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FAIR VALUE MEASUREMENTS (Tables)
12 Months Ended
Dec. 31, 2023
Fair Value Disclosures [Abstract]  
Schedule of fair value measurements along with the level within the fair value hierarchy in which the fair value measurements fall
The following table presents the Company’s fair value measurements as of December 31, 2023 along with the level within the fair value hierarchy in which the fair value measurements, in their entirety, fall.
(In thousands)Fair value at December 31, 2023Quoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Cash, cash equivalents, and restricted cash
Cash and money market$530,100 $530,100 $— $— 
Commercial paper72,243 — 72,243 — 
Restricted cash (1)
4,297 4,297 — — 
U.S. government agency securities3,035 — 3,035 — 
Marketable securities
U.S. government agency securities$56,716 $— $56,716 $— 
Corporate bonds55,828 — 55,828 — 
Asset backed securities34,897 — 34,897 — 
Commercial paper
20,984 — 20,984 — 
Equity securities
3,841 3,841 — — 
Non-marketable securities$7,650 $— $— $7,650 
Liabilities
Contingent consideration$(288,657)$— $— $(288,657)
Total$500,934 $538,238 $243,703 $(281,007)
The following table presents the Company’s fair value measurements as of December 31, 2022 along with the level within the fair value hierarchy in which the fair value measurements, in their entirety, fall.
(In thousands)Fair Value at December 31, 2022Quoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Cash, cash equivalents, and restricted cash
Cash and money market$178,168 $178,168 $— $— 
Commercial paper63,021 — 63,021 — 
U.S. government agency securities1,304 — 1,304 — 
Restricted cash (1)
297 297 — — 
Marketable securities
U.S. government agency securities$225,223 $— $225,223 $— 
Corporate bonds114,671 — 114,671 — 
Asset backed securities44,521 — 44,521 — 
Equity securities (2)
5,149 5,149 — — 
Non-marketable securities$10,065 $— $— $10,065 
Liabilities
Contingent consideration$(306,927)$— $— $(306,927)
Total$335,492 $183,614 $448,740 $(296,862)
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(1)Restricted cash primarily represents cash held by a third-party financial institution as part of a cash collateral agreement related to the Company's credit card program. The restrictions will lapse upon the termination of the agreements or the removal of the cash collateral requirement by the third-parties.
(2)Inclusive of the American Depository Shares of MDxHealth received as part of the sale of the Company’s GPS test, which are restricted to a holding period of six months after the date of the sale of August 2, 2022. The shares had a fair value of $4.6 million as of December 31, 2022.
Schedule of fair value of contingent consideration
The following table provides a reconciliation of the beginning and ending balances of contingent consideration:
(In thousands)Contingent Consideration
Balance, January 1, 2022 (1)
$359,021 
Purchase price contingent consideration (2)
4,600 
Changes in fair value(56,617)
Payments(77)
Balance, December 31, 2022
306,927 
Changes in fair value
(18,044)
Payments(226)
Balance, December 31, 2023
$288,657 
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(1)    The change in fair value of the contingent consideration liability during the year ended December 31, 2021 was not significant.
(2)    The increase in contingent consideration liability is due to the contingent consideration associated with the acquisition of OmicEra. Refer to Note 18 for further information.
Other Investments Not Readily Marketable
Non-Marketable Equity Investments
Non-marketable equity securities without readily determinable fair values, which are classified as a component of other long-term assets, net, had the following aggregate carrying amounts and downward and upward adjustments as of and for the years ended December 31, 2023 and 2022:
Year ended December 31,
(In thousands)
20232022
Upward adjustments (1)
$4,314 $779 
Downward adjustments and impairments (2)
(4,250)(10,821)
Aggregate carrying value
45,968 39,842 
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(1)    Cumulative upward adjustments on non-marketable equity securities held as of December 31, 2023 was $5.1 million. The upward adjustments recorded were due to increases in the valuation of the underlying investee as determined by the value of the follow-on rounds of investment by other third-party investors. There were no upward adjustments recorded during the year ended December 31, 2021.
(2)    Cumulative downward adjustments and impairments on non-marketable equity securities held as of December 31, 2023 was $15.1 million. The adjustments recorded were due to adverse changes in the market and the investees’ ability to continue as a going concern. There were no downward adjustments recorded during the year ended December 31, 2021.
Securities Owned Not Readily Marketable
The Company has elected the fair value option under the income approach to measure certain Level 3 non-marketable securities. The following table provides a reconciliation of the beginning and ending balances of non-marketable securities valued using the fair value option:
(In thousands)Non-Marketable Securities
Beginning balance, January 1, 2022
$3,090 
Purchase of non-marketable securities
10,000 
Change in fair value
1,038 
Conversion of non-marketable securities
(4,063)
Balance, December 31, 2022
10,065 
Purchases of non-marketable securities6,957 
Changes in fair value1,127 
Settlement of non-marketable securities
(10,499)
Ending balance, December 31, 2023
$7,650