CASTLE BIOSCIENCES INC, 10-Q filed on 8/4/2025
Quarterly Report
v3.25.2
Cover - shares
6 Months Ended
Jun. 30, 2025
Jul. 28, 2025
Cover [Abstract]    
Document Type 10-Q  
Document Quarterly Report true  
Document Period End Date Jun. 30, 2025  
Document Transition Report false  
Entity File Number 001-38984  
Entity Registrant Name CASTLE BIOSCIENCES, INC.  
Entity Incorporation, State or Country Code DE  
Entity Tax Identification Number 77-0701774  
Entity Address, Address Line One 505 S. Friendswood Drive  
Entity Address, Address Line Two Suite 401  
Entity Address, City or Town Friendswood  
Entity Address, State or Province TX  
Entity Address, Postal Zip Code 77546  
City Area Code 866  
Local Phone Number 788-9007  
Title of 12(b) Security Common Stock, $0.001 par value per share  
Trading Symbol CSTL  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Accelerated Filer  
Entity Small Business false  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   29,008,281
Entity Central Index Key 0001447362  
Current Fiscal Year End Date --12-31  
Document Fiscal Year Focus 2025  
Document Fiscal Period Focus Q2  
Amendment Flag false  
v3.25.2
CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Current Assets    
Cash and cash equivalents $ 82,233 $ 119,709
Marketable investment securities 193,697 173,421
Accounts receivable, net 52,311 51,218
Inventory 8,366 8,135
Prepaid expenses and other current assets 12,061 7,671
Total current assets 348,668 360,154
Long-term accounts receivable, net 1,132 918
Property and equipment, net 74,060 51,122
Operating lease assets 15,503 11,584
Goodwill and other intangible assets, net 104,125 106,229
Other assets – long-term 1,241 1,228
Total assets 544,729 531,235
Current Liabilities    
Accounts payable 13,181 6,901
Accrued compensation 24,973 32,555
Contingent consideration 1,000 0
Operating lease liabilities 1,571 1,665
Current portion of long-term debt 1,944 278
Other accrued and current liabilities 8,221 7,993
Total current liabilities 50,890 49,392
Long-term debt 8,096 9,745
Noncurrent portion of contingent consideration 1,500 0
Noncurrent operating lease liabilities 25,377 14,345
Noncurrent finance lease liabilities 364 311
Deferred tax liability 3,126 1,607
Total liabilities 89,353 75,400
Commitments and Contingencies (Note 12)
Stockholders’ Equity    
Preferred stock, $0.001 par value per share; 10,000,000 shares authorized as of June 30, 2025 and December 31, 2024; no shares issued and outstanding as of June 30, 2025 and December 31, 2024 0 0
Common stock, $0.001 par value per share; 200,000,000 shares authorized as of June 30, 2025 and December 31, 2024; 28,981,151 and 28,483,195 shares issued and outstanding as of June 30, 2025 and December 31, 2024, respectively 29 28
Additional paid-in capital 676,759 655,703
Accumulated deficit (221,451) (200,126)
Accumulated other comprehensive income 39 230
Total stockholders’ equity 455,376 455,835
Total liabilities and stockholders’ equity $ 544,729 $ 531,235
v3.25.2
CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares
Jun. 30, 2025
Dec. 31, 2024
Statement of Financial Position [Abstract]    
Preferred stock, par value (in dollars per share) $ 0.001 $ 0.001
Preferred stock, shares authorized (in shares) 10,000,000 10,000,000
Preferred stock, shares issued (in shares) 0 0
Preferred stock, shares outstanding (in shares) 0 0
Common stock, par value (in dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized (in shares) 200,000,000 200,000,000
Common stock, shares issued (in shares) 28,981,151 28,483,195
Common stock, shares outstanding (in shares) 28,981,151 28,483,195
v3.25.2
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Income Statement [Abstract]        
NET REVENUES $ 86,188 $ 87,002 $ 174,176 $ 159,976
OPERATING EXPENSES        
Cost of sales (exclusive of amortization of acquired intangible assets) 17,626 14,519 34,009 28,413
Research and development 12,787 14,136 25,375 27,945
Selling, general and administrative 58,065 51,088 116,685 99,583
Amortization of acquired intangible assets 1,961 2,247 30,286 4,494
Total operating expenses, net 90,439 81,990 206,355 160,435
Operating (loss) income (4,251) 5,012 (32,179) (459)
Interest income 2,944 3,144 6,043 6,140
Changes in fair value of trading securities 1,185 0 (240) 0
Interest expense (21) (270) (38) (284)
(Loss) income before income taxes (143) 7,886 (26,414) 5,397
Income tax benefit (4,666) (1,034) (5,089) (989)
Net income (loss) $ 4,523 $ 8,920 $ (21,325) $ 6,386
Earnings (loss) per share:        
Basic (in dollars per share) $ 0.16 $ 0.32 $ (0.74) $ 0.23
Diluted (in dollars per share) $ 0.15 $ 0.31 $ (0.74) $ 0.22
Weighted-average shares outstanding:        
Basic (in shares) 28,914 27,646 28,763 27,566
Diluted (in shares) 29,545 28,738 28,763 28,542
v3.25.2
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Statement of Comprehensive Income [Abstract]        
Net income (loss) $ 4,523 $ 8,920 $ (21,325) $ 6,386
Other comprehensive loss:        
Net unrealized loss on marketable investment securities (92) (61) (191) (308)
Comprehensive income (loss) $ 4,431 $ 8,859 $ (21,516) $ 6,078
v3.25.2
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY - USD ($)
$ in Thousands
Total
Common Stock
Additional Paid-in Capital
Accumulated Deficit
Accumulated Other Comprehensive Income (Loss)
Common stock, shares outstanding, beginning balance (in shares) at Dec. 31, 2023   27,410,532      
Beginning balance at Dec. 31, 2023 $ 391,269 $ 27 $ 609,477 $ (218,371) $ 136
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Stock-based compensation expense 12,675   12,675    
Exercise of common stock options (in shares)   19,066      
Exercise of common stock options 65   65    
Issuance of common stock from vested restricted stock units and payment of employees' taxes (in shares)   44,830      
Issuance of common stock from vested restricted stock units and payment of employees’ taxes (474)   (474)    
Issuance of common stock under the employee stock purchase plan (in shares)   111,241      
Issuance of common stock under the employee stock purchase plan 1,708 $ 1 1,707    
Net unrealized loss on marketable investment securities (247)       (247)
Net (loss) income (2,534)     (2,534)  
Common stock, shares outstanding, ending balance (in shares) at Mar. 31, 2024   27,585,669      
Ending balance at Mar. 31, 2024 402,462 $ 28 623,450 (220,905) (111)
Common stock, shares outstanding, beginning balance (in shares) at Dec. 31, 2023   27,410,532      
Beginning balance at Dec. 31, 2023 391,269 $ 27 609,477 (218,371) 136
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net unrealized loss on marketable investment securities (308)        
Net (loss) income 6,386        
Common stock, shares outstanding, ending balance (in shares) at Jun. 30, 2024   27,711,024      
Ending balance at Jun. 30, 2024 423,893 $ 28 636,022 (211,985) (172)
Common stock, shares outstanding, beginning balance (in shares) at Mar. 31, 2024   27,585,669      
Beginning balance at Mar. 31, 2024 402,462 $ 28 623,450 (220,905) (111)
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Stock-based compensation expense 13,179   13,179    
Exercise of common stock options (in shares)   1,779      
Exercise of common stock options 8   8    
Issuance of common stock from vested restricted stock units and payment of employees' taxes (in shares)   123,576      
Issuance of common stock from vested restricted stock units and payment of employees’ taxes (615)   (615)    
Net unrealized loss on marketable investment securities (61)       (61)
Net (loss) income 8,920     8,920  
Common stock, shares outstanding, ending balance (in shares) at Jun. 30, 2024   27,711,024      
Ending balance at Jun. 30, 2024 $ 423,893 $ 28 636,022 (211,985) (172)
Common stock, shares outstanding, beginning balance (in shares) at Dec. 31, 2024 28,483,195 28,483,195      
Beginning balance at Dec. 31, 2024 $ 455,835 $ 28 655,703 (200,126) 230
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Stock-based compensation expense 11,179   11,179    
Exercise of common stock options (in shares)   6,331      
Exercise of common stock options 18   18    
Issuance of common stock from vested restricted stock units and payment of employees' taxes (in shares)   251,970      
Issuance of common stock from vested restricted stock units and payment of employees’ taxes (2,516) $ 1 (2,517)    
Issuance of common stock under the employee stock purchase plan (in shares)   103,441      
Issuance of common stock under the employee stock purchase plan 1,737   1,737    
Net unrealized loss on marketable investment securities (99)       (99)
Net (loss) income (25,848)     (25,848)  
Common stock, shares outstanding, ending balance (in shares) at Mar. 31, 2025   28,844,937      
Ending balance at Mar. 31, 2025 $ 440,306 $ 29 666,120 (225,974) 131
Common stock, shares outstanding, beginning balance (in shares) at Dec. 31, 2024 28,483,195 28,483,195      
Beginning balance at Dec. 31, 2024 $ 455,835 $ 28 655,703 (200,126) 230
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Exercise of common stock options (in shares) 16,995        
Net unrealized loss on marketable investment securities $ (191)        
Net (loss) income $ (21,325)        
Common stock, shares outstanding, ending balance (in shares) at Jun. 30, 2025 28,981,151 28,981,151      
Ending balance at Jun. 30, 2025 $ 455,376 $ 29 676,759 (221,451) 39
Common stock, shares outstanding, beginning balance (in shares) at Mar. 31, 2025   28,844,937      
Beginning balance at Mar. 31, 2025 440,306 $ 29 666,120 (225,974) 131
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Stock-based compensation expense 11,208   11,208    
Exercise of common stock options (in shares)   10,664      
Exercise of common stock options 19   19    
Issuance of common stock from vested restricted stock units and payment of employees' taxes (in shares)   125,550      
Issuance of common stock from vested restricted stock units and payment of employees’ taxes (588)   (588)    
Net unrealized loss on marketable investment securities (92)       (92)
Net (loss) income $ 4,523     4,523  
Common stock, shares outstanding, ending balance (in shares) at Jun. 30, 2025 28,981,151 28,981,151      
Ending balance at Jun. 30, 2025 $ 455,376 $ 29 $ 676,759 $ (221,451) $ 39
v3.25.2
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
OPERATING ACTIVITIES    
Net (loss) income $ (21,325) $ 6,386
Adjustments to reconcile net (loss) income to net cash used in operating activities:    
Depreciation and amortization 33,178 6,688
Stock-based compensation expense 22,387 25,854
Change in fair value of trading securities 240 0
Deferred income taxes (5,437) (1,542)
Accretion of discounts on marketable investment securities (2,606) (3,422)
Other 219 83
Change in operating assets and liabilities:    
Accounts receivable (1,307) (7,620)
Prepaid expenses and other current assets (4,696) (294)
Inventory (231) (71)
Operating lease assets 664 678
Other assets (13) 143
Accounts payable 1,689 (1,650)
Operating lease liabilities (869) (432)
Accrued compensation (7,582) (7,706)
Other accrued and current liabilities 474 68
Net cash provided by operating activities 14,785 17,163
INVESTING ACTIVITIES    
Purchases of marketable investment securities (92,832) (113,194)
Proceeds from maturities of marketable investment securities 80,300 86,450
Purchases of debt securities classified as held-to-maturity (5,569) 0
Asset acquisition, net of cash and cash equivalents acquired (18,726) 0
Purchases of property and equipment (14,003) (14,381)
Proceeds from sale of property and equipment 21 7
Net cash used in investing activities (50,809) (41,118)
FINANCING ACTIVITIES    
Proceeds from exercise of common stock options 37 73
Payment of employees’ taxes on vested restricted stock units (3,104) (1,089)
Proceeds from contributions to the employee stock purchase plan 1,482 1,749
Repayment of principal portion of finance lease liabilities (57) (47)
Proceeds from lease incentives received 190 0
Proceeds from issuance of term debt 0 10,000
Net cash (used in) provided by financing activities (1,452) 10,686
NET CHANGE IN CASH AND CASH EQUIVALENTS (37,476) (13,269)
Beginning of period 119,709 98,841
End of period 82,233 85,572
DISCLOSURE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:    
Asset acquisition, liability for contingent consideration 2,500 0
Accrued purchases of property and equipment 6,822 2,148
Operating lease assets obtained in exchange for lease obligations 4,687 0
Decrease in operating lease assets with corresponding change in lease liabilities (104) (7)
Finance lease assets obtained in exchange for lease obligations 119 166
Property and equipment acquired with tenant improvement allowance $ 7,224 $ 0
v3.25.2
Organization and Description of Business
6 Months Ended
Jun. 30, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization and Description of Business Organization and Description of Business
Castle Biosciences, Inc. (the ‘‘Company,” “we,” “us” or “our”) was incorporated in the state of Delaware on September 12, 2007. We are a commercial-stage diagnostics company focused on providing clinicians and their patients with personalized, clinically actionable information to inform treatment decisions and improve health outcomes. We are based in Friendswood, Texas (a suburb of Houston, Texas) and our laboratory operations are conducted at our facilities located in Phoenix, Arizona and Pittsburgh, Pennsylvania.
v3.25.2
Summary of Significant Accounting Policies
6 Months Ended
Jun. 30, 2025
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies Summary of Significant Accounting Policies
Basis of Presentation
Our unaudited condensed consolidated financial statements include the accounts of Castle Biosciences, Inc. and our wholly owned subsidiaries and have been prepared in conformity with accounting principles generally accepted in the United States of America (‘‘U.S. GAAP’’). All intercompany accounts and transactions have been eliminated in consolidation.
