7Baggers

CareDx, Inc
(NASDAQ:CDNA) 

CDNA stock logo

CareDx, Inc. discovers, develops, and commercializes diagnostic solutions for transplant patients and caregivers worldwide. It offers AlloSure Kidney, a donor-derived cell-free DNA (dd-cfDNA) solution for kidney transplant patients; AlloMap Heart, a gene expression solution for heart transplant pati...

Founded: 1998
Full Time Employees: 306
CEO: Reginald Seeto  
Sector: Healthcare
Industry: Diagnostics & Research

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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 
                                                    
      revenue:
                                                    
      testing services revenue
    91,398,000 78,373,000 72,168,000 62,033,000 61,921,000 63,819,000 60,807,000 70,918,000 53,837,000 46,703,000 47,784,000 53,414,000 61,784,000 65,418,000 64,751,000 67,135,000 66,444,000 68,650,000 66,464,000 64,890,000 59,281,000 50,346,000 45,529,000 36,293,000 31,442,000 29,129,000 28,226,000 25,677,000 21,518,000 4,211,750 16,847,000 13,997,000                 
      product revenue
    10,346,000 13,256,000 12,478,000 11,833,000 10,810,000 11,367,000 10,212,000 10,610,000 8,594,000 9,244,000 9,536,000 7,876,000 6,861,000 8,555,000 7,194,000 6,714,000 6,788,000 7,672,000 6,521,000 6,861,000 5,778,000 5,933,000 5,383,000 3,291,000 4,695,000 5,053,000 4,200,000 4,593,000 4,433,000 11,451,000 4,223,000 3,550,000 3,307,000 10,762,000 3,872,000 3,376,000 3,667,000 3,487,000 3,754,000 3,475,000         
      patient and digital solutions revenue
    15,956,000 16,757,000 15,409,000 12,813,000 11,954,000 8,057,000 11,864,000 10,746,000 9,618,000 6,875,000 9,872,000 9,011,000 8,617,000 5,095,750 7,414,000 6,785,000 6,184,000                                
      total revenue
    117,700,000 108,386,000 100,055,000 86,679,000 84,685,000 86,579,000 82,883,000 92,274,000 72,049,000 65,569,000 67,192,000 70,301,000 77,262,000 82,384,000 79,359,000 80,634,000 79,416,000 79,220,000 75,589,000 74,188,000 67,400,000 58,644,000 53,369,000 41,801,000 38,380,000 35,821,000 33,811,000 31,454,000 25,982,000 55,385,000 21,184,000 17,823,000 14,053,000 36,133,000 12,191,000 12,046,000 11,584,000 10,860,000 12,475,000 10,735,000 6,562,000 6,648,000 7,151,000 7,129,000 7,216,000 7,952,000 6,654,000 6,776,000 
      yoy
    38.99% 25.19% 20.72% -6.06% 17.54% 32.04% 23.35% 31.26% -6.75% -20.41% -15.33% -12.81% -2.71% 3.99% 4.99% 8.69% 17.83% 35.09% 41.63% 77.48% 75.61% 63.71% 57.85% 32.90% 47.72% -35.32% 59.61% 76.48% 84.89% 53.28% 73.77% 47.96% 21.31% 232.72% -2.28% 12.21% 76.53% 63.36% 74.45% 50.58% -9.06% -16.40% 7.47% 5.21%     
      qoq
    8.59% 8.33% 15.43% 2.35% -2.19% 4.46% -10.18% 28.07% 9.88% -2.42% -4.42% -9.01% -6.22% 3.81% -1.58% 1.53% 0.25% 4.80% 1.89% 10.07% 14.93% 9.88% 27.67% 8.91% 7.14% 5.94% 7.49% 21.06% -53.09% 161.45% 18.86% 26.83% -61.11% 196.39% 1.20% 3.99% 6.67% -12.95% 16.21% 63.59% -1.29% -7.03% 0.31% -1.21% -9.26% 19.51% -1.80%  
      operating expenses:
                                                    
      cost of testing services
    17,097,000 16,821,000 14,705,000 15,406,000 15,113,000 14,224,000 13,447,000 14,308,000 13,632,000 13,805,000 13,217,000 15,324,000 15,296,000 18,657,000 17,771,000 18,230,000 17,628,000 19,495,000 18,038,000 17,235,000 16,483,000 13,301,000 11,900,000      6,838,000 15,704,000 5,752,000 4,568,000                 
      cost of product
    4,834,000 6,757,000 5,629,000 4,981,000 5,586,000 5,580,000 6,212,000 6,245,000 5,344,000 5,637,000 4,750,000 3,926,000 4,066,000 4,617,000 4,736,000 3,887,000 4,399,000 5,159,000 4,919,000 5,205,000 3,647,000 4,212,000 3,705,000      2,895,000 8,396,000 3,135,000 2,639,000 2,272,000 6,973,000 2,053,000 2,178,000 2,327,000 3,829,000 3,355,000 3,056,000         
      cost of patient and digital solutions
    11,698,000 11,934,000 10,320,000 8,271,000 7,716,000 8,374,000 7,913,000 7,393,000 6,958,000 6,171,000 6,566,000 6,637,000 6,604,000 6,216,000 5,794,000 5,422,000 4,855,000                                
      research and development
    21,416,000 19,306,000 16,769,000 16,830,000 18,524,000 16,530,000 17,486,000 19,678,000 18,711,000 18,276,000 19,000,000 20,233,000 24,357,000 23,570,000 22,306,000 22,632,000 21,880,000 22,046,000 19,439,000 19,036,000 16,004,000 13,325,000 12,474,000 13,129,000 10,013,000 8,946,000 8,521,000 7,630,000 5,614,000 10,646,000 3,868,000 3,496,000 3,368,000 9,429,000 2,959,000 3,118,000 3,283,000 3,154,000 2,930,000 3,143,000 3,159,000 2,704,000 2,698,000 2,510,000 1,421,000 1,298,000 1,036,000 792,000 
      sales and marketing
    30,373,000 30,924,000 24,449,000 24,279,000 22,991,000 21,084,000 19,802,000 21,002,000 19,830,000 19,999,000 18,474,000 21,630,000 23,231,000 23,668,000 22,261,000 26,950,000 23,148,000 20,824,000 21,370,000 19,599,000 15,452,000 16,131,000 13,870,000 12,134,000 11,723,000 10,267,000 11,058,000 10,644,000 6,925,000 15,699,000 5,971,000 5,860,000 4,085,000 9,553,000 3,255,000 3,270,000 3,222,000 2,622,000 3,451,000 3,356,000 1,737,000 1,896,000 2,062,000 2,526,000 2,023,000 1,635,000 1,753,000 1,610,000 
      general and administrative
    30,484,000 28,684,000 28,429,000 27,683,000 22,769,000 40,680,000 28,515,000 27,678,000 26,911,000 26,541,000 33,968,000 29,327,000 28,032,000 24,776,000 23,830,000 25,232,000 26,559,000 24,748,000 18,671,000 16,322,000 15,223,000 13,370,000 13,117,000 12,316,000 10,003,000 9,437,000 9,485,000 8,512,000 9,106,000 16,782,000 5,177,000 5,596,000 5,307,000 14,875,000 4,038,000 4,132,000 6,502,000 4,475,000 5,180,000 5,393,000 5,676,000 3,694,000 3,361,000 2,329,000 2,705,000 2,349,000 1,976,000 2,316,000 
      litigation settlement expense
    600,000   350,000 5,360,000                                            
      total operating expenses
    116,502,000 114,426,000 100,301,000 97,800,000 98,059,000 11,887,000 93,375,000 96,372,000 91,386,000 188,201,000 95,975,000 97,925,000 101,586,000 101,504,000 96,698,000 102,353,000 98,469,000 94,619,000 84,316,000 78,930,000 68,258,000 61,711,000 56,276,000 37,579,000 31,739,000 28,650,000 29,064,000 26,786,000 31,378,000 68,244,000 23,903,000 23,032,000 19,288,000 52,563,000 16,055,000 15,645,000 20,128,000 29,721,000 17,408,000 17,703,000 13,131,000 11,111,000 10,344,000 10,015,000 8,607,000 7,523,000 5,261,000 7,121,000 
      income from operations
    1,198,000 -6,040,000 -246,000 -11,121,000 -13,374,000 74,692,000 -10,492,000 -4,098,000 -19,337,000 -122,632,000 -28,783,000 -27,624,000 -24,324,000 -19,120,000 -17,339,000 -21,719,000 -19,053,000 -15,399,000 -8,727,000 -4,742,000 -858,000 -3,067,000 -2,907,000 -10,803,000 -5,751,000 -5,545,000 -6,747,000 -6,844,000 -5,396,000 -12,859,000 -2,719,000 -5,209,000 -5,235,000 -16,430,000 -3,864,000 -3,599,000 -8,544,000 -18,861,000 -4,933,000 -6,968,000 -6,569,000 -4,463,000 -3,193,000 -2,886,000 -1,391,000 429,000 1,393,000 -345,000 
      yoy
    -108.96% -108.09% -97.66% 171.38% -30.84% -160.91% -63.55% -85.17% -20.50% 541.38% 66.00% 27.19% 27.66% 24.16% 98.68% 358.01% 2120.63% 402.09% 200.21% -56.10% -85.08% -44.69% -56.91% 57.85% 6.58% -56.88% 148.14% 31.39% 3.08% -21.73% -29.63% 44.73% -38.73% -12.89% -21.67% -48.35% 30.07% 322.61% 54.49% 141.44% 372.25% -1140.33% -329.22% 736.52%     
      qoq
    -119.83% 2355.28% -97.79% -16.85% -117.91% -811.89% 156.03% -78.81% -84.23% 326.06% 4.20% 13.57% 27.22% 10.27% -20.17% 13.99% 23.73% 76.45% 84.04% 452.68% -72.02% 5.50% -73.09% 87.85% 3.72% -17.82% -1.42% 26.83% -58.04% 372.93% -47.80% -0.50% -68.14% 325.21% 7.36% -57.88% -54.70% 282.34% -29.20% 6.07% 47.19% 39.77% 10.64% 107.48% -424.24% -69.20% -503.77%  
      operating margin %
    1.02% -5.57% -0.25% -12.83% -15.79% 86.27% -12.66% -4.44% -26.84% -187.03% -42.84% -39.29% -31.48% -23.21% -21.85% -26.94% -23.99% -19.44% -11.55% -6.39% -1.27% -5.23% -5.45% -25.84% -14.98% -15.48% -19.96% -21.76% -20.77% -23.22% -12.84% -29.23% -37.25% -45.47% -31.70% -29.88% -73.76% -173.67% -39.54% -64.91% -100.11% -67.13% -44.65% -40.48% -19.28% 5.39% 20.93% -5.09% 
      other income:
                                                    
