You should read the following discussion and analysis of our financial condition
and results of operations together with our financial statements and related
notes and the other financial information appearing elsewhere in this Annual
Report on Form 10-K, as well as the other financial information we file with the
SEC from time to time. Some of the information contained in this discussion and
analysis includes forward-looking statements that involve risks and
uncertainties. As a result of many factors, including those factors set forth in
the "Risk Factors" section of this Annual Report on Form 10-K, our actual
results could differ materially from the results described in or implied by the
forward-looking statements contained in the following discussion and analysis.

This section generally discusses 2019 and 2018 items and year-to-year
comparisons between 2019 and 2018. Discussions of 2017 items and year-to-year
comparisons between 2018 and 2017 may be found in the "Management's Discussion
and Analysis of Financial Condition and Results of Operations" section of our
prospectus for our initial public offering, dated June 26, 2019 filed with the
SEC on June 27, 2019.

Overview

We are advancing the field of immune-driven medicine by harnessing the inherent
biology of the adaptive immune system to transform the diagnosis and treatment
of disease. Our immune medicine platform applies our proprietary technologies to
read the diverse genetic code of a patient's immune system and understand
precisely how it detects and treats disease in that patient. We capture these
insights in our dynamic clinical immunomics database, which is underpinned by
computational biology and machine learning, and use them to develop and
commercialize clinical products and services that we are tailoring to each
individual patient. We have two commercial products and services and a robust
pipeline of clinical products and services that we are designing to diagnose,
monitor and enable the treatment of diseases such as cancer, autoimmune
conditions and infectious diseases.

Our immune medicine platform is the foundation for our expanding suite of
products and services. The cornerstone of our platform and core immunosequencing
product, immunoSEQ, serves as our underlying research and development engine and
generates revenue from academic and biopharmaceutical customers. Our first
clinical diagnostic product, clonoSEQ, is the first test authorized by the FDA
for the detection and monitoring of MRD in patients with MM and ALL and is being
validated for patients with other blood cancers. Leveraging our collaboration
with Microsoft to create the TCR-Antigen Map, we are also developing a
diagnostic product, immunoSEQ Dx, that may enable early detection of many
diseases from a single blood test. We have established proof of concept for
immunoSEQ Dx in acute Lyme disease, such that we can proceed to clinical
validation, and continue to pursue signals for other disease states. Our
therapeutic product candidates, being developed under the Genentech Agreement,
leverage our platform to identify specific immune cells to develop into cellular
therapies in oncology.

Since our inception, we have devoted a majority of our resources to research and
development activities to develop our immune medicine platform, which enables
the delivery of our products and services for life sciences research, clinical
diagnostics and drug discovery customers.

For our life science research customers, we provide two categories of products
and services using immunoSEQ, our core sequencing and immunomics tracking
technology. First, we provide immunosequencing services, the revenue from which
we record as sequencing revenue. Second, we provide certain research customers
professional support, for which we may receive payments upon those customers
achieving specified milestones. We record these support activities as
development revenue.

For our clinical diagnostics customers, we sell our clonoSEQ diagnostic tests,
which include our immunosequencing services and are thus recorded as sequencing
revenue. In the future, we intend to sell other diagnostics products and
services, which we also expect to record as sequencing revenue.

For our current drug discovery collaborator, Genentech, we screen, identify and
characterize TCRs in support of our collaboration. We record revenue from this
collaboration as development revenue.

Historically, we have sold immunoSEQ as a fee-for-service offering to academic
centers and biopharmaceutical customers and further deepened those relationships
over time by supporting their development initiatives. These research offerings
have comprised the majority of our revenue to date, although our business is
pursuing broader opportunities. As we continue to expand the use of our clonoSEQ
diagnostic tests, develop and commercialize immunoSEQ Dx and develop and
commercialize therapeutic product candidates with our drug discovery
collaborator, we expect our mix of revenue to shift to clinical products and
services, which we believe will become our largest sources of revenue.

We are actively pursuing opportunities to deepen our relationships with current
customers and initiate relationships with new customers. We have an experienced,
specialty salesforce that is targeting department heads, laboratory directors,
principal investigators, core facility directors, clinicians, payors and
research scientists and pathologists at leading academic institutions,
biopharmaceutical companies, research institutions and contract research
organizations. As MRD assessment becomes standard practice for patient
management across a range of blood cancers, we believe it will be essential for
clinicians and patients to have access to a highly accurate, sensitive and
standardized MRD assessment tool. We are focused on establishing and maintaining
collaborative relationships with payors, developing health economic evidence and
building billing and patient access infrastructure to expand reimbursement
coverage for our clinical diagnostics. We continue to seek expanded coverage of
our clonoSEQ diagnostic test and, in 2019, we successfully expanded coverage
through contractual agreements or positive medical policies with Medicare and
several of the largest national private health insurers in the United States.

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We generated revenue of $85.1 million and $55.7 million for the years ended
December 31, 2019 and 2018, respectively. Our net losses were $68.6 million and
$46.4 million for the years ended December 31, 2019 and 2018, respectively. We
have funded our operations to date principally from the sale of convertible
preferred stock and common stock, including the sale of common stock in our
initial public offering, and, to a lesser extent, sequencing and development
revenue. As of December 31, 2019 and 2018, we had cash, cash equivalents and
marketable securities of $682.3 million and $165.0 million, respectively. In
December 2018, we entered into the Genentech Agreement pursuant to which we
received a $300.0 million initial upfront payment in February 2019, may be
eligible to receive approximately $1.8 billion over time, including payments
upon achievement of specified development, regulatory and commercial milestones,
and may receive additional royalties on sales of products commercialized under
this agreement.

