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PREFERRED AND COMMON STOCKHOLDERS' EQUITY - Narrative (Details) - USD ($) $ / shares in Units, $ in Millions	1 Months Ended
	Nov. 30, 2023	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Equity [Abstract]
Preferred stock authorized (in shares)		5,000,000	5,000,000
Preferred stock, par value (in dollars per share)		$ 0.01	$ 0.01
Preferred stock outstanding (in shares)		0	0
Common stock authorized (in shares)		150,000,000	150,000,000
Common stock, par value (in dollars per share)		$ 0.01	$ 0.01
Underwriting equity offering (in shares)	7,400,000
Share price (in dollars per share)	$ 17.00
Gross proceeds	$ 126.5
Net proceeds	$ 117.6
Common stock issued (in shares)		89,900,000	81,200,000	80,000,000.0	75,400,000
Common stock, shares outstanding (in shares)		89,900,000	81,200,000	80,000,000.0	75,400,000

SEGMENT AND RELATED INFORMATION - Schedule of Assets by Geographical Region (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Segment Reporting Information [Line Items]
Total	$ 119.0	$ 83.4
Cash, cash equivalents, and marketable investment securities	140.9	169.7
Total	1,146.5	1,198.7
Reportable geographical components
Segment Reporting Information [Line Items]
Total	119.0	83.4
Total	1,005.6	1,029.0
Reportable geographical components \| United States
Segment Reporting Information [Line Items]
Total	117.7	81.9
Total	961.6	983.4
Reportable geographical components \| Rest of world
Segment Reporting Information [Line Items]
Total	1.3	1.5
Total	$ 44.0	$ 45.6

- Definition

Sum of the carrying amounts as of the balance sheet date of all assets that are recognized. Assets are probable future economic benefits obtained or controlled by an entity as a result of past transactions or events.

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+ Details

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Earnings Per Share (Details) - shares shares in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Accounting Policies [Abstract]
Weighted-average shares outstanding used to compute basic EPS (in shares)	82.8	80.6	78.0
Effect of dilutive stock option and RSUs (in shares)	0.0	0.0	0.0
Weighted-average shares outstanding and dilutive securities used to compute diluted EPS (in shares)	82.8	80.6	78.0
Anti-dilutive options and RSUs excluded from EPS computation (in shares)	5.1	4.4	4.5

FAIR VALUE MEASUREMENTS

12 Months Ended

Dec. 31, 2023

Fair Value Disclosures [Abstract]

FAIR VALUE MEASUREMENTS

The fair value of the Company’s financial instruments reflects the amounts that the Company estimates it will receive in connection with the sale of an asset or pay in connection with the transfer of a liability in an orderly transaction between market participants at the measurement date (exit price). The fair value hierarchy prioritizes the use of inputs used in valuation techniques into the following three levels:

Level 1—quoted prices in active markets for identical assets and liabilities.

Level 2—observable inputs other than quoted prices in active markets for identical assets and liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Some of the Company’s marketable securities primarily utilize broker quotes in a non-active market for valuation of these securities.

Level 3—unobservable inputs.

All of the Company’s financial instruments are valued using quoted prices in active markets or based on other observable inputs. For Level 2 securities, the Company uses a third-party pricing service which provides documentation on an ongoing basis that includes, among other things, pricing information with respect to reference data, methodology, inputs summarized by asset class, pricing application and corroborative information. For Level 3 contingent consideration related to the acquisitions of Sividon Diagnostics GmbH ("Sividon") and Gateway, the Company reassesses the fair value of each expected contingent consideration and the corresponding liability each reporting period using the Monte Carlo Method, which is consistent with the initial measurement of the expected contingent consideration liability. This fair value measurement is considered a Level 3 measurement because the Company estimates projections during the expected measurement periods of approximately 11.5 and 1.3 years for Sividon and Gateway, respectively, utilizing various potential pay-out scenarios. During the year ended December 31, 2023, the previously recognized contingent consideration liability related to the acquisition of Gateway, which was $2.1 million as of December 31, 2022, was released due to the revised forecasts and the results of the Monte Carlo valuation. Probabilities were applied to each potential scenario and the resulting values were discounted using a rate that considers weighted average cost of capital as well as a specific risk premium associated with the riskiness of the contingent consideration itself, the related projections, and the overall business. The contingent consideration liabilities are classified as components of Accrued liabilities and Other long-term liabilities in the Consolidated Balance Sheets. Changes to contingent consideration liabilities are reflected in Selling, general, and administrative expense in the Consolidated Statements of Operations. Changes to the unobservable inputs could have a material impact on the Company’s financial statements.

The fair value of the Company’s long-term debt, which it considers a Level 2 measurement, is estimated using discounted cash flow analyses, based on the Company’s current estimated incremental borrowing rates for similar borrowing arrangements. The fair value of the Company’s long-term debt is estimated to be $39.7 million at December 31, 2023.

The following table sets forth the fair value of the financial assets and liabilities that the Company re-measures on a regular basis:


(in millions)	Level 1		Level 2		Level 3		Total
December 31, 2023
Money market funds (a)	$	2.2	$	—	$	—	$	2.2
Corporate bonds and notes	—		8.3		—		8.3
Municipal bonds	—		0.5		—		0.5


Contingent consideration	—		—		(5.4)		(5.4)
Total	$	2.2	$	8.8	$	(5.4)	$	5.6


(in millions)	Level 1		Level 2		Level 3		Total
December 31, 2022
Money market funds (a)	$	3.3	$	—	$	—	$	3.3
Corporate bonds and notes	—		65.1		—		65.1
Municipal bonds	—		16.0		—		16.0
Federal agency issues	—		20.0		—		20.0
U.S. government securities	—		11.7		—		11.7
Contingent consideration	—		—		(6.8)		(6.8)
Total	$	3.3	$	112.8	$	(6.8)	$	109.3

(a)Money market funds are primarily comprised of exchange traded funds and accrued interest.

The following table reconciles the change in the fair value of the contingent consideration during the periods presented:


(in millions)	Years Ended December 31,
	2023		2022		2021
Carrying amount at beginning of period	$	6.8	$	8.6	$	10.9
Payment of contingent consideration	—		(3.0)		(3.3)
Consideration recognized at acquisition	—		2.1		—
Change in fair value recognized in the statement of operations	(1.5)		(0.4)		1.8
Translation adjustments recognized in other comprehensive income (loss)	0.1		(0.5)		(0.8)
Carrying amount at end of period	$	5.4	$	6.8	$	8.6

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES -Schedule of Restricted Cash (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Accounting Policies [Abstract]
Cash and cash equivalents	$ 132.1	$ 56.9	$ 257.4
Restricted cash	8.8	9.5	1.4
Total cash, cash equivalents, and restricted cash	$ 140.9	$ 66.4	$ 258.8	$ 117.0

BUSINESS ACQUISITION - Schedule of Estimated Fair Value of Identified Assets acquired and Liabilities Assumed (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022	Nov. 01, 2022
Business Acquisition [Line Items]
Goodwill	$ 287,400	$ 286,800
Gateway Genomics, LLC
Business Acquisition [Line Items]
Current assets			$ 1,053
Inventory			1,900
Intangible assets			17,800
Other non-current assets			161
Total identifiable assets acquired			20,914
Accounts payable			(246)
Accrued liabilities			(693)
Total liabilities assumed			(939)
Net identifiable assets acquired			19,975
Goodwill			48,723
Total fair value of Purchase Price			68,698
Gateway Genomics, LLC \| Developed technology
Business Acquisition [Line Items]
Intangible assets			10,100
Gateway Genomics, LLC \| Trademarks
Business Acquisition [Line Items]
Intangible assets			6,100
Gateway Genomics, LLC \| Customer relationships
Business Acquisition [Line Items]
Intangible assets			$ 1,600

INCOME TAXES - Schedule of Unrecognized Tax Benefits (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Unrecognized Tax Benefits
Unrecognized tax benefits at the beginning of period	$ 43.9	$ 32.1	$ 37.6
Gross increases - current year tax positions	0.8	12.9	1.4
Gross increases - prior year tax positions	3.6	1.6	1.1
Gross decreases - prior year tax positions	(0.2)	(2.0)	(2.8)
Gross decreases - settlements	0.0	(0.7)	(5.1)
Gross decreases - statute lapse	0.0	0.0	(0.1)
Unrecognized tax benefits at end of year	48.1	43.9	32.1
Interest and penalties in year-end balance	$ 6.4	$ 4.1	$ 3.3

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Revenue by Geographical Region (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Disaggregation of Revenue [Line Items]
Total revenue	$ 753.2	$ 678.4	$ 690.6
Testing Revenue
Disaggregation of Revenue [Line Items]
Total revenue	753.2	678.4	666.4
Hereditary Cancer
Disaggregation of Revenue [Line Items]
Total revenue	327.8	305.5	316.3
Tumor Profiling
Disaggregation of Revenue [Line Items]
Total revenue	135.6	128.6	120.9
Prenatal
Disaggregation of Revenue [Line Items]
Total revenue	151.3	116.4	106.8
Pharmacogenomics
Disaggregation of Revenue [Line Items]
Total revenue	138.5	127.6	93.7
Autoimmune
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.3	28.2
Other
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.5
Other revenue
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	24.2
United States
Disaggregation of Revenue [Line Items]
Total revenue	671.7	591.5	603.7
United States \| Testing Revenue
Disaggregation of Revenue [Line Items]
Total revenue	671.7	591.5	579.5
United States \| Hereditary Cancer
Disaggregation of Revenue [Line Items]
Total revenue	280.5	263.5	271.0
United States \| Tumor Profiling
Disaggregation of Revenue [Line Items]
Total revenue	102.1	84.5	80.4
United States \| Prenatal
Disaggregation of Revenue [Line Items]
Total revenue	150.6	115.6	106.2
United States \| Pharmacogenomics
Disaggregation of Revenue [Line Items]
Total revenue	138.5	127.6	93.7
United States \| Autoimmune
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.3	28.2
United States \| Other
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.0
United States \| Other revenue
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	24.2
Rest of world
Disaggregation of Revenue [Line Items]
Total revenue	81.5	86.9	86.9
Rest of world \| Testing Revenue
Disaggregation of Revenue [Line Items]
Total revenue	81.5	86.9	86.9
Rest of world \| Hereditary Cancer
Disaggregation of Revenue [Line Items]
Total revenue	47.3	42.0	45.3
Rest of world \| Tumor Profiling
Disaggregation of Revenue [Line Items]
Total revenue	33.5	44.1	40.5
Rest of world \| Prenatal
Disaggregation of Revenue [Line Items]
Total revenue	0.7	0.8	0.6
Rest of world \| Pharmacogenomics
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.0
Rest of world \| Autoimmune
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.0
Rest of world \| Other
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.5
Rest of world \| Other revenue
Disaggregation of Revenue [Line Items]
Total revenue	$ 0.0	$ 0.0	$ 0.0

INCOME TAXES - Schedule of Loss Before Income Taxes (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Income (loss) before income taxes:
United States	$ (263.2)	$ (141.3)	$ (53.8)
Foreign	1.0	0.7	(3.3)
Loss before income tax	$ (262.2)	$ (140.6)	$ (57.1)

- Definition

Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest.

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-URI https://asc.fasb.org//1943274/2147483589/942-220-S99-1

+ Details

EMPLOYEE DEFERRED SAVINGS PLAN - Narrative (Details)	12 Months Ended
EMPLOYEE DEFERRED SAVINGS PLAN - Narrative (Details)	Dec. 31, 2023
Retirement Benefits [Abstract]
Company matching contribution as percentage of employee contribution	50.00%
Company matching contribution, maximum as percentage of employee compensation	4.00%

LONG-TERM DEBT (Details) - Line of Credit - USD ($)	12 Months Ended
LONG-TERM DEBT (Details) - Line of Credit - USD ($)	Dec. 31, 2023	Oct. 31, 2023	Jun. 30, 2023	Dec. 31, 2022
ABL Facility
Debt Instrument [Line Items]
Current availabilty	$ 40,700,000
Revolving Credit Facility
Debt Instrument [Line Items]
Outstanding balances				$ 0
Availability threshold amount	12,500,000
Revolving Credit Facility \| ABL Facility
Debt Instrument [Line Items]
Maximum aggregate principal commitment			$ 90,000,000
Line of credit, increase in maximum principal upon request		$ 25,000,000
Increase principal commitment		$ 115,000,000
Outstanding balances	38,500,000
Debt issuance costs	$ 1,500,000
Line of credit facility, borrowing base, percent of eligible accounts receivable plus certain cash held	85.00%
Line of credit facility, borrowing base, eligible cash held	$ 20,000,000
Line of credit facility, borrowing base, eligible cash collections, period	60 days
Interest rate, stated percentage	9.75%
Debt instrument, covenant, liquidity amount, minimum	$ 60,000,000
Debt instrument, covenant, availability amount, minimum	$ 25,000,000
Fixed charge ratio, minimum	1.0
Line of credit facility, commitment fee amount	$ 10,600,000
Line of credit facility, commitment fee percentage	12.50%
Borrowing base period	30 days
Availability threshold amount	$ 12,500,000
Debt instrument, maximum amount borrowing base period	45 days
Revolving Credit Facility \| ABL Facility \| Minimum
Debt Instrument [Line Items]
Undrawn fee (percent)	0.375%
Availability threshold, percentage of maximum commitment amount	15.00%
Revolving Credit Facility \| ABL Facility \| Maximum
Debt Instrument [Line Items]
Undrawn fee (percent)	0.50%
Availability threshold, percentage of maximum commitment amount	15.00%
Revolving Credit Facility \| ABL Facility \| New York Federal Reserve Bank Rate \| Variable Rate, Scenario One
Debt Instrument [Line Items]
Basis spread on rate (percent)	0.50%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario One
Debt Instrument [Line Items]
Basis spread on rate (percent)	1.00%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario One \| Minimum
Debt Instrument [Line Items]
Basis spread on rate (percent)	1.00%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario One \| Maximum
Debt Instrument [Line Items]
Basis spread on rate (percent)	1.50%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario Two
Debt Instrument [Line Items]
Basis spread on rate (percent)	0.10%
Floor rate (percent)	0.00%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario Two \| Minimum
Debt Instrument [Line Items]
Basis spread on rate (percent)	2.00%
Revolving Credit Facility \| ABL Facility \| Secured Overnight Financing Rate (SOFR) \| Variable Rate, Scenario Two \| Maximum
Debt Instrument [Line Items]
Basis spread on rate (percent)	2.50%
Revolving Credit Facility \| ABL Facility \| ABR Floor \| Variable Rate, Scenario Two
Debt Instrument [Line Items]
Floor rate (percent)	1.00%

BUSINESS ACQUISITION

12 Months Ended

Dec. 31, 2023

Business Combination and Asset Acquisition [Abstract]

BUSINESS ACQUISITION

On November 1, 2022, the Company acquired all of the membership interests of Gateway, a San Diego-based personal genomics company and developer of consumer genetic tests that give families insight into their future children.

The acquisition date fair value of the consideration transferred was $68.7 million. The following table summarizes the estimated fair value of identified assets acquired and liabilities assumed at the date of acquisition.