      interest income
    1,909,000 2,013,000 2,013,000 2,364,000 2,784,000 3,053,000 3,001,000 2,826,000 2,885,000 3,159,000 3,171,000 2,871,000 2,666,000 1,870,000 1,225,000 478,000 189,000 13,000 20,000 1,000 126,000 125,000 29,000 21,000 96,000 306,000 37,000 300,000 342,000                    
      other income
    -330,000 264,000 -107,000 72,000 295,000 436,000 283,000   1,541,000 2,047,000     -553,000    2,779,000                     -2,917,000 -46,000 -45,000 -43,000  -45,000 355,000 366,000 
      total other income
    1,579,000 2,277,000 1,906,000 2,436,000 3,079,000 3,489,000 3,284,000 2,726,000 2,595,000 4,700,000 5,218,000 2,603,000 699,000 964,000 667,000 -27,000  -1,653,000 -3,332,000 2,715,000  -619,000 -146,000 3,915,000  564,000 3,985,000 -1,223,000 -2,741,000                    
      income before income taxes
    2,777,000 -3,763,000 1,660,000 -8,685,000 -10,295,000 78,181,000 -7,208,000 -1,372,000 -16,742,000 -117,932,000 -23,565,000 -25,021,000 -23,625,000 -18,156,000 -16,672,000 -21,746,000 -19,660,000 -17,052,000 -12,059,000 -2,027,000 -950,000 -3,686,000 -3,053,000 -6,888,000 -6,123,000 -4,981,000 -2,762,000 -8,067,000 -8,137,000 -27,955,000 -20,260,000 -14,443,000 -9,418,000 -42,804,000 -14,465,000 -4,411,000 -5,892,000 -16,427,000 -4,248,000 -10,933,000  -4,762,000 -3,489,000 -3,185,000  -5,000 1,213,000 -623,000 
      income tax benefit
    32,000 18,500 15,000 117,000 -58,000 -34,750 -200,000 -22,000 83,000 -165,000 80,000 68,000 -124,000 -173,000 -267,000 49,000 12,000 901,000 162,000 100,000 263,000 171,000 235,000 330,000 300,000 204,000 949,000 220,000 606,000 1,144,000 290,000 381,000 424,000 1,531,000 178,000 376,000 283,000 718,000 449,000 440,000        1,500,000 
      net income
    2,809,000 -4,108,000 1,675,000 -8,568,000 -10,353,000 78,010,000 -7,408,000 -1,394,000 -16,659,000 -118,097,000 -23,485,000 -24,953,000 -23,749,000 -18,329,000 -16,939,000 -21,697,000 -19,648,000 -16,151,000 -11,897,000 -1,927,000 -687,000 -3,515,000 -2,818,000 -6,558,000 -5,823,000 -4,777,000 -1,813,000 -7,847,000 -7,531,000 -26,811,000 -19,970,000 -14,062,000 -8,994,000 -41,273,000 -14,287,000 -4,035,000 -5,609,000 -15,709,000 -3,799,000 -10,493,000 -9,752,000 -4,762,000 -3,489,000 -3,185,000 -2,272,000 -5,000 1,213,000 877,000 
      yoy
    -127.13% -105.27% -122.61% 514.63% -37.85% -166.06% -68.46% -94.41% -29.85% 544.32% 38.64% 15.01% 20.87% 13.49% 42.38% 1025.95% 2759.97% 359.49% 322.18% -70.62% -88.20% -26.42% 55.43% -16.43% -22.68% -82.18% -90.92% -44.20% -16.27% -35.04% 39.78% 248.50% 60.35% 162.73% 276.07% -61.55% -42.48% 229.88% 8.89% 229.45% 329.23% 95140.00% -387.63% -463.17%     
      qoq
    -168.38% -345.25% -119.55% -17.24% -113.27% -1153.05% 431.42% -91.63% -85.89% 402.86% -5.88% 5.07% 29.57% 8.21% -21.93% 10.43% 21.65% 35.76% 517.38% 180.49% -80.46% 24.73% -57.03% 12.62% 21.90% 163.49% -76.90% 4.20% -71.91% 34.26% 42.01% 56.35% -78.21% 188.89% 254.08% -28.06% -64.29% 313.50% -63.79% 7.60% 104.79% 36.49% 9.54% 40.18% 45340.00% -100.41% 38.31%  
      net income margin %
    2.39% -3.79% 1.67% -9.88% -12.23% 90.10% -8.94% -1.51% -23.12% -180.11% -34.95% -35.49% -30.74% -22.25% -21.34% -26.91% -24.74% -20.39% -15.74% -2.60% -1.02% -5.99% -5.28% -15.69% -15.17% -13.34% -5.36% -24.95% -28.99% -48.41% -94.27% -78.90% -64.00% -114.23% -117.19% -33.50% -48.42% -144.65% -30.45% -97.75% -148.61% -71.63% -48.79% -44.68% -31.49% -0.06% 18.23% 12.94% 
      net income per share
                                                    
      basic
    0.05 -0.08 0.03 -0.16 -0.19 1.49 -0.14 -0.03 -0.32 -2.2 -0.43 -0.46 -0.44 -0.35 -0.32 -0.41 -0.37 -0.31 -0.23 -0.04 -0.01 -0.07 -0.06 -0.15 -0.14 -0.11 -0.04 -0.19 -0.18 -0.77 -0.54 -0.4 -0.3 -1.75 -0.63 -0.19 -0.26 -0.78 -0.2   -0.4 -0.29 -0.27  -0.08 0.13 0.87 
      diluted
    0.05 -0.08 0.03 -0.16 -0.19 1.42 -0.14 -0.03 -0.32 -2.2 -0.43 -0.46 -0.44 -0.35 -0.32 -0.41 -0.37 -0.31 -0.23 -0.04 -0.01 -0.07 -0.06 -0.15 -0.14 -0.11 -0.04 -0.19 -0.18 -0.77 -0.54 -0.4 -0.3 -1.75 -0.63 -0.19 -0.26 -0.78 -0.26   -0.4 -0.29 -0.27  -0.01 0.12 0.13 
      weighted-average shares used for eps calculation
                                                    
