Revenue and Growth - Revenue primarily derived from Decipher Prostate and Afirma tests, with Medicare contributing 31% and UnitedHealthcare 13% for the three months ended September 30, 2024[115]. - Testing revenue increased by 27.5million(34115.9 million, a 25.8million(2964.3 million (24%) to 327.1million,primarilyduetoa70.7 million increase in testing revenue[130]. - The company aims to expand its base of prescribing physicians and increase penetration in existing accounts to drive revenue growth[100]. Expenses and Costs - Research and development expenses are significant and can vary substantially by quarter due to clinical trial timing and sample acquisition[114]. - General and administrative expenses increased by 9.4million(5825.7 million for the three months ended September 30, 2024[128]. - Research and development expenses for the three months ended September 30, 2024, were 17.6million,a4.3 million (32%) increase compared to the same period in 2023[128]. - Cost of testing revenue increased by 7.2million,or3318.1 million, or 28%, for the nine months ended September 30, 2024, due to increased testing volume and higher staffing[133][134]. - Selling and marketing expense decreased by 1.7million,or75.6 million, or 7%, for the nine months ended September 30, 2024, primarily due to reduced sales support for the Envisia product[141][142]. Profitability - The company reported a net income of 15.2millionforthethreemonthsendedSeptember30,2024,comparedtoanetlossof29.6 million in the same period in 2023[128]. - Gross profit for the three months ended September 30, 2024, was 79.0million,reflectinga21.3 million (37%) increase from the prior year[128]. Cash Flow and Liquidity - Cash provided by operating activities for the nine months ended September 30, 2024, was 50.6million,comparedto28.7 million in the same period of 2023[159]. - As of September 30, 2024, the company had cash and cash equivalents of 274.1million,anincreaseof57.6 million during the nine months[152]. - Cash used in investing activities for the nine months ended September 30, 2024, was 2.1million,primarilyforthepurchaseofproperty,plant,andequipment[162].MarketandEconomicConditions−Thecompanyoperatesinachallengingmacroeconomicenvironment,withpotentialimpactsfrominflationandcurrencyfluctuations[97].−Thecompanyisexposedtomarketrisksprimarilyrelatedtointerestratesandforeigncurrency[166][167].−Inflationhasnothadamaterialeffectonthecompany′sbusiness,financialcondition,oroperatingresultstodate[168].−Thecompanyfacesinflationheadwindsincompensation,travel,supply,andinventorycosts[168].AcquisitionsandInvestments−ThecompanyacquiredC2iinFebruary2024toenhanceitsroleinthecancerpatientjourney,focusingonmonitoringtreatmentsuccess[96].−Thecompanyexpectstoincursignificantexpensesasitinvestsinthecontinueddevelopmentofitsinnovationengineandearly−stageproducts[121].−Thecompanyexpectstopayuptoanadditional25.0 million in contingent consideration related to the C2i Acquisition, with $5.0 million forecasted to be paid within the next 12 months[156]. Accounting and Estimates - There have been no material changes to the company's critical accounting policies and estimates compared to the previous Annual Report[165]. - The company believes that its accounting policies are critical to understanding its historical and future performance[165]. - The company’s estimates and assumptions are based on historical experience and other reasonable factors[165].