(in thousands)	Estimated fair value
Identifiable assets acquired
Current assets	$	1,053
Inventory	1,900
Intangible assets
Developed technology	10,100
Trademarks	6,100
Customer relationships	1,600
Total intangible assets	17,800
Other non-current assets	161
Total identifiable assets acquired	20,914
Liabilities assumed
Accounts payable	(246)
Accrued liabilities	(693)
Total liabilities assumed	(939)
Net identifiable assets acquired	19,975
Goodwill	48,723
Total fair value of Purchase Price	$	68,698

Pro Forma Information (Unaudited)

The unaudited pro forma results presented below include the effects of Gateway acquisition as if it had been consummated as of January 1, 2021, with adjustments to give effect to pro forma events that are directly attributable to the acquisition, which includes adjustments related to the amortization of acquired intangible assets, interest income and expense, and depreciation.

The unaudited pro forma results do not reflect any operating efficiency or potential cost savings that may result from the consolidation of Gateway with the Company. Accordingly, these unaudited pro forma results are presented for informational purposes only and are not necessarily indicative of what the actual results of operation of the combined company would have been if the acquisition had occurred at the beginning of the period presented, nor are they indicative of future results of operations and are not necessarily indicative of results that might have been achieved had the acquisition been consummated as of January 1, 2021. The Company did not have any material, nonrecurring pro forma adjustments directly attributable to the business acquisition included in the reported pro forma earnings.


	Years Ended December 31,
(in thousands)	2022		2021
Revenue	$	695,632	$	709,132
Net loss	(112,185)		(28,686)

Revenue and net loss from Gateway included in the Company's Consolidated Statements of Operations for the year ended December 31, 2023 is $21.1 million and $4.0 million, respectively.

Revenue and net loss from Gateway included in the Company's Consolidated Statements of Operations from the acquisition date through December 31, 2022 is $3.3 million and $2.8 million, respectively.

PROPERTY, PLANT AND EQUIPMENT, NET - Schedule of Balances (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Property, plant and equipment, gross	$ 238.9	$ 192.6
Less accumulated depreciation	(119.9)	(109.2)
Property, plant and equipment, net	119.0	83.4
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment, gross	91.3	67.9
Equipment
Property, Plant and Equipment [Line Items]
Property, plant and equipment, gross	$ 147.6	$ 124.7

ACCRUED LIABILITIES (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Payables and Accruals [Abstract]
Employee compensation and benefits	$ 49.7	$ 41.2
Accrued taxes payable	4.6	4.8
Refunds payable and reserves	20.1	19.3
Short-term contingent consideration	3.1	0.0
Accrued royalties	5.3	4.8
Legal settlement	6.0	0.0
Lease termination accrual	4.4	0.0
Other accrued liabilities	20.7	24.2
Total accrued liabilities	$ 113.9	$ 94.3

LEASES - Schedule of Maturities of Operating Lease Liabilities (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Maturities of operating lease liabilities
2024	$ 22.5
2025	17.9
2026	11.6
2027	11.7
2028	11.8
Thereafter	85.7
Total future lease payments	161.2
Less: amounts representing interest	(47.6)
Present value of future lease payments	113.6
Less: current maturities of operating lease liabilities	(16.2)	$ (14.1)
Noncurrent operating lease liabilities	$ 97.4	$ 130.9

MARKETABLE INVESTMENT SECURITIES - Schedule of Fair Value for Available-for-Sale Securities by Major Security Type and Class of Security (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Cash and cash equivalents:
Amortized cost	$ 132.1	$ 56.9	$ 257.4
Estimated fair value	132.1	56.9
Total:
Amortized cost	141.0	172.4
Gross unrealized holding gains	0.0	0.0
Gross unrealized holding losses	(0.1)	(2.7)
Estimated fair value	140.9	169.7
Corporate bonds and notes
Available-for-sale:
Amortized cost	8.4	66.7
Gross unrealized holding gains	0.0	0.0
Gross unrealized holding losses	(0.1)	(1.6)
Estimated fair value	8.3	65.1
Municipal bonds
Available-for-sale:
Amortized cost	0.5	16.3
Gross unrealized holding gains	0.0	0.0
Gross unrealized holding losses	0.0	(0.3)
Estimated fair value	0.5	16.0
Federal agency issues
Available-for-sale:
Amortized cost		20.7
Gross unrealized holding gains		0.0
Gross unrealized holding losses		(0.7)
Estimated fair value		20.0
U.S. government securities
Available-for-sale:
Amortized cost		11.8
Gross unrealized holding gains		0.0
Gross unrealized holding losses		(0.1)
Estimated fair value		11.7
Cash
Cash and cash equivalents:
Amortized cost	129.9	53.6
Estimated fair value	129.9	53.6
Cash equivalents
Cash and cash equivalents:
Amortized cost	2.2	3.3
Estimated fair value	$ 2.2	$ 3.3

Audit Information	12 Months Ended
Audit Information	Dec. 31, 2023
Audit Information [Abstract]
Auditor Name	Ernst & Young LLP
Auditor Location	Salt Lake City, UT
Auditor Firm ID	42

PROPERTY, PLANT AND EQUIPMENT, NET - Schedule of Depreciation Expense (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 19.1	$ 11.6	$ 12.1

INCOME TAXES (Tables)

12 Months Ended

Dec. 31, 2023

Income Tax Disclosure [Abstract]

Schedule of Income Tax Benefit

Income tax expense (benefit) consists of the following:


	Years Ended December 31,
(in millions)	2023		2022		2021
Current:
Federal	$	3.4	$	(0.5)	$	(1.9)
State	1.8		1.9		3.6
Foreign	0.2		0.5		0.1
Total current	5.4		1.9		1.8
Deferred:
Federal	(51.8)		(25.8)		(33.7)
State	(5.2)		(4.8)		5.1
Foreign	0.1		(2.9)		0.1
Change in valuation allowance	52.6		3.0		(3.2)
Total deferred	(4.3)		(30.5)		(31.7)
Total income tax expense (benefit)	$	1.1	$	(28.6)	$	(29.9)

Schedule of Loss Before Income Taxes

Loss before income taxes consists of the following:


	Years Ended December 31,
(in millions)	2023		2022		2021
United States	$	(263.2)	$	(141.3)	$	(53.8)
Foreign	1.0		0.7		(3.3)
Total	$	(262.2)	$	(140.6)	$	(57.1)

Schedule of Differences Between Statutory Federal Income Tax Rate and Income Taxes Reported

The differences between income taxes at the statutory federal income tax rate and income taxes reported in the Consolidated Statements of Operations were as follows:


	Years Ended December 31,
(in millions)	2023				2022				2021
Federal income tax expense at the statutory rate	$	(54.9)	21.0	%	$	(29.5)	21.0	%	$	(12.0)	21.0	%
State income taxes, net of federal benefit	(4.1)		1.6	%	(3.3)		2.3	%	(1.8)		3.2	%
Research and development credits	(1.6)		0.6	%	(3.5)		2.5	%	2.5		(4.4)	%
Uncertain tax positions	3.7		(1.4)	%	0.6		(0.4)	%	(3.0)		5.3	%
Incentive stock option and employee stock purchase plan expense	1.2		(0.5)	%	2.5		(1.8)	%	0.7		(1.2)	%
Foreign rate differential	(0.4)		0.2	%	—		—	%	0.5		(0.9)	%
Change in valuation allowance	52.6		(20.1)	%	2.6		(1.8)	%	(3.2)		5.6	%
CARES Act	—		—	%	—		—	%	2.7		(4.7)	%
Non-deductible meals and entertainment	—		—	%	—		—	%	0.1		(0.2)	%
Non-deductible officer compensation	3.0		(1.1)	%	3.5		(2.5)	%	3.3		(5.8)	%

Non-deductible legal settlement	—		—	%	—		—	%	2.5		(4.5)	%
Acquisitions, dispositions, and contingent consideration	0.1		—	%	(0.1)		0.1	%	(23.0)		40.3	%

Other, net	1.5		(0.7)	%	(1.4)		0.9	%	0.8		(1.4)	%
Total income tax expense (benefit)	$	1.1	-0.4	%	$	(28.6)	20.3	%	$	(29.9)	52.3	%

Schedule of Components of Deferred Tax Assets and Liabilities

The significant components of the Company’s deferred tax assets and liabilities were comprised of the following:


	December 31,
(in millions)	2023		2022
Deferred tax assets:
Net operating loss carryforwards	$	77.1	$	66.6

Stock compensation expense	5.0		3.6
Research and development credits	20.8		19.9
Lease liability	28.0		35.2
Section 174 capitalized costs	38.4		21.2
Accrued expenses and liabilities	22.5		10.8
Other, net	3.2		3.6
Total gross deferred tax assets	195.0		160.9
Less valuation allowance	(95.0)		(42.4)
Total deferred tax assets	100.0		118.5
Deferred tax liabilities:
Intangible assets	84.2		93.8
Lease right-of-use assets	15.5		25.4
Property, plant and equipment	1.9		2.8
Total deferred tax liabilities	101.6		122.0
Net deferred tax liability	$	(1.6)	$	(3.5)

Schedule of Net Operating Loss and Research Credit Carryforwards (Tax Effected)

At December 31, 2023, the Company had the following net operating loss and research credit carryforwards (tax effected), with their respective expiration periods. Certain carryforwards are subject to the limitations of Section 382 and 383 of the Internal Revenue Code as indicated (in millions):

Carryforwards

Amount

Subject to
sections 382, 383

Expires
beginning in year

Through

Federal net operating loss

38.5

Yes

2033

Indefinite

Federal capital loss

13.8

2026

2028

Utah net operating loss

0.8

2024

Indefinite

California net operating loss

4.4

Yes

2029

2043

Other state net operating loss

8.6

Yes

Various

Foreign net operating losses (various jurisdictions)

10.8

Various

Federal research credit

10.5

Yes

2027

2043

Utah research credit

5.4

2024

2037

California research credit

4.8

Indefinite

Schedule of Unrecognized Tax Benefits

The Company’s gross unrecognized tax benefits as of the years ended December 31, 2023, 2022, and 2021 and the changes in those balances are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Unrecognized tax benefits at the beginning of period	$	43.9	$	32.1	$	37.6
Gross increases - current year tax positions	0.8		12.9		1.4
Gross increases - prior year tax positions	3.6		1.6		1.1

Gross decreases - prior year tax positions	(0.2)		(2.0)		(2.8)
Gross decreases - settlements	—		(0.7)		(5.1)
Gross decreases - statute lapse	—		—		(0.1)
Unrecognized tax benefits at end of year	$	48.1	$	43.9	$	32.1
Interest and penalties in year-end balance	$	6.4	$	4.1	$	3.3

STOCK-BASED COMPENSATION - Schedule of Valuation Assumptions for ESPP (Details) - 2012 Purchase Plan	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Valuation Assumptions
Risk-free interest rate	5.10%	1.40%	0.10%
Expected dividend yield	0.00%	0.00%	0.00%
Expected life (in years)	6 months	6 months	6 months
Expected volatility	56.00%	53.00%	60.00%

MARKETABLE INVESTMENT SECURITIES - Narrative (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($) position	Dec. 31, 2022 USD ($) position	Dec. 31, 2021 USD ($)
Investments, Debt and Equity Securities [Abstract]
Investment sold	$ 90.4	$ 28.4	$ 8.3
Realized losses	$ 1.5
Debt securities, available-for-sale, in unrealized loss position \| position	7	118
Debt securities, available-for-sale, unrealized loss position, accumulated loss	$ (0.1)	$ (2.7)
Available-for-sale securities, gross unrealized loss, fair market value	$ 8.8	$ 111.6

ACCRUED LIABILITIES (Tables)

12 Months Ended

Dec. 31, 2023

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities

The Company's accrued liabilities at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Employee compensation and benefits	$	49.7	$	41.2

Accrued taxes payable	4.6		4.8
Refunds payable and reserves	20.1		19.3
Short-term contingent consideration	3.1		—

Accrued royalties	5.3		4.8
Legal settlement	6.0		—
Lease termination accrual	4.4		—
Other accrued liabilities	20.7		24.2
Total accrued liabilities	$	113.9	$	94.3

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Revenue by Type (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Disaggregation of Revenue [Line Items]
Total revenue	$ 753.2	$ 678.4	$ 690.6
Testing Revenue
Disaggregation of Revenue [Line Items]
Total revenue	753.2	678.4	666.4
Hereditary Cancer
Disaggregation of Revenue [Line Items]
Total revenue	327.8	305.5	316.3
Tumor Profiling
Disaggregation of Revenue [Line Items]
Total revenue	135.6	128.6	120.9
Prenatal
Disaggregation of Revenue [Line Items]
Total revenue	151.3	116.4	106.8
Pharmacogenomics
Disaggregation of Revenue [Line Items]
Total revenue	138.5	127.6	93.7
Autoimmune
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.3	28.2
Other
Disaggregation of Revenue [Line Items]
Total revenue	0.0	0.0	0.5
Other revenue
Disaggregation of Revenue [Line Items]
Total revenue	$ 0.0	$ 0.0	$ 24.2

Consolidated Statements of Stockholders' Equity - USD ($) $ in Millions	Total	Common stock	Additional paid-in capital	Accumulated other comprehensive loss	Accumulated deficit
Beginning balance at Dec. 31, 2020	$ 881.0	$ 0.8	$ 1,109.5	$ (2.3)	$ (227.0)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under stock-based compensation plans, net of shares exchanged for withholding tax	80.3		80.3
Stock-based payment expense	36.5		36.5
Net loss	(27.2)				(27.2)
Other comprehensive (loss) income, net of tax	(2.8)			(2.8)
Ending balance at Dec. 31, 2021	967.8	0.8	1,226.3	(5.1)	(254.2)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under stock-based compensation plans, net of shares exchanged for withholding tax	(4.3)		(4.3)
Stock-based payment expense	38.1		38.1
Net loss	(112.0)				(112.0)
Other comprehensive (loss) income, net of tax	(3.8)			(3.8)
Ending balance at Dec. 31, 2022	885.8	0.8	1,260.1	(8.9)	(366.2)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under stock-based compensation plans, net of shares exchanged for withholding tax	(2.8)		(2.8)
Issuance of common stock for public offering, net	117.6	0.1	117.5
Stock-based payment expense	40.7		40.7
Net loss	(263.3)				(263.3)
Other comprehensive (loss) income, net of tax	5.2			5.2
Ending balance at Dec. 31, 2023	$ 783.2	$ 0.9	$ 1,415.5	$ (3.7)	$ (629.5)

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(g)(1)(ii))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480678/235-10-S99-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 323
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481687/323-10-50-3

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 825
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 28
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482907/825-10-50-28

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 220
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482765/220-10-50-6

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-3

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (b)(2)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-1

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
-SubTopic 40
-Name Accounting Standards Codification
-Section 65
-Paragraph 1
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480175/815-40-65-1

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 8
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-8

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 9
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-9

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 11
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-11

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 11
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-11

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 4
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483443/250-10-50-4

Reference 13: http://www.xbrl.org/2003/role/exampleRef
-Topic 946
-SubTopic 830
-Name Accounting Standards Codification
-Section 55
-Paragraph 10
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480167/946-830-55-10

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
-Section 45
-Paragraph 7
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483581/946-220-45-7

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
-Topic 944
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04(18))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483586/944-220-S99-1

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-22

Reference 17: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.6-07(9))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147483575/946-220-S99-1

Reference 18: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
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- Definition

Equity impact of the value of new stock issued during the period. Includes shares issued in an initial public offering or a secondary public offering.

