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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows from operating activities      
Net loss $ (287,216) $ (239,238) $ (187,134)
Adjustments to reconcile net loss to net cash used in operating activities:      
Stock-based compensation expense 85,218 62,620 37,726
Amortization of intangible asset 6,392 6,375 4,139
Amortization of debt discount 2,640 2,574 1,483
Depreciation 532 459 263
Loss in fair value of contingent consideration 28,124 48,918 3,298
Non-cash lease expense 1,388 1,450 1,162
Right-of-use asset amortization for finance lease 1,034    
Change in operating lease liability (422) 154 (1,118)
Changes in operating assets and liabilities:      
Accounts receivable, net (47,181) (57,121) (37,699)
Inventories, net 744 (8,156) (1,331)
Prepaid expenses and other current assets (3,863) (5,335) (2,735)
Non-current inventory and other assets (3,183) 3,694 (3,944)
Accounts payable 31,318 2,074 25,456
Accrued expenses and other current liabilities 56,065 36,452 43,923
Net cash used in operating activities (128,410) (145,080) (116,511)
Cash flows from investing activities      
Purchases of equipment (270) (582) (702)
Cash paid for business combination     (53,000)
Net cash used in investing activities (270) (582) (53,702)
Cash flows from financing activities      
Proceeds from draw down of debt   85,000 45,000
Payment of debt issuance costs   (1,442) (487)
Payments on principal portion of finance lease obligation (990)    
Proceeds from issuance of common stock upon financing 40,784 258,750 243,763
Cash paid for common stock issuance costs (816) (15,668) (6,975)
Proceeds from issuance of common stock upon exercise of options and under employee stock purchase plan 30,680 12,419 6,251
Payment of contingent consideration (7,866) (6,211) (2,438)
Payments of tax withholdings on stock awards (3,952) (1,835) (532)
Net cash provided by financing activities 57,840 331,013 284,582
Net (decrease) increase in cash (70,840) 185,351 114,369
Cash at beginning of period 386,193 200,842 86,473
Cash at end of period 315,353 386,193 200,842
Supplemental disclosures of cash flow information:      
Interest paid 19,690 16,730 7,686
Operating lease right-of-use asset obtained in exchange for operating lease liability   7,802 561
Finance lease right-of-use asset obtained in exchange for finance lease liability 5,355    
Supplemental disclosures of non-cash investing activity:      
Fair value of contingent consideration in a business combination $ 99,965 79,707 $ 37,000
Supplemental disclosures of non-cash financing activity:      
Issuance of warrants in connection with debt financing   $ 1,635