely basis. As a result, management has concluded that, due to such
material weaknesses, our disclosure controls and procedures were not effective as of December 31, 2022.
Our efforts to improve our internal controls are ongoing; however, there are inherent limitations in all control
systems and no evaluation of controls can provide absolute assurance that all deficiencies have been detected. If we are
unable to maintain effective internal control over financial reporting, or after having remediated such material
weaknesses, fail to maintain the effectiveness of our internal control over financial reporting or our disclosure controls
and procedures, we could lose investor confidence in the accuracy and completeness of our financial reports, the market
price of our common stock could decline and we could be subject to regulatory scrutiny, civil or criminal penalties or
litigation. Continued or future failure to maintain effective internal control over financial reporting could also result in
financial statements that do not accurately reflect our financial condition or results of operations, may result in material
misstatements in our financial statements and may also restrict our future access to the capital markets.
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We are currently implementing a plan intended to remediate the material weaknesses described above. The
implementation of this plan could be costly and distract management from other activities. There can be no assurance
that we will not conclude in the future that we have not effectively remediated these material weaknesses and they
continue to exist or that we will not identify any significant deficiencies or other material weaknesses that will impair
our ability to report our financial condition and results of operations accurately or on a timely basis.
Our ability to use net operating losses to offset future income may be subject to certain limitations.
As of December 31, 2022, we had federal net operating loss (NOLs) carryforwards to offset future taxable
income of approximately $309.7 million, which begin to expire in 2026. A lack of future taxable income would
adversely affect our ability to utilize these NOLs. In addition, under Section 382 of the Internal Revenue Code of 1986,
as amended (the Code), a corporation that undergoes an “ownership change” is subject to limitations on its ability to
utilize its NOLs to offset future taxable income. We have already experienced ownership changes as defined under
Section 382 of the Code. Depending on the timing of any future utilization of our NOLs, the amount that can be utilized
each year may be limited as a result of such previous ownership changes. In addition, future changes in our stock
ownership, including changes that may be outside of our control, could result in additional ownership changes under
Section 382 of the Code. Our NOLs may also be impaired under similar provisions of state law. We have recorded a full
valuation allowance related to our NOLs and other deferred tax assets due to the uncertainty of the ultimate realization of
the future benefits of those assets.
Risks Related to Our Business
If our products fail to achieve and sustain sufficient market acceptance, our revenue will be adversely affected.
Our success depends on our ability to develop and market products that are recognized and accepted by our
customers and potential customers as reliable, enabling and cost-effective. Continued market acceptance of our Simoa
technology platform and products and other platforms and products we may develop in the future will depend on many
factors, including our ability to convince potential customers that our technology is an attractive alternative to other
available technologies. Historically, a significant part of our sales and marketing efforts has been directed at
demonstrating the advantages of our technology to industry leaders and encouraging such leaders to publish or present
their evaluation of our system. We also need to demonstrate to current and prospective customers that our products can
help them accomplish their objectives in a cost-effective and efficient manner. If we are unable to continue to motivate
leading researchers to use Simoa technology or other technologies we may develop, or if such researchers are unable to
achieve or unwilling to publish or present significant experimental results using our systems, acceptance and adoption of
our systems may be slowed and our ability to retain and grow our customer base and increase our revenue would be
adversely affected.
Our future success is dependent upon our ability to retain and further penetrate our existing customer base and
attract new customers.
Our success will depend upon our ability to successfully retain, respond to the evolving needs of, and increase
our market share among, existing customers and add new customers. Identifying, cultivating, engaging and marketing to
customers requires substantial time, expertise and expense and involves a number of risks, including that:
• we may not have the ability to attract, retain and manage the sales, marketing and service personnel
necessary to expand market acceptance for our Simoa technology or other platforms we may develop in the
future;
•
•
the time and cost of maintaining and growing a specialized sales, marketing and service force may be better
spent elsewhere; and
our sales, marketing and service force may be unable to accomplish their goals.
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We have utilized third parties to assist with sales, distribution and customer support in certain regions of the
world. When we enter into such arrangements, there is no guarantee that we will be successful in attracting desirable
sales and distribution partners. There is also no guarantee that we will be able to enter into such arrangements on
favorable terms. Any failure of our sales and marketing efforts, or those of any third-party sales and distribution partners,
would adversely affect our business.
Sales of our assays for neurological indications have become increasingly important to our business, and any
significant decrease in sales of such assays could have a material adverse effect on our business.
Neurology has been one of our primary focus areas for commercialization of our Simoa technology and the
services that we provide to our customers. Sales from neurological-related biomarkers have become an increasingly
important part of our business. There can be no assurance that we will continue to derive meaningful revenues from the
sale of our neurological products, from services related to neurodegenerative conditions or from sales of instruments
driven by customers desiring access to our technology for work relating to neurological conditions. The adoption by our
customers of competitive technologies for detecting biomarkers of neurodegenerative conditions could negatively impact
our revenues and have a material adverse effect on our business.
We may fail to achieve the intended cost savings, revenue improvement, and related benefits from our Restructuring
Plan.
In August 2022, we announced a plan of restructuring and strategic re-alignment, which included the
elimination of 119 positions, or 25% of our workforce at the time, and other cost-savings measures (the Restructuring
Plan). We incurred expenses of approximately $3.8 million related to the Restructuring Plan in the third and fourth
quarter of 2022, substantially all of which were cash expenditures for severance and other costs relating to the
Restructuring Plan. Overall, as a result of the Restructuring Plan we expect to realize estimated annualized operating
expense savings of approximately $25 million. However, these estimates are subject to a number of assumptions, and
actual results may differ. There is no guarantee that the Restructuring Plan will achieve its intended benefits. For
example, our cost restructuring and business re-alignment efforts may not result in the anticipated savings or other
economic benefits and could result in total costs and expenses that are greater than expected, each of which could have
an adverse effect on our business. As part of the Restructuring Plan, we do not currently, nor do we intend to in the
future, occupy the additional space acquired under the Bedford facilities lease agreement. We are reviewing our
alternatives with respect to this space. These alternatives may include sub-leasing all, or a portion, of the Bedford
facilities. We believe that the Billerica office, laboratory and manufacturing space will be sufficient to meet our needs
for the foreseeable future. Refer to Note 12 to the consolidated financial statements for further details related to the
Bedford lease. The Restructuring Plan may cause disruption to our business operations, and we may fail to effectively
execute on the Restructuring.
We may not be able to obtain the anticipated product and quality-related benefits from our assay improvement
program.
In connection with the Restructuring Plan, we have implemented an assay improvement program designed to
improve our ability to manufacture and deliver high-quality assays at scale. We made initial progress toward this
initiative in 2022, and we expect that the program will be completed in 2023. We may not be able to obtain the
anticipated product and quality-related benefits from these efforts. Further, we may be delayed in completing this
program. Delays in completing the assay improvement program or our inability to fully realize the anticipated product
and quality-related benefits could materially and adversely affect our revenue and cash flows and could undermine
customer confidence in our products and adversely affect our business.
The sales cycle for our Simoa instruments can be lengthy and variable, which makes it difficult for us to forecast
revenue and other operating results.
The sales process for our Simoa instruments generally involves numerous interactions with multiple individuals
within an organization, and often includes in-depth analysis by potential customers of our technology and products and a
lengthy review process. Our customers’ evaluation processes often involve a number of factors, many of which are
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beyond our control. As a result of these factors, the capital investment required to purchase our systems, and the budget
cycles of our customers, the time from initial contact with a customer to our receipt of a purchase order can vary
significantly. Given the length and uncertainty of our sales cycle, we have in the past experienced, and expect in the
future to experience, fluctuations in our sales on a period-to-period basis. In addition, any failure to meet customer
expectations could result in customers choosing to retain their existing systems, using existing assays not requiring
capital equipment, or purchasing systems other than ours.
Because a significant portion of our revenue comes from a few large customers, any significant decrease in sales to
these customers, due to industry consolidation or otherwise, could harm our operating results.
One customer accounted for 13% of our total revenue for the year ended December 31, 2022, and several other
customers accounted for a significant portion of our total revenue. The loss of a significant amount of business from one
or more of our major customers would have a material adverse effect on our business. There can be no assurance that
there will not be a loss or reduction in business from one or more of our major customers. In addition, we cannot assure
that net sales from customers that have accounted for significant net sales in the past, either individually or as a group,
will reach or exceed historical levels in any future period.
Our long-term results depend upon our ability to improve existing products and introduce and market new products
successfully.
We generally sell our products in industries that are characterized by rapid technological changes, frequent new
product introductions and changing industry standards. Accordingly, our business is dependent on the continued
improvement of our existing Simoa products and our development of new products utilizing Simoa or other technology
we develop or acquire. As we introduce new products or refine, improve or upgrade versions of existing products, we
cannot predict the level of market acceptance or the amount of market share these products will achieve, if any. We
cannot guarantee that we will not experience material delays in the introduction of new products in the future. In
addition, introducing new products could result in a decrease in revenues from our existing products. Consistent with our
strategy of offering new products and product refinements, we have invested substantial capital on research and
development, and we expect to continue to use a substantial amount of capital for product research and development.
Our research and development initiatives can be costly and time-consuming, and they may fail to achieve the intended
benefits. We may need more capital for product research and development than is available on terms favorable to us, if
at all. If we do not develop new products and product enhancements based on technological innovation on a timely basis,
our products may become obsolete over time and our revenues, cash flow, profitability and competitive position will
suffer.
If defects are discovered in our products, we may incur additional unforeseen costs, our products may be subject to
recalls, customers may not purchase our products, our reputation may suffer, and ultimately our sales and operating
earnings could be negatively affected.
Our Simoa products are complex and may contain undetected errors or defects, especially when first introduced
or as new versions or new products are released. New products or enhancements may contain undetected errors or
performance problems that, despite testing, are discovered only after commercial shipment. We continue to invest funds
for technology development and quality assurance, including our assay redevelopment program, which is designed to
improve our ability to manufacture and deliver high-quality assays at scale. However, there can be no assurance that we
will be successful in our efforts to avoid our products containing undiscovered defects. Defects or errors in our products
may discourage customers from purchasing our products. Disruptions affecting the introduction or release of, or other
performance problems with, our products may damage our customers’ businesses and could harm their and our
reputation. If that occurs, we may incur significant costs, the attention of our key personnel could be diverted or other
significant customer relations problems may arise. We may also be subject to warranty and liability claims for damages
related to errors or defects in our products. In addition, if we do not meet industry or quality standards, if applicable, our
products may be subject to recall. A material liability claim, recall or other occurrence that harms our reputation or
decreases market acceptance of our products could harm our business and operating results.
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Use of our products or services by us or a customer for diagnostic purposes could result in a product liability
claim alleging that one of our products contained a design or manufacturing defect that resulted in the failure to
adequately perform, leading to death or injury. A product liability claim could result in substantial damages and be
costly and time-consuming to defend, either of which could materially harm our business or financial condition. We
cannot guarantee that our product liability insurance would adequately protect our assets from the financial impact of
defending a product liability claim. Any product liability claim brought against us, with or without merit, could increase
our product liability insurance rates or prevent us from securing insurance coverage in the future.
We may seek to enter into additional strategic collaborations and licensing arrangements with third parties, but we
may not be successful in establishing or maintaining such arrangements.
We may seek to enter into additional strategic collaborations and licensing agreements with third parties to
develop products based on our Simoa technology, such as for certain IVD purposes. However, we may not be successful
in doing so. Establishing collaborations and licensing arrangements is difficult and time-consuming, and discussions
may not lead to collaborations or licenses on favorable terms, if at all. Even if we establish such relationships, if our
partners do not prioritize and commit sufficient resources to develop and sell products based on our Simoa technology,
such relationships may never result in the successful development or commercialization of products based on our Simoa
technology.
Our reliance on distributors for sales of our products outside of the United States could limit or prevent us from
selling our products and could impact our revenue.
We have established exclusive distribution agreements for our Simoa instruments and related consumable
products within certain foreign countries, including Australia, Brazil, China, the Czech Republic, India, Hong Kong,
Israel, Japan, New Zealand, Qatar, Saudi Arabia, Singapore, South Africa, South Korea, Taiwan and the UAE. We
intend to continue to grow our business internationally, and to do so we must attract additional distributors and retain
existing distributors to maximize the commercial opportunity for our products. There is no guarantee that we will be
successful in attracting or retaining desirable sales and distribution partners or that we will be able to enter into such
arrangements on favorable terms. Distributors may not commit the necessary resources to market and sell our products
to the level of our expectations or may choose to favor marketing the products of our competitors. If current or future
distributors do not perform adequately, or if we are unable to enter into effective arrangements with distributors in
particular geographic areas, we may not realize long-term international revenue growth. In addition, if our distributors
fail to comply with applicable laws and ethical standards, including anti-bribery laws, this could damage our reputation
and could have a significant adverse effect on our business and our revenues.
We generate a substantial portion of our revenue internationally and we expect this will continue in the future; as a
result, our business is subject to various risks relating to our international activities, which could adversely affect our
business, operating results and financial condition.
For the years ended December 31, 2022, 2021, and 2020, approximately 38%, 36% and 31%, respectively, of
our total revenue was generated from customers located outside of North America. We believe that a
substantial percentage of our future revenue will continue to come from international sources as we expand our overseas
operations and develop opportunities in additional areas. Engaging in international business involves a number of
difficulties and risks, including:
•
•
•
•
required compliance with existing and changing U.S. or foreign regulatory requirements and laws;
difficulties and costs of staffing and managing foreign operations;
a shortage of high-quality salespeople and distributors;
pricing pressure that we may experience internationally;
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•
•
•
•
•
•
•
•
•
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difficulties in maintaining consistency with our internal guidelines;
difficulties in enforcing our intellectual property rights and in defending against third-party threats and
intellectual property enforcement actions against us or any of our distributors, suppliers or collaborators;
reduced or varied protection for intellectual property rights in some countries;
required compliance with anti-bribery laws, such as the U.S. Foreign Corrupt Practices Act, data privacy
requirements, such as the GDPR, labor laws and anti-competition regulations;
export or import restrictions and supply chain disruptions;
laws and business practices favoring local companies;
longer payment cycles and difficulties in enforcing agreements and collecting receivables through certain
foreign legal systems;
the imposition of restrictions on the activities of foreign agents, representatives and distributors;
foreign currency exchange rate fluctuations;
the imposition of U.S. or international sanctions against a country, company, person or entity with whom
we do business that would restrict or prohibit continued business with the sanctioned country, company,
person or entity;
the impact of political and economic instability and conflict, which could lead to uncertainty and instability
in global financial markets;
scrutiny of foreign tax authorities which could result in significant fines, penalties and additional taxes
being imposed on us;
the imposition of new trade restrictions; and
potentially adverse tax consequences, tariffs, customs charges, bureaucratic requirements and other trade
barriers.
Historically, most of our revenue has been denominated in U.S. dollars. In the future, we may sell our products
and services in local currency outside of the United States. As our operations in countries outside of the United States
grow, our results of operations and cash flows may be subject to fluctuations due to changes in foreign currency
exchange rates, which could harm our business in the future. For example, if the value of the U.S. dollar increases
relative to foreign currencies, in the absence of a corresponding change in local currency prices, our revenue could be
adversely affected as we convert revenue from local currencies to U.S. dollars. If we dedicate significant resources to our
international operations and are unable to manage these risks effectively, our business, operating results and financial
condition will suffer.
We could be adversely affected by violations of the U.S. Foreign Corrupt Practices Act and other worldwide anti-
bribery laws by us or our agents.
We are subject to the U.S. Foreign Corrupt Practices Act (the FCPA), which prohibits companies and
individuals from corruptly making payments, directly or indirectly through third parties, to non-U.S. government
officials for the purpose of obtaining or retaining business or securing any other improper advantage. We are also subject
to the FCPA’s accounting provisions, which require us to keep accurate books and records and to maintain a system of
internal accounting controls sufficient to assure management’s control, authority and responsibility over our assets. Our
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reliance on independent distributors to sell our products internationally demands a high degree of vigilance in
maintaining our policy against participation in corrupt activity, because there are circumstances under which we could be
held responsible for their actions. Other U.S. companies in the medical device and pharmaceutical fields have faced
criminal penalties under the FCPA for allowing their distributors and other third parties to deviate from appropriate
practices in doing business with these individuals. We are also subject to similar anti-bribery laws in the jurisdictions in
which we operate, including the United Kingdom’s Bribery Act of 2010, which also prohibits commercial bribery and
makes it a crime for companies to fail to prevent bribery. These laws are complex and far-reaching in nature, and, as a
result, we cannot guarantee that we would not be required in the future to alter one or more of our practices to be in
compliance with these laws or any changes in these laws or the interpretation thereof. Any violations of these laws, or
allegations of such violations, could disrupt our operations, involve significant management distraction, involve
significant costs and expenses, including legal fees, and could result in a material adverse effect on our business,
prospects, financial condition, or results of operations. We could also incur severe penalties, including criminal and civil
penalties, disgorgement and other remedial measures.
We rely on a single contract manufacturer to manufacture and supply our Simoa HD-X instrument and rely on a
different single contract manufacturer to manufacture and supply our Simoa SR-X instrument. If either of these
manufacturers should fail to perform, or not perform satisfactorily, our ability to supply these instruments would be
negatively and adversely affected.
We currently rely on a single contract manufacturer, STRATEC, an analytical and diagnostic systems
manufacturer located in Germany, to manufacture and supply all of our Simoa HD-X instruments. In addition, we
currently rely on a single contract manufacturer, Paramit, a contract manufacturer located in California, to manufacture
and supply all of our SR-X instruments. Since our contract with STRATEC does not commit them to supply quantities
beyond the amounts included in our forecasts and our contract with Paramit does not commit them to carry inventory or
make available any particular quantities, these contract manufacturers may give other customers’ needs higher priority
than ours, and we may not be able to obtain adequate supplies in a timely manner or on commercially reasonable terms.
If either of these manufacturers were not able to supply instruments, our business would be harmed.
In the event it becomes necessary to utilize a different contract manufacturer for the HD-X instrument or the
SR-X instrument, we would experience additional costs, delays and difficulties in doing so as a result of needing to
identify and enter into an agreement with a new supplier as well as needing to prepare such new supplier to meet the
logistical requirements associated with manufacturing our instruments, and our business would suffer. We may also
experience additional costs and delays in the event we need access to or rights under any intellectual property of
STRATEC.
In addition, certain of the components used in our instruments are sourced by these manufacturers from limited
or sole suppliers. If they were to lose such suppliers, there can be no assurance that they would be able to identify or
enter into agreements with alternative suppliers on a timely basis on acceptable terms, if at all. An interruption in our
ability to sell and deliver instruments to customers could occur if our manufacturers encounter delays or difficulties in
securing these components, or if the quality of the components supplied do not meet specifications, or if they cannot then
obtain an acceptable substitute. If any of these events occur, our business and operating results could be harmed.
We rely on a limited number of suppliers or, in some cases, one supplier, for some of our materials and components
used in our consumable products and services and our SP-X instrument, and we may not be able to find replacements
or immediately transition to alternative suppliers if any of these suppliers fail to perform, which could have a material
adverse effect on our business, financial condition, results of operations and reputation.
We rely on limited or sole suppliers for certain reagents and other materials and components that are used in our
consumable products and services and in our SP-X instrument. While we have long-term contracts with some critical
suppliers, we do not have contracts with all suppliers and instead rely on periodically forecasting our needs for such
materials and entering into standard purchase orders with our suppliers. In addition, our use of many of the materials
used in our consumable products is limited to research use only. As we expand into diagnostic applications for our
products, we will need to secure diagnostic rights to such materials. If we were to lose suppliers or were unable to secure
required rights for materials from suppliers, there can be no assurance that we will be able to identify or enter into
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agreements with alternative suppliers on a timely basis and on acceptable terms, if at all. An interruption in our
operations could occur if we encounter delays or difficulties in securing these materials or any required rights to these
materials, if the quality of the materials supplied do not meet our requirements, or if we cannot then obtain an acceptable
substitute. The time and effort required to qualify a new supplier and ensure that the new materials provide the same or
better quality results could result in significant additional costs. Any such interruption could significantly affect our
business, financial condition, results of operations and reputation.
Increased demand may cause us to experience delays in production or backlogs in deliveries that could limit the
growth of our revenue or increase our losses.
A significant unforecasted increase in demand for our products may result in delays or shortfalls in our
production and backlogs in deliveries. If we are unable to keep up with demand for our products, our revenue could be
impaired, market acceptance for our products could be adversely affected and our customers might instead purchase our
competitors’ products. Our inability to successfully manufacture our products would have a material adverse effect on
our operating results.
The life sciences research and diagnostic markets are highly competitive. If we fail to effectively compete, our
business, financial condition and operating results will suffer.
We face significant competition in the life sciences research and diagnostic markets. We currently compete with
both established and early-stage companies that design, manufacture and market systems and consumable supplies.
Many of our current competitors have competitive advantages over us, including:
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greater name and brand recognition;
substantially greater financial and human resources;
broader product lines;
larger sales forces and more established distributor networks;
• more substantial intellectual property portfolios;
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larger and more established customer bases and relationships; and
better established, larger scale and lower cost manufacturing capabilities.
We cannot guarantee that our products will compete favorably or that we will be successful in the face of
increasing competition from new products and technologies introduced by our existing competitors or new companies
entering our markets. In addition, we cannot guarantee that our competitors do not have or will not develop products or
technologies that currently or in the future will enable them to produce competitive products with greater capabilities or
at lower costs than ours. Any failure to compete effectively could materially and adversely affect our business, financial
condition and operating results.
Integrating any business, product or technology we acquire can be expensive and time-consuming and can disrupt
and adversely affect our ongoing business, including product sales, and distract our management.
We may acquire other businesses, products or technologies as well as pursue strategic alliances, joint ventures,
technology licenses or investments in complementary businesses, such as our 2018 acquisition of Aushon and our 2019
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acquisition of Uman. Our ability to successfully integrate any business, product or technology we acquire depends on a
number of factors, including, but not limited to, our ability to:
• minimize the disruption and distraction of our management and other employees, including our sales force,
in connection with the integration of any acquired business, product or technology;
• minimize disruption in relationships with customers, distributors or suppliers as a result of such a
transaction;
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avoid acquisition of unanticipated liabilities related to acquired companies;
• maintain and increase sales of our existing products;
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establish or manage the transition of the manufacture and supply of any acquired product;
identify and add the necessary sales, marketing, manufacturing, regulatory and other related personnel,
capabilities and infrastructure that are required to successfully integrate any acquired business, product or
technology;
• manage the transition and migration of acquired personnel and all commercial, financial, legal, regulatory
and other pertinent information relating to any acquired business, product or technology;
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comply with legal, regulatory and contractual requirements applicable to any acquired business, product or
technology; and
• maintain and extend intellectual property protection for any acquired product or technology.
If we are unable to perform the above functions or otherwise effectively integrate any acquired businesses,
products or technologies, our business, financial condition and operating results will suffer.
Foreign acquisitions (such as our acquisition of Uman) involve unique risks in addition to those mentioned
above, including those related to integration of operations across different cultures and languages, currency risks and the
particular economic, political and regulatory risks associated with specific countries.
Also, the anticipated benefit of any acquisition may not materialize. Future acquisitions or dispositions could
result in potentially dilutive issuances of our equity securities, the incurrence of debt, contingent liabilities or
amortization expenses or write-offs of goodwill, any of which could harm our financial condition. We cannot predict the
number, timing or size of future joint ventures or acquisitions, or the effect that any such transactions might have on our
operating results.
Epidemic diseases, such as COVID-19 and its variants, and other events could negatively affect various aspects of our
business, make it more difficult to meet our obligations to our customers and/or result in reduced demand from our
customers, each of which could have a material adverse effect on our business, financial condition, results of
operations or cash flows.
Our business could be adversely affected by the effects of a widespread outbreak of contagious disease, such as
COVID-19 and its variants, or as a result of natural disasters or other catastrophic events. Potential impacts to our
business include disruptions to or restrictions on our employees’ and customers’ ability to travel, temporary closures of
the facilities of our suppliers or customers, delays in installation of instruments and delays in shipments to and from
affected countries. Any such travel restrictions and business closures could adversely impact our operations locally and
worldwide, including our ability to manufacture, sell or distribute our products, as well as cause temporary closures of
our foreign distributors, or the facilities of suppliers or customers. Any material disruption of our employees,
distributors, suppliers or customers in impacted countries could impact our global sales and operating results. In
addition, if any of these events adversely
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affect the economies and financial markets of countries in which we sell our products and services, resulting in an
economic downturn, demand for our products could be affected and could adversely impact our operating results.
Risks Related to Government Regulation and Diagnostic Product Reimbursement
If the FDA determines that our products are subject to regulation as medical devices or if we seek to market our
products for clinical diagnostic or health screening use, we will be required to obtain regulatory clearance(s) or
approval(s) and may be required to cease or limit sales of our then marketed products, which could materially and
adversely affect our business, financial condition and results of operations. Any such regulatory process would be
expensive, time-consuming and uncertain both in timing and in outcome.
We focused initially on the life sciences research market. This includes offering products for use by laboratories
associated with academic and governmental research institutions, as well as pharmaceutical, biotechnology and contract
research companies. Accordingly, the majority of our products are labeled as “Research Use Only”. While we focused
initially on the life sciences research market and RUO products only, our strategy includes expanding our product line to
encompass products that are intended to be used for the diagnosis of disease, including LDTs and IVD devices, either
alone or in collaboration with third parties. Other than our LDTs, such IVD products, once developed and offered, will
be subject to regulation by the FDA, or comparable international agencies, as medical devices including requirements for
regulatory clearance or approval of such products before they can be marketed.
The process of obtaining regulatory clearances to market a medical device can be costly and time consuming,
and we or our collaborators may not be able to obtain these clearances or approvals on a timely basis, if at all. In general,
the FDA permits commercial distribution of a new medical device only after the device has received clearance under
Section 510(k) of the Federal Food, Drug and Cosmetic Act, or is the subject of an approved PMA, unless the device is
specifically exempt from those requirements. The FDA will clear marketing of a lower risk medical device through the
510(k) process if the manufacturer demonstrates that the new product is substantially equivalent to other
pre-amendment, 510(k)-exempt, 510(k) cleared products, or PMA-approved products that have subsequently been
down-classified. If the FDA determines that the device is not “substantially equivalent” to a predicate device, or if the
device is novel, it is automatically classified into Class III, and the device sponsor must then fulfill the much more
rigorous premarketing requirements of the PMA approval process, or seek reclassification of the device through the de
novo classification process. Pursuant to amendments to the statute in 2012, a manufacturer can also submit a petition for
a direct de novo review if the manufacturer is unable to identify an appropriate predicate device and the new device or
new use of the device presents a moderate or low risk.
Class III devices, which are high risk devices deemed to pose the greatest risk, such as life-sustaining,
life-supporting, or implantable devices, require the approval of a PMA. The PMA process is more costly, lengthy and
uncertain than the 510(k) clearance process. A PMA application must be supported by extensive data, including, but not
limited to, technical, preclinical, clinical trial, manufacturing and labeling data, to demonstrate to the FDA’s satisfaction
the safety and efficacy of the device for its intended use.
Foreign governmental authorities that regulate the manufacture and sale of medical devices have become
increasingly stringent and, to the extent we market and sell our products internationally for such uses, we may be subject
to rigorous international regulation in the future. In these circumstances, we may rely significantly on our foreign
independent distributors or collaborators to comply with the varying regulations, and any failures on their part could
result in restrictions on the sale of our products in foreign countries.
If we or our collaborators are required to obtain a PMA or 510(k) clearance for products based on our
technology, we or they would be subject to a substantial number of additional requirements for medical devices,
including establishment registration, device listing, QSRs —which cover the design, testing, production, control, quality
assurance, labeling, packaging, servicing, sterilization (if required), and storage and shipping of medical devices (among
other activities) —product labeling, advertising, recordkeeping, post-market surveillance, post-approval studies, adverse
event reporting, and correction and removal (recall) regulations. One or more of the products we or a collaborator may
develop using our technology may also require clinical trials in order to generate the data required for a PMA, de novo
classification request or 510(k) premarket notification. Complying with these requirements may be time-consuming and
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expensive. We or our collaborators may be required to expend significant resources to ensure ongoing compliance with
the FDA regulations and/or take satisfactory corrective action in response to enforcement action, which may have a
material adverse effect on the ability to design, develop, and commercialize products using our technology as planned.
