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Revenue Recognition (Tables) | 6 Months Ended
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Jun. 30, 2025
Revenue Recognition |
Schedule of disaggregation of revenues by payer types | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Three months ended | ​ | Six months ended
​ | ​ | June 30, | ​ | June 30,
​ | ​ | 2025 | ​ | 2024 | ​ | 2025 | ​ | 2024
​ | ​ | (in thousands)
Insurance carriers | ​ | $ | 516,987 | ​ | $ | 384,128 | ​ | $ | 989,635 | ​ | $ | 725,156
Laboratory partners | ​ | ​ | 22,169 | ​ | ​ | 22,254 | ​ | ​ | 43,001 | ​ | ​ | 42,530
Patients | ​ | ​ | 7,444 | ​ | ​ | 6,969 | ​ | ​ | 15,795 | ​ | ​ | 13,406
Total revenues | ​ | $ | 546,600 | ​ | $ | 413,351 | ​ | $ | 1,048,431 | ​ | $ | 781,092
Schedule of total revenue by geographic area | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Three months ended | ​ | Six months ended |
​ | ​ | June 30, | ​ | June 30, |
​ |  | 2025 |  | 2024 |  | 2025 | ​ | 2024 |
​ | ​ | (in thousands) | ​
United States |  | $ | 537,801 | ​ | $ | 404,872 | ​ | $ | 1,030,107 | ​ | $ | 764,285 | ​
Americas, excluding U.S. |  | ​ | 1,571 | ​ | ​ | 1,601 | ​ | ​ | 3,263 | ​ | ​ | 3,082 | ​
Europe, Middle East, India, Africa |  | ​ | 5,408 | ​ | ​ | 5,439 | ​ | ​ | 11,457 | ​ | ​ | 10,617 | ​
Asia Pacific and Other |  | ​ | 1,820 | ​ | ​ | 1,439 | ​ | ​ | 3,604 | ​ | ​ | 3,108 | ​
Total revenues |  | $ | 546,600 | ​ | $ | 413,351 | ​ | $ | 1,048,431 | ​ | $ | 781,092 | ​
Schedule of beginning and ending balances of accounts receivable and deferred revenues | ​
​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Balance at
​ | ​ | June 30, | ​ | December 31,
​ | ​ | 2025 | ​ | 2024
​ | ​ | (in thousands)
Assets: | ​ | ​ | ​ | ​ | ​ | ​
Accounts receivable, net | ​ | $ | 309,224 | ​ | $ | 314,165
Liabilities: | ​ | ​ | ​ | ​ | ​ | ​
Deferred revenue, current portion | ​ | $ | 21,560 | ​ | $ | 19,754
Deferred revenue, long-term portion (1) | ​ | ​ | 16,492 | ​ | ​ | 16,838
Total deferred revenues | ​ | $ | 38,052 | ​ | $ | 36,592
Schedule of changes in the balance of deferred revenues | ​
​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Balance at
​ | ​ | June 30,
​ | ​ | 2025 | ​ | ​ | 2024
​ | (in thousands)
Beginning balance | ​ | $ | 36,592 | ​ | $ | 35,740
Increase in deferred revenues | ​ | ​ | 20,369 | ​ | ​ | 14,826
Revenue recognized during the period included in deferred revenues at the beginning of the period | ​ | ​ | (14,904) | ​ | ​ | (9,646)
Revenue recognized from performance obligations satisfied within the same period | ​ | ​ | (4,005) | ​ | ​ | (4,137)
Ending balance | ​ | $ | 38,052 | ​ | $ | 36,783

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