v3.26.1
Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash flows from operating activities    
Net loss $ (14,314) $ (44,918)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 10,264 10,315
Stock-based compensation 41,530 46,171
Amortization of premium and accretion of discounts, net (1,512) (1,273)
Amortization of operating lease right-of-use assets 3,033 2,816
Amortization of debt discount 1,595 1,564
Change in fair value of strategic investments (2,269) (2,995)
Provision for credit losses and contractual allowances 57,420 54,704
Acquired in-process research and development 595 1,994
Impairment charges 0 2,479
Other 188 172
Changes in operating assets and liabilities:    
Accounts receivable (65,988) (56,916)
Inventory (1,250) (4,601)
Prepaid expenses and other current assets (35,733) (1,541)
Other assets (5,494) 283
Accounts payable and accrued liabilities 42,260 14,682
Deferred revenue 4 567
Operating lease liabilities (5,422) (3,735)
Net cash provided by operating activities 24,907 19,768
Cash flows from investing activities    
Purchases of property and equipment (20,470) (19,788)
Purchases of marketable securities (254,453) (169,466)
Maturities of marketable securities 258,500 50,200
Purchases of strategic investments (2,000) 0
Net cash used in investing activities (18,423) (139,054)
Cash flows from financing activities    
Proceeds from issuance of common stock in connection with employee equity incentive plans 4,232 8,823
Repayment of 2029 Notes (3) 0
Net cash provided by financing activities 4,229 8,823
Effect of exchange rate changes (46) (29)
Net increase (decrease) in cash, cash equivalents and restricted cash 10,667 (110,492)
Cash, cash equivalents and restricted cash, beginning of period 244,370 427,955
Cash, cash equivalents and restricted cash, end of period 255,037 317,463
Reconciliation of cash, cash equivalents and restricted cash    
Cash and cash equivalents 246,679 309,105
Restricted cash 8,358 8,358
Total cash, cash equivalents and restricted cash 255,037 317,463
Supplemental disclosures of cash flow information:    
Interest paid 4,959 4,959
Cash taxes paid 400 647
Cash paid for operating lease liabilities 8,266 7,797
Cash received from tenant improvement allowances 0 745
Non-cash investing and financing activities:    
Property and equipment costs included in accounts payable and accrued liabilities 1,124 4,885
Capitalized stock-based compensation in property and equipment $ 2,380 $ 2,867