Failure to comply with these requirements may subject us or a collaborator to a range of enforcement actions, such as
warning letters, injunctions, civil monetary penalties, criminal prosecution, recall and/or seizure of products, and
revocation of marketing authorization, as well as significant adverse publicity. If we or our collaborators fail to obtain, or
experience significant delays in obtaining, regulatory approvals for IVD products, such products may not be able to be
launched or successfully commercialized in a timely manner, or at all.
LDTs are a subset of IVD tests that are offered as services by high complexity clinical laboratories and
designed, manufactured and used within a single laboratory. In July 2022, we launched an LDT to quantitatively
measure pTau-181 in plasma as an aid in diagnostic evaluation of Alzheimer’s disease, and in January 2023, we
launched an LDT to quantitatively measure NfL in serum as an aid in the evaluation of individuals for possible
neurodegenerative conditions or other causes of neuronal or central nervous system damage. The FDA maintains that
LDTs are medical devices and has for the most part exercised enforcement discretion for most LDTs, meaning that the
FDA has not required LDTs to obtain premarket approval or clearance or comply with post-market medical device
requirements. A significant change in the way that the FDA regulates any LDTs that we, our collaborators or our
customers develop using our technology could affect our business. The FDA has considered the appropriate way to
regulate such tests, but after publishing several draft guidances in 2014 and holding a number of public hearings and
workshops, no final guidance has been issued, as the FDA indicated the agency would defer to a legislative approach.
Congress has considered several bills that would have imposed a new FDA regulatory framework (with many
similarities to the current device framework) for LDTs and IVD devices, but to date, has not passed such legislation.
However, if Congress or the FDA requires laboratories to undergo premarket review and comply with other applicable
FDA requirements in the future, the cost and time required to commercialize an LDT will increase substantially, and
may reduce the financial incentive for laboratories to develop LDTs, which could reduce demand for our instruments
and our other products. The FDA could also take enforcement action against us if it determines the tests we have
currently launched as LDTs do not fall within the agency’s definition of an LDT and therefore do not fall within the
scope of the agency’s enforcement discretion for LDTs.
Foreign jurisdictions have laws and regulations similar to those described above, which may adversely affect
our ability to market our products as planned in such countries. The number and scope of these requirements are
increasing. As in the United States, the cost and time required to comply with regulatory requirements may be
substantial, and there is no guarantee that we will obtain the necessary authorization(s) required to make our products
commercially viable. In addition, the imposition of foreign requirements may also have a material adverse effect on the
commercial viability of our operations.
Our products may in the future be subject to product recalls that could harm our reputation, business and financial
results.
The FDA and similar foreign governmental authorities have the authority to require the recall of
commercialized products, including RUO products, in the event of material deficiencies or defects in design or
manufacture. In the case of the FDA, the authority to require a recall must be based on an FDA finding that there is a
reasonable probability that the device would cause serious injury or death. Manufacturers may, under their own
initiative, recall a product if any material deficiency in a device is found. A government-mandated or voluntary recall by
us or one of our distributors could occur as a result of component failures, manufacturing errors, design or labeling
defects or other deficiencies and issues. Recalls of any of our products would divert managerial and financial resources
and have an adverse effect on our financial condition and results of operations. The FDA requires that certain recalls
(including field corrections and removals) be reported to the FDA within 10 working days after the recall is initiated.
Companies are required to maintain certain records of recalls, even if they are not reportable to the FDA. We may
initiate voluntary recalls involving our products in the future that we determine do not require notification of the FDA. If
the FDA disagrees with our determinations, they could require us to report those actions as recalls. A future recall
announcement could harm our reputation with customers and negatively affect our sales. In addition, the FDA could take
enforcement action for failing to report the recalls when they were conducted.
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U.S. legislative, FDA or global regulatory reforms may make it more difficult and costly for us to obtain any required
regulatory approval of our product candidates and to manufacture, market and distribute our products after approval
is obtained.
From time to time, legislation is drafted and introduced in Congress that could significantly change the statutory
provisions governing the regulatory approval, manufacture and marketing of regulated products or the reimbursement
thereof. For example, in December 2022, Congress enacted the Food and Drug Omnibus Reform Act of 2022 (FDORA).
FDORA reauthorized the FDA to collect device user fees and contained substantive amendments to the device
provisions of the FDCA, including imposing new cybersecurity and clinical trial requirements for devices. Congress has
also considered, but not yet passed, legislation to impose a new FDA regulatory framework for IVD devices and LDTs.
Any new regulations or revisions or reinterpretations of existing regulations may impose additional costs or lengthen
review times of future products. In addition, FDA regulations and guidance are often revised or reinterpreted by the
agency in ways that may significantly affect our business and our products. It is impossible to predict whether legislative
changes will be enacted or FDA regulations, guidance or interpretations changed, and what the impact of such changes,
if any, may be.
Moreover, leadership, personnel and structural changes within the FDA as well as recent and future federal
election outcomes could result in significant legislative and regulatory reforms impacting the FDA’s regulation of our
products. Any change in the laws or regulations that govern the clearance and approval processes relating to our current
and future products could make it more difficult and costly to obtain clearance or approval for new products, or to
produce, market and distribute existing products. Significant delays in receiving clearance or approval, or the failure to
receive clearance or approval for our new products would have an adverse effect on our ability to expand our business.
In addition, in the E.U. new regulations recently entered into force that result in greater regulation of medical
devices and IVDs. The IVD Regulation is significantly different from the IVD Directive that it replaces in that it ensures
that the new requirements apply uniformly and on the same schedule across the member states, includes a risk-based
classification system and increases the requirements for conformity assessment. The CE registration for Uman’s Nf-L
ELISA assay kit for cerebral spinal fluid was approved in March 2014 under the IVD Directive. Under the IVD
Directive the assay is classified as a general IVD product, class I and required self-certification with no involvement of a
notified body/authority. The IVD Regulation introduces a new classification system for IVDs and assessment by a
notified body is required for class B, C and D products. Uman’s Nf-L ELISA assay kit for CSF is classified as a class B
product and must fully comply with (and have a CE mark issued under) the IVD Regulation by May 2027. The new
requirements include an ISO 13485 certification of the quality system (which Uman received July 2018) and increased
technical evidence and follow-up of performance of the specific product (e.g. clinical evidence and post-market
activities). The work to evaluate and to meet the new technical requirements is on-going.
In order to continue to sell our products in the E.U., we must maintain our CE marks and comply with the IVD
Regulation. Our failure to continue to comply with applicable foreign regulatory requirements, including those
administered by authorities of the European Economic Area (EEA) countries, could result in enforcement actions against
us, including refusal, suspension or withdrawal of our CE Certificates of Conformity by our notified body, which could
impair our ability to market products in the EEA in the future. Any changes to the membership of the E.U., such as the
departure of the United Kingdom, may impact the regulatory requirements for the impacted countries and impair our
business operations and our ability to market products in such countries.
If we do not comply with governmental regulations applicable to our CLIA-certified laboratory, we may not be able to
continue our Accelerator laboratory operations or continue offering our LDTs.
The operation of our CLIA-certified laboratory is subject to regulation by numerous federal, state and local
governmental authorities in the United States. This laboratory holds a CLIA certificate of compliance and is licensed by
the Commonwealth of Massachusetts and the State of Maryland, and we may obtain other state licenses if required in the
future. Failure to comply with federal or state regulations or changes in those regulatory requirements could result in a
substantial curtailment or even prohibition of the operations of our laboratory and could have an adverse effect on our
business. CLIA is a federal law that regulates clinical laboratories that perform testing on human specimens for the
purpose of providing information for the diagnosis, prevention or treatment of any disease or impairment of, or the
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assessment of health of, human beings. To maintain CLIA certification, laboratories are subject to survey and inspection
every two years. Moreover, CLIA inspectors may make unannounced inspections of these laboratories. If we were to
lose our CLIA certification or any required state licenses, whether as a result of a revocation, suspension or limitation, it
could have a material adverse effect on our business.
We expect to rely on third parties in conducting any required future studies of diagnostic products that may be
required by the FDA or other regulatory authorities, and those third parties may not perform satisfactorily.
We do not have the ability to independently conduct clinical trials or other studies that may be required to
obtain FDA and other regulatory clearance or approval for future diagnostic products. Accordingly, we expect that we
would rely on third parties, such as clinical investigators, contract research organizations, consultants, and collaborators
to conduct such studies if needed. For example, we are currently working with the Alzheimer’s Drug Discovery
Foundation and the Global Alzheimer’s Platform Foundation on prospective clinical trials for our assays. Our reliance on
these third parties for clinical and other development activities would reduce our control over these activities. If these
third parties do not successfully carry out their contractual duties or regulatory obligations or meet expected deadlines, if
the third parties need to be replaced or if the quality or accuracy of the data they obtain is compromised, we may not be
able to obtain regulatory clearance or approval.
If diagnostic procedures that are enabled by our technology are subject to unfavorable pricing regulations or
third-party coverage and reimbursement policies, our business could be harmed.
The ability of us, our customers or our collaborators to commercialize diagnostic tests based on our technology,
including our recently launched LDTs, will depend in part on the extent to which coverage and reimbursement for these
tests will be available from government health programs, private health insurers and other third-party payors. In the
United States, the principal decisions about reimbursement for new technologies are often made by CMS. Private payors
often follow CMS’s reimbursement policies to a substantial degree. It is difficult to predict what CMS will decide with
respect to reimbursement. A primary trend in the U.S. healthcare industry and elsewhere is cost containment.
Government authorities and third-party payors have attempted to control costs by limiting coverage and the amount of
payments for particular products and procedures. We cannot be sure that coverage will be available for any diagnostic
tests based on our technology, and, if coverage is available, the level of reimbursement. Payor coverage and
reimbursement decisions may impact the demand for those tests. If coverage is not available or the reimbursement
amount is inadequate, any tests for which marketing authorization is received may not be able to be successfully
commercialized.
Current and future legislation may increase the difficulty and cost to obtain marketing approval of and to
commercialize any products based on our technology and affect the prices that may be obtained.
The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Affordability
Reconciliation Act (collectively, the ACA), is a sweeping law intended to broaden access to health insurance, reduce or
constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency
requirements for the healthcare and health insurance industries, impose new taxes and fees on the health industry and
impose additional health policy reforms. Since its enactment, there have been judicial and Congressional challenges to
certain aspects of the ACA. As a result, certain sections of the ACA have not been fully implemented or were effectively
repealed. The uncertainty around the future of the ACA, and in particular the impact to reimbursement levels and the
number of insured individuals, may lead to uncertainty or delay in the purchasing decisions of our customers, which may
in turn negatively affect our product sales. If there are not adequate reimbursement levels, our business and results of
operations could be adversely affected.
In addition, other legislative changes have been proposed and adopted since the ACA was enacted. We expect
that the ACA, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorous
coverage criteria and in additional downward pressure on the price that we or our collaborators will receive for any
cleared or approved product. Any reduction in payments from Medicare or other government programs may result in a
similar reduction in payments from private payors. The implementation of cost containment measures or other healthcare
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reforms may prevent us from being able to generate revenue, attain profitability, or commercialize any of our products
for which we receive marketing approval.
In addition, sales of our tests outside of the United States will subject us to foreign regulatory requirements,
which may also change over time.
We cannot predict whether future healthcare initiatives will be implemented at the federal or state level or in
countries outside of the United States in which we may do business, or the effect any future legislation or regulation will
have on us. Any such initiatives may result in decreased profits to us, lower reimbursements by payors for our products
or reduced medical procedure volumes, all of which may adversely affect our business, financial condition and results of
operations.
Risks Related to Our Operations
We depend on our information technology systems, and any failure of these systems could harm our business.
We depend on information technology and telecommunications systems to operate our business. Our enterprise
software systems affect a broad range of business processes and functional areas, including, for example, systems
handling human resources, accounting, manufacturing, inventory control, financial controls and reporting, sales
administration, and other infrastructure operations. We maintain preventative and detective security controls and seek to
enhance such controls by, for example, augmenting the monitoring and alerting functions, network design, and automatic
countermeasure operations of our technical systems. We also periodically assess the adequacy of our hardware and
systems and are planning to upgrade hardware and systems where appropriate. These information technology and
telecommunications systems support a variety of functions, including manufacturing operations, quality control,
customer service support, finance and other general administrative activities.
Information technology and telecommunications systems are vulnerable to damage from a variety of sources,
including telecommunications, systems or network failures, malicious human acts and natural disasters. Moreover,
despite network security and back-up measures, some of our servers are potentially vulnerable to physical or electronic
break-ins, computer viruses, and similar disruptive problems. Despite the precautionary measures we have taken to
prevent unanticipated problems that could affect our information technology and telecommunications systems, those
measures may be inadequate and failures or significant downtime of our information technology or telecommunications
systems or those used by our third-party suppliers could prevent us from operating our business and managing the
administrative aspects of our business. Loss of data or a material delay in our access to our data due to a security breach
or other interruption could also prevent us from operating our business. Any disruption or loss of information technology
or telecommunications systems on which critical aspects of our operations depend could have an adverse effect on our
business.
Cybersecurity breaches, loss of data and other disruptions could compromise sensitive information related to our
business or prevent us from accessing critical information and expose us to liability, which could adversely affect our
business and our reputation.
In the ordinary course of our business, we collect and store sensitive data, and intellectual property and
proprietary business information owned or controlled by ourselves or our customers. This data encompasses a wide
variety of business-critical information including research and development information, operational information,
commercial information, and business and financial information. We face four primary risks relative to protecting this
critical information: loss of access; inappropriate disclosure; inappropriate modification; and inadequate monitoring of
our controls over the first three risks.
The secure processing, storage, maintenance, and transmission of this critical information is vital to our
operations and business strategy, and we devote significant resources to protecting such information. Although we take
measures to protect sensitive information from unauthorized access or disclosure, our information technology and
infrastructure may be vulnerable to attacks by hackers or viruses, breaches, interruptions due to employee error,
malfeasance, faulty password management, lapses in compliance with privacy and security mandates, or other
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disruptions. The risk of a security breach or disruption, particularly through cyber-attack or cyber intrusion, including by
computer hackers, foreign governments and cyber terrorists, has generally increased as the number, intensity and
sophistication of attempted attacks and intrusions from around the world have increased. Our IT networks and related
systems are essential to the operation of our business and our ability to perform day-to-day operations. Although we
make efforts to maintain the security and integrity of these types of IT networks and related systems, and we have
implemented various measures to manage the risk of a security breach or disruption, there can be no assurance that our
security efforts and measures will be effective or that attempted security breaches or disruptions would not be successful
or damaging. Our information technology systems may have vulnerabilities, and we may not have the resources or
technical sophistication to anticipate or prevent rapidly evolving types of cyberattacks, such as ransomware attacks. A
significant cyber incident, including system failure, security breach, disruption by malware or other damage, could
interrupt or delay our operations, result in a violation of applicable cybersecurity and privacy and other laws, damage our
reputation, cause a loss of customers or expose sensitive customer data, or give rise to monetary fines and other
penalties, which could be significant.
Any such breach or interruption could compromise our networks and the information stored there could be
accessed by unauthorized parties, publicly disclosed, lost, or stolen. Third parties may attempt to fraudulently induce
employees or other persons into disclosing usernames, passwords or other sensitive information, which may in turn be
used to access our information systems, commit identity theft or carry out other unauthorized or illegal activities. Any
such breach could compromise our networks and the information stored there could be accessed, publicly disclosed, lost
or stolen. We engage third-party vendors and service providers to store and otherwise process some of our data,
including sensitive and personal information. Our vendors and service providers may also be the targets of the risks
described above, including cyberattacks, malicious software, phishing schemes, and fraud. Our ability to monitor our
vendors and service providers’ data security is limited, and, in any event, third parties may be able to circumvent those
security measures, resulting in the unauthorized access to, misuse, disclosure, loss or destruction of our data, including
sensitive and personal information, and disruption of our or third-party service providers’ systems. We and our third-
party service providers may face difficulties in identifying, or promptly responding to, potential security breaches and
other instances of unauthorized access to, or disclosure or other loss of, information. Any hacking or other attack on our
or our third-party service providers’ or vendors’ systems, and any unauthorized access to, or disclosure or other loss of,
information suffered by us or our third-party service providers or vendors, or the perception that any of these have
occurred, could result in legal claims or proceedings, loss of intellectual property, liability under laws that protect the
privacy of personal information, negative publicity, disruption of our operations and damage to our reputation, which
could divert our management’s attention from the operation of our business and materially and adversely affect our
business, revenues and competitive position. Moreover, we may need to increase our efforts to train our personnel to
detect and defend against cyber- or phishing-attacks, which are becoming more sophisticated and frequent, and we may
need to implement additional protective measures to reduce the risk of potential security breaches, which could cause us
to incur significant additional expenses.
Any such security breach or interruption, as well as any action by us or our employees or contractors that might
be inconsistent with the rapidly evolving data privacy and security laws and regulations applicable within the United
States and elsewhere where we conduct business, could result in enforcement actions by U.S. states, the U.S. federal
government or foreign governments, liability or sanctions under data privacy laws that protect personally identifiable
information, regulatory penalties, other legal proceedings such as but not limited to private litigation, the incurrence of
significant remediation costs, disruptions to our development programs, business operations and collaborations,
diversion of management efforts and damage to our reputation, which could harm our business and operations. Because
of the rapidly moving nature of technology and the increasing sophistication of cybersecurity threats, our measures to
prevent, respond to and minimize such risks may be unsuccessful.
In addition, our insurance may be insufficient to cover our losses resulting from cyber-attacks, breaches, or
other interruptions, and any incidents may result in loss of, or increased costs of, such insurance. The successful
assertion of one or more large claims against us that exceed available insurance coverage, the occurrence of changes in
our insurance policies, including premium increases or the imposition of large deductible or co-insurance requirements,
or denials of coverage, could have a material adverse effect on our business, including our financial condition, results of
operations and reputation.
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We are currently subject to, and may in the future become subject to additional, U.S. federal and state laws and
regulations imposing obligations on how we collect, store and process personal information. Our actual or perceived
failure to comply with such obligations could harm our business. Ensuring compliance with such laws could also
impair our efforts to maintain and expand our future customer base, and thereby decrease our revenue.
In the ordinary course of our business, we currently, and in the future will, collect, store, transfer, use or process
sensitive data, including personally identifiable information of employees, and intellectual property and proprietary
business information owned or controlled by ourselves and other parties. The secure processing, storage, maintenance,
and transmission of this critical information are vital to our operations and business strategy. We are, and may
increasingly become, subject to various laws and regulations, as well as contractual obligations, relating to data privacy
and security in the jurisdictions in which we operate. The regulatory environment related to data privacy and security is
increasingly rigorous, with new and constantly changing requirements applicable to our business, and enforcement
practices are likely to remain uncertain for the foreseeable future. These laws and regulations may be interpreted and
applied differently over time and from jurisdiction to jurisdiction, and it is possible that they will be interpreted and
applied in ways that may have a material adverse effect on our business, financial condition, results of operations and
prospects.
In the United States, various federal and state regulators, including governmental agencies like the Federal
Trade Commission, have adopted, or are considering adopting, laws and regulations concerning personal information
and data security. Certain state laws may be more stringent or broader in scope, or offer greater individual rights, with
respect to personal information than federal, international or other state laws, and such laws may differ from each other,
all of which may complicate compliance efforts. For example, the California Consumer Privacy Act (the CCPA), which
increases privacy rights for California residents and imposes obligations on companies that process their personal
information, came into effect on January 1, 2020. Among other things, the CCPA requires covered companies to provide
new disclosures to California consumers and provide such consumers new data protection and privacy rights, including
the ability to opt-out of certain sales of personal information. The CCPA provides for civil penalties for violations, as
well as a private right of action for certain data breaches that result in the loss of personal information. This private right
of action may increase the likelihood of, and risks associated with, data breach litigation. In November 2020, California
also passed the California Privacy Rights Act (the CPRA), which significantly expands the CCPA, including by
introducing additional obligations such as data minimization and storage limitations and granting additional rights to
consumers. In 2021, Virginia and Colorado both passed comprehensive state data privacy laws. In addition, laws in all
50 U.S. states require businesses to provide notice to consumers whose personal information has been disclosed as a
result of a data breach. State laws are changing rapidly and there is discussion in the U.S. Congress of a new
comprehensive federal data privacy law to which we would become subject if it is enacted. These and future laws and
regulations may increase our compliance costs and potential liability.
Furthermore, regulations promulgated pursuant to HIPAA establish privacy and security standards that limit the
use and disclosure of individually identifiable health information (known as “protected health information”) and require
the implementation of administrative, physical and technological safeguards to protect the privacy of protected health
information and ensure the confidentiality, integrity and availability of electronic protected health information.
Determining whether protected health information has been handled in compliance with applicable privacy standards
and our contractual obligations can require complex factual and statistical analyses and may be subject to changing
interpretation. Although we take measures to protect sensitive data from unauthorized access, use or disclosure, our
information technology and infrastructure may be vulnerable to attacks by hackers or viruses or breached due to
employee error, malfeasance or other malicious or inadvertent disruptions. Any such breach or interruption could
compromise our networks and the information stored there could be accessed by unauthorized parties, manipulated,
publicly disclosed, lost or stolen. Any such access, breach or other loss of information could result in legal claims or
proceedings, and liability under federal or state laws that protect the privacy of personal information, such as the
HIPAA, HITECH and regulatory penalties. Notice of breaches must be made to affected individuals, the Secretary of the
Department of Health and Human Services, and for extensive breaches, notice may need to be made to the media. Such a
notice could harm our reputation and our ability to compete.
In addition, the European Parliament and the Council of the E.U. adopted the GDPR in 2016 to replace the
European Union Data Protection Directive and related country-specific legislation. The GDPR took effect in May 2018
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and governs the collection and use of personal data in the E.U. The GDPR, which is wide-ranging in scope, imposes
several requirements relating to the consent of the individuals to whom the personal data relates, the information
provided to the individuals, the security and confidentiality of the personal data, data breach notification and the use of
third-party processors in connection with the processing of the personal data. The GDPR also imposes strict rules on the
transfer of personal data out of the E.U. to the United States, enhances enforcement authority and imposes large penalties
for noncompliance, including the potential for fines of up to €20 million or 4% of the annual global revenues of the
infringer, whichever is greater. While we have taken steps to comply with the GDPR, including reviewing our security
procedures and entering into data processing agreements with relevant contractors, we cannot guarantee that our
compliance efforts will be fully successful.
Further, unauthorized access, loss or dissemination of sensitive information could also disrupt our operations,
including our ability to conduct research and development activities, process and prepare company financial information,
manage various general and administrative aspects of our business, any of which could adversely affect our reputation
and our business. In addition, there can be no assurance that we will promptly detect any such disruption or security
breach, if at all. To the extent that any disruption or security breach were to result in a loss of or damage to our data or
applications or inappropriate disclosure of confidential or proprietary information, we could incur liability and the
further development of our products could be delayed.
We face risks related to handling of hazardous materials and other regulations governing environmental, health and
safety.
Our operations are subject to complex and stringent federal, state and local environmental, health, safety and
other laws and regulations that both public officials and in some circumstances private individuals may seek to enforce.
Our activities that are subject to these laws and regulations include, among other things, our use of hazardous materials
and the generation, transportation, disposal and storage of waste. Although we have secured clearance from the EPA
historically, and currently are operating in compliance with applicable EPA rules and regulations, our business could be
adversely affected if we discover that we or an acquired business is not in material compliance with these rules and
regulations. In the future, we may pursue the use of other surfactant substances that will require clearance from the EPA,
and we may fail to obtain such clearance. Existing laws and regulations may also be revised or reinterpreted, or new
laws and regulations may become applicable to us, whether retroactively or prospectively, that may have a negative
effect on our business and results of operations. It is also impossible to eliminate completely the risk of accidental
environmental contamination or injury to individuals. In such an event, we could be liable for any damages that result,
which could adversely affect our business.
Risks Related to Intellectual Property
If we are unable to protect our intellectual property, our ability to maintain any technological or competitive
advantage over our competitors and potential competitors may be reduced, and our business may be harmed.
We rely on patent protection as well as trademark, copyright, trade secret and other intellectual property rights
protection and contractual restrictions to protect our proprietary technologies, all of which provide limited protection and
may not adequately protect our rights or permit us to gain or keep any competitive advantage. If we fail to protect our
intellectual property, third parties may be able to compete more effectively against us, we may lose our technological or
competitive advantage, or we may incur substantial litigation costs in our attempts to recover or restrict use of our
intellectual property.
Our currently pending or future patent applications may not result in granted patents, and we cannot predict
how long it will take for such patents to be granted. It is possible that, for any of our patents that have granted or that
may grant in the future, others will design around our patented technologies. Further, other parties may challenge any
patents granted to us and courts or regulatory agencies could hold our patents to be invalid or unenforceable. We may
not be successful in defending challenges made against our patents and patent applications. Any successful third-party
challenge to our patents could result in the unenforceability or invalidity of such patents, or to such patents being
interpreted narrowly or otherwise in a manner adverse to our interests. Our ability to establish or maintain a
technological or competitive advantage over our competitors may be diminished because of these uncertainties. For
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these and other reasons, our intellectual property may not provide us with any competitive advantage. To the extent our
intellectual property offers inadequate protection, or is found to be invalid or unenforceable, we would be exposed to a
greater risk of direct competition. If our intellectual property does not provide adequate coverage over our products and
protection against our competitors’ products, our competitive position could be adversely affected, as could our business.
In addition to pursuing patents on our technology, we also rely upon trademarks, trade secrets, copyrights and
unfair competition laws, as well as license agreements and other contractual provisions, to protect our intellectual
property and other proprietary rights. Despite these measures, any of our intellectual property rights could be challenged,
invalidated, circumvented or misappropriated. In addition, we take steps to protect our intellectual property and
proprietary technology by entering into confidentiality agreements and intellectual property assignment agreements with
our employees, consultants, corporate partners and, when needed, our advisors. Such agreements may not be enforceable
or may not provide meaningful protection for our trade secrets or other proprietary information in the event of
unauthorized use or disclosure or other breaches of the agreements, and we may not be able to prevent such unauthorized
disclosure. Moreover, if a party having an agreement with us has an overlapping or conflicting obligation to a third
party, our rights in and to certain intellectual property could be undermined. Monitoring unauthorized disclosure is
difficult, and we do not know whether the steps we have taken to prevent such disclosure are, or will be, adequate. If we
were to enforce a claim that a third party had illegally obtained and was using our trade secrets, it would be expensive
and time-consuming, the outcome would be unpredictable, and any remedy may be inadequate. In addition, courts
outside of the United States may be less willing to protect trade secrets.
Some of our owned and in-licensed intellectual property has been discovered through government-funded programs
and thus is subject to federal regulations such as “march-in” rights, certain reporting requirements, and a preference
for U.S. industry. Compliance with such regulations may limit our exclusive rights, subject us to expenditure of
resources with respect to reporting requirements, and limit our ability to contract with non-U.S. manufacturers.
Some of the intellectual property rights we own and have in-licensed have been generated through the use of
U.S. government funding and are therefore subject to certain federal regulations. For example, some of the issued U.S.
patents we own and all of the intellectual property rights licensed to us under our license agreement with Tufts have been
generated using U.S. government funds. As a result, the U.S. government has certain rights to intellectual property
embodied in our current or future products pursuant to the Bayh-Dole Act of 1980 (the Bayh-Dole Act). These U.S.
government rights in certain inventions developed under a government-funded program include a non-exclusive,
non-transferable, irrevocable worldwide license to use inventions for any governmental purpose. In addition, the U.S.
government has the right to require us to grant exclusive, partially exclusive, or non-exclusive licenses to any of these
inventions to a third party if the government determines that: (i) adequate steps have not been taken to commercialize the
invention; (ii) government action is necessary to meet public health or safety needs; or (iii) government action is
necessary to meet requirements for public use under federal regulations (also referred to as “march-in rights”). The U.S.
government also has the right to take title to these inventions if we fail, or the applicable licensor fails, to disclose the
invention to the government, elect title, and file an application to register the intellectual property within specified time
limits. In addition, the U.S. government may acquire title to these inventions in any country in which a patent application
is not filed within specified time limits. Intellectual property generated under a government funded program is also
subject to certain reporting requirements, compliance with which may require us, or the applicable licensor, to expend
substantial resources. In addition, the U.S. government requires that any products embodying the subject invention or
produced through the use of the subject invention be manufactured substantially in the United States. The manufacturing
preference requirement can be waived if the owner of the intellectual property can show that reasonable but unsuccessful
efforts have been made to grant licenses on similar terms to potential licensees that would be likely to manufacture
substantially in the United States or that under the circumstances domestic manufacture is not commercially feasible.