Initial Public Offering

On July 1, 2019, we completed our initial public offering in which we issued and
sold 17,250,000 shares of common stock, including shares issued upon the
exercise in full of the underwriters' over-allotment option, at a public
offering price of $20.00 per share. We received $315.9 million in net proceeds,
after deducting underwriting discounts and commissions of $24.1 million and
offering expenses of $5.0 million. Immediately prior to the completion of our
initial public offering, 93,039,737 shares of convertible preferred stock then
outstanding converted into an equivalent number of shares of common stock.

Components of Results of Operations

Revenue

We derive our revenue from two sources: (1) sequencing revenue and (2) development revenue.

Sequencing revenue. Sequencing revenue reflects the amounts generated from providing sequencing services through immunoSEQ to research customers and from providing testing services through clonoSEQ to clinical and research customers.



For our research customers, which include biopharmaceutical customers and
academic institutions, delivery of the sequencing results may include some level
of professional support and analysis. Terms with biopharmaceutical customers
generally include non-refundable upfront payments, which we record as deferred
revenue. For all customers, we recognize revenue as we deliver sequencing
results. From time to time, we offer discounts in order to gain rights and
access to certain datasets. Revenue is recognized net of these discounts and
costs associated with these services are reflected in cost of revenue.

For our clinical customers, we derive revenue from providing our clonoSEQ test
report to ordering physicians. We bill commercial payors and medical
institutions based on tests delivered to ordering physicians. Amounts paid for
clonoSEQ diagnostic tests by commercial payors and medical institutions vary
based on respective reimbursement rates and patient responsibilities, which may
vary from our targeted list price. To date, the majority of our clonoSEQ
diagnostic test revenue has been received from medical institutions. We
recognize clinical revenue by evaluating customer payment history, contracted
reimbursement rates, if applicable, and other adjustments to estimate the amount
of revenue that is collectible. Until 2019, we did not have reimbursement
available to us through any government payors for clonoSEQ.

In January 2019, clonoSEQ received Medicare coverage aligned with the FDA label
and NCCN guidelines for longitudinal monitoring in MM and ALL. We bill Medicare
for an episode of treatment when we deliver the first eligible test results.
This billing contemplates all necessary tests required during a patient's
treatment cycle, which is currently estimated at approximately four tests per
patient, including the initial sequence identification test. Revenue is
recognized at the time the initial billable test result is delivered and is
based upon cumulative tests delivered to date. Any unrecognized revenue from the
initial billable test is recorded as deferred revenue and recognized as we
deliver the remaining tests in a patient's treatment cycle.

Development revenue. Development revenue primarily represents regulatory or
development support services, other than sequencing revenue, that we provide to
biopharmaceutical customers who seek access to our platform to support their
therapeutic development activities. Additionally, we generate development
revenue from the achievement of regulatory milestones. We enter into
collaboration and similar agreements with these customers. When these agreements
include sequencing activities, we separately classify those activities as
sequencing revenue. These agreements may also include substantial non-refundable
upfront payments, which we recognize as development revenue over time as we
perform the respective services.

We expect revenue to increase over the long term, particularly as the mix of
revenue migrates to clinical diagnostics and drug discovery. The pace by which
this mix migrates will be determined by the level of customer adoption and
frequency of use of our products and services. Our revenue may fluctuate from
period to period due to the uncertain nature of delivery of our products and
services, the achievement of milestones by us or our customers, timing of
expenses incurred, changes in estimates of total anticipated costs related to
our Genentech Agreement and other events not within our control, such as the
delivery of customer samples or customer decisions to no longer pursue their
development initiatives.

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Cost of Revenue



Cost of revenue includes the cost of materials, personnel-related expenses
(comprised of salaries, benefits and share-based compensation), shipping and
handling, equipment and allocated facility costs associated with processing
samples and professional support for our sequencing revenue. Allocated facility
costs include depreciation of laboratory equipment, allocated facility occupancy
and information technology costs. Costs associated with processing samples are
recorded as expense, regardless of the timing of revenue recognition. As such,
cost of revenue and related volume does not always trend in the same direction
as revenue recognition and related volume. Additionally, costs to support our
Genentech Agreement are a component of our research and development activities.



We expect cost of revenue to increase in absolute dollars as we grow our
sequencing volume but the cost per sample to decrease over the long term due to
the efficiencies we may gain as sequencing volume increases from improved
utilization of our laboratory capacity, automation and other value engineering
initiatives.

Research and Development Expenses



Research and development expenses consist of laboratory materials costs,
personnel-related expenses, allocated facility costs, information technology and
contract service expenses. Research and development activities support further
development and refinement of existing assays and products, discovery of new
technologies and investments into our immune medicine platform. We also include
in research and development expenses the costs associated with software
development activities to support laboratory scaling and workflow, as well as
development of applications to support future commercial opportunities. We are
currently conducting research and development activities for several products
and services, and we typically use our laboratory materials, personnel,
facilities, information technology and other development resources across
multiple development programs. Additionally, certain of these research and
development activities benefit more than one of our product opportunities. We do
not track research and development expenses by specific product candidates.

