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CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Revenues:        
Patient service $ 24,910 $ 24,517 $ 49,615 $ 48,180
Research services 5,252 479 10,124 894
Product 1,942 2,454 4,783 5,421
Total revenues 32,104 27,450 64,522 54,495
Cost of revenues:        
Patient services 8,827 9,313 17,591 18,784
Research services 2,769 160 5,507 315
Product 1,012 1,251 2,383 3,060
Total cost of revenues 12,608 10,724 25,481 22,159
Gross profit 19,496 16,726 39,041 32,336
Operating expenses:        
General and administrative 9,077 7,635 18,605 16,308
Sales and marketing 6,267 6,027 13,029 12,179
Bad debt expense 1,967 2,959 4,434 5,870
Research and development 1,882 1,040 3,502 2,225
Integration, restructuring and other charges 2,541 733 3,743 1,003
Total expenses 21,734 18,394 43,313 37,585
Loss from operations (2,238) (1,668) (4,272) (5,249)
Other income, net (61) 39 (114) 86
Loss before income taxes (2,299) (1,629) (4,386) (5,163)
Income tax benefit (expense)   431   431
Net loss (2,299) (1,198) (4,386) (4,732)
Net loss per common share:        
Basic and diluted (in dollars per share) $ (0.09) $ (0.05) $ (0.17) $ (0.19)
Weighted average number of common shares outstanding:        
Basic and diluted (in shares) 25,537,358 24,918,996 25,370,164 24,761,904
Unrealized gains on securities:        
Unrealized holding gains/(losses) arising during the period   4   12
Comprehensive Loss $ (2,299) $ (1,194) $ (4,386) $ (4,720)