This preference for U.S. manufacturing may limit our ability to license the applicable patent rights on an exclusive basis
under certain circumstances.
If we enter into future arrangements involving government funding, and we make inventions as a result of such
funding, intellectual property rights to such discoveries may be subject to the applicable provisions of the Bayh-Dole
Act. To the extent any of our current or future intellectual property is generated through the use of U.S. government
funding, the provisions of the Bayh-Dole Act may similarly apply. Any exercise by the government of certain of its
rights could harm our competitive position, business, financial condition, results of operations and prospects.
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Our Simoa bead-based technology is licensed to us by Tufts University. Any loss of our rights to this technology could
prevent us from selling our products.
Our Simoa bead-based technology is licensed exclusively to us from Tufts University (Tufts). We do not own
the patents that underlie this license. Our rights to use this technology and employ the inventions claimed in the licensed
patents are subject to the continuation of and compliance with the terms of the license. Our principal obligations under
our license agreement with Tufts are as follows:
• making royalty payments;
• making milestone payments;
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•
•
paying annual maintenance fees for the underlying patents;
using commercially reasonable efforts to develop and sell a product using the licensed technology and
developing a market for such product;
paying and/or reimbursing fees related to prosecution, maintenance and enforcement of patent rights; and
providing certain reports.
If we breach any of these obligations, Tufts may have the right to terminate the license, which could result in
our being unable to develop, manufacture and sell products using our Simoa bead-based technology or a competitor
gaining access to the Simoa technology. Termination of our license agreement with Tufts would have a material adverse
effect on our business.
In addition, we are a party to a number of other agreements that include licenses to intellectual property,
including non-exclusive licenses. We expect that we may need to enter into additional license agreements in the future.
Our business could suffer materially and adversely, for example, if any current or future licenses terminate, if the
licensors fail to abide by the terms of the license, if the licensed patents or other rights are found to be invalid or
unenforceable, or if we are unable to enter into necessary licenses on acceptable terms.
We may need or may choose to obtain licenses from third parties to advance our research or allow commercialization
of our current or future products, and we cannot provide any assurances that we would be able to do so.
We may need or may choose to obtain licenses from third parties to advance our research or allow
commercialization of our current or future products, and we cannot provide any assurances that third-party patents do
not exist that might be enforced against our current or future products in the absence of such a license. We may fail to
obtain any of these licenses on commercially reasonable terms, if at all. Even if we are able to obtain a license, it may be
non-exclusive, thereby giving our competitors access to the same technologies licensed to us. If we could not obtain a
license, we may be required to expend significant time and resources to develop or license replacement technology. If
we are unable to do so, we may be unable to develop or commercialize the affected products, which could materially
harm our business and the third parties owning such intellectual property rights could seek either an injunction
prohibiting our sales, or, with respect to our sales, an obligation on our part to pay royalties and/or other forms of
compensation.
Licensing of intellectual property involves complex legal, business and scientific issues. Disputes may arise
between us and our licensors regarding intellectual property subject to a license agreement. If disputes over intellectual
property that we have licensed prevent or impair our ability to maintain the licensing arrangements on acceptable terms,
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we may be unable to successfully develop and commercialize the affected product, or the dispute may have an adverse
effect on our results of operation.
In addition to agreements pursuant to which we in-license intellectual property, we have in the past and expect
in the future to grant licenses under our intellectual property. Like in-licenses, out-licenses are complex, and disputes
may arise between us and our licensees. Moreover, our licensees may breach their obligations, or we may be exposed to
liability due to our failure or alleged failure to satisfy our obligations. Any such occurrence could have an adverse effect
on our business.
If we or any of our partners are sued for infringing intellectual property rights of third parties, the resulting litigation
would be costly and time-consuming, and an unfavorable outcome in that litigation could have a material adverse
effect on our business.
Our success also depends on our ability to develop, manufacture, market and sell our products and perform our
services without infringing upon the proprietary rights of third parties. Numerous U.S.- and foreign-issued patents and
pending patent applications owned by third parties exist in the fields in which we are developing products and services.
As part of a business strategy to impede our successful commercialization and entry into new markets, competitors have
claimed, and may claim in the future, that our products and/or services infringe their intellectual property rights and have
suggested, and may suggest in the future, that we enter into license agreements. Any such claims made to date are, we
believe, without merit.
Even if such claims are without merit, we could incur substantial costs and divert the attention of our
management and technical personnel in defending ourselves against claims of infringement made by third parties or
settling such claims. Any adverse ruling by a court or administrative body, or perception of an adverse ruling, may have
a material adverse impact on our ability to conduct our business and our finances. Moreover, third parties making claims
against us may be able to obtain injunctive relief against us, which could block our ability to offer one or more products
or services and could result in a substantial award of damages against us. In addition, since we sometimes indemnify
customers, collaborators or licensees, we may have additional liability in connection with any infringement or alleged
infringement of third-party intellectual property.
Because patent applications can take many years to issue, there may be pending applications, some of which are
unknown to us, that may result in issued patents upon which our products or proprietary technologies may infringe.
Moreover, we may fail to identify issued patents of relevance or incorrectly conclude that an issued patent is invalid or
not infringed by our technology or any of our products. There is a substantial amount of litigation involving patent and
other intellectual property rights in our industry. If a third party claims that we or any of our licensors, customers or
collaboration partners infringe upon a third party’s intellectual property rights, we may have to:
•
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•
seek to obtain licenses that may not be available on commercially reasonable terms, if at all;
abandon any infringing product or redesign our products or processes to avoid infringement;
pay substantial damages including, in an exceptional case, treble damages and attorneys’ fees, which we
may have to pay if a court decides that the product or proprietary technology at issue infringes upon or
violates the third-party’s rights;
pay substantial royalties or fees or grant cross-licenses to our technology; or
defend litigation or administrative proceedings that may be costly whether we win or lose, and which could
result in a substantial diversion of our financial and management resources.
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We may be involved in lawsuits to protect or enforce our patents or the patents of our licensors, which could be
expensive, time-consuming and unsuccessful.
Competitors may infringe our patents or the patents that we license. In the event of infringement or
unauthorized use, we may file one or more infringement lawsuits, which can be expensive and time-consuming. An
adverse result in any such litigation proceedings could put one or more of our patents at risk of being invalidated, found
to be unenforceable or interpreted narrowly, and it could put our patent applications at risk of not issuing. Furthermore,
because of the substantial amount of discovery required in connection with intellectual property litigation, there is a risk
that some of our confidential information could be compromised by disclosure during this type of litigation.
Many of our competitors are larger than we are and have substantially greater resources. They are, therefore,
likely to be able to sustain the costs of complex patent litigation longer than we could. In addition, the uncertainties
associated with litigation could have a material adverse effect on our ability to raise any funds necessary to continue our
operations, continue our internal research programs, in-license needed technology, or enter into development
partnerships that would help us bring our products to market.
In addition, patent litigation can be very costly and time-consuming. An adverse outcome in such litigation or
proceedings may expose us or any of our future development partners to loss of our proprietary position, expose us to
significant liabilities, or require us to seek licenses that may not be available on commercially acceptable terms, if at all.
Our issued patents could be found invalid or unenforceable if challenged in court, which could have a material
adverse impact on our business.
If we or any of our partners were to initiate legal proceedings against a third party to enforce a patent covering
one of our products or services, the defendant in such litigation could counterclaim that our patent is invalid and/or
unenforceable. In patent litigation in the United States, defendant counterclaims alleging invalidity and/or
unenforceability are commonplace. Grounds for a validity challenge could be an alleged failure to meet any of several
statutory requirements, including lack of novelty, obviousness or non-enablement, or failure to claim patent eligible
subject matter. Grounds for an unenforceability assertion could be an allegation that someone connected with
prosecution of the patent withheld relevant information from the USPTO or made a misleading statement during
prosecution. Third parties may also raise similar claims before the USPTO even outside of the context of litigation. The
outcome following legal assertions of invalidity and unenforceability is unpredictable. With respect to the validity
question, for example, we cannot be certain that there is no invalidating prior art of which we and the patent examiner
were unaware during prosecution. If a defendant were to prevail on a legal assertion of invalidity and/or
unenforceability, we would lose at least part, and perhaps all, of the challenged patent. Such a loss of patent protection
would have a material adverse impact on our business.
We may not be able to protect our intellectual property rights throughout the world, which could have a material
adverse effect on our business.
Filing, prosecuting and defending patents on current and future products in all countries throughout the world
would be prohibitively expensive, and our intellectual property rights in some countries outside of the United States can
be less extensive than those in the United States. In addition, the laws of some foreign countries do not protect
intellectual property rights to the same extent that federal and state laws do in the United States. Consequently,
regardless of whether we are able to prevent third parties from practicing our inventions in the United States, we may not
be able to prevent third parties from practicing our inventions in all countries outside of the United States, or from
selling or importing products made by using our inventions in and into the United States or other jurisdictions.
Competitors may use our technologies in jurisdictions where we have not pursued and obtained patent protection to
develop their own products, and further, may export otherwise infringing products to territories where we have patent
protection, but enforcement is not as strong as it is in the United States. These products may compete with our products
and our patents or other intellectual property rights may not be effective or sufficient to prevent them from competing.
Even if we pursue and obtain issued patents in particular jurisdictions, our patent claims or other intellectual property
rights may not be effective or sufficient to prevent third parties from competing. Patent protection must ultimately be
sought on a country-by-country basis, which is an expensive and time-consuming process with uncertain outcomes.
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Accordingly, we may choose not to seek patent protection in certain countries, and we will not have the benefit of patent
protection in such countries.
Many companies have encountered significant problems in protecting and defending intellectual property rights
in foreign jurisdictions. The legal systems of certain countries, such as China and certain developing countries, do not
favor the enforcement of patents and other intellectual property protection, particularly those relating to biotechnology,
which could make it difficult for us to stop the infringement of our patents or marketing of competing products in
violation of our proprietary rights generally. Proceedings to enforce our patent rights in foreign jurisdictions could result
in substantial costs and divert our efforts and attention from other aspects of our business, put our patents at risk of being
invalidated or interpreted narrowly and our patent applications at risk of not issuing, and provoke third parties to assert
claims against us. We may not prevail in any lawsuits that we initiate and the damages or other remedies awarded, if
any, may not be commercially meaningful. Accordingly, our efforts to enforce our intellectual property rights around the
world may be inadequate to obtain a significant commercial advantage from the intellectual property that we develop or
license and may adversely impact our business.
In addition, we and our partners also face the risk that our products are imported or reimported into markets
with relatively higher prices from markets with relatively lower prices, which would result in a decrease of sales and any
payments we receive from the affected market. Recent developments in U.S. patent law have made it more difficult to
stop these and related practices based on theories of patent infringement.
Changes in patent laws or patent jurisprudence could diminish the value of patents in general, thereby impairing our
ability to protect our products.
Under the America Invents Act (the AIA), as of March 16, 2013, the United States transitioned to a
“first-to-file” system for deciding which party should be granted a patent when two or more patent applications are filed
by different parties claiming the same invention. A third party that files a patent application in the USPTO before us
could therefore be awarded a patent covering an invention of ours even if we had made the invention before it was made
by the third party. This requires us to be cognizant of the time from invention to the filing of a patent application, but
circumstances could prevent us from promptly filing patent applications on our inventions.
Among some of the other changes introduced by the AIA are changes that limit where a patent holder may file a
patent infringement suit and provide additional opportunities for third parties to challenge any issued patent in the
USPTO. This applies to all of our owned and in-licensed U.S. patents, even those issued before March 16, 2013.
Because of a lower evidentiary standard in USPTO proceedings, compared to the evidentiary standard in U.S. federal
courts necessary to invalidate a patent claim, a third party could potentially provide evidence in a USPTO proceeding
sufficient for the USPTO to hold a claim invalid even though the same evidence would be insufficient to invalidate the
claim if first presented in a district court action. Accordingly, a third party may attempt to use the USPTO procedures to
invalidate our patent claims that would not have been invalidated if first challenged by the third party as a defendant in a
district court action. The AIA and its implementation could increase the uncertainties and costs surrounding the
prosecution of our patent applications and the enforcement or defense of our issued patents.
Additionally, the U.S. Supreme Court has ruled on several patent cases in recent years, such as Impression
Products, Inc. v. Lexmark International, Inc., Association for Molecular Pathology v. Myriad Genetics, Inc., Mayo
Collaborative Services v. Prometheus Laboratories, Inc. and Alice Corporation Pty. Ltd. v. CLS Bank International,
either narrowing the scope of patent protection available in certain circumstances or weakening the rights of patent
owners in certain situations. In addition to increasing uncertainty with regard to our ability to obtain patents in the future,
this combination of events has created uncertainty with respect to the value of patents, once obtained. Depending on
decisions by the U.S. Congress, the federal courts, and the USPTO, the laws and regulations governing patents could
change in unpredictable ways that could weaken our ability to obtain new patents or to enforce our existing patents and
patents that we might obtain in the future.
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If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition
in our markets of interest and our business may be adversely affected.
Our registered or unregistered trademarks or trade names may be challenged, infringed, circumvented, declared
generic or determined to be infringing on other marks. We may not be able to protect our rights to these trademarks and
trade names, which we need to build name recognition by potential partners or customers in our markets of interest. At
times, competitors may adopt trade names or trademarks similar to ours, thereby impeding our ability to build brand
identity and possibly leading to market confusion. In addition, there could be potential trade name or trademark
infringement claims brought by owners of other registered trademarks. Over the long term, if we are unable to establish
name recognition based on our trademarks and trade names, then we may not be able to compete effectively and our
business may be adversely affected.
We use third-party software that may be difficult to replace or may cause errors or failures of our products that could
lead to lost customers or harm to our reputation.
We use software licensed from third parties in our products. In the future, this software may not be available to
us on commercially reasonable terms, or at all. Any loss of the right to use any of this software could result in delays in
the production of our products until equivalent technology is either developed by us, or, if available, is identified,
obtained and integrated, which could harm our business. In addition, any errors or defects in third-party software or other
third-party software failures could result in errors, defects or cause our products to fail, which could harm our business
and be costly to correct. Many of these providers attempt to impose limitations on their liability for such errors, defects
or failures, and if enforceable, we may have additional liability to our customers or third-party providers that could harm
our reputation and increase our operating costs.
We will need to maintain our relationships with third-party software providers and to obtain software from such
providers that does not contain any errors or defects. Any failure to do so could adversely impact our ability to deliver
reliable products to our customers and could harm our reputation and results of operations.
Risks Related to Our Common Stock and Being a Public Company
Our stock price has fluctuated significantly and may continue to fluctuate significantly.
The market price of shares of our common stock has been and could continue to be subject to wide fluctuations
in response to many factors listed in this section, and others beyond our control, including:
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actual or anticipated fluctuations in our financial condition and operating results;
announcements by us, our partners or our competitors of new products, significant contracts, restructuring
plans, strategic partnerships, joint ventures, collaborations, acquisitions, commercial relationships or capital
commitments;
competition from existing products or new products that may emerge;
failure to meet or exceed financial estimates and projections of the investment community or that we may
provide to the public;
issuance of new or updated research or reports by securities analysts or recommendations with respect to
our stock;
positive or adverse regulatory announcements;
disputes or other developments related to proprietary rights, including patents, litigation matters and our
ability to obtain patent protection for our technologies;
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commencement of, or our involvement in, litigation;
fluctuations in the valuation of companies perceived by investors to be comparable to us;
conditions in our markets;
• manufacturing disputes or delays;
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any future sales of our common stock or other securities;
any change to the composition of our board of directors or key personnel;
general economic conditions and slow or negative growth of our markets;
share price and volume fluctuations attributable to inconsistent trading volume levels of our shares;
announcement or expectation of additional debt or equity financing efforts; and
other factors described in this Risk Factors section of this Annual Report on Form 10-K.
These and other market and industry factors may cause the market price and demand for our common stock to
fluctuate substantially, regardless of our actual operating performance, which may limit or prevent investors from readily
selling their shares of common stock and may otherwise negatively affect the liquidity of our common stock. In addition,
the stock market in general, and life science companies in particular, have experienced extreme price and volume
fluctuations that have often been unrelated or disproportionate to the operating performance of these companies. In the
past, when the market price of a stock has been volatile, holders of that stock have on occasion instituted securities class
action litigation against the company that issued the stock. If any of our stockholders were to bring a lawsuit against us,
the defense and disposition of the lawsuit could be costly and divert the time and attention of our management and harm
our operating results.
If securities or industry analysts do not publish research reports about our business, or if they issue an adverse
opinion about our business, our stock price and trading volume could decline.
The trading market for our common stock will be influenced by the research and reports that industry or
securities analysts publish about us or our business. If one or more of the analysts who cover us issues an adverse
opinion about our company, our stock price would likely decline. If one or more of these analysts ceases coverage of us
or fails to regularly publish reports on us, we could lose visibility in the public markets, which could cause our stock
price or trading volume to decline.
We have never paid dividends on our capital stock, and we do not anticipate paying any dividends in the foreseeable
future. Consequently, any gains from an investment in our common stock will likely depend on whether the price of
our common stock increases.
We have not paid dividends on any of our classes of capital stock to date and we currently intend to retain our
future earnings, if any, to fund the development and growth of our business. As a result, capital appreciation, if any, of
our common stock will be the sole source of gain for the shareholders in the foreseeable future. Consequently, in the
foreseeable future, shareholders will likely only experience a gain from an investment in our common stock if the price
of our common stock increases.
63
Anti-takeover provisions contained in our restated certificate of incorporation and restated by-laws, as well as
provisions of Delaware law, could impair a takeover attempt.
Our restated certificate of incorporation, restated by-laws and Delaware law contain provisions which could
have the effect of rendering more difficult, delaying or preventing an acquisition deemed undesirable by our board of
directors. Our corporate governance documents include provisions:
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authorizing our board of directors to issue up to 5,000,000 shares of preferred stock without stockholder
approval upon the terms and conditions and with the rights, privileges and preferences as our board of
directors may determine;
specifying that special meetings of our stockholders can be called only by our board of directors and that
our stockholders may not act by written consent;
establishing an advance notice procedure for stockholder proposals to be brought before an annual meeting
of our stockholders, including proposed nominations of persons for election to our board of directors;
providing that directors may be removed only for cause;
providing that our board of directors may create new directorships and that vacancies on our board of
directors may be filled only by a majority of directors then in office, even though less than a quorum;
establishing that our board of directors is divided into three classes with each class serving staggered
three-year terms;
providing that our board of directors may amend our restated by-laws without stockholder approval; and
requiring a super-majority of votes to amend certain of the above-mentioned provisions.
These provisions, alone or together, could delay or prevent hostile takeovers and changes in control or changes
in our management.
As a Delaware corporation, we are also subject to provisions of Delaware law, including Section 203 of the
Delaware General Corporation Law, which prevents some stockholders holding more than 15% of our outstanding
common stock from engaging in certain business combinations without approval of the holders of substantially all of our
outstanding common stock.
Any provision of our restated certificate of incorporation, restated by-laws or Delaware law that has the effect
of delaying or deterring a change in control could limit the opportunity for our stockholders to receive a premium for
their shares of our common stock, and could also affect the price that some investors are willing to pay for our common
stock.
Item 1B. UNRESOLVED STAFF COMMENTS
Not applicable.
Item 2. PROPERTIES
We currently lease approximately 91,600 square feet of office, laboratory and manufacturing space at our
headquarters in Billerica, Massachusetts. The premises covered by this lease serve as our principal office and laboratory
space. The initial term of the Billerica lease is eleven years and five months beginning on April 1, 2019, and we have the
option to extend the lease for two additional five-year periods. In addition, in the first quarter of 2022, we executed a
lease for 85,800 square feet of office and laboratory space in Bedford, Massachusetts. The initial term of the Bedford
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lease is eight years and nine months beginning on May 1, 2022. We do not currently occupy the Bedford facilities. As
part of the Restructuring Plan, we decided not to utilize the Bedford facilities as part of our own operations and intend to
sublease the vacant space. We believe that the Billerica office, laboratory and manufacturing space will be sufficient to
meet our needs for the foreseeable future. Refer to Note 12 to the consolidated financial statements for further details
related to the Bedford facilities.
Item 3. LEGAL PROCEEDINGS
In the ordinary course of business, we are from time to time involved in lawsuits, claims, investigations,
proceedings, and threats of litigation consisting of intellectual property, contractual, employment and other matters.
While the outcome of any such actions or proceedings cannot be predicted with certainty, as of December 31, 2022, we
were not party to any material legal proceedings.
Item 4. MINE SAFETY DISCLOSURES
Not applicable.
PART II
Item 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND
ISSUER PURCHASES OF EQUITY SECURITIES
Market Information
Our common stock is traded on The Nasdaq Global Market under the symbol “QTRX.”
Stockholders
As of February 28, 2023, there were approximately 27 stockholders of record of our common stock.
Unregistered Sales of Securities
There were no unregistered sales of equity securities during the fourth quarter ended December 31, 2022.
Issuer Purchases of Equity Securities
Not applicable.
Item 6. RESERVED
Not applicable.
Item 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
The following discussion and analysis provides information management believes to be relevant to
understanding the financial condition and results of operations of Quanterix Corporation for the years ended
December 31, 2022, and 2021. For a full understanding of our financial condition and results of operations, this
discussion should be read in conjunction with our consolidated financial statements and accompanying notes included in
Item 8. Financial Statements and Supplementary Data of this Annual Report on Form 10-K.
65
For additional information on our financial condition as of December 31, 2021 and results of operations for
the year ended December 31, 2021 as compared to the year ended December 31, 2020, refer to Part II, Item 7.
Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on
Form 10-K for the year ended December 31, 2021.
Overview
We are a life sciences company that has developed next-generation, ultra-sensitive digital immunoassay
platforms that advance life sciences research and diagnostics. Our platforms are based on our proprietary digital “Simoa”
detection technology. Our Simoa bead-based and planar array platforms enable customers to reliably detect protein
biomarkers in extremely low concentrations in blood, serum and other fluids that, in many cases, are undetectable using
conventional, analog immunoassay technologies, and also allow researchers to define and validate the function of novel
protein biomarkers that are only present in very low concentrations. These capabilities provide our customers with
insight into the role of protein biomarkers in human health that has not been possible with other existing technologies
and enable researchers to unlock unique insights into the continuum between health and disease. We believe this greater
insight will enable the development of novel therapies and diagnostics and facilitate a paradigm shift in healthcare from
an emphasis on treatment to a focus on earlier detection, monitoring, prognosis and, ultimately, prevention.
Our instruments are designed to be used either with assays fully developed by us, including all antibodies and
supplies required to run the tests, or with “homebrew” kits where we supply some of the components required for
testing, and the customer supplies the remaining required elements. Accordingly, our installed instruments generate a
recurring revenue stream. As the installed base of the Simoa instruments increases, total consumables revenue overall is
expected to increase.
We commercially launched our first immunoassay platform, the Simoa HD-1, in January 2014. The HD-1 is
based on our bead-based technology, and assays run on the HD-1 are fully automated. We initiated commercial launch
of the SR-X instrument in December 2017. The SR-X utilizes the same Simoa bead-based technology and assay kits as
the HD-1 in a compact benchtop form with a lower price point, more flexible assay preparation, and a wider range of
applications. In July 2019, we launched the Simoa HD-X, an upgraded version of the Simoa HD-1, which replaces the
HD-1. The HD-X has been designed to deliver significant productivity and operational efficiency improvements, as well
as greater user flexibility. We began shipping and installing HD-X instruments at customer locations in 2019, and by the
end of 2022, approximately 79% of the HD instrument installed base were HD-X instruments.
With our acquisition of Aushon in 2018, we acquired a CLIA certified laboratory, as well as their proprietary
sensitive planar array detection technology. Leveraging our proprietary sophisticated Simoa image analysis and data
analysis algorithms, we further refined the planar array technology to develop the SP-X instrument to provide sensitivity
similar to that found in our Simoa bead-based platform. We commercially launched the SP-X instrument in April 2019.
Our wholly owned subsidiary UmanDiagnostics AB (Uman), a Swedish company located in Umeå, Sweden,
supplies neurofilament light (Nf-L) antibodies and ELISA kits, which are widely recognized by researchers and
biopharmaceutical and diagnostics companies world-wide as the premier solution for the detection of Nf-L to advance
the development of therapeutics and diagnostics for neurodegenerative conditions.
We also provide contract research services for customers through our CLIA-certified Accelerator Laboratory.
The Accelerator Laboratory provides customers with access to Simoa technology, and supports multiple projects and
services, including sample testing, homebrew assay development and custom assay development. To date, we have
completed over 1,900 projects for more than 400 customers from all over the world using our Simoa platforms.
We sell our instruments, consumables and services to the life science, pharmaceutical and diagnostics industries
through a direct sales force and support organizations in North America and Europe, and through distributors or sales
agents in select markets, including Australia, Brazil, China, Czech Republic, India, Hong Kong, Israel, Japan, New
Zealand, Qatar, Saudi Arabia, Singapore, South Africa, South Korea, Taiwan, and UAE. In addition, Uman sells Nf-L
antibodies and Nf-L ELISA kits directly, and in conjunction with us and another distributor worldwide. We have an
66
extensive base of customers in world class academic and governmental research institutions, as well as pharmaceutical,
biotechnology and contract research companies.
Although the COVID-19 pandemic negatively affected revenues in 2020 and the first part of 2021, we have
seen less of an impact related to COVID-19 as customers began returning to normal operations beginning in mid-2021.
However, we expect COVID-19 related challenges may continue for the foreseeable future and potentially increase if
variants result in new shutdowns.
During the COVID-19 pandemic, we determined that our cytokine assay technology could provide researchers
with important and differentiated tools to study disease progression, cytokine release syndrome, and patient-treatment
response in the fight against COVID-19 and developed a SARS antibody test and SARS antigen test, each of which was
run on our HD-X instrument. In December 2020, the FDA issued an EUA for our Simoa Semi-Quantitative SARS-
CoV-2 IgG Antibody Test, and in January 2021, the FDA issued an EUA for our Simoa SARS-CoV-2 N Protein Antigen
Test. In September 2021, the FDA expanded the EUA for our Simoa SARS-CoV-2 N Protein Antigen Test to include
testing with nasal swabs and saliva and for asymptomatic serial testing with nasal swab samples. In 2022, we voluntarily
withdrew the EUA for these tests.
Restructuring and Strategic Re-Alignment
Following a strategic review and assessment of our operations and cost structure, on August 8, 2022, we
announced a plan of restructuring and strategic re-alignment (the Restructuring Plan). As part of this plan, we began an
assay redevelopment program with the ultimate objective of improving our ability to manufacture and deliver high-
quality assays at scale. The plan aligns our investments to best serve the needs of customers, focuses innovation efforts
on key platforms and provides the foundation for our entry into translational pharma and clinical markets, which we
believe will be required to access new growth categories. The Restructuring Plan included the elimination of 119
positions and other cost-saving measures. The workforce reduction was substantially completed by the end of the third
quarter of 2022. As part of the Restructuring Plan, we are also reviewing alternative uses of the additional facility space
that we currently lease in Bedford, Massachusetts. These alternatives may include termination of the lease, or sub-
leasing all, or a portion, of the Bedford facilities. During the year ended December 31, 2022, we recorded an impairment
expense of $16.3 million on our long-lived assets related to the Bedford facilities, as well as a $1.1 million impairment
expense related to software projects. Overall, as a result of the Restructuring Plan, we expect to realize estimated
annualized operating expense savings of approximately $25 million.
