Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2026	Sep. 30, 2025
Operating activities
Net loss	$ (93,383)	$ (3,355)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
Depreciation and amortization expense	20,418	18,343
Stock-based compensation expense	23,591	22,382
Change in fair value of financial liabilities	(2,760)	2,320
Deferred tax expense	405	448
Legal reserves	0	810
Change in third party payor reserves	(1,370)	8,746
Loss on extinguishment of debt	6,565	0
Impairment loss	31,287	0
Other	3,611	2,534
Change in operating assets and liabilities:
Accounts receivable	(17,982)	(22,799)
Inventory	(7,823)	(72)
Accounts payable and accrued expenses	(19,308)	5,185
Other assets and liabilities	(15,239)	1,827
Net cash (used in) provided by operating activities	(71,988)	36,369
Investing activities
Acquisition of business, net of cash acquired	0	(33,195)
Purchases of marketable securities	(40,859)	(36,535)
Proceeds from sales of marketable securities	3,172	0
Proceeds from maturities of marketable securities	29,175	33,955
Purchases of property and equipment and development of internal-use software	(21,791)	(14,670)
Net cash used in investing activities	(30,303)	(50,445)
Financing activities
Proceeds from long term debt, net of issuance costs	146,027	0
Proceeds from offerings, net of issuance costs	0	25,568
Proceeds from issuance of common stock from securities purchase agreement	5,000	0
Proceeds from issuance of common stock from subscription agreements	476	0
Proceeds from issuance of common stock pursuant to employee stock purchase plan	1,793	1,262
Exercise of stock options	58	982
Finance lease principal payments	(1,473)	(2,074)
Net cash provided by financing activities	93,434	24,832
Net (decrease) increase in cash, cash equivalents and restricted cash	(8,857)	10,756
Cash, cash equivalents and restricted cash, at beginning of period	105,989	86,202
Cash, cash equivalents and restricted cash, at end of period	97,132	96,958
Supplemental disclosures of cash flow information
Cash paid for interest	6,678	4,835
Cash paid for taxes	2,394	1,039
Purchases of property and equipment in accounts payable and accrued expenses	1,610	4,472
Lease liability from obtaining right-of-use asset	12,086	0
Perceptive Term Loan Facility
Financing activities
Repayment and principal payments for long-term debt	(54,000)	0
DECD Loan Agreement
Financing activities
Repayment and principal payments for long-term debt	$ (4,447)	$ (906)