7Baggers

Veracyte, Inc
(NASDAQ:VCYT) 

VCYT stock logo

Veracyte, Inc. operates as a genomic diagnostics company in the United States and internationally. The company offers Afirma Genomic Sequencing Classifier and Xpression Atlas, which are used to identify patients with benign thyroid nodules among those with indeterminate cytopathology results in orde...

Founded: 2006
Full Time Employees: 354
Sector: Healthcare
Industry: Biotechnology

Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-09-30 2014-06-30 2014-03-31 2013-09-30 
                                                    
      revenue:
                                                    
      testing revenue
    135,091,000 135,826,000 127,756,000 122,263,000 107,309,000 112,152,000 109,536,000 106,970,000 90,303,000 90,385,000 82,012,000 81,749,000 72,396,000 70,269,000 64,577,000 59,718,000 55,980,000 53,414,000 50,897,000 50,793,000 33,078,000 31,497,000 28,270,000 15,212,000 26,991,000                        
      product revenue
    3,679,000 3,848,000 3,301,000 3,598,000 3,580,000 3,019,000 3,188,000 3,906,000 3,537,000 3,665,000 4,020,000 4,011,000 3,892,000 3,231,000 3,314,000 3,108,000 2,979,000 2,758,000 2,959,000 2,688,000 3,059,000 2,696,000 2,027,000 1,713,000 3,409,000                        
      biopharmaceutical and other revenue
    301,000 962,000 815,000 4,303,000 3,584,000 3,461,000 3,136,000 3,552,000 3,004,000 4,149,000 4,076,000 4,562,000 6,134,000 6,797,000 7,701,000 10,038,000 8,824,000 11,164,000 6,514,000                              
      total revenue
    139,071,000 140,636,000 131,872,000 130,164,000 114,473,000 118,632,000 115,860,000 114,428,000 96,844,000 98,199,000 90,108,000 90,322,000 82,422,000 80,297,000 75,592,000 72,864,000 67,783,000 67,336,000 60,370,000 55,105,000 36,703,000 34,536,000 31,121,000 20,704,000 31,122,000                        
      yoy
    21.49% 18.55% 13.82% 13.75% 18.20% 20.81% 28.58% 26.69% 17.50% 22.29% 19.20% 23.96% 21.60% 19.25% 25.21% 32.23% 84.68% 94.97% 93.98% 166.16% 17.93%                            
      qoq
    -1.11% 6.65% 1.31% 13.71% -3.51% 2.39% 1.25% 18.16% -1.38% 8.98% -0.24% 9.58% 2.65% 6.22% 3.74% 7.50% 0.66% 11.54% 9.55% 50.14% 6.27% 10.97% 50.31% -33.47%                         
      cost of revenue:
                                                    
      cost of testing revenue
    33,306,000 33,118,000 33,777,000 32,407,000 28,260,000 31,645,000 29,029,000 27,920,000 25,979,000 24,105,000 21,827,000 23,333,000 19,648,000 19,394,000 19,816,000 18,584,000 17,523,000 16,366,000 16,073,000 15,589,000 10,832,000 9,756,000 9,118,000 6,471,000 10,568,000                        
      cost of product revenue
    1,891,000 2,621,000 3,015,000 1,749,000 1,422,000 2,800,000 1,792,000 1,874,000 2,644,000 1,753,000 2,436,000 2,315,000 2,162,000 2,618,000 1,981,000 1,646,000 1,575,000 1,583,000 1,491,000 1,323,000 1,490,000 1,382,000 1,048,000 932,000 1,559,000                        
      cost of biopharmaceutical and other revenue
    8,000 217,000 1,091,000 3,572,000 2,698,000 2,622,000 3,112,000 3,812,000 2,838,000 3,518,000 3,347,000 4,040,000 4,419,000 4,819,000 4,211,000 4,800,000 4,615,000 4,933,000 4,079,000                              
      intangible asset amortization - cost of revenue
    2,707,000 2,707,000 2,707,000 2,667,000 2,585,000 2,811,000 2,917,000 2,909,000                                         
      total cost of revenue
    37,912,000 38,663,000 40,590,000 40,395,000 34,965,000 39,878,000 36,850,000 36,515,000                                         
      gross profit
    101,159,000 101,973,000 91,282,000 89,769,000 79,508,000 78,754,000 79,010,000 77,913,000                                         
      yoy
    27.23% 29.48% 15.53% 15.22%                                             
      qoq
    -0.80% 11.71% 1.69% 12.91% 0.96% -0.32% 1.41%                                          
      gross margin %
    72.74% 72.51% 69.22% 68.97% 69.46% 66.39% 68.19% 68.09% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      operating expenses:
                                                    