A component of our research and development activities is supporting clinical
and analytical validations to obtain regulatory approval for future clinical
products and services. Additionally, the costs to support our Genentech
Agreement are a component of our research and development activities. Some of
these activities have generated and may in the future generate development
revenue.

We expect our research and development expenses to continue to increase in
absolute dollars as we innovate and expand the application of our platform.
However, we expect research and development expenses to decrease as a percentage
of revenue in the long term, although the percentage may fluctuate from period
to period due to the timing and extent of our development and commercialization
efforts.

Sales and Marketing Expenses

Sales and marketing expenses consist primarily of personnel-related expenses for
commercial sales, account management, marketing, reimbursement, medical
education and business development personnel that support commercialization of
our platform products. In addition, these expenses include external costs such
as advertising expenses, customer education and promotional expenses, market
analysis expenses, conference fees, travel expenses and allocated facility
costs.

We expect our sales and marketing expenses to increase in absolute dollars as we
expand our commercial sales, marketing and business development teams and
increase marketing activities to drive awareness and adoption of our products
and services. However, we expect sales and marketing expenses to decrease as a
percentage of revenue in the long term, subject to fluctuations from period to
period due to the timing and magnitude of these expenses.

General and Administrative Expenses



General and administrative expenses consist primarily of personnel-related
expenses, including share-based compensation, salaries and benefits for our
personnel in executive, legal, finance and accounting, human resources and other
administrative functions, including third-party billing services. In addition,
these expenses include insurance costs, external legal costs, accounting and tax
service expenses, consulting fees and allocated facilities costs.

We expect our general and administrative expenses to continue to increase in
absolute dollars as we increase headcount and incur costs associated with
operating as a public company, including expenses related to legal, accounting,
regulatory matters, maintaining compliance with exchange listing and
requirements of the SEC, director and officer insurance premiums and investor
relations. Though expected to increase in absolute dollars, we expect these
expenses to decrease as a percentage of revenue in the long term as revenue
increases.

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Results of Operations



The following table sets forth our results of operations for the periods
presented:



                                                        Year Ended December 31,
                                                   2019           2018           2017
                                                             (in thousands)
Revenue
Sequencing revenue                              $   43,519     $   32,978     $   22,759
Development revenue                                 41,552         22,685         15,689
Total revenue                                       85,071         55,663         38,448
Operating expenses
Cost of revenue                                     22,274         19,668         15,680
Research and development                            70,705         39,157         31,995
Sales and marketing                                 38,453         24,486         16,765
General and administrative                          30,332         20,409         15,949
Amortization of intangible assets                    1,698          1,699          1,694
Restructuring                                            -              -            840
Total operating expenses                           163,462        105,419         82,923
Loss from operations                               (78,391 )      (49,756 )      (44,475 )
Interest and other income, net                       9,785          3,309   

1,644


Net loss                                           (68,606 )      (46,447 )      (42,831 )
Fair value adjustment to Series E-1
convertible preferred
  stock options                                       (964 )          102   

135

Net loss attributable to common shareholders $ (69,570 ) $ (46,345 )

$ (42,696 )

Comparison of the Years Ended December 31, 2019 and 2018



Revenue



                                         Year Ended December 31,              Change               Percent of Revenue
(in thousands, except percentages)         2019             2018           $           %          2019            2018
Revenue
Sequencing revenue                     $     43,519       $  32,978     $ 10,541         32 %          51 %            59 %
Development revenue                          41,552          22,685       18,867         83            49              41
Total revenue                          $     85,071       $  55,663     $ 29,408         53 %         100 %           100 %




Total revenue was $85.1 million for the year ended December 31, 2019 compared to
$55.7 million for the year ended December 31, 2018, representing an increase of
$29.4 million, or 53%.



Sequencing revenue increased to $43.5 million for the year ended December 31,
2019, representing an increase of $10.5 million, or 32%. The increase in
sequencing revenue was attributable to an increase of approximately $6.3 million
in revenue generated from biopharmaceutical and academic customers, inclusive of
a decrease in revenue recognized from cancelled customer projects of $1.5
million, and a $4.2 million increase in revenue generated from clinical
customers.



Research sequencing volume increased by 18% to 35,491 sequences delivered in the
year ended December 31, 2019 from 30,200 sequences delivered in the year ended
December 31, 2018. Clinical sequencing volume increased by 48% to 10,168
clinical tests delivered in the year ended December 31, 2019 from 6,867 clinical
tests delivered in the year ended December 31, 2018.



Development revenue increased to $41.6 million for the year ended December 31,
2019, representing an increase of $18.9 million, or 83%. The increase was
primarily attributable to $35.1 million of revenue generated from the Genentech
Agreement, which generated no revenue in 2018, partially offset by a $7.1
million decrease in development revenue generated from translational agreements
and a $9.1 million decrease in development revenue generated from MRD
agreements, which includes an $8.0 million decrease in regulatory milestones.

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Cost of Revenue



                                         Year Ended December 31,              Change               Percent of Revenue
(in thousands, except percentages)         2019             2018           $          %          2019              2018
Cost of revenue                        $     22,274       $  19,668     $ 2,606         13 %          26 %             35 %




Cost of revenue was $22.3 million for the year ended December 31, 2019, compared
to $19.7 million for the year ended December 31, 2018, representing an increase
of $2.6 million, or 13%. The increase in cost of revenue was primarily
attributable to an increase of $1.5 million in the cost of overhead due to the
production laboratory expansion and a $1.0 million increase in the cost of
materials due to increased sample volumes.

