2024 Q1 Form 10-K Financial Statement

#000155837024002083 Filed on February 29, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $367.7M $311.1M $1.083B
YoY Change 52.11% 43.2% 31.99%
Cost Of Revenue $159.1M $151.2M $589.8M
YoY Change 7.44% 18.82% 29.28%
Gross Profit $208.6M $159.9M $492.7M
YoY Change 122.79% 77.7% 35.38%
Gross Profit Margin 56.72% 51.38% 45.52%
Selling, General & Admin $194.3M $161.4M $618.3M
YoY Change 29.84% 12.24% 5.05%
% of Gross Profit 93.13% 100.98% 125.48%
Research & Development $88.64M $82.96M $320.7M
YoY Change 7.69% -5.63% 1.35%
% of Gross Profit 42.49% 51.9% 65.08%
Depreciation & Amortization $7.063M $6.911M $24.10M
YoY Change 39.12% 75.85% 44.28%
% of Gross Profit 3.39% 4.32% 4.89%
Operating Expenses $282.9M $244.4M $939.0M
YoY Change 21.98% 5.46% 3.75%
Operating Profit -$74.31M -$84.54M -$446.2M
YoY Change -46.27% -40.37% -17.52%
Interest Expense $3.124M $6.696M $12.64M
YoY Change 2.06% -343.31% 35.62%
% of Operating Profit
Other Income/Expense, Net
YoY Change
Pretax Income -$67.17M -$77.84M -$434.5M
YoY Change -50.89% -45.24% -20.54%
Income Tax $428.0K $191.0K $300.0K
% Of Pretax Income
Net Earnings -$67.60M -$78.03M -$434.8M
YoY Change -50.62% -45.27% -20.63%
Net Earnings / Revenue -18.38% -25.08% -40.16%
Basic Earnings Per Share -$0.56 -$3.78
Diluted Earnings Per Share -$0.56 -$0.65 -$3.78
COMMON SHARES
Basic Shares Outstanding 120.8M 120.2M 115.0M
Diluted Shares Outstanding 120.8M 115.0M

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $882.9M $879.0M $879.0M
YoY Change 8.73% -2.15% -2.15%
Cash & Equivalents $813.8M $642.1M $642.1M
Short-Term Investments $69.12M $236.9M $236.9M
Other Short-Term Assets $46.73M $60.52M $60.52M
YoY Change 55.84% 79.49% 79.49%
Inventory $43.02M $40.76M $40.76M
Prepaid Expenses
Receivables $288.7M $278.3M $278.3M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $1.261B $1.259B $1.259B
YoY Change 11.68% 3.86% 3.86%
LONG-TERM ASSETS
Property, Plant & Equipment $125.8M $111.2M $167.7M
YoY Change 25.06% 20.29% 2.08%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments
YoY Change
Other Assets $26.42M $15.40M $15.40M
YoY Change 36.96% -15.97% -15.97%
Total Long-Term Assets $206.8M $183.2M $183.2M
YoY Change 9.16% 0.27% 0.27%
TOTAL ASSETS
Total Short-Term Assets $1.261B $1.259B $1.259B
Total Long-Term Assets $206.8M $183.2M $183.2M
Total Assets $1.468B $1.442B $1.442B
YoY Change 11.32% 3.39% 3.39%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $26.04M $15.00M $15.00M
YoY Change -27.92% -51.85% -51.85%
Accrued Expenses $163.8M $172.0M $172.0M
YoY Change 14.06% 1.62% 1.62%
Deferred Revenue $17.71M $16.61M
YoY Change 6.79% 54.14%
Short-Term Debt $80.40M $80.40M $80.40M
YoY Change 0.0% 0.0% 0.06%
Long-Term Debt Due
YoY Change
Total Short-Term Liabilities $305.9M $307.3M $307.3M
YoY Change 5.15% -1.04% -1.04%
LONG-TERM LIABILITIES
Long-Term Debt $283.3M $282.9M $282.9M
YoY Change 0.46% 0.46% 0.46%
Other Long-Term Liabilities $84.87M $86.15M $86.15M
YoY Change -11.0% -10.79% -10.79%
Total Long-Term Liabilities $368.1M $369.1M $369.1M
YoY Change -2.44% -2.41% -2.41%
TOTAL LIABILITIES
Total Short-Term Liabilities $305.9M $307.3M $307.3M
Total Long-Term Liabilities $368.1M $369.1M $369.1M
Total Liabilities $674.1M $676.4M $676.4M
YoY Change 0.87% -1.79% -1.79%
SHAREHOLDERS EQUITY
Retained Earnings -$2.400B -$2.400B
YoY Change 14.29% 26.32%
Common Stock $3.241B $3.146B
YoY Change 18.21% 18.05%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $794.1M $765.3M $765.3M
YoY Change
Total Liabilities & Shareholders Equity $1.468B $1.442B $1.442B
YoY Change 11.32% 3.39% 3.39%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income -$67.60M -$78.03M -$434.8M
YoY Change -50.62% -45.27% -20.63%
Depreciation, Depletion And Amortization $7.063M $6.911M $24.10M
YoY Change 39.12% 75.85% 44.28%
Cash From Operating Activities $27.00M -$58.13M -$247.0M
YoY Change -133.38% -28.35% -42.77%
INVESTING ACTIVITIES
Capital Expenditures $20.32M $9.532M $39.20M
YoY Change 75.16% -19.4% -17.82%
Acquisitions
YoY Change
Other Investing Activities $169.1M $34.20M $207.7M
YoY Change 520.42% 1.34% -45.06%
Cash From Investing Activities $138.3M $24.66M $168.5M
YoY Change 783.31% 12.54% -48.99%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 6.466M 6.845M 254.5M
YoY Change 181.01% -98.54% -47.28%
NET CHANGE
Cash From Operating Activities 27.00M -58.13M -247.0M
Cash From Investing Activities 138.3M 24.66M 168.5M
Cash From Financing Activities 6.466M 6.845M 254.5M
Net Change In Cash 171.7M -26.62M 176.0M
YoY Change -372.85% -106.51% -53.86%
FREE CASH FLOW
Cash From Operating Activities $27.00M -$58.13M -$247.0M
Capital Expenditures $20.32M $9.532M $39.20M
Free Cash Flow $6.686M -$67.66M -$286.2M