      research and development
    27,098,000 20,849,000 15,981,000 16,264,000 17,720,000 19,290,000 17,574,000 16,465,000 15,965,000 18,673,000 13,322,000 12,541,000 12,769,000 11,287,000 10,773,000 9,377,000 9,166,000 10,252,000 8,006,000 6,249,000 5,336,000 4,586,000 4,042,000 4,169,000 4,407,000 4,443,000 3,643,000 3,330,000 3,435,000 3,125,000 3,419,000 4,601,000 3,675,000 3,202,000 3,046,000 3,603,000 4,030,000 3,590,000 4,006,000 4,267,000 3,461,000 3,563,000 3,103,000 2,787,000 2,233,000 2,243,000 2,126,000 2,028,000 
      selling and marketing
    27,156,000 25,940,000 24,455,000 25,316,000 24,454,000 24,824,000 22,612,000 24,216,000 23,782,000 25,260,000 24,344,000 25,756,000 26,130,000 24,127,000 25,678,000 24,001,000 23,754,000 22,212,000 21,670,000 19,662,000 16,296,000 13,149,000 10,955,000 10,701,000 17,584,000 14,183,000 13,088,000 13,943,000 12,477,000 10,066,000 10,081,000 9,623,000 11,543,000 9,045,000 7,885,000 7,994,000 7,336,000 5,832,000 7,087,000 8,263,000 7,066,000 6,048,000 6,937,000 5,620,000 5,533,000 5,101,000 4,336,000 3,291,000 
      general and administrative
    23,680,000 17,367,000 27,278,000 32,331,000 33,808,000 26,913,000 25,742,000 31,745,000 26,210,000 23,795,000 16,334,000 25,047,000 22,463,000 18,208,000 17,600,000 19,798,000 20,912,000 18,849,000 20,749,000 15,473,000 46,282,000 12,413,000 8,546,000 7,957,000 7,813,000 8,581,000 6,624,000 6,920,000 6,904,000 6,645,000 5,742,000 5,932,000 5,644,000 5,357,000 5,520,000 6,192,000 6,019,000 5,725,000 5,763,000 6,071,000 6,228,000 5,728,000 5,536,000 5,798,000 5,715,000 3,928,000 3,982,000 3,244,000 
      intangible asset amortization - operating expenses
    579,000 622,000 622,000 621,000 622,000 798,000 880,000 881,000                                         
      total operating expenses
    78,513,000 64,778,000 68,336,000 95,037,000 76,604,000 74,579,000 66,993,000 73,307,000 101,500,000 133,706,000 121,847,000 98,373,000 92,920,000 85,717,000 85,272,000 83,597,000 83,031,000 79,669,000 77,051,000 62,579,000 82,118,000 42,608,000 35,187,000 31,755,000 43,322,000 37,927,000 32,736,000 33,236,000 31,596,000 28,807,000 27,770,000 28,668,000 28,996,000 25,640,000 23,887,000 25,015,000 23,949,000 21,929,000 23,489,000 25,169,000 23,301,000 21,223,000 20,982,000 18,771,000 17,649,000 15,238,000 14,051,000 11,695,000 
      income from operations
    22,646,000 37,195,000 22,946,000 -5,268,000 2,904,000 4,175,000 12,017,000 4,606,000 -4,656,000 -35,507,000 -31,739,000 -8,051,000 -10,498,000 -5,420,000 -9,680,000 -10,733,000 -15,248,000 -12,333,000 -16,681,000 -7,474,000 -45,415,000 -8,072,000 -4,066,000 -11,051,000 -12,200,000 -8,197,000 -1,763,000 -3,100,000 -2,067,000 -3,057,000 -4,304,000 -5,917,000 -8,955,000 -6,044,000 -6,368,000 -6,609,000 -7,517,000 -3,672,000 -4,886,000 -10,494,000         
      yoy
    679.82% 790.90% 90.95% -214.37% -162.37% -111.76% -137.86% -157.21% -55.65% 555.11% 227.88% -24.99% -31.15% -56.05% -41.97% 43.60% -66.43% 52.79% 310.26% -32.37% 272.25% -1.52% 130.63% 256.48% 490.23% 168.14% -59.04% -47.61% -76.92% -49.42% -32.41% -10.47% 19.13% 64.60% 30.33% -37.02%             
      qoq
    -39.12% 62.10% -535.57% -281.40% -30.44% -65.26% 160.90% -198.93% -86.89% 11.87% 294.22% -23.31% 93.69% -44.01% -9.81% -29.61% 23.64% -26.07% 123.19% -83.54% 462.62% 98.52% -63.21% -9.42% 48.83% 364.95% -43.13% 49.98% -32.38% -28.97% -27.26% -33.93% 48.16% -5.09% -3.65% -12.08% 104.71% -24.85% -53.44%          
      operating margin %
    16.28% 26.45% 17.40% -4.05% 2.54% 3.52% 10.37% 4.03% -4.81% -36.16% -35.22% -8.91% -12.74% -6.75% -12.81% -14.73% -22.50% -18.32% -27.63% -13.56% -123.74% -23.37% -13.07% -53.38% -39.20% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      other income
    7,328,000 3,439,000 -4,057,000 6,518,000 4,524,000 -732,000 4,831,000 2,755,000 2,748,000 5,035,000 1,967,000 -226,000 2,407,000 1,979,000 805,000 1,086,000 784,000 1,016,000 1,202,000 -1,653,000 -195,000 82,000 -3,000 91,000 539,000 820,000 1,091,000 841,000 453,000 488,000 333,000 150,000 226,000 123,000 134,000 119,000 100,000 75,000 48,000 36,000 43,000 35,000 28,000 32,000 23,000 19,000 12,000  
      income before income taxes
    29,974,000 40,634,000 18,889,000 1,250,000 7,428,000 3,443,000 16,848,000 7,361,000 -1,908,000 -11,535,000 -29,772,000 -8,277,000 -8,091,000 -8,246,500 -8,875,000 -9,647,000 -14,464,000                                
      income tax provision
    1,267,000 -515,000 -248,000 2,230,000 381,000 -1,670,000 1,693,000 1,627,000                                         
      net income
    28,707,000 41,149,000 19,137,000 -980,000 7,047,000 5,113,000 15,155,000 5,734,000 -1,864,000 -28,293,000 -29,618,000 -8,402,000 -8,091,000 -3,844,000 -8,723,000 -9,532,000 -14,461,000 -10,528,000 -14,129,000                              
      yoy
    307.36% 704.79% 26.28% -117.09% -478.06% -118.07% -151.17% -168.25% -76.96% 636.03% 239.54% -11.85% -44.05% -63.49% -38.26%                                  
      qoq
    -30.24% 115.02% -2052.76% -113.91% 37.83% -66.26% 164.30% -407.62% -93.41% -4.47% 252.51% 3.84% 110.48% -55.93% -8.49% -34.08% 37.36% -25.49%                               
      net income margin %
    20.64% 29.26% 14.51% -0.75% 6.16% 4.31% 13.08% 5.01% -1.92% -28.81% -32.87% -9.30% -9.82% -4.79% -11.54% -13.08% -21.33% -15.64% -23.40% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      earnings per share:
                                                    
      basic
    0.36 0.52 0.24 -0.01 0.09 0.07 0.2 0.07                                         
      diluted
    0.35 0.5 0.24 -0.01 0.09 0.06 0.19 0.07                                         
      shares used to compute earnings per common share:
                                                    
      basic
    79,536,601 200,107 78,725,139 78,391,502 78,028,254 377,457 77,013,831 76,538,325                                         
      diluted
    81,313,588 626,754 79,691,703 78,391,502 80,056,024 823,320 78,464,654 77,163,149                                         
      impairment of assets
       20,505,000                                             
      impairment of long-lived assets
         2,754,000 185,000  429,000 32,039,000 34,900,000                                      
      intangible asset amortization
            3,653,000 4,563,000 5,337,000 5,341,000 5,329,000 5,264,000 5,213,000 5,391,000 5,486,000 5,474,000 4,983,000 3,723,000 1,801,000 1,273,000 1,274,000 1,273,000 1,275,000 601,000 267,000 266,000 267,000 267,000 267,000 266,000 267,000 267,000 267,000 266,000 267,000 267,000 266,000 267,000 267,000 266,000 267,000      
      income tax benefit
            -44,000 -7,250 -154,000   -67,500 -152,000 -115,000 -3,000 -789,000 -1,350,000 -152,000 -3,795,000                            
      net loss per common share, basic and diluted
            -20 -380 -410 -120 -110 -50 -120 -130 -200 -140 -200 -130 -660 -140 -80 -220 -240 -160 -20 -50 -50 -60 -120 -180 -270 -240 -210 -220 -240 -120 -200 -400 -360 -320 -350 -340 -370 -310 -320 -6,590 
      shares used to compute net loss per common share, basic and diluted
            74,759,789,000 155,886,000 72,804,770,000 72,478,662,000 72,175,457,000 93,196,000 71,656,694,000 71,476,966,000 71,229,672,000 1,069,674,000 69,743,733,000 67,316,065,000 63,331,702,000 1,606,481,000 54,858,052,000 50,212,123,000 49,792,631,000 996,675,000 48,588,296,000 45,586,081,000 41,168,593,000 1,250,623,000 38,620,036,000 34,314,234,000 34,271,254,000 43,912,000 33,946,748,000 33,873,128,000 33,823,889,000 965,372,000 27,916,819,000 27,859,918,000 27,817,993,000 27,640,806,000 26,048,934,000 22,539,723,000 21,648,660,000 21,237,196,000 21,148,342,000 955,890,000 
      income tax expense
               125,000                                     
      loss before income tax benefit
                     -11,317,000 -15,479,000 -9,190,000 -45,663,000                            
      biopharmaceutical revenue
                       1,624,000 566,000 343,000 824,000 3,779,000 722,000                        
      cost of biopharmaceutical revenue
                       560,000 81,000 49,000 204,000 252,000 116,000                        
      interest expense
                       -63,000 -53,000 -54,000 -55,000 -65,000 -55,000 -81,000 -58,000 -235,000 -303,000 -536,000 -498,000 -481,000 -448,000 -2,518,000 -815,000 -808,000 -800,000 -806,000 -799,000 -785,000         
      net loss and comprehensive loss
                       -9,038,000 -41,868,000 -8,044,000 -4,124,000 -11,025,000 -11,716,000 -7,458,000 -730,000 -2,494,000 -1,917,000 -3,105,000 -4,469,000 -6,248,000 -9,177,000 -8,439,000 -7,049,000 -7,298,000 -8,217,000 -4,403,000 -5,637,000 -11,243,000 -10,075,000 -8,945,000 -9,136,000 -7,610,000 -7,902,000 -6,655,000 -6,674,000 -6,303,000 
      collaboration revenue
                                                    