As of December 31, 2022, we had cash and cash equivalents of $338.7 million. Since inception, we have
incurred annual net losses. Our net loss was $96.7 million and $57.7 million for the years ended December 31, 2022 and
2021, respectively. As of December 31, 2022, we had an accumulated deficit of $402.2 million and stockholders' equity
of $358.9 million. We expect to continue to incur significant expenses and operating losses at least through the next
24 months. We expect our expenses will increase substantially as we:
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expand our sales and marketing efforts to further commercialize our products;
strategically acquire and integrate companies or technologies that may be complementary to our business;
expand our research and development efforts to improve our existing products and develop and launch new
products, particularly if any of our products are deemed by the FDA to be medical devices or otherwise
subject to additional regulation by the FDA;
seek PMA or 510(k) clearance from the FDA for our existing products or new products if or when we
decide to market products for use in the prevention, diagnosis or treatment of a disease or other condition;
hire additional personnel and grow our employee headcount;
enter into collaboration arrangements, if any, or in-license other products and technologies; and
add operational, financial and management information systems.
Financial Operations Overview
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Revenue
Under Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 606 -
Revenue from Contracts with Customers (ASC 606), an entity recognizes revenue when its customer obtains control of
promised goods or services, in an amount that reflects the consideration that the entity expects to receive in exchange for
those goods or services. To determine revenue recognition for arrangements that an entity determines are within the
scope of ASC 606, the entity performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify
the performance obligations in the contract; (iii) determine the transaction price, including variable consideration, if any;
(iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or
as) the entity satisfies a performance obligation. We only apply the five-step model to contracts when it is probable that
the entity will collect the consideration to which it is entitled in exchange for the goods or services it transfers to the
customer.
Once a contract is determined to be within the scope of ASC 606, we assess the goods or services promised
within each contract and determine those that are performance obligations. Arrangements that include rights to
additional goods or services that are exercisable at a customer’s discretion are generally considered options. We assess if
these options provide a material right to the customer and if so, they are considered performance obligations. The
identification of material rights requires judgments related to the determination of the value of the underlying license
relative to the option exercise price, including assumptions about technical feasibility and the probability of developing a
candidate that would be subject to the option rights. The exercise of a material right is accounted for as a contract
modification for accounting purposes.
The transaction price is then determined and allocated to the identified performance obligations in proportion to
their standalone selling prices (SSP) on a relative SSP basis. SSP is determined at contract inception and is not updated
to reflect changes between contract inception and when the performance obligations are satisfied. Determining the SSP
for performance obligations requires significant judgment. In developing the SSP for a performance obligation, we
consider applicable market conditions and relevant entity-specific factors, including factors that were contemplated in
negotiating the agreement with the customer and estimated costs. We validate the SSP for performance obligations by
evaluating whether changes in the key assumptions used to determine the SSP will have a significant effect on the
allocation of arrangement consideration between multiple performance obligations.
We generate product revenue primarily from sales of our HD-X, SR-X, and SP-X instruments and related
reagents and other consumables. We currently sell our products for RUO applications and our customers are primarily
laboratories associated with academic and governmental research institutions, as well as pharmaceutical, biotechnology
and contract research companies. Sales of our consumables have consistently increased due to an increasing number of
instruments being installed in the field, all of which require certain of our consumables to run customers’ specific tests.
Consumable revenue consists of sales of complete assays which are developed internally by us, plus sales of
“homebrew” kits which contain all the elements necessary to run tests with the exception of the specific antibodies
utilized which are separately provided by the customer.
Service and other revenue consists of testing services provided by us in our Accelerator Laboratory on behalf of
certain research customers, in addition to warranty and other service-based revenue. Services provided in our
Accelerator Laboratory include sample testing, homebrew assay development and custom assay development.
Collaboration and license revenue consists of revenue associated with licensing our technology to third parties
and for related services.
Grants received by us that do not require the transfer of goods or services to a customer are accounted for by
analogy to International Accounting Standards (IAS) 20, Accounting for Government Grants and Disclosure of
Government Assistance (IAS 20). Under IAS 20, we recognize revenue as the matching expense or asset is incurred or
capitalized.
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Cost of Products, Services and Collaboration Revenue
Cost of goods sold for products consists of HD-X, HD-1, and SR-X instrument costs from the manufacturer and
related reagents and other consumables. Cost of goods sold for SP-X consists of costs based on the internal assembly of
this item. Raw material part costs; inbound freight, shipping and handling costs associated with purchased goods;
contract manufacturer costs; personnel costs; royalties; overhead and other direct costs related to those sales are
classified as cost of goods sold for products.
Cost of goods sold for services consists of raw materials, personnel costs, royalties as well as overhead and
other direct costs associated with operating the Accelerator Laboratory on behalf of customers, in addition to costs
related to warranties and other costs of servicing equipment at customer sites.
Cost of collaboration revenue consists of royalty expense due to third parties from revenue generated by
collaboration or license deals.
Research and Development Expenses
Research and development expenses consist of personnel costs, research supplies, third-party development
costs for new products, materials for prototypes, and allocated overhead costs that include facility and other overhead
costs. We have made substantial investments in research and development since our inception, and plan to continue to
make substantial investments in the future. Our research and development efforts have focused primarily on the tasks
required to support development and commercialization of new and existing products and improved product quality. We
believe that our continued investment in research and development is essential to our long-term competitive position and
expect these expenses to increase in future periods. Additionally, costs incurred related to grant revenue are recorded as
research and development expenses.
Selling, General and Administrative Expenses
Selling, general and administrative expenses consist primarily of personnel costs for our sales and marketing,
finance, legal, human resources and general management, costs associated with shipping and handling for product sales,
other general and administrative costs, as well as professional services costs, such as marketing, advertising, legal and
accounting services in addition to allocated overhead costs that include facility and other overhead costs.
The classification of shipping and handling costs for product sales varies from company to company with some
companies recording these as selling, general, and administrative expenses and others recording such expenses within
costs of goods sold for products. To the extent the classification of these shipping and handling costs differs from the
classification used by other companies, our gross margins may not be comparable with those reported by such other
companies. Shipping and handling costs for product sales included within selling, general and administrative expenses
were $7.2 million and $6.9 million for the years ended December 31, 2022 and 2021, respectively, and our gross margin
was 44.4% and 55.8% for the years ended December 31, 2022 and 2021, respectively. If these shipping and handling
costs had been included in cost of goods sold for products, our non-GAAP gross margin would have been 37.5% and
49.6% for the years ended December 31, 2022 and 2021, respectively. See “Non-GAAP Financial Measures” below.
We expect, but cannot guarantee, that annual selling, general and administrative expenses will not increase
significantly over the next 12 to 14 months.
Non-GAAP Financial Measures
To supplement our financial statements presented on a GAAP basis, we present non-GAAP gross profit and
non-GAAP gross margin, which are calculated by including shipping and handling costs for product sales within cost of
goods sold instead of within selling, general and administrative expenses. Management uses these non-GAAP measures
to evaluate our operating performance in a manner that allows for meaningful period-to-period comparison and analysis
of trends in our business and our competitors. Management believes that presentation of non-GAAP gross margin
provides useful information to investors in assessing our operating performance within our industry and in order to allow
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comparability to the presentation of other companies in our industry where shipping and handling costs are included in
cost of goods sold for products. Management also uses non-GAAP gross margin as a factor in assessing the Company’s
progress against the Restructuring Plan. The non-GAAP financial information presented here should be considered in
conjunction with, and not as a substitute for, the financial information presented in accordance with GAAP.
Set forth below is a reconciliation of non-GAAP gross profit, non-GAAP gross margin and non-GAAP
operating expenses to their most directly comparable GAAP financial measures.
Reconciliation of Non-GAAP Financial Measures:
GAAP gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Shipping and handling costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-GAAP gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAAP Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAAP Gross margin (gross profit as % of revenue) . . . . . . . . . . . . . . . . . . .
Non-GAAP gross margin (non-GAAP gross profit as % of revenue). . . . . .
GAAP total operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Shipping and handling costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-GAAP total operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAAP loss from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-GAAP loss from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
$
$
$
$
Goodwill, Intangibles and Long-Lived Assets Impairment Expenses
Year Ended December 31,
2022
2021
46,806 $
(7,206)
39,600 $
105,522 $
44.4%
37.5%
148,510 $
(7,206)
141,304 $
(101,704) $
(101,704) $
61,728
(6,892)
54,836
110,556
55.8%
49.6%
120,314
(6,892)
113,422
(58,586)
(58,586)
Goodwill, intangibles and long-lived assets impairment expense consists primarily of impairment charges
recorded due to an impairment event. We perform an impairment assessment annually, or whenever events or
circumstances indicate that the carrying amount of the asset (asset group) may not be recoverable, of goodwill,
intangibles and long-lived assets under the guidance of US GAAP accounting standards ASC 350 - Intangibles –
Goodwill and Other (ASC 350) and ASC 360 - Property, Plant and Equipment (ASC 360). If impairment is indicated,
we measure the amount of the impairment loss as the amount by which the carrying amount exceeds the fair value of the
asset. Fair value is generally determined using a discounted future cash flow analysis. During the year ended
December 31, 2022, the Company recorded a goodwill impairment charge of $8.2 million and impairment expense of
$17.4 million for other long-lived assets due to impairment indicators identified. As of December 31, 2022, there was no
remaining goodwill. There were no impairment charges recorded for the year ended December 31, 2021.
Critical Accounting Policies, Significant Judgments and Estimates
Our consolidated financial statements and the related notes included elsewhere in this Annual Report on
Form 10-K are prepared in accordance with accounting principles generally accepted in the United States (U.S. GAAP).
The preparation of these consolidated financial statements requires us to make estimates and assumptions that affect the
reported amounts of assets, liabilities, revenue, costs and expenses and related disclosures. We base our estimates on
historical experience and on various other assumptions that we believe to be reasonable under the circumstances.
Changes in accounting estimates may occur from period to period. Accordingly, actual results could differ significantly
from the estimates made by our management. We evaluate our estimates and assumptions on an ongoing basis. To the
extent that there are material differences between these estimates and actual results, our future financial statement
presentation, financial condition, results of operations and cash flows will be affected.
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We believe that the following critical accounting policies involve a greater degree of judgment and complexity
than our other significant accounting policies. Accordingly, these are the policies we believe are the most critical to
understanding and evaluating our consolidated financial condition and results of operations. Our significant accounting
policies are more fully described in “Significant Accounting Policies” in Note 2 in the notes to our consolidated financial
statements.
Revenue Recognition
We recognize revenue when a customer obtains control of a promised good or service. The amount of revenue
recognized reflects consideration that we expect to be entitled to receive in exchange for these goods and services,
incentives and taxes collected from customers, that are subsequently remitted to governmental authorities.
Product Revenue
Our products are composed of analyzer instruments, assay kits and other consumables such as reagents.
Products are sold directly to biopharmaceutical and academic research organizations or are sold through distributors in
EMEA and Asia Pacific regions. The sales of instruments are generally accompanied by an initial year of implied
service-type warranties and may be bundled with assays and other consumables and may also include other items such as
training and installation of the instrument and/or an extended service warranty. Revenues from the sale of products are
recognized at a point in time when we transfer control of the product to the customer, which is upon installation for
instruments sold to direct customers, and based upon shipping terms for assay kits and other consumables. Revenue for
instruments sold to distributors is generally recognized based upon shipping terms (either upon shipment or delivery).
Service and Other Revenue
Service revenues are composed of contract research services, initial implied one-year service-type warranties,
extended services contracts and other services such as training. Contract research services are provided through our
Accelerator Laboratory and generally consist of fixed fee contracts. Revenues from contract research services are
recognized at a point in time when we complete and deliver our research report on each individually completed study, or
over time if the contractual provisions allow for the collection of transaction consideration for costs incurred plus a
reasonable margin through the period of performance of the services. Revenues from service-type warranties are
recognized ratably over the contract service period.
During the first quarter of 2022, we entered into a Master Collaboration Agreement with Eli Lilly and Company
(Lilly) establishing a framework for future projects focused on the development of Simoa immunoassays (the Lilly
Collaboration Agreement). We also entered into a Statement of Work under the Lilly Collaboration Agreement to
perform assay research and development services within the field of Alzheimer’s disease. In connection with the Lilly
Collaboration Agreement, we received a non-refundable up-front payment of $5.0 million during the first quarter of
2022, and under the Statement of Work received $1.5 million per calendar quarter during 2022, beginning with the first
quarter of 2022. The revenue was recognized over a one-year period. The Lilly Collaboration Agreement automatically
renews on a quarterly basis unless Lilly provides 100 days’ termination notice.
Concurrent with the execution of the Lilly Collaboration Agreement, we entered into a Technology License
Agreement (the Lilly License) under which Lilly granted to the Company a non-exclusive license to Lilly’s proprietary
P-tau217 antibody technology for potential near-term use in research use only products and services and future in vitro
diagnostics applications within the field of Alzheimer’s disease. In consideration of the license, we paid an upfront fee,
are required to make milestone payments based on the achievement of predetermined regulatory and commercial events,
and will pay a royalty on net sales of licensed products.
We concluded that the Lilly Collaboration Agreement (including the Statement of Work) and the Lilly License
represented a single contract with a customer, and we are accounting for the agreements as service revenue recognized
over time as the services are delivered. The transaction price for the Lilly Collaboration Agreement was $10.9 million.
Contingent amounts due to Lilly, under the Lilly License, represent variable consideration payable to a customer and
will be recognized as reductions to service revenue up to the amount of the transaction price recognized, when probable.
71
During the year ended December 31, 2022, we recognized approximately $10.9 million of revenue from the
Lilly Collaboration Agreement.
Collaboration and License Revenue
We may enter into agreements to license the intellectual property and know-how associated with our
instruments in exchange for license fees and future royalties (as described below). The license agreements provide the
licensee with a right to use the intellectual property with the license fee revenues recognized at a point in time as the
underlying license is considered functional intellectual property. We have recognized royalty revenue based on sales or
usage related to our licensing technology and intellectual property.
Payment Terms
Our payment terms vary by the type and location of customer and the products or services offered. Payment
from customers is generally required in a term ranging from 30 to 45 days from date of shipment or satisfaction of the
performance obligation with no discounts for early payment. Occasionally we do provide extended payment terms or
financing arrangements to customers.
Disaggregated Revenue
When disaggregating revenue, we consider all of the economic factors that may affect revenues. The following
tables disaggregate our revenue from contracts with customers based on their location by revenue type:
(in thousands)
Product revenues:
Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consumable and other products . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service and other revenues:
Service-type warranties . . . . . . . . . . . . . . . . . . . .
Research services . . . . . . . . . . . . . . . . . . . . . . . . .
Other services . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Collaboration and license revenue:
North America
EMEA
Asia Pacific
Total
Year Ended
December 31, 2022
$
$
$
$
9,254
25,894
35,148
5,581
22,493
1,144
29,218
$
$
$
8,362
14,514
22,876
2,779
1,013
722
4,514
$
$
$
7,388 $
4,396
11,784 $
480 $
147
136
763 $
25,004
44,804
69,808
8,840
23,653
2,002
34,495
Collaboration and license revenue . . . . . . . . . . . .
$
274
$
323
$
52 $
649
72
(in thousands)
Product revenues:
North America
EMEA
Asia Pacific
Total
Year Ended
December 31, 2021
Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consumable and other products . . . . . . . . . . . . .
$
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Service and other revenues:
Service-type warranties . . . . . . . . . . . . . . . . . . . .
Research services . . . . . . . . . . . . . . . . . . . . . . . . .
Other services . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
12,138
34,997
47,135
4,334
12,101
1,372
17,807
$
$
$
$
8,178
16,122
24,300
2,039
2,600
695
5,334
$
$
$
$
5,657 $
3,970
9,627 $
255 $
124
109
488 $
25,973
55,089
81,062
6,628
14,825
2,176
23,629
Collaboration and license revenue:
Collaboration and license revenue . . . . . . . . . . . .
$
360
$
288
$
— $
648
Our contracts with customers may include promises to transfer multiple products and services to a customer. In
accordance with ASC 606, we combine any performance obligations that are immaterial with one or more other
performance obligations that are material to the contract. For arrangements with multiple performance obligations, we
allocate the contract transaction price, including discounts, to each performance obligation based on its relative
standalone selling price. Judgment is required to determine the standalone selling price for each distinct performance
obligation. We determine standalone selling prices based on prices charged to customers in observable transactions, and
use a range of amounts to estimate standalone selling prices for each performance obligation. We may have more than
one range of standalone selling price for certain products and services based on the pricing for different customer
classes.
Variable consideration in our contracts primarily relates to (i) sales- and usage-based royalties related to the
license of intellectual property in collaboration and license contracts and (ii) certain non-fixed fee research services
contracts. ASC 606 provides for an exception to estimating the variable consideration for sales- and usage-based
royalties related to the license of intellectual property, such that the sales- or usage-based royalty will be recognized in
the period the underlying transaction occurs. We have recorded sales- or usage-based royalty revenue for the years ended
December 31, 2022 and 2021 related to the intellectual property licensed by Uman. We recognize revenues from sales-
or usage-based royalty revenue at the later of when the sales or usage occurs and the satisfaction or partial satisfaction of
the performance obligation to which the royalty has been allocated.
The aggregate amount of transaction price that is allocated to performance obligations that have not yet been
satisfied or are partially satisfied as of December 31, 2022 is $10.1 million. Of the performance obligations not yet
satisfied or that are partially satisfied, $8.6 million is expected to be recognized as revenue in the next 12 months, with
the remainder to be recognized within the 24 months thereafter. The $10.1 million principally consists of $9.6 million
billed for undelivered services related to initial and extended service-type warranties and research services, as well as
$0.5 million related to undelivered licenses of intellectual property for a diagnostics company.
We have classified the balance of capitalized costs to obtain a contract as a component of prepaid expenses and
other current assets as of December 31, 2022 and will amortize the expense as a component of cost of goods sold and
selling, general and administrative expense over the estimated life of the contract. We consider potential impairment in
these amounts each period.
ASC 606 provides entities with certain practical expedients and accounting policy elections to minimize the
cost and burden of adoption. We exclude from the transaction price any amounts collected from customers related to
sales and other similar taxes. We have elected to account for the shipping and handling as an activity to fulfill the
73
promise to transfer the product, and therefore will not evaluate whether shipping and handling activities are promised
services to its customers.
When determining the transaction price of a contract, an adjustment is made if payment from a customer occurs
either significantly before or significantly after performance, resulting in a significant financing component. We do not
assess whether a significant financing component exists if the period between when we perform our obligations under
the contract and when the customer pays is one year or less. None of our contracts contained a significant financing
component for the years ended December 31, 2022 and 2021.
Grant Revenue
We recognize grant revenue as we perform services under the arrangement when the funding is committed.
Revenues and related research and development expenses are presented gross in the consolidated statements of
operations as we have determined we are the primary obligor under the arrangement relative to the research and
development services.
Accounting for grants does not fall under ASC 606, as the grantor will not benefit directly from our expansion
or product development. As there is no authoritative guidance under U.S. GAAP on accounting for grants to for-profit
business entities, we have accounted for grants by analogy to IAS 20.
Our grants contain both monetary amounts granted related to assets and monetary amounts granted related to
income, which are grants other than those related to assets. The grants related to assets are for the expansion and increase
of manufacturing capacity. The grants related to income are for additional research and development, as well as other
non-asset related scale up costs. We determined it was appropriate to account for each monetary grant amount under the
appropriate accounting treatment outlined in IAS 20.
Under IAS 20, grants related to assets shall be presented in the consolidated balance sheets either by
recognizing the grant as deferred income (which is recognized in the consolidated statements of operations on a
systematic basis over the useful life of the asset), or by deducting the grant in calculating the carrying amount of the
asset (which is recognized in the consolidated statements of operations over the life of the depreciable asset as a reduced
depreciation expense). Both methods are acceptable under IAS 20. We have elected to record grants related to assets as a
deduction in calculating the carrying value of the asset.
Under IAS 20, grants related to income are presented as part of the consolidated statements of operations, either
separately or under a general heading. Both methods are acceptable under IAS 20. We have elected to record grants
related to income separately on the consolidated statements of operations as grant revenue. The related expenses are
recorded within operating expenses and not deducted.
On September 29, 2020, we entered into WP2 with the NIH under its RADx program. The contract, with a total
award value of $18.2 million, accelerated the continued development, scale-up, and deployment of the novel SARS-
CoV-2 antigen detection test using our Simoa technology. The contract provided funding to expand assay kit
manufacturing capacity and commercial deployment readiness. Release of the $18.2 million of funding under WP2 was
based on the achievement of certain milestones. Contract funding was subject to achievement of these pre-defined
milestones and the contract period ran through September 2021, with one milestone extended to March 31, 2022. As of
December 31, 2022, we received the full $18.2 million under WP2. During the year ended December 31, 2022, we
recognized no grant revenue and incurred no research and development expense related to WP2. During the year ended
December 31, 2021, we recognized $5.2 million in grant revenue and incurred $3.4 million in research and development
expense related to WP2.
74
The following table summarizes the cumulative RADx activity as of December 31, 2022 and 2021 (in
thousands):
Total grant revenue from research and development activities . . . . . . .
Total proceeds used for assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total recognized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total recognized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total amount accrued
Total cash received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total proceeds received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total proceeds reasonably assured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total RADx Grant amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
$
$
$
ADDF
December 31, 2022
December 31, 2021
9,576 $
8,624
18,200 $
18,200 $
—
18,200 $
18,200 $
—
18,200 $
9,576
8,104
17,680
17,680
—
17,680
17,680
520
18,200
On March 24, 2022, we entered into a contract with the Alzheimer’s Drug Discovery Foundation (ADDF) (the
ADDF Grant). ADDF is a charitable venture philanthropy entity that has granted us funding in support of certain
activities for the development of an in vitro diagnostic (IVD) test for early detection of Alzheimer's disease. The ADDF
Grant, which has a total funding value of $2.3 million, restricts our use of the granted funds to be used solely for
activities related to the Alzheimer’s diagnostic test development project. Contract funding is subject to achievement of
these pre-defined milestones and the contract period runs through June 2024. We are recognizing revenue over time as
the related services are performed. As of December 31, 2022, we had received $1.3 million of the total funding value of
$2.3 million under the ADDF Grant. During the year ended December 31, 2022, we recognized $0.6 million in grant
revenue and incurred $0.6 million in research and development expense related to the ADDF Grant.
Stock-Based Compensation
We account for stock-based compensation awards in accordance with ASC 718, Compensation—Stock
Compensation (ASC 718). ASC 718 requires all stock-based payments to employees and non-employees, including
grants of stock options, to be recognized in the statement of operations based on their fair values. Stock-based
compensation awards have historically consisted of stock options and restricted stock units.
We recognize forfeitures as they occur. We estimate the grant date fair value, and the resulting stock-based
compensation expense, using a Black-Scholes option-pricing model. The grant date fair value of the stock-based awards
for employees is generally recognized on a straight-line basis over the requisite service period, which is generally the
vesting period of the respective awards. The grant date fair value of stock-based awards for non-employees is recognized
on a straight-line basis over the vesting period.
The fair value of stock options granted to employees and non-employees is estimated on the grant date using a
Black-Scholes option-pricing model, based on the assumptions noted in the following table:
Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected term (in years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected volatility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted-average grant date fair value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Year Ended December 31,
2021
2022
0.4% - 1.3%
1.4% - 4.1%
None
None
6.0
5.0 - 5.8
55.0% - 70.8% 49.2% - 55.6%
$ 9.88
$ 29.96
75
Expected volatility was calculated based on proportional weighting of reported volatility data for a
representative group of guideline publicly traded companies for which historical information was available, as well as
our stock. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of grant,
commensurate with the expected life assumption. We estimate the expected life of options granted to employees utilizing
the simplified method which calculates the expected life of an option as the average of the time to vesting and
contractual life of the options. The expected life is applied to the stock option grant group as a whole, as we do not
expect substantially different exercise or post-vesting termination behavior among our employee population. We use the
simplified method due to the lack of historical exercise data and the plain nature of the stock options. We use the
remaining contractual term for the expected life of non-employee awards. The expected dividend yield is assumed to be
zero as we have never paid dividends and have no current plans to pay any dividends on common stock.
We determined the fair value of each share of common stock underlying share-based awards based on the
closing price of our common stock as reported by Nasdaq on the date of grant.
The table below summarizes the stock-based compensation expense recognized in our statements of operations
by classification (in thousands):
Cost of product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of service and other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Research and development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General and administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
608 $
819
1,639
12,376
15,442 $
471
403
1,807
13,294
15,975
As of December 31, 2022, we had $33.9 million of total unrecognized stock-based compensation costs which
we expect to recognize over a weighted-average period of 2.9 years.
Year Ended December 31,
2021
2022
76
Results of Operations
Comparison of the Years Ended December 31, 2022, and December 31, 2021 (dollars in thousands):
Year Ended December 31,
2021
Increase (Decrease)
2022
% of
revenue
% of
revenue
Amount
66 % $ 81,062
23,629
33 %
648
0.5 %
0.5 %
5,217
100 % 110,556
73 % $ (11,254)
21 % 10,866
1
1 %
(4,647)
5 %
(5,034)
100 %
Product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Service and other revenue . . . . . . . . . . . . . . . . . . . .
Collaboration revenue . . . . . . . . . . . . . . . . . . . . . . .
Grant revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of goods sold:
Cost of product revenue . . . . . . . . . . . . . . . . . . . .
Cost of service and other revenue . . . . . . . . . . . .
Cost of collaboration and license revenue . . . . . .
Total costs of goods sold, services, and licenses . . .
Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating expenses:
69,808
34,495
649
570
105,522
40,809
17,907
—
58,716
46,806
Research and Development Expense . . . . . . . . . .
Selling, general and administrative . . . . . . . . . . .
Other lease costs . . . . . . . . . . . . . . . . . . . . . . . . . .
Restructuring . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill impairment . . . . . . . . . . . . . . . . . . . . . .
Impairment expense . . . . . . . . . . . . . . . . . . . . . . .
Total operating expenses . . . . . . . . . . . . . . . . . . . .
Loss from operations . . . . . . . . . . . . . . . . . . . . . . . .
Interest income (expense), net . . . . . . . . . . . . . . . .
Other (expense) income, net . . . . . . . . . . . . . . . . . .
Loss before income taxes . . . . . . . . . . . . . . . . . . . .
Income tax (expense) benefit . . . . . . . . . . . . . . . . .
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (96,700)
25,890
91,995
1,278
3,755
8,220
17,372
148,510
(101,704)
5,131
(96,635)
39 %
17 %
— %
56 %
44 %
25 %
87 %
1 %
4 %
8 %
16 %
34,149
14,679
48,828
61,728
6,660
31 %
3,228
13 %
—
— — %
44 %
9,888
56 % (14,922)
27,978
92,336
25 %
84 %
— — %
— — %
— — %
— — %
(2,088)
(341)
1,278
3,755
8,220
17,372
109 % 28,196
(53)% (43,118)
5,534
(1,327)
(52)% (38,911)
(101)
(52)% $ (39,012)
36 — %
(403) — %
1,265
1 %
(57,724)
141 % 120,314
(58,586)
(96)%
5 %
(62) — %
(92)%
(65) — %
(92)% $ (57,688)
%
(14)%
46 %
0 %
(89)%
(5)%
20 %
22 %
— %
20 %
(24)%
(7)%
(0)%
100 %
100 %
100 %
100 %
23 %
(74)%
1,373 %
(105)%
(67)%
(281)%
(68)%
Revenue
Revenue decreased by $5.0 million, or 5%, to $105.5 million for the year ended December 31, 2022 as
compared to $110.6 million for the year ended December 31, 2021.
Product revenue decreased by $11.3 million, or 14%, to $69.8 million for the year ended December 31, 2022, as
compared to $81.1 million for the year ended December 31, 2021. Product revenue consisted of sales of instruments
totaling $25.0 million and sales of consumables and other products totaling $44.8 million for the year ended
December 31, 2022. Product revenue consisted of sales of instruments totaling $26.0 million and sales of consumables
and other products of $55.1 million for the year ended December 31, 2021. The decrease in product revenue was
primarily due to reducing our production levels of consumables to ensure quality as we address the issues affecting our
consumables.