      basic
    51,151,794 53,287,546 52,507,582 54,304,754 55,262,459 52,773,247 52,903,338 52,195,620 51,692,358 53,764,705 54,178,759 53,846,260 53,643,216 53,321,625 53,489,418 53,249,545 53,015,459 52,241,076 52,681,451 52,224,300 51,181,160 46,481,772 49,010,680 44,708,037 42,823,427 42,151,617 42,393,550 42,132,396 41,611,399 35,638,956 37,154,293 35,549,837 29,615,441 23,332,503 22,526,615 21,412,480 21,343,782 16,496,911 19,098,626          
      diluted
    53,129,928 53,287,546 53,736,790 54,304,754 55,262,459 56,620,590 52,903,338 52,195,620 51,692,358 53,764,705 54,178,759 53,846,260 53,643,216 53,321,625 53,489,418 53,249,545 53,015,459 52,241,076 52,681,451 52,224,300 51,181,160 46,481,772 49,010,680 44,708,037 42,823,427 42,151,617 42,393,550 42,132,396 41,611,399 35,638,956 37,154,293 35,549,837 29,615,441 23,332,503 22,526,615 21,412,480 21,343,782 16,496,911 19,481,424          
      restructuring costs
         1,715,000  68,000  1,472,000  848,000                                     
      change in estimated fair value of common stock warrant liability
               3,000 7,000 18,000 14,000 48,000 27,000 56,000 88,000 -65,000 27,000 -247,500 79,000 -664,000 -405,000             -444,750 1,386,000 -3,165,000         
      other expense
           -100,000 -290,000   -271,000 -1,974,000 -924,000 -572,000  -823,000 -1,722,000 -3,440,000  -245,000 -239,000 -254,000 -255,000 -63,000 -75,000 -398,000 -172,000 -74,000 -138,000 -40,000 -42,000 -2,809,000 -1,173,000 -317,000 -188,000 -686,000 -833,500 -133,000 -274,000     -54,000    
      total other expense
                    -607,000    -92,000    -372,000                        
      digital and other revenue
                     1,845,500 2,604,000 2,437,000 2,341,000 2,365,000 2,457,000 2,217,000 2,243,000 1,639,000 1,385,000 1,184,000                     
      cost of digital and other
                     1,215,250 1,879,000 1,533,000 1,449,000 1,372,000 1,210,000                          
      cares act provider relief fund
                           4,813,000                         
      cost of revenue
                           15,025,000 12,392,000 12,716,000 11,494,000 11,512,000                     
      gross profit
                           26,776,000 25,988,000 23,105,000 22,317,000 19,942,000                     
      yoy
                           34.27%                         
      qoq
                           3.03% 12.48% 3.53% 11.91%                      
      gross margin %
    0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 64.06% 67.71% 64.50% 66.01% 63.40% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 
      change in estimated fair value of contingent consideration
                                   873,000 144,000 586,000 594,000 -64,000 -221,000 -34,000 -112,000 -97,000 -213,000 330,000 -345,000 142,000 -253,000 37,000 -1,276,000  
      debt extinguishment expenses
                                                    
      change in estimated fair value of common stock warrant liability and derivative liability
                             -3,500 4,346,000 -1,351,000 -3,009,000 -4,273,250 -17,093,000 -8,768,000 1,321,000 -2,149,750 -8,599,000 1,067,000 4,128,000            
      net loss attributable to noncontrolling interest
                                    -25,000 -72,000 -19,000 -67,000 -47,000 14,500 35,000 23,000         
      net loss attributable to caredx, inc.
                             -4,777,000 -1,813,000 -7,847,000 -7,531,000 -26,786,000 -19,970,000 -14,062,000 -8,969,000 -41,201,000 -14,268,000 -3,968,000 -5,562,000 -5,997,250 -3,764,000 -10,470,000         
      license and other revenue
                                31,000 481,000 114,000 276,000 142,000                
      goodwill impairment
                                        1,958,000            
      interest expense
                                 -3,293,000 -408,000 -424,000 -2,695,000 -4,178,000 -1,685,000 -1,691,000 -790,000 -509,000 -568,000 -526,000 -266,000 -253,000 -251,000 -256,000 -827,000 -389,000 -535,000 -644,000 
      testing revenue
                                    10,604,000 24,943,000 8,163,000 8,420,000 7,902,000 7,363,000 8,613,000 7,249,000 6,452,000 6,734,000 7,007,000 7,044,000 7,096,000 6,697,000 6,601,000 6,710,000 
      cost of testing
                                    4,112,000 9,189,000 3,156,000 3,011,000 3,057,000 2,654,000 2,604,000 2,852,000 2,772,000 2,487,000 2,568,000 2,508,000 2,711,000 2,204,000 1,772,000 2,403,000 
      collaboration, license and other revenue
                                     39,000 156,000 250,000 15,000 56,500 108,000 11,000 110,000        
      net income per share
                                                    
      basic and diluted
                                           -0.77 -0.81    -0.19    
      weighted-average shares used for eps calculation
                                                    
      basic and diluted
                                           13,568,120 11,969,714        
      collaboration and license revenue
                                             -86,000 144,000 85,000 120,000 1,255,000 53,000 66,000 
      shares used to compute net income per share:
                                                    
      basic
                                             13,964 11,890,057 11,835,405  2,017,369 9,279,649 1,013,128 
      diluted
                                             13,964 11,890,057 11,835,405  984,098 11,219,377 6,939,568 
      shares used to compute net loss per share:
                                                    
      basic and diluted
                                                11,814,467    
      shares used to compute net income per share
                                                    
      basic
                                             13,964 11,890,057 11,835,405  2,017,369 9,279,649 1,013,128 
      diluted
                                             13,964 11,890,057 11,835,405  984,098 11,219,377 6,939,568 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 
                                                      
        assets
                                                      
        current assets:
                                                      
        cash and cash equivalents
      77,923,000 65,429,000 91,435,000 68,212,000 88,745,000 114,689,000 95,400,000 95,782,000 93,299,000 82,197,000 75,980,000 87,786,000 74,660,000 89,921,000 82,959,000 166,832,000 171,892,000 348,485,000 353,082,000 335,625,000 309,324,000 134,669,000 213,798,000 211,409,000 32,191,000 38,223,000 40,927,000 43,469,000 57,432,000 64,616,000 26,202,000 16,246,000 18,695,000 16,895,000 5,976,000 9,104,000 12,187,000 17,258,000 22,265,000 17,144,000 23,752,000 29,888,000 33,954,000 36,894,000 38,985,000 36,431,000 39,048,000 7,872,000 
        marketable securities
      109,253,000 111,779,000 102,782,000 118,043,000 142,172,000 145,964,000 145,453,000 133,089,000 122,622,000 153,221,000 192,204,000 194,887,000 211,279,000 203,168,000 208,317,000 139,388,000 147,330,000  10,199,000 34,317,000 64,963,000 90,034,000                           
        accounts receivable
      44,585,000 42,628,000 47,844,000 67,362,000 71,485,000 64,605,000 66,627,000 66,161,000 60,149,000 51,061,000 51,694,000 51,625,000 59,310,000 66,312,000 70,425,000 70,142,000 65,320,000 59,761,000 56,181,000 48,066,000 43,361,000 34,624,000 30,610,000 27,111,000 22,841,000 24,057,000 19,169,000 17,052,000 12,525,000 9,760,000 9,641,000 8,072,000 6,536,000 2,991,000 3,270,000 3,005,000 3,378,000 2,768,000 4,568,000 4,887,000 2,512,000 2,367,000 2,241,000 1,706,000 1,794,000 2,687,000 1,749,000 1,725,000 
        inventory
      26,404,000 26,705,000 28,328,000 27,915,000 22,929,000 19,503,000 19,263,000 19,234,000 20,130,000 19,471,000 17,978,000 18,840,000 18,018,000 19,232,000 18,086,000 18,861,000 18,212,000 17,186,000 18,800,000 15,060,000 13,721,000 10,012,000 9,906,000 8,741,000 6,947,000 6,014,000 5,902,000 5,341,000 5,177,000 4,943,000 4,621,000 4,666,000 5,011,000 5,529,000 6,170,000 6,343,000 6,048,000 5,461,000 7,444,000 8,651,000 595,000 766,000 814,000 731,000 775,000 686,000 496,000 614,000 
        prepaid and other current assets
      11,230,000 10,591,000 29,891,000 25,764,000 24,908,000 7,071,000 7,344,000 6,343,000 6,895,000 7,763,000 7,310,000 7,676,000 8,161,000 9,216,000 8,370,000 8,657,000 8,733,000 7,928,000 6,413,000 7,928,000 7,332,000 3,758,000 4,345,000 4,286,000 4,089,000 3,628,000 2,126,000 2,462,000 2,444,000                    
        total current assets
      269,395,000 257,132,000 300,280,000 307,296,000 350,239,000 351,832,000 334,087,000 320,609,000 303,095,000 313,713,000 345,166,000 360,814,000 371,428,000 387,849,000 388,157,000 403,880,000 411,487,000 433,360,000 444,675,000 440,996,000 438,701,000 273,097,000 258,659,000 251,547,000 66,068,000 71,922,000 68,124,000 68,324,000 77,578,000 81,114,000 41,943,000 30,577,000 32,697,000 26,767,000 16,946,000 19,909,000 23,076,000 26,673,000 35,123,000 32,461,000 27,666,000 34,362,000 37,969,000 40,005,000 42,301,000 40,346,000 42,011,000 13,530,000 
        property and equipment
      33,156,000 32,971,000 30,845,000 31,934,000 32,729,000 33,552,000 34,015,000 34,202,000 34,411,000 35,246,000 35,355,000 36,084,000 35,506,000 35,529,000 34,049,000 32,904,000 27,564,000 22,044,000 18,719,000 14,219,000 11,398,000 10,704,000 10,144,000 7,313,000 5,501,000 4,430,000 3,656,000 3,508,000 3,820,000 4,134,000 3,022,000 2,360,000 2,055,000 2,075,000 2,281,000 2,528,000 2,768,000 2,931,000 3,305,000 3,413,000 2,346,000 2,425,000 2,571,000 2,559,000 2,174,000 1,968,000 2,049,000 1,665,000 
        operating lease right-of-use assets
      21,206,000 22,760,000                                               
        marketable securities, non-current
      10,901,000 24,165,000                                               
        intangible assets
      32,102,000 31,960,000 33,446,000 36,037,000 37,247,000 38,184,000 40,361,000 41,896,000 43,330,000 45,701,000 46,455,000 43,529,000 45,637,000 43,051,000 43,855,000 46,318,000 48,149,000 50,195,000 48,367,000 48,432,000 45,457,000 44,355,000 43,830,000 44,356,000 43,112,000 45,541,000 45,781,000 45,604,000 31,759,000 33,252,000 34,284,000 34,760,000 31,989,000 33,139,000 34,307,000 33,743,000 32,920,000 33,124,000 35,444,000 36,344,000 6,650,000 6,650,000 6,650,000 6,650,000 6,650,000 6,650,000 6,650,000 6,650,000 
        goodwill
      40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,336,000 40,208,000 39,655,000 39,615,000 37,523,000 37,523,000 37,084,000 36,983,000 36,983,000 26,051,000 26,051,000 26,109,000 23,857,000 23,857,000 23,857,000 23,857,000 23,857,000 23,777,000 22,559,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 13,839,000 28,047,000 28,072,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 12,005,000 
        restricted cash
      551,000 551,000 551,000 551,000 550,000 585,000 592,000 588,000 583,000 586,000 582,000 584,000 520,000 522,000 198,000 204,000 214,000 211,000 210,000 268,000 269,000 270,000 260,000 253,000 242,000 256,000 251,000 255,000 191,000 192,000 192,000 177,000 206,000 9,579,000 9,554,000 9,553,000 9,553,000 143,000 143,000 143,000 147,000 147,000 147,000 147,000 147,000 147,000 147,000 147,000 
        other assets
      3,415,000 3,353,000 2,802,000 2,731,000 2,147,000 2,221,000 1,771,000 1,958,000 2,060,000 1,353,000 2,441,000 2,036,000 2,080,000 3,828,000 4,886,000 5,057,000 5,192,000 5,835,000 6,834,000 9,590,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000                      
        total assets
      411,062,000 413,228,000 432,307,000 444,257,000 489,638,000 491,050,000 476,985,000 466,777,000 452,406,000 466,826,000 501,180,000 514,820,000 528,217,000 542,991,000 544,511,000 541,288,000 546,711,000 566,621,000 563,172,000 557,415,000 541,223,000 368,511,000 353,552,000 344,742,000 156,784,000 151,736,000 144,833,000 142,907,000 127,859,000 130,697,000 91,446,000 79,879,000 78,952,000 83,565,000 75,093,000 77,738,000 80,322,000 76,730,000 102,092,000 100,453,000 48,834,000 55,638,000 59,342,000 61,366,000 63,277,000 61,141,000 62,862,000 33,997,000 
        liabilities and stockholders’ equity
                                                      