YoY Change -107.23% -27.21% -40.28%

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<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;margin:0pt;"><span style="font-style:italic;font-weight:bold;">Use of Estimates</span></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;padding-left:18pt;text-align:justify;text-indent:-18pt;margin:0pt 0pt 0pt 36pt;"><span style="font-style:italic;font-weight:bold;margin-left:0pt;visibility:hidden;">​</span></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;margin:0pt;"><span style="display:inline-block;text-align:left;text-indent:0pt;width:36pt;"></span>The preparation of financial statements in accordance with generally accepted accounting principles (GAAP) in the United States requires management to make estimates and assumptions about future events that affect the amounts of assets and liabilities reported, disclosures about contingent assets and liabilities, and reported amounts of revenues and expenses. Significant items subject to such estimates include the allowance for doubtful accounts, the operating right-of-use assets and the associated lease liabilities, the average useful life for property and equipment including impairment estimates, deferred revenues associated with unsatisfied performance obligations, accrued liability for potential refund requests, stock-based compensation, the fair value of options, income tax uncertainties, and the expected consideration to be received from contracts with customers, insurance payors, and patients. These estimates and assumptions are based on management's best estimates and judgment. Management regularly evaluates its estimates and assumptions using historical experience and other factors, including contractual terms and statutory limits; however, actual results could differ from these estimates and could have an adverse effect on the Company's financial statements.</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;margin:0pt;"><span style="font-style:italic;visibility:hidden;">​</span></p>
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<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;margin:0pt;"><span style="font-style:italic;font-weight:bold;">Risk and Uncertainties</span></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;padding-left:18pt;text-align:justify;text-indent:-18pt;margin:0pt 0pt 0pt 36pt;"><span style="font-style:italic;font-weight:bold;margin-left:0pt;visibility:hidden;">​</span></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;padding-bottom:12pt;text-align:justify;text-indent:36pt;background:#ffffff;margin:0pt;">Financial instruments that potentially subject the Company to credit risk consist of cash, cash equivalents, and restricted cash, accounts receivable and investments. The Company limits its exposure to credit loss by placing its cash in financial institutions with high credit ratings. The Company's cash may consist of deposits held with banks that may at times exceed federally insured limits. The Company performs evaluations of the relative credit standing of these financial institutions and limits the amount of credit exposure with any one institution.</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;background:#ffffff;margin:0pt;">For the years ended December 31, 2023, 2022, and 2021, there were no customers exceeding 10% of total revenues on an individual basis. As of December 31, 2023 and 2022, there were no customers with an outstanding balance exceeding 10% of net accounts receivable.</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;background:#ffffff;margin:0pt;"><span style="margin-bottom:5pt;margin-top:5pt;visibility:hidden;">​</span></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;background:#ffffff;margin:0pt;">For the years ended December 2023, 2022, and 2021, approximately 12.8%, 11.2%, and 5.1%, respectively, of total revenue were paid by Medicare on behalf of multiple customers. For the years ended December 2023 and 2022, approximately 13.9% and 14.1%, respectively, of accounts receivable expected to be paid by Medicare on behalf of multiple customers.</p>
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CY2023Q4 us-gaap Allowance For Doubtful Accounts Receivable
AllowanceForDoubtfulAccountsReceivable
6481000
CY2022Q4 us-gaap Allowance For Doubtful Accounts Receivable
AllowanceForDoubtfulAccountsReceivable
3830000
CY2021Q4 us-gaap Allowance For Doubtful Accounts Receivable
AllowanceForDoubtfulAccountsReceivable
2429000
CY2023Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
167503000
CY2022Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
128151000
CY2023Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
56293000
