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Segment Information
6 Months Ended
Jun. 30, 2020
Segment Reporting [Abstract]  
Segment Information Segment Information
The Company has two operating segments for which it recognizes revenue; Clinical Services and Pharma Services. Our Clinical Services segment provides various clinical testing services to community-based pathology practices, hospital pathology labs and academic centers with reimbursement from various payers including client direct billing, commercial insurance, Medicare and other government payers, and patients. Our Pharma Services segment supports pharmaceutical firms in their drug development programs by supporting various clinical trials and research.
The financial information reviewed by the Chief Operating Decision Maker (“CODM”) includes revenues, cost of revenue and gross margin for each of the Company’s operating segments. Assets are not presented at the segment level as that information is not used by the CODM.
The following table summarizes the segment information (in thousands):

Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Net revenues:
Clinical Services$73,884  $88,982  $166,866  $175,192  
Pharma Services13,093  12,731  26,141  22,098  
Total revenue86,977  101,713  193,007  197,290  
Cost of revenue:
Clinical Services48,757  46,380  97,680  89,031  
Pharma Services10,214  6,367  20,952  12,178  
Total cost of revenue58,971  52,747  118,632  101,209  
Gross Profit:
Clinical Services25,127  42,602  69,186  86,161  
Pharma Services2,879  6,364  5,189  9,920  
Total gross profit28,006  48,966  74,375  96,081  
Operating expenses:
General and administrative34,613  29,577  70,957  61,719  
Research and development2,105  2,587  4,165  3,796  
Sales and marketing10,195  12,324  23,453  23,540  
Total operating expenses46,913  44,488  98,575  89,055  
(Loss) income from operations(18,907) 4,478  (24,200) 7,026  
Interest expense, net1,548  1,304  2,367  3,130  
Other (income) expense, net(7,405) (10) (7,628) 5,159  
Loss on extinguishment of debt1,400  1,018  1,400  1,018  
Loss on termination of cash flow hedge3,506  —  3,506  —  
(Loss) income before taxes(17,956) 2,166  (23,845) (2,281) 
Income tax (benefit) expense(11,132) 175  (10,043) (1,848) 
Net (loss) income$(6,824) $1,991  $(13,802) $(433)