+ References + Details

- Definition

Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

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+ Details

SUPPLEMENTAL CASH FLOW INFORMATION (Tables)

12 Months Ended

Dec. 31, 2023

Supplemental Cash Flow Elements [Abstract]

Schedule of Supplemental Cash Flow Information

The Company's supplemental cash flow information for the respective periods are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Cash paid for income taxes	$	1.9	$	1.8	$	4.6
Cash paid for interest	1.4		—		4.4
Cash received for income tax receivables	—		—		90.0
Non-cash investing and financing activities:
Change in operating lease right-of-use assets and lease liabilities
Operating lease right-of-use assets	$	(31.0)	$	46.9	$	41.8
Operating lease liabilities	36.7		(46.9)		(48.1)
Tenant improvement allowance not yet received	—		22.9		—
Purchases of property, plant and equipment and capitalization of internal-use software in accounts payable and accrued liabilities	6.9		10.0		—

SUPPLEMENTAL CASH FLOW INFORMATION

12 Months Ended

Dec. 31, 2023

Supplemental Cash Flow Elements [Abstract]

SUPPLEMENTAL CASH FLOW INFORMATION

The Company's supplemental cash flow information for the respective periods are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Cash paid for income taxes	$	1.9	$	1.8	$	4.6
Cash paid for interest	1.4		—		4.4
Cash received for income tax receivables	—		—		90.0
Non-cash investing and financing activities:
Change in operating lease right-of-use assets and lease liabilities
Operating lease right-of-use assets	$	(31.0)	$	46.9	$	41.8
Operating lease liabilities	36.7		(46.9)		(48.1)
Tenant improvement allowance not yet received	—		22.9		—
Purchases of property, plant and equipment and capitalization of internal-use software in accounts payable and accrued liabilities	6.9		10.0		—

Consolidated Statements of Cash Flows - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss attributable to Myriad Genetics, Inc. stockholders	$ (263.3)	$ (112.0)	$ (27.2)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization	61.9	52.7	62.8
Non-cash lease expense	11.3	11.7	12.8
Loss on termination of lease	7.7	0.0	0.0
Stock-based compensation expense	40.7	38.1	36.3
Deferred income taxes	(4.0)	(30.8)	(32.1)
Unrecognized tax benefits	3.4	(1.1)	(2.6)
Net realized losses on marketable investment securities	1.5	0.0	0.0
Loss on inventory	0.0	0.0	6.5
Impairment of goodwill and long-lived assets	0.0	16.9	1.8
Gain on sale of businesses and assets	0.0	0.0	(162.0)
Other non-cash adjustments	2.9	1.7	1.5
Changes in assets and liabilities:
Prepaid expenses and other current assets	0.2	1.6	(6.6)
Trade accounts receivable	(12.5)	(10.3)	(8.8)
Inventory	(1.8)	(2.9)	1.6
Prepaid taxes	0.7	0.7	89.9
Other assets	0.6	(0.9)	(3.6)
Tenant improvement allowance received	16.3	18.0	0.0
Accounts payable	(3.7)	(3.5)	9.2
Accrued liabilities	27.4	(81.2)	65.7
Deferred revenue	(0.2)	(5.0)	(26.6)
Net cash provided by (used in) operating activities	(110.9)	(106.3)	18.6
CASH FLOWS FROM INVESTING ACTIVITIES:
Capital expenditures	(63.2)	(45.3)	(18.0)
Capitalization of internal-use software costs	(10.1)	0.0	0.0
Acquisitions, net of cash acquired	0.0	(57.2)	0.0
Proceeds from sale of business and assets	0.0	0.0	379.1
Purchases of marketable investment securities	0.0	(103.2)	(147.8)
Proceeds from maturities and sales of marketable investment securities	105.2	128.2	61.1
Net cash provided by (used in) investing activities	31.9	(77.5)	274.4
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from common stock issued under stock-based compensation plans	6.0	6.3	91.8
Payment of tax withheld for common stock issued under stock-based compensation plans	(8.8)	(10.6)	(11.5)
Proceeds from underwritten public offering, net of costs and discounts	117.6	0.0	0.0
Proceeds from revolving credit facility	80.0	0.0	0.0
Fees associated with issuance and refinancing of revolving credit facility	(1.7)	(0.7)	(1.2)
Repayment of revolving credit facility	(40.0)	0.0	(226.4)
Payment of contingent consideration recognized at acquisition	0.0	(3.0)	(3.3)
Payment on finance leases	(0.2)	0.0	0.0
Net cash provided by (used in) financing activities	152.9	(8.0)	(150.6)
Effect of foreign exchange rates on cash, cash equivalents, and restricted cash	0.6	(0.6)	(0.6)
Net increase (decrease) in cash, cash equivalents, and restricted cash	74.5	(192.4)	141.8
Cash, cash equivalents, and restricted cash at beginning of the period	66.4	258.8	117.0
Cash, cash equivalents, and restricted cash at end of the period	$ 140.9	$ 66.4	$ 258.8

Consolidated Balance Sheets (Parenthetical) - $ / shares shares in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares outstanding (in shares)	89.9	81.2	80.0	75.4

STOCK-BASED COMPENSATION - Schedule of Shares Purchased and Compensation Expenses for ESPP (Details) - 2012 Purchase Plan - USD ($) shares in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Share-based Compensation [Line Items]
Shares purchased under the plans (in shares)	0.4	0.3	0.2
Plan compensation expense	$ 2.2	$ 1.9	$ 1.5

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (e)(2)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

Reference 24: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (f)(2)(i)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

Reference 25: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (f)(2)(ii)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

Reference 26: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (f)(2)(iii)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

Reference 27: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (f)(2)(iv)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

Reference 28: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (f)(2)(v)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480429/718-10-50-2

+ Details

Pay vs Performance Disclosure - USD ($) $ in Millions	12 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Pay vs Performance Disclosure
Net loss attributable to Myriad Genetics, Inc. stockholders	$ (263.3)	$ (112.0)	$ (27.2)

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

12 Months Ended

Dec. 31, 2023

Accounting Policies [Abstract]

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Financial Statement Presentation

Myriad Genetics, Inc. (together with its subsidiaries, the "Company" or "Myriad") is a leading genetic testing and precision medicine company dedicated to advancing health and well-being for all. Myriad provides insights that help people take control of their health and enable healthcare providers to better detect, treat, and prevent disease. Myriad develops and offers genetic tests that help assess the risk of developing disease or disease progression and guide treatment decisions across medical specialties where genetic insights can significantly improve patient care and lower health care costs. The Company generates revenue by performing tests and, prior to the sale of Myriad RBM, Inc. on July 1, 2021 as described in Note 17, by providing pharmaceutical and clinical services to the pharmaceutical and biotechnology industries and medical research institutions utilizing its multiplexed immunoassay technology. The Company currently operates as a single reporting segment. The Company’s principal executive office is located in Salt Lake City, Utah.

The accompanying consolidated financial statements for the Company have been prepared in accordance with United States ("U.S.") generally accepted accounting principles (“GAAP”) for financial information and pursuant to the applicable rules and regulations of the Securities and Exchange Commission (“SEC”). All intercompany accounts and transactions have been eliminated in consolidation. In the opinion of management, the accompanying financial statements contain all adjustments (consisting of normal and recurring accruals) necessary to present fairly all financial statements in accordance with GAAP.

Use of Estimates

The preparation of the consolidated financial statements in accordance with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated financial statements, as well as the reported amounts of revenue and expenses during the reporting period. Significant items subject to such estimates and assumptions include revenue recognition estimates for the average expected reimbursement per test, valuation allowances for deferred income tax assets, our incremental borrowing rates used to calculate our lease balances, certain accrued liabilities, stock-based compensation, purchase accounting, and impairment analysis of goodwill and long-lived assets. Actual results could differ from those estimates.

Reclassifications

Certain prior period amounts have been reclassified to conform with the current period presentation. The reclassifications have no impact on the total assets, total liabilities, stockholders' equity, or cash flows from operations.

Concentration of Credit Risk

Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash and cash equivalents and accounts receivable. Substantially all of the Company’s accounts receivable are with companies in the healthcare industry, U.S. and state governmental agencies, and individuals. The Company does not believe that receivables due from U.S. and state governmental agencies, such as Medicare, represent a credit risk since the related health care programs are funded by the U.S. and state governments. The Company only has one payor, Medicare, that represents greater than 10% of its revenues. Revenues received from Medicare represented approximately 12%, 14%, and 17% of total revenue for the years ended December 31, 2023, 2022, and 2021, respectively. Concentrations of credit risk are mitigated due to the number of the Company’s customers as well as their dispersion across many geographic regions. The Company has only one payor that accounted for more than 10% of accounts receivable at December 31, 2023. The balance of accounts receivable from the payor represented 12% of the total accounts receivable balance as of December 31, 2023. No payor accounted for more than 10% of accounts receivable at December 31, 2022. The Company does not require collateral from its customers.

Cash and Cash Equivalents

The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. Cash and cash equivalents primarily consist of cash and money market deposits with financial institutions.

Restricted Cash

In certain circumstances, the Company is required to maintain cash deposits with certain banks with respect to contractual or other legal obligations, and therefore the use of these cash deposits for general operational purposes is restricted. As of December 31, 2023, restricted cash was approximately $8.8 million, of which $1.2 million was recognized as a current asset and $7.6 million was recognized as a long-term asset. As of December 31, 2022, restricted cash was approximately $9.5 million, of which $2.0 million was recognized as a current asset and $7.5 million was recognized as a long-term asset. The restricted cash amounts are largely comprised of cash held in escrow related to the Company's acquisition of Gateway Genomics, LLC ("Gateway"), which occurred during the year ended December 31, 2022. The current and long-term portions are included in Prepaid expenses and other current assets and Other assets, respectively, on the Consolidated Balance Sheets.

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported on the Consolidated Balance Sheets that agrees to the amounts included in the Consolidated Statement of Cash Flows.


	December 31,
(in millions)	2023		2022		2021
Cash and cash equivalents	$	132.1	$	56.9	$	257.4
Restricted cash	8.8		9.5		1.4
Total cash, cash equivalents, and restricted cash	$	140.9	$	66.4	$	258.8

Marketable Investment Securities

The Company has classified its marketable investment securities, all of which are debt securities, as available-for-sale securities. These securities are carried at estimated fair value with unrealized holding gains and losses, net of the related tax effect, included in Accumulated other comprehensive loss in Stockholders’ equity until realized. Gains and losses on investment security transactions are reported on the specific-identification method. Dividend and interest income are recognized when earned. The Company’s cash equivalents consist of short-term, highly liquid investments that are readily convertible to known amounts of cash.

A decline in the market value of any available-for-sale security below cost that is deemed other than temporary results in a charge to earnings and establishes a new cost basis for the security. Losses are charged against Other income (expense) when a decline in fair value is determined to be other than temporary. The Company reviews several factors to determine whether a loss is other than temporary. These factors include but are not limited to: (i) the extent to which the fair value is less than cost and the cause for the fair value decline, (ii) the financial condition and near term prospects of the issuer, (iii) the length of time a security is in an unrealized loss position and (iv) the Company’s ability to hold the security for a period of time sufficient to allow for any anticipated recovery in fair value. There were no other-than-temporary impairments recognized during the years ended December 31, 2023, 2022, and 2021.

Inventory

Inventories consist of supplies such as reagents, plates and testing kits, which are consumed when providing test results, and therefore the Company does not maintain finished goods inventory. Inventories are stated at the lower of cost or market and costs are determined on a first-in, first-out basis.

The Company evaluates its inventories for excess quantities and obsolescence. Inventories that are considered excess or obsolete are expensed. In order to assess the ultimate realization of inventories, the Company is required to make judgments as to future demand requirements compared to current or committed inventory levels. The valuation of inventories requires the use of estimates as to the amounts of current inventories that will be sold. These estimates are dependent on management’s assessment of current and expected orders from the Company’s customers.

Trade Accounts Receivable

Trade accounts receivable represents estimated receivables from customers for revenue recognized related to genetic tests. The Company does not have any off-balance-sheet credit exposure related to its customers and does not require collateral.

Property, Plant and Equipment

Equipment and leasehold improvements are stated at cost less accumulated depreciation. Depreciation and amortization are computed using the straight-line method based on the lesser of estimated useful lives of the related assets or lease terms. Equipment items have depreciable lives of five to seven years. Leasehold improvements are depreciated over the shorter of the estimated useful lives or the associated lease terms, which range from one to fifteen years. Repairs and maintenance costs are charged to expense as incurred.

Leases

The Company acts as the lessee in its lease agreements, which primarily include operating leases for corporate offices, laboratory space, warehouse space, vehicles and certain laboratory and office equipment.

The Company determines whether an arrangement is, or contains, a lease at inception and whether the lease should be classified as a finance or operating lease. For all leases, the Company records the present value of lease payments as right-of-use (“ROU”) assets and lease liabilities on the Consolidated Balance Sheets. ROU assets represent the Company’s right to use an underlying asset for the lease term and lease liabilities represent an obligation to make lease payments based on the present value of lease payments over the lease term. Classification of lease liabilities as either current or non-current is based on the expected timing of payments due under the Company’s obligations.

As most of the Company’s leases do not provide an implicit interest rate, the Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also consists of any lease incentives received. The lease terms used to calculate the ROU asset and related lease liability include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. The leases have remaining lease terms of 1 year to 15 years, some of which include options to extend the lease term for up to 10 years.

The Company has taken advantage of certain practical expedients offered to registrants at adoption of Accounting Standards Codification ("ASC") 842, Leases. Lease expense for leases with a term of twelve months or less is recognized on a straight-line basis and is not included in the recognized ROU assets and lease liabilities. Further, as a practical expedient, all lease contracts are accounted for as one single lease component, as opposed to separating lease and non-lease components to allocate the consideration within a single lease contract.

Operating leases are included in Operating lease right-of-use assets, Current maturities of operating lease liabilities, and Noncurrent operating lease liabilities in the Consolidated Balance Sheets. Finance leases are included in Other assets, Accrued liabilities, and Other long-term liabilities in the Consolidated Balance Sheets.

Intangible Assets

Intangible assets are comprised of acquired licenses and technology. Acquired intangible assets are recorded at fair value and amortized over the shorter of the contractual life or the estimated useful life. The Company capitalizes certain costs incurred to develop internal-use software. Implementation and development costs for internal-use software are capitalized as part of Intangible Assets in the Consolidated Balance Sheets. After the implementation of the internal-use software, the capitalized costs are amortized on a straight-line basis over the estimated useful life of the asset. Costs incurred during the post implementation stage of the project are expensed as incurred. As of December 31, 2023, the Company had unamortized internal-use software costs of $11.9 million. For the years ended December 31, 2023, 2022, and 2021 amortization expense for these capitalized software costs was insignificant.

Other Long-Lived Assets

The Company continually reviews and monitors long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future undiscounted net cash flows expected to be generated by the asset. If the carrying amount of an asset exceeds its estimated future undiscounted cash flows, an impairment charge is recognized in the amount by which the carrying amount of the asset exceeds the fair value of the asset. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. The Company capitalizes certain costs incurred to develop internal-use technology, including certain implementation costs incurred in cloud computing arrangements and hosting arrangements. The Company's cloud computing arrangements or hosting arrangements are primarily service contracts related to information technology. Implementation and development costs for internal-use technology are capitalized as part of Other assets in the Consolidated Balance Sheets. As of December 31, 2023 and 2022, the Company had unamortized internal-use technology costs of $4.6 million and $7.1 million, respectively, within Other assets. For the years ended December 31, 2023, 2022 and 2021, amortization expense for these capitalized internal-use technology was insignificant.