Research and Development



                                         Year Ended December 31,              Change                Percent of Revenue
(in thousands, except percentages)         2019             2018           $           %          2019              2018
Research and development               $     70,705       $  39,157     $ 31,548         81 %          83 %             70 %



The following table presents disaggregated research and development expenses by cost classification for the periods presented:





                                                       Year Ended December 31,
(in thousands)                                          2019              2018         Change
Research and development materials and allocated
  production laboratory expenses                    $     32,114       $   14,741     $  17,373
Personnel expenses                                        27,570           18,166         9,404
Allocable facilities and information technology            3,510            2,849           661

expenses


Software and cloud services expenses                       2,443            1,280         1,163
Depreciation and other expenses                            5,068            2,121         2,947
Total                                               $     70,705       $   39,157     $  31,548




Research and development expenses were $70.7 million for the year ended December
31, 2019, compared to $39.2 million for the year ended December 31, 2018,
representing an increase of $31.5 million, or approximately 81%. The increase
was primarily attributable to $17.4 million in additional cost of materials and
allocated production laboratory expenses, which primarily related to supporting
our TCR drug discovery efforts, TCR-Antigen Map development and clonoSEQ
development.

Sales and Marketing



                                         Year Ended December 31,              Change                Percent of Revenue
(in thousands, except percentages)         2019             2018           $           %          2019              2018
Sales and marketing                    $     38,453       $  24,486     $ 13,967         57 %          45 %             44 %




Sales and marketing expenses were $38.5 million for the year ended December 31,
2019, compared to $24.5 million for the year ended December 31, 2018,
representing an increase of $14.0 million, or 57%. The increase was primarily
attributable to $8.2 million in additional personnel costs, $2.9 million in
additional travel, entertainment and customer event related expenses and $2.4
million in additional consulting and marketing fees.



General and Administrative



                                         Year Ended December 31,              Change               Percent of Revenue
(in thousands, except percentages)         2019             2018           $          %          2019              2018
General and administrative             $     30,332       $  20,409     $ 9,923         49 %          36 %             37 %



General and administrative expenses were $30.3 million for the year ended December 31, 2019, compared to $20.4 million for the year ended December 31, 2018, representing an increase of $9.9 million, or 49%. The increase was primarily attributable to $4.3 million in additional personnel costs, $1.2 million in additional business taxes, largely due to the Genentech upfront payment received in February 2019, and a $2.0 million increase in insurance expense primarily related to public company director and officer coverage.


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Interest and Other Income, Net





                                         Year Ended December 31,            

Change


(in thousands, except percentages)       2019               2018            

$ % Interest and other income, net $ 9,785 $ 3,309 $ 6,476 196 %






Interest and other income, net was $9.8 million for the year ended December 31,
2019, compared to $3.3 million for the year ended December 31, 2018,
representing an increase of $6.5 million, or approximately 196%. The increase
was primarily attributable to an $8.8 million increase in interest earned on and
investment amortization of a larger portfolio, partially offset by the $2.3
million impact of revaluing a convertible preferred stock warrant liability in
2019.

Quarterly Results of Operations



The following tables set forth our unaudited condensed quarterly statements of
operations data for each of the eight quarters in the 24-month period ended
December 31, 2019. The information for each of these quarters has been prepared
in accordance with GAAP and on the same basis as our audited financial
statements included elsewhere in this Annual Report on Form 10-K. In the opinion
of management, the financial information reflects all adjustments, consisting
only of normal recurring adjustments, necessary for a fair statement of results
of operations data for these periods. This data should be read in conjunction
with our audited financial statements and related notes included elsewhere in
this Annual Report on Form 10-K. Our historical quarterly operating results are
not necessarily indicative of our operating results for the full year or any
future period.



                                                                 Three Months Ended
                                            December 31,       September 30,      June 30,      March 31,
                                                2019               2019             2019           2019
                                                                     (unaudited)
                                                      (in thousands, except per share amounts)
Revenue
Sequencing revenue                         $       13,888     $        11,683     $  11,865     $    6,083
Development revenue                                10,321              14,375        10,273          6,583
Total revenue                                      24,209              26,058        22,138         12,666
Operating expenses
Cost of revenue                                     5,951               5,601         5,734          4,988
Research and development                           21,189              20,506        16,527         12,483
Sales and marketing                                12,640               9,099         8,897          7,817
General and administrative                          8,189               8,477         6,662          7,004
Amortization of intangible assets                     428                 428           423            419
Total operating expenses                           48,397              44,111        38,243         32,711
Loss from operations                              (24,188 )           (18,053 )     (16,105 )      (20,045 )
Interest and other income, net                      3,577               4,103           446          1,659
Net loss                                          (20,611 )           (13,950 )     (15,659 )      (18,386 )
Fair value adjustment to Series E-1
convertible preferred
  stock options                                         -                   -          (710 )         (254 )
Net loss attributable to common            $      (20,611 )   $       (13,950 )   $ (16,369 )   $  (18,640 )
shareholders
Net loss per share attributable to
common shareholders,
  basic and diluted                        $        (0.17 )   $         (0.11 )   $   (1.23 )   $    (1.45 )