CY2022Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
35698000
CY2023Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
111210000
CY2022Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
92453000
CY2023 us-gaap Depreciation
Depreciation
22700000
CY2022 us-gaap Depreciation
Depreciation
16700000
CY2021 us-gaap Depreciation
Depreciation
11300000
CY2023Q4 ntra Cloud Based Implementation Costs
CloudBasedImplementationCosts
5500000
CY2022Q4 ntra Cloud Based Implementation Costs
CloudBasedImplementationCosts
4700000
CY2021Q4 ntra Cloud Based Implementation Costs
CloudBasedImplementationCosts
3500000
CY2023Q4 ntra Cloud Based Implementation Costs Accumulated Amortization
CloudBasedImplementationCostsAccumulatedAmortization
2500000
CY2022Q4 ntra Cloud Based Implementation Costs Accumulated Amortization
CloudBasedImplementationCostsAccumulatedAmortization
900000
CY2021Q4 ntra Cloud Based Implementation Costs Accumulated Amortization
CloudBasedImplementationCostsAccumulatedAmortization
1500000
CY2023Q4 ntra Cloud Based Implementation Costs Net Book Value
CloudBasedImplementationCostsNetBookValue
3000000.0
CY2022Q4 ntra Cloud Based Implementation Costs Net Book Value
CloudBasedImplementationCostsNetBookValue
3800000
CY2021Q4 ntra Cloud Based Implementation Costs Net Book Value
CloudBasedImplementationCostsNetBookValue
2100000
CY2023Q4 us-gaap Accrued Vacation Current
AccruedVacationCurrent
3121000
CY2022Q4 us-gaap Accrued Vacation Current
AccruedVacationCurrent
2930000
CY2023Q4 us-gaap Accrued Sales Commission Current
AccruedSalesCommissionCurrent
10522000
CY2022Q4 us-gaap Accrued Sales Commission Current
AccruedSalesCommissionCurrent
11821000
CY2023Q4 us-gaap Accrued Bonuses Current
AccruedBonusesCurrent
24651000
CY2022Q4 us-gaap Accrued Bonuses Current
AccruedBonusesCurrent
20426000
CY2023Q4 us-gaap Other Employee Related Liabilities Current
OtherEmployeeRelatedLiabilitiesCurrent
7563000
CY2022Q4 us-gaap Other Employee Related Liabilities Current
OtherEmployeeRelatedLiabilitiesCurrent
8833000
CY2023Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
45857000
CY2022Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
44010000
CY2023Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
23245000
CY2022Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
18948000
CY2023Q4 ntra Accrued Charges For Outsourced Testing
AccruedChargesForOutsourcedTesting
14823000
CY2022Q4 ntra Accrued Charges For Outsourced Testing
AccruedChargesForOutsourcedTesting
17036000
CY2023Q4 ntra Accrued Testing And Laboratory Materials From Suppliers
AccruedTestingAndLaboratoryMaterialsFromSuppliers
11229000
CY2022Q4 ntra Accrued Testing And Laboratory Materials From Suppliers
AccruedTestingAndLaboratoryMaterialsFromSuppliers
13281000
CY2023Q4 us-gaap Accrued Marketing Costs Current
AccruedMarketingCostsCurrent
10085000
CY2022Q4 us-gaap Accrued Marketing Costs Current
AccruedMarketingCostsCurrent
8943000
CY2023Q4 us-gaap Accrued Professional Fees Current And Noncurrent
AccruedProfessionalFeesCurrentAndNoncurrent
43897000
CY2022Q4 us-gaap Accrued Professional Fees Current And Noncurrent
AccruedProfessionalFeesCurrentAndNoncurrent
36710000
CY2023Q4 ntra Accrued Shipping Charges
AccruedShippingCharges
3646000
CY2022Q4 ntra Accrued Shipping Charges
AccruedShippingCharges
485000
CY2023Q4 us-gaap Sales And Excise Tax Payable Current And Noncurrent
SalesAndExciseTaxPayableCurrentAndNoncurrent
3731000
CY2022Q4 us-gaap Sales And Excise Tax Payable Current And Noncurrent
SalesAndExciseTaxPayableCurrentAndNoncurrent
4319000
CY2023Q4 ntra Accrued Specimen Service Fees
AccruedSpecimenServiceFees
7111000
CY2022Q4 ntra Accrued Specimen Service Fees
AccruedSpecimenServiceFees
6631000
CY2023Q4 ntra Accrued Clinical Trials And Studies
AccruedClinicalTrialsAndStudies
12126000
CY2022Q4 ntra Accrued Clinical Trials And Studies
AccruedClinicalTrialsAndStudies
23301000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
11621000
CY2022Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
7639000
CY2023Q4 ntra Accrued Fixed Asset Purchases
AccruedFixedAssetPurchases
4316000
CY2022Q4 ntra Accrued Fixed Asset Purchases
AccruedFixedAssetPurchases
1821000
CY2023Q4 ntra Accrued Interest
AccruedInterest
1078000
CY2022Q4 ntra Accrued Interest
AccruedInterest
1078000
CY2023Q4 ntra Other Accrued Sundry Expenses Current
OtherAccruedSundryExpensesCurrent
2497000
CY2022Q4 ntra Other Accrued Sundry Expenses Current
OtherAccruedSundryExpensesCurrent
4022000
CY2023Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
149405000
CY2022Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
144214000
CY2022Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
18948000
CY2021Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
17210000