We have a history of recurring net losses and negative cash flows and as of June 30, 2025, we had an accumulated deficit of $221.5 million. We believe our $82.2 million of cash and cash equivalents and $193.7 million of marketable investment securities as of June 30, 2025, and anticipated revenue from our test reports, will be sufficient to meet our cash requirements through at least the 12-month period following the date that these unaudited condensed consolidated financial statements were issued.
Unaudited Interim Financial Information
The accompanying condensed consolidated balance sheet as of June 30, 2025; the condensed consolidated statements of operations, the condensed consolidated statements of comprehensive income (loss) and the condensed consolidated statements of stockholders’ equity, each for the three and six months ended June 30, 2025 and 2024; and the condensed consolidated statements of cash flows for the six months ended June 30, 2025 and 2024 are unaudited. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited annual financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary for the fair statement of our consolidated financial position as of June 30, 2025, the results of our consolidated operations for the three and six months ended June 30, 2025 and 2024 and our consolidated cash flows for the six months ended June 30, 2025 and 2024. The financial data and other information disclosed in these notes related to the three and six months ended June 30, 2025 and 2024 are also unaudited. The results for the three and six months ended June 30, 2025 are not necessarily indicative of results to be expected for the year ending December 31, 2025, any other interim periods, or any future year or period. The balance sheet as of December 31, 2024 included herein was derived from the audited financial statements as of that date. Certain disclosures have been condensed or omitted from the unaudited interim consolidated financial statements. These unaudited condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2024 filed with the Securities and Exchange Commission on February 27, 2025.
Use of Estimates
The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates include revenue recognition, the valuation of stock-based compensation, assessing future tax exposure and the realizability of deferred tax assets, the useful lives and recoverability of long-lived assets, the goodwill impairment test, the valuation of acquired intangible assets, the valuation of contingent consideration, and other contingent liabilities. We base these estimates on historical and anticipated results, trends, and various other assumptions that we believe are reasonable under the circumstances, including assumptions as to future events. These estimates form the basis for making judgments about the carrying values of assets and liabilities and recorded revenues and expenses that are not readily apparent from other sources. Actual results could differ from those estimates and assumptions.
Segment Reporting
Operating segments are components of an enterprise engaging in business activities from which it may recognize revenues and incur expenses, where discrete financial information is available, and where its operating results are regularly reviewed by the public entity's chief operating decision maker (“CODM”) to make decisions about resources to be allocated to the segment and to assess its performance. A CODM may be an individual or a decision-making group. A reportable segment consists of one or more operating segments. For additional information on our segment reporting, see Note 15.
Cash and Cash Equivalents including Concentrations of Credit Risk
Cash equivalents consist of short-term, highly liquid investments with original maturities of three months or less. Our cash equivalents consist of money market funds, which are not insured by the Federal Deposit Insurance Corporation (“FDIC”), that are primarily invested in short-term U.S. government obligations. Cash deposits at financial institutions may exceed the amount of insurance provided by the FDIC. Management believes that we are not exposed to significant credit risk on our cash deposits due to the financial position of the financial institutions in which deposits are held.
Marketable Investment Securities
Our marketable investment securities are comprised of debt and equity securities. All debt securities are recognized in accordance with Financial Accounting Standards Board (‘‘FASB’’) Accounting Standards Codification (‘‘ASC’’) Topic 320, Investments-Debt Securities (‘‘ASC 320’’). Management determines the appropriate classification of debt securities at the time of purchase and re-evaluates such determination at each balance sheet date. Debt securities that are classified as available-for-sale (“AFS”) are recorded at fair value in accordance with ASC 320. We recognize the unrealized gains and losses related to changes in fair value as a separate component of accumulated other comprehensive loss within total stockholders’ equity, net of any related deferred income tax effects, on our condensed consolidated balance sheets. Debt securities that are classified as held-to-maturity (“HTM”) are reported at amortized cost with ASC 320. Premiums or discounts from par value are amortized to interest income over the life of the underlying investment and are included in interest income in the consolidated statements of operations. Realized gains and losses on AFS and HTM debt securities, if any, are calculated at the individual security level and included in interest income in the condensed consolidated statements of operations. Impairments of AFS or HTM debt securities, if any, are recorded in our unaudited condensed consolidated statements of operations. See Notes 5 and 11 for further details.
Our equity securities consist of investments in shares of common stock which are listed and traded on the Nasdaq Global Market. All trading securities are recognized in accordance with ASC Topic 321, Investments-Equity Securities and reported at their readily determinable fair values as quoted by market exchanges where changes in fair value are included in changes in fair value of trading securities in the consolidated statements of operations. All changes in a marketable security’s fair value are reported in earnings as they occur, as such, the sale of our trading securities does not necessarily give rise to a significant gain or loss. Investments in equity securities are classified as either current or long-term depending upon management’s intentions. See Notes 5 and 11 for further details.
Acquisitions
We assess acquisitions under ASC Topic 805, Business Combinations (“ASC 805”), to determine whether a transaction represents the acquisition of assets or a business combination. Under this guidance, we apply a two-step model. The first step involves a screening test where we evaluate whether substantially all of the fair value of the gross assets acquired is concentrated in a single asset or a group of similar assets. If the screening test is met, we account for the set as an asset acquisition. If the screening test is not met, we apply the second step of the model to determine if the set meets the definition of a business based on the guidance in ASC 805. If so, the transaction is treated as a business combination. Otherwise, it is treated as an asset acquisition. Asset acquisitions are accounted for by allocating the cost of the acquisition, including transaction costs, to the individual assets acquired and liabilities assumed on a relative fair value basis without recognition of goodwill. If the total consideration transferred is less than the aggregate fair value of the net assets acquired (i.e., a bargain purchase), the difference is not recognized as a gain. Instead, the difference is allocated to the cost of the acquired assets on a relative fair value basis. Business combinations are accounted for using the acquisition method. Under the acquisition method, goodwill is measured as a residual amount equal to the fair value of the consideration transferred less the net recognized fair value of the identifiable assets acquired and the liabilities assumed, as of the acquisition date, and transaction costs are expensed as incurred.
Contingent Consideration
Under the terms of business combinations or asset acquisitions, we may be required to pay additional consideration if specified future events occur or certain conditions are met. In May 2025, we acquired Capsulomics, Inc., d/b/a Previse (“Capsulomics”), which was recorded as an asset acquisition, and agreed to pay additional consideration of up to $2.5 million in cash based on the achievement of certain commercial milestones (the “Earnout Payments”). We account for the contingent consideration as a liability in accordance with ASC 450-20, Loss Contingencies (“ASC 450-20”) when it is both probable and reasonably estimable. In accordance with ASC 450-20, we recorded the contingent consideration at the amount required to settle the respective obligation, and subsequent changes are recognized as adjustments to the cost basis of the acquired assets. These changes are allocated to the acquired assets based on their relative fair values as of the date of acquisition.
Contingent consideration is classified as current or noncurrent in our condensed consolidated balance sheets based on the contractual timing of future settlement.
Revenue Recognition
In accordance with ASC Topic 606, Revenue from Contracts with Customers (“ASC 606”), we follow a five-step process to recognize revenues: (1) identify the contract with the customer, (2) identify the performance obligations, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations and (5) recognize revenues when the performance obligations are satisfied. We have determined that we have a contract with the patient when the treating clinician orders the test. Our contracts generally contain a single performance obligation, which is the delivery of the test report, and we satisfy our performance obligation at a point in time upon the delivery of the test report to the treating clinician, at which point we can bill for the report. The amount of revenue recognized reflects the amount of consideration to which we expect to be entitled, or the transaction price, and considers the effects of variable consideration. See Note 3 for further details.
Accounts Receivable and Allowance for Credit Losses
We classify accounts receivable balances that are expected to be paid more than one year from the consolidated balance sheet date as noncurrent assets. The estimated timing of payment utilized as a basis for classification as noncurrent is determined by analyses of historical payor-specific payment experience, adjusted for known factors that are expected to change the timing of future payments.
We accrue an allowance for credit losses against our accounts receivable based on management’s current estimate of amounts that will not be collected. Management’s estimates are typically based on historical loss information adjusted for current conditions. We generally do not perform evaluations of customers’ financial condition and generally do not require collateral. Historically, our credit losses have not been significant. The allowance for credit losses was zero as of June 30, 2025 and December 31, 2024. Adjustments for implicit price concessions attributable to variable consideration, as discussed below, are incorporated into the measurement of the accounts receivable balances and are not part of the allowance for credit losses.
Property and Equipment
Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation is computed using the straight-line method over the estimated useful lives of the assets, generally between five and ten years. Leasehold improvements are amortized using the straight-line method over the shorter of the estimated useful life of the asset or the term of the lease. Our leasehold improvements primarily relate to our office and laboratory facilities located in Friendswood, Texas, Phoenix, Arizona and Pittsburgh, Pennsylvania, and are generally depreciated over the remaining lease terms, which end in 2025, 2034 and 2033, respectively. Maintenance and repairs are charged to expense as incurred, and material improvements are capitalized. Interest costs incurred during the construction of major capital projects are capitalized until the underlying asset is ready for its intended use, at which point the capitalized interest costs are amortized using the straight-line method over the estimated useful life of the underlying asset. When assets are retired or otherwise disposed of, the cost and accumulated depreciation are removed from the consolidated balance sheet and any resulting gain or loss is reflected in the consolidated statements of operations in the period realized.
Goodwill
Goodwill represents the excess of the purchase price over the fair value of the net tangible and intangible assets acquired in a business combination. Goodwill is not amortized, but is tested for impairment. We test goodwill for
impairment in the fourth quarter of each fiscal year and when events, or changes in circumstances, indicate that it may be impaired. Events and changes in circumstances indicating that goodwill may be impaired include sustained declines in the price of our common stock, increased competition, changes in macroeconomic developments, unfavorable government or regulatory developments and changes in coverage or reimbursement conditions.
Goodwill is tested for impairment at the reporting unit level where goodwill is held. Testing begins with completion of an optional qualitative assessment. If the qualitative assessment suggests that impairment is more likely than not, quantitative testing is conducted. If the qualitative assessment is bypassed, we proceed directly to quantitative testing. Quantitative testing consists of comparing the carrying value of goodwill to its estimated fair value. Impairment of goodwill is the condition that exists when the carrying value exceeds its fair value. Amounts by which carrying value exceed fair value, up to the total amount of goodwill allocated to the reporting unit, are recognized as an impairment loss in the consolidated statements of operations.
Accrued Compensation
We accrue for liabilities under discretionary employee and executive bonus plans. Our estimated compensation liabilities are based on progress against corporate objectives approved by our board of directors, compensation levels of eligible individuals and target bonus percentage levels. Our board of directors reviews and evaluates the performance against these objectives and ultimately determines the actual achievement levels attained. We also accrue for liabilities under employee sales incentive bonus plans with accruals based on performance achieved to date compared to established targets. As of June 30, 2025 and December 31, 2024, we accrued approximately $15.0 million and $23.3 million, respectively, for liabilities associated with these bonus plans. These amounts are classified as current or noncurrent accrued liabilities in the unaudited condensed consolidated balance sheets based on the expected timing of payment.
Stock-Based Compensation
Stock-based compensation expense for equity instruments is measured based on the grant-date fair value of the awards. For stock option awards, and purchase rights made under the 2019 Employee Stock Purchase Plan (the “ESPP”), the fair value is estimated on the date of grant using the Black-Scholes option-pricing valuation model. For restricted stock units (“RSUs”) and performance-based restricted stock units (“PSUs”), the fair value is equal to the closing price of our common stock on the date of grant. For awards with graded vesting and only service conditions, we recognize compensation costs on a straight-line basis over the requisite service period of the awards. For stock options and RSUs, the requisite service period is generally the award’s vesting period (typically four years). PSUs vest upon the achievement of certain performance conditions and the provision of service with us through a specified period. Accruals of compensation cost for PSUs are based on the probable outcome of the performance conditions and are reassessed each reporting period. We recognize compensation cost for PSUs separately for each vesting tranche on a ratable basis over the requisite service period. The requisite service period for PSUs is based on an analysis of vesting requirements and performance conditions for the particular award. Certain employees are entitled to acceleration of vesting of a portion of their awards upon retirement, subject to age, service and notice requirements. Share-based awards falling into the scope of the 2023 Retirement Policy are accounted for as a modification of existing awards under ASC Topic 718, Compensation – Stock Compensation. The modifications do not result in the recognition of incremental compensation cost; however, they do result in a new estimate of the requisite service period, which we reassess at each balance sheet date. For the ESPP, the requisite service period is generally the period of time from the offering date to the purchase date. Forfeitures are accounted for as they occur.
Comprehensive Income (Loss)
Comprehensive income (loss) is defined as a change in equity during a period from transactions and other events and circumstances from non-owner sources. Comprehensive income (loss) is made up of net income (loss) plus net unrealized loss on marketable investment securities, which is our only other item of other comprehensive income (loss).
Accounting Pronouncements Yet to be Adopted
In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740)—Improvements to Income Tax Disclosures (“ASU 2023-09”), which is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 provide for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. ASU 2023-09 is effective for the Company
prospectively to all annual periods beginning after December 15, 2024. Early adoption is permitted. We are currently evaluating the impact this update will have on the consolidated financial statements and disclosures.