Service and other revenue increased by $10.9 million, or 46%, to $34.5 million for the year ended
December 31, 2022, as compared to $23.6 million for the year ended December 31, 2021. The increase in service and
other revenue was primarily due to the revenue related to Lilly Collaboration Agreement recognized during the year-
ended December 31, 2022.
We had $0.6 million and $0.6 million in collaboration revenue during the year ended December 31, 2022 and
2021, respectively, related to licensing technology and intellectual property.
77
We had grant revenue of $0.6 million related to the ADDF grant that was recognized during the year ended
December 31, 2022, and grant revenue of $5.2 million related to our contract with WP2 was recognized during the year
ended December 31, 2021.
Cost of Goods Sold, Services, and Licenses
Cost of product revenue increased by $6.7 million, or 20%, to $40.8 million for the year ended December 31,
2022, as compared to $34.1 million for the year ended December 31, 2021. The increase was primarily due to increased
reserves for excess and discontinued products partially offset by lower volume.
Cost of service and other revenue increased by $3.2 million, or 22%, to $17.9 million for the year ended
December 31, 2022, as compared to $14.7 million for the year ended December 31, 2021, primarily due to increased
personnel costs from the build out of our field service organization as well as the increased efforts related to the Lilly
Collaboration Agreement.
Total cost of goods sold, services, and licenses as a percentage of revenue increased to 56% of total revenue for
the year ended December 31, 2022, from 44% for the year ended December 31, 2021, primarily due to increased
reserves for excess and discontinued products, and changes in product mix, partially offset by decreased product
revenues.
Research and Development Expense
Research and development expense decreased by $2.1 million, or 7%, to $25.9 million for the year ended
December 31, 2022, as compared to $28.0 million for the year ended December 31, 2021. The decrease was mainly due
to the reduction in headcount in connection with the implementation of the Restructuring Plan.
Selling, General and Administrative Expense
Selling, general and administrative expense decreased by $0.3 million, to $92.0 million for the year ended
December 31, 2022 as compared to $92.3 million for the year ended December 31, 2021. This was primarily driven by
the reduction in headcount in connection with the implementation of the Restructuring Plan, offset by the rent expense
increase year over year due to the newly leased facilities in Bedford, Massachusetts. Included within selling, general and
administrative expense are shipping and handling costs for product sales of $7.2 million and $6.9 million for the years
ended December 31, 2022 and 2021, respectively.
Other Lease Costs
During the year ended December 31, 2022, we incurred other lease costs of $1.3 million. As part of the
Restructuring Plan, we are not utilizing the office and laboratory space leased in Bedford, Massachusetts and are
evaluating alternatives, including termination of the lease or sub-leasing the facilities. Other lease costs represent the
depreciation expense of the right-of-use asset and the accretion of the lease facility for periods after the impairment and
the determination that the facilities would not be utilized. There were no similar charges in the same period in 2021.
Restructuring, Goodwill Impairment, and Impairment Expense
During the year ended December 31, 2022, we incurred restructuring expense of $3.8 million, non-cash
impairment expenses for long-lived assets of $17.4 million and non-cash impairment expenses for goodwill of
$8.2 million. Included in restructuring expense were costs for severance and one-time termination benefits in connection
with the elimination of 119 positions across the Company, associated legal fees and contract cancellation costs due to the
implementation of the Restructuring Plan. Impairment expense of $17.4 million includes $16.3 million associated with
the Bedford, Massachusetts facilities and $1.1 million associated with the impairment of software costs for projects that
have been rationalized as part of the Restructuring Plan. As part of the Restructuring Plan, we are not utilizing the
Bedford, Massachusetts facilities and are evaluating alternatives, including terminating the lease or sub-leasing the
78
facilities. The entire goodwill balance was written off during the year ended December 31, 2022, following the
assessment of our interim goodwill impairment test. There were no similar charges in the same period in 2021.
Interest Income (Expense), Net
Interest income (expense), net increased by $5.5 million to $5.1 million of income for the year ended
December 31, 2022, as compared to ($0.4) million of expense for the year ended December 31, 2021. This increase was
due to the favorable impact of higher interest rates earned on cash and cash equivalents as well as the settlement of our
notes payable in the year ended December 31, 2021.
Other (Expense) Income, Net
Other (expense) income, net decreased by $1.4 million to ($0.1) million of expense for the year ended
December 31, 2022, as compared to $1.3 million of income for the year ended December 31, 2021. The decrease was
primarily due to the recognition of a one-time employee retention tax credit of $2.2 million established under the
Coronavirus Aid, Relief, and Economic Security Act in 2021.
Income Tax (Expense) Benefit, Net
Income tax (expense) benefit, net was less than ($0.1) million of expense for the year ended December 31,
2022, as compared to benefit of less than $0.1 million for the same period in 2021. The change was primarily due to the
decrease in the tax benefit recorded on the operating results of our foreign subsidiaries.
Liquidity and Capital Resources
Since our inception, we have incurred annual net losses and negative cash flows from operations. We used
$48.3 million and $47.9 million of cash for our operating activities for the years ended December 31, 2022 and 2021,
respectively.
The impact to our operating cash flows of an increase in net loss of $39.0 million for the year ended
December 31, 2022, was primarily offset due to one-time non-cash expenses (i.e., goodwill and long-lived assets
impairment), improved collection of receivables, and lower levels of inventory. This resulted in no significant change in
net cash used in operating activities during the years ended December 31, 2022, and 2021. As of December 31, 2022, we
had an accumulated deficit of $402.2 million. As of December 2022, we had cash and cash equivalents of
$338.7 million.
Sources of Liquidity
To date, we have financed our operations principally through equity offerings, borrowings from credit facilities
and revenue from our commercial operations.
Equity Offerings
In February 2021, we raised approximately $270 million of net proceeds through an underwritten public
offering of approximately 4.1 million shares of our common stock at a public offering price of $70.00 per share. There
were no equity offerings during the year ended December 31, 2022.
Loan Facility with Hercules
On April 14, 2014, we executed a loan agreement with Hercules Capital, Inc. (Hercules), as subsequently
amended most recently in April 2019. The interest rate on this term loan was variable based on a calculation of 8.0%
plus the prime rate less 5.25%, with a minimum interest rate of 8.0%. Interest was to be paid monthly beginning the
month following the borrowing date. Under the amended agreement, we were required to pay the loan principal in four
equal installments starting July 1, 2021, with the final principal payment and end of term charge to be made on
October 1, 2021. On October 1, 2021, we made the final principal payment, including end of term fees, of $2.0 million
related to
79
the loan agreement. There were no outstanding balances under the loan facility at any time during the year ended
December 31, 2022.
Cash Flows
The following table presents our cash flows for each period presented (in thousands):
Net cash used in operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash used in investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash provided by financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net increase in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
Net Cash Used in Operating Activities
Year Ended December 31,
2022
2021
(48,272) $
(11,206)
2,311
(57,167) $
(47,907)
(6,338)
270,795
216,550
We derive cash flows from operations primarily from the sale of our products and services. Our cash flows
from operating activities are also significantly influenced by our use of cash for operating expenses to support the
growth of our business. We have historically experienced negative cash flows from operating activities as we have
developed our technology, expanded our business and built out our infrastructure and this may continue in the future.
Net cash used in operating activities was $48.3 million during the year ended December 31, 2022. Net cash
used in operating activities primarily consisted of net loss of $96.7 million offset by non-cash charges of $15.4 million of
stock-based compensation expense, $5.3 million of depreciation and amortization expense, $8.2 million of goodwill
impairment and $17.4 million of impairment of long-lived assets. Net changes in operating assets and liabilities resulted
in net cash inflows of $2.1 million, primarily due to a decrease in accounts receivable of $5.2 million, decrease in
inventory of $5.4 million as well as an increase in deferred revenue of $2.6 million, offset by a decrease in payables of
$5.4 million, decrease in compensation and payroll accruals of $4.1 million and an increase in prepaid expenses and
other assets of $0.6 million.
Net cash used in operating activities was $47.9 million during the year ended December 31, 2021. Net cash
used in operating activities primarily consisted of net loss of $57.7 million offset by non-cash charges of $16.0 million of
stock based compensation expense and $4.9 million of depreciation and amortization expense. Cash used as a result of
changes in operating assets and liabilities of $12.2 million was primarily due to an increase in inventory of $8.1 million
and an increase in accounts receivable of $6.9 million, offset by an increase in accounts payable, accrued compensation
and benefits and other accrued expenses of $3.5 million, all driven by growth and our investments in process
improvements.
Net Cash Used in Investing Activities
Historically, our primary investing activities have consisted of capital expenditures for the purchase of capital
equipment to support our expanding infrastructure and work force. We expect to continue to incur additional costs for
capital expenditures related to these efforts in future periods.
On a net basis, we used $11.2 million of cash during the year ended December 31, 2022, consisting of
$11.7 million for the purchase of property and equipment, offset by $0.5 million in grant proceeds related to assets
acquired under RADx grant.
On a net basis, we used $6.3 million of cash during the year ended December 31, 2021, consisting of
$13.6 million for the purchase of property and equipment, offset by $7.3 million in grant proceeds related to assets
acquired under WP2.
80
Net Cash Provided by Financing Activities
Historically, we have financed our operations principally through equity offerings, borrowings from credit
facilities and revenue from our commercial operations.
Financing activities provided $2.3 million of cash during the year ended December 31, 2022, consisting of
$1.4 million in net proceeds from the exercise of stock options and $0.9 million in net proceeds from purchases under
our Employee Stock Purchase Plan.
Financing activities provided $270.8 million of cash during the year ended December 31, 2021, primarily from
$269.7 million in net proceeds from our underwritten public offering during the first quarter of 2021.
Capital Resources
We have not achieved profitability on an annual basis since our inception, and we expect to continue to incur
net losses in the future. We also expect that our operating expenses will increase as we continue to increase our
marketing efforts to drive adoption of our commercial products as well as our investment in improving the quality of our
products and services. Our liquidity requirements have historically consisted, and we expect that they will continue to
consist, of sales and marketing expenses, research and development expenses, working capital, debt service and general
corporate expenses.
We believe cash generated from commercial sales along with our current cash and cash equivalents will be
sufficient to meet our anticipated operating cash requirements for at least the next 12 months. In the future, we expect
our operating and capital expenditures to increase as we increase headcount, expand our sales and marketing activities
and grow our customer base. Our estimates of the period of time through which our financial resources will be adequate
to support our operations and the costs to support research and development and our sales and marketing activities are
forward-looking statements and involve risks and uncertainties and actual results could vary materially and negatively as
a result of a number of factors, including the factors discussed in Item 1A, “Risk Factors” of this Annual Report on
Form 10-K. We have based our estimates on assumptions that may prove to be wrong and we could utilize our available
capital resources sooner than we currently expect. Our future funding requirements will depend on many factors,
including:
•
•
•
•
•
•
•
•
•
continued market acceptance of our products and services and the ability of our products to meet our
customers’ expectations;
the cost and timing of establishing additional sales, marketing and distribution capabilities;
the extent to which we achieve intended cost savings, revenue improvement and related benefits from our
Restructuring Plan;
the extent to which we are able to successfully complete our assay improvement program to enhance
product quality;
the cost of our research and development activities;
our ability to enter into collaborations in the future, and the success of any such collaborations;
potential opportunities to strategically acquire and integrate companies or technologies that may be
complementary to our business;
the cost and timing of potential regulatory clearances or approvals that may be required in the future for our
products; and
the effect of competing technological and market developments.
We cannot guarantee that we will be able to obtain additional funds on acceptable terms, or at all. If we raise
additional funds by issuing equity or equity-linked securities, our stockholders may experience dilution. Future debt
financing, if available, may involve covenants restricting our operations or our ability to incur additional debt. Any debt
or equity financing that we raise may contain terms that are not favorable to us or our stockholders. If we raise additional
funds through collaboration and licensing arrangements with third parties, it may be necessary to relinquish some rights
to our technologies or our products, or grant licenses on terms that are not favorable to us. If we do not have or are not
81
able to obtain sufficient funds, we may have to delay development or commercialization of our products. We also may
have to reduce marketing, customer support or other resources devoted to our products or cease operations.
If the conditions for raising capital are favorable, we may seek to finance future cash needs through public or
private equity or debt offerings or other financings.
Contractual Obligations, Commitments and Contingencies
Lease Obligations
We currently lease approximately 91,600 square feet of office, laboratory, and manufacturing space at our
headquarters in Billerica, Massachusetts. The premises covered by this lease serve as our principal office and laboratory
space. The initial term of the Billerica lease is eleven years and five months beginning on April 1, 2019, and we have the
option to extend the lease for two additional five-year periods.
On January 28, 2022, we executed a lease for 85,800 square feet of office and laboratory space in Bedford,
Massachusetts. The lease commencement date was February 1, 2022, when we gained access to the underlying facilities.
The initial term of the lease’s payment schedule is eight years and nine months beginning on May 1, 2022. We have the
option to extend the lease for two additional five-year periods. As part of the Restructuring Plan, we decided not to
utilize these facilities as part of our own operations. We are reviewing our alternatives with respect to this space. These
alternatives may include the termination of the lease or the sub-lease of all or a portion of the leased facilities. Refer to
Note 12 to the consolidated financial statements for further details related to the Bedford space.
In addition, our subsidiary, Uman, leases a total of approximately 6,500 square feet of office, laboratory,
manufacturing and storage space in Umeå, Sweden through multiple leases that expire at various dates through June 30,
2025.
The following table summarizes our operating lease obligations (in thousands):
2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2024 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2025 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2026 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2027 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
As of December 31, 2022
6,707
7,064
7,228
7,408
7,641
23,621
59,669
Backlog
We generally expect to ship all instrument and consumable orders in the same fiscal quarter in which they are
received, with the exception of orders received near the end of a fiscal quarter. As a result, our backlog at the end of any
fiscal quarter is typically insignificant.
82
Item 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to financial market risk, including foreign currency exchange risk and interest rate risk.
Concentration of Revenue and Credit Risk
Financial instruments that potentially subject us to concentrations of credit risk consist principally of cash and
cash equivalents and trade receivables. Cash equivalents consist primarily of cash deposits and short-term, highly liquid
investments that are readily convertible into cash, such as government securities with original maturities of less than
90 days at the date of purchase. Deposits of cash held outside the United States totaled approximately $3.6 million and
$3.4 million at December 31, 2022 and 2021, respectively.
We grant credit to customers in the ordinary course of business. Credit evaluations are performed on an
ongoing basis to reduce credit risk, and no collateral is required from our customers. An allowance for credit loss is
provided for those accounts receivable considered to be uncollectible based upon historical experience and credit
evaluation. As of December 31, 2022, no customer individually accounted for more than 10% of our gross accounts
receivable. As of December 31, 2021, one company represented 18% of our gross accounts receivable. Due to the nature
of our quarterly revenue streams derived from royalty revenue, it is not unusual for our accounts receivable balances to
include a few customers with large balances. There were no material losses recorded due to customers’ non-payment for
the years ended December 31, 2022, or 2021.
For the year ended December 31, 2022, only one company accounted for more than 10% of our total revenue at
13%. For the year ended December 31, 2021, no customers individually accounted for more than 10% of our total
revenue.
Foreign Currency Exchange Risk
As we expand internationally our results of operations and cash flows will become increasingly subject to
fluctuations due to changes in foreign currency exchange rates. For the years ended December 31, 2022 and 2021,
approximately 38% and 36%, respectively, of our total revenue was generated from customers located outside of North
America. Our expenses are generally denominated in the currencies in which our operations are located, which is
primarily in the United States, with a portion of expenses incurred in Canada, Europe, Japan and China. Our results of
operations and cash flows are, therefore, subject to fluctuations due to changes in foreign currency exchange rates.
Fluctuations in currency exchange rates could harm our business in the future. The effect of a 10% adverse change in
exchange rates on foreign denominated cash, receivables and payables as of December 31, 2022 would not have been
material. The effect of a 10% adverse change in exchange rates on foreign denominated cash, receivables and payables
as of December 31, 2021 would not have been material.
To date, we have not entered into any material foreign currency hedging contracts although we may do so in the
future.
Interest Rate Risk
We had cash and cash equivalents of $338.7 million as of December 31, 2022. These amounts were held
primarily in cash on deposit with banks. Due to the short-term nature of these investments, we believe that we do not
have any material exposure to changes in the fair value of our investment portfolio as a result of changes in interest rates.
Declines in interest rates, however, will reduce future investment income. If overall interest rates had decreased by 10%
during the years ended December 31, 2022 and 2021, our interest income would not have been materially affected. We
do not hold or issue financial instruments for trading purposes.
Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The financial statements required to be filed pursuant to this Item 8 are appended to this Annual Report on
Form 10-K beginning on page F-1.
83
Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
Not applicable.
Item 9A. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
We have established disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and
15d-15(e) under the Exchange Act) that are designed to provide reasonable assurance that information required to be
disclosed in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported
within the time periods specified in the rules and forms of the SEC and to ensure that such information is accumulated
and communicated to management, including our Chief Executive Officer (principal executive officer) and Chief
Financial Officer (principal financial officer), to allow timely decisions regarding required disclosures. Under the
supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial
Officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures as of December 31,
2022. Based on this evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure
controls and procedures were not effective at a reasonable assurance level as of December 31, 2022, due to the material
weaknesses described below in Management’s Report on Internal Control over Financial Reporting.
Management’s Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial
reporting, as this term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. All internal control systems,
no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can
provide only reasonable assurance with respect to financial statement preparation and presentation.
Under the supervision and with the participation of our management, including our Chief Executive Officer and
Chief Financial Officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting
as of December 31, 2022, based on the framework set forth in Internal Control-Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission (2013 Framework). Based on our evaluation
under the framework set forth in Internal Control-Integrated Framework, our management concluded that our internal
control over financial reporting was not effective at the reasonable assurance level as of December 31, 2022, due to the
material weaknesses described below.
A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting
such that there is a reasonable possibility that a material misstatement of the Company's annual or interim financial
statements will not be prevented or detected on a timely basis.
Based on the evaluation described above, our management concluded that control deficiencies existed as of
December 31, 2022, and that these control deficiencies constituted material weaknesses in our internal control over
financial reporting. The material weaknesses related to the operating effectiveness of our internal control associated with
(i) the accounting for inventory, including excess and obsolescence reserves, (ii) the accounting for salary and
commissions expense, (iii) the financial statement close process, including financial reporting, share-based compensation
and non-recurring transactions such as impairment of assets and accounting for leases, and (iv) the accounting for
property and equipment, net. The primary cause of these control deficiencies is that we did not maintain a sufficient
number of qualified personnel with requisite expertise in key accounting and finance functions, including following the
implementation of the Restructuring Plan in the second half of 2022. In addition, our reliance on a significant number of
end user computing tools requires additional procedures to verify the completeness and accuracy of information used
within our analyses.
There were no material misstatements as a result of the material weaknesses discussed above. If not remediated,
or if we identify further material weaknesses in our internal control, our failure to establish and maintain effective
84
disclosure controls and procedures and internal control over financial reporting could result in material misstatements in
our consolidated financial statements or a failure to meet our reporting and financial obligations.
The Company’s independent registered public accounting firm, Ernst & Young LLP, has also issued an audit
report on the Company’s internal control over financial reporting, which is included elsewhere in this Annual Report on
Form 10-K.
Management’s Plan to Remediate the Material Weaknesses
Management, with oversight from the Audit Committee of our Board of Directors, is taking steps to remediate
the control deficiencies which resulted in the material weaknesses described above by implementing changes to our
internal control over financial reporting. Our plans for remediation include, but are not limited to, the efforts summarized
below, which have been or are in the process of being implemented:
• we have hired, and will continue to hire, additional personnel (including those with public company
experience) who have the appropriate level of expertise in the areas of accounting, financial reporting, and
internal controls commensurate with the volume and complexity of our reporting requirements;
• we have engaged accounting advisory consultants to provide additional depth and breadth in our period end
close, technical accounting, and financial reporting capabilities until we have filled vacancies with
qualified personnel;
• we will engage a third-party service provider to perform an assessment of our internal control design and
related documentation;
• we have engaged a third-party consultant to assess our current enterprise resource planning system and
identify opportunities to enhance our use of the system through automating certain controls and processes;
and
• we have engaged an accounting advisory consultant to conduct additional trainings on a regular basis
related to internal control over financial reporting to our team members including, but not limited to,
finance and accounting personnel.
We are also developing a plan to manage, on an ongoing basis, the impact of personnel turnover in the areas of
accounting and financial reporting by broadening the understanding and knowledge of a larger group of personnel who
can thereby work to support our operations during periods of reduced staffing.
We expect to continue our efforts to remediate the material weaknesses as described above through fiscal year
2023. We believe that the implementation of the above steps will allow us to address the deficient controls within our
internal control environment, which will facilitate the remediation of the material weaknesses. As we continue to
evaluate and work to improve our internal control over financial reporting, we will take additional measures to address
control deficiencies and we may modify certain of the remediation measures described above. Following our design and
implementation of our remediation efforts, we will need to demonstrate their operating effectiveness. We will not be able
to consider the material weaknesses remediated until the applicable remedial controls operate for a sufficient period of
time and our management has concluded, through testing, that our controls are operating effectively.
Changes in Internal Control over Financial Reporting
Other than related to the changes outlined above to remediate the material weaknesses described above, there
have been no changes in our internal control over financial reporting during the fiscal quarter ended December 31, 2022
that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
85
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Shareholders and the Board of Directors of Quanterix Corporation
Opinion on Internal Control over Financial Reporting
We have audited Quanterix Corporation’s internal control over financial reporting as of December 31, 2022, based on
criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of
the Treadway Commission (2013 framework), (the COSO criteria). In our opinion, because of the effect of the material
weaknesses described below on the achievement of the objectives of the control criteria, Quanterix Corporation (the
Company) has not maintained effective internal control over financial reporting as of December 31, 2022, based on the
COSO criteria.
A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting, such that
there is a reasonable possibility that a material misstatement of the company’s annual or interim financial statements will
not be prevented or detected on a timely basis. The following material weaknesses have been identified and included in
management’s assessment. Management has identified material weaknesses in internal controls related to (i) the
accounting for inventory, including excess and obsolescence reserves, (ii) the accounting for salary and commissions
expense, (iii) the financial statement close process, including financial reporting, share-based compensation and non-
recurring transactions such as impairment of assets and accounting for leases, and (iv) the accounting for property and
equipment, net.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2022, and December 31, 2021,
the related consolidated statements of operations, comprehensive loss, stockholders' equity and cash flows for each of
the three years in the period ended December 31, 2022, and the related notes. These material weaknesses were
considered in determining the nature, timing and extent of audit tests applied in our audit of the 2022 consolidated
financial statements, and this report does not affect our report dated March 6, 2023, which expressed an unqualified
opinion thereon.
Basis for Opinion
The Company's management is responsible for maintaining effective internal control over financial reporting and for its
assessment of the effectiveness of internal control over financial reporting included in the accompanying Management's
Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company's
internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and
the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was
maintained in all material respects.
Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a
material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the
assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that
our audit provides a reasonable basis for our opinion.
Definition and Limitations of Internal Control Over Financial Reporting
A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with
generally accepted accounting principles. A company's internal control over financial reporting includes those policies
and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the
transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are
recorded
86
as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles,
and that receipts and expenditures of the company are being made only in accordance with authorizations of
management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely
detection of unauthorized acquisition, use, or disposition of the company's assets that could have a material effect on the
financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements.
Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become
inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may
deteriorate.
/s/ Ernst & Young LLP
Boston, Massachusetts
March 6, 2023
Item 9B. OTHER INFORMATION
Not applicable.
Item 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not applicable.
PART III
Item 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
The information required by this Item 10 will be included in our definitive proxy statement to be filed with the
SEC with respect to our 2023 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 11. EXECUTIVE COMPENSATION
The information required by this Item 11 will be included in our definitive proxy statement to be filed with the
SEC with respect to our 2023 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND
RELATED STOCKHOLDER MATTERS
The information required by this Item 12 will be included in our definitive proxy statement to be filed with the
SEC with respect to our 2023 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR
INDEPENDENCE
The information required by this Item 13 will be included in our definitive proxy statement to be filed with the
SEC with respect to our 2023 Annual Meeting of Stockholders and is incorporated herein by reference.
Item 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
The information required by this Item 14 will be included in our definitive proxy statement to be filed with the
SEC with respect to our 2023 Annual Meeting of Stockholders and is incorporated herein by reference.
87
Item 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
(1) Financial Statements
PART IV
The consolidated financial statements are included beginning on page F-1 attached hereto and are filed as part
of this Annual Report on Form 10-K.
(2) Financial Statement Schedules
Financial statement schedules have been omitted since they either are not required, not applicable, or the
information is otherwise included.
(3) Exhibits
The following is a list of exhibits filed as part of this Annual Report on Form 10-K:
Exhibit Number
Exhibit Description
Filed
Herewith
Incorporated by
Reference herein from
Form or Schedule
3.1 Amended and Restated
Certificate of Incorporation
3.2 Restated Bylaws
4.1 Description of Securities
4.2 Form of Common Stock
Certificate
10.1.1+ 2007 Stock Option and Grant
Plan, as amended
10.1.2+ Form of Incentive Stock
Option Agreement under the
2007 Stock Option and Grant
Plan, as amended
10.1.3+ Form of Non-qualified Stock
Option Agreement under the
2007 Stock Option and Grant
Plan, as amended
10.1.4+ Form of Restricted Stock
Agreement under the 2007
Stock Option and Grant Plan,
as amended
8-K
8-K
10-K
S-1
S-1
S-1
Filing Date
SEC File/
Reg. Number
12/15/2017
001-38319
12/15/2017
3/13/2020
11/9/2017
001-38319
001-38319
333-221475
11/9/2017
333-221475
11/9/2017
333-221475
S-1
11/9/2017
333-221475
S-1
11/9/2017
333-221475
10.2.1+ 2017 Employee, Director and
S-1/A
11/27/2017
333-221475
Consultant Equity Incentive
Plan
10.2.2+ Form of Stock Option
S-1/A
11/27/2017
333-221475
Agreement under the 2017
Employee, Director and
Consultant Equity Incentive
Plan
88
Exhibit Number
Exhibit Description
Filed
Herewith
Incorporated by
Reference herein from
Form or Schedule
Filing Date
SEC File/
Reg. Number
10.2.3+ Form of Restricted Stock
S-1/A
11/27/2017
333-221475
Agreement under the 2017
Employee, Director and
Consultant Equity Incentive
Plan
10.2.4+ Form of Restricted Stock Unit
S-1/A
11/27/2017
333-221475
Agreement under the 2017
Employee, Director and
Consultant Equity Incentive
Plan
10.3.1+ Amended and Restated
8-K
4/29/2022
001-38319
Employment Agreement,
dated April 25, 2022, between
the Registrant and E. Kevin
Hrusovsky
10.3.2+ Separation Agreement,
effective as of August 8,
2022, between the Registrant
and E. Kevin Hrusovsky
10.4+ Employment Agreement,
dated June 22, 2021, between
the Registrant and Michael
Doyle
10.5+ Amended and Restated
Employment Agreement,
dated April 25, 2022, between
the Registrant and
Dr. Masoud Toloue
10.6+ Employment Agreement,
dated March 28, 2022,
between the Registrant and
Dan Pikora
10.7.1* Exclusive License
Agreement, dated June 18,
2007, between the Registrant
and Tufts University, as
amended on April 29, 2013
10.7.2* Second Amendment, dated
August 22, 2017, to the
Exclusive License Agreement
between the Registrant and
Tufts University
10.7.3@Third Amendment, dated
September 25, 2020, to the
Exclusive License Agreement
between the Registrant and
Tufts University
8-K
8/8/2022
001-38319
8-K
6/28/2021
001-38319
8-K
4/29/2022
001-38319
8-K
9/8/2022
001-38319
S-1
11/9/2017
333-221475
S-1
11/9/2017
333-221475
10-Q
11/6/2020
001-38319
89
Filed
Herewith
Incorporated by
Reference herein from
Form or Schedule
Filing Date
SEC File/
Reg. Number
S-1
11/9/2017
333-221475
Exhibit Number
Exhibit Description
10.8.1* Supply and Manufacturing
Agreement, dated
September 14, 2011, between
the Registrant and STRATEC
Biomedical AG
10.8.2 First Amendment to Supply
and Manufacturing
Agreement, dated October 17,
2013, between the Registrant
and STRATEC
Biomedical AG
10.9.1* STRATEC Development
Services and Equity
Participation Agreement,
dated August 15, 2011,
between the Registrant and
STRATEC Biomedical
Systems AG
10.9.2* First Amendment to
STRATEC Development
Services and Equity
Participation Agreement and
Second Amendment to
Supply and Manufacturing
Agreement, dated
November 18, 2016, between
the Registrant and STRATEC
Biomedical AG
10.10* Manufacturing Services
Agreement, dated
November 23, 2016, between
the Registrant and Paramit
Corporation
10.11+ Form of Indemnification
Agreement
10.12 Lease Agreement by and
between SSI 900 Middlesex
MA LP and the Registrant,
dated October 2, 2018.
