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Income Taxes - Reconciliation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Reconciliation between the amount of reported income tax and the amount computed using U.S. Statutory rate      
Pre-tax loss $ (157,863) $ (141,429) $ (112,325)
Loss at statutory rates (33,151) (29,700) (23,588)
Research and development credits (7,332) (5,237) (3,876)
State taxes (15,375) (13,691) (9,606)
Other 662 (1,130) 11,421
Change in fair value remeasurement of contingent consideration     (1,441)
Expiration of Federal and State NOLs and R&D credits 82,825 15,141 16,862
Change in valuation allowance $ (27,629) $ 34,617 $ 10,228