In November 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income (Subtopic 220-40)—Expense Disaggregation Disclosures: Disaggregation of Income Statement Expenses (“ASU 2024-03”), which specifies additional disclosure requirements. The amendments in ASU 2024-03 require disclosure about the composition of certain income expense line items, such as purchases of inventory, employee compensation, and other expenses, as well as disclosure about selling expenses. The ASU is effective for fiscal years beginning after December 15, 2026, and interim periods beginning after December 15, 2027. Early adoption is permitted. We are currently evaluating the impact this update will have on the consolidated financial statements and disclosures.
We have evaluated all other recently issued, but not yet effective, accounting pronouncements and do not believe that these accounting pronouncements will have any material impact on the consolidated financial statements or disclosures upon adoption.
v3.25.2
Revenue
6 Months Ended
Jun. 30, 2025
Revenue from Contract with Customer [Abstract]  
Revenue Revenue
All of our revenues from contracts with customers are associated with the provision of testing services. Our revenues are primarily attributable to our DecisionDx®-Melanoma test for cutaneous melanoma and our DecisionDx®-SCC test for cutaneous squamous cell carcinoma. We also provide a test for patients diagnosed with Barrett’s esophagus, the TissueCypher® test, a test for patients with suspicious pigmented lesions, MyPath® Melanoma, a test for uveal melanoma, DecisionDx®-UM, and a pharmacogenomics testing service focused on mental health, IDgenetix®.
Once we satisfy our performance obligations and bill for the service, the timing of the collection of payments may vary based on the payment practices of the third-party payor and the existence of contractually established reimbursement rates. The payments for our services are primarily made by third-party payors, including Medicare and commercial health insurance carriers. Certain contracts contain a contractual commitment of a reimbursement rate that differs from our list prices. However, absent a positive coverage policy, with or without a contractually committed reimbursement rate, with a commercial carrier or governmental program, our diagnostic tests may or may not be paid by these entities. In addition, patients do not enter into direct agreements with us that commit them to pay any portion of the cost of the tests in the event that their insurance provider declines to reimburse us. We may pursue, on a case-by-case basis, reimbursement from such patients in the form of co-payments and co-insurance, in accordance with the contractual obligations that we have with the insurance carrier or health plan. These situations may result in a delay in the collection of payments.
The Medicare claims that are covered by Medicare are generally paid at a rate established on Medicare’s Clinical Laboratory Fee Schedule or by the respective Medicare contractor within 30 days from receipt. Medicare claims that were either submitted to Medicare prior to the local coverage determination or other coverage commencement date or are not covered but meet the definition of being medically reasonable and necessary pursuant to the controlling Section 1862(a)(1)(A) of the Social Security Act are generally appealed and may ultimately be paid at the first (termed ‘‘redetermination’’), second (termed ‘‘reconsideration’’) or third level of appeal (de novo hearing with an Administrative Law Judge). A successful appeal at any of these levels may result in prompt payment.
In the absence of Medicare coverage, contractually established reimbursements rates or other coverage, we have concluded that our contracts include variable consideration because the amounts paid by Medicare or commercial health insurance carriers may be paid at less than our standard rates or not paid at all, with such differences considered implicit price concessions. Variable consideration attributable to these price concessions is measured at the expected value using the ‘‘most likely amount’’ method under ASC 606. The amounts are estimated using historical average collection rates by test type and payor category taking into consideration the range of possible outcomes, the predictive value of our past experiences, the time period of when uncertainties expect to be resolved and the amount of consideration that is susceptible to factors outside of our influence, such as the judgment and actions of third parties. Such variable consideration is included in the transaction price only to the extent it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainties with respect to the amount are resolved. Variable consideration may be constrained and excluded from the transaction price in situations where there is no contractually agreed upon reimbursement coverage or in the absence of a predictable pattern and history of collectability with a payor. Accordingly, in such situations revenues are recognized on the basis of actual cash collections. Variable consideration for Medicare claims that are
not covered by Medicare, including those claims undergoing appeal, is deemed to be fully constrained due to factors outside our influence (e.g., judgment or actions of third parties) and the uncertainty of the amount to be received is not expected to be resolved for a long period of time. Variable consideration is evaluated each reporting period and adjustments are recorded as increases or decreases in revenues. Included in revenues for the three months ended June 30, 2025 and 2024 were less than $0.1 million of net positive revenue adjustments and $0.4 million of net positive revenue adjustments, respectively, associated with changes in estimated variable consideration related to performance obligations satisfied in previous periods. Included in revenues for the six months ended June 30, 2025 and 2024 were $2.0 million of net negative revenue adjustments and $1.0 million of net positive revenue adjustments, respectively, associated with changes in estimated variable consideration.
These amounts include (i) adjustments for actual collections versus estimated amounts and (ii) cash collections and the related recognition of revenue in current period for tests delivered in prior periods due to the release of the constraint on variable consideration.
Because our contracts with customers have an expected duration of one year or less, we have elected the practical expedient in ASC 606 to not disclose information about our remaining performance obligations. Any incremental costs to obtain contracts are recorded as selling, general and administrative expenses as incurred due to the short duration of our contracts. Contract balances consisted solely of accounts receivable (both current and noncurrent) as of June 30, 2025 and December 31, 2024.
Disaggregation of Revenues
The table below provides the disaggregation of revenue by type (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Dermatologic(1)
$56,297 $68,828 $119,259 $128,163 
Non-Dermatologic(2)
29,891 18,174 54,917 31,813 
Total net revenues$86,188 $87,002 $174,176 $159,976 
(1)Consists of DecisionDx-Melanoma, DecisionDx-SCC and our Diagnostic Gene Expression Profile offering.
(2)Consists of TissueCypher, DecisionDx-UM and IDgenetix.
We have presented disaggregated net revenues included in our single reportable segment in the table above. The characteristics for each test in our single segment are similar, with each test having a single performance obligation. Our CODM is the single individual responsible for managing our segment and reviews consolidated results and budgets in assessing performance and in allocating resources. See Note 15 for additional information about our reportable segment.
Payor Concentration
We rely upon reimbursements from third-party government payors (primarily Medicare) and private-payor insurance companies to collect accounts receivable related to sales of our tests.
Our significant third-party payors and their related revenues as a percentage of total revenues and accounts receivable balances were as follows:
 Percentage of Revenues
 Six Months Ended
June 30,
Percentage of
 Accounts Receivable
 (current) as of
Percentage of
 Accounts Receivable
 (noncurrent) as of
 20252024June 30, 2025December 31, 2024June 30, 2025December 31, 2024
Medicare47 %48 %16 %18 %**
Payor A15 %15 %17 %19 %16 %15 %
Payor B**26 %20 %10 %12 %
*    Less than 10%

There were no other third-party payors that individually accounted for more than 10% of our total revenue or accounts receivable for the periods shown in the table above.
v3.25.2
Earnings (Loss) Per Share
6 Months Ended
Jun. 30, 2025
Earnings Per Share [Abstract]  
Earnings (Loss) Per Share Earnings (Loss) Per Share
Basic earnings (loss) per share is computed by dividing net income (loss) for the period by the weighted-average number of common shares outstanding during the period. Diluted earnings (loss) per share reflects the additional dilution from potential issuances of common stock, such as stock issuable pursuant to the exercise of stock options, vesting of RSUs and PSUs or purchases under the ESPP. The treasury stock method is used to calculate the potential dilutive effect of these common stock equivalents. Contingently issuable PSU awards are included in the computation of diluted earnings (loss) per share when the applicable performance criteria would be met and the common shares would be issuable if the end of the reporting period were the end of the contingency period. However, potentially dilutive shares are excluded from the computation of diluted loss per share when their effect is antidilutive.
The following table shows the computation of basic and diluted earnings (loss) per share for the following three and six months ended June 30, 2025 and 2024 (in thousands, except per share data):
 Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Numerator:
Net income (loss)$4,523 $8,920 $(21,325)$6,386 
Denominator:
Weighted-average common shares outstanding, basic28,914 27,646 28,763 27,566 
Assumed exercise of stock options361 440 — 441 
Assumed vesting of RSUs186 546 — 427 
Assumed vesting of PSUs84 98 — 98 
Assumed issuance of shares under the ESPP— — 10 
Weighted-average common shares outstanding, diluted29,545 28,738 28,763 28,542 
Earnings (loss) per share:
Basic$0.16 $0.32 $(0.74)$0.23 
Diluted$0.15 $0.31 $(0.74)$0.22 
Due to the Company reporting a net loss attributable to common stockholders for the six months ended June 30, 2025, all potentially dilutive securities are antidilutive and are excluded from the computations of diluted loss per share.
The table below provides the weighted-average number of potential common shares associated with outstanding securities not included in our calculation of diluted earnings (loss) per share for the three and six months ended June 30, 2025 and 2024 because to do so would be antidilutive. With regard to the PSUs, we assume that the associated performance targets will be met at the target level of performance for purposes of calculating diluted earnings per common share until such time that it is probable that actual performance will be above or below target (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Stock options2,466 2,487 2,965 2,493 
RSUs and PSUs2,958 892 4,053 877 
ESPP123 216 150 233 
Total5,547 3,595 7,168 3,603 
v3.25.2
Marketable Investment Securities
6 Months Ended
Jun. 30, 2025
Investments, Debt and Equity Securities [Abstract]  
Marketable Investment Securities Marketable Investment Securities
Marketable investment securities consisted of the following (in thousands):
June 30, 2025December 31, 2024
Current marketable investment securities:
Trading securities$3,315 $3,555 
Debt securities - AFS184,805 169,866 
Debt securities - HTM(1)
5,577 — 
Total current marketable investment securities$193,697 $173,421 
(1) We held no debt securities - HTM as of December 31, 2024.

Trading securities
We recognized unrealized gains of $1.2 million and unrealized losses of $0.2 million in our trading securities for the three and six months ended June 30, 2025, respectively. No gains or losses were recognized for the three and six months ended June 30, 2024, as we did not hold any trading securities during those periods.
Debt securities
The following tables present our debt securities (in thousands):
June 30, 2025
Amortized CostUnrealizedEstimated Fair Value
GainsLosses
U.S. government securities - AFS$184,766 $58 $(19)$184,805 
U.S. government securities - HTM5,577 — 5,579 
Total debt securities$190,343 $60 $(19)$190,384 

December 31, 2024
Amortized CostUnrealizedEstimated Fair Value
GainsLosses
U.S. government securities - AFS$169,636 $244 $(14)$169,866 
U.S. government securities - HTM(1)
— — — — 
Total debt securities$169,636 $244 $(14)$169,866 
(1) We held no debt securities - HTM as of December 31, 2024.
Our U.S. government securities includes both AFS and HTM securities. The AFS securities are available to be sold to meet operating needs or otherwise, but are generally held through maturity. We classify all AFS investments as current assets, as these are readily available for use in current operations. We classify our HTM investments as current assets, as we have the positive intent and ability to hold these investments to maturity, and all such maturities are less than one year from the balance sheet date.
We evaluated our U.S. government securities under the AFS and HTM impairment model guidance, respectively, and determined our investment portfolio is comprised of low-risk, investment grade securities.
As of June 30, 2025, unrealized losses on our AFS and HTM U.S. government securities are not attributed to credit risk. We believe that an allowance for credit losses is unnecessary because the unrealized losses on certain of our marketable investment securities are due to market factors. The allowance for credit losses was zero as of June 30, 2025 and December 31, 2024.
There were no realized gains or losses on sales of debt securities for the three and six months ended June 30, 2025 and 2024. No credit-related or noncredit-related impairment losses were recorded for the three and six months ended June 30, 2025 and 2024.
Accrued interest receivable for our AFS and HTM U.S. government securities is included in prepaid expenses and other current assets in our unaudited condensed consolidated balance sheets. As of June 30, 2025 and December 31, 2024, the accrued interest receivable related to AFS securities was $1.0 million and $0.6 million, respectively. The balance related to HTM securities was immaterial as of June 30, 2025, and no amounts were accrued as of December 31, 2024, as no securities were classified as HTM at that time.
Additional information relating to the fair value of marketable investment securities can be found in Note 11.
v3.25.2
Property and Equipment, Net
6 Months Ended
Jun. 30, 2025
Property, Plant and Equipment [Abstract]  
Property and Equipment, Net Property and Equipment, Net
Property and equipment, net consisted of the following (in thousands):
 June 30, 2025December 31, 2024
Land$7,245 $7,245 
Lab equipment26,400 23,633 
Leasehold improvements14,808 14,616 
Computer equipment5,702 5,306 
Furniture and fixtures3,550 3,541 
Construction-in-progress31,870 9,614 
Total89,575 63,955 
Less accumulated depreciation(15,515)(12,833)
Property and equipment, net$74,060 $51,122 
Depreciation expense was recorded in the unaudited condensed consolidated statements of operations as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Cost of sales (exclusive of amortization of acquired intangible assets)$909 $637 $1,812 $1,292 
Research and development95 85 189 169 
Selling, general and administrative449 379 891 733 
Total$1,453 $1,101 $2,892 $2,194 
v3.25.2
Goodwill and Other Intangible Assets, Net
6 Months Ended
Jun. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Other Intangible Assets, Net Goodwill and Other Intangible Assets, Net
Goodwill
We had a single reporting unit where all goodwill was allocated for as of June 30, 2025 and December 31, 2024. The balance of our goodwill was $10.7 million as of June 30, 2025 and December 31, 2024. There were no accumulated impairments of goodwill as of June 30, 2025 or December 31, 2024.
We had a single reportable segment consisting of a single operating segment where the operating segment and the single reporting unit where the same as of June 30, 2025 and December 31, 2024. See Note 15 for additional information on our reportable segment.
