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Segment Reporting
 6 Months Ended
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,
2025202420252024
Testing services revenue
United States$61,670 $70,699 $123,108 $124,349 
Rest of World363 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 World4,640 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 World35 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 World5,038 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, 2025December 31, 2024
Long-lived assets:
United States$31,677 $33,286 
Rest of World257 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,
2025202420252024
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 services1
14,731 13,622 29,134 26,468 
Cost of product1
4,431 5,662 9,374 10,269 
Cost of patient and digital solutions1
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 costs2
1,871 — 1,871 — 
Other segment items3
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)