      revenue
                             22,659,500 30,973,000 30,136,000 29,529,000 25,750,000 23,466,000 22,751,000 20,041,000 19,596,000 17,519,000 18,406,000 16,432,000 18,257,000 18,603,000 14,675,000 13,550,000 12,335,000 11,908,000 11,218,000 9,838,000 8,677,000 7,476,000 5,594,000 
      cost of revenue
                             6,601,000 9,114,000 8,777,000 8,513,000 8,704,000 8,261,000 8,246,000 7,867,000 7,769,000 7,169,000 6,960,000 6,297,000 6,515,000 6,367,000 6,301,000 6,279,000 5,618,000 5,139,000 4,566,000 4,168,000 3,966,000 3,607,000 3,132,000 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-09-30 2014-06-30 2014-03-31 2013-09-30 
                                                      
        assets
                                                      
        current assets:
                                                      
        cash and cash equivalents
      263,136,000 362,578,000 315,573,000 219,499,000 186,120,000 239,087,000 274,079,000 235,915,000 209,188,000 216,454,000 202,463,000 191,142,000 177,890,000 154,247,000 170,112,000 153,447,000 163,615,000 173,197,000 164,029,000 327,545,000 324,062,000 349,364,000 345,080,000 147,450,000 153,132,000 159,317,000 195,662,000 192,647,000 67,841,000 77,995,000 77,846,000 23,758,000 27,152,000 33,891,000 41,195,000 46,463,000 51,506,000 59,219,000 31,699,000 38,993,000 47,456,000 46,116,000 51,045,000 25,798,000 44,002,000 57,998,000 64,237,000 15,426,000 
        short-term investments
      175,924,000 50,311,000 50,855,000 101,220,000 101,235,000 50,354,000        24,605,000  10,551,000                                 
        accounts receivable
      50,112,000 44,660,000 47,826,000 50,814,000 53,781,000 46,525,000 48,807,000 50,304,000 46,665,000 40,378,000 39,297,000 42,365,000 45,489,000 44,021,000 40,068,000 40,448,000 42,481,000 41,461,000 40,309,000 31,864,000 27,877,000 18,461,000 17,629,000 15,306,000 19,091,000 19,329,000 23,613,000 19,626,000 16,615,000 13,168,000 12,262,000 13,006,000 13,198,000 12,716,000 11,635,000 11,027,000 9,125,000 8,756,000 6,312,000 3,387,000 3,230,000 3,520,000 3,586,000 2,564,000 1,180,000 1,430,000 1,191,000 714,000 
        supplies
      21,416,000                 11,225,000 9,824,000 6,674,000 6,308,000 4,657,000 4,456,000 7,041,000 6,094,000 6,806,000 6,608,000 5,104,000 3,768,000 3,402,000 3,463,000                  
        prepaid expenses and other current assets
      11,587,000 10,281,000 14,643,000 18,128,000 17,762,000 14,551,000 13,604,000 15,629,000 16,237,000 12,661,000 13,516,000 14,401,000 14,818,000 11,469,000 14,538,000 15,999,000 20,015,000 17,219,000 15,146,000 5,263,000 3,845,000 3,197,000 3,150,000 2,891,000 3,045,000 2,235,000 2,196,000 2,573,000 2,392,000 2,387,000 1,803,000 1,822,000 2,142,000 1,997,000 1,617,000 1,933,000 2,101,000 2,057,000 1,405,000 1,395,000 1,618,000 3,371,000 1,735,000 1,179,000 1,711,000 1,450,000 1,014,000 2,938,000 
        total current assets
      522,175,000 488,376,000 449,224,000 414,681,000 383,152,000 372,267,000 356,854,000 321,106,000 290,418,000 285,621,000 271,163,000 259,480,000 251,503,000 248,636,000 238,516,000 235,045,000 238,483,000 243,102,000 229,308,000 371,346,000 362,092,000 375,679,000 370,315,000 172,688,000 181,362,000 187,687,000 228,079,000 219,950,000 90,616,000 96,952,000 95,374,000 41,635,000 47,049,000 53,928,000 58,207,000 62,860,000 66,295,000 73,627,000 42,952,000 47,397,000 56,194,000 57,331,000 60,714,000 33,691,000 50,668,000 64,178,000 69,163,000 20,470,000 
        property, plant and equipment
      22,652,000 22,192,000 18,900,000 18,552,000 22,529,000 22,953,000 21,194,000 22,291,000 21,566,000 20,584,000 19,288,000 18,510,000 18,072,000                                    
        right-of-use assets, operating leases
      35,865,000 36,599,000 37,301,000 38,679,000 47,624,000 48,189,000 17,031,000 18,116,000 11,167,000 10,277,000 11,297,000 12,455,000 11,308,000  13,885,000 14,816,000 15,663,000                                
        intangible assets
      85,863,000 89,148,000 92,477,000 95,806,000 99,094,000 102,301,000 108,873,000 112,532,000 116,348,000 88,593,000 123,567,000 164,744,000 170,226,000 174,866,000 176,542,000 184,367,000 196,228,000 202,731,000 209,521,000 155,700,000 159,423,000                            
        goodwill
      767,154,000 767,154,000 767,154,000 773,255,000 754,272,000 745,800,000 762,117,000 752,107,000 753,853,000 702,984,000 693,176,000 698,920,000 699,718,000 695,891,000 676,885,000 690,040,000 704,368,000 707,904,000 714,273,000 471,764,000 474,838,000 2,725,000 2,725,000 2,725,000 2,725,000 2,725,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000 1,057,000    
        restricted cash
      1,657,000 1,648,000 1,637,000 1,654,000 1,645,000 1,544,000 1,080,000 1,088,000 1,082,000 876,000 870,000 889,000 749,000 749,000 749,000 749,000 749,000 749,000 749,000 749,000 749,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000 603,000   120,000 120,000 120,000 120,000 120,000 238,000 118,000 118,000 118,000 100,000 118,000 118,000  
        other assets
      1,034,000 902,000 1,094,000 1,477,000 7,095,000 6,981,000 7,872,000 7,087,000 5,639,000 5,971,000 5,582,000 6,116,000 5,543,000 5,418,000 2,143,000 1,993,000 1,799,000 2,198,000 1,636,000 1,504,000 2,286,000 1,399,000 2,303,000 1,271,000 1,302,000 1,437,000 1,228,000 1,061,000 1,049,000 1,086,000 837,000 598,000 466,000 326,000 178,000 134,000 127,000 134,000 203,000 172,000 208,000 195,000 185,000 180,000 179,000 142,000 145,000 157,000 
        total assets
      1,436,400,000 1,406,019,000 1,367,787,000 1,344,104,000 1,315,411,000 1,300,035,000 1,275,021,000 1,234,327,000 1,200,073,000 1,114,906,000 1,124,943,000 1,161,114,000 1,157,119,000 1,156,422,000 1,125,957,000 1,144,198,000 1,173,589,000 1,187,825,000 1,186,356,000 1,027,435,000 1,025,136,000 457,163,000 454,151,000 256,737,000 267,100,000 275,212,000 260,307,000 252,377,000 123,537,000 120,638,000 119,077,000 65,461,000 71,190,000 78,669,000 83,659,000 88,347,000 92,606,000 101,034,000 69,650,000 74,832,000 84,267,000 80,853,000 82,503,000 55,060,000 71,814,000 67,750,000 72,454,000 23,571,000 
        liabilities and stockholders’ equity
                                                      