Other Intangible Assets, Net
Our other intangible assets, net consisted of the following (in thousands):
June 30, 2025
 Gross carrying valueAccumulated amortizationNetWeighted-Average Remaining Life (in years)
Developed technology$153,500 $(60,227)$93,273 10.7
Assembled workforce563 (403)160 1.4
Total other intangible assets, net$154,063 $(60,630)$93,433 
December 31, 2024
 Gross carrying valueAccumulated amortizationNetWeighted-Average Remaining Life (in years)
Developed technology$125,317 $(29,996)$95,321 8.0
Assembled workforce563 (347)216 1.9
Total other intangible assets, net$125,880 $(30,343)$95,537 
During the first quarter of 2025, we made the decision to discontinue our IDgenetix test offering, effective May 2025. As a result of this decision, we further revised the estimated useful life of the asset and determined that the intangible asset should be fully amortized as of March 31, 2025. This change resulted in an acceleration of amortization expense of approximately $20.1 million.
In connection with the acquisition of Capsulomics, and in accordance with ASC 805, we determined that substantially all of the fair value of the gross assets acquired was concentrated in a single identifiable asset; therefore, the transaction was accounted for as an asset acquisition. The acquired intangible asset consists of developed technology and is valued at $28.2 million with an estimated useful life of 12 years and is being amortized on a straight-line basis.
Amortization expense of intangible assets was $2.0 million and $30.3 million for the three and six months ended June 30, 2025, respectively, and $2.2 million and $4.5 million for the three and six months ended June 30, 2024 respectively.
v3.25.2
Other Accrued and Current Liabilities
6 Months Ended
Jun. 30, 2025
Payables and Accruals [Abstract]  
Other Accrued and Current Liabilities Other Accrued and Current Liabilities
Other accrued and current liabilities consisted of the following (in thousands):
 June 30, 2025December 31, 2024
Clinical studies$2,204 $2,580 
Accrued service fees2,986 2,338 
Accrued taxes1,193 1,076 
ESPP Contributions969 1,225 
Other869 774 
Total$8,221 $7,993 
v3.25.2
Long-Term Debt
6 Months Ended
Jun. 30, 2025
Debt Disclosure [Abstract]  
Long-Term Debt Long-Term Debt
Our long-term debt is presented in the table below (in thousands):
 June 30, 2025December 31, 2024
Term debt$10,200 $10,200 
Unamortized discount(160)(177)
Total debt, net10,040 10,023 
Less: Current portion of long-term debt(1,944)(278)
Total long-term debt$8,096 $9,745 

Future maturities of principal amounts on long-term debt as of June 30, 2025 were as follows (in thousands):
Years Ending December 31,
2025$278 
20263,333 
20273,333 
20283,056 
Total$10,000 
2024 Loan and Security Agreement
On March 26, 2024 (the ‘‘Closing Date’’), we entered into a Loan and Security Agreement, as amended in April 2025 (the ‘‘2024 LSA”), by and between us, our wholly owned subsidiary, Castle Narnia Real Estate Holding 1, LLC and Silicon Valley Bank, a division of First-Citizens Bank & Trust Company (the “Lender’’). The 2024 LSA provides for (i) on the Closing Date, $10.0 million aggregate principal amount of term loans (discussed in the ‘‘2024 Term Loan’’ section below), and (ii) from the Closing Date until September 30, 2025, an additional line of credit of $25.0 million with the same interest rate and maturity as the term debt available (discussed in the ‘‘2024 Credit Line’’ section below) at our option.
The obligations under the 2024 LSA are secured by substantially all of our assets, excluding intellectual property, the real property held by us, and are subject to certain other exceptions and limitations. We have the right to prepay the 2024 LSA in whole, subject to a prepayment fee of approximately 1.50% if prepaid prior to March 26, 2026. Amounts repaid under the 2024 LSA may not be reborrowed.
In addition, the 2024 LSA contains customary conditions of borrowing, events of default and covenants, including covenants that restrict our ability to dispose of assets, merge with or acquire other entities, incur indebtedness and make distributions to holders of our capital stock. Should an event of default occur, including the occurrence of a material adverse change, we could be liable for immediate repayment of all obligations under the 2024 LSA. Should we seek to amend the terms of the 2024 LSA, the consent of the Lender would be required. As of June 30, 2025, we were in compliance with all of the covenants.
The 2024 LSA bears interest at a floating rate equal to the greater of (a) the WSJ Prime Rate plus 0.25% or (b) 6.00% per annum. The Term Loans are interest only from the Closing Date through November 30, 2025, which may be extended at our option through November 30, 2026 as long as no event of default under the 2024 LSA has occurred. After the end of the interest only period, we are required to pay equal monthly installments of principal through the maturity date of November 1, 2028.
We are also obligated to make an additional final payment of 2.00% of the aggregate original principal amounts of Term Loans advanced by the Lender, due at the earlier of the maturity date or date the Term Loans are repaid in full.
On April 4, 2025, the Company entered into a Consent and First Amendment (the “Amendment”) with the Lender. The Amendment modified certain terms of the 2024 LSA including the extension of the draw period from March 31, 2025 to September 30, 2025 for our line of credit.
2024 Term Loan
On March 26, 2024, we drew $10.0 million in Term Loans under the terms and provisions of the 2024 LSA. We are obligated to make a final payment of $0.2 million under the terms of the 2024 LSA final payment provisions. A discount on debt equal to this obligation was recorded on the draw date and is being amortized as additional interest expense using the effective interest method over the term of the debt. As of June 30, 2025, no payment on principal has been made. As of June 30, 2025, the weighted average effective interest rate for all outstanding debt under the 2024 Term Loan was 8.19%.
2024 Credit Line
We have a $25.0 million line of credit under the terms and provisions of the 2024 LSA and the Amendment, from the Closing Date through September 30, 2025. Amounts repaid under the 2024 Credit Line may not be reborrowed. As of June 30, 2025, no draws had been made on the line of credit.
Interest Expense on Long-Term Debt
Interest expense on long-term debt consisted of the following (in thousands):
 Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Interest expense on long term debt$203 $228 $405 $241 
Less: Capitalized interest(194)(12)(388)(12)
Total$$216 $17 $229 
v3.25.2
Leases
6 Months Ended
Jun. 30, 2025
Leases [Abstract]  
Leases Leases
Scottsdale Lease
On May 14, 2025, we entered into a lease agreement (the “Commencement Date”) with Perimeter Gateway Portfolio, LLC (the “Lessor”) for the lease of approximately 55,573 square feet of office and laboratory space in Scottsdale, Arizona (the “Scottsdale Lease”). The Scottsdale Lease has a term of 143 months term that will expire in April 2037, and provides for right of refusal to lease any additional adjacent space that would/may become available in the future (the “ROFR Space”). The Scottsdale Lease provides us two optional five-year term extensions, and a one-time option to terminate the lease on the last day of the 96th month following the Commencement Date, subject to certain conditions, in exchange for payment of an early termination fee equal to the following: the unamortized balance of the commissions paid to Lessor’s broker and our broker, plus the unamortized balance of the hard and soft costs incurred by the Lessor in connection with the tenant improvement allowance. The Scottsdale Lease contains provisions for $7.2 million in lease incentives in form of Lessor paid improvements. Rent for the first twelve months is abated, in the amount of $1.8 million, and any amount that is unamortized becomes payable if we default on the lease.
v3.25.2
Fair Value Measurements
6 Months Ended
Jun. 30, 2025
Fair Value Disclosures [Abstract]  
Fair Value Measurements Fair Value Measurements
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market in an orderly transaction between market participants at the measurement date. The fair value hierarchy prioritizes the inputs to valuation techniques used in measuring fair value. There are three levels to the fair value hierarchy based on the reliability of inputs, as follows:
Level 1 – Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active markets.
Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.
Level 3 – Unobservable inputs in which little or no market data exists, therefore requiring us to develop our own assumptions.
Financial instruments measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires management to make judgments and consider factors specific to the asset or liability. The use of different assumptions and/or estimation methodologies may have a material effect on estimated
fair values. Accordingly, the fair value estimates disclosed, or amounts recorded, may not be indicative of the amount that we or holders of the instruments could realize in a current market exchange.
The tables below provide information, by level within the fair value hierarchy, of our financial assets and liabilities that are accounted for at fair value on a recurring basis as of June 30, 2025 and December 31, 2024 (in thousands):
As of June 30, 2025
 Quoted Prices in Active Markets for Identical Items (Level 1)Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
Assets
Money market funds(1)
$75,812 $— $— $75,812 
U.S. government securities - AFS(2)
$184,805 $— $— $184,805 
Trading securities(2)
$3,315 $— $— $3,315 
Liabilities
Term Debt(3)(4)
$— $10,040 $— $10,040 
As of December 31, 2024
 Quoted Prices in Active Markets for Identical Items (Level 1)Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
Assets
Money market funds(1)
$114,091 $— $— $114,091 
U.S. government securities - AFS(2)
$169,866 $— $— $169,866 
Trading securities(2)
$3,555 $— $— $3,555 
Liabilities
Term Debt (3)(4)
$— $10,023 $— $10,023 
(1)Classified as “Cash and cash equivalents” in the unaudited condensed consolidated balance sheets.
(2)Classified as “Marketable investment securities” in the unaudited condensed consolidated balance sheets.
(3)Classified as “Current portion of long-term debt” and “Long term debt” in the consolidated balance sheets.
(4)Borrowings approximate their fair value as the interest rate is variable and reflects market rates.

We have U.S. government securities that are HTM investments and are carried at amortized costs. The fair value of our HTM investments is classified as Level 1 of the fair value hierarchy. For additional information on the carrying amount and fair value of our HTM investments, see Note 5.
v3.25.2
Commitments and Contingencies
6 Months Ended
Jun. 30, 2025
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
From time to time, we may be involved in legal proceedings arising in the ordinary course of business. We believe there is no threatened litigation or litigation pending that could have, individually or in the aggregate, a material adverse effect on our financial position, results of operations or cash flows. On February 1, 2024, we received a subpoena from the Department of Health and Human Services, Office of Inspector General, seeking documents and information concerning claims submitted for payment under federal healthcare programs. The subpoena requested that we produce documents relating primarily to interactions with medical providers and billing to government-funded healthcare programs for our tests. The time period covered by the subpoena is January 1, 2015 through February 1, 2024. We are continuing to cooperate with the government’s request and are in the process of responding to the Subpoena. We are unable to predict what action, if any, might be taken in the future by the Department of Health and Human Services, Office of Inspector General, or any other governmental authority as a result of the matters related to this Subpoena. No claims have been made against us at this time. Any potential claims could subject us to significant liability for damages and harm our reputation. Our insurance and indemnities
may not cover all claims that may be asserted against us. We are unable to predict the outcome and are unable to make a meaningful estimate of the amount or range of loss, if any, that could result from any unfavorable outcome.
v3.25.2
Stock Incentive Plans and Stock-Based Compensation
6 Months Ended
Jun. 30, 2025
Share-Based Payment Arrangement [Abstract]  
Stock Incentive Plans and Stock-Based Compensation Stock Incentive Plans and Stock-Based Compensation
Equity Incentive Plan
On July 24, 2019, we adopted the 2019 Equity Incentive Plan (the “2019 Plan”). The 2019 Plan provides for automatic annual increases to the number of shares authorized for issuance, equal to 5% of our common shares outstanding as of the immediately preceding year end, through January 1, 2029. Under this provision, effective January 1, 2025, an additional 1,424,159 shares became available under the 2019 Plan. As of June 30, 2025, there were 1,002,126 shares remained available for grant under the 2019 Plan.
Inducement Plan
On December 22, 2022, our board of directors approved the 2022 Inducement Plan (the “Inducement Plan”). The Inducement Plan provides for the granting of awards as inducement material to the grantee’s entering into employment with us to the extent such grantee was not previously an employee of ours or is entering into employment following a bona fide period of non-employment with us. As of June 30, 2025, there were 88,640 shares available for grant under the Inducement Plan.
Stock Options
Stock option activity under our stock plans for the six months ended June 30, 2025 is set forth below:
  Weighted-Average 
 Stock Options
Outstanding
Exercise
Price
Remaining
Contractual
Term (Years)
Aggregate
Intrinsic
Value
(in thousands)
Balance as of December 31, 20242,989,763 $36.23 
Granted— $— 
Exercised(16,995)$2.16 
Forfeited/Cancelled(60,225)$43.98 
Balance as of June 30, 20252,912,543 $36.27 5.1$7,583 
Exercisable at June 30, 2025
2,834,588 $36.17 5.0$7,583 
Restricted Stock Units
The following table summarizes our RSU activity for the six months ended June 30, 2025:
Restricted Stock Units OutstandingWeighted-Average Grant Date Fair Value
Balance as of December 31, 2024
3,196,224 $23.52 
Granted1,508,158 $21.18 
Vested(1)
(520,157)$22.74 
Forfeited/Cancelled(159,905)$23.48 
Balance as of June 30, 2025
4,024,320$22.75 
(1)The aggregate number of shares withheld upon vesting for employee tax obligations was 142,637 for the six months ended June 30, 2025.
