Summary of Significant Accounting Policies (Tables)
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12 Months Ended |
Dec. 31, 2025 |
| Accounting Policies [Abstract] |
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| Schedule of Fair Value, Assets and Liabilities |
| | | | | | | | | | | | | | | | | | | | | December 31, | | December 31, | | Level | | 2025 | | 2024 | | Guaranteed investment certificates | 1 | | $ | 13,114 | | | $ | 66,584 | | | Trading securities | 1 | | 543 | | | 724 | | | Contingent consideration: | 3 | | | | | | Current portion | | | $ | 18,380 | | | $ | — | | | Long-term portion | | | 9,333 | | | 22,910 | | | | | $ | 27,713 | | | $ | 22,910 | |
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| Business Combination, Contingent Consideration |
| | | | | | | | | | | Fair Value | | Balance at December 31, 2024 | | $ | 22,910 | | | Additions | | 233 | | | Change in fair value | | 4,570 | | | Balance at December 31, 2025 | | $ | 27,713 | |
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| Schedule of Accounts Receivable |
| | | | | | | | | | | | | | | | | | | December 31, | | 2025 | | 2024 | | 2023 | | Accounts receivable | $ | 22,203 | | | $ | 23,816 | | | $ | 40,171 | | | Allowance for doubtful accounts | $ | 188 | | | $ | 774 | | | $ | 1,216 | |
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| Goodwill, Sensitivity of Fair Value |
The below table illustrates the discount rate and exit multiple sensitivity to the fair value of the diagnostic reporting unit goodwill when performing the goodwill impairment analysis as of November 30, 2025. In the annual goodwill impairment analysis as of November 30, 2025, the diagnostic reporting unit utilized a 14% discount rate with an exit multiple of one. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Exit Multiple | | Discount Rate | | 0.80 | | 0.90 | | 1.00 | | 1.10 | | 1.20 | | 13% | | $ | 208,132 | | | $ | 217,464 | | | $ | 226,796 | | | $ | 236,128 | | | $ | 245,460 | | | 14% | | 205,252 | | | 214,254 | | | 223,256 | | | 232,258 | | | 241,259 | | | 15% | | 202,501 | | | 211,188 | | | 219,875 | | | 228,562 | | | 237,249 | | | 16% | | 199,868 | | | 208,254 | | | 216,640 | | | 225,025 | | | 233,411 | | | 17% | | 197,339 | | | 205,436 | | | 213,533 | | | 221,630 | | | 229,726 | |
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| Disaggregation of Revenue by Product and Geographic Area |
The following table represents total net revenues by product line: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | For the Years Ended December 31, | | | | | | | | | | 2025 | | 2024 | | 2023 | | HIV | | | | | | | | | $ | 49,802 | | | $ | 60,804 | | | $ | 60,823 | | Sample Management Solutions (1) | | | | | | | | | 38,356 | | | 51,046 | | | 54,274 | | | HCV | | | | | | | | | 13,759 | | | 14,024 | | | 12,871 | | Other product and services revenues (2) | | | | | | | | | 4,648 | | | 3,506 | | | 2,265 | | Risk Assessment Testing (3) | | | | | | | | | 1,866 | | | 8,354 | | | 9,736 | | COVID-19 (4) | | | | | | | | | 624 | | | 45,172 | | | 257,779 | | | Molecular Services | | | | | | | | | — | | | 1,705 | | | 4,474 | | | Net product and services revenues | | | | | | | | | $ | 109,055 | | | $ | 184,611 | | | $ | 402,222 | | Non-product and services revenues (5) | | | | | | | | | 5,966 | | | 1,216 | | | 3,250 | | | Net revenues | | | | | | | | | $ | 115,021 | | | $ | 185,827 | | | $ | 405,472 | |
(1) Includes Genomics, Microbiome and Colli-Pee® product revenues. (2) Includes Syphilis revenues. (3) Includes substance abuse testing product revenues. (4) Includes COVID-19 Diagnostics and COVID-19 Sample Management Solutions revenues. (5) Includes funded research and development contracts, royalty income and grant revenues. The following table represents total net revenues by geographic area, based on the location of the customer: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | For the Years Ended December 31, | | | | | | | | | | 2025 | | 2024 | | 2023 | | United States | | | | | | | | | $ | 78,252 | | | $ | 139,161 | | | $ | 361,660 | | | Africa | | | | | | | | | 23,993 | | | 32,745 | | | 29,254 | | | Europe | | | | | | | | | 7,393 | | | 8,424 | | | 8,111 | | | Other regions | | | | | | | | | 5,383 | | | 5,497 | | | 6,447 | | | | | | | | | | | $ | 115,021 | | | $ | 185,827 | | | $ | 405,472 | |
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| Schedules of Concentration of Risk, by Risk Factor |
The following table represents customer concentration risk: | | | | | | | | | | | | | | | | | | | | | | | | | | | For the Years Ended December 31, | | Net Revenues | | | | | | | | | 2025 | | 2024 | | | | | | | | | | | | | | | | | | | | | | | | | | Non-commercial customer | | | | | | | | | N/A | | 24% | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | December 31, | | Accounts Receivable | | | | | | | | | 2025 | | 2024 | | Commercial customer | | | | | | | | | 15% | | 10% | | | | | | | | | | | | |
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| Schedule of Deferred Revenue |
The following table represents deferred revenue recognized: | | | | | | | | | | | | | | | | | | | | | | | | | For the Years Ended December 31, | | Deferred Revenue Recognized | | | | | | | | | 2025 | | 2024 | | Accrued at beginning of year | | | | | | | | | $ | 2,484 | | | $ | 3,680 | |
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| Schedule of Earnings Per Share, Basic and Diluted |
| | | | | | | | | | | | | | | | | | | For the Years Ended December 31, | | 2025 | | 2024 | | 2023 | | Net (loss) income | $ | (68,731) | | | $ | (19,500) | | | $ | 53,655 | | | Weighted average shares of common stock outstanding: | | | | | | | Basic | 73,485 | | | 74,434 | | | 73,348 | | | Dilutive effect of stock options, restricted stock, and performance stock units | — | | | — | | | 1,041 | | | Diluted | 73,485 | | | 74,434 | | | 74,389 | | | Loss (earnings) per share: | | | | | | | Basic | $ | (0.94) | | | $ | (0.26) | | | $ | 0.73 | | | Diluted | $ | (0.94) | | | $ | (0.26) | | | $ | 0.72 | |
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| Schedule of Accumulated Other Comprehensive Income (Loss) |
Change in accumulated other comprehensive loss by component is listed below: | | | | | | | | | | | | | | | Foreign Currency | | | | Total | | Balance at December 31, 2024 | $ | (24,360) | | | | | $ | (24,360) | | | Other comprehensive gain | 5,956 | | | | | 5,956 | | | Balance at December 31, 2025 | $ | (18,404) | | | | | $ | (18,404) | |
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