10.13 Lease Agreement by and
between the Registrant and
XChange Owner LLC, dated
January 28, 2022.
10.14+ Amended and Restated 2018
Non-Employee Director
Compensation Policy
21.1 Subsidiaries of Registrant
23.1 Consent of Ernst & Young
LLP
X
90
S-1
11/9/2017
333-221475
S-1
11/9/2017
333-221475
S-1
11/9/2017
333-221475
S-1
11/9/2017
333-221475
S-1/A
11/27/2017
333-221475
8-K
10/5/2018
001-38319
8-K
1/31/2022
001-38319
10-K
3/1/2022
001-38319
10-K
3/5/2021
001-38319
Exhibit Number
Exhibit Description
Filed
Herewith
Incorporated by
Reference herein from
Form or Schedule
Filing Date
SEC File/
Reg. Number
31.1 Certification of the Principal
Executive Officer pursuant to
Section 302 of the
Sarbanes-Oxley Act of 2002
31.2 Certification of the Principal
Financial Officer pursuant to
Section 302 of the
Sarbanes-Oxley Act of 2002
X
X
32.1 Certifications of the Chief
X
Executive Officer and Chief
Financial Officer pursuant to
Section 906 of the
Sarbanes-Oxley Act of 2002.
101.INS Inline XBRL Instance
Document.
101.SCH Inline XBRL Taxonomy
X
X
Extension Schema Document.
101.CAL Inline XBRL Taxonomy
X
Extension Calculation
Linkbase Document.
101.DEF Inline XBRL Taxonomy
X
Extension Definition.
101.LAB Inline XBRL Taxonomy
X
Extension Label Linkbase
Document.
101.PRE Inline XBRL Taxonomy
X
Presentation Linkbase
Document.
104 Cover Page Interactive Data
File (formatted as Inline
XBRL and contained in
Exhibit 101)
+
*
@
Management contract or compensatory plan or arrangement.
Confidential treatment has been granted for portions of this Exhibit. Redacted portions have been filed
separately with the SEC.
Portions of this document (indicated by “[***]”) have been omitted because such information is not material
and is the type of information that the Registrant treats as private or confidential.
Item 16. FORM 10-K SUMMARY
Not applicable.
91
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has
duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
QUANTERIX CORPORATION
Date: March 6, 2023
By:
/s/ MASOUD TOLOUE, PH.D.
Masoud Toloue, Ph. D.
President and Chief Executive Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the
following persons on behalf of the registrant and in the capacities and on the dates indicated.
Signature
Title
Date
/s/ MASOUD TOLOUE, PH.D.
Masoud Toloue, Ph. D.
President and Chief Executive Officer
and Director (Principal Executive
Officer)
/s/ MICHAEL A. DOYLE
Michael A. Doyle
Chief Financial Officer
(Principal Financial Officer and
Principal Accounting Officer)
/s/ Martin D. Madaus, Ph.D.
Martin D. Madaus, Ph.D.
Chairman
/s/ BRIAN J. BLASER
Brian J. Blaser
/s/ KEITH L. CRANDELL
Keith L. Crandell
/s/ KAREN A. FLYNN
Karen A. Flynn
/s/ SARAH E. HLAVINKA
Sarah E. Hlavinka
/s/ PAUL M. MEISTER
Paul M. Meister
/s/ LAURIE J. OLSON
Laurie J. Olson
/s/ DAVID R. WALT, PH.D.
David R. Walt, Ph.D.
Director
Director
Director
Director
Director
Director
Director
92
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
March 6, 2023
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
QUANTERIX CORPORATION
Years ended December 31, 2022, 2021, and 2020
Report of Independent Registered Public Accounting Firm (PCAOB ID: 42). . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Balance Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Statements of Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Statements of Comprehensive Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Statements of Cash Flows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Statements of Stockholders’ Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Page
F-2
F-4
F-5
F-6
F-7
F-8
F-9
F-1
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Shareholders and the Board of Directors of Quanterix Corporation
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Quanterix Corporation (the Company) as of
December 31, 2022 and 2021, the related consolidated statements of operations, comprehensive loss, cash flows and
stockholders' equity for each of the three years in the period ended December 31, 2022, and the related notes
(collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements
present fairly, in all material respects, the financial position of the Company at December 31, 2022 and 2021, and the
results of its operations and its cash flows for each of the three years in the period ended December 31, 2022, in
conformity with U.S. generally accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2022, based on criteria
established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (2013 framework), and our report dated March 6, 2023 expressed an adverse opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an
opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the
PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities
laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial statements are free of material
misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material
misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those
risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the
financial statements. Our audits also included evaluating the accounting principles used and significant estimates made
by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits
provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current period audit of the financial statements
that was communicated or required to be communicated to the audit committee and that: (1) relates to accounts or
disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or
complex judgments. The communication of the critical audit matter does not alter in any way our opinion on the
consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below,
providing a separate opinion on the critical audit matter or on the account or disclosure to which it relates.
Excess Inventory
Description of
the Matter
As of December 31, 2022, the Company had recognized inventory of $16.8 million. As discussed
in Note 2 to the consolidated financial statements, the Company analyzes its inventory levels at
each reporting date to identify inventory that is in excess of expected sales requirements. In the
event that the Company identifies excess inventory, the Company recognizes a reduction in the
carrying value of inventory.
Auditing management’s valuation of inventory involved judgement in evaluating management’s
analysis and significant assumptions related to projections of future demand which is dependent
on market factors.
F-2
How We
Addressed the
Matter in Our
Audit
To audit the Company’s valuation of inventory, we performed audit procedures that included,
among others, performing inquiries of management and testing the completeness and accuracy of
the underlying data used supporting the Company’s estimate. To evaluate the Company’s estimate
of future demand, we independently assessed the sensitivity and impact of reasonably possible
changes in forecasted demand and the impact on the Company’s calculation of excess inventory.
We evaluated inventory levels compared to forecasted demand, historical sales and specific
product considerations. We performed inquiries with appropriate non-financial personnel,
including supply chain employees, regarding obsolete or discontinued inventory items and other
factors
judgments about
discontinued, slow moving and obsolete inventories. We also evaluated management's ability to
accurately forecast demand by comparing actual demand to management's prior estimates.
to corroborate management's assertions regarding qualitative
/s/ Ernst & Young LLP
We have served as the Company’s auditor since 2008.
Boston, Massachusetts
March 6, 2023
F-3
Quanterix Corporation
Consolidated Balance Sheets
(amounts in thousands, except share and per share data)
Assets
Current assets:
Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts receivable (less allowance for credit losses of $118 and $419 as of
December 31, 2022 and December 31, 2021, respectively; including $89 and $200
due from related parties as of December 31, 2022 and December 31, 2021,
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Restricted cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Right-of-use assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other non-current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable (including $0 and $42 to related parties as of December 31, 2022
and December 31, 2021, respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued compensation and benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue (including $69 and $54 with related parties as of December 31,
2022 and December 31, 2021, respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Short term lease liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue, net of current portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long term lease liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other non-current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Commitments and contingencies (Note 13)
Stockholders’ equity:
Common stock, $0.001 par value:
Authorized shares: 120,000,000 at December 31, 2022 and December 31, 2021,
respectively; Issued and outstanding: 37,279,994 shares and 36,768,035 shares at
December 31, 2022 and December 31, 2021, respectively . . . . . . . . . . . . . . . . . . . .
Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated other comprehensive income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated deficit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities and stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
December 31, 2022 December 31, 2021
$
338,740 $
396,465
19,017
16,786
6,860
381,403
2,597
20,162
7,516
—
21,223
1,298
434,199 $
3,836 $
10,658
4,747
8,644
2,687
386
30,958
1,415
41,417
1,469
75,259
23,786
22,190
6,514
448,955
2,577
17,960
10,534
9,632
11,491
378
501,527
9,209
13,252
6,486
6,361
1,428
241
36,977
1,099
20,464
2,035
60,575
37
763,688
(2,623)
(402,162)
358,940
434,199 $
37
745,936
441
(305,462)
440,952
501,527
$
$
$
The accompanying notes are an integral part of these financial statements.
F-4
Quanterix Corporation
Consolidated Statements of Operations
(amounts in thousands, except share and per share data)
Product revenue (including related party activity of $2,634, $505, and $580 for
the years ended December 31, 2022, 2021, and 2020, respectively) . . . . . . . . .
Service and other revenue (including related party activity of $11, $114, and
$202 for the years ended December 31, 2022, 2021, and 2020, respectively) . .
Collaboration revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grant revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Costs of goods sold:
Cost of product revenue (including related party activity of $154, $1,936, and
$205 for the years ended December 31, 2022, 2021, and 2020
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of service and other revenue (including related party activity of $87,
$74, and $52 for the years ended December 31, 2022, 2021, and 2020
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of collaboration and license revenue (including related party activity of
$0, $0, and $1,000 for the years ended December 31, 2022, 2021, and 2020
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total costs of goods sold, services, and licenses . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating expenses:
Research and Development Expense (including related party activity of $696,
$565, and $235 for the years ended December 31, 2022, 2021, and 2020
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative (including related party activity of $41,
$89, and $37 for the years ended December 31, 2022, 2021, and 2020
respectively) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other lease costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Restructuring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Impairment expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest income (expense), net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (expense) income, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax (expense) benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net loss per share, basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted-average common shares outstanding, basic and diluted . . . . . . . . . . . .
Years Ended
December 31,
2021
2020
2022
$
69,808
$
81,062 $
44,017
34,495
649
570
105,522
23,629
648
5,217
110,556
24,129
11,809
6,422
86,377
40,809
34,149
25,950
17,907
14,679
11,245
—
58,716
46,806
—
48,828
61,728
1,000
38,195
48,182
25,890
27,978
20,174
91,995
1,278
3,755
8,220
17,372
148,510
(101,704)
5,131
(62)
(96,635)
(65)
(96,700) $
(2.61) $
92,336
—
—
—
—
120,314
(58,586)
(403)
1,265
(57,724)
36
(57,688) $
(1.60) $
36,990,965
35,997,473
59,592
—
—
—
—
79,766
(31,584)
(273)
(49)
(31,906)
376
(31,530)
(1.07)
29,589,132
$
$
The accompanying notes are an integral part of these financial statements.
F-5
2020
(31,530)
2,587
2,587
(28,943)
Quanterix Corporation
Consolidated Statements of Comprehensive Loss
(amounts in thousands)
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Other comprehensive loss:
2022
Years Ended December 31,
2021
(57,688) $
(96,700) $
Foreign currency translation adjustment . . . . . . . . . . . . . . . .
Total other comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . .
Comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
(3,064)
(3,064)
(99,764) $
(1,993)
(1,993)
(59,681) $
The accompanying notes are an integral part of these financial statements.
F-6
Quanterix Corporation
Consolidated Statements of Cash Flows
(amounts in thousands)
Year Ended December 31,
2021
2020
2022
Operating activities
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventory step-up amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Credit (income) loss expense on accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unrealized losses (gains) on foreign currency transactions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-cash lease expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stock-based compensation expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill impairment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Impairment of long-lived assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-cash interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss on disposal of fixed assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changes in operating assets and liabilities:
Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses and other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other non-current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued compensation and benefits, other accrued expenses and other current liabilities . . . . . . .
Operating lease liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other non-current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash used in operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investing activities
Purchases of property and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds from RADx grant on assets purchased . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash used in investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Financing activities
Proceeds from stock options exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sale of common stock in underwritten public offering, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds from ESPP purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payments on notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash provided by financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net increase in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of foreign currency exchange rate on cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash, restricted cash, and cash equivalents at beginning of period. . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash, restricted cash, and cash equivalents at end of period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplemental cash flow information
Cash paid for interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash paid for taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Noncash transactions:
Purchases of property and equipment included in accounts payable and other accrued expenses . . .
Right-of-use asset obtained in exchange for lease liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Restricted cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total cash, cash equivalents, and restricted cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
(96,700) $
(57,688)
$
(31,530)
5,349
—
(301)
(219)
715
15,442
8,220
17,372
—
(226)
6
5,156
(568)
5,386
(909)
(5,362)
(3,976)
(266)
10
2,599
(48,272)
(11,726)
520
(11,206)
1,430
—
881
—
2,311
(57,167)
(538)
399,042
341,337 $
— $
684 $
152 $
22,494 $
4,851
275
213
263
499
15,975
—
—
65
—
89
(6,853)
(393)
(8,090)
(2)
2,414
606
(1,230)
(363)
1,462
(47,907)
(13,616)
7,278
(6,338)
7,750
269,718
1,065
(7,738)
270,795
216,550
(92)
182,584
399,042
389
—
229
—
338,740 $
2,597 $
341,337 $
396,465
2,577
399,042
$
$
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$
$
$
$
$
4,312
722
493
(20)
245
10,099
—
—
86
—
171
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(3,927)
(5,119)
198
649
6,326
316
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(3,930)
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4,019
91,404
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(75)
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72,245
158
110,181
182,584
625
—
1,029
—
181,584
1,000
182,584
$
$
$
$
$
$
$
$
The accompanying notes are an integral part of these financial statements.
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T
Quanterix Corporation
Notes to Consolidated Financial Statements
1. Organization and operations
Quanterix Corporation (Nasdaq: QTRX) (the Company) is a life sciences company that has developed next
generation, ultra-sensitive digital immunoassay platforms that advance precision health for life sciences research and
diagnostics. The Company’s platforms are based on its proprietary digital “Simoa” detection technology. The
Company’s Simoa bead-based and planar array platforms enable customers to reliably detect protein biomarkers in
extremely low concentrations in blood, serum and other fluids that, in many cases, are undetectable using conventional,
analog immunoassay technologies, and also allow researchers to define and validate the function of novel protein
biomarkers that are only present in very low concentrations and have been discovered using technologies such as mass
spectrometry. These capabilities provide the Company’s customers with insight into the role of protein biomarkers in
human health that has not been possible with other existing technologies and enable researchers to unlock unique
insights into the continuum between health and disease. The Company is currently focusing on protein detection, but the
Company’s Simoa platforms have also demonstrated applicability across other testing applications, including detection
of nucleic acids and small molecules.
The Company launched its first immunoassay platform, the Simoa HD-1, in 2014. The HD-1 is a fully
automated immunoassay bead-based platform with multiplexing and custom assay capability, and related assay test kits
and consumable materials. The Company launched a second bead-based immunoassay platform (SR-X) in the fourth
quarter of 2017 with a more compact footprint than the Simoa HD-1 and less automation designed for lower volume
requirements while still allowing multiplexing and custom assay capability. The Company initiated an early-access
program for its third instrument (SP-X) on the new Simoa planar array platform in January 2019, with the full
commercial launch commencing in April 2019. In July 2019, the Company launched the Simoa HD-X, an upgraded
version of the Simoa HD-1 which replaces the HD-1. The HD-X has been designed to deliver significant productivity
and operational efficiency improvements, as well as greater user flexibility. The Company began shipping and installing
HD-X instruments at customer locations in the third quarter of 2019. The Company also performs research services on
behalf of customers to apply the Simoa technology to specific customer needs. The Company's customers are primarily
in the research use only market, which includes academic and governmental research institutions, the research and
development laboratories of pharmaceutical manufacturers, contract research organizations, and specialty research
laboratories.
The Company’s wholly owned subsidiary UmanDiagnostics AB (Uman), a Swedish company located in Umeå,
Sweden, supplies neurofilament light (Nf-L) antibodies and ELISA kits, which are widely recognized by researchers and
biopharmaceutical and diagnostics companies world-wide as the premier solution for the detection of Nf-L to advance
the development of therapeutics and diagnostics for neurodegenerative conditions.
Underwritten public offerings
On August 6, 2020, the Company entered into an underwriting agreement with SVB Leerink LLC and Cowen
and Company, LLC (Cowen), as representatives of the several underwriters, relating to an underwritten public offering
of approximately 3.0 million shares of the Company’s common stock, par value $0.001 per share. The underwritten
public offering resulted in gross proceeds of $97.6 million. The Company incurred $6.2 million in issuance costs
associated with the underwritten public offering, resulting in net proceeds to the Company of $91.4 million.
On February 3, 2021, the Company entered into an underwriting agreement with Goldman Sachs & Co. LLC,
Leerink, and Cowen, as representatives of the several underwriters, relating to an underwritten public offering of
approximately 4.1 million shares of the Company’s common stock, par value $0.001 per share. The underwritten public
offering resulted in gross proceeds of $287.5 million. The Company incurred $17.8 million in issuance costs associated
with the underwritten public offering, resulting in net proceeds to the Company of $269.7 million.
F-9
Liquidity
The Company has recognized annual losses from operations since inception and has an accumulated deficit of
$402.2 million as of December 31, 2022. The Company incurred net losses of $96.7 million, $57.7 million, and
$31.5 million for the years ended December 31, 2022, 2021, and 2020, respectively. The Company had $338.7 million
and $396.5 million of unrestricted cash and cash equivalents for the years ended December 31, 2022 and 2021,
respectively. The Company expects that its cash and cash equivalents, as of December 31, 2022, will be sufficient to
fund its operations for a period of at least one year from the date the consolidated financial statements are issued. There
can be no assurances, however, that no additional funding will be required or that additional funding will be available on
terms acceptable to the Company, or at all.
2. Significant accounting policies
Principles of consolidation
The consolidated financial statements have been prepared in accordance with U.S. GAAP and include the
accounts of Quanterix Corporation, and its wholly-owned subsidiaries. All material intercompany transactions and
balances have been eliminated in consolidation.
Use of estimates
The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to
make estimates and assumptions that affect the amounts reported in the consolidated financial statements and
accompanying notes. In making those estimates and assumptions, the Company bases its estimates on historical
experience and on various other assumptions believed to be reasonable. The Company’s significant estimates included in
the preparation of the consolidated financial statements are related to revenue recognition and valuation of inventory.
Actual results could differ from those estimates.
Reclassifications
Certain amounts in the prior years’ consolidated financial statements have been reclassified to conform to the
current year’s presentation.
Segment information
Operating segments are defined as components of an enterprise about which separate discrete information is
available for evaluation by the chief operating decision-maker, the Company’s Chief Executive Officer, in deciding how
to allocate resources and assess performance. The Company and the Company's chief operating decision-maker reviews
the Company's operations and manages its business as a single operating segment.
Cost of revenue
Cost of goods sold for products consists of HD-X, HD-1, and SR-X instrument costs from the manufacturer and
related reagents and other consumables. Cost of goods sold for SP-X consists of costs based on the internal assembly of
this item. Raw material part costs; inbound freight, shipping and handling costs associated with purchased goods;
contract manufacturer costs; personnel costs; royalties; overhead and other direct costs related to those sales are
classified as cost of goods sold for products.
Cost of service and other revenue consists of raw materials, personnel costs, royalties as well as overhead and
other direct costs associated with operating the Accelerator Laboratory on behalf of customers, in addition to costs
related to warranties and other costs of servicing equipment at customer sites.
F-10
Cost of license revenue consists of license fees that are the direct results of cash payments received related to
license agreements.
Research and development expenses
Research and development expenses, including personnel costs, allocated facility costs, lab supplies, outside
services, contract laboratory costs are charged to research and development expense as incurred. The Company accounts
for nonrefundable advance payments for goods and services that will be used in future research and development
activities as expense when the service has been performed or when the goods have been received. Expenses incurred
related to grant funded activities are recorded in research and development expense.
Selling, general, and administrative expenses
Selling, general and administrative expenses consist primarily of personnel costs for the Company’s sales and
marketing, finance, legal, human resources and general management, costs associated with shipping and handling for
product sales, other general and administrative costs, as well as professional services costs, such as marketing,
advertising, legal and accounting services in addition to allocated overhead costs that include facility and other overhead
costs.
The classification of shipping and handling costs for product sales as selling, general, and administrative
expenses varies from company to company with some companies recording these as selling, general and administrative
expenses and others recording such expenses within costs of goods sold for products. To the extent the classification of
these shipping and handling costs differs from the reporting approach used by other companies, the Company’s gross
margins may not be comparable with those reported by such other companies. Shipping and handling costs for product
sales included within selling, general and administrative expenses were $7.2 million, $6.9 million and $4.8 million for
the years ended December 31, 2022, 2021 and 2020, respectively.
Net loss per share
Basic net loss per common share attributable to common stockholders is calculated by dividing the loss
attributable to common stockholders by the weighted-average number of common shares. For purposes of the diluted net
loss per share calculations, unvested restricted common stock, restricted stock units, common stock options, and
warrants are considered to be potentially dilutive securities, but are excluded from the diluted net loss per share because
their effect would be anti-dilutive and therefore basic and diluted net loss per share were the same for all periods
presented.
Cash and cash equivalents
Cash and cash equivalents consist of cash deposits and short-term, highly liquid investments that are readily
convertible into cash, with original maturities of three months or less. Cash equivalents are carried at fair value based on
quoted prices for identical assets. Cash and cash equivalents consist of the following (in thousands):
Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Money market funds invested in U.S. Treasury obligations . . . . . . . . . . . . . . . .
Total cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
Restricted cash and deposits
As of
December 31,
2022
2021
32,643 $
306,097
338,740 $
64,372
332,093
396,465
Restricted cash primarily represents collateral for a letter of credit issued as security for the lease for the
Company’s headquarters in Billerica, Massachusetts, and additional space in Bedford, Massachusetts, and to secure the
F-11
Company’s corporate credit card program. The restricted cash is long term in nature as the Company will not have
access to the funds until more than one year from December 31, 2022.
Inventory
Inventory is stated at the lower of cost or market on a first-in, first-out (FIFO) basis. The Company analyzes its
inventory levels on each reporting date and writes down inventory that is expected to expire prior to being sold and
inventory in excess of expected sales requirements. In the event that the Company identifies these conditions exist in its
inventory, the carrying value is reduced to its estimated net realizable value.
Property and equipment
Property and equipment, including leasehold improvements, are stated at cost and are depreciated, or amortized
in the case of leasehold improvements, over their estimated useful lives using the straight-line method. Expenditures for
maintenance and repairs are charged to expense as incurred, whereas major betterments are capitalized as additions to
property and equipment. The Company reviews its property and equipment whenever events or changes in
circumstances indicate that the carrying value of certain assets might not be recoverable and recognizes an impairment
loss when it is probable that an asset’s realizable value is less than the carrying value. The Company recorded
impairment expenses during the year-end December 31, 2022. Refer to Note 7 for additional details.
Depreciation is calculated based upon the following estimated useful lives of the assets:
Laboratory and manufacturing equipment
Computers and software
Office furniture and equipment
Leasehold improvements
Five years
Three years
Seven years
Shorter of the useful life of the asset or the
remaining term of the lease
Leases
The Company accounts for leases in accordance with ASC Topic 842, Leases (ASC 842), which was adopted
on January 1, 2020. ASC 842 requires a lessee to recognize assets and liabilities on the balance sheet for most leases.
Lessees are differentiated between finance leases and operating leases, and classification impacts expense recognition.
At the inception of an arrangement, the Company determines whether the arrangement is or contains a lease based on the
facts and circumstances present in the arrangement. Leases with a term greater than one year are recognized on the
balance sheet as right-of-use (ROU) assets and short-term and long-term lease liabilities, as applicable. The Company
does not recognize leases on the balance sheet with a term of twelve months or less. The Company’s leases consist of
office and lab space and office equipment. All of the Company’s leases are classified as operating, and options to renew
a lease are only included in the lease term to the extent those options are reasonably certain to be exercised.
Additionally, the Company does not separate lease and non-lease components for all leases.
Operating lease liabilities and their corresponding ROU assets are initially recorded based on the present value
of lease payments over the expected remaining lease term. The rate implicit in lease contracts is typically not readily
determinable and, as a result, the Company utilizes its incremental borrowing rate to discount lease payments, which
reflects the fixed rate at which the Company could borrow on a collateralized basis the amount of the lease payments, for
a similar term, in a similar economic environment. To estimate its incremental borrowing rate, a credit rating applicable
to the Company is estimated using a synthetic credit rating analysis since the Company does not currently have a rating
agency-based credit rating.
Software development costs
The Company develops and modifies software related to the operation of some of its instruments. Software
development costs are expensed as incurred until the point the Company establishes technological feasibility. Based on
the Company’s product development process, technological feasibility is established upon the completion of a working
F-12
model. The Company does not incur material costs between the completion of the working model and the point at which
the product is ready for release. Therefore, software development costs are charged to the statement of operations as
incurred as research and development expense.
Fair value of financial instruments
ASC Topic 820, Fair Value Measurement (ASC 820), establishes a fair value hierarchy for instruments
measured at fair value that distinguishes between assumptions based on market data (observable inputs) and the
Company’s own assumptions (unobservable inputs). Observable inputs are inputs that market participants would use in
pricing the asset or liability based on market data obtained from sources independent of the Company. Unobservable
inputs are inputs that reflect the Company’s assumptions about the inputs that market participants would use in pricing
the asset or liability, and are developed based on the best information available in the circumstances.
ASC 820 identifies fair value as the exchange price, or exit price, representing the amount that would be
received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As a basis for
considering market participant assumptions in fair value measurements, ASC 820 establishes a three-tier fair value
hierarchy that distinguishes between the following:
Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities.
Level 2 inputs are inputs other than quoted prices that are observable for the asset or liability, either directly or
indirectly; and
Level 3 inputs are unobservable inputs that reflect the Company’s own assumptions about the assumptions
market participants would use in pricing the asset or liability.
To the extent that the valuation is based on models or inputs that are less observable or unobservable in the
market, the determination of fair value requires more judgment. Accordingly, the degree of judgment exercised by the
Company in determining fair value is greatest for instruments categorized in Level 3. A financial instrument’s level
within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.
The carrying amount reflected on the balance sheets for cash and cash equivalents, accounts receivable, prepaid
expenses and other current assets, accounts payable and accrued liabilities approximated their fair values, due to the
short-term nature of these instruments.
Fair value measurements are as follows (in thousands):
December 31, 2022
Financial assets
Quoted prices
in active
markets
(Level 1)
Significant other
observable
inputs (Level 2)
Significant
unobservable
inputs
(Level 3)
Total
Cash equivalents - money market funds . . . . . . . . . . . .
$
306,097
$
306,097
$
— $
—
F-13
December 31, 2021
Financial assets
Quoted prices
in active
markets
(Level 1)
Significant
other
observable
inputs (Level 2)
Significant
unobservable
inputs
(Level 3)
Total
Cash equivalents - money market funds . . . . . . . . . . . .
$
332,093
$
332,093
$
— $
—
Warranties
The Company provides a one-year warranty and maintenance service related to its instruments and sells
extended warranty contracts for additional periods. The Company defers revenue associated with these services and
recognizes them on a pro-rata basis over the period of service.
Income taxes
The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events
that have been recognized in the Company’s consolidated financial statements or tax returns. Under this method,
deferred tax assets and liabilities are determined based on differences between the consolidated financial statement
carrying amounts and the tax bases of the assets and liabilities using the enacted tax rates in effect in the years in which
the differences are expected to reverse. A valuation allowance against deferred tax assets is recorded if, based on the
weight of the available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.
The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740 Income
Taxes (ASC 740). When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the
extent that the benefit will more likely than not be realized. The determination as to whether the tax benefit will more
likely than not be realized is based upon the technical merits of the tax position as well as consideration of the available
facts and circumstances. As of December 31, 2022 and 2021, the Company did not have any significant uncertain tax
positions.