Performance-Based Restricted Stock Units
The following table summarizes our PSU activity for the six months ended June 30, 2025:
Performance-Based Restricted Stock Units OutstandingWeighted-Average Grant Date Fair Value
Balance as of December 31, 2024
275,528 $21.94 
Granted172,631 $22.23 
Vested— $— 
Forfeited/Cancelled— $— 
Balance as of June 30, 2025
448,159$22.05 
Employee Stock Purchase Plan
The ESPP provides for certain automatic increases in the number of shares of common stock reserved for issuance, which resulted in an additional 284,831 shares becoming available under the ESPP effective January 1, 2025. During the six months ended June 30, 2025, we issued 103,441 shares of common stock pursuant to scheduled purchases under the ESPP. As of June 30, 2025, 1,228,070 shares remained available for issuance under the ESPP.
Determining Fair Value - Summary of Assumptions
We use the Black-Scholes valuation model to estimate the fair value of the purchase rights issued under the ESPP at the date of grant, start of the offering or other relevant measurement date. The following table sets forth assumptions used under the ESPP:
 Six Months Ended
June 30,
20252024
Average expected term (years)1.21.3
Expected stock price volatility
56.55% - 85.21%
72.04% - 130.95%
Risk-free interest rate
3.88% - 4.22%
4.43% - 5.33%
Dividend yield—%—%
Fair Value
There were no stock options granted for the six months ended June 30, 2025 and 2024. For the six months ended June 30, 2025 and 2024, the weighted-average grant date fair value of the purchase rights granted under the ESPP was $9.43 and $11.17 per share, respectively.
Stock-Based Compensation Expense
Stock-based compensation expense is included in the unaudited condensed consolidated statements of operations as follows (in thousands):
 Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Cost of sales (exclusive of amortization of acquired intangible assets)$1,422 $1,401 $2,878 $2,715 
Research and development1,962 2,637 3,857 5,266 
Selling, general and administrative7,824 9,141 15,652 17,873 
Total stock-based compensation expense$11,208 $13,179 $22,387 $25,854 
Retirement Policy
In January 2023, our board of directors approved a retirement policy (the “Retirement Policy”) that provides for acceleration of a portion of unvested awards granted to and held by certain eligible employees upon meeting age, service and notice requirements. Pursuant to the Retirement Policy, we accelerated the recognition of compensation expense of $0.2 million and $0.4 million during the three months ended June 30, 2025, and 2024, respectively, and accelerated the recognition of compensation expense of $0.5 million and $0.6 million for the six months ended June 30, 2025 and 2024, respectively.
As of June 30, 2025, the total unrecognized stock-based compensation cost related to outstanding awards was $80.5 million, which is expected to be recognized over a weighted-average period of 2.5 years. The total unrecognized compensation cost will be adjusted for forfeitures in future periods as they occur.
v3.25.2
Income Taxes
6 Months Ended
Jun. 30, 2025
Income Tax Disclosure [Abstract]  
Income Taxes Income Taxes
During the three and six months ended June 30, 2025, we recognized income tax benefit of $4.7 million and $5.1 million, respectively, primarily from the reduction of the valuation allowance on deferred tax assets, recorded as a discrete benefit in the quarter ended June 30, 2025. This release was primarily driven by the acquisition of Capsulomics, which resulted in deferred tax liabilities related to acquired intangible assets.
The deferred tax assets previously reserved are now expected to be realizable against those liabilities. This release is non‑recurring and materially impacted our effective tax rate for the period. Because this benefit is nonrecurring and not reflective of ongoing operations, the effective tax rate for the period is not meaningful. The effective rate for the three and six months ended June 30, 2025 differed from our federal statutory rate of 21% primarily due to the tax impact from the valuation allowance for current year activity including the acquisition of Capsulomics, state income taxes and the non-deductibility of other permanent items.
Our effective income tax rate was (13.1)% and (18.3)% for the three and six months ended June 30, 2024. The effective rate for the three and six months ended June 30, 2024 differed from our federal statutory rate of 21% primarily due to the tax impact from the valuation allowance for current year activity, state income taxes and the non-deductibility of other permanent items.
v3.25.2
Segment and Related Information
6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Segment and Related Information Segment and Related Information
The Company derives revenues through the delivery of test reports for our molecular diagnostic tests. All of our operations are located within the United States and our business is focused on the U.S. market.
We have a single reportable segment consisting of a single operating segment.
The measures of segment profit and loss for of our single reportable segment were as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Net revenues from external customers(1)
$86,188 $87,002 $174,176 $159,976 
Significant segment expenses:
Personnel costs51,551 48,051 103,751 93,967 
Organizational and business development costs14,487 11,835 28,716 22,835 
Inventory usage5,458 5,013 10,189 9,800 
Clinical studies and publication costs1,923 3,177 4,008 5,814 
Professional services2,298 2,420 5,874 5,544 
Other segment items5,948 7,586 42,963 15,630 
Segment income (loss)$4,523 $8,920 $(21,325)$6,386 
(1)For information on disaggregation of segment revenue by type and information about payor concentration, see Note 3.

Other Segment Items
Other segment items include all other operating expenses types to included IT service and software licensing costs, fixed and variable expenses incurred for leasing of facilities and equipment, depreciation and amortization, gain or losses on disposal of fixed assets in the routine course of business, fair value adjustment for trading securities, realized gains or losses on investment securities, administrative costs, expense for use of prepaids to include insurance premiums and warranties for lab equipment, public company costs (less audit fees), interest and other non-operating income, and income tax expense or benefits. Our CODM does not individually review budgets or results for these activities.
Other amounts included in the measure of segment profit or loss were as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Interest income$2,944 $3,144 $6,043 $6,140 
Interest expense$(21)$(270)$(38)$(284)
Depreciation and amortization$3,414 $3,348 $33,178 $6,688 
Income tax benefit$(4,666)$(1,034)$(5,089)$(989)
Stock-based compensation expense$11,208 $13,179 $22,387 $25,854 
Changes in fair value of trading securities$1,185 $— $(240)$— 

Total assets for our reportable segment were located in the United States and were $544.7 million and $531.2 million as of June 30, 2025 and December 31, 2024, respectively. Expenditures for additions to long-lived assets were $12.9 million and $6.7 million for the three months ended June 30, 2025 and 2024, respectively, $18.6 million and $15.3 million for the six months ended June 30, 2025, and 2024, respectively.
v3.25.2
Pay vs Performance Disclosure - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2025
Jun. 30, 2024
Pay vs Performance Disclosure            
Net income (loss) $ 4,523 $ (25,848) $ 8,920 $ (2,534) $ (21,325) $ 6,386
v3.25.2
Insider Trading Arrangements
3 Months Ended
Jun. 30, 2025
shares
Trading Arrangements, by Individual  
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
Derek Maetzold [Member]  
Trading Arrangements, by Individual  
Material Terms of Trading Arrangement
On May 8, 2025, Derek Maetzold, our Chief Executive Officer, adopted a Rule 10b5-1 trading arrangement providing for the sale from time to time of an aggregate of up to 48,204 shares of our common stock and up to 100% of the shares of our common stock issued upon the settlement of 48,919 outstanding RSUs, less the number of shares withheld to cover tax withholding obligations in connection with the vesting and settlement of such RSUs. The trading arrangement is intended to satisfy the affirmative defense in Rule 10b5-1(c). The duration of the trading arrangement is estimated to be from August 14, 2025 until the earlier of all transaction under the trading arrangement being completed or February 13, 2026.
Name Derek Maetzold
Title Chief Executive Officer
Rule 10b5-1 Arrangement Adopted true
Adoption Date May 8, 2025
Expiration Date February 13, 2026
Arrangement Duration 281 days
Derek Maetzold Trading Arrangement, Common Stock [Member] | Derek Maetzold [Member]  
Trading Arrangements, by Individual  
Aggregate Available 48,204
Derek Maetzold Trading Arrangement, RSUs [Member] | Derek Maetzold [Member]  
Trading Arrangements, by Individual  
Aggregate Available 48,919
v3.25.2
Summary of Significant Accounting Policies (Policies)
6 Months Ended
Jun. 30, 2025
Accounting Policies [Abstract]  
Basis of Presentation Our unaudited condensed consolidated financial statements include the accounts of Castle Biosciences, Inc. and our wholly owned subsidiaries and have been prepared in conformity with accounting principles generally accepted in the United States of America (‘‘U.S. GAAP’’).
Consolidation All intercompany accounts and transactions have been eliminated in consolidation.
Use of Estimates The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates include revenue recognition, the valuation of stock-based compensation, assessing future tax exposure and the realizability of deferred tax assets, the useful lives and recoverability of long-lived assets, the goodwill impairment test, the valuation of acquired intangible assets, the valuation of contingent consideration, and other contingent liabilities. We base these estimates on historical and anticipated results, trends, and various other assumptions that we believe are reasonable under the circumstances, including assumptions as to future events. These estimates form the basis for making judgments about the carrying values of assets and liabilities and recorded revenues and expenses that are not readily apparent from other sources. Actual results could differ from those estimates and assumptions.
Segment Reporting Operating segments are components of an enterprise engaging in business activities from which it may recognize revenues and incur expenses, where discrete financial information is available, and where its operating results are regularly reviewed by the public entity's chief operating decision maker (“CODM”) to make decisions about resources to be allocated to the segment and to assess its performance. A CODM may be an individual or a decision-making group. A reportable segment consists of one or more operating segments.
Cash and Cash Equivalents Cash equivalents consist of short-term, highly liquid investments with original maturities of three months or less. Our cash equivalents consist of money market funds, which are not insured by the Federal Deposit Insurance Corporation (“FDIC”), that are primarily invested in short-term U.S. government obligations.
Concentration of Credit Risk Cash deposits at financial institutions may exceed the amount of insurance provided by the FDIC. Management believes that we are not exposed to significant credit risk on our cash deposits due to the financial position of the financial institutions in which deposits are held.
Marketable Investment Securities All debt securities are recognized in accordance with Financial Accounting Standards Board (‘‘FASB’’) Accounting Standards Codification (‘‘ASC’’) Topic 320, Investments-Debt Securities (‘‘ASC 320’’). Management determines the appropriate classification of debt securities at the time of purchase and re-evaluates such determination at each balance sheet date. Debt securities that are classified as available-for-sale (“AFS”) are recorded at fair value in accordance with ASC 320. We recognize the unrealized gains and losses related to changes in fair value as a separate component of accumulated other comprehensive loss within total stockholders’ equity, net of any related deferred income tax effects, on our condensed consolidated balance sheets. Debt securities that are classified as held-to-maturity (“HTM”) are reported at amortized cost with ASC 320. Premiums or discounts from par value are amortized to interest income over the life of the underlying investment and are included in interest income in the consolidated statements of operations. Realized gains and losses on AFS and HTM debt securities, if any, are calculated at the individual security level and included in interest income in the condensed consolidated statements of operations. Impairments of AFS or HTM debt securities, if any, are recorded in our unaudited condensed consolidated statements of operations. See Notes 5 and 11 for further details.Our equity securities consist of investments in shares of common stock which are listed and traded on the Nasdaq Global Market. All trading securities are recognized in accordance with ASC Topic 321, Investments-Equity Securities and reported at their readily determinable fair values as quoted by market exchanges where changes in fair value are included in changes in fair value of trading securities in the consolidated statements of operations. All changes in a marketable security’s fair value are reported in earnings as they occur, as such, the sale of our trading securities does not necessarily give rise to a significant gain or loss. Investments in equity securities are classified as either current or long-term depending upon management’s intentions.
Acquisitions, Contingent Consideration
We assess acquisitions under ASC Topic 805, Business Combinations (“ASC 805”), to determine whether a transaction represents the acquisition of assets or a business combination. Under this guidance, we apply a two-step model. The first step involves a screening test where we evaluate whether substantially all of the fair value of the gross assets acquired is concentrated in a single asset or a group of similar assets. If the screening test is met, we account for the set as an asset acquisition. If the screening test is not met, we apply the second step of the model to determine if the set meets the definition of a business based on the guidance in ASC 805. If so, the transaction is treated as a business combination. Otherwise, it is treated as an asset acquisition. Asset acquisitions are accounted for by allocating the cost of the acquisition, including transaction costs, to the individual assets acquired and liabilities assumed on a relative fair value basis without recognition of goodwill. If the total consideration transferred is less than the aggregate fair value of the net assets acquired (i.e., a bargain purchase), the difference is not recognized as a gain. Instead, the difference is allocated to the cost of the acquired assets on a relative fair value basis. Business combinations are accounted for using the acquisition method. Under the acquisition method, goodwill is measured as a residual amount equal to the fair value of the consideration transferred less the net recognized fair value of the identifiable assets acquired and the liabilities assumed, as of the acquisition date, and transaction costs are expensed as incurred.
Contingent Consideration
Under the terms of business combinations or asset acquisitions, we may be required to pay additional consideration if specified future events occur or certain conditions are met. In May 2025, we acquired Capsulomics, Inc., d/b/a Previse (“Capsulomics”), which was recorded as an asset acquisition, and agreed to pay additional consideration of up to $2.5 million in cash based on the achievement of certain commercial milestones (the “Earnout Payments”). We account for the contingent consideration as a liability in accordance with ASC 450-20, Loss Contingencies (“ASC 450-20”) when it is both probable and reasonably estimable. In accordance with ASC 450-20, we recorded the contingent consideration at the amount required to settle the respective obligation, and subsequent changes are recognized as adjustments to the cost basis of the acquired assets. These changes are allocated to the acquired assets based on their relative fair values as of the date of acquisition.
Contingent consideration is classified as current or noncurrent in our condensed consolidated balance sheets based on the contractual timing of future settlement.
