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Segment Information
3 Months Ended
Mar. 31, 2018
Segment Reporting [Abstract]  
Segment Information
Segment Information

The Company reports its activities in two operating segments; the Clinical Services Segment and the Pharma Services Segment. Our Clinical customers include community based pathology practices, clinician practices, hospitals and academic centers.  Our Pharma customers include pharmaceutical companies to whom we provide testing and other services to support their studies and clinical trials.

In the fourth quarter of 2017, changes were made in the information provided to our Chief Operating Decision Maker (“CODM”); greater detail was provided regarding the performance of our Pharma business and our Clinical business as there was an increased focus on this financial data due to the growth of our Pharma business.  Our CODM also changed the way he was using this financial information to make strategic decisions regarding allocation of resources and evaluating performance of the Company.  This resulted in a change in our operating segments to align with how the CODM views our business which resulted in two operating segments; a Pharma Services segment and a Clinical Services segment.  

We have presented the financial information reviewed by the CODM including revenues, cost of revenue and gross margin for each of our operating segments. The segment information presented in these financial statements has been conformed to present segments on this revised basis for all prior periods.  Assets are not presented at the segment level as that information is not used by the CODM.  

The following table summarizes segment information for the three month periods ended March 31, 2018 and 2017, respectively (in thousands).  
 
 
 
For the Three-Months Ended March 31,
 
 
2018
 
2017 (as adjusted)
Net revenues:
 
 
 
 
Clinical Services
 
$
56,971

 
$
52,907

Pharma Services
 
6,452

 
4,521

Total Revenue
 
$
63,423

 
$
57,428

 
 
 
 
 
Cost of revenue:
 
 
 
 
Clinical Services
 
$
31,042

 
$
30,700

Pharma Services
 
5,078

 
3,780

Total Cost of Revenue
 
$
36,120

 
$
34,480

 
 
 
 
 
Gross Profit:
 
 
 
 
Clinical Services
 
$
25,929

 
$
22,207

Pharma Services
 
1,374

 
741

Total Gross Profit
 
$
27,303

 
$
22,948

 
 
 
 
 
Operating expenses:
 
 
 
 
General and administrative
 
$
17,067

 
$
17,018

Research and development
 
956

 
862

Sales and marketing
 
6,775

 
5,648

Total operating expenses
 
24,798

 
23,528

Income (Loss) From Operations
 
2,505

 
(580
)
Interest expense, net
 
1,486

 
1,364

Other income
 
(63
)
 

Income (loss) before taxes
 
1,082

 
(1,944
)
Income tax (benefit) expense
 
438

 
(779
)
Net Income (Loss)
 
$
644

 
$
(1,165
)