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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Operating activities    
Net loss $ (211,972) $ (255,418)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 46,257 29,388
Amortization of acquired intangible assets 17,100 0
Amortization of premiums and accretion of purchase discounts on investment securities 0 32
Non-cash settlement expense 1,226 0
Non-cash lease expense 20,417 14,751
Stock-based compensation 304,309 261,822
Change in fair value of warrants and preferred stock of related party equity investment (166) (3,235)
Revaluation of contingent consideration 8,220 0
Other non-cash items 263 29
Non-cash expense recovery (2,023) (1,084)
Changes in operating assets and liabilities:    
Accounts receivable (174,826) 27,786
Inventory (23,261) (19,900)
Operating lease right-of-use assets 1,368 88
Prepaid expenses and other assets (5,128) (8,982)
Accounts payable 76,016 12,346
Accrued compensation 66,819 48,200
Operating lease liabilities (18,311) (14,245)
Other accrued liabilities and other liabilities 22,156 48,197
Deferred revenue 10,408 1,638
Net cash provided by operating activities 138,895 141,413
Investing activities    
Proceeds from maturity of investments 0 22,000
Purchases of property and equipment, net (124,245) (70,117)
Purchase of intangible assets, net 0 (12,500)
Cash paid for business combination, net (243) 0
Investment in related party (10,000) 0
Net cash used in investing activities (134,488) (60,617)
Financing activities    
Proceeds from exercise of stock options 5,736 2,819
Cash paid to satisfy statutory withholding requirement for net settlement of cashless stock option exercises (5,413) 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 16,648 15,055
Net change in cash, cash equivalents and restricted cash 21,055 95,851
Cash, cash equivalents and restricted cash, beginning of period 1,076,140 945,587
Cash, cash equivalents and restricted cash, end of period 1,097,195 1,041,438
Supplemental disclosure of cash flow information:    
Cash paid for interest 2,685 3,078
Non-cash investing and financing activities:    
Purchases of property and equipment in accounts payable and accruals 26,860 (1,789)
Acquisition of warrants 7,162 0
Amounts accrued for acquisition of intangible assets 0 17,500
Consideration for business combination 30 0
Issuance of common stock for intangible assets 774 0
Issuance of common stock for bonuses 47,026 32,875
Stock-based compensation included in capitalized software development costs 1,847 2,275
Foresight Diagnostics, Inc.    
Adjustments to reconcile net loss to net cash provided by operating activities:    
Amortization of acquired intangible assets 17,123 $ 0
Revaluation of contingent consideration $ 10,700