Revenue Recognition In accordance with ASC Topic 606, Revenue from Contracts with Customers (“ASC 606”), we follow a five-step process to recognize revenues: (1) identify the contract with the customer, (2) identify the performance obligations, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations and (5) recognize revenues when the performance obligations are satisfied. We have determined that we have a contract with the patient when the treating clinician orders the test. Our contracts generally contain a single performance obligation, which is the delivery of the test report, and we satisfy our performance obligation at a point in time upon the delivery of the test report to the treating clinician, at which point we can bill for the report. The amount of revenue recognized reflects the amount of consideration to which we expect to be entitled, or the transaction price, and considers the effects of variable consideration.
Accounts Receivable
We classify accounts receivable balances that are expected to be paid more than one year from the consolidated balance sheet date as noncurrent assets. The estimated timing of payment utilized as a basis for classification as noncurrent is determined by analyses of historical payor-specific payment experience, adjusted for known factors that are expected to change the timing of future payments.
Allowance for Credit Losses
We accrue an allowance for credit losses against our accounts receivable based on management’s current estimate of amounts that will not be collected. Management’s estimates are typically based on historical loss information adjusted for current conditions. We generally do not perform evaluations of customers’ financial condition and generally do not require collateral. Historically, our credit losses have not been significant. The allowance for credit losses was zero as of June 30, 2025 and December 31, 2024. Adjustments for implicit price concessions attributable to variable consideration, as discussed below, are incorporated into the measurement of the accounts receivable balances and are not part of the allowance for credit losses.
Property and Equipment
Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation is computed using the straight-line method over the estimated useful lives of the assets, generally between five and ten years. Leasehold improvements are amortized using the straight-line method over the shorter of the estimated useful life of the asset or the term of the lease. Our leasehold improvements primarily relate to our office and laboratory facilities located in Friendswood, Texas, Phoenix, Arizona and Pittsburgh, Pennsylvania, and are generally depreciated over the remaining lease terms, which end in 2025, 2034 and 2033, respectively. Maintenance and repairs are charged to expense as incurred, and material improvements are capitalized. Interest costs incurred during the construction of major capital projects are capitalized until the underlying asset is ready for its intended use, at which point the capitalized interest costs are amortized using the straight-line method over the estimated useful life of the underlying asset. When assets are retired or otherwise disposed of, the cost and accumulated depreciation are removed from the consolidated balance sheet and any resulting gain or loss is reflected in the consolidated statements of operations in the period realized.
Goodwill
Goodwill represents the excess of the purchase price over the fair value of the net tangible and intangible assets acquired in a business combination. Goodwill is not amortized, but is tested for impairment. We test goodwill for
impairment in the fourth quarter of each fiscal year and when events, or changes in circumstances, indicate that it may be impaired. Events and changes in circumstances indicating that goodwill may be impaired include sustained declines in the price of our common stock, increased competition, changes in macroeconomic developments, unfavorable government or regulatory developments and changes in coverage or reimbursement conditions.
Goodwill is tested for impairment at the reporting unit level where goodwill is held. Testing begins with completion of an optional qualitative assessment. If the qualitative assessment suggests that impairment is more likely than not, quantitative testing is conducted. If the qualitative assessment is bypassed, we proceed directly to quantitative testing. Quantitative testing consists of comparing the carrying value of goodwill to its estimated fair value. Impairment of goodwill is the condition that exists when the carrying value exceeds its fair value. Amounts by which carrying value exceed fair value, up to the total amount of goodwill allocated to the reporting unit, are recognized as an impairment loss in the consolidated statements of operations.
Accrued Compensation
We accrue for liabilities under discretionary employee and executive bonus plans. Our estimated compensation liabilities are based on progress against corporate objectives approved by our board of directors, compensation levels of eligible individuals and target bonus percentage levels. Our board of directors reviews and evaluates the performance against these objectives and ultimately determines the actual achievement levels attained. We also accrue for liabilities under employee sales incentive bonus plans with accruals based on performance achieved to date compared to established targets. As of June 30, 2025 and December 31, 2024, we accrued approximately $15.0 million and $23.3 million, respectively, for liabilities associated with these bonus plans. These amounts are classified as current or noncurrent accrued liabilities in the unaudited condensed consolidated balance sheets based on the expected timing of payment.
Stock-Based Compensation
Stock-based compensation expense for equity instruments is measured based on the grant-date fair value of the awards. For stock option awards, and purchase rights made under the 2019 Employee Stock Purchase Plan (the “ESPP”), the fair value is estimated on the date of grant using the Black-Scholes option-pricing valuation model. For restricted stock units (“RSUs”) and performance-based restricted stock units (“PSUs”), the fair value is equal to the closing price of our common stock on the date of grant. For awards with graded vesting and only service conditions, we recognize compensation costs on a straight-line basis over the requisite service period of the awards. For stock options and RSUs, the requisite service period is generally the award’s vesting period (typically four years). PSUs vest upon the achievement of certain performance conditions and the provision of service with us through a specified period. Accruals of compensation cost for PSUs are based on the probable outcome of the performance conditions and are reassessed each reporting period. We recognize compensation cost for PSUs separately for each vesting tranche on a ratable basis over the requisite service period. The requisite service period for PSUs is based on an analysis of vesting requirements and performance conditions for the particular award. Certain employees are entitled to acceleration of vesting of a portion of their awards upon retirement, subject to age, service and notice requirements. Share-based awards falling into the scope of the 2023 Retirement Policy are accounted for as a modification of existing awards under ASC Topic 718, Compensation – Stock Compensation. The modifications do not result in the recognition of incremental compensation cost; however, they do result in a new estimate of the requisite service period, which we reassess at each balance sheet date. For the ESPP, the requisite service period is generally the period of time from the offering date to the purchase date. Forfeitures are accounted for as they occur.
Comprehensive Income (Loss)
Comprehensive income (loss) is defined as a change in equity during a period from transactions and other events and circumstances from non-owner sources. Comprehensive income (loss) is made up of net income (loss) plus net unrealized loss on marketable investment securities, which is our only other item of other comprehensive income (loss).
Accounting Pronouncements Yet to be Adopted
In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740)—Improvements to Income Tax Disclosures (“ASU 2023-09”), which is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 provide for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. ASU 2023-09 is effective for the Company
prospectively to all annual periods beginning after December 15, 2024. Early adoption is permitted. We are currently evaluating the impact this update will have on the consolidated financial statements and disclosures.
In November 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income (Subtopic 220-40)—Expense Disaggregation Disclosures: Disaggregation of Income Statement Expenses (“ASU 2024-03”), which specifies additional disclosure requirements. The amendments in ASU 2024-03 require disclosure about the composition of certain income expense line items, such as purchases of inventory, employee compensation, and other expenses, as well as disclosure about selling expenses. The ASU is effective for fiscal years beginning after December 15, 2026, and interim periods beginning after December 15, 2027. Early adoption is permitted. We are currently evaluating the impact this update will have on the consolidated financial statements and disclosures.
We have evaluated all other recently issued, but not yet effective, accounting pronouncements and do not believe that these accounting pronouncements will have any material impact on the consolidated financial statements or disclosures upon adoption.
v3.25.2
Revenue (Tables)
6 Months Ended
Jun. 30, 2025
Revenue from Contract with Customer [Abstract]  
Schedule of Disaggregation of Revenue
The table below provides the disaggregation of revenue by type (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Dermatologic(1)
$56,297 $68,828 $119,259 $128,163 
Non-Dermatologic(2)
29,891 18,174 54,917 31,813 
Total net revenues$86,188 $87,002 $174,176 $159,976 
(1)Consists of DecisionDx-Melanoma, DecisionDx-SCC and our Diagnostic Gene Expression Profile offering.
(2)Consists of TissueCypher, DecisionDx-UM and IDgenetix.
Schedule of Concentration of Risk, by Risk Factor
Our significant third-party payors and their related revenues as a percentage of total revenues and accounts receivable balances were as follows:
 Percentage of Revenues
 Six Months Ended
June 30,
Percentage of
 Accounts Receivable
 (current) as of
Percentage of
 Accounts Receivable
 (noncurrent) as of
 20252024June 30, 2025December 31, 2024June 30, 2025December 31, 2024
Medicare47 %48 %16 %18 %**
Payor A15 %15 %17 %19 %16 %15 %
Payor B**26 %20 %10 %12 %
*    Less than 10%
v3.25.2
Earnings (Loss) Per Share (Tables)
6 Months Ended
Jun. 30, 2025
Earnings Per Share [Abstract]  
Schedule of Computation of Basic and Diluted Earnings (Loss) Per Share
The following table shows the computation of basic and diluted earnings (loss) per share for the following three and six months ended June 30, 2025 and 2024 (in thousands, except per share data):
 Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Numerator:
Net income (loss)$4,523 $8,920 $(21,325)$6,386 
Denominator:
Weighted-average common shares outstanding, basic28,914 27,646 28,763 27,566 
Assumed exercise of stock options361 440 — 441 
Assumed vesting of RSUs186 546 — 427 
Assumed vesting of PSUs84 98 — 98 
Assumed issuance of shares under the ESPP— — 10 
Weighted-average common shares outstanding, diluted29,545 28,738 28,763 28,542 
Earnings (loss) per share:
Basic$0.16 $0.32 $(0.74)$0.23 
Diluted$0.15 $0.31 $(0.74)$0.22 
Schedule of Antidilutive Securities Excluded from Computation of Earnings (Loss) Per Share
The table below provides the weighted-average number of potential common shares associated with outstanding securities not included in our calculation of diluted earnings (loss) per share for the three and six months ended June 30, 2025 and 2024 because to do so would be antidilutive. With regard to the PSUs, we assume that the associated performance targets will be met at the target level of performance for purposes of calculating diluted earnings per common share until such time that it is probable that actual performance will be above or below target (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Stock options2,466 2,487 2,965 2,493 
RSUs and PSUs2,958 892 4,053 877 
ESPP123 216 150 233 
Total5,547 3,595 7,168 3,603 
v3.25.2
Marketable Investment Securities (Tables)
6 Months Ended
Jun. 30, 2025
Investments, Debt and Equity Securities [Abstract]  
Schedule of Marketable Securities
Marketable investment securities consisted of the following (in thousands):
June 30, 2025December 31, 2024
Current marketable investment securities:
Trading securities$3,315 $3,555 
Debt securities - AFS184,805 169,866 
Debt securities - HTM(1)
5,577 — 
Total current marketable investment securities$193,697 $173,421 
(1) We held no debt securities - HTM as of December 31, 2024.
Schedule of Debt Securities, Available-for-Sale and Held-to-Maturity
The following tables present our debt securities (in thousands):
June 30, 2025
Amortized CostUnrealizedEstimated Fair Value
GainsLosses
U.S. government securities - AFS$184,766 $58 $(19)$184,805 
U.S. government securities - HTM5,577 — 5,579 
Total debt securities$190,343 $60 $(19)$190,384 

December 31, 2024
Amortized CostUnrealizedEstimated Fair Value
GainsLosses
U.S. government securities - AFS$169,636 $244 $(14)$169,866 
U.S. government securities - HTM(1)
— — — — 
Total debt securities$169,636 $244 $(14)$169,866 
(1) We held no debt securities - HTM as of December 31, 2024.
v3.25.2
Property and Equipment, Net (Tables)
6 Months Ended
Jun. 30, 2025
Property, Plant and Equipment [Abstract]  
Schedule of Property and Equipment, Net
Property and equipment, net consisted of the following (in thousands):
 June 30, 2025December 31, 2024
Land$7,245 $7,245 
Lab equipment26,400 23,633 
Leasehold improvements14,808 14,616 
Computer equipment5,702 5,306 
Furniture and fixtures3,550 3,541 
Construction-in-progress31,870 9,614 
Total89,575 63,955 
Less accumulated depreciation(15,515)(12,833)
Property and equipment, net$74,060 $51,122 
Depreciation expense was recorded in the unaudited condensed consolidated statements of operations as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Cost of sales (exclusive of amortization of acquired intangible assets)$909 $637 $1,812 $1,292 
Research and development95 85 189 169 
Selling, general and administrative449 379 891 733 
Total$1,453 $1,101 $2,892 $2,194 
v3.25.2
Goodwill and Other Intangible Assets, Net (Tables)
6 Months Ended
Jun. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Other Intangible Assets, Net
Our other intangible assets, net consisted of the following (in thousands):
June 30, 2025
 Gross carrying valueAccumulated amortizationNetWeighted-Average Remaining Life (in years)
Developed technology$153,500 $(60,227)$93,273 10.7
Assembled workforce563 (403)160 1.4
Total other intangible assets, net$154,063 $(60,630)$93,433 
December 31, 2024
 Gross carrying valueAccumulated amortizationNetWeighted-Average Remaining Life (in years)
Developed technology$125,317 $(29,996)$95,321 8.0
Assembled workforce563 (347)216 1.9
Total other intangible assets, net$125,880 $(30,343)$95,537 
v3.25.2
Other Accrued and Current Liabilities (Tables)
6 Months Ended
Jun. 30, 2025
Payables and Accruals [Abstract]  
Schedule of Accrued And Current Liabilities
Other accrued and current liabilities consisted of the following (in thousands):
 June 30, 2025December 31, 2024
Clinical studies$2,204 $2,580 
Accrued service fees2,986 2,338 
Accrued taxes1,193 1,076 
ESPP Contributions969 1,225 
Other869 774 
Total$8,221 $7,993 
v3.25.2
Long-Term Debt (Tables)
6 Months Ended
Jun. 30, 2025
Debt Disclosure [Abstract]  
Schedule of Long-term Debt Instruments
Our long-term debt is presented in the table below (in thousands):
 June 30, 2025December 31, 2024
Term debt$10,200 $10,200 
Unamortized discount(160)(177)
Total debt, net10,040 10,023 
Less: Current portion of long-term debt(1,944)(278)
Total long-term debt$8,096 $9,745 
Schedule of Maturities of Long-Term Debt
Future maturities of principal amounts on long-term debt as of June 30, 2025 were as follows (in thousands):
Years Ending December 31,
2025$278 
20263,333 
20273,333 
20283,056 
Total$10,000 
Schedule of Components of Interest Expense
Interest expense on long-term debt consisted of the following (in thousands):
 Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Interest expense on long term debt$203 $228 $405 $241 
Less: Capitalized interest(194)(12)(388)(12)
Total$$216 $17 $229 
v3.25.2
Fair Value Measurements (Tables)
6 Months Ended
Jun. 30, 2025
Fair Value Disclosures [Abstract]  
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis
The tables below provide information, by level within the fair value hierarchy, of our financial assets and liabilities that are accounted for at fair value on a recurring basis as of June 30, 2025 and December 31, 2024 (in thousands):
As of June 30, 2025
 Quoted Prices in Active Markets for Identical Items (Level 1)Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
Assets
Money market funds(1)
$75,812 $— $— $75,812 
U.S. government securities - AFS(2)
$184,805 $— $— $184,805 
Trading securities(2)
$3,315 $— $— $3,315 
Liabilities
Term Debt(3)(4)
$— $10,040 $— $10,040 
As of December 31, 2024
 Quoted Prices in Active Markets for Identical Items (Level 1)Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
Assets
Money market funds(1)
$114,091 $— $— $114,091 
U.S. government securities - AFS(2)
$169,866 $— $— $169,866 
Trading securities(2)
$3,555 $— $— $3,555 
Liabilities
Term Debt (3)(4)
$— $10,023 $— $10,023 
(1)Classified as “Cash and cash equivalents” in the unaudited condensed consolidated balance sheets.
