Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024
Cash flows from operating activities
Net loss	$ (44,918)	$ (65,774)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	10,315	10,291
Stock-based compensation	46,171	42,812
Amortization of premium and accretion of discounts, net	(1,273)	(1,149)
Amortization of operating lease right-of-use assets	2,816	2,484
Amortization of debt discount	1,564	1,330
Change in fair value of strategic investments	(2,995)	0
Provision for credit losses and contractual allowances	54,704	35,486
Acquired in-process research and development	1,994	0
Loss on extinguishment of debt	0	7,589
Impairment charges	2,479	0
Other	172	396
Changes in operating assets and liabilities:
Accounts receivable	(56,916)	(59,516)
Inventory	(4,601)	(1,466)
Prepaid expenses and other current assets	(1,541)	6,478
Other assets	283	(5,006)
Accounts payable and accrued liabilities	14,682	(10,681)
Deferred revenue	567	(160)
Operating lease liabilities	(3,735)	(3,303)
Net cash provided by (used in) operating activities	19,768	(40,189)
Cash flows from investing activities
Purchases of property and equipment	(19,788)	(18,264)
Purchases of marketable securities	(169,466)	(2,426)
Maturities of marketable securities	50,200	90,200
Purchases of strategic investments	0	(15,000)
Net cash (used in) provided by investing activities	(139,054)	54,510
Cash flows from financing activities
Purchases of capped call transactions	0	(72,407)
Purchase of treasury stock	0	(25,000)
Proceeds from issuance of common stock in connection with employee equity incentive plans	8,823	5,338
Net cash provided by financing activities	8,823	508,429
Effect of exchange rate changes	(29)	(13)
Net (decrease) increase in cash, cash equivalents and restricted cash	(110,492)	522,737
Cash, cash equivalents and restricted cash, beginning of period	427,955	36,173
Cash, cash equivalents and restricted cash, end of period	317,463	558,910
Reconciliation of cash, cash equivalents and restricted cash
Cash and cash equivalents	309,105	550,552
Restricted cash	8,358	8,358
Total cash, cash equivalents and restricted cash	317,463	558,910
Supplemental disclosures of cash flow information:
Interest paid	4,959	1,595
Cash taxes paid	647	360
Cash paid for operating lease liabilities	7,797	7,492
Cash received from tenant improvement allowances	745	736
Non-cash investing and financing activities:
Property and equipment costs included in accounts payable and accrued liabilities	4,885	233
Capitalized stock-based compensation in property and equipment	2,867	3,829
SVB Term Loan
Cash flows from financing activities
Payments of debt	0	(37,751)
Braidwell Term Loan Facility
Cash flows from financing activities
Payments of debt	0	(78,660)
Proceeds from Braidwell debt	0	75,000
Payments of issuance costs	0	(2,100)
Convertible Notes Due 2029
Cash flows from financing activities
Payments of issuance costs	0	(17,241)
Proceeds from issuance of 2029 Notes	$ 0	$ 661,250