Goodwill

Goodwill is tested for impairment by reporting unit on an annual basis as of October 1 and in the interim if events and circumstances indicate that goodwill may be impaired. The events and circumstances that are considered include business climate and market conditions, legal factors, operating performance indicators and competition. Impairment of goodwill is first assessed using a qualitative approach. If the qualitative assessment suggests that impairment is more likely than not, a quantitative analysis is performed. The quantitative analysis involves a comparison of the fair value of the reporting unit with its carrying amount. If the carrying amount of a reporting unit exceeds its fair value, an impairment loss is recognized in an amount equal to that excess, limited to the total amount of goodwill allocated to that reporting unit. If an event occurs that would cause a revision to the estimates and assumptions used in analyzing the value of the goodwill, the revision could result in a non-cash impairment charge that could have a material impact on the financial results.

Business Acquisitions

The Company accounts for acquisitions of entities that include inputs and processes and have the ability to create outputs as business combinations. The tangible and identifiable intangible assets acquired and liabilities assumed in a business combination are recorded based on their estimated fair values as of the business combination date, including identifiable intangible assets which either arise from a contractual or legal right or are separable from goodwill. The Company bases the estimated fair value of identifiable intangible assets acquired in a business combination on third-party valuations that use information and assumptions provided by the Company's management, which consider the Company's estimates of inputs and assumptions that a market participant would use. Any excess purchase price over the estimated fair value assigned to the net tangible and identifiable intangible assets acquired and liabilities assumed is recorded to goodwill. The use of alternative valuation assumptions, including estimated revenue projections, growth rates, estimated cost savings, cash flows, discount rates, estimated useful lives and probabilities surrounding the achievement of contingent milestones could result in different purchase price allocations and amortization expense in current and future periods.

In circumstances where an acquisition involves a contingent consideration arrangement that meets the definition of a liability under ASC 480, Distinguishing Liabilities from Equity, the Company recognizes a liability equal to the fair value of the contingent payments expected to be made as of the acquisition date. This liability is remeasured each reporting period and the changes in the fair value are recognized in Selling, general, and administrative expenses in the Consolidated Statements of Operations.

Transaction costs associated with acquisitions are expensed as incurred in Selling, general, and administrative expenses in the Consolidated Statements of Operations. Results of operations and cash flows of acquired companies are included in the operating results from the date of acquisition.

Revenue Recognition

The Company primarily generates revenue by performing genetic testing. Testing revenues are primarily derived from the following categories of products: Hereditary Cancer (MyRisk, BRACAnalysis, BRACAnalysis CDx), Tumor Profiling (MyChoice CDx, Prolaris, and EndoPredict), Prenatal (Foresight, Prequel, and SneakPeek), and Pharmacogenomics (GeneSight). The Company previously provided pharmaceutical and clinical services prior to the sale of Myriad RBM, Inc. in July 2021. Prior to the sale of the Myriad myPath, LLC laboratory in May 2021 and the Myriad Autoimmune business in September 2021, the associated revenue from such businesses was included within Testing revenues. See Note 17 for a discussion of these divestitures. Revenue is recorded at the estimated transaction price. The Company has determined that the communication of test results or the completion of pharmaceutical and clinical services indicates transfer of control for revenue recognition purposes.

The following table presents detail regarding the composition of the Company’s total revenue by product type for the years ended December 31, 2023, 2022, and 2021:


	Years Ended December 31,
(In millions)	2023		2022		2021
Testing revenues:
Hereditary Cancer	$	327.8	$	305.5	$	316.3
Tumor Profiling	135.6		128.6		120.9
Prenatal	151.3		116.4		106.8
Pharmacogenomics	138.5		127.6		93.7
Autoimmune	—		0.3		28.2
Other	—		—		0.5
Total testing revenue	753.2		678.4		666.4
Other revenue	—		—		24.2
Total revenue	$	753.2	$	678.4	$	690.6

In addition, the following tables reconcile revenue by geographical region, either U.S. or rest of world ("RoW"), to total revenue:


	Years Ended December 31,
	2023						2022						2021
(in millions)	U.S.		RoW		Total		U.S.		RoW		Total		U.S.		RoW		Total
Testing revenues:
Hereditary Cancer	$	280.5	$	47.3	$	327.8	$	263.5	$	42.0	$	305.5	$	271.0	$	45.3	$	316.3
Tumor Profiling	102.1		33.5		135.6		84.5		44.1		128.6		80.4		40.5		120.9
Prenatal	150.6		0.7		151.3		115.6		0.8		116.4		106.2		0.6		106.8
Pharmacogenomics	138.5		—		138.5		127.6		—		127.6		93.7		—		93.7
Autoimmune	—		—		—		0.3		—		0.3		28.2		—		28.2
Other	—		—		—		—		—		—		—		0.5		0.5
Total testing revenue	671.7		81.5		753.2		591.5		86.9		678.4		579.5		86.9		666.4
Other revenue	—		—		—		—		—		—		24.2		—		24.2
Total revenue	$	671.7	$	81.5	$	753.2	$	591.5	$	86.9	$	678.4	$	603.7	$	86.9	$	690.6

Under ASC 606, Revenue from Contracts with Customers (“ASC 606”), an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The Company performs its obligation under a contract with a customer by processing tests and communicating the test results to customers, in exchange for consideration from the customer. The Company has the right to bill its customers upon the completion of performance obligations and thus does not record contract assets. Occasionally, customers make payments prior to the Company's performance of its contractual obligations. When this occurs, the Company records a contract liability as Deferred revenue, which is included in Accrued liabilities in the Consolidated Balance Sheets. A reconciliation of the beginning and ending balances of deferred revenue is shown in the table below:


	Years Ended December 31,
(in millions)	2023		2022		2021
Deferred revenue - beginning balance	$	0.6	$	5.2	$	32.7
Revenue recognized	(0.5)		(4.9)		(40.5)
Prepayments	0.4		0.3		14.0
Divestitures	—		—		(1.0)
Deferred revenue - ending balance	$	0.5	$	0.6	$	5.2

In accordance with ASC 606, the Company has elected not to disclose the aggregate amount of the transaction price allocated to remaining performance obligations for its contracts that are one year or less, as the revenue is expected to be recognized within the next year. Furthermore, the Company has elected not to disclose the aggregate amount of the transaction price allocated to remaining performance obligations for its agreements wherein the Company’s right to payment is in an amount that directly corresponds with the value of the Company’s performance to date. In determining the transaction price, the Company includes an estimate of the expected amount of consideration as revenue. The Company applies this method consistently for similar contracts when estimating the effect of any uncertainty on an amount of variable consideration to which it will be entitled. An estimate of transaction price does not include any estimated amount of variable consideration that is constrained. In addition, the Company considers all the information (historical, current, and forecast) that is reasonably available to identify possible consideration amounts. In determining the expected value, the Company considers the probability of the variable consideration for each possible scenario. The Company also has significant experience with historical discount patterns and uses this experience to estimate transaction prices.

The estimate of revenue is affected by assumptions in payor behavior such as changes in payor mix, payor collections, current customer contractual requirements, and experience with collections from third-party payors. When assessing the total consideration for insurance carriers and patients, revenues are further constrained for estimated refunds. The Company reserves certain amounts in Accrued liabilities in the Consolidated Balance Sheets in anticipation of requests for refunds of payments made previously by insurance carriers, which are accounted for as reductions in revenues in the Consolidated Statements of Operations and Comprehensive Loss.

Cash collections for certain tests delivered may differ from rates estimated, primarily driven by changes in the estimated transaction price due to contractual adjustments, obtaining updated information from payors and patients that was unknown at the time the performance obligation was met and settlements with third-party payors. As a result of this new information, the Company updates its estimate of the amounts to be recognized for previously delivered tests. During the year ended December 31, 2023, the Company recognized $7.2 million in revenue, which resulted in a $0.07 impact to loss per share for tests in which the performance obligation of delivering the test results was met in prior periods. During the year ended December 31, 2022, the Company recognized $22.1 million in revenue which resulted in a $0.21 impact to loss per share for tests in which the performance obligation of delivering the test results was met in prior periods. During the year ended December 31, 2021, the Company recognized $15.9 million in revenue which resulted in a $0.15 impact to loss per share for tests in which the performance obligation of delivering the test results was met in prior periods. Additionally, during the year ended December 31, 2021, revenue of $6.8 million was recognized due to expanded coverage for the Company's Prolaris test, for which revenue was fully constrained in a prior period. The changes for all periods presented were primarily driven by changes in the estimated transaction price.

In accordance with ASC 606, the Company has elected to exclude from the measurement of transaction price all taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction and collected by the Company from a customer for sales tax, value added tax, and certain other taxes.

The Company applies the practical expedient related to costs to obtain or fulfill a contract since the amortization period for such costs will be one year or less. Accordingly, no costs incurred to obtain or fulfill a contract have been capitalized. The Company also applies the practical expedient for not adjusting revenue recognized for the effects of the time value of money. This practical expedient has been elected because the Company collects very little cash from customers under payment terms and the vast majority of payment terms have a payback period of less than one year.

Stock-based Payment Expense

We recognize the fair value compensation cost relating to stock-based payment transactions in accordance with ASC 718, Compensation – Stock Compensation ("ASC 718"). Under the provisions of ASC 718, stock-based compensation cost is measured at the grant date, based on the fair value of the award, and is recognized over the employee’s requisite service period, which is generally the vesting period. Compensation cost for awards with only service conditions are recognized on a straight-line basis over the requisite service period. The fair value of restricted stock units (RSUs) and performance restricted stock units (PSUs) that do not have market conditions is based on the number of shares granted and the quoted price of the Company’s common stock on the grant date. The fair value of PSU awards that have market conditions is determined using the Monte Carlo Method. For PSUs, the Company estimates the likelihood of achievement of the performance conditions at the end of each period. Forfeitures are recognized as a reduction of compensation expense in earnings in the period in which they occur. The fair value of shares issued under the Company's Employee Stock Purchase Plan is calculated using the Black-Scholes option-pricing model, based on assumptions including the risk-free interest rate, expected life, expected dividend yield and expected volatility. The average risk-free interest rate is determined using the U.S. Treasury rate. We determine the expected life based on the offering period of the Employee Stock Purchase Plan. The expected volatility is determined using the weighted average of daily historical volatility of the price of the Company's common stock.

Other Income (Expense)

The Company recognizes the gain or loss on its divestitures as Other income (expense) in the Consolidated Statement of Operations. See Note 17 for additional information regarding these divestitures.

Income Taxes

The Company recognizes income taxes under the asset and liability method. This approach requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the carrying amounts and the tax bases of assets and liabilities.

The provision for income taxes, including the effective tax rate and analysis of potential tax exposure items, if any, requires significant judgment and expertise in federal, state, and foreign income tax laws, regulations and strategies, including the determination of deferred tax assets and liabilities and any estimated valuation allowances deemed necessary to recognize deferred tax assets at an amount that is more likely than not to be realized. The Company’s filings, including the positions taken therein, are subject to audit by various taxing authorities. While the Company believes it has provided adequately for its income tax liabilities in the consolidated financial statements, adverse determinations by these taxing authorities could have a material adverse effect on the Company's consolidated financial condition, results of operations or cash flows.

Earnings Per Share

Basic earnings per share (EPS) is computed based on the weighted-average number of shares of common stock outstanding. Diluted earnings per share is computed based on the weighted-average number of shares of common stock, including the dilutive effect of common stock equivalents, outstanding.

The following is a reconciliation of the denominators of the basic and diluted earnings per share computations:


	Years Ended December 31,
(in millions)	2023	2022	2021
Denominator:
Weighted-average shares outstanding used to compute basic EPS	82.8	80.6	78.0
Effect of dilutive stock options and RSUs	—	—	—
Weighted-average shares outstanding and dilutive securities used to compute diluted EPS	82.8	80.6	78.0

Certain outstanding options and RSUs were excluded from the computation of diluted earnings per share because the effect would have been anti-dilutive. These potential dilutive shares of common stock, which may be dilutive to future diluted earnings per share, are as follows:


	Years Ended December 31,
(in millions)	2023	2022	2021
Anti-dilutive options and RSUs excluded from EPS computation	5.1	4.4	4.5

Foreign Currency

The functional currency of the Company’s international subsidiaries is the local currency. For those subsidiaries, expenses denominated in the functional currency are translated into U.S. dollars using average exchange rates in effect during the period and assets and liabilities are translated using period-end exchange rates. The foreign currency translation adjustments are included in Accumulated other comprehensive loss as a separate component of Stockholders’ equity.

The following table shows the cumulative translation adjustments included in Accumulated other comprehensive loss (in millions):


Ending balance December 31, 2022	$	(6.2)
Period translation adjustments	2.1
Reclassification of cumulative translation adjustment to income upon liquidation of an investment in a foreign entity	0.4
Ending balance December 31, 2023	$	(3.7)

During the years ended December 31, 2023 and 2022, the Company recognized a gain (loss) related to foreign currency of $(3.4) million and $0.2 million, respectively, which is included in Other in the Consolidated Statements of Operations.

Recent Accounting Pronouncements

In November 2023, the FASB issued accounting standards update ("ASU") 2023-07, which enhances the disclosures required for reportable segments in annual and interim consolidated financial statements. ASU 2023-07 is effective for the Company for annual reporting periods beginning after December 15, 2023 and for interim periods within fiscal years December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact of ASU 2023-07 on its segment disclosures.

In December 2023, the FASB issued ASU 2023-09, which requires enhanced income tax disclosures, including disaggregation of information on the rate reconciliation table and disaggregated information related to income taxes paid. The amendments in ASU 2023-09 are effective for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of ASU 2023-09 on its income tax disclosures.