(2)Classified as “Marketable investment securities” in the unaudited condensed consolidated balance sheets.
(3)Classified as “Current portion of long-term debt” and “Long term debt” in the consolidated balance sheets.
(4)Borrowings approximate their fair value as the interest rate is variable and reflects market rates.
v3.25.2
Stock Incentive Plans and Stock-Based Compensation (Tables)
6 Months Ended
Jun. 30, 2025
Share-Based Payment Arrangement [Abstract]  
Schedule of Share-based Payment Arrangement on Stock Option Activity
Stock option activity under our stock plans for the six months ended June 30, 2025 is set forth below:
  Weighted-Average 
 Stock Options
Outstanding
Exercise
Price
Remaining
Contractual
Term (Years)
Aggregate
Intrinsic
Value
(in thousands)
Balance as of December 31, 20242,989,763 $36.23 
Granted— $— 
Exercised(16,995)$2.16 
Forfeited/Cancelled(60,225)$43.98 
Balance as of June 30, 20252,912,543 $36.27 5.1$7,583 
Exercisable at June 30, 2025
2,834,588 $36.17 5.0$7,583 
Schedule of Share-based Payment Arrangement on Restricted Stock Units
The following table summarizes our RSU activity for the six months ended June 30, 2025:
Restricted Stock Units OutstandingWeighted-Average Grant Date Fair Value
Balance as of December 31, 2024
3,196,224 $23.52 
Granted1,508,158 $21.18 
Vested(1)
(520,157)$22.74 
Forfeited/Cancelled(159,905)$23.48 
Balance as of June 30, 2025
4,024,320$22.75 
(1)The aggregate number of shares withheld upon vesting for employee tax obligations was 142,637 for the six months ended June 30, 2025.
Schedule of Share-Based Payment Arrangement, Performance Shares, Activity
The following table summarizes our PSU activity for the six months ended June 30, 2025:
Performance-Based Restricted Stock Units OutstandingWeighted-Average Grant Date Fair Value
Balance as of December 31, 2024
275,528 $21.94 
Granted172,631 $22.23 
Vested— $— 
Forfeited/Cancelled— $— 
Balance as of June 30, 2025
448,159$22.05 
Schedule of Share-based Payment Award, ESPP, Valuation Assumptions The following table sets forth assumptions used under the ESPP:
 Six Months Ended
June 30,
20252024
Average expected term (years)1.21.3
Expected stock price volatility
56.55% - 85.21%
72.04% - 130.95%
Risk-free interest rate
3.88% - 4.22%
4.43% - 5.33%
Dividend yield—%—%
Schedule of Share-based Payment Arrangement, Expensed and Capitalized, Amount
Stock-based compensation expense is included in the unaudited condensed consolidated statements of operations as follows (in thousands):
 Three Months Ended
June 30,
Six Months Ended
June 30,
 2025202420252024
Cost of sales (exclusive of amortization of acquired intangible assets)$1,422 $1,401 $2,878 $2,715 
Research and development1,962 2,637 3,857 5,266 
Selling, general and administrative7,824 9,141 15,652 17,873 
Total stock-based compensation expense$11,208 $13,179 $22,387 $25,854 
v3.25.2
Segment and Related Information (Tables)
6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The measures of segment profit and loss for of our single reportable segment were as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Net revenues from external customers(1)
$86,188 $87,002 $174,176 $159,976 
Significant segment expenses:
Personnel costs51,551 48,051 103,751 93,967 
Organizational and business development costs14,487 11,835 28,716 22,835 
Inventory usage5,458 5,013 10,189 9,800 
Clinical studies and publication costs1,923 3,177 4,008 5,814 
Professional services2,298 2,420 5,874 5,544 
Other segment items5,948 7,586 42,963 15,630 
Segment income (loss)$4,523 $8,920 $(21,325)$6,386 
(1)For information on disaggregation of segment revenue by type and information about payor concentration, see Note 3.
Schedule of Other Segment Items
Other amounts included in the measure of segment profit or loss were as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2025202420252024
Interest income$2,944 $3,144 $6,043 $6,140 
Interest expense$(21)$(270)$(38)$(284)
Depreciation and amortization$3,414 $3,348 $33,178 $6,688 
Income tax benefit$(4,666)$(1,034)$(5,089)$(989)
Stock-based compensation expense$11,208 $13,179 $22,387 $25,854 
Changes in fair value of trading securities$1,185 $— $(240)$— 
v3.25.2
Summary of Significant Accounting Policies (Details) - USD ($)
6 Months Ended
Jun. 30, 2025
May 31, 2025
Dec. 31, 2024
Class of Stock [Line Items]      
Accumulated deficit $ 221,451,000   $ 200,126,000
Cash and cash equivalents 82,233,000   119,709,000
Marketable investment securities 193,697,000   173,421,000
Allowance for credit losses 0   0
Accrued bonuses $ 15,000,000.0   $ 23,300,000
Stock options      
Class of Stock [Line Items]      
Service period 4 years    
Restricted Stock Units (RSUs)      
Class of Stock [Line Items]      
Service period 4 years    
Minimum      
Class of Stock [Line Items]      
Property and equipment, useful life 5 years    
Maximum      
Class of Stock [Line Items]      
Property and equipment, useful life 10 years    
Capsulomics      
Class of Stock [Line Items]      
Additional consideration payable based on achievement of certain commercial milestones   $ 2,500,000  
v3.25.2
Revenue - Narrative (Details)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2025
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2025
USD ($)
segment
Jun. 30, 2024
USD ($)
Revenue from Contract with Customer [Abstract]        
Number of days contract with customer is generally paid     30 days  
Variable consideration adjustments included in revenue | $ $ 0.1 $ 0.4 $ (2.0) $ 1.0
Number of reportable segments | segment     1  
v3.25.2
Revenue - Schedule of Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Disaggregation of Revenue [Line Items]        
Total net revenues $ 86,188 $ 87,002 $ 174,176 $ 159,976
Dermatologic        
Disaggregation of Revenue [Line Items]        
Total net revenues 56,297 68,828 119,259 128,163
Non-Dermatologic        
Disaggregation of Revenue [Line Items]        
Total net revenues $ 29,891 $ 18,174 $ 54,917 $ 31,813
v3.25.2
Revenue - Schedule of Concentration of Risk, by Risk Factor (Details) - Third-Party Payor Concentration Risk
6 Months Ended 12 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Medicare | Percentage of Revenues      
Concentration Risk [Line Items]      
Concentration risk percentage 47.00% 48.00%  
Medicare | Percentage of Accounts Receivable (current)      
Concentration Risk [Line Items]      
Concentration risk percentage 16.00%   18.00%
Payor A | Percentage of Revenues      
Concentration Risk [Line Items]      
Concentration risk percentage 15.00% 15.00%  
Payor A | Percentage of Accounts Receivable (current)      
Concentration Risk [Line Items]      
Concentration risk percentage 17.00%   19.00%
Payor A | Percentage of Accounts Receivable (noncurrent)      
Concentration Risk [Line Items]      
Concentration risk percentage 16.00%   15.00%
Payor B | Percentage of Accounts Receivable (current)      
Concentration Risk [Line Items]      
Concentration risk percentage 26.00%   20.00%
Payor B | Percentage of Accounts Receivable (noncurrent)      
Concentration Risk [Line Items]      
Concentration risk percentage 10.00%   12.00%
v3.25.2
Earnings (Loss) Per Share - Schedule of Basic and Diluted (Loss) Earnings Per Share (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2025
Jun. 30, 2024
Numerator:            
Net income (loss) $ 4,523 $ (25,848) $ 8,920 $ (2,534) $ (21,325) $ 6,386
Denominator:            
Weighted-average common shares outstanding, basic (in shares) 28,914   27,646   28,763 27,566
Assumed exercise of stock options (in shares) 361   440   0 441
Assumed vesting of RSUs (in shares) 186   546   0 427
Assumed vesting of PSUs (in shares) 84   98   0 98
Assumed issuance of shares under the ESPP (in shares) 0   8   0 10
Weighted-average common shares outstanding, diluted (in shares) 29,545   28,738   28,763 28,542
Earnings (loss) per share:            
Basic (in dollars per share) $ 0.16   $ 0.32   $ (0.74) $ 0.23
Diluted (in dollars per share) $ 0.15   $ 0.31   $ (0.74) $ 0.22
v3.25.2
Earnings (Loss) Per Share - Schedule of Antidilutive Securities Excluded from Computation of Earnings (Loss) Per Share (Details) - shares
shares in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 5,547 3,595 7,168 3,603
Stock options        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 2,466 2,487 2,965 2,493
RSUs and PSUs        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 2,958 892 4,053 877
ESPP        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 123 216 150 233
v3.25.2
Marketable Investment Securities - Schedule of Marketable Securities (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Current marketable investment securities:    
Trading securities $ 3,315 $ 3,555
Debt securities - AFS 184,805 169,866
Debt securities - HTM 5,577 0
Total current marketable investment securities $ 193,697 $ 173,421
v3.25.2
Marketable Investment Securities - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Investments, Debt and Equity Securities [Abstract]          
Changes in fair value of trading securities $ 1,185 $ 0 $ (240) $ 0  
Allowance for credit loss 0   0   $ 0
Realized gain (loss) on sale of investment 0 0 0 0  
Impairment loss 0 $ 0 0 $ 0  
Accrued interest receivable $ 1,000   $ 1,000   $ 600
v3.25.2
Marketable Investment Securities - Schedule of Available-for-Sale Debt Securities (Details) - U.S. government securities - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Debt Securities, Available-for-Sale, Amortized Cost [Abstract]    
Available-for-Sale, Amortized Cost, Total $ 184,766 $ 169,636
Available-for-Sale, Unrealized Gains 58 244
Available-for-Sale, Unrealized Losses (19) (14)
Available-for-Sale, Estimated Fair Value 184,805 169,866
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss [Abstract]    
Held-to-Maturity, Amortized Cost, Total 5,577 0
Held-to-Maturity, Unrealized Gains 2 0
Held-to-Maturity, Unrealized Losses 0 0
Held-to-Maturity, Estimated Fair Value 5,579 0
Amortized Cost 190,343 169,636
Unrealized Gains 60 244
Unrealized Losses (19) (14)
Estimated Fair Value $ 190,384 $ 169,866
v3.25.2
Property and Equipment, Net - Schedule of Property and Equipment (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Property, Plant and Equipment [Line Items]    
Total $ 89,575 $ 63,955
Less accumulated depreciation (15,515) (12,833)
Property and equipment, net 74,060 51,122
Land    
Property, Plant and Equipment [Line Items]    
Total 7,245 7,245
Lab equipment    
Property, Plant and Equipment [Line Items]    
Total 26,400 23,633
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Total 14,808 14,616
Computer equipment    
Property, Plant and Equipment [Line Items]    
Total 5,702 5,306
Furniture and fixtures    
Property, Plant and Equipment [Line Items]    
Total 3,550 3,541
Construction-in-progress    
Property, Plant and Equipment [Line Items]    
Total $ 31,870 $ 9,614
v3.25.2
Property and Equipment, Net - Schedule of Depreciation Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Property, Plant and Equipment [Line Items]        
Depreciation $ 1,453 $ 1,101 $ 2,892 $ 2,194
Cost of sales (exclusive of amortization of acquired intangible assets)        
Property, Plant and Equipment [Line Items]        
Depreciation 909 637 1,812 1,292
Research and development        
Property, Plant and Equipment [Line Items]        
Depreciation 95 85 189 169
Selling, general and administrative        
Property, Plant and Equipment [Line Items]        
Depreciation $ 449 $ 379 $ 891 $ 733
v3.25.2
Goodwill and Other Intangible Assets, Net - Narrative (Details)
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
May 31, 2025
USD ($)
Jun. 30, 2025
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2025
USD ($)
reporting_unit
Jun. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
reporting_unit
Mar. 31, 2025
USD ($)
Finite-Lived Intangible Assets [Line Items]              
Number of reporting units | reporting_unit       1   1  
Goodwill   $ 10,700,000   $ 10,700,000   $ 10,700,000  
Goodwill accumulated impairment   0   0   $ 0  
Amortization of acquired intangible assets   $ 1,961,000 $ 2,247,000 $ 30,286,000 $ 4,494,000    
Developed Technology Rights, IDGenetix              
Finite-Lived Intangible Assets [Line Items]              
Acceleration of amortization expense             $ 20,100,000
Developed technology | Capsulomics              
Finite-Lived Intangible Assets [Line Items]              
Intangible assets acquired $ 28,200,000            
Weighted average useful life 12 years            
v3.25.2
Goodwill and Other Intangible Assets, Net - Schedule of Other Intangible Assets, Net (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Finite-Lived Intangible Assets [Line Items]    
Gross carrying value $ 154,063 $ 125,880
Accumulated amortization (60,630) (30,343)
Net 93,433 95,537
Developed technology    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying value 153,500 125,317
Accumulated amortization (60,227) (29,996)
Net $ 93,273 $ 95,321