        current liabilities:
                                                      
        accounts payable
      6,908,000 4,593,000 5,509,000 11,447,000 15,709,000 8,634,000 9,670,000 12,084,000 12,152,000 12,943,000 12,531,000 12,895,000 15,655,000 11,911,000 11,114,000 10,328,000 11,273,000 12,360,000 11,201,000 8,472,000 7,137,000 3,116,000 1,932,000 2,224,000 7,665,000 2,328,000 5,568,000 4,061,000 4,064,000 2,516,000 1,175,000 1,962,000 3,356,000 3,853,000 3,161,000 2,349,000 2,611,000 2,424,000 3,081,000 2,705,000 4,340,000 6,644,000 2,688,000 6,854,000 8,587,000 8,539,000 7,214,000 5,604,000 
        accrued liabilities
      43,129,000 48,801,000 48,373,000 43,707,000 35,928,000 43,826,000 43,872,000 43,455,000 30,293,000 38,427,000 34,828,000 34,427,000 30,641,000 37,774,000 32,137,000 33,565,000 38,543,000 39,475,000 29,044,000 20,756,000 16,254,000 11,705,000 10,445,000 9,386,000 10,079,000 13,734,000 9,760,000 9,820,000 8,788,000 9,186,000 9,261,000 8,429,000 8,483,000 8,175,000 8,058,000 8,450,000 6,800,000 9,110,000 7,189,000 8,910,000 7,021,000 7,365,000 7,217,000 5,396,000 6,106,000 5,128,000 5,267,000 4,416,000 
        current portion of deferred revenue
      749,000 1,160,000 417,000 1,450,000 1,712,000 1,673,000 2,033,000 2,195,000 2,602,000 2,008,000 2,214,000 2,378,000 2,194,000 2,613,000 3,863,000 4,193,000 4,878,000 4,646,000 3,440,000 566,000 454,000 371,000                           
        current portion of acquisition-related contingent consideration
      982,000 1,332,000 13,571,000 13,415,000 14,360,000 16,981,000 7,391,000 7,348,000 6,934,000 2,657,000 2,574,000 3,359,000 3,300,000 6,060,000 5,913,000 5,998,000 2,703,000 2,682,000 2,646,000 3,375,000                             
        current portion of operating lease liabilities
      4,347,000 4,051,000 4,282,000 6,414,000 7,409,000 7,500,000 7,294,000 7,185,000 5,982,000 5,105,000 5,007,000 4,973,000 4,076,000 4,070,000 3,958,000 3,930,000 3,849,000 3,630,000                               
        total current liabilities
      56,115,000 59,937,000 72,152,000 76,433,000 75,125,000 78,633,000 70,313,000 72,339,000 58,052,000 61,241,000 57,260,000 58,151,000 55,993,000 62,614,000 58,352,000 59,345,000 62,543,000 64,151,000 50,037,000 36,105,000 32,709,000 16,781,000 13,919,000 13,105,000 19,194,000 17,469,000 16,772,000 15,321,000 14,329,000 13,059,000 10,436,000 10,391,000 11,839,000 12,028,000 11,219,000 10,799,000 9,411,000 11,534,000 10,270,000 11,842,000 11,879,000 15,432,000 11,802,000 14,147,000 18,010,000 17,107,000 15,448,000 12,520,000 
        deferred tax liabilities
      636,000  1,214,000 1,301,000 1,242,000  1,470,000 1,483,000 1,340,000  3,644,000 4,707,000 4,594,000  4,342,000 4,605,000 4,983,000                                
        acquisition-related contingent consideration, net of current portion
      257,000 257,000 583,000 573,000 570,000 561,000 14,225,000 13,889,000 13,446,000 518,000 484,000 4,855,000 4,773,000 2,498,000 2,411,000 2,358,000 5,732,000 5,722,000 5,251,000 4,467,000 1,800,000                            
        operating lease liabilities, net of current portion
      34,986,000 35,603,000 36,171,000 44,232,000 43,092,000 43,237,000 12,400,000 13,553,000 8,058,000 7,525,000 8,720,000 9,891,000 9,709,000 10,648,000 11,527,000 12,529,000 13,485,000 14,096,000                               
        total liabilities
      91,994,000 96,443,000 110,120,000 123,047,000 120,475,000 124,069,000 98,979,000 101,804,000 81,424,000 70,804,000 70,884,000 78,396,000 75,860,000 81,222,000 77,780,000 80,047,000 88,399,000 91,311,000 79,276,000 56,258,000 50,905,000 35,931,000 31,426,000 30,590,000 36,678,000 35,757,000 29,283,000 28,137,000 39,765,000 40,883,000 39,660,000 39,655,000 41,182,000 41,444,000 40,843,000 40,503,000 39,256,000 41,453,000 39,645,000 41,079,000 40,961,000 23,042,000 17,415,000 19,981,000 23,531,000 22,725,000 22,164,000 21,124,000 
        commitments and contingencies
                                                      
        stockholders’ equity:
                                                      
        preferred stock, 0.001 par value...
                                                      