GOODWILL AND INTANGIBLE ASSETS - Schedule of Carrying Amount of Goodwill (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($)
Goodwill [Roll Forward]
Beginning balance	$ 286.8
Translation adjustments	0.6
Carrying amount at end of period	$ 287.4

- Definition

Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

+ References + Details

LONG-TERM DEBT	12 Months Ended
LONG-TERM DEBT	Dec. 31, 2023
Debt Disclosure [Abstract]
LONG-TERM DEBT	LONG-TERM DEBT On June 30, 2023, the Company entered into an asset-based revolving credit facility (the “ABL Facility”) with an initial maximum principal amount of $90.0 million, with JPMorgan Chase Bank, N.A. as administrative agent and issuing bank, the other lender parties thereto, and certain of the Company's domestic subsidiaries (the "Guarantors"). On October 31, 2023, the Company entered into an amendment to the ABL Facility to increase the maximum principal amount of the available revolving line of credit by $25.0 million for a total maximum principal commitment of $115.0 million under the ABL Facility, which was effected through a new commitment provided by a new lender, Goldman Sachs Bank USA. The ABL Facility replaced the Company's previous credit facility and matures on June 30, 2026. The obligations of the Company are guaranteed by the Guarantors, and the ABL Facility is secured by substantially all of the assets of the Company and the Guarantors. The Company had long-term debt of $38.5 million under the ABL Facility at December 31, 2023, net of $1.5 million of debt issuance costs. The proceeds of the ABL Facility were or will be used for the working capital needs and general corporate purposes of the Company and its subsidiaries, including, without limitation, consummating permitted acquisitions and refinancing existing indebtedness. Availability under the ABL Facility is subject to a borrowing base, which is the lesser of (a) 85% of the Company's and the Guarantor's eligible accounts receivable plus certain cash held in a segregated and fully-blocked account with the administrative agent in an amount up to $20.0 million ("Eligible Cash") minus any reserves established by the administrative agent in accordance with the ABL Facility, and (b) the aggregate amount of cash collections from eligible accounts of the Company and the Guarantors for the 60 consecutive days most recently ended. Subject to certain conditions, the Company can freely withdraw cash from the Eligible Cash account, provided that any reduction in the Eligible Cash amount will have a corresponding reduction in the borrowing base. Loans outstanding under the ABL Facility will bear interest at a rate per annum equal to, at the option of the Company, either (a) the greatest of (i) the daily Prime Rate, (ii) the daily NYFRB Rate plus 0.50%, and (iii) the monthly Adjusted Term SOFR Rate (as defined below) plus 1.00% (the “ABR”) plus an applicable margin ranging from 1.00% to 1.50% depending on the aggregate average unused availability under the ABL Facility during the prior quarter or (b) term SOFR for a tenor of one, three or six months (at the Company’s election) plus 0.10% (the “Adjusted Term SOFR Rate”) plus an applicable margin ranging from 2.00% to 2.50% depending on the average unused availability under the ABL Facility during the prior quarter, with an ABR floor of 1.00% and an Adjusted Term SOFR Rate floor of 0.00%. Under the ABL Facility the undrawn fee ranges from 37.5 to 50 basis points based on the daily amount of the available revolving commitment. The interest rate for borrowings under the ABL Facility as of December 31, 2023 was 9.75%. The Company may elect to prepay all or any portion of the amounts owed prior to the maturity date without premium or penalty. The ABL Facility is also subject to customary mandatory prepayments with the proceeds of unpermitted indebtedness and upon the occurrence of an over-advance. Voluntary and mandatory prepayments and all other payments of the ABL Facility must be accompanied by payment of accrued interest on the principal amount repaid or prepaid. The ABL Facility contains customary loan terms, interest rates, representations and warranties and affirmative and negative covenants, in each case, subject to customary limitations, exceptions and exclusions. Covenants under the ABL Facility limit or restrict the Company and its subsidiaries' ability to incur liens, incur indebtedness, dispose of assets, make investments, make certain restricted payments, merge or consolidate and enter into certain speculative hedging arrangements. The ABL Facility requires the Company and the Guarantors, on a consolidated basis, to maintain minimum liquidity of $60.0 million and minimum availability of $25.0 million at all times before achieving a fixed charge coverage ratio of 1.0 to 1.0 and thereafter, to maintain a fixed charge coverage ratio of 1.0 to 1.0 until achieving availability under the ABL Facility of greater than the greater of (a) $10.6 million and (b) 12.5% of the lesser of the maximum commitment amount and the borrowing base for a period of 30 consecutive days. As of December 31, 2023, availability under the ABL Facility was $40.7 million. In addition, the ABL Facility includes a number of customary events of default. If any event of default occurs (subject, in certain instances, to specified grace periods), the principal, premium, if any, interest and any other monetary obligations on all the then-outstanding amounts under the ABL Facility may become due and payable immediately. Under the terms of the ABL Facility, if (i) an event of default has occurred and is continuing or (ii) availability under the ABL Facility is less than the greater of (a) $12.5 million and (b) 15% of the lesser of the maximum commitment amount and the borrowing base, the Company will become subject to cash dominion, upon which the administrative agent will apply funds credited to a collection account to first prepay any outstanding protective advances, second to prepay any revolving loans and third, to cash collateralize any outstanding letter of credit exposure. Such cash dominion period will end when availability has remained in excess of the greater of (i) $12.5 million and (ii) 15% of the lesser of the maximum commitment amount and the borrowing base for a period of 45 consecutive days and no event of default is continuing. The Company had no outstanding balances under the previous credit facility, which was replaced with the ABL Facility, as of December 31, 2022.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1B
-Subparagraph (h)
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-URI https://asc.fasb.org//1943274/2147481139/470-20-50-1B

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
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-Paragraph 1
-Subparagraph (SX 210.4-08(c))
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

SEGMENT AND RELATED INFORMATION - Narrative (Details)	12 Months Ended
SEGMENT AND RELATED INFORMATION - Narrative (Details)	Dec. 31, 2023 segment
Segment Reporting [Abstract]
Number of reportable segments	1

Insider Trading Arrangements	3 Months Ended	12 Months Ended
Insider Trading Arrangements	Dec. 31, 2023 shares	Dec. 31, 2023 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
Dan Spiegelman [Member]
Trading Arrangements, by Individual
Material Terms of Trading Arrangement		On November 22, 2023, Dan Spiegelman, a member of the Company's Board of Directors, adopted a trading plan intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act. The plan provides for the sale in multiple transactions of 50% of the shares to be acquired upon the vesting of Mr. Spiegelman's award of 15,151 restricted stock units granted on June 1, 2023. The plan expires on the earlier of (i) the date all of the shares under the plan have been sold and (ii) November 14, 2024.
Name	Dan Spiegelman
Title	Board of Directors
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	November 22, 2023
Arrangement Duration	358 days
Aggregate Available	15,151	15,151

STOCK-BASED COMPENSATION - Schedule of Stock Option Activity (Details) shares in Millions	12 Months Ended
	Dec. 31, 2023 $ / shares shares
Number of shares
Options outstanding, beginning (in shares) \| shares	0.7
Options outstanding, ending (in shares) \| shares	0.7
Options exercisable (in shares) \| shares	0.5
Options vested and expected to vest (in shares) \| shares	0.7
Weighted average exercise price
Options outstanding, beginning (in dollars per share) \| $ / shares	$ 13.38
Options outstanding, ending (in dollars per share) \| $ / shares	13.38
Options exercisable (in dollars per share) \| $ / shares	13.38
Options vested and expected to vest (in dollars per share) \| $ / shares	$ 13.38
Weighted average remaining contractual life (years)
Options outstanding, Weighted average remaining contractual life (in years)	3 years 7 months 13 days
Options exercisable, Weighted average remaining contractual life (in years)	3 years 7 months 13 days
Options vested and expected to vest, Weighted average remaining contractual life (in years)	3 years 7 months 13 days

GOODWILL AND INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in Carrying Amount of Goodwill

The changes in the carrying amount of goodwill for the year ended December 31, 2023 are as follows:


(in millions)	Year Ended December 31, 2023
Beginning balance	$	286.8

Translation adjustments	0.6
Carrying amount at end of period	$	287.4

Schedule of Amortizable Intangible Assets

The following tables summarize the amounts reported as intangible assets (in millions):


At December 31, 2023:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	626.1	$	(295.3)	$	330.8	14.4	8.1
Internal-use software	0.8		(0.1)		0.7		3.0	2.5
Internal-use software (in-process)	11.2		—		11.2		3.0	3.0
Customer relationships	1.6		(0.2)		1.4		10.0	8.8
Trademarks	6.1		(0.7)		5.4		10.0	8.8
Total intangible assets	$	645.8	$	(296.3)	$	349.5	13.9	7.9


At December 31, 2022:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	625.0	$	(252.9)	$	372.1	14.4	9.1
Customer relationships	1.6		—		1.6		10.0	9.8
Trademarks	6.1		(0.1)		6.0		10.0	9.8
Total intangible assets	$	632.7	$	(253.0)	$	379.7	14.4	9.1

Schedule of Non-amortizable Intangible Assets

The following tables summarize the amounts reported as intangible assets (in millions):


At December 31, 2023:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	626.1	$	(295.3)	$	330.8	14.4	8.1
Internal-use software	0.8		(0.1)		0.7		3.0	2.5
Internal-use software (in-process)	11.2		—		11.2		3.0	3.0
Customer relationships	1.6		(0.2)		1.4		10.0	8.8
Trademarks	6.1		(0.7)		5.4		10.0	8.8
Total intangible assets	$	645.8	$	(296.3)	$	349.5	13.9	7.9


At December 31, 2022:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	625.0	$	(252.9)	$	372.1	14.4	9.1
Customer relationships	1.6		—		1.6		10.0	9.8
Trademarks	6.1		(0.1)		6.0		10.0	9.8
Total intangible assets	$	632.7	$	(253.0)	$	379.7	14.4	9.1

Schedule of Recorded Amortization for Intangible Assets

The Company recorded amortization during the respective periods for these intangible assets as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Amortization of intangible assets	$	42.8	$	41.1	$	50.7

Schedule of Future Amortization Expense of Intangible Assets

Future amortization expense of intangible assets as of December 31, 2023 is estimated to be as follows (in millions):


Years Ended December 31,	Amortization Expense
2024	$	45.0
2025	46.3
2026	46.5
2027	44.7
2028	43.4
Thereafter	123.6
Total	$	349.5

- Definition

Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 350
-SubTopic 20
-Name Accounting Standards Codification
-Section 55
-Paragraph 24
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482548/350-20-55-24

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
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-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482573/350-20-50-1

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
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-Paragraph 1
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-URI https://asc.fasb.org//1943274/2147482573/350-20-50-1

Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482573/350-20-50-1

Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef
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-Section 50
-Paragraph 1
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-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482573/350-20-50-1

Reference 6: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 7: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 8: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 9: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 10: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 11: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 12: http://www.xbrl.org/2009/role/commonPracticeRef
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-Section 50
-Paragraph 2
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482573/350-20-50-2

+ Details

STOCK-BASED COMPENSATION - Schedule of Aggregate Intrinsic Value (Details) $ in Millions	Dec. 31, 2023 USD ($)
Share-based Compensation [Line Items]
Aggregate intrinsic value of options outstanding	$ 3.9
Aggregate intrinsic value of options fully vested	2.6
RSUs
Share-based Compensation [Line Items]
Aggregate intrinsic value of RSUs outstanding	$ 84.1

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

STOCK-BASED COMPENSATION

12 Months Ended

Dec. 31, 2023

Share-Based Payment Arrangement [Abstract]

STOCK-BASED COMPENSATION

On November 30, 2017, the Company’s stockholders approved the adoption of the 2017 Employee, Director and Consultant Equity Incentive Plan (as amended, the “2017 Plan”). The 2017 Plan allows the Company, under the direction of the Compensation and Human Capital Committee of the Board of Directors (the "CHCC"), to make grants of restricted and unrestricted stock and stock unit awards to employees, consultants and directors. Stockholders have subsequently approved amendments to the 2017 Plan increasing the shares available to grant thereunder, including most recently at the Company's annual meeting of stockholders held on June 1, 2023, when stockholders approved an amendment to the 2017 Plan to increase the aggregate number of shares of common stock available thereunder for the granting of awards by an additional 4.8 million shares. As of December 31, 2023, the Company had 4.7 million shares of common stock available for grant under the 2017 Plan. If an RSU awarded under the 2017 Plan is cancelled or forfeited without the issuance of shares of common stock, the unissued or reacquired shares that were subject to the RSU will again be available for issuance pursuant to the 2017 Plan.

The number of shares, terms, and vesting periods are generally determined by the Company’s Board of Directors or the CHCC on an award-by-award basis. RSUs granted to employees generally vest either ratably over three or four years or as a cliff vesting after three years either on the anniversary of the date on which the RSUs were granted or during the month in which such anniversary dates occur. The number of PSUs awarded to certain employees may be increased or may be reduced based on certain additional performance and market metrics. RSUs granted to non-employee directors vest in full upon the earlier of the completion of one year of service following the date of the grant or the date of the next annual meeting of stockholders following such grant. Options granted to the Company's President and Chief Executive Officer as an inducement to his employment expire on August 13, 2027.

The performance and market conditions associated with PSU awards granted during the year ended December 31, 2023 include vesting that is based on revenue targets (34% weighting), adjusted earnings per share targets (33% weighting), and relative total stockholder return (33% weighting) measured against the Nasdaq Health Care Index (IXHC) using the 20-trading day averages at the beginning and end of the measurement period. The measurement period for the relative total stockholder return metric is January 1, 2023 to December 31, 2025, and the revenue and adjusted earnings per share metrics will be measured based on fiscal year 2025 results. The Company estimates the likelihood of achievement of performance conditions at the end of each period. To the extent those awards or portions thereof are considered probable of being achieved, such awards or portions thereof are expensed over the performance period. The portion of the awards pertaining to relative total stockholder return represent market conditions and, accordingly, the estimated fair value of such awards are recognized over the performance period.

Stock Options

A summary of the stock option activity under the Company's equity plans, and inducement awards for the year ended December 31, 2023 is as follows:


(number of shares in millions)	Number of shares	Weighted average exercise price		Weighted average remaining contractual life (years)
Options outstanding at December 31, 2022	0.7	$	13.38




Options outstanding at December 31, 2023	0.7	13.38		3.62
Options exercisable at December 31, 2023	0.5	13.38		3.62
Options vested and expected to vest	0.7	$	13.38	3.62

There were no options granted during the years ended December 31, 2023, 2022 and 2021.

Restricted Stock Units

A summary of the RSU awards activity under the Company's equity plans and inducement awards, including PSU awards, for the year ended December 31, 2023 is as follows:


	2023
(number of shares in millions)	Number of shares	Weighted average grant date fair value
RSUs unvested and outstanding at December 31, 2022	3.7	$	25.08
RSUs granted	2.4	23.02
Less:
RSUs vested	(1.3)	23.55
RSUs canceled	(0.4)	24.38
RSUs unvested and outstanding at December 31, 2023	4.4	$	24.37

The weighted average grant-date fair value of RSUs granted during the years ended December 31, 2023, 2022, and 2021 was $23.02, $25.78, and $29.83, respectively.

The fair value of RSUs that vested during the years ended December 31, 2023, 2022, and 2021 was $30.5 million, $31.0 million, and $22.6 million, respectively.

Stock-based compensation expense recognized and included in the Consolidated Statements of Operations was allocated as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Cost of testing revenue	$	1.4	$	1.7	$	1.5
Cost of other revenue	—		—		0.1
Research and development expense	4.0		5.2		4.2
Selling, general, and administrative expense	35.3		31.2		30.5
Total stock-based compensation expense	$	40.7	$	38.1	$	36.3

As of December 31, 2023, there was $66.2 million of total unrecognized stock-based compensation expense that will be recognized over a weighted-average period of 1.9 years. The Company recognizes forfeitures as they occur.

The aggregate intrinsic value of options outstanding, aggregate intrinsic value of options that are fully vested and aggregate intrinsic value of RSUs vested and expected to vest is as follows:


(in millions)	As of December 31, 2023
Aggregate intrinsic value of options outstanding	$	3.9
Aggregate intrinsic value of options fully vested	2.6
Aggregate intrinsic value of RSUs outstanding	84.1

The total intrinsic value of options exercised was as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Total intrinsic value of options exercised	$	—	$	—	$	29.2

Employee Stock Purchase Plan

The Company also has an Employee Stock Purchase Plan that was initially approved by stockholders in 2012 and was amended and approved by the Board of Directors of the Company on September 23, 2021 and the stockholders on June 2, 2022 (the “Amended and Restated 2012 Purchase Plan”), under which 4.0 million shares of common stock were authorized. Shares are issued under the Amended and Restated 2012 Purchase Plan twice yearly at the end of each offering period and the number of shares that may be purchased by any participant during an offering period is limited to 5,000 shares. The first offering period of 2023 started on December 1, 2022 and ended on May 31, 2023. The second offering period of 2023 began on June 1, 2023 and ended on November 30, 2023. As of December 31, 2023, 1.3 million shares of common stock were available for issuance under the Amended and Restated Purchase Plan. Shares purchased under, and compensation expense associated with, the Amended and Restated 2012 Purchase Plan for the periods reported are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Shares purchased under the plans	0.4		0.3		0.2
Plan compensation expense	$	2.2	$	1.9	$	1.5

The fair value of shares issued under the Amended and Restated 2012 Purchase Plan that was in effect for each period reported was calculated using the Black‑Scholes option-pricing model using the weighted-average assumptions below. Each of these inputs is subjective and its determination generally requires significant judgment.