Credit, product, and supplier concentrations and off-balance-sheet risk
The Company has no significant off-balance-sheet risk, such as foreign exchange contracts, option contracts, or
other hedging arrangements. Financial instruments that potentially expose the Company to concentrations of credit risk
primarily consist of cash and cash equivalents and a cost method investment. The Company places its cash and cash
equivalents principally in depository accounts with a bank.
The Company is also subject to supply chain risks related to the outsourcing of the manufacturing of its
instruments. Although there are a limited number of manufacturers for instruments of this type, the Company believes
that other suppliers could provide similar products on comparable terms. A change in suppliers, however, could cause a
delay in manufacturing and a possible loss of sales, which would adversely affect operating results. In addition to
outsourcing the manufacturing of its instruments, the Company also purchases antibodies through a number of different
suppliers. Although a disruption in service from any one of its antibody suppliers is possible, the Company believes that
it would be able to find an adequate supply from alternative suppliers.
Customers outside the United States represented 41% and 39% of the Company’s gross trade accounts
receivable balance as of December 31, 2022, and 2021, respectively. For the year ended December 31, 2022, one
customer of approximately $13.7 million revenue accounted for 13% of the Company’s total revenue. For the year ended
December 31, 2021, no customers individually accounted for more than 10% of the Company’s total revenue.
Stock-based compensation
The Company accounts for stock-based compensation awards in accordance with ASC 718, Compensation—
Stock Compensation (ASC 718). The Company generally recognizes stock-based payments to employees and non-
employees based on their grant date fair values. Stock-based compensation awards have historically consisted of stock
F-14
options and restricted stock units. Stock-based compensation costs for employees are recognized as expense over the
requisite service period, which is generally the vesting period of the respective awards. Stock-based compensation costs
for non-employees are recognized as expense over the vesting period on a straight-line basis. There were no material
non-employee awards outstanding during the years ended December 31, 2022, 2021, and 2020.
The Company recognizes forfeitures as they occur. The Company estimates the grant date fair value, and the
resulting stock-based compensation expense, using the Black-Scholes option-pricing model.
The fair value of stock options granted to employees and non-employees is estimated on the grant date using
the Black-Scholes option-pricing model, based on the assumptions noted in the following table:
Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . .
Expected term (in years) . . . . . . . . . . . . . . . . . . . . . . . . .
Expected volatility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted-average grant date fair value . . . . . . . . . . . . .
2022
1.4% - 4.1%
None
5.0 - 5.8
55.0% - 70.8%
$ 9.88
Year Ended December 31,
2021
0.4% - 1.3%
None
6.0
49.2% - 55.6%
$ 29.96
2020
0.4% - 1.7%
None
6.0
43.9% - 49.2%
$ 12.66
The Company uses its historical volatility and implied volatility as a basis to estimate expected volatility in the
Company’s valuation of stock options. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at
the time of grant, commensurate with the expected term assumption. The Company estimates the expected term of
options granted to employees utilizing the simplified method which calculates the expected term of an option as the
average of the time to vesting and contractual life of the options. The expected term is applied to the stock option grant
group as a whole, as the Company does not expect substantially different exercise or post-vesting termination behavior
among its employee population. The Company used the simplified method due to the lack of historical exercise data and
the plain nature of the stock options. The Company uses the remaining contractual term for the expected term of non-
employee awards. The expected dividend yield is assumed to be zero as the Company has never paid dividends and has
no current plans to pay any dividends on common stock.
Recent accounting pronouncements
Adopted
In June 2016, the Financial Accounting Standards Board (FASB) established Topic 326, Financial
Instruments — Credit Losses: Measurement of Credit Losses on Financial Instruments (ASC 326) by issuing ASU
No. 2016-13 (ASU 2016-13), which amends the impairment model by requiring entities to use a forward-looking
approach based on expected losses to estimate credit losses on certain types of financial instruments, including trade
receivables and available-for-sale debt securities. The Company early adopted ASU 2016-13 on January 1, 2021 using
the modified retrospective approach. The Company’s consolidated financial statements for prior-year periods have not
been revised and are reflective of the credit loss requirements which were in effect for that period. The adoption of ASU
2016-13 did not have a material impact on the Company’s consolidated financial statements.
In August 2018, the FASB issued ASU No. 2018-15, Intangibles - Goodwill and Other - Internal-Use Software
(Subtopic 350-40): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That
Is a Service Contract (ASU 2018-15). This ASU addresses the accounting for implementation, setup and other upfront
costs paid by a customer in a cloud computing or hosting arrangement. The guidance aligns the accounting treatment of
these costs incurred in a hosting arrangement treated as a service contract with the requirements for capitalization and
amortization costs to develop or obtain internal-use software. The Company adopted ASU 2018-15 on January 1, 2021
using the prospective method. The adoption of ASU 2018-15 did not have a material impact on the Company’s
consolidated financial statements.
In December 2019, the FASB issued ASU No. 2019-12, Simplifying the Accounting for Income Taxes (ASU
2019-12), which is intended to simplify various areas related to ASC 740, Income Taxes (ASC 740). ASU 2019-
F-15
12 removes certain exceptions for performing intra period tax allocations and calculating income taxes in interim
periods. The guidance also simplifies the accounting for transactions that result in a step-up in the tax basis of goodwill
and the effect of enacted changes in tax laws or rates in interim periods. The Company early adopted ASU 2019-12 on
January 1, 2021. The adoption of ASU 2019-12 did not have a material impact on the Company’s consolidated financial
statements.
3. Revenue
The Company recognizes revenue when a customer obtains control of a promised good or service. The amount
of revenue recognized reflects consideration that the Company expects to be entitled to receive in exchange for these
goods and services, incentives and taxes collected from customers that are subsequently remitted to governmental
authorities.
Customers
The Company’s customers primarily consist of entities engaged in the life sciences research market that pursue
the discovery and development of new drugs for a variety of neurologic, cardiovascular, oncologic and other protein
biomarkers associated with diseases. The Company’s customer base includes several of the largest biopharmaceutical
companies, academic research organizations and distributors who serve certain geographic markets.
Product revenue
The Company’s products are composed of analyzer instruments, assay kits and other consumables such as
reagents. Products are sold directly to biopharmaceutical and academic research organizations or are sold through
distributors in EMEA and Asia Pacific regions. The sales of instruments are generally accompanied by an initial year of
implied service-type warranties and may be bundled with assays and other consumables and may also include other
items such as training and installation of the instrument and/or an extended service warranty. Revenues from the sale of
products are recognized at a point in time when the Company transfers control of the product to the customer, which is
generally upon installation for instruments sold to direct customers, and based upon shipping terms for assay kits and
other consumables. Revenue for instruments sold to distributors is generally recognized based upon shipping terms
(either upon shipment or delivery).
Service and other revenue
Service revenues are composed of contract research services, initial implied one-year service-type warranties,
extended services contracts and other services such as training. Contract research services are provided through the
Company’s Accelerator Laboratory and generally consist of fixed fee contracts. Revenues from contract research
services are recognized at a point in time when the Company completes and delivers its research report on each
individually completed study, or over time if the contractual provisions allow for the collection of transaction
consideration for costs incurred plus a reasonable margin through the period of performance of the services. Revenues
from service-type warranties are recognized ratably over the contract service period. For contract research services
recognized over time, the Company uses the output method to measure the progress toward the complete satisfaction of
the performance obligations. Revenues from other services are immaterial.
During the first quarter of 2022, the Company entered into a Master Collaboration Agreement with Eli Lilly
and Company (Lilly) establishing a framework for future projects focused on the development of Simoa immunoassays
(the Lilly Collaboration Agreement). The Company also entered into a Statement of Work under the Lilly Collaboration
Agreement to perform assay research and development services within the field of Alzheimer’s disease. In connection
with the Lilly Collaboration Agreement, the Company received a non-refundable up-front payment of $5.0 million
during the first quarter of 2022, and under the Statement of Work received $1.5 million per calendar quarter during
2022, beginning with the first quarter of 2022. The revenue has been recognized over a one-year period. The Lilly
Collaboration Agreement automatically renews on a quarterly basis unless Lilly provides 100 days’ termination notice.
F-16
Concurrent with the execution of the Lilly Collaboration Agreement, the Company entered into a Technology
License Agreement (the Lilly License) under which Lilly granted to the Company a non-exclusive license to Lilly’s
proprietary P-tau217 antibody technology for potential near-term use in research use only products and services and
future in vitro diagnostics applications within the field of Alzheimer’s disease. In consideration of the license, the
Company paid an upfront fee, is required to make milestone payments based on the achievement of predetermined
regulatory and commercial events, and will pay a royalty on net sales of licensed products.
The Company concluded that the Lilly Collaboration Agreement (including the Statement of Work) and the
Lilly License represented a single contract with a customer and we are accounting for the agreements as service revenue
recognized over time as the services are delivered. The transaction price for the Lilly Collaboration Agreement is
$10.9 million. Contingent amounts due to Lilly, under the Lilly License, represent variable consideration payable to a
customer and will be recognized as reductions to service revenue up to the amount of the transaction price recognized,
when probable. The Company is utilizing an input method to measure the delivery of services by calculating costs
incurred at each period end relative to total costs expected to be incurred.
During the year ended December 31, 2022, the Company recognized approximately $10.9 million of revenue
from the Lilly Collaboration Agreement.
Collaboration and license revenue
The Company may enter into agreements to license the intellectual property and know-how associated with its
instruments and certain antibodies in exchange for license fees and future royalties (as described below). The license
agreements provide the licensee with a right to use the intellectual property with the license fee revenues recognized at a
point in time as the underlying license is considered functional intellectual property.
Payment terms
The Company’s payment terms vary by the type and location of the customer and the products or services
offered. Payment from customers is generally required in a term ranging from 30 to 45 days from date of shipment or
satisfaction of the performance obligation. The Company does not provide financing arrangements to its customers.
Disaggregated revenue
When disaggregating revenue, the Company considered all of the economic factors that may affect its revenues.
The following tables disaggregate the Company’s revenue from contracts with customers by revenue type (in
thousands):
(in thousands)
Product revenues:
Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consumable and other products . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service and other revenues:
Service-type warranties . . . . . . . . . . . . . . . . . . .
Research services . . . . . . . . . . . . . . . . . . . . . . . .
Other services . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Collaboration and license revenue:
Collaboration and license revenue . . . . . . . . . . .
North America
EMEA
Asia Pacific
Total
Year Ended
December 31, 2022
$
$
$
$
$
9,254
25,894
35,148
5,581
22,493
1,144
29,218
$
$
$
8,362
14,514
22,876
2,779
1,013
722
4,514
$
$
$
7,388 $
4,396
11,784 $
480 $
147
136
763 $
25,004
44,804
69,808
8,840
23,653
2,002
34,495
274
$
323
$
52 $
649
F-17
(in thousands)
Product revenues:
North America
EMEA
Asia Pacific
Total
Year Ended
December 31, 2021
Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consumable and other products . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
Service and other revenues:
Service-type warranties . . . . . . . . . . . . . . . . . . .
Research services . . . . . . . . . . . . . . . . . . . . . . . .
Other services . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
12,138
34,997
47,135
4,334
12,101
1,372
17,807
$
$
$
$
8,178
16,122
24,300
2,039
2,600
695
5,334
$
$
$
$
5,657 $
3,970
9,627 $
255 $
124
109
488 $
25,973
55,089
81,062
6,628
14,825
2,176
23,629
Collaboration and license revenue:
Collaboration and license revenue . . . . . . . . . . .
$
360
$
288
$
— $
648
(in thousands)
Product revenues:
Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consumable and other products . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service and other revenues:
Service-type warranties . . . . . . . . . . . . . . . . . . .
Research services . . . . . . . . . . . . . . . . . . . . . . . .
Other services . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Collaboration and license revenue:
Collaboration and license revenue . . . . . . . . . . .
$
$
$
$
$
North America
EMEA
Asia Pacific
Total
Year Ended
December 31, 2020
8,680
14,305
22,985
3,171
15,011
700
18,882
$
$
$
$
4,332
10,854
15,186
1,543
2,225
435
4,203
$
$
$
$
3,594 $
2,252
5,846 $
207 $
737
100
1,044 $
16,606
27,411
44,017
4,921
17,973
1,235
24,129
11,685
$
124
$
— $
11,809
The Company’s contracts with customers may include promises to transfer multiple products and services to a
customer. The Company combines any performance obligations that are immaterial with one or more other performance
obligations that are material to the contract. For arrangements with multiple performance obligations, the Company
allocates the contract transaction price, including discounts, to each performance obligation based on its relative
standalone selling price. Judgment is required to determine the standalone selling price for each distinct performance
obligation. The Company determines standalone selling prices based on prices charged to customers in observable
transactions and uses a range of amounts to estimate standalone selling prices for each performance obligation. The
Company may have more than one range of standalone selling price for certain products and services based on the
pricing for different customer classes.
Variable consideration in the Company’s contracts primarily relates to (i) sales- and usage-based royalties
related to the license of intellectual property in collaboration and license contracts and (ii) certain non-fixed fee research
services contracts. Accounting Standard Codification (ASC) Topic 606, Revenue from Contracts with Customers (ASC
606) provides for an exception to estimating the variable consideration for sales- and usage-based royalties related to the
license of intellectual property, such that the sales- and usage-based royalty will be recognized in the period the
underlying transaction occurs. The Company recognizes revenue from sales- and usage-based royalty revenue at the later
of when the sale or usage occurs and the satisfaction or partial satisfaction of the performance obligation to which the
royalty has been allocated.
F-18
Changes in deferred revenue from contracts with customers were as follows (in thousands):
Balance at December 31, 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferral of revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Recognition of deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance at December 31, 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Year Ended December 31, 2022
7,460
11,444
(8,845)
10,059
$
The aggregate amount of transaction price that is allocated to performance obligations that have not yet been
satisfied or that are partially satisfied as of December 31, 2022 is $10.1 million. Of the performance obligations not yet
satisfied or that are partially satisfied, $8.6 million is expected to be recognized as revenue in the next 12 months, with
the remainder to be recognized within the 24 months thereafter. The $10.1 million principally consists of amounts billed
for undelivered services related to initial and extended service-type warranties and research services, as well as
$0.5 million related to undelivered licenses of intellectual property for a diagnostics company. For further discussion,
refer to Note 5.
Costs to obtain a contract
The Company’s sales commissions are generally based on bookings of the Company. The Company has
determined that certain commissions paid under its sales incentive programs meet the requirements to be capitalized as
they are incremental and would not have occurred absent a customer contract. The change in the balance of costs to
obtain a contract are as follows (in thousands):
Balance at January 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferral of costs to obtain a contract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Recognition of costs to obtain a contract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance at December 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
2022
440
1,387
(1,450)
377
The Company has classified the balance of capitalized costs to obtain a contract as a component of prepaid
expenses and other current assets and will subsequently amortize the expense as a component of cost of goods sold and
selling, general, and administrative expense over the estimated life of the contract. The Company considers potential
impairment in these amounts each period.
ASC 606 provides entities with certain practical expedients and accounting policy elections to minimize the
cost and burden of adoption.
The Company does not disclose the value of unsatisfied performance obligations for (i) contracts with original
expected length of one year or less and (ii) contracts for which revenue is recognized at the amount to which the
Company has the right to invoice for services performed.
The Company will exclude from its transaction price any amounts collected from customers related to sales and
other similar taxes.
When determining the transaction price of a contract, an adjustment is made if payment from a customer occurs
either significantly before or significantly after performance, resulting in a significant financing component. The
Company does not assess whether a significant financing component exists if the period between when the Company
performs its obligations under the contract and when the customer pays is one year or less. None of the Company’s
contracts contained a significant financing component as of December 31, 2022, and 2021, respectively.
F-19
The Company has elected to account for the shipping and handling as an activity to fulfill the promise to
transfer the product, and therefore will not evaluate whether shipping and handling activities are promised services to its
customers.
Grant revenue
The Company recognizes grant revenue as the Company performs services under the arrangement when the
funding is committed. Revenues and related research and development expenses are presented gross in the consolidated
statements of operations as the Company has determined it is the primary obligor under the arrangement relative to the
research and development services.
Accounting for grants does not fall under ASC 606, as the grantor will not benefit directly from the Company’s
expansion or product development. As there is no authoritative guidance under U.S. GAAP on accounting for grants to
for profit business entities from government entities, the Company has accounted for grants obtained with the National
Institute of Health (NIH) under its Rapid Acceleration of Diagnostics (RADx) program by analogy to International
Accounting Standards Topic 20, Accounting for Government Grants and Disclosure of Government Assistance (IAS
20) The Company accounts for grants from the Alzheimer’s Drug Discovery Foundation (ADDF) under ASC Topic 958,
Not for-Profit Entities (ASC 958).
Under IAS 20, grants related to assets shall be presented in the consolidated balance sheets either by
recognizing the grant as deferred income (which is recognized in the consolidated statements of operations on a
systematic basis over the useful life of the asset), or by deducting the grant in calculating the carrying amount of the
asset (which is recognized in the consolidated statements of operations over the life of the depreciable asset as a reduced
depreciation expense). Both methods are acceptable under IAS 20. The Company has elected to record grants related to
assets as a deduction in calculating the carrying value of the asset.
Under IAS 20, grants related to income are presented as part of the consolidated statements of operations, either
separately or under a general heading. Both methods are acceptable under IAS 20. The Company has elected to record
grants related to income separately on the consolidated statements of operations as grant revenue. The related expenses
are recorded within operating expenses.
Under ASC 958, grants related to income are presented as part of the consolidated statements of operations,
either separately or under a general heading. Both methods are acceptable under ASC 958. The Company has elected to
record grants related to income separately on the consolidated statements of operations as grant revenue. The related
expenses are recorded within operating expenses.
RADx grant
On September 29, 2020, the Company entered into WP2 with the NIH under its RADx program. The contract,
which had a total award value of $18.2 million, accelerated the continued development, scale-up, and deployment of the
novel SARS-CoV-2 antigen detection test using the Company’s Simoa technology. The contract provided funding to
expand assay kit manufacturing capacity and commercial deployment readiness. Release of the $18.2 million of funding
under WP2 was based on the achievement of certain milestones. Contract funding was subject to achievement of these
pre-defined milestones and the contract period ran through September 2021, with one milestone extended to March 31,
2022. The Company has received the full $18.2 million under WP2. During the year ended December 31, 2022, the
Company recognized no grant revenue and incurred no research and development expense related to WP2. During the
year ended December 31, 2021, the Company recognized $5.2 million in grant revenue and incurred $3.4 million in
research and development expense related to WP2. During the year ended December 31, 2020, the Company recognized
$4.4 million in grant revenue and incurred $2.6 million in research and development expense related to WP2.
The RADx Grant contains both monetary amounts granted related to assets and monetary amounts granted
related to income, which are grants other than those related to assets. The grants related to assets are for the expansion
and increase of manufacturing capacity. The grants related to income are for additional research and development, as
well as other non-asset related scale up costs.
F-20
The following table summarizes the cumulative activity under the RADx Grant (in thousands):
Total grant revenue from research and development activities . . .
Total proceeds used for assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred proceeds for assets . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred grant revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total recognized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
December 31, 2022 December 31, 2021 December 31, 2020
4,362
$
826
2,478
304
7,970
9,576 $
8,104
—
—
17,680 $
9,576
8,624
—
—
18,200
$
$
Total recognized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total amount accrued . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total cash received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total proceeds received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total proceeds reasonably assured . . . . . . . . . . . . . . . . . . . . . . . . . .
Total RADx Grant amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
$
18,200
—
18,200
18,200
—
18,200
$
$
$
$
17,680 $
—
17,680 $
17,680 $
520
18,200 $
7,970
(2,968)
5,002
5,002
13,198
18,200
ADDF
On March 24, 2022, the Company entered into a contract with the Alzheimer’s Drug Discovery Foundation
(ADDF) (the ADDF Grant). ADDF is a charitable venture philanthropy entity that has granted the Company funding in
support of certain activities for the development of an in vitro diagnostic (IVD) test for early detection of Alzheimer's
disease. The ADDF Grant, which has a total funding value of $2.3 million, restricts the Company’s use of the granted
funds to be used solely for activities related to the Alzheimer’s diagnostic test development project. Contract funding is
subject to achievement of these pre-defined milestones and the contract period runs through June 2024. The Company
recognizes revenue over time as the related services are performed. As of December 31, 2022, the Company had
received $1.3 million of the total funding value of $2.3 million under the ADDF Grant. During the year ended
December 31, 2022, the Company recognized $0.6 million in grant revenue and incurred $0.6 million in research and
development expense related to the ADDF Grant. No such activities occurred in the years ended December 31, 2021 and
2020.
4. Allowance for credit losses
The Company is exposed to credit losses primarily through sales of products and services. The Company’s
expected loss allowance methodology for accounts receivable is developed using historical collection experience, current
and future economic and market conditions, and a review of the current status of customers’ trade accounts receivable.
Due to the short-term nature of such receivables, the estimated accounts receivable that may not be collected is based on
aging of the accounts receivable balances.
Customers are assessed for credit worthiness upfront through a credit review, which includes assessment based
on the Company’s analysis of customers’ financial statements when a credit rating is not available. The Company
evaluates contract terms and conditions, country, and political risk, and may require prepayment to mitigate risk of loss.
Specific allowance amounts are established to record the appropriate provision for customers that have a higher
probability of default. The Company monitors changes to the receivables balance on a timely basis, and balances are
written off as they are determined to be uncollectable after all collection efforts have been exhausted.
Activity related to the allowance for credit losses was as follows (in thousands):
Balance at January 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Provision charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance at December 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
419
752
(1,053)
118
$
$
370 $
213
(164)
419 $
162
493
(285)
370
2022
2021
2020
F-21
5. Collaboration and license arrangements
The Company has entered into certain licenses with other companies for use of the Company’s technology.
These licenses have royalty components which the Company earns and recognizes as collaboration and license revenue
throughout the year. As of December 31, 2022 and 2021, the Company had $0.5 million of deferred revenue related to
ongoing negotiations with a diagnostics company.
Abbott Laboratories
On September 29, 2020, the Company entered into a Non-Exclusive License Agreement (the Abbott License
Agreement) with Abbott. Pursuant to the terms of the Abbott License Agreement, the Company granted Abbott a non-
exclusive, worldwide, royalty-bearing license, without the right to sublicense, under the Company’s bead-based single
molecule detection patents (Licensed Patents) in the field of in vitro diagnostics. Abbott has paid the Company an initial
license fee of $10.0 million in connection with the execution of the Abbott License Agreement, which was recognized as
license revenue for the year ended December 31, 2020. Abbott has also agreed to pay the Company milestone fees
subject to the achievement by Abbott of certain development, regulatory and commercialization milestones and low
single-digit royalties on net sales of licensed products.
The Abbott License Agreement includes customary representations and warranties, covenants and
indemnification obligations for a transaction of this nature. The Abbot License Agreement became effective upon
signing and will continue until expiration of the last-to-expire Licensed Patent, or the agreement is earlier terminated.
Under the terms of the Abbott License Agreement, the Company and Abbott each have the right to terminate the
agreement for uncured material breach by, or insolvency of, the other party. Abbott may also terminate the Abbott
License Agreement at any time without cause upon 60 days’ notice.
During the years ended December 31, 2022 and 2021, the Company recognized no revenue, respectively, within
collaboration and license revenue related to the initial license fee under the Abbott License Agreement.
6. Inventory
Inventory consists of the following (in thousands):
Raw materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Work in process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
5,509 $
3,362
7,915
16,786 $
7,892
4,923
9,375
22,190
Inventory comprises commercial instruments, assays, and the materials required to manufacture assays.
As of December 31,
2022
2021
F-22
7. Property and equipment
Property and equipment consists of the following (in thousands):
As of December 31,
2022
2021
Laboratory and manufacturing equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Office furniture and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Computers and software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leasehold improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
11,806 $
1,798
3,831
13,688
31,123 $
(10,961)
20,162 $
9,742
1,617
3,893
10,413
25,665
(7,705)
17,960
The Company incurred depreciation expense of $3.5 million, $2.8 million and $2.2 million for the years ended
December 31, 2022, 2021, and 2020, respectively. The Company has instruments included in laboratory and
manufacturing equipment, which are used internally by the Company. As of December 31, 2022, the laboratory and
manufacturing equipment balance includes $7.5 million of cost and $3.2 million of accumulated depreciation related to
these instruments. As of December 31, 2021, the laboratory and manufacturing equipment balance includes $3.9 million
of cost and $1.5 million of accumulated depreciation related to these instruments.
For the year ended December 31, 2022, the Company recorded $4.3 million of impairment expense to leasehold
improvements and other assets associated with the Bedford, Massachusetts leased office and laboratory space not being
utilized by the Company. The Company decided not to utilize the space as part of the Restructuring Plan and intends to
sublease the vacant space to recover a portion of the total cost. The Company’s decision to not utilize, and sublease, the
leased asset triggered an impairment event. The impairment testing deemed all assets associated with the leased assets as
one asset group. The impairment analysis evaluated the present value of net cash flows under the original lease and the
estimated cash flows under the sublease to identify the impairment amount. The impairment assessment considered all
industry and economic factors such as rental rates, interest rates and recent real estate activities to estimate the net cash
flows analysis and impairment amount.
The Company recorded $1.1 million of impairment expense to Computers and software for the year ended
December 31, 2022. A change in the scope of the intended use of these assets was considered to be the triggering event
for the impairment assessment and expense.
No such impairment expenses were recognized for the years ended December 31, 2021 and 2020.
8. Other accrued expenses
Other accrued expenses consist of the following (in thousands):
Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Professional and outside services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
As of December 31,
2022
2021
815 $
1,409
172
2,351
4,747 $
1,250
2,126
430
2,680
6,486
F-23
9. Income taxes
The following table presents the components of loss before income taxes (in thousands):
United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total loss before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
2022
Year Ended December 31,
2021
(56,554) $
(1,170)
(57,724) $
(89,590) $
(7,045)
(96,635) $
2020
(29,896)
(2,010)
(31,906)
The following table summarizes income tax (expense) benefit (in thousands):
Current:
United States
Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current income tax provision . . . . . . . . . . . . . . . . . . . . . . .
Deferred
United States
Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred income tax benefit . . . . . . . . . . . . . . . . . . . . . . . .
Total income tax (expense) benefit . . . . . . . . . . . . . . . . . . . . . . .
$
$
2022
Year Ended December 31,
2021
2020
— $
(77)
(368)
(445)
10
13
357
380
(65) $
— $
(30)
(342)
(372)
5
(6)
409
408
36 $
—
(13)
(102)
(115)
(8)
(3)
502
491
376
A reconciliation of the federal statutory income tax rate to the effective tax rate is as follows:
Federal statutory income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign tax rate differential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State taxes, net of federal benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Share-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Permanent items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred tax rate change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Change in valuation allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Impairment of goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effective income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022
21.0 %
— %
2.7 %
1.4 %
(2.5)%
(0.3)%
— %
Year Ended December 31,
2021
21.0 %
— %
6.5 %
2.0 %
7.4 %
(1.8)%
0.2 %
(20.8)% (34.8)%
— %
(1.7)%
(0.4)%
0.0 %
0.1 %
(0.2)%
2020
21.0 %
0.30 %
2.5 %
1.6 %
5.2 %
(0.4)%
0.3 %
(29.7)%
— %
0.4 %
1.2 %
The effective income tax rate differs from the U.S. federal statutory rate of 21.0% primarily as a result of the
valuation allowance maintained against the Company’s net deferred tax assets.