        common stock, 0.001 par value...
      80,000 79,000 79,000 79,000 78,000 78,000 77,000 77,000 76,000 73,000 73,000 73,000 72,000 72,000 72,000 72,000 71,000 71,000 71,000 67,000 67,000 58,000 58,000 50,000 50,000 50,000 49,000 48,000 42,000 41,000 41,000 34,000 34,000 34,000 34,000 34,000 34,000 34,000 28,000 28,000 28,000 27,000 27,000 23,000 22,000 21,000 21,000 1,000 
        additional paid-in capital
      1,701,470,000 1,695,339,000 1,684,587,000 1,670,853,000 1,660,435,000 1,655,961,000 1,646,343,000 1,627,307,000 1,617,465,000 1,536,168,000 1,528,011,000 1,520,638,000 1,509,861,000 1,500,191,000 1,492,044,000 1,483,279,000 1,477,418,000 1,468,683,000 1,461,778,000 1,303,610,000 1,297,626,000 702,768,000 696,217,000 495,523,000 488,773,000 486,090,000 470,202,000 462,689,000 319,733,000 313,800,000 310,357,000 252,284,000 250,238,000 248,278,000 245,430,000 243,409,000 241,617,000 239,631,000 205,658,000 203,769,000 202,079,000 198,497,000 196,829,000 157,688,000 155,141,000 143,982,000 142,592,000 3,181,000 
        accumulated deficit
      -348,923,000 -377,630,000 -418,779,000 -437,916,000 -436,936,000 -443,983,000 -449,096,000 -464,251,000 -469,985,000 -468,121,000 -439,828,000 -410,210,000 -401,808,000 -393,717,000 -389,873,000 -381,150,000 -371,618,000 -357,157,000 -346,629,000 -332,500,000 -323,462,000 -281,594,000 -273,550,000 -269,426,000 -258,401,000 -246,685,000 -239,227,000 -238,497,000 -236,003,000 -234,086,000 -230,981,000 -226,512,000 -220,264,000 -211,087,000 -202,648,000 -195,599,000 -188,301,000 -180,084,000 -175,681,000 -170,044,000         
        accumulated other comprehensive loss
      -8,221,000 -8,212,000 -8,220,000 -11,959,000 -28,641,000 -36,090,000 -21,282,000 -30,610,000 -28,907,000 -24,018,000 -34,197,000 -27,783,000 -26,866,000 -31,346,000 -54,066,000 -38,050,000 -20,681,000 -15,083,000 -8,140,000                              
        total stockholders’ equity
      1,344,406,000  1,257,667,000 1,221,057,000 1,194,936,000  1,176,042,000 1,132,523,000 1,118,649,000  1,054,059,000 1,082,718,000 1,081,259,000  1,048,177,000 1,064,151,000 1,085,190,000  1,107,080,000 971,177,000 974,231,000  422,725,000 226,147,000 230,422,000  231,024,000 224,240,000 83,772,000  79,417,000 25,806,000 30,008,000  42,816,000 47,844,000 53,350,000  30,005,000 33,753,000 43,306,000 57,811,000 65,088,000 35,079,000 48,283,000 45,025,000 50,290,000  
        total liabilities and stockholders’ equity
      1,436,400,000  1,367,787,000 1,344,104,000 1,315,411,000  1,275,021,000 1,234,327,000 1,200,073,000  1,124,943,000 1,161,114,000 1,157,119,000  1,125,957,000 1,144,198,000 1,173,589,000  1,186,356,000 1,027,435,000 1,025,136,000  454,151,000 256,737,000 267,100,000  260,307,000 252,377,000 123,537,000  119,077,000 65,461,000 71,190,000  83,659,000 88,347,000 92,606,000  69,650,000 74,832,000 84,267,000 80,853,000 82,503,000 55,060,000 71,814,000 67,750,000 72,454,000  
        supplies and inventory
       20,546,000 20,327,000 25,020,000 24,254,000 21,750,000 20,364,000 19,258,000 18,328,000 16,128,000 15,887,000 11,572,000 13,306,000 14,294,000 13,798,000 14,600,000 12,372,000                                
        liabilities and stockholders' equity
                                                      
        current portion of other liabilities
          7,000 19,000 53,000 72,000 89,000 101,000 106,000 119,000 127,000 186,000 180,000 198,000 218,000 231,000 241,000                              
        deferred tax liability
       646,000    1,227,000    734,000    4,531,000    5,592,000 6,234,000 773,000 750,000                     222,000 254,000 300,000 325,000    
        other liabilities
         508,000 446,000 411,000 571,000 540,000 528,000 786,000 776,000 792,000 791,000 931,000 1,148,000 1,210,000 1,378,000 1,407,000 1,891,000                              
        stockholders' equity:
                                                      
        total stockholders' equity
       1,309,576,000    1,175,966,000    1,044,102,000    1,075,200,000    1,096,514,000    421,232,000    239,455,000    79,755,000    37,225,000    59,581,000           
        total liabilities and stockholders' equity
       1,406,019,000    1,300,035,000    1,114,906,000    1,156,422,000    1,187,825,000    457,163,000    275,212,000    120,638,000    78,669,000    101,034,000           
        property and equipment
                   17,702,000 17,237,000 17,188,000 16,299,000 15,098,000 14,868,000 11,813,000 10,562,000 8,990,000 8,914,000 8,640,000 8,788,000 8,933,000 8,488,000 8,150,000 8,114,000 8,940,000 8,939,000 9,035,000 9,215,000 9,688,000 10,281,000 10,093,000 10,657,000 11,480,000 10,435,000 10,937,000 11,272,000 6,200,000 4,211,000 4,132,000 3,792,000 3,312,000 3,028,000 2,826,000 
        right-of-use assets - operating leases
                   13,160,000    16,043,000                               
        current portion of long-term debt
                    1,187,000 1,133,000 1,079,000 1,127,000            1,357,000               1,420,000 940,000 467,000  
        deferred revenue, net of current portion
                      278,000 343,000 552,000 662,000 747,000 829,000                           
        long-term debt
                        1,075,000 917,000 863,000 810,000 756,000 801,000 748,000 694,000 639,000 585,000 12,854,000 23,925,000 25,192,000 25,103,000 25,016,000 24,938,000 24,997,000 24,971,000 24,944,000 24,918,000 24,891,000 24,671,000 24,452,000 5,002,000 4,975,000 4,949,000 3,587,000 4,031,000 4,467,000 4,863,000 
        right-of-use assets, operating lease
                        16,001,000 14,559,000                             
        current portion of operating lease liability
                        3,465,000 2,936,000 2,878,000 1,589,000 1,542,000 1,495,000 1,450,000 1,407,000 1,365,000 1,284,000 1,244,000                    
        operating lease liability, net of current portion
                        14,236,000 13,334,000 14,036,000 9,917,000 10,331,000 10,736,000 11,132,000 11,506,000 11,872,000 12,231,000 12,582,000                    
        right-of-use assets - operating lease
                          15,186,000 7,843,000 8,094,000 8,339,000 8,576,000 8,808,000 9,033,000 9,412,000 9,630,000                    
        current portion of acquisition related contingent consideration
                          5,986,000                            
        finite-lived intangible assets
                           59,924,000 61,197,000 62,471,000 63,744,000 65,019,000 11,200,000 11,467,000 11,733,000 12,000,000 12,267,000 12,533,000 12,800,000 13,067,000 13,333,000 13,600,000 13,867,000 14,133,000 14,400,000 14,666,000 14,933,000 15,467,000 15,733,000      
        acquisition related contingent consideration
                           7,594,000    6,088,000                       
        acquisition-related contingent consideration
                            6,420,000 5,948,000 5,604,000                        
        deferred rent, net of current portion
                                   3,899,000 3,953,000 4,005,000 4,094,000 4,170,000 4,245,000 4,277,000 4,373,000 4,402,000 4,484,000 4,566,000 4,630,000 2,386,000 384,000 111,000 186,000 223,000 260,000 250,000 
        right-of-use assets - finance lease
                                619,000 677,000 735,000                    
        current portion of finance lease liability
                                79,000 156,000 233,000                    
        capital lease liability, net of current portion
                                    79,000 156,000 233,000 308,000 382,000 456,000 528,000 599,000           
        supplies inventory
                                     3,049,000 4,557,000 5,324,000 3,760,000 3,317,000 3,443,000 3,475,000 3,416,000 3,502,000 3,652,000 3,984,000 3,976,000 3,732,000 3,350,000 3,300,000 2,721,000 1,392,000 
        deferred genzyme co-promotion fee
                                             227,000 518,000 1,423,000 1,897,000 1,897,000 1,897,000 2,500,000 2,500,000 2,500,000 
        deferred tax asset
                                               222,000 254,000 300,000 325,000    
        indefinite-lived intangible assets: in-process research and development
                                                      
        deferred genzyme co-promotion fee, net of current portion
                                                 474,000 1,423,000 1,364,000 1,989,000 3,239,000 
        in-process research and development
                                                 16,000,000 16,000,000    
        liabilities, convertible preferred stock, and stockholders’ (deficit) equity
                                                      
        preferred stock liability
                                                      
        preferred stock warrant liability
                                                     252,000 
        convertible preferred stock; 0.001 par value...
                                                     79,022,000 
        stockholders’ (deficit) equity:
                                                      
