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Segment Information
9 Months Ended
Sep. 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 as well as providing informatics related services often supporting Pharma commercialization efforts.
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 September 30,Nine Months Ended September 30,
2020201920202019
Net revenues:
Clinical Services$108,733 $92,565 $275,599 $267,757 
Pharma Services16,711 12,107 42,852 34,205 
Total revenue125,444 104,672 318,451 301,962 
Cost of revenue:
Clinical Services60,607 47,526 158,287 136,557 
Pharma Services10,772 6,314 31,724 18,492 
Total cost of revenue71,379 53,840 190,011 155,049 
Gross Profit:
Clinical Services48,126 45,039 117,312 131,200 
Pharma Services5,939 5,793 11,128 15,713 
Total gross profit54,065 50,832 128,440 146,913 
Operating expenses:
General and administrative36,128 33,054 107,085 94,773 
Research and development1,964 2,611 6,129 6,407 
Sales and marketing11,304 11,508 34,757 35,048 
Total operating expenses49,396 47,173 147,971 136,228 
Income (loss) from operations4,669 3,659 (19,531)10,685 
Interest expense, net2,458 203 4,825 3,333 
Other (income) expense, net(11)(35)(7,639)5,124 
Loss on extinguishment of debt— — 1,400 1,018 
Loss on termination of cash flow hedge— — 3,506 — 
Income (loss) before taxes2,222 3,491 (21,623)1,210 
Income tax (benefit) expense(335)1,348 (10,378)(500)
Net income (loss)$2,557 $2,143 $(11,245)$1,710