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Segment Reporting | 6 Months Ended
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Jun. 30, 2025
Segment Reporting [Abstract] |
Segment Reporting | SEGMENT REPORTING Operating segments are defined as components of an enterprise for which separate financial information is available that is evaluated regularly by the Company’s Chief Operating Decision Maker (“CODM”), or decision making group, whose function is to allocate resources to and assess the performance of the operating segments. The Company has identified its President and Chief Executive Officer as the CODM. In determining its reportable segments, the Company considered the markets and types of customers served and the products or services provided in those markets. The Company has determined that it has one operating segment and, therefore, one reportable segment. Revenue by geographic regions are based upon the customers’ ship-to address for product revenue, the region of testing for testing services revenue and the region where the performance obligation is satisfied for patient and digital solutions revenue. The following table summarizes reportable revenue by geographic regions (in thousands):
| Three Months Ended June 30, |  | Six Months Ended June 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Testing services revenue |  |  |  |  |  |  |
United States | $ | 61,670 |  |  | $ | 70,699 |  |  | $ | 123,108 |  |  | $ | 124,349 |
Rest of World | 363 |  |  | 219 |  |  | 846 |  |  | 406 |
| $ | 62,033 |  |  | $ | 70,918 |  |  | $ | 123,954 |  |  | $ | 124,755 |
Product revenue |  |  |  |  |  |  |
United States | $ | 7,193 |  |  | $ | 6,575 |  |  | $ | 13,700 |  |  | $ | 11,851 |
Rest of World | 4,640 |  |  | 4,035 |  |  | 8,943 |  |  | 7,353 |
| $ | 11,833 |  |  | $ | 10,610 |  |  | $ | 22,643 |  |  | $ | 19,204 |
Patient and digital solutions revenue |  |  |  |  |  |  |
United States | $ | 12,778 |  |  | $ | 10,694 |  |  | $ | 24,698 |  |  | $ | 20,278 |
Rest of World | 35 |  |  | 52 |  |  | 69 |  |  | 86 |
| $ | 12,813 |  |  | $ | 10,746 |  |  | $ | 24,767 |  |  | $ | 20,364 |
Total revenue |  |  |  |  |  |  |
Total United States | $ | 81,641 |  |  | $ | 87,968 |  |  | $ | 161,506 |  |  | $ | 156,478 |
Total Rest of World | 5,038 |  |  | 4,306 |  |  | 9,858 |  |  | 7,845 |
| $ | 86,679 |  |  | $ | 92,274 |  |  | $ | 171,364 |  |  | $ | 164,323 |
The following table summarizes long-lived assets, consisting of property and equipment, net, by geographic regions (in thousands):
| June 30, 2025 |  | December 31, 2024
Long-lived assets: |  |  |
United States | $ | 31,677 |  |  | $ | 33,286 |
Rest of World | 257 |  |  | 266 |
Total | $ | 31,934 |  |  | $ | 33,552 |
The CODM assesses the Company’s performance by using net loss. The CODM uses net loss predominately in the annual budget and forecasting process. The Company’s objective in making resource allocation decisions is to optimize the consolidated financial results. The CODM considers budget-to-actual variances on a quarterly basis for the profit measure when making decisions. The CODM organizes the business and leaders functionally. The CODM assesses performance and resources are allocated to functions which utilize those allocations across the business's services, products and digital solutions offerings. The following table summarizes the reconciliation to net loss (in thousands):
| Three Months Ended June 30, |  | Six Months Ended June 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Revenue: |  |  |  |  |  |  |
Testing services revenue | $ | 62,033 |  |  | $ | 70,918 |  |  | $ | 123,954 |  |  | $ | 124,755 |
Product revenue | 11,833 |  |  | 10,610 |  |  | 22,643 |  |  | 19,204 |
Patient and digital solutions revenue | 12,813 |  |  | 10,746 |  |  | 24,767 |  |  | 20,364 |
Total revenue | 86,679 |  |  | 92,274 |  |  | 171,364 |  |  | 164,323 |
Less: |  |  |  |  |  |  |
Cost of testing services 1 | 14,731 |  |  | 13,622 |  |  | 29,134 |  |  | 26,468 |
Cost of product 1 | 4,431 |  |  | 5,662 |  |  | 9,374 |  |  | 10,269 |
Cost of patient and digital solutions 1 | 7,929 |  |  | 6,805 |  |  | 15,273 |  |  | 13,120 |
Personnel cost | 29,330 |  |  | 30,843 |  |  | 60,073 |  |  | 57,371 |
Professional and legal fees | 12,348 |  |  | 10,033 |  |  | 22,540 |  |  | 22,206 |
Research materials and clinical trials expense | 4,057 |  |  | 4,724 |  |  | 7,231 |  |  | 8,204 |
Depreciation and amortization expense | 2,951 |  |  | 3,108 |  |  | 5,901 |  |  | 6,486 |
Stock-based compensation expense | 9,424 |  |  | 16,399 |  |  | 18,355 |  |  | 32,972 |
Litigation settlement expense | 350 |  |  | — |  |  | 5,710 |  |  | — |
Transformational initiative costs 2 | 1,871 |  |  | — |  |  | 1,871 |  |  | — |
Other segment items 3 | 10,189 |  |  | 8,527 |  |  | 19,970 |  |  | 17,450 |
Interest income, net | (2,364) |  |  | (2,826) |  |  | (5,147) |  |  | (5,712) |
Segment and condensed consolidated net loss | $ | (8,568) |  |  | $ | (4,623) |  |  | $ | (18,921) |  |  | $ | (24,511) |
1 Cost of testing services, cost of product and cost of patient and digital solutions include depreciation expense 2 Transformational initiative costs consist of consulting expenses which relate to the Company's ongoing transformation strategy that we have undertaken as a series of initiatives focused on operational excellence, enterprise-wide efficiency, and long-term strategic growth. 3 Other segment items include the following: acquisition costs, software expenses, corporate expenses, rent and maintenance expense, travel and event related expense, and other expenses (income)

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name 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