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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Operating activities    
Net loss $ (85,091) $ (66,936)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 14,517 9,237
Amortization of acquired intangible assets 7,100 300
Amortization of premiums and accretion of purchase discounts on investment securities 0 9
Non-cash lease expense 5,931 4,389
Non-cash settlement expense 1,226 0
Stock-based compensation 95,107 77,827
Change in fair value of warrants and preferred stock of related party equity investment (166) (3,235)
Revaluation of contingent consideration 6,120 0
Foreign exchange adjustment 258 138
Non-cash interest expense (18) (17)
Non-cash expense recovery (596) (361)
Changes in operating assets and liabilities:    
Accounts receivable (121,067) (4,068)
Inventory (2,278) (5,623)
Operating lease right-of-use assets 255 0
Prepaid expenses and other assets (17,064) (9,354)
Accounts payable 21,880 2,379
Accrued compensation 98,233 17,035
Operating lease liabilities (5,852) (4,505)
Other accrued liabilities 12,105 26,866
Deferred revenue 11,882 671
Other long-term liabilities (920) 0
Net cash provided by operating activities 40,171 44,452
Investing activities    
Proceeds from maturity of investments 0 5,000
Purchases of property and equipment, net (22,137) (21,815)
Investment in related party (10,000) 0
Net cash used in investing activities (32,137) (16,815)
Financing activities    
Proceeds from exercise of stock options 3,863 544
Stock issuance costs (105) 0
Net cash provided by financing activities 3,758 544
Net change in cash, cash equivalents and restricted cash 11,792 28,181
Cash, cash equivalents and restricted cash, beginning of period 1,076,140 945,587
Cash, cash equivalents and restricted cash, end of period 1,087,932 973,768
Supplemental disclosure of cash flow information:    
Cash paid for interest 889 1,005
Non-cash investing and financing activities:    
Purchases of property and equipment in accounts payable and accruals 18,216 4,223
Acquisition of warrants and warrants receivable 7,162 0
Consideration for business combination (213) 0
Issuance of common stock for IPR&D milestone 774 0
Issuance of common stock for bonuses 47,026 32,063
Stock-based compensation included in capitalized software development costs 391 608
Foresight Diagnostics, Inc.    
Adjustments to reconcile net loss to net cash provided by operating activities:    
Amortization of acquired intangible assets 5,709 $ 0
Revaluation of contingent consideration $ 7,200