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                                                                 Three Months Ended
                                            December 31,       September 30,      June 30,      March 31,
                                                2018               2018             2018           2018
                                                                     (unaudited)
                                                      (in thousands, except per share amounts)
Revenue
Sequencing revenue                         $       10,454     $         8,463     $   8,281     $    5,780
Development revenue                                 6,738               8,725         3,287          3,935
Total revenue                                      17,192              17,188        11,568          9,715
Operating expenses
Cost of revenue                                     5,275               5,360         5,044          3,989
Research and development                           11,067               9,783         9,452          8,855
Sales and marketing                                 8,071               6,039         5,329          5,047
General and administrative                          6,495               4,739         4,632          4,543
Amortization of intangible assets                     428                 428           424            419
Total operating expenses                           31,336              26,349        24,881         22,853
Loss from operations                              (14,144 )            (9,161 )     (13,313 )      (13,138 )
Interest and other income, net                        873                 869           820            747
Net loss                                          (13,271 )            (8,292 )     (12,493 )      (12,391 )
Fair value adjustment to Series E-1
convertible preferred
  stock options                                       104                  (4 )          (2 )            4
Net loss attributable to common            $      (13,167 )   $        (8,296 )   $ (12,495 )   $  (12,387 )
shareholders
Net loss per share attributable to
common shareholders,
  basic and diluted                        $        (1.03 )   $         (0.66 )   $   (1.01 )   $    (1.01 )

Liquidity and Capital Resources



We have incurred losses since inception and have incurred negative cash flows
from operations from inception through December 31, 2018. As of December 31,
2019, we had an accumulated deficit of $365.5 million.

We have funded our operations to date principally from the sale of convertible
preferred stock and common stock, including the sale of common stock in our
initial public offering, and, to a lesser extent, sequencing and development
revenue. In December 2018, we entered into the Genentech Agreement pursuant to
which we received a $300.0 million initial upfront payment in February 2019, may
receive approximately $1.8 billion over time, including payments upon
achievement of specified development, regulatory and commercial milestones, and
may receive additional royalties on sales of products commercialized under this
agreement. As of December 31, 2019, we had cash, cash equivalents and marketable
securities of $682.3 million.

We believe our cash flows from operations and our existing cash, cash
equivalents and marketable securities will be sufficient to fund our operating
expenses and capital expenditure requirements through at least the next
12 months. We may consider raising additional capital to expand our business, to
pursue strategic investments, to take advantage of financing opportunities or
for other reasons.

We plan to utilize the existing cash, cash equivalents and marketable securities
on hand primarily to fund our commercial and marketing activities associated
with our clinical products and services, continued research and development
initiatives for our pipeline candidates and drug discovery initiatives, ongoing
investments into our immune medicine platform and scaling of our laboratory
operations with our anticipated growth. Cash in excess of immediate requirements
is invested in accordance with our investment policy, primarily with a view to
liquidity and capital preservation. Currently, our funds are held in money
market funds and marketable securities consisting of U.S. government debt
securities, commercial paper and corporate bonds.

As revenue from sales of immunoSEQ and clonoSEQ is expected to grow, we expect
our accounts receivable and inventory balances to increase. Any increase in
accounts receivable and inventory may not be completely offset by increases in
accounts payable and accrued expenses, which could result in greater working
capital requirements. Moreover, we expect to incur additional costs associated
with operating as a public company, including expenses related to legal,
accounting, regulatory matters and exchange listing and SEC compliance matters,
as well as director and officer insurance premiums and investor relations.



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If our available cash, cash equivalents and marketable securities balances and
anticipated cash flow from operations are insufficient to satisfy our liquidity
requirements, we may seek to sell additional equity or convertible debt
securities, enter into a credit facility or another form of third-party funding
or seek other debt financing. The sale of equity and convertible debt securities
may result in dilution to our shareholders and, in the case of preferred equity
securities or convertible debt, those securities could provide for rights,
preferences or privileges senior to those of our common stock. The terms of debt
securities issued or borrowings pursuant to a credit agreement could impose
significant restrictions on our operations. Additional capital may not be
available on reasonable terms, or at all.

Cash Flows

The following table summarizes our uses and sources of cash for the years ended December 31, 2019 and 2018 (in thousands):





                                                        Year Ended December 31,
                                                          2019             2018

Net cash provided by (used in) operating activities $ 205,404 $ (32,259 ) Net cash (used in) provided by investing activities (481,697 )

736


Net cash provided by financing activities                   319,916          1,248




Operating Activities

Cash provided by operating activities during the year ended December 31, 2019
was $205.4 million, which was primarily attributable to a net change in our
operating assets and liabilities of $254.9 million, non-cash share-based
compensation of $13.1 million, non-cash depreciation and amortization of $3.3
million and a $2.3 million fair value adjustment of our convertible preferred
stock warrant liability due to an increase in valuation of our common stock,
partially offset by a net loss of $68.6 million. The net change in our operating
assets and liabilities reflects an increase in deferred revenue of $266.9
million, primarily due to the $300.0 million upfront payment by Genentech, and
an increase in accounts payable and accrued liabilities of $6.1 million,
primarily due to increased headcount and the growth in operating expenditures
and timing of vendor payments. These increases were partially offset by an
increase in accounts receivable of $7.8 million, primarily due to an increase in
clinical billings, as well as an increase in revenue paid in arrears rather than
upfront by biopharmaceutical customers, an increase in prepaid expenses and
other current assets of $8.6 million, primarily due to prepaid software, prepaid
insurance and interest receivables, an increase in inventory of $1.2 million to
support growth in lab operations and $0.6 million in security deposits.