        current liabilities:
                                                      
        accounts payable
      9,066,000 9,988,000 11,597,000 9,863,000 8,072,000 7,686,000 6,239,000 5,874,000 9,976,000 12,872,000 8,972,000 9,880,000 12,861,000 9,942,000 10,625,000 16,892,000 10,605,000 13,337,000 14,894,000 12,563,000 11,597,000 9,653,000 9,519,000 8,675,000 6,621,000 5,506,000 5,691,000 7,380,000 3,859,000 4,711,000 2,676,000 3,480,000 4,269,000 3,391,000 3,396,000 3,599,000 3,475,000 3,065,000 3,464,000 3,339,000 2,536,000 1,644,000 1,949,000 1,203,000 1,371,000 1,128,000 1,036,000 1,741,000 
        accrued compensation
      20,545,000 38,107,000 23,237,000 19,056,000 14,067,000 38,333,000 29,915,000 25,004,000 14,565,000 19,703,000 16,664,000 14,441,000 12,082,000 16,902,000 14,312,000 14,631,000 11,418,000 26,042,000 24,243,000 16,710,000 10,495,000 18,466,000 13,791,000 11,089,000 6,127,000 12,484,000 10,278,000 7,490,000 4,860,000 9,156,000                   
        accrued and other liabilities
      49,542,000 41,754,000 43,960,000 44,011,000 42,895,000 43,352,000 45,286,000 47,453,000 45,670,000 45,497,000 47,038,000 50,175,000 46,885,000 49,131,000 45,351,000 46,933,000 44,897,000 37,922,000 30,599,000 26,982,000 23,638,000 20,602,000 18,617,000 16,682,000 15,576,000 16,838,000 15,002,000 13,750,000 7,651,000 5,408,000 4,718,000 4,703,000 4,392,000 3,735,000 3,895,000 4,960,000 5,843,000 5,320,000 8,204,000 7,695,000 5,298,000 2,892,000 2,331,000 1,840,000 1,810,000 1,616,000 1,911,000 3,649,000 
        total current liabilities
      79,153,000 89,849,000 99,044,000 93,180,000 85,284,000 89,371,000 81,440,000 78,331,000 70,211,000 78,072,000 72,674,000 74,496,000 71,828,000 75,975,000 70,288,000 78,456,000 66,920,000 77,301,000 69,736,000 56,255,000 45,730,000 69,217,000 62,423,000 56,942,000 28,324,000 34,828,000 30,971,000 28,620,000 16,370,000 19,504,000 15,817,000 14,176,000 13,445,000 42,906,000 30,961,000 54,236,000 53,003,000 40,832,000 39,605,000 38,246,000 14,231,000 10,152,000 10,454,000 8,242,000 6,275,000 11,135,000 11,118,000 21,214,000 
        deferred tax liability
      130,000 181,000 117,000 131,000 129,000 164,000 202,000 50,000 43,000 136,000 140,000 51,000   13,000 25,000 194,000 415,000 678,000 810,000 945,000 1,299,000 1,187,000 1,313,000 1,502,000 1,973,000 2,013,000 2,310,000 2,571,000 2,968,000 3,447,000 3,693,000 4,415,000 4,933,000 5,950,000 5,894,000 5,934,000 6,057,000 6,896,000 7,729,000         
        operating lease liabilities, less current portion
      17,837,000 19,679,000                                               
        other liabilities
      407,000 257,000 634,000 636,000 644,000 645,000 96,946,000 96,721,000 97,686,000 96,551,000 245,000 247,000 248,000 249,000 251,000 252,000 253,000 455,000 456,000 473,000 480,000 240,000 747,000 1,614,000 1,743,000 4,121,000 2,263,000 2,595,000 2,775,000 1,133,000 1,518,000 1,524,000 1,384,000 1,315,000 1,313,000 1,349,000 1,530,000 1,222,000 1,119,000 861,000  28,000 28,000 28,000 28,000 28,000   
        total liabilities
      97,527,000 110,127,000 121,167,000 116,887,000 110,289,000 112,617,000 203,739,000 202,108,000 196,181,000 205,498,000 107,046,000 109,607,000 108,196,000 112,080,000 107,832,000 97,739,000 89,167,000 100,745,000 91,025,000 77,572,000 69,677,000 90,832,000 84,908,000 83,975,000 55,400,000 52,736,000 47,290,000 49,741,000 32,237,000 34,769,000 47,058,000 50,927,000 45,559,000 89,519,000 75,268,000 65,752,000 65,462,000 56,969,000 65,312,000 67,943,000 28,374,000 26,144,000 25,439,000 24,593,000 23,810,000 19,843,000 21,823,000 35,463,000 
        commitments and contingencies
                                                      
        stockholders’ equity:
                                                      
        preferred stock: 0.001 par value...
                                                      