        total stockholders’ (deficit) equity
                                                      
        total liabilities, convertible preferred stock, and stockholders’ (deficit) equity
                                                     23,571,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-09-30 2015-06-30 2015-03-31 2014-09-30 2014-06-30 2014-03-31 
                                                       
          operating activities
                                                       
          net income
        28,707,000 41,149,000 19,137,000 -980,000 7,047,000 5,113,000 15,155,000                                         
          adjustments to reconcile net income to net cash from operating activities:
                                                       
          depreciation and amortization
        5,430,000 5,298,000 5,266,000 5,489,000 5,362,000 6,253,000 5,878,000 5,738,000 5,590,000 6,336,000 7,323,000 6,859,000 6,670,000 6,556,000 6,324,000 6,492,000 6,556,000 6,404,000 6,139,000 4,500,000 2,550,000 2,025,000 1,990,000 1,957,000 1,972,000 1,281,000 967,000 924,000 945,000 970,000 981,000 989,000 980,000 1,002,000 993,000 944,000 902,000 909,000 899,000 941,000 762,000 646,000 644,000 352,000 292,000 277,000 264,000 
          loss on disposal of property, plant and equipment
        366,000   71,000 63,000 38,000 30,000  15,000 121,000                                   
          stock-based compensation
        12,761,000 10,901,000 10,757,000 10,985,000 10,958,000 9,629,000 8,747,000 9,854,000 8,019,000 7,512,000 7,263,000 10,381,000 7,985,000 6,867,000 7,283,000 5,939,000 6,645,000 6,732,000 7,868,000 4,064,000 3,855,000 3,641,000 3,089,000 3,360,000 2,905,000 2,842,000 2,640,000 2,566,000 1,759,000 1,533,000 1,519,000 1,731,000 1,175,000 1,792,000 1,611,000 1,642,000 1,572,000 1,633,000 1,572,000 1,677,000 1,496,000 1,474,000 1,489,000 1,223,000 1,035,000 875,000 492,000 
          deferred income taxes
        -10,000 -568,000 -87,000 59,000 15,000 -243,000 -13,000 143,000 -120,000 -2,996,000 -968,000                                     
          noncash lease expense
        732,000  689,000 696,000 904,000 1,327,000 1,341,000 1,148,000 1,139,000 1,028,000 1,153,000 1,074,000 903,000 833,000 849,000 1,051,000 587,000 66,000 681,000 627,000 258,000 250,000 245,000 237,000 232,000                       
          revaluation of acquisition-related contingent consideration
        -350,000 -12,582,000 166,000 -925,000 -1,954,000 925,000 379,000 858,000 5,000 117,000 -5,156,000 141,000 -485,000 234,000 -32,000 -79,000 31,000 507,000 56,000 55,000 192,000 1,174,000 472,000 344,000 -484,000                       
          effect of foreign currency on operations
        -80,000 11,000 1,205,000 -3,465,000 -1,585,000 2,895,000 -1,681,000 259,000 637,000 -1,753,000 824,000 57,000 -224,000 -1,041,000 847,000 585,000 131,000 -390,000 -265,000 1,784,000 82,000 -17,000                          
          amortization of discount on short-term investments
        -614,000 -651,000                                              
          changes in operating assets and liabilities:
                                                       
          accounts receivable
        -5,567,000 3,150,000 425,000 2,770,000 -7,053,000 1,991,000 1,690,000 -3,627,000 -6,459,000 -763,000 2,861,000 3,091,000 -1,302,000 -139,000 -1,420,000 639,000 -3,575,000 -2,286,000 428,000 -2,965,000 -3,748,000 -787,000 -2,281,000 3,785,000 238,000 4,284,000 -3,987,000 -3,011,000 -3,447,000 -906,000 744,000 192,000 -482,000 -1,081,000 -608,000 -1,902,000 -369,000 -2,444,000 -2,925,000 -159,000 207,000   466,000    
          supplies
        -870,000                 -1,468,000 379,000 -365,000 -10,000 -201,000 2,585,000 -947,000 -376,000 -198,000 -1,504,000 -1,336,000 -366,000 61,000                  
          prepaid expenses and other current assets
        -1,306,000 4,362,000 -956,000 -2,532,000 -2,928,000 -1,445,000 2,332,000 555,000 -2,738,000 1,120,000 952,000 534,000 -3,064,000 1,415,000 1,805,000 309,000 -2,139,000 -1,411,000 -617,000 -1,420,000 132,000 -47,000 -259,000 154,000 -818,000 -31,000 377,000 -181,000 -11,000               38,000    
          other assets
        -132,000 194,000 1,720,000 -629,000 -760,000 134,000 -497,000 -1,472,000 259,000 -172,000 462,000 -557,000 -491,000 -3,209,000 -124,000 -167,000 451,000 -569,000 383,000 28,000 -58,000 -97,000 -32,000 31,000 135,000 -209,000 -167,000 -12,000 37,000 -249,000 -239,000 -132,000 -140,000 -148,000   7,000 69,000 -31,000         
          operating lease liabilities
        -319,000  -495,000 -609,000 -577,000  -1,483,000 -1,393,000 -1,053,000  -1,134,000 -1,141,000 -950,000  -890,000 -1,083,000 -597,000                               
          accounts payable
        2,587,000 -492,000 -3,660,000 -4,007,000 7,120,000 -1,355,000 -1,244,000 -162,000 -1,544,000 -319,000 -607,000 -1,220,000 2,012,000 477,000 1,048,000 -413,000 -960,000 1,283,000 1,114,000 827,000 1,931,000 1,245,000 -656,000 -5,328,000 5,450,000 -2,646,000 759,000 20,000 1,726,000 1,068,000 -724,000 -1,402,000 -510,000 837,000 625,000 -262,000 528,000 -1,054,000 418,000 -1,106,000 301,000    -79,000 1,332,000 2,045,000 
          accrued liabilities and deferred revenue
        -6,120,000 -718,000 9,125,000 6,798,000 -8,889,000 -351,000 20,000 12,865,000 -8,993,000 2,724,000 334,000 3,987,000 -7,721,000 2,106,000 -728,000 -4,908,000 -390,000 11,096,000 -1,441,000 4,532,000 238,000                           
          net cash from operating activities
        35,215,000 52,583,000 44,757,000 33,605,000 5,362,000 24,524,000 29,963,000 29,575,000 -8,966,000 15,552,000 14,171,000 16,671,000 -2,172,000 9,744,000 7,026,000 -363,000 -8,872,000 8,446,000 -1,393,000 1,887,000 -40,561,000 2,261,000 1,752,000 -8,423,000 -5,301,000 1,790,000 -1,556,000 -2,455,000 -1,011,000 -1,226,000 -1,783,000 -3,099,000 -7,413,000 -5,816,000 -5,103,000 -4,910,000 -8,086,000 -4,232,000 -7,438,000         
          capital expenditures
        -645,000 -3,780,000 -2,469,000 -1,758,000 -842,000 -4,141,000 -3,581,000 -2,633,000 -380,000 -2,497,000 -2,488,000 -5,183,000 631,000 -1,872,000 -1,768,000 -2,783,000 -2,111,000 -841,000 -2,800,000 -865,000 -839,000 -888,000 -635,000 -649,000 -552,000 -1,100,000 -232,000 -659,000 -670,000 -204,000 -659,000 -534,000 -171,000 -446,000 -727,000 -113,000  -450,000 -173,000         
          free cash flows
        34,570,000 48,803,000 42,288,000 31,847,000 4,520,000 20,383,000 26,382,000 26,942,000 -9,346,000 13,055,000 11,683,000 11,488,000 -1,541,000 7,872,000 5,258,000 -3,146,000 -10,983,000 7,605,000 -4,193,000 1,022,000 -41,400,000 1,373,000 1,117,000 -9,072,000 -5,853,000 690,000 -1,788,000 -3,114,000 -1,681,000 -1,430,000 -2,442,000 -3,633,000 -7,584,000 -6,262,000 -5,830,000 -5,023,000  -4,682,000 -7,611,000         
          investing activities
                                                       