CY2023 ntra Insurance Carrier Reserves Additions
InsuranceCarrierReservesAdditions
14974000
CY2022 ntra Insurance Carrier Reserves Additions
InsuranceCarrierReservesAdditions
23717000
CY2023 ntra Insurance Refunds To Carriers
InsuranceRefundsToCarriers
1583000
CY2022 ntra Insurance Refunds To Carriers
InsuranceRefundsToCarriers
1800000
CY2023 ntra Insurance Carrier Reserves Released
InsuranceCarrierReservesReleased
9094000
CY2022 ntra Insurance Carrier Reserves Released
InsuranceCarrierReservesReleased
20179000
CY2023Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
23245000
CY2022Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
18948000
CY2023 ntra Noncash Activities Related To Right Of Use Assets
NoncashActivitiesRelatedToRightOfUseAssets
2100000
CY2022 ntra Noncash Activities Related To Right Of Use Assets
NoncashActivitiesRelatedToRightOfUseAssets
22100000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
11621000
CY2022Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
7639000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
67025000
CY2022Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
76577000
CY2023Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
78646000
CY2022Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
84216000
CY2023Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.068
CY2023 us-gaap Lease Cost
LeaseCost
14500000
CY2022 us-gaap Lease Cost
LeaseCost
13800000
CY2021 us-gaap Lease Cost
LeaseCost
10900000
CY2023 us-gaap Operating Lease Payments
OperatingLeasePayments
12400000
CY2022 us-gaap Operating Lease Payments
OperatingLeasePayments
9400000
CY2021 us-gaap Operating Lease Payments
OperatingLeasePayments
10300000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
16554000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
16899000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
17263000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
14223000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
6590000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
27924000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
99453000
CY2023Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
20807000
CY2023Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
78646000
CY2023Q4 us-gaap Recorded Unconditional Purchase Obligation
RecordedUnconditionalPurchaseObligation
94533000
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
6096000
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
934000
CY2023Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
750000000
CY2023Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
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CY2023Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
119581000
CY2023Q3 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
4550000
CY2023Q3 us-gaap Shares Issued Price Per Share
SharesIssuedPricePerShare
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CY2021 us-gaap Proceeds From Convertible Debt
ProceedsFromConvertibleDebt
278300000
CY2021 us-gaap Repayments Of Debt
RepaymentsOfDebt
79200000
CY2023Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.0001
CY2023Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
287500000
CY2022Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
287500000
CY2023Q4 ntra Debt Instrument Unamortized Debt Discount And Debt Issuance Cost
DebtInstrumentUnamortizedDebtDiscountAndDebtIssuanceCost
4555000
CY2022Q4 ntra Debt Instrument Unamortized Debt Discount And Debt Issuance Cost
DebtInstrumentUnamortizedDebtDiscountAndDebtIssuanceCost
5847000
CY2023Q4 us-gaap Long Term Debt
LongTermDebt
282945000
CY2022Q4 us-gaap Long Term Debt
LongTermDebt
281653000
CY2023Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
50000000
CY2023Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0
CY2023Q3 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
400000
CY2023Q3 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
235800000
CY2022Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
13144500
CY2022Q4 us-gaap Shares Issued Price Per Share
SharesIssuedPricePerShare
35
CY2022Q4 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
500000
CY2022Q4 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
433200000
CY2021Q3 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
5175000
CY2021Q3 us-gaap Shares Issued Price Per Share
SharesIssuedPricePerShare
113
CY2021Q3 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
400000
CY2021Q3 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
551200000
CY2023 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
-91251000
CY2023 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.2100
CY2022 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