        common stock: 0.001 par value...
      51,000 50,000 51,000 53,000 51,000 51,000 50,000 50,000 49,000 49,000 52,000 52,000 52,000 52,000 52,000 52,000 52,000 52,000 52,000 51,000 51,000 49,000 47,000 47,000 42,000 42,000 42,000 42,000 41,000 41,000 39,000 36,000 35,000 29,000 23,000 21,000 21,000 21,000 21,000 19,000 12,000 12,000 12,000 12,000 12,000 12,000 12,000 1,000 
        additional paid-in capital
      1,052,306,000 1,043,925,000 1,036,091,000 1,028,591,000 1,022,982,000 1,013,193,000 984,627,000 969,427,000 959,734,000 946,511,000 936,954,000 923,514,000 912,291,000 898,806,000 886,909,000 875,213,000 865,419,000 853,683,000 843,226,000 838,089,000 828,308,000 632,253,000 621,961,000 612,228,000 447,888,000 437,976,000 432,471,000 425,418,000 419,959,000 412,010,000 356,427,000 321,144,000 309,898,000 264,204,000 238,215,000 236,617,000 236,122,000 235,673,000 235,087,000 226,593,000 203,284,000 202,564,000 202,213,000 201,595,000 201,104,000 200,661,000 200,397,000 9,672,000 
        accumulated other comprehensive loss
      -6,272,000 -5,515,000 -5,955,000 -6,113,000 -7,089,000 -8,569,000 -7,179,000 -7,964,000 -8,108,000 -6,963,000 -8,670,000 -8,450,000 -7,439,000 -7,503,000 -8,809,000 -7,182,000 -5,090,000 -4,670,000 -4,093,000 -3,156,000 -3,599,000 -2,096,000 -4,352,000 -5,314,000 -6,910,000 -5,205,000 -5,934,000 -5,071,000 -5,002,000 -4,278,000 -3,988,000 -4,108,000 -2,482,000 -2,345,000 -2,198,000 -2,724,000 -3,395,000 -3,659,000 -1,831,000 -1,408,000         
        accumulated deficit
      -732,550,000 -735,359,000 -719,047,000 -695,161,000 -636,595,000 -626,242,000 -704,252,000 -696,844,000 -695,450,000 -678,269,000 -534,202,000 -509,903,000 -484,883,000 -460,444,000 -441,473,000 -424,534,000 -402,837,000 -383,189,000 -367,038,000 -355,141,000 -353,214,000 -352,527,000 -349,012,000 -346,194,000 -339,636,000 -333,813,000 -329,036,000 -327,223,000 -319,376,000 -311,845,000 -308,090,000 -288,120,000 -274,058,000 -268,022,000 -236,351,000 -222,083,000 -218,115,000 -212,553,000 -197,071,000 -193,305,000 -182,836,000 -173,082,000 -168,322,000 -164,834,000 -161,649,000 -159,375,000 -159,370,000 -160,583,000 
        total stockholders’ equity
      313,535,000 303,101,000 311,140,000 327,370,000 379,349,000 378,433,000 273,246,000 264,669,000 256,225,000 261,328,000 394,134,000 405,213,000 420,021,000 430,911,000 436,679,000 443,549,000 457,544,000 465,876,000 472,147,000 479,843,000 471,546,000 277,679,000 268,644,000   99,000,000    95,928,000 44,388,000 28,952,000 33,393,000  -175,000 11,986,000 14,860,000 19,761,000 36,780,000 32,510,000 20,460,000 29,494,000 33,903,000 36,773,000 39,467,000 41,298,000 41,039,000  
        total liabilities and stockholders’ equity
      411,062,000 413,228,000 432,307,000 444,257,000 489,638,000 491,050,000 476,985,000 466,777,000 452,406,000 466,826,000 501,180,000 514,820,000 528,217,000 542,991,000 544,511,000 541,288,000 546,711,000 566,621,000 563,172,000 557,415,000 541,223,000 368,511,000 353,552,000 344,742,000 156,784,000 151,736,000 144,833,000 142,907,000 127,859,000 130,697,000 91,446,000 79,879,000 78,952,000  75,093,000 77,738,000 80,322,000 76,730,000 102,092,000 100,453,000 48,834,000 55,638,000 59,342,000 61,366,000 63,277,000    
        contingent consideration
       161,000 160,000 160,000 160,000 174,000                           1,816,000 1,672,000 801,000 207,000 271,000 492,000 526,000 638,000 735,000 948,000 618,000 963,000 821,000 1,074,000 1,037,000 2,313,000 
        operating leases right-of-use assets
        24,047,000 25,372,000 26,390,000 24,340,000 25,823,000 27,188,000 28,591,000 29,891,000 30,973,000 32,118,000 33,431,000 34,689,000 35,843,000 15,841,000 17,122,000 17,993,000 18,316,000 17,859,000 18,289,000 15,228,000 15,802,000 16,416,000 17,004,000 4,730,000 2,244,000 2,657,000 2,506,000                    
        accrued litigation settlement expense
        20,250,000 20,250,000 20,250,000                                            
        operating lease liability, less current portion
        21,212,000 22,780,000 24,072,000 22,263,000 23,841,000 25,386,000 26,893,000 28,278,000 29,252,000 30,589,000 32,006,000 33,406,000 34,708,000 16,065,000 16,729,000 17,394,000 17,876,000 17,783,000 18,462,000 16,069,000 16,539,000 17,025,000 17,503,000                        
        deferred payments for intangible assets
            1,310,000 1,620,000 1,348,000 2,461,000 4,735,000 4,224,000 4,089,000 2,418,000 2,522,000 2,877,000 4,959,000 5,041,000 2,084,000 1,968,000 3,640,000 3,560,000 3,480,000 5,400,000 5,311,000 5,207,000 5,103,000 4,930,000                     
        common stock warrant liability
                  25,000 32,000 50,000 64,000 112,000 139,000 195,000 283,000 420,000 447,000 532,000 1,681,000 1,017,000 6,607,000 6,940,000 11,286,000 10,521,000 10,003,000 11,612,000 16,800,000 13,247,000 18,712,000 10,431,000 2,203,000 2,759,000 5,208,000 6,736,000 8,122,000         
        refund liability - cms advance payment
                           20,496,000                           
        deferred revenue - cms advance payment
                            20,496,000 20,496,000                         
        total stockholders' equity
                             260,767,000 101,384,000  97,543,000 93,166,000 95,622,000                    
        prepaid and other assets
                                   1,795,000 1,479,000 1,593,000 2,455,000 1,352,000 1,530,000 1,457,000 1,463,000 1,186,000 846,000 1,779,000 807,000 1,341,000 960,000 674,000 747,000 542,000 718,000 3,319,000 
        deferred revenue
                                   39,000 39,000 39,000 39,000 39,000 39,000 39,000 39,000 42,000 58,000 65,000 137,000 142,000 136,000 500,000 488,000 505,000 673,000 674,000 
        deferred purchase consideration
                                   190,000 367,000 378,000 577,000 407,000 2,514,000 7,004,000 6,463,000 5,445,000 5,942,000 5,807,000         
        derivative liability
                                       14,600,000 1,370,000 1,000,000 1,510,000            
        current portion of long-term debt
                                       15,721,000    22,846,000 17,902,000 18,135,000 4,419,000 2,866,000 3,594,000 2,380,000 1,056,000 5,961,000 5,798,000  
        deferred rent, net of current portion
                                   470,000 579,000 686,000 802,000 913,000 1,018,000 1,113,000 1,205,000 1,301,000 1,190,000 1,526,000 1,347,000 1,426,000 1,490,000 1,554,000 1,619,000 1,684,000 1,734,000 1,784,000 
        deferred revenue, net of current portion
                                   691,000 701,000 711,000 721,000 730,000 740,000 750,000 760,000 759,000 744,000 749,000 693,000 703,000 724,000 417,000 458,000 471,000 1,004,000 1,006,000 
        long-term debt
                                    13,384,000 13,337,000 9,729,000 18,338,000 21,174,000   1,098,000 8,496,000 10,072,000 11,368,000 12,887,000 12,125,000 13,389,000 14,609,000  6,930,000 8,338,000 
        stockholders’ equity
                                                      
        total caredx, inc. stockholders’ equity
                                   95,928,000        19,482,000           
        noncontrolling interest
                                       180,000 136,000 155,000 227,000 279,000 574,000 611,000         
        accrued payroll liabilities
                                    8,017,000 5,576,000 3,707,000 5,013,000 4,453,000 3,440,000 3,000,000 3,851,000 3,725,000 2,944,000 1,609,000 2,366,000 2,192,000 2,051,000 1,295,000 1,684,000 1,403,000 1,190,000 
        current debt
                                      461,000  15,000,000 33,890,000 32,386,000            
        total caredx, inc. stockholders' equity
                                    44,388,000 28,952,000 33,393,000  -311,000 11,831,000 14,633,000  36,206,000 31,899,000         
        other noncurrent assets
                                           20,000 30,000 20,000 20,000 49,000    25,000   
        liabilities and stockholders’ (deficit) equity
                                                      
        accrued royalties
                                        294,000 304,000 287,000 263,000 310,000 261,000 232,000 242,000 252,000 268,000 255,000 241,000 297,000 3,526,000 
        total caredx, inc. stockholders’ (deficit) equity
                                       -6,134,000               
        total stockholders’ (deficit) equity
                                       -5,954,000               
        total liabilities and stockholders’ (deficit) equity
                                       83,565,000               
        deferred purchase consideration, net of current portion
                                        2,880,000              
        liabilities, convertible preferred stock, and stockholders’ equity
                                                      
        long-term portion of debt and other, net of current portion
                                                   5,451,000   
        convertible preferred stock warrant liability
                                                     808,000 
        convertible preferred stock: 0.001 par value...
                                                     149,444,000 
        total liabilities, convertible preferred stock and stockholders’ equity
                                                   61,141,000 62,862,000  
        liabilities, convertible preferred stock, and stockholders’ deficit
                                                      
        current portion of long-term debt, and subordinated convertible note
                                                     10,434,000 
        stockholders’ deficit:
                                                      
        total stockholders’ deficit
                                                     -150,910,000 
        total liabilities, convertible preferred stock and stockholders’ deficit
                                                     33,997,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 
                                                       
          operating activities:
                                                       
          net income
        2,809,000                                         -4,762,000    -5,000  
          adjustments to reconcile net income to net cash from operating activities:
                                                       