Cash used in operating activities during the year ended December 31, 2018 was
$32.3 million, which was primarily attributable to a net loss of $46.4 million,
partially offset by non-cash share-based compensation of $11.1 million
and non-cash depreciation and amortization of $4.8 million, and a net change in
our operating assets and liabilities of $1.7 million. The net change in our
operating assets and liabilities reflects an increase in inventory of
$3.0 million to support growth in our laboratory, an increase in accounts
payable and accrued liabilities of $2.2 million due to increased headcount, a
decrease of $0.6 million in deferred revenue due to increased development
revenue and a decrease of $0.5 million in deferred rent due to increases in cash
rental payments.

Investing Activities

Cash used in investing activities during the year ended December 31, 2019 was
$481.7 million, which was primarily attributable to purchases of marketable
securities of $884.2 million and purchases of property and equipment of $11.2
million, partially offset by proceeds from maturities of marketable securities
of $413.7 million.

Cash provided by investing activities during the year ended December 31, 2018
was $0.7 million, which was primarily attributable to proceeds from maturities
of marketable securities of $153.5 million, partially offset by purchases of
marketable securities of $146.5 million and purchases of property and equipment
of $6.3 million.

Financing Activities

Cash provided by financing activities during the year ended December 31, 2019
was $319.9 million, which was primarily attributable to proceeds from the
initial public offering, net of underwriting discounts and commissions, of
$320.9 million and proceeds from the exercise of stock options of $4.1 million,
partially offset by payment of deferred initial public offering costs of $5.0
million.

Cash provided by financing activities during the year ended December 31, 2018
was $1.2 million, which was primarily attributable to proceeds from the exercise
of stock options.





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Contractual Obligations and Commitments



The following table summarizes our contractual obligations as of December 31,
2019, which represents contractually committed future obligations (in
thousands):



                                                           Expected Payments by Period
                                                                                                 More Than
                                        Total         2020        2021-2022       2023-2024       5 Years
Operating lease obligations(1)        $ 143,903     $  4,352     $    19,443     $    22,961     $   97,147
Purchase commitments(2)                  10,173        5,043           4,870              40            220
Total                                 $ 154,076     $  9,395     $    24,313     $    23,001     $   97,367

(1) Operating lease obligations reflect remaining minimum commitments for our

office and laboratory spaces in Seattle, Washington and South San Francisco,

California and a commitment to an office lease in New York City, New York.

Please see Note 10 of our financial statements for additional information

pertaining to operating lease commitments.

(2) Purchase commitments include commitments for cloud data storage through our

collaboration with Microsoft, commitments to support clinical trials

utilizing clonoSEQ, software and service license commitments, and minimum

commitments for laboratory material suppliers.

Furthermore, in connection with one of our lease agreements, we entered into a letter of credit of $2.1 million with one of our existing financial institutions.

Net Operating Loss Carryforwards



Utilization of our NOL carryforwards and credits may be subject to a substantial
annual limitation due to the ownership change limitations provided by Section
382 of the Internal Revenue Code of 1986 ("Section 382") and similar state
provisions. The annual limitation may result in the expiration of NOL
carryforwards and credits before utilization. If there should be an ownership
change, our ability to utilize our NOL carryforwards and credits could be
limited. We have completed a Section 382 analysis and have determined there are
no permanent limitations on the utilization of approximately $225.4 million of
our federal NOLs as of December 31, 2018. Under the newly enacted federal income
tax law, federal net operating losses incurred in 2018 and future years may be
carried forward indefinitely, but the deductibility of such federal NOL is
subject to an annual limitation. Net operating losses generated prior to 2018
are eligible to be carried forward up to 20 years. Based on the available
objective evidence, management determined that it was more likely than not that
the net deferred tax assets would not be realizable as of December 31, 2019.
Accordingly, management applied a full valuation allowance against net deferred
tax assets as of December 31, 2019.

Off-Balance Sheet Arrangements

As of December 31, 2019, we have not had any off-balance sheet arrangements, as defined in the rules and regulations of the SEC.

Critical Accounting Policies and Estimates





We have prepared our financial statements in accordance with GAAP. Our
preparation of these financial statements requires us to make estimates,
assumptions and judgments that affect the reported amounts of assets,
liabilities and related disclosures at the date of the financial statements, as
well as revenue and expense recorded during the reporting periods. We evaluate
our estimates and judgments on an ongoing basis. We base our estimates on
historical experience and or other relevant assumptions that we believe to be
reasonable under the circumstances. Estimates are used in several areas,
including, but not limited to, estimates of progress to date for certain
performance obligations and transaction price for certain contracts with
customers, share-based compensation, including the fair value of stock, the
provision for income taxes, including related reserves, and goodwill, among
others. These estimates generally involve complex issues and require judgments,
involve the analysis of historical results and prediction of future trends, can
require extended periods of time to resolve and are subject to change from
period to period. Actual results may differ materially from management's
estimates.

While our significant accounting policies are described in more detail in Note 2
to our financial statements included elsewhere in this Annual Report on Form
10-K, we believe the following accounting policies to be critical to the
judgments and estimates used in the preparation of our financial statements.

Revenue Recognition

Our development and sequencing revenue arrangements may include upfront payments for the performance of services in the future, which have both fixed and variable consideration. Non-refundable upfront fees and funding for related development services are generally considered fixed consideration, while milestone payments are identified as variable consideration.


