v3.26.1
Summary of Significant Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Dec. 31, 2025
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2024
Concentration Risk [Line Items]                
Increase (reduction) in revenue $ 18,000 $ (3,800) $ 35,600 $ (4,900)        
Decrease in product revenues     (943) (1,116)        
Stockholders' equity reclassification adjustment 425,598 327,370 425,598 327,370 $ 303,101 $ 313,535 $ 379,349 $ 378,433
Additional Paid-In Capital                
Concentration Risk [Line Items]                
Stockholders' equity reclassification adjustment 930,993 949,888 930,993 949,888 1,043,925 935,838 994,277 1,013,193
Accumulated Deficit                
Concentration Risk [Line Items]                
Stockholders' equity reclassification adjustment (505,446) $ (616,458) (505,446) $ (616,458) (735,359) $ (616,082) $ (607,890) (626,242)
Cumulative effect of retrospective adoption of ASU 2025-12 (Note 2)                
Concentration Risk [Line Items]                
Stockholders' equity reclassification adjustment         0     0
Cumulative effect of retrospective adoption of ASU 2025-12 (Note 2) | Additional Paid-In Capital                
Concentration Risk [Line Items]                
Stockholders' equity reclassification adjustment         (116,468)     (28,705)
Cumulative effect of retrospective adoption of ASU 2025-12 (Note 2) | Accumulated Deficit                
Concentration Risk [Line Items]                
Stockholders' equity reclassification adjustment         $ 116,468     $ 28,705
Testing services revenue                
Concentration Risk [Line Items]                
Decrease in product revenues $ 2,400   $ 5,800          
Medicare | Revenue Benchmark | Customer Concentration Risk                
Concentration Risk [Line Items]                
Concentration (as a percent) 30.00% 34.00% 29.00% 36.00%        
Medicare | Accounts Receivable | Credit Concentration Risk                
Concentration Risk [Line Items]                
Concentration (as a percent)     21.00%   21.00%