Weighted-Average Remaining Life (in years) 10 years 8 months 12 days 8 years
Assembled workforce    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying value $ 563 $ 563
Accumulated amortization (403) (347)
Net $ 160 $ 216
Weighted-Average Remaining Life (in years) 1 year 4 months 24 days 1 year 10 months 24 days
v3.25.2
Other Accrued and Current Liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Payables and Accruals [Abstract]    
Clinical studies $ 2,204 $ 2,580
Accrued service fees 2,986 2,338
Accrued taxes 1,193 1,076
ESPP Contributions 969 1,225
Other 869 774
Total $ 8,221 $ 7,993
v3.25.2
Long-Term Debt - Schedule of Long-term Debt Instruments (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Debt Disclosure [Abstract]    
Term debt $ 10,200 $ 10,200
Unamortized discount (160) (177)
Total debt, net 10,040 10,023
Less: Current portion of long-term debt (1,944) (278)
Total long-term debt $ 8,096 $ 9,745
v3.25.2
Long-Term Debt - Schedule of Maturities of Long-Term Debt (Details)
$ in Thousands
Jun. 30, 2025
USD ($)
Debt Disclosure [Abstract]  
2025 $ 278
2026 3,333
2027 3,333
2028 3,056
Total $ 10,000
v3.25.2
Long-Term Debt - Narrative (Details) - USD ($)
6 Months Ended
Mar. 26, 2024
Jun. 30, 2025
Jun. 30, 2024
Debt Instrument [Line Items]      
Proceeds from issuance of term debt   $ 0 $ 10,000,000
2024 Loan and Security Agreement | Secured Debt      
Debt Instrument [Line Items]      
Aggregate principal amount $ 10,000,000    
Basis spread on variable rate 0.25%    
Debt instrument, interest rate, stated percentage 6.00%    
Final payment, percentage of principal 2.00%    
Proceeds from issuance of term debt $ 10,000,000    
Final payment $ 200,000    
Effective interest rate   8.19%  
2024 Loan and Security Agreement | Secured Debt | Prior to March 26, 2026      
Debt Instrument [Line Items]      
Prepayment fee percentage 1.50%    
2024 Loan and Security Agreement | Secured Debt | Line of Credit      
Debt Instrument [Line Items]      
Maximum borrowing capacity $ 25,000,000    
Proceeds from line of credit draw   $ 0  
v3.25.2
Long-Term Debt - Schedule of Components of Interest Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Debt Disclosure [Abstract]        
Interest expense on long term debt $ 203 $ 228 $ 405 $ 241
Less: Capitalized interest (194) (12) (388) (12)
Total $ 9 $ 216 $ 17 $ 229
v3.25.2
Leases (Details) - Scottsdale Lease
$ in Millions
May 14, 2025
USD ($)
ft²
option
payment
renewal_option
Operating Leased Assets [Line Items]  
Area of real estate property | ft² 55,573
Number of monthly payments | payment 143
Number of renewal options | renewal_option 2
Lessee, operating lease, renewal term 5 years
Number of termination options | option 1
Lessee, operating lease, termination period 96 months
Provisions for lease incentives $ 7.2
Rent for the first twelve months abatement amount $ 1.8
v3.25.2
Fair Value Measurements (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Long-term debt $ 8,096 $ 9,745
U.S. government securities - AFS    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Available-for-sale debt securities 184,805 169,866
Fair Value, Recurring    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Money market funds 75,812 114,091
Long-term debt 10,040 10,023
Fair Value, Recurring | U.S. government securities - AFS    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Available-for-sale debt securities 184,805 169,866
Fair Value, Recurring | Trading Securities    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Trading securities 3,315 3,555
Quoted Prices in Active Markets for Identical Items (Level 1) | Fair Value, Recurring    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Money market funds 75,812 114,091
Long-term debt 0 0
Quoted Prices in Active Markets for Identical Items (Level 1) | Fair Value, Recurring | U.S. government securities - AFS    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Available-for-sale debt securities 184,805 169,866
Quoted Prices in Active Markets for Identical Items (Level 1) | Fair Value, Recurring | Trading Securities    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Trading securities 3,315 3,555
Significant Other Observable Inputs (Level 2) | Fair Value, Recurring    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Money market funds 0 0
Long-term debt 10,040 10,023
Significant Other Observable Inputs (Level 2) | Fair Value, Recurring | U.S. government securities - AFS    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Available-for-sale debt securities 0 0
Significant Other Observable Inputs (Level 2) | Fair Value, Recurring | Trading Securities    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Trading securities 0 0
Significant Unobservable Inputs (Level 3) | Fair Value, Recurring    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Money market funds 0 0
Long-term debt 0 0
Significant Unobservable Inputs (Level 3) | Fair Value, Recurring | U.S. government securities - AFS    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Available-for-sale debt securities 0 0
Significant Unobservable Inputs (Level 3) | Fair Value, Recurring | Trading Securities    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Trading securities $ 0 $ 0
v3.25.2
Stock Incentive Plans and Stock-Based Compensation - Narrative (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 6 Months Ended
Jan. 01, 2025
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Accelerated recognition of compensation expense   $ 0.2 $ 0.4 $ 0.5 $ 0.6
Unrecognized compensation costs   $ 80.5   $ 80.5  
Unrecognized compensation expense, period for recognition       2 years 6 months  
2019 Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Percentage of common shares outstanding       5.00%  
Additional shares authorized (in shares) 1,424,159        
Number of shares available for grant (in shares)   1,002,126   1,002,126  
2022 Inducement Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of shares available for grant (in shares)   88,640   88,640  
Employee Stock Purchase Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Options granted, weighted average grant date fair value (in dollars per share)       $ 9.43 $ 11.17
Employee Stock Purchase Plan | ESPP          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Additional shares authorized (in shares) 284,831        
Number of shares available for grant (in shares)   1,228,070   1,228,070  
Shares issued during period (in shares)       103,441  
v3.25.2
Stock Incentive Plans and Stock-Based Compensation - Schedule of Activity Under Stock Incentive Plan (Details) - USD ($)
$ / shares in Units, $ in Thousands
6 Months Ended
Jun. 30, 2025
Stock Options Outstanding  
Beginning balance (in shares) 2,989,763
Granted (in shares) 0
Exercised (in shares) (16,995)
Forfeited/Cancelled (in shares) (60,225)
Ending balance (in shares) 2,912,543
Options exercisable, number of options (in shares) 2,834,588
Exercise Price  
Beginning balance (in dollars per share) $ 36.23
Granted (in dollars per share) 0
Exercised (in dollars per share) 2.16
Forfeited/Cancelled (in dollars per share) 43.98
Ending balance (in dollars per share) 36.27
Options exercisable, weighted average exercise price (in dollars per share) $ 36.17
Stock Option Activity, Additional Disclosures  
Options outstanding, weighted average remaining contractual term 5 years 1 month 6 days
Options exercisable, weighted average remaining contractual term 5 years
Options outstanding, aggregate intrinsic value $ 7,583
Options exercisable, aggregate intrinsic value $ 7,583
v3.25.2
Stock Incentive Plans and Stock Based Compensation - Schedule of Restricted Stock Units and Performance Stock Units (Details)
6 Months Ended
Jun. 30, 2025
$ / shares
shares
Restricted Stock Units (RSUs)  
Restricted Stock Units Outstanding  
Beginning Balance (in shares) 3,196,224
Granted (in shares) 1,508,158
Vested (in shares) (520,157)
Forfeited/Cancelled (in shares) (159,905)
Ending Balance (in shares) 4,024,320
Weighted-Average Grant Date Fair Value  
Weighted average grant date fair value at beginning balance (in dollars per share) | $ / shares $ 23.52
Granted (in dollars per share) | $ / shares 21.18
Vested (in dollars per share) | $ / shares 22.74
Forfeited / Cancelled (in dollars per share) | $ / shares 23.48
Weighted average grant date fair value at ending balance (in dollars per share) | $ / shares $ 22.75
Withheld upon vesting for employee tax obligations (in shares) 142,637
Performance-Based Restricted Stock Units  
Restricted Stock Units Outstanding  
Beginning Balance (in shares) 275,528
Granted (in shares) 172,631
Vested (in shares) 0
Forfeited/Cancelled (in shares) 0
Ending Balance (in shares) 448,159
Weighted-Average Grant Date Fair Value  
Weighted average grant date fair value at beginning balance (in dollars per share) | $ / shares $ 21.94
Granted (in dollars per share) | $ / shares 22.23
Vested (in dollars per share) | $ / shares 0
Forfeited / Cancelled (in dollars per share) | $ / shares 0
Weighted average grant date fair value at ending balance (in dollars per share) | $ / shares $ 22.05
v3.25.2
Stock Incentive Plans and Stock-Based Compensation - Schedule of Assumptions Used in Fair Value of ESPP (Details) - ESPP - Employee Stock Purchase Plan
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]    
Average expected term (years) 1 year 2 months 12 days 1 year 3 months 18 days
Expected stock price volatility, minimum 56.55% 72.04%
Expected stock price volatility, maximum 85.21% 130.95%
Risk-free interest rate, minimum 3.88% 4.43%
Risk-free interest rate, maximum 4.22% 5.33%
Dividend yield 0.00% 0.00%
v3.25.2
Stock Incentive Plans and Stock-Based Compensation - Schedule of Stock-based Compensation Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total stock-based compensation expense $ 11,208 $ 13,179 $ 22,387 $ 25,854
Cost of sales (exclusive of amortization of acquired intangible assets)        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total stock-based compensation expense 1,422 1,401 2,878 2,715
Research and development        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total stock-based compensation expense 1,962 2,637 3,857 5,266
Selling, general and administrative        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total stock-based compensation expense $ 7,824 $ 9,141 $ 15,652 $ 17,873
v3.25.2
Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Income Tax Disclosure [Abstract]        
Income tax benefit $ (4,666) $ (1,034) $ (5,089) $ (989)
Effective income tax rate   (13.10%)   (18.30%)
v3.25.2
Segment and Related Information - Schedule of Measures of Segment Profit and Loss (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]            
Net revenues from external customers $ 86,188   $ 87,002   $ 174,176 $ 159,976
Significant segment expenses:            
Net income (loss) 4,523 $ (25,848) 8,920 $ (2,534) (21,325) 6,386
Reportable Segment            
Segment Reporting Information [Line Items]            
Net revenues from external customers 86,188   87,002   174,176 159,976
Significant segment expenses:            
Personnel costs 51,551   48,051   103,751 93,967
Organizational and business development costs 14,487   11,835   28,716 22,835
Inventory usage 5,458   5,013   10,189 9,800
Clinical studies and publication costs 1,923   3,177   4,008 5,814
Professional services 2,298   2,420   5,874 5,544
Other segment items 5,948   7,586   42,963 15,630
Net income (loss) $ 4,523   $ 8,920   $ (21,325) $ 6,386
v3.25.2
Segment and Related Information - Schedule of Other Amounts Included in the Measure of Segment Profit or Loss (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]        
Interest income $ 2,944 $ 3,144 $ 6,043 $ 6,140
Interest expense (21) (270) (38) (284)
Depreciation and amortization     33,178 6,688
Income tax benefit (4,666) (1,034) (5,089) (989)
Stock-based compensation expense 11,208 13,179 22,387 25,854
Changes in fair value of trading securities 1,185 0 (240) 0
Reportable Segment        
Segment Reporting Information [Line Items]        
Interest income 2,944 3,144 6,043 6,140
Interest expense (21) (270) (38) (284)
Depreciation and amortization 3,414 3,348 33,178 6,688
Income tax benefit (4,666) (1,034) (5,089) (989)
Stock-based compensation expense 11,208 13,179 22,387 25,854
Changes in fair value of trading securities $ 1,185 $ 0 $ (240) $ 0
v3.25.2
Segment and Related Information - Narrative (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2025
USD ($)
segment
Jun. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Segment Reporting Information [Line Items]          
Number of reportable segments | segment     1    
Number of operating segments | segment     1    
Assets $ 544,729   $ 544,729   $ 531,235
Reportable Segment          
Segment Reporting Information [Line Items]          
Long-lived assets, expenditure 12,900 $ 6,700 18,600 $ 15,300  
Reportable Segment | UNITED STATES          
Segment Reporting Information [Line Items]          
Assets $ 544,700   $ 544,700   $ 531,200