| Schedule of Property and Equipment, net, Depreciation and Amortization, and Capital Expenditures by Geographic Area |
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Property and equipment, net |
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Depreciation and amortization |
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Capital expenditures |
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September 30, |
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December 31, |
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Nine Months September 30, |
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Nine Months September 30, |
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2026 |
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2025 |
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2026 |
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2025 |
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2026 |
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2025 |
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United States |
|
$ |
111,502 |
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$ |
113,054 |
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$ |
29,566 |
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$ |
25,891 |
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$ |
8,323 |
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$ |
4,678 |
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International |
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|
566 |
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|
199 |
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|
54 |
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38 |
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|
453 |
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|
74 |
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Total |
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$ |
112,068 |
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$ |
113,253 |
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$ |
29,620 |
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$ |
25,929 |
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$ |
8,776 |
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$ |
4,752 |
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| Schedule of consolidated operations |
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Three months ended September 30, |
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Nine months ended September 30, |
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2026 |
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2025 |
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2026 |
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2025 |
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(in thousands) |
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(in thousands) |
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Net sales |
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$ |
211,030 |
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$ |
133,537 |
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$ |
547,211 |
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$ |
364,321 |
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Less: |
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Cost of sales |
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31,164 |
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28,831 |
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98,519 |
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|
80,043 |
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Sales, marketing & distribution |
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55,238 |
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|
40,207 |
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158,136 |
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|
114,675 |
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Research & development |
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30,953 |
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26,859 |
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92,818 |
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75,583 |
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Clinical |
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17,142 |
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11,213 |
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50,723 |
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|
31,380 |
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General & administrative |
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75,705 |
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42,792 |
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181,810 |
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|
122,372 |
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Acquired in-process research and development |
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— |
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— |
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1,500 |
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— |
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Significant segment expenses |
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210,202 |
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149,902 |
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583,506 |
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424,053 |
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Interest income |
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2,493 |
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2,552 |
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7,203 |
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8,202 |
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Interest expense |
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(1,087 |
) |
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(1,175 |
) |
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(3,671 |
) |
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(3,489 |
) |
Other income (expense), net |
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|
87 |
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(1,009 |
) |
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(1,936 |
) |
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|
1,793 |
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Income tax provision |
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303 |
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|
|
234 |
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|
1,443 |
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|
|
808 |
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Net income (loss) |
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$ |
2,018 |
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|
$ |
(16,231 |
) |
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$ |
(36,142 |
) |
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$ |
(54,034 |
) |
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