	Years Ended December 31,
	2023	2022	2021
Risk-free interest rate	5.1%	1.4%	0.1%
Expected dividend yield	—%	—%	—%
Expected life (in years)	0.5	0.5	0.5
Expected volatility	56%	53%	60%

SUBSEQUENT EVENTS	12 Months Ended
SUBSEQUENT EVENTS	Dec. 31, 2023
Subsequent Events [Abstract]
SUBSEQUENT EVENTS	SUBSEQUENT EVENTSOn February 1, 2024, the Company acquired from Intermountain Health select assets for an immaterial amount from its Intermountain Precision Genomics (IPG) laboratory business, including the Precise Tumor Test, the Precise Liquid Test, and IPG's CLIA-certified laboratory in St. George, Utah.

INCOME TAXES - Schedule of Differences Between Statutory Federal Income Tax Rate and Income Taxes Reported (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Effective Income Tax Rate Reconciliation, Amount
Federal income tax expense at the statutory rate	$ (54.9)	$ (29.5)	$ (12.0)
State income taxes, net of federal benefit	(4.1)	(3.3)	(1.8)
Research and development credits	(1.6)	(3.5)	2.5
Uncertain tax positions	3.7	0.6	(3.0)
Incentive stock option and employee stock purchase plan expense	1.2	2.5	0.7
Foreign rate differential	(0.4)	0.0	0.5
Change in valuation allowance	52.6	2.6	(3.2)
CARES Act	0.0	0.0	2.7
Non-deductible meals and entertainment	0.0	0.0	0.1
Non-deductible officer compensation	3.0	3.5	3.3
Non-deductible legal settlement	0.0	0.0	2.5
Acquisitions, dispositions, and contingent consideration	0.1	(0.1)	(23.0)
Other, net	1.5	(1.4)	0.8
Total income tax expense (benefit)	$ 1.1	$ (28.6)	$ (29.9)
Effective Income Tax Rate Reconciliation, Percent
Federal income tax expense at the statutory rate	21.00%	21.00%	21.00%
State income taxes, net of federal benefit	1.60%	2.30%	3.20%
Research and development credits	0.60%	2.50%	(4.40%)
Uncertain tax positions	(1.40%)	(0.40%)	5.30%
Incentive stock option and employee stock purchase plan expense	(0.50%)	(1.80%)	(1.20%)
Foreign rate differential	0.20%	0.00%	(0.90%)
Change in valuation allowance	(20.10%)	(1.80%)	5.60%
CARES Act	0.00%	0.00%	(4.70%)
Non-deductible meals and entertainment	0.00%	0.00%	(0.20%)
Non-deductible officer compensation	(1.10%)	(2.50%)	(5.80%)
Non-deductible legal settlement	0.00%	0.00%	(4.50%)
Acquisitions, dispositions, and contingent consideration	0.00%	0.10%	40.30%
Other, net	(0.70%)	0.90%	(1.40%)
Total income tax expense (benefit)	(0.40%)	20.30%	52.30%

GOODWILL AND INTANGIBLE ASSETS - Schedule of Amortization on Intangible Assets (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization of intangible assets	$ 42.8	$ 41.1	$ 50.7

SEGMENT AND RELATED INFORMATION

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

SEGMENT AND RELATED INFORMATION

The Company’s business is aligned with how the chief operating decision maker ("CODM") reviews performance and makes decisions in managing the Company. Management prepares budgets at the operating segment level, and the CODM approves the budget, reviews the business, makes investing and resource allocation decisions and assesses operating performance at both the operating segment level and on an aggregate basis. As the Company’s operating segments have similar economic and other characteristics, including the nature of the products and production processes, types of customers, distribution methods, and regulatory environment, they have been aggregated into a single reporting segment, which primarily provides testing that helps assess an individual’s risk for developing disease or disease progression and guides treatment decisions across medical specialties where genetic insights can significantly improve patient health care and lower health care costs, and includes corporate services such as finance, human resources, legal and information technology.

The following table reconciles assets by geographical region to total assets:


	December 31,
(in millions)	2023		2022
Net equipment, leasehold improvements and property:
United States	$	117.7	$	81.9
Rest of world	1.3		1.5
Total	$	119.0	$	83.4
Total assets:
United States	$	961.6	$	983.4
Rest of world	44.0		45.6
Total	$	1,005.6	$	1,029.0
Cash, cash equivalents, and marketable investment securities	140.9		169.7
Total	$	1,146.5	$	1,198.7

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-22

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 15
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-15

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 31
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-31

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 32
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-32

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 42
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-42

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 32
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-32

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 40
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-40

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org//280/tableOfContent

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 26
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-26

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 34
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-34

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 41
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-41

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 21
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-21

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 21
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-21

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 32
-Subparagraph (e)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-32

+ Details

STOCK-BASED COMPENSATION - Narrative (Details) $ / shares in Units, $ in Millions		12 Months Ended
	Sep. 23, 2021 shares	Dec. 31, 2023 USD ($) day $ / shares shares	Dec. 31, 2022 USD ($) $ / shares shares	Dec. 31, 2021 USD ($) $ / shares shares	Jun. 01, 2023 shares
Share-based Compensation [Line Items]
Options granted (in shares)		0	0	0
Unrecognized stock-based compensation expense \| $		$ 66.2
Weighted-average period for recognition (years)		1 year 10 months 24 days
2017 Plan
Share-based Compensation [Line Items]
Shares available for grant (in shares)		4,700,000			4,800,000
2012 Purchase Plan
Share-based Compensation [Line Items]
Shares available for grant (in shares)		1,300,000
Number of additional shares authorized (in shares)	4,000,000
Maximum number of shares per participant per offering period (in shares)	5,000
Options and RSUs \| Non-Employee Director
Share-based Compensation [Line Items]
Service period for award vesting (in years)		1 year
RSUs
Share-based Compensation [Line Items]
Vesting rights, average trading days \| day		20
Weighted average grant date fair value (in dollars per share) \| $ / shares		$ 23.02	$ 25.78	$ 29.83
Fair value of restricted stock units that vested \| $		$ 30.5	$ 31.0	$ 22.6
RSUs \| Maximum
Share-based Compensation [Line Items]
Service period for award vesting (in years)		4 years
RSUs \| Minimum
Share-based Compensation [Line Items]
Service period for award vesting (in years)		3 years
RSUs \| Achievement levels based on EPS Targets
Share-based Compensation [Line Items]
Vesting weight (in percent)		34.00%
RSUs \| Relative Total Stockholders Return
Share-based Compensation [Line Items]
Vesting weight (in percent)		33.00%
RSUs \| Performance based on Nasdaq Healthcare Provider Index
Share-based Compensation [Line Items]
Vesting weight (in percent)		33.00%

OTHER LONG-TERM LIABILITIES

12 Months Ended

Dec. 31, 2023

Other Liabilities Disclosure [Abstract]

OTHER LONG-TERM LIABILITIES

The Company's other long-term liabilities at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Contingent consideration	$	2.3	$	6.8
Escrow liability	7.5		7.5
Legal settlements	24.0		—
Other	7.5		3.7
Total other long-term liabilities	$	41.3	$	18.0

Contingent consideration as of December 31, 2023 consisted of the long-term portion of contingent consideration related to the acquisition of Sividon. As of December 31, 2022, contingent consideration consisted of the long-term portion of contingent consideration related to the acquisitions of Sividon and Gateway. The previously recognized contingent consideration liability related to the acquisition of Gateway is not included in the balance as of December 31, 2023, as it is not probable that the required metrics will be met. Additionally, a corresponding amount of cash to the escrow liability of $7.5 million has been restricted for the potential payment under the indemnity and escrow provisions of the Gateway acquisition agreement. See Note 16 for additional information on the Gateway acquisition. The Company has also accrued $24.0 million in connection with pending legal settlements. See Note 12 for additional information on Commitments and Contingencies.

COMMITMENTS AND CONTINGENCIES (Details) $ in Thousands	Oct. 23, 2023 USD ($) installment	Aug. 03, 2023 USD ($)	Dec. 21, 2020 patent	Dec. 31, 2023 USD ($)
Myriad Genetics, Inc. Securities Litigation
Loss Contingencies [Line Items]
Settlement agreement		$ 77,500
Raygen, Inc Versus Myriad Women's Health, Inc.
Loss Contingencies [Line Items]
Number of patents allegedly infringed \| patent			2
Accrual				$ 29,000
Accrual, noncurrent				24,000
Accrual, current				$ 5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Settled Litigation, Non-Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	$ 12,750
Number of annual installments \| installment	3
Raygen, Inc Versus Myriad Women's Health, Inc. \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	$ 21,250
Number of annual installments \| installment	5
Raygen, Inc Versus Myriad Women's Health, Inc. \| First Installment \| Settled Litigation, Non-Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	$ 5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| First Installment \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Second Installment \| Settled Litigation, Non-Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Second Installment \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Third Installment \| Settled Litigation, Non-Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	2,750
Raygen, Inc Versus Myriad Women's Health, Inc. \| Third Installment \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Fourth Installment \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	5,000
Raygen, Inc Versus Myriad Women's Health, Inc. \| Fifth Installment \| Settled Litigation, Contingent Payments
Loss Contingencies [Line Items]
Settlement agreement	$ 1,250

LEASES (Tables)

12 Months Ended

Dec. 31, 2023

Leases [Abstract]

Schedule of Maturities of Operating Lease Liabilities

As of December 31, 2023, the maturities of the Company’s operating lease liabilities were as follows (in millions):


Year Ended:
2024	$	22.5
2025	17.9
2026	11.6
2027	11.7
2028	11.8
Thereafter	85.7
Total future lease payments	161.2
Less: amounts representing interest	(47.6)
Present value of future lease payments	113.6

Less: current maturities of operating lease liabilities	(16.2)
Noncurrent operating lease liabilities	$	97.4

Consolidated Statements of Comprehensive Loss - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Statement of Comprehensive Income [Abstract]
Net loss attributable to Myriad Genetics, Inc. stockholders	$ (263.3)	$ (112.0)	$ (27.2)
Change in unrealized loss on available-for-sale securities, net of tax	1.2	(2.5)	(1.0)
Change in foreign currency translation adjustment, net of tax	2.1	(1.3)	(1.8)
Reclassification adjustments for losses included in net loss, net of tax	1.5	0.0	0.0
Reclassification of cumulative translation adjustment to income upon liquidation of an investment in a foreign entity, net of tax	0.4	0.0	0.0
Comprehensive loss	$ (258.1)	$ (115.8)	$ (30.0)

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

Consolidated Statements of Operations - USD ($) shares in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Total revenue	$ 753.2	$ 678.4	$ 690.6
Costs and expenses:
Research and development expense	88.7	85.4	81.9
Selling, general, and administrative expense	572.9	514.7	537.8
Legal settlements	112.8	0.0	62.0
Goodwill and long-lived asset impairment charges	0.0	16.9	1.8
Total costs and expenses	1,010.6	819.0	881.1
Operating loss	(257.4)	(140.6)	(190.5)
Other income (expense):
Interest income	2.5	2.6	0.7
Interest expense	(2.9)	(3.2)	(6.6)
Other	(4.4)	0.6	139.3
Total other income (expense)	(4.8)	0.0	133.4
Loss before income tax	(262.2)	(140.6)	(57.1)
Income tax expense (benefit)	1.1	(28.6)	(29.9)
Net loss	$ (263.3)	$ (112.0)	$ (27.2)
Net loss per share:
Basic (in dollars per share)	$ (3.18)	$ (1.39)	$ (0.35)
Diluted (in dollars per share)	$ (3.18)	$ (1.39)	$ (0.35)
Weighted average shares outstanding:
Basic (in shares)	82.8	80.6	78.0
Diluted (in shares)	82.8	80.6	78.0
Testing Revenue
Total revenue	$ 753.2	$ 678.4	$ 666.4
Costs and expenses:
Costs and expenses	236.2	202.0	185.7
Other revenue
Total revenue	0.0	0.0	24.2
Costs and expenses:
Costs and expenses	$ 0.0	$ 0.0	$ 11.9

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Foreign Currency Cumulative Translation Adjustments (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	$ 885.8	$ 967.8	$ 881.0
Period translation adjustments	2.1	(1.3)	(1.8)
Reclassification of cumulative translation adjustment to income upon liquidation of an investment in a foreign entity	(0.4)	0.0	0.0
Ending balance	783.2	885.8	$ 967.8
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	(6.2)
Period translation adjustments	2.1
Reclassification of cumulative translation adjustment to income upon liquidation of an investment in a foreign entity	0.4
Ending balance	$ (3.7)	$ (6.2)

- Definition

Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

+ References

+ Details

Consolidated Balance Sheets - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 132.1	$ 56.9
Marketable investment securities	8.8	58.0
Trade accounts receivable	114.3	101.6
Inventory	22.0	20.1
Prepaid taxes	17.0	17.6
Prepaid expenses and other current assets	19.4	20.4
Total current assets	313.6	274.6
Operating lease right-of-use assets	61.6	103.9
Long-term marketable investment securities	0.0	54.8
Property, plant and equipment, net	119.0	83.4
Intangibles, net	349.5	379.7
Goodwill	287.4	286.8
Other assets	15.4	15.5
Total assets	1,146.5	1,198.7
Current liabilities:
Accounts payable	25.8	28.8
Accrued liabilities	113.9	94.3
Current maturities of operating lease liabilities	16.2	14.1
Total current liabilities	155.9	137.2
Unrecognized tax benefits	30.2	26.8
Long-term debt	38.5	0.0
Noncurrent operating lease liabilities	97.4	130.9
Other long-term liabilities	41.3	18.0
Total liabilities	363.3	312.9
Commitments and contingencies
Stockholders’ equity:
Common stock, $0.01 par value, 89.9 and 81.2 shares outstanding at December 31, 2023 and 2022, respectively	0.9	0.8
Additional paid-in capital	1,415.5	1,260.1
Accumulated other comprehensive loss	(3.7)	(8.9)
Accumulated deficit	(629.5)	(366.2)
Total stockholders' equity	783.2	885.8
Total liabilities and stockholders’ equity	$ 1,146.5	$ 1,198.7

GOODWILL AND INTANGIBLE ASSETS

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

GOODWILL AND INTANGIBLE ASSETS

Goodwill

The changes in the carrying amount of goodwill for the year ended December 31, 2023 are as follows:


(in millions)	Year Ended December 31, 2023
Beginning balance	$	286.8

Translation adjustments	0.6
Carrying amount at end of period	$	287.4

The Company assessed goodwill for impairment as part of its annual goodwill testing in accordance with the appropriate guidance (see Note 1) and determined none of its reporting units were impaired as of the annual testing date. The Company did not record an impairment of goodwill for the years ended December 31, 2023, 2022 and 2021.