          stock-based compensation
        9,803,000 8,091,000 8,418,000 9,424,000 8,931,000 26,198,000 13,694,000 13,170,000 13,344,000 9,961,000 12,671,000 12,700,000 13,754,000 12,126,000 11,200,000 12,593,000 10,634,000 9,498,000 10,638,000 9,398,000 6,547,000 5,977,000 6,748,000 6,417,000 4,259,000 -16,987,583 5,965,000 4,992,000 6,053,000  1,861,000 2,511,000 706,000 428,000 430,000 495,000 391,000 487,000 699,000 366,000 446,000 313,000 336,000 412,000 280,000 185,000 165,000 
          depreciation and amortization
        3,899,000 3,882,000 3,814,000 3,722,000 3,600,000 3,361,000 3,469,000 3,543,000 3,821,000 3,631,000 3,662,000 3,666,000 3,427,000 3,206,000 3,026,000 2,744,000 2,619,000 2,496,000 2,199,000 2,152,000 1,950,000 1,954,000 1,803,000 1,630,000 1,619,000 -3,834,477 1,460,000 1,219,000 1,161,000 1,176,000 1,014,000 986,000 1,039,000 1,019,000 919,000 887,000 934,000 725,000 1,098,000 836,000 261,000 221,000 217,000 193,000 165,000 158,000 132,000 
          amortization of right-of-use assets
        1,419,000 1,378,000 1,349,000 1,331,000 1,340,000 1,327,000 1,420,000 1,414,000 1,402,000 1,418,000 1,368,000 1,315,000 1,337,000 1,292,000 1,298,000 907,000 915,000 901,000 821,000 689,000 677,000 642,000 640,000 644,000 612,000                       
          loss on disposal of asset
        119,000         7,000                                      
          revaluation of contingent consideration to estimated fair value
         156,000 501,000 46,000 170,000 232,000 210,000 319,000 946,000 1,243,000 124,000 364,000 -103,000 266,000 500,000 64,000 -574,000 156,000 -147,000 -44,000 8,000 35,000 76,000 190,000     873,000 144,000 871,000 594,000 -64,000 -221,000 -34,000 -112,000 -97,000 -213,000 330,000 -345,000 142,000 -253,000   
          amortization of premium and accretion of discount on marketable securities
        912,000                                               
          other
        15,000                                               
          changes in operating assets and liabilities:
                                                       
          accounts receivable
        -2,078,000 5,306,000 19,551,000 4,304,000 -6,640,000 1,809,000 -343,000 -6,008,000 -9,199,000 665,000 126,000 7,561,000 7,664,000 4,178,000 -276,000 -4,971,000 -5,591,000 -2,836,000 -8,161,000 -4,664,000 -8,755,000 -5,043,000 -3,459,000 -4,246,000 2,346,000 7,803,325 -1,860,000 -3,174,000 -2,782,000 -137,000 -1,550,000 -1,674,000 -606,000 207,000 -164,000 424,000 -576,000 1,737,000 292,000 -837,000 -145,000 -126,000 -535,000 88,000 893,000 -938,000 -24,000 
          inventory
        -346,000 2,034,000 -252,000 -4,067,000 -2,674,000 -1,312,000 519,000 1,049,000 -1,274,000 -704,000 746,000 -1,205,000 1,217,000 -601,000 248,000 -1,446,000 -1,060,000 2,490,000 -4,086,000 -1,275,000 -4,056,000 412,000 -926,000 -1,339,000 -1,343,000 1,325,730 -776,000 -179,000 -372,000 5,000 25,000 137,000 196,000 563,000 210,000 -218,000 470,000 167,000 89,000 65,000 171,000 49,000 -84,000 43,000 -88,000 -190,000 118,000 
          prepaid and other assets
        -2,884,000 3,946,000 -4,189,000 -1,386,000 -2,784,000 921,000 -1,084,000 661,000 108,000 -775,000 441,000 586,000 1,515,000 -652,000 117,000 53,000 -567,000 -3,072,000 2,131,000 -575,000 -3,628,000 640,000 -16,000 -120,000 -545,000  785,000 322,000 -541,000 -328,000 122,000 214,000 -510,000 147,000 -42,000 56,000 -245,000 -291,000 445,000 282,000 563,000 -430,000 -285,000 72,000 -180,000   
          operating leases liabilities
        -1,559,000  -1,502,000 -1,470,000 -1,483,000    -1,372,000  -1,411,000 -1,344,000 -1,333,000  -428,000 -993,000 -969,000  -726,000 -631,000 -320,000  -375,000 -377,000 -344,000  -1,018,000 57,000 -475,000                   
          accounts payable
        -338,000 -2,378,000 1,561,000 1,248,000 377,000 1,589,000 221,000 -4,023,000 -2,897,000 3,894,000 -1,004,000 -2,576,000 2,590,000 -357,000 -6,183,000 6,035,000 -1,549,000 1,389,000 -1,159,000 63,000 1,496,000 558,000 1,262,000 812,000 1,757,000 -1,001,649 -2,282,000 3,734,000 -449,000 695,000 -1,058,000 -640,000 835,000 92,000 -222,000 40,000 382,000 370,000 -654,000 -1,156,000 820,000 -302,000 907,000 -358,000 242,000 306,000 -919,000 
          accrued compensation
        -17,810,000 14,593,000 3,865,000 4,779,000 -24,082,000 8,428,000 4,735,000 10,324,000 -4,820,000 2,991,000 2,192,000 2,360,000 -4,888,000 2,359,000 680,000 2,344,000 -14,634,000 4,805,000 4,106,000 6,267,000 -7,662,000 4,236,000 2,784,000 4,631,000 -5,914,000 -1,034,885 2,919,000 2,368,000 -4,249,000                   
          accrued and other liabilities
        10,372,000 -8,850,000 -2,000 -764,000 6,308,000 -96,465,000 -1,889,000 2,136,000 557,000 93,070,000 -3,751,000 2,641,000 -2,352,000 4,845,000 -1,097,000 -337,000 7,916,000 3,002,000 3,042,000 2,985,000 1,661,000 1,330,000 -143,000 1,676,000 48,000 -2,474,971 1,270,000 1,006,000 202,000 299,000 367,000 -562,000 654,000 -80,000 -139,000 -1,109,000 358,000 -2,698,000 440,000 -247,000 2,400,000 541,000 425,000 78,000 196,000 43,000 -1,796,000 
          net cash from operating activities
        4,333,000 21,363,000 37,358,000 9,895,000 -26,584,000 21,889,000 12,522,000 18,949,000 -15,312,000 -8,381,000 -10,179,000 -499,000 671,000 7,185,000 -7,079,000 -3,877,000 -21,468,000 4,166,000 382,000 9,788,000 -33,630,000 7,181,000 5,207,000 24,098,000 -3,055,000 1,683,231 605,000 3,576,000 -5,867,000 1,998,000 399,000 -1,886,000 -4,518,000 -2,148,000 -2,221,000 -3,197,000 -6,741,000 -3,061,000 -1,203,000 -6,067,000 -6,192,000 -3,976,000 -3,029,000 -1,733,000 -1,014,000 -722,000 -3,661,000 
          capital expenditures
        -1,704,000 -409,000 -18,000 -543,000 -960,000 -614,000 -399,000 -62,000 -86,000 -6,000 -26,000 -68,000 78,000 -351,000 -167,000 -109,000 -76,000 -390,000 -369,000 -364,000 -400,000 -169,000 
          free cash flows
        4,333,000 21,363,000 37,358,000 9,895,000 -26,584,000 21,889,000 12,522,000 18,949,000 -15,312,000 -8,381,000 -10,179,000 -499,000 671,000 7,185,000 -7,079,000 -3,877,000 -21,468,000 4,166,000 382,000 9,788,000 -33,630,000 7,181,000 5,207,000 24,098,000 -4,759,000 1,683,231 196,000 3,558,000 -6,410,000 1,038,000 -215,000 -2,285,000 -4,580,000 -2,234,000 -2,227,000 -3,223,000 -6,809,000 -2,983,000 -1,554,000 -6,234,000 -6,301,000 -4,052,000 -3,419,000 -2,102,000 -1,378,000 -1,122,000 -3,830,000 
          investing activities:
                                                       
          purchases of marketable securities
        -39,850,000                                               
          maturities of marketable securities
        54,728,000                    25,072,000                           
          additions of property and equipment
        -3,819,000                                               
          net cash from investing activities
        11,059,000 -34,913,000 12,349,000 23,397,000 1,325,000 -2,111,000 -14,406,000 -11,626,000 27,660,000 41,367,000 -1,498,000 15,348,000 -14,771,000 2,475,000 -75,735,000 790,000 -156,032,000 -7,782,000 20,202,000 16,213,000 19,079,000 -90,474,000 -4,236,000 -3,980,000 -1,704,000 21,214,421 -3,515,000 -17,179,000 -543,000 -960,000 -614,000 -5,601,000 -754,000 -5,061,000 -975,000 -24,000 -104,000 77,000 -351,000 -20,734,000 -109,000 -76,000 -390,000   -594,000 -199,000 
          financing activities:
                                                       
