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Segment Information (Tables)
9 Months Ended
Sep. 30, 2021
Segment Reporting [Abstract]  
Summary of Segment Information
The following table summarizes the segment information (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Net revenues:
Clinical Services$102,227 $108,733 $300,119 $275,599 
Pharma Services19,113 16,711 58,478 42,852 
Total revenue121,340 125,444 358,597 318,451 
Cost of revenue:
Clinical Services(1)
59,560 60,607 178,358 158,287 
Pharma Services14,541 10,772 38,436 31,724 
Total cost of revenue74,101 71,379 216,794 190,011 
Gross Profit:
Clinical Services42,667 48,126 121,761 117,312 
Pharma Services4,572 5,939 20,042 11,128 
Total gross profit47,239 54,065 141,803 128,440 
Operating expenses:
General and administrative63,839 36,128 158,953 107,085 
Research and development7,409 1,964 13,360 6,129 
Sales and marketing15,704 11,304 46,677 34,757 
Total operating expenses86,952 49,396 218,990 147,971 
Loss (income) from operations(39,713)4,669 (77,187)(19,531)
Interest expense, net1,296 2,458 3,375 4,825 
Other income, net(89)(11)(431)(7,639)
Gain on investment in and loan receivable from non-consolidated affiliate, net(17,750)— (109,260)— 
Loss on extinguishment of debt— — — 1,400 
Loss on termination of cash flow hedge— — — 3,506 
(Loss) income before taxes(23,170)2,222 29,129 (21,623)
Income tax benefit(2,822)(335)(4,283)(10,378)
Net (loss) income$(20,348)$2,557 $33,412 $(11,245)
(1) Clinical Services cost of revenue for the three months ended September 30, 2021 includes $4.3 million of amortization of acquired developed technology intangible assets. Clinical Services cost of revenue for the nine months ended September 30, 2021 includes $5 million of amortization of acquired Inivata developed technology intangible assets and write-offs of $5.3 million for COVID-19 PCR testing inventory. Pharma Services cost of revenue for the three and nine months ended September 30, 2021 includes $0.5 million of amortization of acquired Inivata developed technology intangible assets.