-114832000
CY2022 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
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CY2021 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
-98931000
CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.2100
CY2023 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-13492000
CY2023 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.0310
CY2022 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-21676000
CY2022 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.0396
CY2021 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-29206000
CY2021 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.0620
CY2023 us-gaap Income Tax Reconciliation Tax Credits Research
IncomeTaxReconciliationTaxCreditsResearch
10837000
CY2023 ntra Effective Income Tax Rate Reconciliation Tax Credits Research And Development
EffectiveIncomeTaxRateReconciliationTaxCreditsResearchAndDevelopment
0.0249
CY2022 us-gaap Income Tax Reconciliation Tax Credits Research
IncomeTaxReconciliationTaxCreditsResearch
7024000
CY2022 ntra Effective Income Tax Rate Reconciliation Tax Credits Research And Development
EffectiveIncomeTaxRateReconciliationTaxCreditsResearchAndDevelopment
0.0128
CY2021 us-gaap Income Tax Reconciliation Tax Credits Research
IncomeTaxReconciliationTaxCreditsResearch
9193000
CY2021 ntra Effective Income Tax Rate Reconciliation Tax Credits Research And Development
EffectiveIncomeTaxRateReconciliationTaxCreditsResearchAndDevelopment
0.0195
CY2023 us-gaap Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
-6422000
CY2023 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
0.0148
CY2022 us-gaap Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
3949000
CY2022 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
-0.0072
CY2021 us-gaap Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
-46128000
CY2021 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
0.0979
CY2023 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
-106000
CY2023 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
0.0002
CY2022 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
332000
CY2022 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
-0.0006
CY2021 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
167000
CY2021 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
-0.0004
CY2023 ntra Income Tax Reconciliation Nondeductible Officers Compensation
IncomeTaxReconciliationNondeductibleOfficersCompensation
8651000
CY2023 ntra Effective Income Tax Reconciliation Nondeductible Officers Compensation
EffectiveIncomeTaxReconciliationNondeductibleOfficersCompensation
-0.0199
CY2022 ntra Income Tax Reconciliation Nondeductible Officers Compensation
IncomeTaxReconciliationNondeductibleOfficersCompensation
4883000
CY2022 ntra Effective Income Tax Reconciliation Nondeductible Officers Compensation
EffectiveIncomeTaxReconciliationNondeductibleOfficersCompensation
-0.0089
CY2021 ntra Income Tax Reconciliation Nondeductible Officers Compensation
IncomeTaxReconciliationNondeductibleOfficersCompensation
24387000
CY2021 ntra Effective Income Tax Reconciliation Nondeductible Officers Compensation
EffectiveIncomeTaxReconciliationNondeductibleOfficersCompensation
-0.0518
CY2023 ntra Income Tax Reconciliation Acquisition Costs
IncomeTaxReconciliationAcquisitionCosts
563000
CY2023 ntra Effective Income Tax Reconciliation Acquisition Costs
EffectiveIncomeTaxReconciliationAcquisitionCosts
-0.0013
CY2022 ntra Income Tax Reconciliation Acquisition Costs
IncomeTaxReconciliationAcquisitionCosts
3226000
CY2022 ntra Effective Income Tax Reconciliation Acquisition Costs
EffectiveIncomeTaxReconciliationAcquisitionCosts
-0.0059
CY2021 ntra Income Tax Reconciliation Acquisition Costs
IncomeTaxReconciliationAcquisitionCosts
8901000
CY2021 ntra Effective Income Tax Reconciliation Acquisition Costs
EffectiveIncomeTaxReconciliationAcquisitionCosts
-0.0189
CY2023 us-gaap Income Tax Reconciliation Nondeductible Expense Other
IncomeTaxReconciliationNondeductibleExpenseOther
-3397000
CY2023 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Other
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseOther
0.0079
CY2022 us-gaap Income Tax Reconciliation Nondeductible Expense Other
IncomeTaxReconciliationNondeductibleExpenseOther
1964000
CY2022 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Other
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseOther
-0.0036
CY2021 us-gaap Income Tax Reconciliation Nondeductible Expense Other
IncomeTaxReconciliationNondeductibleExpenseOther
344000
CY2021 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Other
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseOther
-0.0005