          purchase of short-term investments
        -124,999,000 -50,000,000 -49,999,000 -49,999,000     -19,700,000 -24,547,000                                 
          purchases of property, plant and equipment
        -2,962,000 -3,780,000 -2,792,000 -1,286,000 -1,819,000 -4,141,000 -2,242,000 -2,770,000 -2,134,000 -2,497,000 -2,802,000 -3,669,000 -993,000                                   
          net cash from investing activities
        -127,961,000 -5,430,000 48,263,000 -224,000 -51,818,000 -54,141,000 -2,242,000 -2,770,000 2,878,000 -2,497,000 -2,802,000 -3,669,000 24,080,000 -26,434,000 8,807,000 -9,307,000 -2,453,000 385,000 -165,457,000 1,473,000 -575,607,000 -888,000 -1,635,000 -649,000 -665,000 -41,100,000 -226,000 -658,000 -749,000 -454,000 -659,000 -534,000 -227,000 -300,000 -607,000 -113,000 -175,000 -450,000 -173,000         
          financing activities
                                                       
          payment of taxes on vested restricted stock units
        -9,364,000 -3,659,000 -2,814,000 -2,380,000 -9,451,000 -3,274,000 -2,180,000 -1,303,000 -3,832,000 -1,127,000 -2,446,000 -891,000 -2,277,000 -528,000 -774,000 -418,000 -1,447,000 -722,000 -823,000 -710,000 -6,774,000 -684,000 -483,000 -374,000 -2,304,000                       
          proceeds from the exercise of common stock options and employee stock purchases
        2,735,000 3,510,000 5,791,000 1,814,000 2,967,000 3,264,000 12,469,000 1,292,000 2,968,000 1,772,000 2,556,000 1,288,000 3,962,000 1,808,000 2,257,000 340,000 3,537,000 895,000 4,038,000 2,630,000 3,965,000 3,595,000 4,265,000 3,764,000 2,085,000 3,044,000 4,874,000 2,548,000 4,181,000 1,905,000 1,564,000 312,000 569,000 923,000 511,000 49,000 414,000 253,000 317,000 13,000 633,000       
          net cash from financing activities
        -6,629,000 -149,000 2,977,000 -566,000 -6,484,000 -4,510,000 10,289,000 -11,000 -864,000 645,000 110,000 397,000 1,685,000 93,000 1,486,000 -75,000 1,990,000 173,000 3,215,000 1,920,000 591,012,000 2,911,000 197,513,000 3,390,000 -219,000 2,965,000 4,797,000 127,919,000 -8,394,000 1,829,000 56,530,000 239,000 901,000 -1,188,000 442,000 -20,000 548,000 32,202,000 317,000     92,000 109,000   
          decrease in cash, cash equivalents and restricted cash
        -99,375,000    -52,940,000          17,319,000 -9,745,000 -9,335,000                               
          effect of foreign currency on cash, cash equivalents and restricted cash
        -58,000 12,000 60,000 573,000 74,000 -401,000 146,000 -61,000 -108,000 297,000 -177,000 -7,000 50,000 732,000 -654,000 -423,000 -247,000 164,000 119,000                             
          net decrease in cash, cash equivalents and restricted cash
        -99,433,000    -52,866,000          16,665,000 -10,168,000 -9,582,000   3,483,000 -25,156,000    -6,185,000    -10,154,000   -3,394,000 -6,739,000               
          cash, cash equivalents and restricted cash at beginning of period
        364,226,000  240,631,000  217,330,000  154,996,000  173,946,000  349,967,000  159,920,000  78,598,000  34,494,000               
          cash, cash equivalents and restricted cash at end of period
        264,793,000  96,057,000 33,388,000 187,765,000  38,156,000 26,733,000 210,270,000  11,302,000 13,392,000 178,639,000  16,665,000 -10,168,000 164,364,000  -163,516,000 3,483,000 324,811,000  197,630,000 -5,682,000 153,735,000  3,015,000 124,806,000 68,444,000  54,088,000 -3,394,000 27,755,000               
          supplementary cash flow information:
                                                       
          purchases of property, plant and equipment included in accounts payable and accrued liability
        2,317,000  323,000 -472,000 977,000  -1,339,000 137,000 1,754,000  314,000 -1,514,000 1,624,000                                   
          cash paid for tax
        164,000  835,000 1,432,000 121,000 1,031,000 1,188,000   428,000    140,000 366,000                                 
          non-cash lease expense
                                                       
          impairment loss
           2,754,000 185,000 429,000 32,039,000 34,900,000 1,410,000                                   
          non-cash loss on deconsolidation of subsidiary
         2,845,000                                              
          supplies and inventory
         -219,000 221,000 -565,000 -2,298,000 -1,696,000 -909,000 -963,000 -2,303,000 -58,000 -4,418,000 1,727,000 1,055,000 -170,000 813,000 -2,453,000 -1,201,000                               
          operating lease liability
                         -84,000 -693,000 -644,000 -373,000 -367,000 -358,000 -351,000 -331,000                       
          proceeds from sale of short-term investments
                 39,773,000                                   
          proceeds from maturity of short-term investments
         51,195,000 51,055,000       5,000,000 -15,000 10,521,000                                 
          loss on deconsolidation of subsidiary - cash
                                                       
          acquisition of c2i, net of cash acquired
             5,012,000                                       
          payment of contingent consideration for acquisition
                                                       
          increase in cash, cash equivalents and restricted cash
         47,004,000 95,997,000   -34,127,000 38,010,000 26,794,000 -6,952,000 13,700,000 11,479,000 13,399,000 23,593,000     9,004,000                              
          net increase in cash, cash equivalents and restricted cash
         47,016,000 96,057,000   -34,528,000 38,156,000 26,733,000 -7,060,000 13,997,000 11,302,000 13,392,000 23,643,000     9,168,000    4,284,000 197,630,000   -36,345,000 3,015,000   149,000                  
          cash, cash equivalents and restricted cash at beginning of year
                                                       
          cash, cash equivalents and restricted cash at end of year
                                                       
          supplementary cash flow information of non-cash investing and financing activities:
                                                       
          purchases of property and equipment included in accounts payable and accrued liabilities
                                    95,000 250,000   56,000 -146,000      -381,000 423,000       
          interest on end-of-term debt obligation
                     54,000 54,000 53,000 55,000 54,000 54,000 53,000 54,000 55,000 53,000 54,000  54,000 56,000 64,000  81,000 79,000 70,000               
          payment of long-term debt
                     -1,187,000 3,000 3,000 -100,000        -12,400,000 -12,500,000                 
          cash paid for interest on debt
                                                       