F-24
Deferred tax assets and liabilities reflect the net tax effects of temporary differences between the carrying
amount of assets and liabilities for financial reporting and the amounts used for income tax purposes. Significant
components of the Company’s deferred tax assets and liabilities were as follows (in thousands):
Deferred tax assets:
Net operating loss carryforwards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capitalized R&D Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lease liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less: valuation allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred tax liabilities:
Right-of-Use Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization acquired intangibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net deferred tax (liability) asset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
December 31,
2022
2021
78,191 $
7,407
2,385
847
2,773
1,507
5,680
10,856
1,370
111,016
(103,243)
7,773
(5,219)
(2,244)
(1,570)
—
(209)
(1,469) $
67,543
6,113
1,862
962
3,138
686
—
5,464
2,340
88,108
(83,121)
4,987
(2,867)
(1,752)
(2,208)
(66)
(129)
(2,035)
The Company’s change in its valuation allowance account with respect to the deferred tax asset is as follows (in
thousands):
Balance, beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Change in valuation allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance, end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
83,121
20,122
103,243
$
$
63,609
19,512
83,121
2022
2021
The valuation allowance increased during the year ended December 31, 2022 primarily as a result of the U.S.
operating losses incurred and research and development tax credit carryforwards generated during the year.
In determining the need for a valuation allowance, the Company has given consideration to the cumulative book
income and loss positions of each of its entities as well as its worldwide cumulative book loss position. The Company
has assessed, on a jurisdictional basis, the available means of recovering deferred tax assets, including the ability to
carryback net operating losses (NOLs), the existence of reversing taxable temporary differences, the availability of tax
planning strategies, and forecasted future taxable income. At December 31, 2022, the Company maintains a full
valuation allowance against its worldwide net deferred tax assets.
As of December 31, 2022, the Company had U.S. federal NOLs of approximately $309.7 million. U.S. federal
NOLs generated through December 31, 2017 of approximately $108.5 million expire at various dates through 2037, and
U.S. federal NOLs generated in the tax years beginning after December 31, 2017 of approximately $201.2 million do not
expire. As of December 31, 2022, the Company had $207.4 million of state NOLs, approximately $197.4 million expire
at various dates through 2042, and certain state NOLs of approximately $10.0 million do not expire. As of December 31,
2022, the Company had U.S. federal tax credit carryforwards of approximately $5.8 million that expire at various dates
through 2042. As of December 31, 2022, the Company had U.S. state tax credit carryforwards of approximately
$2.0 million that expire at various dates through 2037.
F-25
Under Sections 382 and 383 of the U.S. Internal Revenue Code, if a corporation undergoes an ownership
change, the corporation’s ability to use its pre-change NOLs and other pre-change tax attributes, such as research tax
credits, to offset its post-change income and taxes may be limited. In general, an ownership change generally occurs if
there is a cumulative change in its ownership by 5% stockholders that exceeds 50 percentage points over a rolling three-
year period. Similar rules may apply under U.S. state tax laws. Under the Tax Cuts and Jobs Act of 2017 (TCJA), the use
of federal NOLs arising in taxable years beginning after December 31, 2017 is limited to 80% of current year taxable
income and NOLs arising in taxable years ending after December 31, 2017 may not be carried back (though any such
NOLs may be carried forward indefinitely).
The Company may have experienced an ownership change in the past and may experience ownership changes
in the future as a result of future transactions in its share capital, some of which may be outside of the control of the
Company. As a result, if the Company earns net taxable income, its ability to use its pre-change NOLs, or other pre-
change tax attributes, to offset U.S. federal and state taxable income and taxes may be subject to significant limitations.
The Company accounts for uncertain tax positions using a more likely than not threshold for recognizing
uncertain tax positions. The evaluation of uncertain tax positions is based on factors that include, but are not limited to,
changes in tax law, the measurement of tax positions taken or expected to be taken in tax returns, the effective settlement
of matters subject to audit, new audit activity and changes in facts or circumstances related to a tax position. The
Company evaluates uncertain tax positions on an ongoing basis and adjusts the level of the liability to reflect any
subsequent changes in the relevant facts surrounding the uncertain positions. The Company accounts for interest and
penalties related to uncertain tax positions as a component of its benefit (provision) for income taxes. For the years
ended December 31, 2022, 2021, and 2020, the Company had no tax reserves accrued for uncertain tax positions and
there were no accrued interest or penalties in the consolidated statements of operations.
The Company is subject to taxation in the United States as well as the Netherlands, Sweden, and China. At
December 31, 2022, the Company is generally no longer subject to examination by taxing authorities in the United
States for years prior to 2019. However, NOLs and tax credits in the United States may be subject to adjustments by
taxing authorities in future years in which they are utilized. The Company’s foreign subsidiaries remain open to
examination by taxing authorities from 2013 onward.
As of December 31, 2022, the Company’s foreign subsidiaries had immaterial undistributed earnings and the
tax payable on the earnings that are indefinitely reinvested would be immaterial.
10. Stock-Based Compensation
Stock-based compensation
Stock-based compensation expense for all stock awards consists of the following (in thousands):
Cost of product revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of service and other revenue . . . . . . . . . . . . . . . . . . . . . . . . . .
Research and development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general, and administrative . . . . . . . . . . . . . . . . . . . . . . . . .
Total stock-based compensation . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
2022
December 31,
2021
608
819
1,639
12,376
15,442
$
$
471 $
403
1,807
13,294
15,975 $
2020
189
311
1,129
8,470
10,099
At December 31, 2022, there was $33.9 million of total unrecognized compensation cost related to unvested
stock options and restricted stock units which is expected to be recognized over the remaining weighted-average vesting
period of 2.9 years.
F-26
Stock-based compensation plans
In June 2007, the Company adopted the 2007 Stock Option and Grant Plan (the 2007 Plan), under which it
could grant incentive stock options, non-qualified options, restricted stock, and stock grants. In connection with the
completion of the Company’s IPO, the Company terminated the 2007 Plan. As of December 31, 2022, 207,464 shares
were outstanding under the 2007 Plan, and no shares are available for future grant under the 2007 Plan.
In December 2017, the Company adopted the 2017 Employee, Director and Consultant Equity Incentive Plan
(the 2017 Plan), under which it may grant incentive stock options, non-qualified stock options, restricted stock, and other
stock-based awards. As of December 31, 2017, the 2017 Plan allowed for the issuance of up to 1,042,314 shares of
common stock plus up to 2,490,290 shares of common stock represented by awards granted under the 2007 Plan that are
forfeited, expired, or are cancelled without delivery of shares or which result in the forfeiture of shares of common stock
back to the Company on or after the date the 2017 Plan became effective. As of December 31, 2022, 3,168,278 shares
were outstanding and there were 1,847,643 shares available for grant under the 2017 Plan.
In addition, the 2017 Plan contains an “evergreen” provision, which allows for an annual increase in the number
of shares of common stock available for issuance under the 2017 Plan on the first day of each fiscal year during the
period beginning in fiscal year 2019 and ending in fiscal year 2027. The annual increase in the number of shares shall be
equal to the lowest of: (i) 4% of the number of shares of common stock outstanding as of such date and (ii) an amount
determined by the Company’s Board of Directors or Compensation Committee. On January 3, 2023, the number of
shares of common stock available for issuance under the 2017 plan was increased by 1,488,696 shares in accordance
with the 2017 Plan’s evergreen provision.
In December 2017, the Company adopted the 2017 Employee Stock Purchase Plan (the 2017 ESPP). As of
December 31, 2019, the 2017 ESPP allowed for the issuance of up to 612,572 shares of common stock. As of
December 31, 2022, 1,447,467 shares were available for grant under the 2017 ESPP.
In addition, the 2017 ESPP contains an “evergreen” provision, which allows for an increase on the first day of
each fiscal year beginning with fiscal year 2018. The increase in the number of shares shall be equal to the lowest of:
(i) 1% of the number of shares of common stock outstanding on the last day of the immediately preceding fiscal year and
(ii) an amount determined by the Company’s Board of Directors or Compensation Committee. On January 3, 2023, the
number of shares of common stock available for issuance under the 2017 ESPP was increased by 372,174 shares in
accordance with the 2017 ESPP’s evergreen provision.
The 2017 ESPP provides for six-month option periods commencing on March 1 and ending August 31 and
commencing September 1 and ending February 28 of each calendar year.
Stock options
Under the 2017 Plan, stock options may not be granted with exercise prices of less than fair market value on the
date of the grant. Options generally vest ratably over a four-year period with 25% vesting on the first anniversary and the
remaining 75% vesting ratably on a monthly basis over the remaining three years. These options expire ten years after
the grant date. Option activity is as follows:
Outstanding at December 31, 2021 . . . . . . . . . . . . . . . .
Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cancelled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Outstanding at December 31, 2022 . . . . . . . . . . . . . . . .
Exercisable at December 31, 2022 . . . . . . . . . . . . . . . . .
Vested and expected to vest at December 31, 2022 . . .
Options
$
2,204,813
$
1,507,452
(243,792) $
(1,280,825) $
$
2,187,648
$
820,868
$
2,187,648
exercise price
25.36
18.07
5.10
28.63
20.69
22.92
20.69
F-27
Weighted-average
Remaining
contractual
Aggregate
intrinsic value
life (in years) (in thousands)
44,813
6.8 $
8.1
5.8
8.1
4,273
1,566
4,273
Restricted stock units
Restricted stock units (RSUs) represent the right to receive shares of common stock upon meeting specified
vesting requirements. A summary of RSU activity is as follows:
Weighted-average Weighted-average
Aggregate
Unvested RSUs as of December 31, 2021 . . . . . . . . .
Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vested . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cancelled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unvested RSUs as of December 31, 2022 . . . . . . . . .
Expected to convert at December 31, 2022 . . . . . . . .
11. Earnings (Loss) Per Share
Shares
529,871
$
$
1,273,807
(200,078) $
(415,506) $
1,188,094
1,188,094
grant date fair
value per share
49.32
18.32
48.93
34.94
21.18
21.18
$
remaining contractual
life (in years)
intrinsic value
(in thousands)
22,467
9.7 $
9.6 $
$
16,455
16,455
The following table presents the computation of basic and diluted earnings per share:
Year Ended December 31,
2021
(in thousands, except share and per share data)
2020
2022
Numerator:
Net loss attributable to Quanterix Corporation . . . . . . . . . . . . . . . . . . . . .
($ 96,700)
($ 57,688)
($ 31,530)
Denominator:
Weighted average shares of common stock outstanding, basic and
diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36,990,965
35,997,473
29,589,132
Net loss per share attributable to Quanterix Corporation, basic
and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
($ 2.61)
($ 1.60)
($ 1.07)
In periods when the Company is in a net loss position, dilutive securities are excluded from the computation of
diluted earnings per share because their inclusion would have an anti-dilutive effect. Thus, basic net loss per share is the
same as diluted net loss per share. The following common share equivalents have been excluded from the calculation of
diluted net loss per share:
Unvested restricted common stock and restricted stock units . . . . . . . .
Outstanding stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Outstanding common stock warrants . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Year Ended December 31,
2021
531,473
2,304,543
—
2022
701,707
446,180
—
2020
518,387
2,494,045
10,000
12. Leases
Bedford Lease
On January 28, 2022, the Company executed a lease for 85,800 square feet of office and laboratory space in
Bedford, Massachusetts. The lease commencement date was February 1, 2022, when the Company gained access to the
underlying facilities. The Company has negotiated a tenant improvement allowance with the landlord which will offset a
portion of the Company’s construction costs. The Company has assessed whether improvements made to the premises
are landlord-owned or company-owned, with payments made by the Company for landlord-owned assets accounted for
as lease incentives. The initial term of the lease’s payment schedule is eight years and nine months beginning on May 1,
2022. The Company has the option to extend the lease for two additional five-year periods.
F-28
In applying the ASC 842 transition guidance, the Bedford Lease has been assessed as an operating lease and the
Company recorded ROU assets of $18.2 million and lease liability of $23.7 million on the effective date. The difference
between the ROU and the lease liability was driven by the lease obligation incentive of $5.5 million.
As part of the Restructuring Plan, the Company decided not to utilize these facilities as part of its own
operations and intends to sublease the vacant space to recover a portion of the total cost. The Company’s decision to not
utilize, and sublease, the leased asset triggered an impairment event. The impairment testing deemed all assets associated
with the leased assets as one asset group. The impairment analysis evaluated the present value of net cash flows under
the original lease and the estimated cash flows under the sublease to identify the impairment amount. The impairment
assessment considered all industry and economic factors such as rental rates, interest rates and recent real estate
activities to estimate the net cash flows analysis and impairment amount.
For the year ended December 31, 2022, the Company recorded an impairment of $12.0 million to the right-of-
use assets related to the Bedford facilities.
No such impairment expenses were recognized for the years ended December 31, 2021 and 2020.
Summary of all lease costs recognized under ASC 842
Total operating lease costs were $8.9 million, which includes $3.4 million of short term and variable lease costs
for the year ended December 31, 2022. Total operating lease costs were $5.4 million and $4.8 million for the years
ended December 31, 2021 and 2020, respectively. The fixed lease costs were $5.5 million, $5.4 million and $4.8 million
for the years ended December 31, 2022, 2021 and 2020, respectively. Short-term lease costs and variable lease costs
incurred by the Company for the years ended December 31, 2021 and 2020 were considered immaterial.
Refer to table below for additional information related to operating leases under ASC 842:
Operating leases (in thousands)
Supplemental balance sheet information:
Year Ended December 31,
2021
2022
Weighted average remaining lease term (years) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted average discount rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.8
7.83%
8.6
9.73%
Supplemental cash flow information:
Operating cash flows used for operating leases . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
6,539 $
3,388
Future minimum commitments under ASC 842 under the Company’s operating leases in effect at December 31,
2022 were as follows:
Maturity of lease liabilities (in thousands)
2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2024 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2025 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2026 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2027 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total lease payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less: imputed interest and lease incentive reimbursements. . . . . . . . . . . . . . . . . . . . . . . .
Total operating lease liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
As of December 31, 2022
6,707
7,064
7,228
7,408
7,641
23,621
59,669
15,565
44,104
F-29
13. Commitments and contingencies
Purchase Commitments
Stratec
During the year ended December 31, 2022, the Company entered into a supply agreement (the Stratec Supply
Agreement) with Stratec Consumables GmBH (Stratec) to order discs used in manufacturing the Simoa HD-X
instrument. As part of the Stratec Supply Agreement, the Company agreed to purchase a total of 375,000 discs to be
shipped at various points starting in 2022 and continuing through 2024 at an agreed purchase price per disc. In 2022,
under the Stratec Supply Agreement, Stratec shipped 75,000 discs to the Company. The Company recorded cost of
product revenue related to this shipment of $0.5 million for the year ended December 31, 2022. No such activities
existed for the years ended December 31, 2021 and 2020. Additionally, per the Stratec Supply Agreement, during the
years ended December 31, 2023 and 2024, Stratec is required to ship 220,000 and 80,000 discs, respectively, to the
Company. In the years ending December 31, 2023 and 2024, the Company expects to record cost of product revenue of
$1.6 million and $0.6 million, respectively, related to those shipments. As of December 31, 2022, the Company also has
$0.9 million of open purchase orders with Stratec.
Other Purchase Commitments
The Company purchases substantial amounts of raw materials for manufacturing operations under annual and
multi-year agreements, some of which have minimum quantity requirements. Additionally, the Company enters into
annual agreements for other parts of its operations. The Company has total purchase commitments for the year ended
December 31, 2022, of $3.1 million, most of which the Company expects to incur in the year ending December 31,
2023.
License Agreements
Tufts University
In June 2007, the Company entered into a license agreement (the License Agreement) for certain intellectual
property with Tufts University (Tufts). Tufts is a related party to the Company due to Tufts’ equity ownership in the
Company and because a board member of the Company’s Board of Directors was affiliated with Tufts. The License
Agreement, which was subsequently amended, is exclusive and sub-licensable, and will continue in effect on a country
by country basis as long as there is a valid claim of a licensed patent in a country. The Company is committed to pay
license and maintenance fees, prior to commercialization, in addition to low single digit royalties on direct sales and
services and a royalty on sublicense income. During the years ended December 31, 2022, 2021, and 2020, the Company
recorded royalty expense of $1.4 million, $1.6 million and $1.1 million, respectively, related to Tufts. This royalty
expense is recorded in cost of product revenue on the consolidated statements of operations. During the year ended
December 31, 2020, the Company incurred $1.0 million in cost of collaboration and license revenue owed to Tufts
related to sublicensing certain technology and intellectual property to Abbott Laboratories (Abbott), refer to Note 5 for
additional details.
Legal contingencies
The Company is subject to claims in the ordinary course of business; however, the Company is not currently a
party to any pending or threatened litigation, the outcome of which would be expected to have a material adverse effect
on its financial condition or the results of its operations. The Company accrues for contingent liabilities to the extent that
the liability is probable and estimable.
F-30
14. Restructuring and Other Charges
Following a strategic review and assessment of the Company’s operations and cost structure, on August 8,
2022, the Company announced a plan of restructuring and strategic re-alignment (the Restructuring Plan). As part of the
Restructuring Plan, the Company began an assay redevelopment program with the ultimate objective of improving its
ability to manufacture and deliver high-quality assays at scale. In accordance with the Restructuring Plan, the Company
implemented a workforce reduction, which was substantially completed by the end of the third quarter of 2022. The
Company recorded charges during the year ended December 31, 2022, consisting of one-time termination benefits for
employee severance, benefits and related costs, all of which were cash expenditures.
The following shows the number of positions by function and by location eliminated in connection with the
Restructuring Plan:
Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . .
Research and development . . . . . . . . . . . . . . . . .
Selling, general and administrative . . . . . . . . . .
Total headcount . . . . . . . . . . . . . . . . . . . . . . . .
North America
21
34
50
105
EMEA
Asia Pacific
Total
—
1
9
10
—
—
4
4
21
35
63
119
As part of the Restructuring Plan, the Company also performed an assessment of impairment for long-lived
assets, including right-of-use assets, and recorded an impairment charge of $17.4 million. The impairment expense
includes $16.3 million associated with the right-of-use and property and equipment at the Bedford facilities and
$1.1 million for software costs related to projects that have been rationalized as part of the Restructuring Plan. Refer to
Note 7 and Note 12 for further information.
The following table presents the restructuring reserve and provision activity for the year ended December 31,
2022 (in thousands):
Severance and Employee
Benefit Costs
Other Restructuring
Charges
Total
Balance at January 1, 2022 . . . . . . . . . . $
Charges . . . . . . . . . . . . . . . . . . . . . . . .
Cash payments . . . . . . . . . . . . . . . . . . .
Foreign exchange . . . . . . . . . . . . . . . .
Balance at December 31, 2022 . . . . . . . $
— $
3,634
(3,288)
(18)
328
$
— $
121
(121)
—
— $
—
3,755
(3,409)
(18)
328
No such restructuring activities existed for the years ended December 31, 2021 and 2020.
15. Notes payable
Loan agreement
On April 14, 2014, the Company executed a loan agreement with a lender, as subsequently amended. As of
December 31, 2021, there were no additional amounts available to borrow under the debt facility. The interest rate on the
term loan was variable based on the greater of 8% or 8% plus the prime rate less 5.25%. Interest was paid monthly
beginning the month following the borrowing date. At loan inception and in connection with the amendments, the
Company issued the lender warrants to purchase shares of stock. The loan agreement also contained prepayment
penalties and an end of term charge. Fees incurred upon execution of the agreements, and the fair value of warrants on
the date of grant were accounted for as a reduction in the book value of debt and accreted through interest expense, using
F-31
the effective interest rate method, over the term of the debt. Under the amended agreement, the Company was required
to pay the loan principal in four equal installments starting July 1, 2021, with the final payment and end of term charge
to be made on October 1, 2021. On October 1, 2021, the Company made the final principal payment, including end of
term fees, of $2.0 million related to the loan agreement.
The Company has not executed any subsequent loan agreements and there were no outstanding loan balances
during the year ended December 31, 2022.
16. Employee benefit plans
The Company sponsors a 401(k) savings plan for employees. The Company may make discretionary
contributions for each 401(k) plan year. During the years ended December 31, 2022, 2021, and 2020, the Company made
contributions of $1.2 million, $1.1 million, and $0.7 million, respectively.
17. Goodwill and intangible assets
During the third quarter of 2022, the Company identified certain indicators of impairment, including the
significant decline in the Company’s stock price, actions taken under the Restructuring Plan and the reduction of
forecasted sales and profitability. As a result, the Company performed an interim goodwill impairment test. It was
determined that the Company’s goodwill was impaired as the carrying amount of the Company’s sole reporting unit
exceeded the estimated fair value. The Company concluded that the entire goodwill balance was impaired and
recognized a non-cash impairment charge during the third quarter of 2022.
The changes in the carrying amount of goodwill are as follows (in thousands):
Balance as of December 31, 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Impairment losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign exchange adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance as of December 31, 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Goodwill
9,632
(8,220)
(1,412)
—
Acquired intangible assets, principally originating from the acquisition of Uman, consist of the following
(dollars in thousands):
Know-how . . . . . . . . . . . . . . . .
Developed technology . . . . . . . .
Customer relationships . . . . . . .
Non-compete agreements . . . . .
Trade names . . . . . . . . . . . . . . .
Total . . . . . . . . . . . . . . . . . . . . .
Estimated
Useful
Life (in years)
8.5
7
8.5 - 10
5.5
3
$
$
Gross Carrying Accumulated Translation Net Carrying
Weighted Average
Value
Amortization Adjustment
Value
Life Remaining (in years)
5.0
2.1
5.1
2.0
—
6,804
192
410
110
—
7,516
December 31, 2022
Cumulative
13,000
1,650
1,360
340
50
16,400
$
$
(4,763)
(1,458)
(938)
(193)
(50)
(7,402)
$
$
(1,433)
—
(12)
(37)
—
(1,482)
$
$
F-32
December 31, 2021
Cumulative
Estimated
Useful
Life (in years)
8.5
7
8.5 - 10
5.5
3
$
$
Gross Carrying Accumulated
Translation Net Carrying
Weighted Average
Value
Amortization Adjustment
Value
13,000
1,650
1,360
340
50
16,400
$
$
$
(3,825)
(1,277)
(792)
(170)
(50)
(6,114) $
241
—
2
5
—
248
$
$
9,416
373
570
175
-
10,534
Life Remaining (in years)
6.0
3.1
6.1
3.0
—
Know-how . . . . . . . . . . . . . .
Developed technology . . . . .
Customer relationships . . . .
Non-compete agreements . .
Trade names . . . . . . . . . . . .
Total . . . . . . . . . . . . . . . . . .
The Company recorded amortization expense of $1.8 million, $2.0 million, and $2.1 million for the years ended
December 31, 2022, 2021, and 2020, respectively. Amortization of developed technology is recorded within research
and development expenses, amortization of customer relationships is recorded within selling, general, and administrative
expenses, amortization of trade names is recorded within selling, general, and administrative expenses, amortization of
non-compete agreements is recorded within selling, general, and administrative expenses, and amortization of know-how
is recorded within cost of goods sold.
Future estimated amortization expense of acquired intangible assets as of December 31, 2022 is as follows
(amounts in thousands):
2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2024 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2025 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2026 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2027 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total amortization expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
As of December 31, 2022
1,665
1,584
1,447
1,420
1,398
2
7,516
18. Related party transactions
As described in Note 13, in June 2007, the Company entered into a license agreement for certain intellectual
property with Tufts. Tufts is a related party to the Company due to Tufts’ equity ownership in the Company and because
one of the Company’s directors was affiliated with Tufts. During the years ended December 31, 2022, 2021, and 2020,
the Company recorded royalty expense of $1.4 million, $1.6 million and $1.1 million, respectively, related to Tufts. This
royalty expense is recorded in cost of product revenue on the consolidated statements of operations. During the year
ended December 31, 2020, the Company also incurred $1.0 million in cost of collaboration and license revenue owed to
Tufts related to sublicensing certain technology and intellectual property to Abbott, refer to 5 for additional details.
One of the Company’s directors is affiliated with Harvard University and Mass General Brigham. Revenue
recorded from sales to Harvard University and its affiliates and to Mass General Brigham and its affiliates totaled
$0.7 million, $0.2 million, $0.1 million for the years ended December 31, 2022, 2021, and 2020 respectively. The
Company recorded cost of goods sold of $0.1 million for the year ended December 31, 2022 related to Harvard
University and its affiliates and to Mass General Brigham and its affiliates, with immaterial cost of goods sold recorded
for years ended December 31, 2021 and 2020. The Company also incurred research and development expenses of $0.6
million with Harvard University and its affiliates for the year ended December 31, 2022, with immaterial research and
development expenses incurred for years ended December 31, 2021 and 2020. The Company had $0.1 million and
$0.2 million in accounts receivable from Harvard University and its affiliates and Mass General Brigham and its
affiliates at December 31, 2022 and 2021, respectively. Deferred revenue from Harvard University and its affiliates and
Mass General Brigham and its affiliates was $0.1 million at both December 31, 2022 and 2021.
On May 26, 2022, the Company entered into an agreement (the UltraDx Agreement) with UltraDx Limited
(UltraDx), a new company formed by ARCH Venture Partners (ARCH). Under the UltraDx Agreement, the Company
F-33
will supply HD-X instruments (both fully assembled and disassembled) as well as assays and assay components to
UltraDx, and UltraDx has the non-exclusive right to seek Chinese regulatory approval of and to commercialize the HD-
X instrument and related assays in the Chinese neurological in vitro diagnostic market. The Company has determined
that UltraDx is a related party because one of the Company’s directors is affiliated with ARCH and UltraDx. Under the
terms of the UltraDx Agreement, the Company shipped a total of ten fully assembled and disassembled HD-X
instruments to UltraDx on June 30, 2022 at a purchase price of approximately $1.9 million. The Company recognized
revenue on these shipments upon receipt of payment during the year ended December 31, 2022. No such activities
occurred in the years ended December 31, 2021 and 2020.
F-34
Stock Performance Graph
The following performance graph compares the performance of our common stock to the Nasdaq Composite Index
and to the Nasdaq Biotechnology Index from December 31, 2017 through December 31, 2022. The comparison
assumes $100 was invested in our common stock and in each of the foregoing indices after the market closed on
December 31, 2017, and it assumes reinvestment of dividends, if any. The stock price performance included in this
graph is not necessarily indicative of, nor is it intended to forecast, future stock price performance.
COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN
Among Quanterix Corp, the NASDAQ Composite Index
and the NASDAQ Biotechnology Index
$250
$200
$150
$100
$50
$0
12/17
12/18
12/19
12/20
12/21
12/22
Quanterix Corp
NASDAQ Composite
NASDAQ Biotechnology
(This page has been left blank intentionally.)
Directors
Investor Information
Brian J. Blaser
Senior Advisor, McKinsey & Company
Keith L. Crandell
Managing Director, ARCH Venture Partners
Karen A. Flynn
Former Chief Commercial Officer, Catalent, Inc.
Sarah E. Hlavinka
Executive Vice President, Chief Legal Officer and
Corporate Secretary, The ODP Corporation
You may obtain a copy of any of the exhibits to our
Annual Report on Form 10-K free of charge. These
documents are available on our website at
www.quanterix.com or by contacting Investor
Relations at ir@quanterix.com or at:
Investor Relations
Quanterix Corporation
900 Middlesex Turnpike, Building 1
Billerica, Massachusetts 01821
Telephone: (617) 301-9400
Martin D. Madaus, Ph.D.
Operating Executive, The Carlyle Group
Legal Counsel
Covington & Burlington LLP
The New York Times Building, 620 Eighth Avenue
New York, NY 10018
Independent Registered Public Accounting Firm
Ernst & Young LLP
200 Clarendon St.
Boston, MA 02116
Transfer Agent and Registrar
Computershare Trust Company, N.A.
P.O. Box 43078
Providence RI 02940-3078
Paul M. Meister
Co-Founder and Chief Executive Officer, Liberty
Lane Partners, LLC
Laurie J. Olson
Former Executive Vice President, Strategy and
Commercial Operations, Pfizer Inc.
Masoud Toloue, Ph.D.
President and Chief Executive Officer, Quanterix
Corporation
David R. Walt, Ph.D.
Faculty Member, Harvard Medical School
Executive Officers
Masoud Toloue, Ph.D.
President and Chief Executive Officer
Michael A. Doyle
Chief Financial Officer
Stock Listing
Our common stock is traded on The Nasdaq Global
Market under the symbol QTRX.
Annual Meeting
The annual meeting of stockholders will be held at
Quanterix headquarters on Wednesday, June 7, 2023
at 10:00 a.m. ET.
Internet Website
www.quanterix.com
Quanterix Corporation
(617) 301-9400
www.quanterix.com