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In determining the appropriate amount of revenue to recognize as we fulfill our
obligations under these agreements, we perform the following steps to determine
the amount of revenue to be recognized: (1) identification of contract or
contracts; (2) determination of whether the promised goods or services are
performance obligations, including whether they are distinct in the context of
the contract; (3) measurement of the transaction price, including the constraint
on variable consideration; (4) allocation of the transaction price to the
performance obligations based on estimated selling prices; and (5) recognition
of revenue when (or as) we satisfy each performance obligation.

A performance obligation is a promise in a contract to transfer a distinct good
or service to the customer and is the unit of account in Accounting Standard
Codification ("ASC") Topic 606, Revenue from Contracts with Customers. Our
performance obligations include sequencing services and services associated with
regulatory submission and approval processes. Significant management judgment is
applied to determine (1) the measurement of the transaction price, including the
constraint on variable consideration, (2) the allocation of the transaction
price to the performance obligations and (3) the appropriate input or output
based method to recognize revenue and the extent of progress to date.

We include the unconstrained amount of estimated variable consideration in the
transaction price. The amount included in the transaction price is constrained
to the amount for which it is probable that a significant reversal of cumulative
revenue recognized will not occur. At the end of each subsequent reporting
period, we re-evaluate the estimated variable consideration included in the
transaction price and any related constraint and, if necessary, adjust our
estimate of the overall transaction price.

To determine the allocation of the transaction price to the performance obligations, we apply the adjusted market assessment approach. Using this approach, we evaluate the market in which we sell the services and estimate the price that a customer in that market would be willing to pay for those services.



To select the measure of progress, we consider the expectations of the
performance period which may be based on customer-dependent estimates of samples
or internal estimates of the performance period based on both the customer and
our expected development timeframes. We regularly review our expectations of the
extent of progress, including whether any variable consideration is no longer
constrained, and, if any changes in estimates are made, we recognize revenue
using the cumulative catch-up method.

Share-Based Compensation



We measure share-based compensation expense for stock options granted to our
employees and non-employee directors on the date of grant and recognize the
corresponding compensation expense of those awards over the requisite service
period, which is generally the vesting period of the respective award.

We estimate the fair value of stock options granted to our employees and
non-employee directors on the grant date, and the resulting share-based
compensation expense, using the Black-Scholes option-pricing model. The
Black-Scholes option-pricing model requires the use of assumptions regarding a
number of variables that are complex, subjective and generally require
significant judgment to determine. The assumptions used to calculate the fair
value of our stock options were:

Fair value of common stock



Prior to the closing of our initial public offering, the fair value of our
common stock issuable upon exercise of stock options was determined by our board
of directors, with input from management and independent third-party valuations,
as discussed in "-Common Stock Valuations" below. For valuations of option
grants made after the closing of our initial public offering, our board of
directors determines the fair value of each share of common stock based on the
closing price of our common stock on the date of grant or other relevant
determination date, as reported on The Nasdaq Global Select Market.

Expected term



Our expected term represents the period that our stock options are expected to
be outstanding. The expected term of options granted to employees and
non-employee directors is determined using the "simplified" method, as
illustrated in ASC Topic 718, Compensation-Stock Compensation, as we do not have
sufficient exercise history to determine a better estimate of expected term.
Under this approach, the expected term is based on the midpoint between the
vesting date and the end of the contractual term of the option.

Expected volatility



As we do not have sufficient trading history for our common stock, the expected
volatility is based on the historical volatility of our publicly traded industry
peers utilizing a period of time consistent with our estimate of the expected
term. The comparable companies are chosen based on their similar size, stage in
the life cycle or area of specialty.

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Risk-free interest rate



We utilize a risk-free interest rate in the option valuation model based on U.S.
Treasury zero-coupon issues with remaining terms similar to the expected term of
the options.

Expected dividend yield

We do not anticipate paying any cash dividends in the foreseeable future and, therefore, use an expected dividend yield of zero in the option valuation model.

Black-Scholes assumptions



The estimated fair value of options granted during the periods presented was
estimated using the Black-Scholes option-pricing model with the following
assumptions:



                                   Year Ended December 31,
                                2019                      2018
Grant date fair value      $7.80 - $47.81                $6.55
Expected term (in years)     5.27 - 6.08              6.08 - 10.00
Risk-free interest rate      1.4% - 2.5%              2.6% - 3.0%
Expected volatility         64.3% - 72.9%            65.0% - 69.2%
Expected dividend yield               -                        -


As of January 1, 2018, we adopted Accounting Standards Update 2016-09, Compensation-Stock Compensation (Topic 718) and elected to account for forfeitures as they occur rather than estimate expected forfeitures over the vesting period of the respective grant.



We use judgment in evaluating the assumptions related to our share-based
compensation on a prospective basis. As we continue to accumulate additional
data related to our common stock, we may have refinements to our estimates,
which could materially impact our future share-based compensation expense. At
December 31, 2019, unrecognized share-based compensation expense related to
unvested stock options was $33.3 million, which was expected to be recognized
over a remaining weighted-average period of 2.9 years.