          net loss
                -1,864,000 -28,293,000 -29,618,000 -8,402,000 -8,091,000 -3,844,000 -8,723,000 -9,532,000 -14,461,000 -10,528,000 -14,129,000 -9,038,000 -41,868,000 -8,044,000 -4,124,000 -11,025,000 -11,716,000 -7,458,000 -730,000 -2,494,000 -1,917,000 -3,105,000 -4,469,000 -6,248,000 -9,177,000 -8,439,000 -7,049,000 -7,298,000 -8,217,000 -4,403,000 -5,637,000 -11,243,000 -10,075,000 -8,945,000 -9,136,000 -7,610,000 -7,902,000 -6,655,000 -6,674,000 
          adjustments to reconcile net loss to net cash from operating activities:
                                                       
          loss on disposal of property and equipment
                     134,000                                
          acquisition of decipher biosciences, net of cash acquired
                                                      
          acquisition of haliodx, net of cash acquired
                         1,226,000                              
          proceeds from sale of equity securities
                                                     
          proceeds from issuance of common stock in a public offering, net of issuance costs
                                                       
          shares issued for purchase consideration for a business combination
                                                       
          benefit from income taxes
                      -152,000 -115,000 -3,000 -961,000 -1,350,000 -152,000 -3,795,000                           
          provision for income taxes
                                                       
          write-down of excess supplies
                             1,088,000                       
          purchase of equity securities
                                                      
          purchases of property and equipment
                     -1,872,000 -1,714,000 -2,510,000 -2,453,000 -841,000 -1,812,000 -1,527,000 -1,196,000 -888,000 -635,000 -649,000 -665,000 -1,100,000 -232,000 -659,000 -765,000 -454,000 -659,000 -534,000 -227,000 -300,000 -727,000 -113,000 -615,000 -450,000 -173,000         
          impairment of intangible assets
                                                      
          proceeds from the issuance of common stock in a public offering, net of issuance costs
                          593,821,000                           
          purchases of property and equipment included in accounts payable and accrued liability
                      -54,000 -273,000 342,000  -988,000 662,000 357,000    113,000                       
          interest paid on debt
                             2,000 1,000  11,000 91,000 228,000  494,000 385,000 356,000               
          issuance of common stock for acquisition of haliodx
                                                       
          gain on disposal of property and equipment
                                  -6,000 -1,000 -16,000                   
          amortization and write-off of debt discount and issuance costs
                                         393,000 26,000 27,000 26,000  27,000 27,000 92,000       
          acquisition of nanostring diagnostics platform
                                                       
          proceeds from the sale of property and equipment
                                                       
          payment of financial lease liability
                                                       
          deferred purchase consideration for a business combination
                                                       
          acquisition of business, net of cash acquired
                           -574,411,000                           
          other income
                                     -93,000               
          accrued liabilities, deferred revenue and deferred rent
                                                       
          cash paid for acquisition
                                                       
          proceeds from legal settlement regarding short-swing profits
                                     403,000               
          amortization of debt issuance costs
                                  75,000 8,000  8,000 8,000 8,000               
          accrued liabilities
                              1,043,000 -693,000 -3,650,000                       
          proceeds from disposal of property and equipment
                                  6,000 1,000 16,000                   
          proceeds from the issuance of common stock in a public offering
                                                       
          payment of finance lease liability
                                  -77,000 -77,000 -75,000                   
          interest on end-of-term debt obligation and prepayment penalty
                                                       
          right-of-use assets - operating lease and operating lease liability
                                 -100,000 102,000 -93,000 -80,000                   
          accrued liabilities and deferred rent
                                 3,970,000 -61,000 1,032,000 287,000 -110,000 767,000 -161,000 228,000 38,000 -429,000 1,551,000 -2,323,000 1,542,000 -1,803,000         
          proceeds from the issuance of long-term debt, net of debt issuance costs
                                             -148,000 24,600,000       
          payment of end-of-term debt obligation and prepayment penalty
                                                     
          operating lease liability arising from obtaining right-of-use assets - operating lease at beginning of period
                                                      
          proceeds from the issuance of common stock in a public offering, net of costs
                                         200,000           
          operating lease liability arising from obtaining right-of-use assets - operating lease
                                   14,118,000                   
          purchases of property and equipment included in accounts payable
                                                       
          bad debt expense
                                             2,000 66,000 26,000 32,000 22,000 28,000 11,000 28,000 
          genzyme co-promotion fee amortization
                                             -227,000         
          conversion of accrued interest to long-term debt
                                             193,000         
          payment of capital lease liability
                                     -75,000 -73,000 -73,000 -71,000 -70,000 -69,000 -69,000 -66,000           
          net receivable for reimbursement of public offering issuance costs
                                                       
          prepaid expenses and current other assets
                                      -37,000 337,000 -239,000 -247,000 215,000 269,000 -244,000 -452,000 -10,000       -370,000 463,000 
          proceeds from sale of property and equipment
                                          440,000           
          supplies inventory
                                       1,508,000 767,000 -1,564,000 -443,000 126,000 32,000 -59,000 86,000 150,000 115,000       
          change in restricted cash
                                                70,000    
          proceeds from issuance of common stock in a private placement, net of issuance costs
                                                       
          payment of deferred stock offering costs
                                                       
          net increase in cash and cash equivalents
                                            -7,713,000 27,520,000 -7,294,000 -8,463,000 8,372,000       
          cash and cash equivalents at beginning of year
                                                       
          cash and cash equivalents at end of year
                                                       
          conversion of accrued interest on long-term debt
                                                       
          interest on debt balloon payment and prepayment penalty
                                             206,000       
          net decrease in cash and cash equivalents
                                          -5,268,000             
          cash and cash equivalents at beginning of period
                                          59,219,000 39,084,000 35,014,000 71,220,000 
          cash and cash equivalents at end of period
                                          -5,268,000 -5,043,000 51,506,000 27,520,000 -7,294,000 -8,463,000 47,456,000 -4,929,000 25,247,000 25,798,000 -13,996,000 -6,239,000 64,237,000 
          unpaid deferred stock offering
                                                       
          amortization of debt discount and issuance costs
                                                 11,000 12,000 11,000 27,000 28,000 26,000 
          cash remitted for acquisition, net of cash received
                                                       
          commissions and issuance costs relating to initial public offering
                                                       
          fair value of common stock issued for acquisition
                                                       
          non-cash issuance of long-term debt
                                                       
          non-cash repayment of long-term debt
                                                       
          issuance of common stock from the non-cash exercise of common stock warrants
                                                       
          proceeds from the issuance of common stock in a private placement, net of costs
                                                       
          net cash provided by financing activities
                                                19,945,000       
          unpaid deferred debt issuance costs
                                                148,000       
          interest on debt balloon payment
                                                 20,000 20,000 19,000 20,000 20,000 20,000 
          proceeds from issuance of common stock in a private placement, net of costs
                                                      
          commissions and issuance costs relating to the initial public offering
                                                       
          proceeds from the exercise of common stock options
                                                 193,000 399,000 92,000 109,000 448,000 27,000 
          net increase (decrease) in cash and cash equivalents
                                                       
          unpaid deferred stock offering costs
                                                       
          adjustments to reconcile net loss to net cash used in operating activities:
                                                       
          change in value of preferred stock liability
                                                       
          change in value of preferred stock warrant liability
                                                       
          proceeds from issuance of long-term debt, net of debt issuance costs
                                                       
          proceeds from issuance of redeemable convertible preferred stock, net of issuance costs
                                                       
          payment of convertible preferred stock issuance costs
                                                       
          equity-based compensation
                                                       
          accounts receivables
                                                       
          deferred genzyme co-promotion fee