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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Cash flows from operating activities          
Net loss     $ (212,304) $ (140,587)  
Adjustments to reconcile net loss to net cash used in operating activities:          
Stock-based compensation expense     63,232 43,705  
Amortization of intangible asset $ 1,606 $ 1,607 4,785 4,768  
Amortization of debt discount     1,932 2,120  
Depreciation     403 326  
Loss in fair value of contingent consideration 16,391 (180) 17,139 5,711  
Non-cash lease expense     1,042 1,115  
Right-of-use asset amortization for finance lease 324   697    
Change in operating lease liability     (235) (59)  
Changes in operating assets and liabilities:          
Accounts receivable, net     (29,276) (40,716)  
Inventories, net     1,873 (3,268)  
Prepaid expenses and other current assets     (5,296) (4,018)  
Non-current inventory and other assets     (169) 601  
Accounts payable     23,574 (9,507)  
Accrued expenses and other current liabilities     30,395 25,091  
Net cash used in operating activities     (102,208) (114,718)  
Cash flows from investing activities          
Purchases of equipment     (240) (575)  
Net cash used in investing activities     (240) (575)  
Cash flows from financing activities          
Proceeds from draw down of debt       85,000  
Payment of debt issuance costs       (2,297)  
Payments on principal portion of finance lease obligation     (660)    
Proceeds from issuance of common stock upon financing     24,365 258,750  
Cash paid for common stock issuance costs     (487) (15,668)  
Proceeds from issuance of common stock upon exercise of options and under employee stock purchase plan     29,532 11,274  
Payment of contingent consideration     (5,735) (4,489)  
Payments of tax withholdings on stock awards     (3,419) (1,555)  
Net cash provided by financing activities     43,596 331,015  
Net (decrease) increase in cash     (58,852) 215,722  
Cash at beginning of period     386,193 200,842 $ 200,842
Cash at end of period $ 327,341 $ 416,564 327,341 416,564 $ 386,193
Supplemental disclosures of cash flow information:          
Interest paid     14,935 11,862  
Operating lease right-of-use asset obtained in exchange for operating lease liability       $ 7,764  
Finance lease right-of-use asset obtained in exchange for finance lease liability     $ 4,890