Common Stock Valuations



For periods prior to the closing of our initial public offering, the estimated
fair value of the common stock issuable upon exercise of our stock options was
determined by our board of directors, with input from management, considering
our most recently available third-party valuations of common stock and our board
of directors' assessment of additional objective and subjective factors that it
believed were relevant, and factors that may have changed from the date of the
most recent valuation through the date of the grant, which intended all options
granted to be exercisable at a price per share not less than the fair value per
share of our common stock issuable upon exercise of those options on the date of
grant. We believe our board of directors had the relevant experience and
expertise to determine the fair value of our common stock. Prior to our initial
public offering, given the absence of a public trading market for our common
stock, the valuations of our common stock were determined in accordance with the
guidelines outlined in the American Institute of Certified Public Accountants
Practice Aid, Valuation of Privately-Held-Company Equity Securities Issued as
Compensation. The assumptions we used in the valuation model were based on
future expectations combined with management's judgment. In the absence of a
public trading market, our board of directors, with input from management,
exercised significant judgment and considered numerous objective and subjective
factors to determine the fair value of our common stock as of the date of each
option grant, including the following factors:



• independent valuations performed at periodic intervals by an independent

third-party valuation firm;

• the prices, rights, preferences and privileges of our convertible

preferred stock relative to our common stock;

• our operating and financial performance, forecasts and capital resources;




  • current business conditions;


  • the hiring of key personnel;


  • our stage of commercialization;


  • the status of research and development efforts;


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       • the likelihood of achieving a liquidity event for the shares of common
         stock issuable upon exercise of these stock options, such as an initial
         public offering or sale of our company, given prevailing market
         conditions;

• any adjustment necessary to recognize a lack of marketability for our


         common stock;


  • trends and developments in our industry;


       • the market performance of comparable publicly traded technology
         companies; and


  • the U.S. and global economic and capital market conditions.




In valuing our common stock prior to the closing of our initial public offering,
we utilized a hybrid methodology that includes a probability-weighted expected
return method ("PWERM") and an option pricing method ("OPM"), which is a highly
complex and subjective valuation methodology. Under a PWERM, the fair market
value of the common stock is estimated based upon an analysis of future values
for the enterprise assuming various future outcomes. Within one of those
potential outcomes, we utilized the OPM. The OPM treats the rights of the
holders of convertible preferred stock and common stock as equivalent to that of
call options on any value of the enterprise above certain break points of value
based upon the liquidation preferences of the holders of preferred stock, as
well as their rights to participation and conversion. Based on the timing and
nature of an assumed liquidity event in each scenario, a discount for lack of
marketability either was or was not applied to each scenario, as appropriate. We
then probability-weighted the value of each expected outcome to arrive at an
estimate of fair value per share of common stock.

For valuations after the closing of our initial public offering, our board of
directors determines the fair value of each share of common stock based on the
closing price of our common stock on the date of grant or other relevant
determination date, as reported on The Nasdaq Global Select Market.

Goodwill

Goodwill represents the excess of the purchase price over the net amount of
identifiable assets acquired and liabilities assumed in a business combination
measured at fair value. We assess goodwill for impairment annually on October 1
and upon any occurrence of triggering events or substantive changes in
circumstances that could indicate a potential impairment.

We evaluate goodwill for impairment by first assessing qualitative factors to
determine whether it is more likely than not that the fair value of our
reporting unit is less than its carrying amount. We evaluate certain qualitative
factors such as macroeconomic conditions, the market and industry in which we
operate, cost factors, overall financial performance and other relevant
entity-specific events to determine if there are any negative trends or events
that could indicate impairment. Key assumptions in this analysis include
anticipated demand for our products and services, including industry and
regulatory changes, future revenue growth and cash, cash equivalents and
marketable securities on hand. These assumptions are determined based on our
historical performance and management's forecasted results. Management's
estimates of forecasted results are based upon assumptions believed to be
reasonable, but which are inherently uncertain and unpredictable and, as a
result, actual results may differ from estimates. If we determine that it is
more likely than not that the fair value of our reporting unit is less than its
carrying amount, or if we choose to bypass the qualitative assessment, we
perform a quantitative goodwill impairment test. Goodwill impairment exists when
the estimated fair value of our one reporting unit is less than its carrying
value. If impairment exists, the carrying value of the goodwill is reduced to
fair value through an impairment charge recorded in our statements of
operations. To date, we have not recognized any impairment of goodwill.

JOBS Act Accounting Election



We are an "emerging growth company" within the meaning of the JOBS Act. The JOBS
Act allows an emerging growth company to delay the adoption of new or revised
accounting standards that have different effective dates for public and private
companies until those standards apply to private companies. We have elected to
use this extended transition period and, as a result, our financial statements
may not be comparable to companies that comply with public company effective
dates. We also intend to rely on other exemptions provided by the JOBS Act,
including not being required to comply with the auditor attestation requirements
of Section 404(b) of the Sarbanes-Oxley Act.

We will remain an emerging growth company until the earliest of (1) December 31,
2024 (2) the last day of the fiscal year in which we have total annual gross
revenue of at least $1.07 billion, (3) the last day of the fiscal year in which
we are deemed to be a "large accelerated filer" as defined in Rule 12b-2 under
the Exchange Act, which would occur if the market value of our common stock held
by non-affiliates exceeded $700.0 million as of the last business day of the
second fiscal quarter of such year or (4) the date on which we have issued more
than $1.0 billion in non-convertible debt securities during the prior three-year
period.

Recent Accounting Pronouncements

See Note 2 to the financial statements included elsewhere in this Annual Report on Form 10-K for more information.


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