Intangible Assets

The following tables summarize the amounts reported as intangible assets (in millions):


At December 31, 2023:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	626.1	$	(295.3)	$	330.8	14.4	8.1
Internal-use software	0.8		(0.1)		0.7		3.0	2.5
Internal-use software (in-process)	11.2		—		11.2		3.0	3.0
Customer relationships	1.6		(0.2)		1.4		10.0	8.8
Trademarks	6.1		(0.7)		5.4		10.0	8.8
Total intangible assets	$	645.8	$	(296.3)	$	349.5	13.9	7.9


At December 31, 2022:	Gross Carrying Amount		Accumulated Amortization		Net		Weighted-Average Useful Life (in Years)	Weighted-Average Remaining Useful Life (in Years)
Developed technologies	$	625.0	$	(252.9)	$	372.1	14.4	9.1
Customer relationships	1.6		—		1.6		10.0	9.8
Trademarks	6.1		(0.1)		6.0		10.0	9.8
Total intangible assets	$	632.7	$	(253.0)	$	379.7	14.4	9.1

As of December 31, 2023, the Company's developed technologies have estimated remaining useful lives ranging between 7 and 12 years. The Company's trademarks and customer relationships acquired as of December 31, 2023 have an estimated remaining useful life of approximately nine years. The Company's internal-use software assets are amortized over the estimated useful life of the software, which is generally three years. The Company concluded there was no impairment of long-lived intangible assets for the years ended December 31, 2023, 2022 and 2021.

The Company recorded amortization during the respective periods for these intangible assets as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Amortization of intangible assets	$	42.8	$	41.1	$	50.7

Future amortization expense of intangible assets as of December 31, 2023 is estimated to be as follows (in millions):


Years Ended December 31,	Amortization Expense
2024	$	45.0
2025	46.3
2026	46.5
2027	44.7
2028	43.4
Thereafter	123.6
Total	$	349.5

LEASES

12 Months Ended

Dec. 31, 2023

Leases [Abstract]

LEASES

The Company leases certain office spaces and research and development laboratory facilities, vehicles, and office equipment with remaining lease terms ranging from approximately one to fifteen years. These leases require monthly lease payments that may be subject to annual increases throughout the lease term. Certain of these leases also include renewal options, which allows the Company to, at its election, renew or extend the lease for a fixed period of time. These optional periods have not been considered in the determination of the ROU assets or lease liabilities associated with these leases as the Company did not consider it reasonably certain it would exercise the options.

Due to the increase in remote and hybrid work and the Company's need to ensure its facilities are designed to handle future growth, the Company has been executing on a multi-year strategy to reset its real estate footprint. As part of that strategy, in the first quarter of 2022, the Company entered into a non-cancelable operating lease for approximately 234,000 square feet in west Salt Lake City, Utah. The Company took possession of this leased facility in phases, beginning in the three months ended June 30, 2022. During the twelve months ended December 31, 2023, the Company took possession of the remaining phases of the west Salt Lake City facility and recognized $5.9 million of ROU asset and corresponding lease liability, net of tenant improvement allowance not yet received. The lease has a term of 15 years and total future rent payments under the lease are approximately $79.6 million. Also during the twelve months ended December 31, 2023, the Company assigned the lease for its previous corporate headquarters to a third party and transitioned its headquarters to the west Salt Lake City facility. As a result of the lease assignment, the operating lease ROU asset and operating lease liability associated with the previous headquarters of $33.3 million and $39.6 million, respectively, were removed from the Company's Consolidated Balance Sheets. In connection with the assignment of the lease, the Company recorded an accrual of $8.5 million for future payments under the lease assignment agreement, which is included in Accrued liabilities and Other long-term liabilities in the Company's Consolidated Balance Sheets as of December 31, 2023. The total net loss recognized associated with the assignment of the lease agreement was $7.7 million, which is included in Selling, general, and administrative expense in the Company's Consolidated Statements of Operations. In addition, the Company modified the remaining lease term of certain other Salt Lake City facilities reducing the associated ROU asset and lease liability by $6.4 million.

In connection with the Company's multi-year real-estate strategy, the Company also entered into a non-cancelable operating lease for approximately 63,000 square feet in South San Francisco, California with a term of 10 years, which commenced in the second half of fiscal year 2023. The Company took possession of the lease during fiscal year 2022 and recognized the related ROU asset and lease liability, net of tenant improvement allowance not yet received, of $30.7 million. Total future rent payments under the lease are approximately $56.7 million. The Company plans to transition all of the operations from the current South San Francisco facility, which has approximately 49,000 square feet of laboratory space utilized to perform testing for the Women's Health business, to the new South San Francisco facility.

During the twelve months ended December 31, 2022, the Company ceased the use of certain of its leased Salt Lake City facilities and one of its South San Francisco facilities. As a result, the Company recorded an impairment charge on ROU assets of $13.0 million and an impairment charge of $3.9 million on the related property, plant and equipment, which consisted primarily of leasehold improvements. The total $16.9 million impairment is included in Goodwill and long-lived asset impairment charges in the Consolidated Statement of Operations.

The Company performed evaluations of its contracts and determined the majority of its identified leases are operating leases. For the year ended December 31, 2023, the Company incurred $25.9 million in operating lease costs which are included in operating expenses in the Consolidated Statements of Operations in relation to these operating leases. Of such lease costs, $3.5 million was variable lease expense, which was not included in the measurement of the Company's operating ROU assets and lease liabilities. The variable rent expense is comprised primarily of the Company's proportionate share of operating expenses, property taxes, and insurance and is classified as lease expense due to the Company's election to not separate lease and non-lease components. For the year ended December 31, 2022, the Company incurred $22.1 million in lease costs which are included in operating expenses in the Consolidated Statements of Operations in relation to these operating leases. Of such lease costs, $3.2 million was variable lease expense, which was not included in the measurement of the Company's operating ROU assets and lease liabilities. The Company's finance leases are immaterial.

As of December 31, 2023, the maturities of the Company’s operating lease liabilities were as follows (in millions):


Year Ended:
2024	$	22.5
2025	17.9
2026	11.6
2027	11.7
2028	11.8
Thereafter	85.7
Total future lease payments	161.2
Less: amounts representing interest	(47.6)
Present value of future lease payments	113.6

Less: current maturities of operating lease liabilities	(16.2)
Noncurrent operating lease liabilities	$	97.4

As of December 31, 2023, the weighted average remaining lease term is 9.4 years and the weighted average discount rate used to determine the operating lease liability was 6.34%.

As the implicit rate in the Company's leases is generally unknown, the Company uses its incremental borrowing rate based on the information available at the lease commencement date in determining the present value of future lease payments. When calculating the Company’s incremental borrowing rates, the Company gives consideration to its credit risk, term of the lease, total lease payments and adjusts for the impacts of collateral, as necessary. The lease term used may reflect any option to extend or terminate the lease when it is reasonably certain the Company will exercise such options. Lease expenses for the Company's operating leases are recognized on a straight-line basis over the lease term.

GOODWILL AND INTANGIBLE ASSETS - Schedule of Intangible Assets (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Intangible Assets [Line Items]
Accumulated Amortization	$ (296.3)	$ (253.0)
Total	349.5
Gross carrying amount, total	645.8	632.7
Net, total	$ 349.5	$ 379.7
Weighted-Average Useful Life (in Years)	13 years 10 months 24 days	14 years 4 months 24 days
Weighted-Average Remaining Useful Life (in Years)	7 years 10 months 24 days	9 years 1 month 6 days
Developed technologies
Intangible Assets [Line Items]
Gross carrying amount, amortizable	$ 626.1	$ 625.0
Accumulated Amortization	(295.3)	(252.9)
Total	$ 330.8	$ 372.1
Weighted-Average Useful Life (in Years)	14 years 4 months 24 days	14 years 4 months 24 days
Weighted-Average Remaining Useful Life (in Years)	8 years 1 month 6 days	9 years 1 month 6 days
Internal-use software
Intangible Assets [Line Items]
Gross carrying amount, amortizable	$ 0.8
Accumulated Amortization	(0.1)
Total	$ 0.7
Weighted-Average Useful Life (in Years)	3 years
Weighted-Average Remaining Useful Life (in Years)	2 years 6 months
Internal-use software (in-process)
Intangible Assets [Line Items]
Gross carrying amount, amortizable	$ 11.2
Accumulated Amortization	0.0
Total	$ 11.2
Weighted-Average Useful Life (in Years)	3 years
Weighted-Average Remaining Useful Life (in Years)	3 years
Customer relationships
Intangible Assets [Line Items]
Gross carrying amount, amortizable	$ 1.6	$ 1.6
Accumulated Amortization	(0.2)	0.0
Total	$ 1.4	$ 1.6
Weighted-Average Useful Life (in Years)	10 years	10 years
Weighted-Average Remaining Useful Life (in Years)	8 years 9 months 18 days	9 years 9 months 18 days
Trademarks
Intangible Assets [Line Items]
Gross carrying amount, amortizable	$ 6.1	$ 6.1
Accumulated Amortization	(0.7)	(0.1)
Total	$ 5.4	$ 6.0
Weighted-Average Useful Life (in Years)	10 years	10 years
Weighted-Average Remaining Useful Life (in Years)	8 years 9 months 18 days	9 years 9 months 18 days

Cover - USD ($)	12 Months Ended
Cover - USD ($)	Dec. 31, 2023	Feb. 21, 2024	Jun. 30, 2023
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2023
Current Fiscal Year End Date	--12-31
Document Transition Report	false
Entity File Number	0-26642
Entity Registrant Name	MYRIAD GENETICS, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	87-0494517
Entity Address, Address Line One	322 North 2200 West,
Entity Address, City or Town	Salt Lake City
Entity Address, State or Province	UT
Entity Address, Postal Zip Code	84116
City Area Code	801
Local Phone Number	584-3600
Title of 12(b) Security	Common Stock, $0.01 par value
Trading Symbol	MYGN
Security Exchange Name	NASDAQ
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
ICFR Auditor Attestation Flag	true
Document Financial Statement Error Correction	false
Entity Shell Company	false
Entity Public Float			$ 1,897,979,976
Entity Common Stock, Shares Outstanding		89,874,886
Documents Incorporated by Reference	The following documents (or parts thereof) are incorporated by reference into the following parts of this Form 10-K: Certain information required in Part III of this Annual Report on Form 10-K is incorporated from the Registrant's Proxy Statement, to be filed no later than 120 days following December 31, 2023, for the Annual Meeting of Stockholders expected to be held on June 6, 2024.
Amendment Flag	false
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	FY
Entity Central Index Key	0000899923

BUSINESS ACQUISITION - Schedule of Pro Forma Information (Details) - Gateway Genomics, LLC - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Business Acquisition [Line Items]
Revenue	$ 695,632	$ 709,132
Net loss	$ (112,185)	$ (28,686)

PROPERTY, PLANT AND EQUIPMENT, NET - Narrative (Details) - Leasehold improvements - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Accelerated depreciation	$ 5.7
Impairment charge		$ 3.9

GOODWILL AND INTANGIBLE ASSETS - Schedule of Future Amortization Expense (Details) $ in Millions	Dec. 31, 2023 USD ($)
Future Amortization Expense
2024	$ 45.0
2025	46.3
2026	46.5
2027	44.7
2028	43.4
Thereafter	123.6
Total	$ 349.5

SEGMENT AND RELATED INFORMATION (Tables)

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Schedule of Assets by Geographical Region

The following table reconciles assets by geographical region to total assets:


	December 31,
(in millions)	2023		2022
Net equipment, leasehold improvements and property:
United States	$	117.7	$	81.9
Rest of world	1.3		1.5
Total	$	119.0	$	83.4
Total assets:
United States	$	961.6	$	983.4
Rest of world	44.0		45.6
Total	$	1,005.6	$	1,029.0
Cash, cash equivalents, and marketable investment securities	140.9		169.7
Total	$	1,146.5	$	1,198.7

STOCK-BASED COMPENSATION - Schedule of Stock-Based Compensation Expense (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Share-Based Compensation Expense [Line Items]
Total stock-based compensation expense	$ 40.7	$ 38.1	$ 36.3
Cost of testing revenue
Share-Based Compensation Expense [Line Items]
Total stock-based compensation expense	1.4	1.7	1.5
Cost of other revenue
Share-Based Compensation Expense [Line Items]
Total stock-based compensation expense	0.0	0.0	0.1
Research and development expense
Share-Based Compensation Expense [Line Items]
Total stock-based compensation expense	4.0	5.2	4.2
Selling, general, and administrative expense
Share-Based Compensation Expense [Line Items]
Total stock-based compensation expense	$ 35.3	$ 31.2	$ 30.5

INCOME TAXES - Narrative (Details) - USD ($) $ in Millions	12 Months Ended
INCOME TAXES - Narrative (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Operating Loss Carryforwards [Line Items]
Net deferred tax liabilities	$ 1.6	$ 3.5
Unrecognized tax benefits	48.1	43.9	$ 32.1	$ 37.6
Gross increases - current year tax positions	0.8	12.9	$ 1.4
Unrecognized tax benefits, if recognized, would affect the effective tax rate	$ 30.2	26.8
Revision of Prior Period, Adjustment
Operating Loss Carryforwards [Line Items]
Gross increases - current year tax positions		$ 12.0

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)

12 Months Ended

Dec. 31, 2023

Accounting Policies [Abstract]

Basis of Financial Statement Presentation

Use of Estimates

Reclassifications

Concentration of Credit Risk

Cash and Cash Equivalents

Restricted Cash

In certain circumstances, the Company is required to maintain cash deposits with certain banks with respect to contractual or other legal obligations, and therefore the use of these cash deposits for general operational purposes is restricted. The restricted cash amounts are largely comprised of cash held in escrow related to the Company's acquisition of Gateway Genomics, LLC ("Gateway"), which occurred during the year ended December 31, 2022. The current and long-term portions are included in Prepaid expenses and other current assets and Other assets, respectively, on the Consolidated Balance Sheets.

Marketable Investment Securities

Inventory

Trade Accounts Receivable

Property, Plant and Equipment

Leases

Intangible Assets

Other Long-Lived Assets

Goodwill

Business Acquisitions

Revenue Recognition

The following table presents detail regarding the composition of the Company’s total revenue by product type for the years ended December 31, 2023, 2022, and 2021:


	Years Ended December 31,
(In millions)	2023		2022		2021
Testing revenues:
Hereditary Cancer	$	327.8	$	305.5	$	316.3
Tumor Profiling	135.6		128.6		120.9
Prenatal	151.3		116.4		106.8
Pharmacogenomics	138.5		127.6		93.7
Autoimmune	—		0.3		28.2
Other	—		—		0.5
Total testing revenue	753.2		678.4		666.4
Other revenue	—		—		24.2
Total revenue	$	753.2	$	678.4	$	690.6

In addition, the following tables reconcile revenue by geographical region, either U.S. or rest of world ("RoW"), to total revenue:


	Years Ended December 31,
	2023						2022						2021
(in millions)	U.S.		RoW		Total		U.S.		RoW		Total		U.S.		RoW		Total
Testing revenues:
Hereditary Cancer	$	280.5	$	47.3	$	327.8	$	263.5	$	42.0	$	305.5	$	271.0	$	45.3	$	316.3
Tumor Profiling	102.1		33.5		135.6		84.5		44.1		128.6		80.4		40.5		120.9
Prenatal	150.6		0.7		151.3		115.6		0.8		116.4		106.2		0.6		106.8
Pharmacogenomics	138.5		—		138.5		127.6		—		127.6		93.7		—		93.7
Autoimmune	—		—		—		0.3		—		0.3		28.2		—		28.2
Other	—		—		—		—		—		—		—		0.5		0.5
Total testing revenue	671.7		81.5		753.2		591.5		86.9		678.4		579.5		86.9		666.4
Other revenue	—		—		—		—		—		—		24.2		—		24.2
Total revenue	$	671.7	$	81.5	$	753.2	$	591.5	$	86.9	$	678.4	$	603.7	$	86.9	$	690.6


	Years Ended December 31,
(in millions)	2023		2022		2021
Deferred revenue - beginning balance	$	0.6	$	5.2	$	32.7
Revenue recognized	(0.5)		(4.9)		(40.5)
Prepayments	0.4		0.3		14.0
Divestitures	—		—		(1.0)
Deferred revenue - ending balance	$	0.5	$	0.6	$	5.2

Stock-based Payment Expense

Other Income (Expense)

The Company recognizes the gain or loss on its divestitures as Other income (expense) in the Consolidated Statement of Operations.

