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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash Flows from Operating Activities    
Net Income (Loss) $ (227,821) $ (210,077)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 37,858 47,644
Unrealized foreign exchange loss (97) (86)
Amortization of intangible assets 11,104 10,119
Amortization of right of use asset 5,747 4,689
Depreciation and amortization of property and equipment 6,152 5,963
Deferred tax expense 150 (2,866)
Excess and obsolescence reserve 8,311 0
Accretion of discounts and premiums on investments (4,149) (4,834)
Loss on asset disposals 44 0
Changes in assets and liabilities:    
Prepaid expenses, other assets and long-term assets (10,138) 5,677
Trade accounts receivable 9,402 (31,453)
Inventory (7,028) (15,594)
Operating lease liabilities (5,590) (5,478)
Accounts payable 2,945 (16,205)
Accrued expenses and other liabilities 1,969 (8,207)
Net cash used in operating activities (171,141) (220,708)
Cash Flows from Investing Activities    
Maturities of investments 210,000 202,000
Purchase of investments (166,619) (216,101)
Cash paid for acquisition, including contingent consideration, net of cash acquired 0 (52,573)
Purchase of property and equipment (13,672) (4,613)
Net cash provided by (used) in investing activities 29,709 (71,287)
Cash Flows from Financing Activities    
Tax payments related to shares withheld for vested restricted stock units (6,148) (5,701)
Proceeds from the issuance of common stock under employee stock purchase plan 669 1,562
Proceeds from the issuance of common stock upon exercise of options 15 754
Proceeds from the issuance of common stock, net 162,009 349,786
Net cash provided by financing activities 156,545 346,401
Effect of foreign exchange rate changes 1,247 (616)
Net increase in cash, cash equivalents and restricted cash 16,360 53,790
Cash, Cash Equivalents and Restricted Cash Beginning of Period 122,053 181,318
Cash, Cash Equivalents and Restricted Cash End of Period 138,413 235,108
Supplemental disclosure of non-cash investing and financing activities:    
Net unrealized loss on investments 140 (49)
Acquisition of property and equipment included in accounts payable and accrued expenses 13,283 2,342
Intangible asset and deferred tax liability arising from contingent consideration 0 23,495
Conversion of convertible preferred stock to common stock 1 0
Increase / (decrease) in lease liabilities due to obtaining/(reduction) in right-of-use assets from lease modifications $ 496 $ 11,297