          proceeds from issuance of common stock under employee stock purchase plan
        991,000 1,399,000 873,000 865,000 532,000 1,039,000 456,000 -1,000 1,232,000 999,000 1,301,000 171,000 667,000 286,000 480,000 244,000 358,000 -759,240 419,000 341,000 255,000 32,000  49,000 44,000  129,000         
          taxes paid related to net share settlement of restricted stock units
        -2,511,000 -1,670,000 -1,147,000 -6,239,000 -3,065,000 -3,567,000 -2,259,000 -3,598,000 -668,000 -545,000 -350,000 -1,508,000 -656,000 -390,000 -1,651,000 -2,410,000 -1,482,000 -2,689,000 -6,425,000 -6,638,000 -2,313,000 -526,000 -466,000 -2,030,000 -1,507,000 3,999,847 -29,000 -1,597,000 -2,378,000                   
          proceeds from exercise of stock options
        109,000 1,413,000 232,000 1,029,000 3,049,000 5,614,000 3,191,000 123,000 8,000 13,000 100,000 5,000 2,000 286,000 138,000 413,000 1,598,000 1,855,000 1,894,000 6,833,000 2,193,000 4,242,000 1,647,000 1,962,000 155,000 -3,241,447 476,000 1,404,000 1,365,000 891,000 410,000 99,000 80,000     10,000 3,000 6,000 1,000 3,000 31,000 11,000 14,000 
          payment of contingent consideration
        -1,500,000 -1,500,000    -625,000 -375,000 -250,000 -1,625,000 -750,000 -250,000                               
          net cash from financing activities
        -2,911,000 -12,462,000 -26,478,000 -53,811,000 -643,000 -903,000 1,422,000 -4,850,000 -1,275,000 -26,877,000 -25,000 -1,566,000 -1,138,000 -2,372,000 -1,031,000 -1,997,000 865,000 -834,000 -3,133,000 381,000 189,228,000 3,964,000 1,224,000 158,696,000 -735,000 213,868 746,000 -272,000 -688,000 37,312,000 10,198,000 5,076,000 -2,318,000 17,920,000 108,000 220,000 1,756,000 -2,134,000 6,686,000 20,210,000 165,000 -14,000 479,000 11,000 3,932,000 -1,301,000 35,036,000 
          effect of exchange rate changes on cash and cash equivalents
        13,000 6,000 -6,000 -13,000 -77,000 407,000 84,000 15,000 26,000 112,000 -106,000 -93,000 -25,000    45,000 -146,000 -52,000 -82,000 -23,000 210,000 201,000 415,000 -552,000 492,151 -382,000 -24,000 -87,000 64,000 -12,000 -67,000 17,000 208,000 -40,000 -82,000 18,000 111,000 -11,000         
          net increase in cash, cash equivalents and restricted cash
        12,494,000 -26,006,000 23,223,000 -20,532,000 -25,979,000 19,282,000 -378,000 2,488,000 11,099,000     7,286,000 -83,879,000 -5,070,000 -176,590,000 -4,596,000 17,399,000 26,300,000 174,654,000 -79,119,000 2,396,000         -2,478,000 -7,573,000               
          cash, cash equivalents and restricted cash at beginning of period
        65,980,000  115,274,000  82,783,000                                       
          cash, cash equivalents and restricted cash at end of period
        78,474,000  23,223,000 -20,532,000 89,295,000  -378,000 2,488,000 93,882,000                                       
          asset impairments and write-downs
                 1,000,000                                   
          impairment of intangible asset and associated construction in progress
                                                      
          realized gain on sale of long-term marketable equity securities
                                                       
          gain on settlement of obligation and recovery of written-off investment
                                                      
          revaluation of common stock warrant liability to estimated fair value
                 -3,000 -7,000 -18,000 -14,000 -48,000 -27,000 -56,000 -88,000 65,000 -27,000  -79,000 664,000 405,000              -1,386,000         
          accrued royalties
                                         -294,000 -9,000 16,000 24,000 -47,000 50,000 28,000 -10,000 -10,000 -16,000 13,000 14,000 -56,000 -3,228,000 
          operating lease liabilities
             -1,438,000 -1,543,000                                         
          deferred taxes
                                                       
          purchase of corporate equity securities
                 -865,000 -100,000                                   
          sale of corporate equity securities
                                                       
          additions of capital expenditures
         -1,971,000 -1,305,000 -1,007,000 -1,630,000 -1,522,000 -1,685,000 -1,790,000 -1,487,000 -1,594,000 -1,617,000 -2,362,000 -2,771,000 -3,277,000 -4,846,000 -4,648,000 -8,463,000 -5,848,000 -3,623,000 -2,838,000 -1,250,000 -440,000 -3,236,000                         
          acquisition of intangible assets
                     -1,000,000 -2,000,000 -100,000 -5,500,000 -1,200,000 -1,000,000   1,146,852 -24,000                     
          acquisition of business, net of cash acquired
                   -4,562,000 -508,000   -11,934,000 43,000 -3,543,000                          
          repurchase and retirement of common stock
         -12,205,000 -25,563,000   -522,000 -25,970,000 -814,000 -67,000 -690,000                                   
          proceeds from exercise of warrants
                         9,000 39,000 304,000 -104,895 27,000 78,000 2,000 10,472,000 499,000 25,000 954,000              
          cash, cash equivalents, and restricted cash at beginning of period
                   90,443,000 348,696,000 134,939,000 38,479,000 -64,743,192 64,808,000 26,474,000               
          cash, cash equivalents, and restricted cash at end of period
                   13,190,000 75,180,000 7,286,000 -83,879,000 -5,070,000 172,106,000 -4,596,000 17,399,000 26,300,000 309,593,000 -79,119,000 2,396,000 179,229,000 32,433,000 -41,139,521 -2,546,000 -13,899,000 57,623,000 38,414,000 9,971,000 -2,478,000 18,901,000               
          supplemental disclosures of cash information
                                                       
          cash paid for income taxes
                                                       
          supplemental disclosures of non-cash operating, investing and financing information
                                                       
          shares issued in lieu of payment
                                                       
          operating lease right-of-use assets
                                                       
          purchases of capital expenditures in accounts payable and accrued liabilities
                                                       
          employee stock purchase plan shares included in accrued compensation
                                                       
          contingent consideration
                                 -1,439,558                      
          net loss
          1,675,000 -8,568,000 -10,353,000  -7,408,000 -1,394,000 -16,659,000 -118,097,000 -23,485,000 -24,953,000 -23,749,000 -18,329,000 -16,939,000 -21,697,000 -19,648,000 -16,151,000 -11,897,000 -1,927,000 -687,000 -3,515,000 -2,818,000 -6,558,000 -5,823,000 17,169,032 -1,813,000 -7,847,000 -7,531,000 -3,755,000 -19,970,000 -14,062,000 -8,994,000 -31,629,000 -14,287,000 -4,035,000 -5,609,000  -3,801,000 -10,494,000 -9,752,000   -3,185,000 -2,272,000   
          adjustments to reconcile net loss to net cash from operating activities:
                                                       
          amortization of premium on short-term marketable securities
          931,000         -1,318,000 -773,000 -603,000 453,000 401,000 139,000 199,000 293,000                             
          other non-cash operating activities
          55,000 -7,000                                           
          change in deferred revenue
          -174,000                           -10,000 -10,000 -9,000 -10,000               
          change in deferred taxes
             -244,000 143,000 7,000 -93,000 485,000    -58,000 1,000 59,000 -217,000 -790,000 -144,000 -159,000 -286,000 -144,000 -249,000 -308,000 -322,000 1,152,720 -637,000 -252,000 -265,000 -439,000 -276,000 -545,000 -347,000 -1,406,000 -140,000 -271,000 -271,000 -393,000          
          acquisitions of intangible asset
                                                       
          purchases of short-term marketable securities
          -17,071,000 -14,808,000 -52,472,000 -17,101,000 -49,973,000 -35,466,000 -57,746,000 -9,034,000 -56,860,000 -48,961,000 -86,310,000 -31,703,000 -100,529,000 -34,391,000 -148,522,000                               
          maturities of short-term marketable securities
          31,400,000 39,212,000 55,427,000 17,146,000 37,252,000 25,630,000 86,893,000 49,535,000 60,860,000 66,671,000 78,972,000 37,455,000 31,148,000 41,931,000 1,053,000 10,000,000 23,825,000                             
          amortization of premium and accretion of discount on short-term marketable securities
            837,000 -556,000 356,000 -630,000 1,451,000                                       
          unrealized loss on long-term marketable equity securities
                  333,000 -53,000 905,000 966,000 -271,000 -21,000 507,000 1,576,000                              
          cash paid for interest
                                                       
          supplemental disclosures of cash flow information
                                                       
          acquisitions of business, net of cash acquired
                                                       
          acquisitions of intangible assets
                                                       
          payment of contingent consideration on acquisitions
              -375,000                                         
          accretion of discount and amortization of premium on short-term marketable securities
                 -1,517,000                                      
          other non-cash items
                                                       
          refund liability - cms advance payment
                         -20,496,000                           
          purchases of long-term marketable securities
                                                     
          proceeds from issuance of common shares in public equity offering, net of issuance costs paid
                         100,000 40,000 188,715,000 -415,000                         
          principal payments on finance lease obligations
                         -3,000 -29,000 -34,000                           
          net decrease in cash, cash equivalents and restricted cash
                  -11,808,000 13,190,000 -15,263,000            -6,046,000  -2,546,000 -13,899,000 -7,185,000                   
          proceeds from issuance of common shares in "at-the-market" equity offering, net of issuance costs paid
                             -15,000                         
          asset impairment and write-downs
                                                       