CY2023 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
116562000
CY2023 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
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CY2022 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
130156000
CY2022 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.2380
CY2021 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
150277000
CY2021 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.3190
CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
271000
CY2023 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
-0.0006
CY2022 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
978000
CY2022 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
-0.0018
CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
618000
CY2021 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
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CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
300000
CY2022 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
1000000.0
CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
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CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
399287000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
358109000
CY2023Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
67035000
CY2022Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
52319000
CY2023Q4 ntra Deferred Tax Assets Capitalized Research Costs
DeferredTaxAssetsCapitalizedResearchCosts
95923000
CY2022Q4 ntra Deferred Tax Assets Capitalized Research Costs
DeferredTaxAssetsCapitalizedResearchCosts
59128000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
34898000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
22781000
CY2023Q4 ntra Deferred Tax Assets Lease Liabilities
DeferredTaxAssetsLeaseLiabilities
19339000
CY2022Q4 ntra Deferred Tax Assets Lease Liabilities
DeferredTaxAssetsLeaseLiabilities
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CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
29005000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
23814000
CY2023Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
9449000
CY2022Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
9162000
CY2023Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
654936000
CY2022Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
546313000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
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CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
526235000
CY2023Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
15426000
CY2022Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
20078000
CY2023Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
1524000
CY2022Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
1219000
CY2023Q4 ntra Deferred Tax Liabilities Right Of Use Lease Assets
DeferredTaxLiabilitiesRightOfUseLeaseAssets
13902000
CY2022Q4 ntra Deferred Tax Liabilities Right Of Use Lease Assets
DeferredTaxLiabilitiesRightOfUseLeaseAssets
18859000
CY2023Q4 us-gaap Deferred Tax Liabilities
DeferredTaxLiabilities
15426000
CY2022Q4 us-gaap Deferred Tax Liabilities
DeferredTaxLiabilities
20078000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
639500000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
639500000
CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
526200000
CY2022Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
23844000
CY2021Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
17514000
CY2020Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
11500000
CY2023 us-gaap Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
7034000
CY2022 us-gaap Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
6301000
CY2021 us-gaap Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
6017000
CY2023 us-gaap Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
34000
CY2022 us-gaap Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
29000
CY2021 us-gaap Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
3000
CY2023Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
30912000
CY2022Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
23844000
CY2021Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
17514000
CY2023Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
30900000
CY2022Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
23800000
CY2021Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
17500000
CY2023 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
22248000
CY2022 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
19998000
CY2021 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
17683000

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