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Stock Incentive Plans (Tables)

6 Months Ended

Jun. 30, 2025

Share-Based Payment Arrangement [Abstract]

Share-Based Payment Arrangement, Option, Activity

The following table summarizes stock option activity during the six months ended June 30, 2025:

			Number of Shares						Weighted- Average Exercise Price
Stock options outstanding at December 31, 2024			3,409,912						$	22.63
Granted			—						—
Exercised			(241,611)						16.87
Forfeited			(78,191)						24.36
Expired			(334,398)						41.76
Stock options outstanding at June 30, 2025			2,755,712						20.67
Stock options exercisable at June 30, 2025			1,873,207						$	22.77

Share-Based Payment Arrangement, Restricted Stock Unit, Activity

The following table summarizes RSUs and PSUs activity during the six months ended June 30, 2025:

			Number of Shares						Weighted- Average Grant Date Fair Value
RSUs and PSUs outstanding at December 31, 2024			4,842,670						$	15.38
RSUs granted			1,354,743						19.34
RSUs vested			(1,289,812)						15.39
RSUs forfeited			(566,696)						14.10
PSUs granted			252,405						19.49
PSUs vested			(250,863)						15.14
PSUs forfeited			(53,212)						26.34
RSUs and PSUs outstanding at June 30, 2025			4,289,235						$	16.33

Share-Based Payment Arrangement, Performance Shares, Activity

The following table summarizes RSUs and PSUs activity during the six months ended June 30, 2025:

			Number of Shares						Weighted- Average Grant Date Fair Value
RSUs and PSUs outstanding at December 31, 2024			4,842,670						$	15.38
RSUs granted			1,354,743						19.34
RSUs vested			(1,289,812)						15.39
RSUs forfeited			(566,696)						14.10
PSUs granted			252,405						19.49
PSUs vested			(250,863)						15.14
PSUs forfeited			(53,212)						26.34
RSUs and PSUs outstanding at June 30, 2025			4,289,235						$	16.33

Summary of Expense Relating to Employee and Nonemployee Stock-Based Payment Awards from Stock Options and RSUs

The following table summarizes stock-based compensation expense relating to employee and non-employee stock-based awards for the three and six months ended June 30, 2025 and 2024, included in the condensed consolidated statements of operations as follows (in thousands):

			Three Months Ended June 30,												Six Months Ended June 30,
			2025						2024						2025						2024
Cost of testing services			$	329					$	357					$	692					$	814
Cost of product			108						225						339						542
Cost of patient and digital solutions			189						350						409						722
Research and development			1,407						1,628						2,766						3,388
Sales and marketing			2,146						2,927						4,730						5,971
General and administrative			5,245						10,912						9,419						21,535
Total			$	9,424					$	16,399					$	18,355					$	32,972

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Tabular disclosure of allocation of amount expensed and capitalized for award under share-based payment arrangement to statement of income or comprehensive income and statement of financial position. Includes, but is not limited to, corresponding line item in financial statement.

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-Topic 718
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Tabular disclosure of the number and weighted-average grant date fair value for restricted stock units that were outstanding at the beginning and end of the year, and the number of restricted stock units that were granted, vested, or forfeited during the year.

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Tabular disclosure for stock option plans. Includes, but is not limited to, outstanding awards at beginning and end of year, grants, exercises, forfeitures, and weighted-average grant date fair value.

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Tabular disclosure of number and weighted-average grant date fair value for nonvested performance shares.

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