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Segment and Geographic Information (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting
The table below is a summary of the segment profit or loss, including significant segment expenses:
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
(amounts in thousands)
Revenue:
Molecular profiling services$207,587 $93,803 $484,593 $254,692 
Pharma research and development services9,246 7,817 34,554 27,653 
Revenue216,833 101,620 519,147 282,345 
Less:
Cost of services - Molecular profiling services66,980 54,810 193,195 167,134 
Cost of services - Pharma research and development services2,347 2,398 7,698 7,130 
Selling and marketing expense41,267 36,758 123,355 115,077 
General and administrative expense51,973 40,852 168,458 126,273 
Research and development expense21,624 27,644 69,739 86,807 
Total costs and operating expenses184,191 162,462 562,445 502,421 
Income (Loss) from operations32,642 (60,842)(43,298)(220,076)
Interest income7,360 1,744 9,482 6,152 
Interest expense(13,507)(13,799)(45,497)(36,763)
Changes in fair value of financial instruments(2,081)5,131 (52,285)6,067 
Other income (expense), net(89)37 (18,447)(323)
Segment and consolidated net income (loss)$24,325 $(67,729)$(150,045)$(244,943)
Schedule of Revenue by Geographic Areas
The following table sets forth the Company’s revenue by geographic areas based on the customer’s location:
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
(amounts in thousands)
United States $213,550 $99,403 $510,161 $275,213 
International 3,283 2,217 8,986 7,132 
Total revenue$216,833 $101,620 $519,147 $282,345