          effect of exchange rate changes on cash, cash equivalents and restricted cash
                      -34,000                                 
          investment in equity securities
                                 999,000                      
          contingent payments related to acquisition of conexio genomics pty ltd.
                                                       
          deferred payments for intangible assets
                                 -7,172,793 226,000                     
          espp shares included in accrued compensation
                                                       
          unrealized gain on long-term marketable equity securities
                                                       
          amortization of inventory fair market value adjustment
                                     10,000 35,000 25,000 164,000 89,000 159,000 138,000 32,000 1,437,000 1,513,000         
          loss on disposal of property and equipment
                                                       
          revaluation of warrants and derivative liabilities to estimated fair value
                                                       
          amortization of debt discount and noncash interest expense
                                     44,000 56,000 48,000 2,084,000 680,000 1,003,000 1,142,000 627,000 -455,000 298,000 15,000 41,000       
          debt extinguishment expenses
                                                       
          acquisition of business
                                 18,100,770 -2,082,000                     
          proceeds from debt, net of issuance costs
                                       24,002,000     15,625,000   
          principal payments on debt and finance lease obligations
                             -47,000 -46,000 -45,000 -45,000  -44,000 -42,000 -42,000                   
          change in short-term credit facility
                                                       
          issuance of common stock upon conversion of convertible debt
                                                       
          offering costs included in accounts payable
                                                       
          common stock warrants issued upon debt financing
                                                       
          loss on the write-off of fixed assets
                                  10,000                     
          deferred revenue - cms advance payment
                                                      
          contingent payments related to the acquisition of conexio genomics pty ltd.
                                  -76,000 -64,000 -52,000                   
          purchase of property and equipment
                                -1,704,000  -409,000 -18,000 -543,000 -960,000 -614,000 -399,000 -62,000 -86,000 -6,000 -26,000 -68,000 78,000 -351,000 -167,000 -109,000 -76,000 -390,000 -369,000 -364,000 -400,000 -169,000 
          non-cash lease expense
                                 -1,127,379 928,000 -171,000 372,000                   
          non-cash goodwill impairment
                                         1,958,000           
          prepaid and other current assets
                                                       
          proceeds from issuance of common stock, net of issuance costs
                                             -367,000          
          principal payments on debt and capital lease obligations
                                     -16,692,000 -48,000 -9,716,000 -1,633,000 -1,107,000 -381,000 44,000 -12,915,000 -1,774,000 -1,742,000 -412,000 -16,000       
          contingent payments related to acquisition
                                                       
          change in bank overdraft obligation
                                         -518,000 405,000             
          deferred purchase consideration
                                          46,000 1,018,000         
          accrued interest capitalized to debt principal
                                                      
          operating lease right of use assets
                                                       
          purchased of capital expenditures in accounts payable and accrued liabilities
                                                       
          cash, cash equivalents and restricted cash as of:
                                                       
          cash and cash equivalents
                                   -13,963,000 57,432,000 38,414,000 9,956,000 -2,449,000 18,695,000               
          restricted cash
                                   64,000 191,000 15,000 -29,000 206,000               
          total cash, cash equivalents, and restricted cash at the end of the period
                                                       
          revaluation of common stock warrant liability and derivative liability to estimated fair value
                                  -4,346,000 1,351,000 3,009,000  17,093,000 8,768,000 -1,321,000  8,599,000 -1,067,000 -4,128,000           
          loss on conversion of jgb debt to shares of common stock
                                      2,806,000               
          acquisition of noncontrolling interests, net of cash acquired
                                                       
          proceeds from perceptive term loan, net of issuance costs
                                                       
          change in short term credit facility
                                      -452,000 -225,000               
          supplemental disclosure of cash flow information:
                                                       
          operating leases right-of-use assets
                                  -413,000 151,000 2,506,000                   
          accrued purchase consideration
                                                       
          total cash, cash equivalents and restricted cash at the end of period
                                   -13,899,000 57,623,000  9,971,000 -2,478,000 18,901,000               
          acquisition of allenex ab and noncontrolling interests, net of cash acquired
                                                       
          perceptive term loan issuance costs
                                        -584,000               
          stock-based compensation expense
                                                       
          amortization of deferred revenue
                                         -10,000 -10,000 -10,000 -2,000 -2,000 -12,000 -15,000 -16,000 -15,000 -56,000 -30,000 -29,000 -701,000 -3,000 
          acquisition of assets of conexio genomics pty ltd.
                                         -48,000              
          proceeds from private placement and subsequent financing, net of issuance costs
                                             -3,000 6,000         
          shares issued in lieu of cash payment
                                                      
          common stock issued for acquisition
                                                       
          debt assumed as part of acquisition
                                                     
          conversion of convertible private placement and subsequent financing preferred stock to common stock
                                                       
          common stock shares issued for contingent consideration
                                                       
          goodwill impairment charge
                                                       
          accrued payroll liabilities
                                      2,690,000 2,044,000 -1,358,000 673,000 878,000 379,000 -865,000 153,000 785,000 797,000 -758,000 174,000 141,000 756,000 -389,000 281,000 213,000 
          acquisition of intangible assets through illumina licensing agreement
                                                      
          acquisition of allenex ab, net of cash acquired
                                         -4,902,000              
          acquisition of conexio genomics pty ltd.
                                      -80,000 -78,000 -13,000               
          repurchases of common stock under employee incentive plans
                                      -556,000                 
          contingent consideration shares issued
                                                      
          acquisition of allenex ab minority interest
                                                       
          acquisition of allenex ab
                                        -692,000               
          loss on conversion of debt to equity
                                                       
          restricted cash on operating leases
                                                       
          restricted cash collateral for debt
                                                       
          proceeds from issuances of common stock under equity incentive plans
                                                       
          net decrease in cash and cash equivalents
                                         10,919,000 -3,128,000 -3,083,000 -5,071,000           
          cash and cash equivalents at beginning of period
                                         17,258,000 29,888,000 36,431,000 
          cash and cash equivalents at end of period
                                         10,919,000 -3,128,000 -3,083,000 12,187,000 -5,007,000 5,121,000 -6,608,000 23,752,000 -4,066,000 -2,940,000 -2,091,000 38,985,000 -2,617,000 31,176,000 
          supplemental disclosures of noncash investing and financing activities
                                                       
          property and equipment purchased under capital leases
                                                       
          restricted cash collateral on lease
                                          2,000 -36,000           
          restricted cash collateral on debt
                                          -9,375,000           
          common shares issued as part of acquisition
                                                      
          common stock issuance costs accrued, not paid
                                                       
          gain on disposal of property and equipment
                                                       
          non-cash income tax benefit in connection with business acquisition
                                                       
          payment for acquisitions, net of cash acquired
                                                     -194,000 -30,000 
          proceeds from initial public offering, net of underwriters’ discount
                                                       
          payments of initial public offering costs
                                                       
          proceeds from subordinated convertible debt, net of issuance costs
                                                     
          net increase in cash and cash equivalents
                                               -6,608,000 -6,136,000 -4,066,000 -2,940,000 -2,091,000 2,554,000 -2,617,000 31,176,000 
          conversion of convertible preferred stock to common stock upon initial public offering
                                                       
          conversion of convertible preferred stock warrants to common stock warrants upon initial public offering
                                                       
          issuance of common stock for board of director services
                                                       
          proceeds from issuances of common stock under employee stock purchase plan
                                                175,000       
          revaluation of warrants and derivatives to estimated fair value
                                                       
          deferred revenue
                                                       
          common stock issued in lieu of services
                                                       
          amortization of debt discount and non-cash interest expense
                                                  -246,000 43,000 407,000   
          revaluation of warrants to estimated fair value
                                                       
          gain on remeasurement of embedded derivative
                                                       
          non-cash income tax benefit
                                                      
          payment for acquisition, net of cash acquired
                                                       
          proceeds from initial public offering, net of underwriters discount
                                                      
          payment of initial public offering costs
                                                     -17,000 -2,807,000 
          principal payments on debt and capital leases
                                                  273,000 -20,000 -11,704,000   
          issuance of common stock under employee stock purchase plan
                                                       
          net cash from provided by investing activities
                                                    -364,000   
          non-cash income tax benefit in connection with business combinations
                                                       
          purchase of investments
                                                       
          sales of investments
                                                       
          maturities of investments
                                                       
          proceeds from issuance of convertible preferred stock, net of issuance costs
                                                       
          principal payments on debt
                                                     -1,353,000 -1,348,000 
          conversion of subordinated convertible note to common stock upon initial public offering
                                                       
          common stock issued for services
                                                       
          operating activities
                                                       
          accretion of debt discount and noncash interest expense
                                                       
          change in fair value of warrants
                                                       
          change in fair value of embedded derivative
                                                       
          change in estimated fair value of contingent consideration
                                                       
          prepaid expenses and other assets
                                                       
          investing activities
                                                       
          financing activities
                                                       
          repayment of capital lease obligations
                                                       
          issuance costs in connection with loan modification