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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Operating activities    
Net loss $ (152,060) $ (167,874)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 29,998 19,096
Amortization of acquired intangible assets 11,400 0
Amortization of premiums and accretion of purchase discounts on investment securities 0 19
Non-cash settlement expense 1,226 0
Non-cash lease expense 13,346 9,348
Stock-based compensation 198,204 171,185
Change in fair value of warrants and preferred stock of related party equity investment (166) (3,235)
Revaluation of contingent consideration 550 0
Other non-cash items 449 8
Non-cash expense recovery (1,310) (722)
Changes in operating assets and liabilities:    
Accounts receivable (125,440) 4,941
Inventory (11,903) (9,528)
Operating lease right-of-use assets 1,368 0
Prepaid expenses and other assets (9,479) (6,595)
Accounts payable 35,618 6,979
Accrued compensation 58,899 25,787
Operating lease liabilities (11,971) (9,307)
Other accrued liabilities 43,123 40,464
Deferred revenue 14,670 1,460
Other long-term liabilities (1,574) 0
Net cash provided by operating activities 94,964 82,026
Investing activities    
Proceeds from maturity of investments 0 7,000
Purchases of property and equipment, net (85,566) (47,712)
Investment in related party (10,000) 0
Net cash used in investing activities (95,566) (40,712)
Financing activities    
Proceeds from exercise of stock options 4,736 884
Cash paid to satisfy statutory withholding requirement for net settlement of cashless stock option exercises (5,097) 0
Proceeds from the issuance of common stock under the employee stock purchase plan 16,430 12,236
Stock issuance costs (105) 0
Net cash provided by financing activities 15,964 13,120
Net change in cash, cash equivalents and restricted cash 15,362 54,434
Cash, cash equivalents and restricted cash, beginning of period 1,076,140 945,587
Cash, cash equivalents and restricted cash, end of period 1,091,502 1,000,021
Supplemental disclosure of cash flow information:    
Cash paid for interest 1,782 2,034
Non-cash investing and financing activities:    
Purchases of property and equipment in accounts payable and accruals 15,349 (4,819)
Acquisition of warrants and warrants receivable 7,162 0
Consideration for business combination 30 0
Issuance of common stock for IPR&D milestone 774 0
Issuance of common stock for bonuses 47,026 32,875
Stock-based compensation included in capitalized software development costs 994 1,397
Foresight Diagnostics, Inc.    
Adjustments to reconcile net loss to net cash provided by operating activities:    
Amortization of acquired intangible assets 11,416 $ 0
Revaluation of contingent consideration $ 2,100