Income Taxes

Earnings Per Share

The following is a reconciliation of the denominators of the basic and diluted earnings per share computations:


	Years Ended December 31,
(in millions)	2023	2022	2021
Denominator:
Weighted-average shares outstanding used to compute basic EPS	82.8	80.6	78.0
Effect of dilutive stock options and RSUs	—	—	—
Weighted-average shares outstanding and dilutive securities used to compute diluted EPS	82.8	80.6	78.0


	Years Ended December 31,
(in millions)	2023	2022	2021
Anti-dilutive options and RSUs excluded from EPS computation	5.1	4.4	4.5

Foreign Currency

Recent Accounting Pronouncements

Fair Value Measurements

Level 1—quoted prices in active markets for identical assets and liabilities.

Level 3—unobservable inputs.

STOCK-BASED COMPENSATION (Tables)

12 Months Ended

Dec. 31, 2023

Share-Based Payment Arrangement [Abstract]

Schedule of Stock Option Activity

A summary of the stock option activity under the Company's equity plans, and inducement awards for the year ended December 31, 2023 is as follows:


(number of shares in millions)	Number of shares	Weighted average exercise price		Weighted average remaining contractual life (years)
Options outstanding at December 31, 2022	0.7	$	13.38




Options outstanding at December 31, 2023	0.7	13.38		3.62
Options exercisable at December 31, 2023	0.5	13.38		3.62
Options vested and expected to vest	0.7	$	13.38	3.62

Schedule of Restricted Stock Units Activity

A summary of the RSU awards activity under the Company's equity plans and inducement awards, including PSU awards, for the year ended December 31, 2023 is as follows:


	2023
(number of shares in millions)	Number of shares	Weighted average grant date fair value
RSUs unvested and outstanding at December 31, 2022	3.7	$	25.08
RSUs granted	2.4	23.02
Less:
RSUs vested	(1.3)	23.55
RSUs canceled	(0.4)	24.38
RSUs unvested and outstanding at December 31, 2023	4.4	$	24.37

Schedule of Stock-Based Compensation Expense

Stock-based compensation expense recognized and included in the Consolidated Statements of Operations was allocated as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Cost of testing revenue	$	1.4	$	1.7	$	1.5
Cost of other revenue	—		—		0.1
Research and development expense	4.0		5.2		4.2
Selling, general, and administrative expense	35.3		31.2		30.5
Total stock-based compensation expense	$	40.7	$	38.1	$	36.3

Schedule of Aggregate Intrinsic Value

The aggregate intrinsic value of options outstanding, aggregate intrinsic value of options that are fully vested and aggregate intrinsic value of RSUs vested and expected to vest is as follows:


(in millions)	As of December 31, 2023
Aggregate intrinsic value of options outstanding	$	3.9
Aggregate intrinsic value of options fully vested	2.6
Aggregate intrinsic value of RSUs outstanding	84.1

Schedule of Intrinsic Value of Options Exercised

The total intrinsic value of options exercised was as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Total intrinsic value of options exercised	$	—	$	—	$	29.2

Schedule of Shares Purchased and Compensation Expenses for ESPP

Shares purchased under, and compensation expense associated with, the Amended and Restated 2012 Purchase Plan for the periods reported are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Shares purchased under the plans	0.4		0.3		0.2
Plan compensation expense	$	2.2	$	1.9	$	1.5

Schedule of Valuation Assumptions for ESPP


	Years Ended December 31,
	2023	2022	2021
Risk-free interest rate	5.1%	1.4%	0.1%
Expected dividend yield	—%	—%	—%
Expected life (in years)	0.5	0.5	0.5
Expected volatility	56%	53%	60%

DIVESTITURES (Tables)

12 Months Ended

Dec. 31, 2023

Discontinued Operations and Disposal Groups [Abstract]

Schedule of Amounts Recognized in Other Income

The following table details the amounts recognized in Other income (expense) for the year ended December 31, 2021:


(in millions)	Year Ended December 31, 2021
Gain on sale of Myriad RBM, Inc.	$	121.0
Gain on sale of the Myriad myPath, LLC laboratory	31.2
Loss on inventory	(11.7)
Loss on sale of Myriad Autoimmune assets	(0.6)
Other	(0.6)
Total other income (expense)	$	139.3

- Definition

Tabular disclosure of information related to a disposal group. Includes, but is not limited to, a discontinued operation, disposal classified as held-for-sale or disposed of by means other than sale or disposal of an individually significant component.

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+ Details

DIVESTITURES - Schedule of Amounts Recognized in Other Income (Details) - USD ($) $ in Millions			12 Months Ended
	Sep. 13, 2021	Jul. 01, 2021	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Disposal of Subsidiary [Line Items]
Total other income (expense)			$ (4.4)	$ 0.6	$ 139.3
Disposed of by Sale
Disposal of Subsidiary [Line Items]
Loss on inventory					(11.7)
Other					(0.6)
Gain on sale of Myriad RBM, Inc. \| Disposed of by Sale
Disposal of Subsidiary [Line Items]
Gain (loss) on sale of subsidiary		$ 121.0			121.0
Gain on sale of the Myriad myPath, LLC laboratory \| Disposed of by Sale
Disposal of Subsidiary [Line Items]
Gain (loss) on sale of subsidiary					31.2
Loss on sale of Myriad Autoimmune assets \| Disposed of by Sale
Disposal of Subsidiary [Line Items]
Gain (loss) on sale of subsidiary	$ (0.6)				$ (0.6)

PROPERTY, PLANT AND EQUIPMENT, NET (Tables)

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment [Abstract]

Schedule of Property, Plant and Equipment, Net

The property, plant and equipment at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Leasehold improvements	$	91.3	$	67.9
Equipment	147.6		124.7
Property, plant and equipment, gross	238.9		192.6
Less accumulated depreciation	(119.9)		(109.2)
Property, plant and equipment, net	$	119.0	$	83.4

The Company recorded depreciation during the respective periods as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Depreciation expense	$	19.1	$	11.6	$	12.1

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Restricted cash	$ 8,800,000	$ 9,500,000	$ 1,400,000
Restricted cash, current	1,200,000	2,000,000
Restricted cash, non current	$ 7,600,000	7,500,000
Lease extension term	10 years
Unamortized internal-use technology costs	$ 4,600,000	7,100,000
Revenue increase (decrease) due to changes in estimated transaction price due to contractual adjustments	7,200,000	22,100,000	15,900,000
Revenue recognized due to expanded local coverage determination for which revenue was previously constrained			$ 6,800,000
Capitalized costs incurred to obtain or fulfill contract	0
Foreign currency transaction (loss) gain	$ (3,400,000)	$ 200,000
Minimum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Remaining lease terms	1 year
Maximum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Remaining lease terms	15 years
Performance Obligation Estimate
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Change in earnings (loss) per share (in dollars per share)	$ 0.07	$ 0.21	$ 0.15
Internal-use software
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Unamortized software costs	$ 11,900,000
Equipment \| Minimum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Estimated useful lives (in years)	5 years
Equipment \| Maximum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Estimated useful lives (in years)	7 years
Leasehold improvements \| Minimum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Estimated useful lives (in years)	1 year
Leasehold improvements \| Maximum
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Estimated useful lives (in years)	15 years
Government Contracts Concentration Risk \| Medicare \| Revenue
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Concentration risk (in percent)	12.00%	14.00%	17.00%
Medicare \| Medicare \| Accounts Receivable
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Concentration risk (in percent)	12.00%

FAIR VALUE MEASUREMENTS - Schedule of Fair Value of Financial Assets and Liabilities (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total	$ 5.6	$ 109.3
Money market funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	2.2	3.3
Corporate bonds and notes
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	8.3	65.1
Municipal bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.5	16.0
Federal agency issues
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		20.0
U.S. government securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		11.7
Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial liabilities	(5.4)	(6.8)
Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total	2.2	3.3
Level 1 \| Money market funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	2.2	3.3
Level 1 \| Corporate bonds and notes
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 1 \| Municipal bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 1 \| Federal agency issues
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		0.0
Level 1 \| U.S. government securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		0.0
Level 1 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial liabilities	0.0	0.0
Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total	8.8	112.8
Level 2 \| Money market funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 2 \| Corporate bonds and notes
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	8.3	65.1
Level 2 \| Municipal bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.5	16.0
Level 2 \| Federal agency issues
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		20.0
Level 2 \| U.S. government securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		11.7
Level 2 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial liabilities	0.0	0.0
Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total	(5.4)	(6.8)
Level 3 \| Money market funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 3 \| Corporate bonds and notes
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 3 \| Municipal bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets	0.0	0.0
Level 3 \| Federal agency issues
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		0.0
Level 3 \| U.S. government securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial assets		0.0
Level 3 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Financial liabilities	$ (5.4)	$ (6.8)

PREFERRED AND COMMON STOCKHOLDERS' EQUITY

12 Months Ended

Dec. 31, 2023

Equity [Abstract]

PREFERRED AND COMMON STOCKHOLDERS' EQUITY

The Company is authorized to issue up to 5.0 million shares of preferred stock, par value $0.01 per share. There were no shares of preferred stock outstanding at December 31, 2023 and December 31, 2022.

The Company is authorized to issue up to 150.0 million shares of common stock, par value $0.01 per share.

In November 2023, the Company completed an underwritten public offering in which it sold 7.4 million shares of its common stock at a price of $17.00 per share, for gross proceeds of $126.5 million and net proceeds of $117.6 million.

There were 89.9 million and 81.2 million shares of common stock issued and outstanding at December 31, 2023 and 2022, respectively.

Shares of common stock issued and outstanding


	Years Ended December 31,
(in millions)	2023	2022	2021
Beginning common stock issued and outstanding	81.2	80.0	75.4
Common stock issued upon exercise of options, vesting of restricted stock units, and purchases under employee stock purchase plans	1.3	1.2	4.6
Common stock issued for public offering	7.4	—	—

Common stock issued and outstanding at end of period	89.9	81.2	80.0

- Definition

The entire disclosure for equity.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-13

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
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-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Subparagraph (h)
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-URI https://asc.fasb.org//1943274/2147481112/505-10-50-13

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 14
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-14

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 235
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481062/946-235-50-2

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 235
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481062/946-235-50-2

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 505
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481004/946-505-50-6

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480237/815-40-50-6

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.3-04)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480008/505-10-S99-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(e)(1))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480678/235-10-S99-1

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 505
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org//505/tableOfContent

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-13

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Subparagraph (g)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-13

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Subparagraph (i)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-13

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 14
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-14

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 14
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-14

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 16
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-16

Reference 17: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 18
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-18

Reference 18: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 18
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-18

Reference 19: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 18
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-18

+ Details

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)

12 Months Ended

Dec. 31, 2023

Accounting Policies [Abstract]

Schedule of Restricted Cash


	December 31,
(in millions)	2023		2022		2021
Cash and cash equivalents	$	132.1	$	56.9	$	257.4
Restricted cash	8.8		9.5		1.4
Total cash, cash equivalents, and restricted cash	$	140.9	$	66.4	$	258.8

Schedule of Cash and Cash Equivalents


	December 31,
(in millions)	2023		2022		2021
Cash and cash equivalents	$	132.1	$	56.9	$	257.4
Restricted cash	8.8		9.5		1.4
Total cash, cash equivalents, and restricted cash	$	140.9	$	66.4	$	258.8

Schedule of Revenue by Type

The following table presents detail regarding the composition of the Company’s total revenue by product type for the years ended December 31, 2023, 2022, and 2021:


	Years Ended December 31,
(In millions)	2023		2022		2021
Testing revenues:
Hereditary Cancer	$	327.8	$	305.5	$	316.3
Tumor Profiling	135.6		128.6		120.9
Prenatal	151.3		116.4		106.8
Pharmacogenomics	138.5		127.6		93.7
Autoimmune	—		0.3		28.2
Other	—		—		0.5
Total testing revenue	753.2		678.4		666.4
Other revenue	—		—		24.2
Total revenue	$	753.2	$	678.4	$	690.6

Schedule of Revenue by Geographical Region

In addition, the following tables reconcile revenue by geographical region, either U.S. or rest of world ("RoW"), to total revenue:


	Years Ended December 31,
	2023						2022						2021
(in millions)	U.S.		RoW		Total		U.S.		RoW		Total		U.S.		RoW		Total
Testing revenues:
Hereditary Cancer	$	280.5	$	47.3	$	327.8	$	263.5	$	42.0	$	305.5	$	271.0	$	45.3	$	316.3
Tumor Profiling	102.1		33.5		135.6		84.5		44.1		128.6		80.4		40.5		120.9
Prenatal	150.6		0.7		151.3		115.6		0.8		116.4		106.2		0.6		106.8
Pharmacogenomics	138.5		—		138.5		127.6		—		127.6		93.7		—		93.7
Autoimmune	—		—		—		0.3		—		0.3		28.2		—		28.2
Other	—		—		—		—		—		—		—		0.5		0.5
Total testing revenue	671.7		81.5		753.2		591.5		86.9		678.4		579.5		86.9		666.4
Other revenue	—		—		—		—		—		—		24.2		—		24.2
Total revenue	$	671.7	$	81.5	$	753.2	$	591.5	$	86.9	$	678.4	$	603.7	$	86.9	$	690.6

Schedule of Reconciliation of Deferred Revenue Balances

A reconciliation of the beginning and ending balances of deferred revenue is shown in the table below:


	Years Ended December 31,
(in millions)	2023		2022		2021
Deferred revenue - beginning balance	$	0.6	$	5.2	$	32.7
Revenue recognized	(0.5)		(4.9)		(40.5)
Prepayments	0.4		0.3		14.0
Divestitures	—		—		(1.0)
Deferred revenue - ending balance	$	0.5	$	0.6	$	5.2

Schedule of Reconciliation of Denominators of Basic and Diluted Earnings Per Share Computations

The following is a reconciliation of the denominators of the basic and diluted earnings per share computations:


	Years Ended December 31,
(in millions)	2023	2022	2021
Denominator:
Weighted-average shares outstanding used to compute basic EPS	82.8	80.6	78.0
Effect of dilutive stock options and RSUs	—	—	—
Weighted-average shares outstanding and dilutive securities used to compute diluted EPS	82.8	80.6	78.0

Schedule of Potential Dilutive Common Shares

These potential dilutive shares of common stock, which may be dilutive to future diluted earnings per share, are as follows:


	Years Ended December 31,
(in millions)	2023	2022	2021
Anti-dilutive options and RSUs excluded from EPS computation	5.1	4.4	4.5

Schedule of Cumulative Translation Adjustments Included in Accumulated Other Comprehensive Loss

The following table shows the cumulative translation adjustments included in Accumulated other comprehensive loss (in millions):


Ending balance December 31, 2022	$	(6.2)
Period translation adjustments	2.1
Reclassification of cumulative translation adjustment to income upon liquidation of an investment in a foreign entity	0.4
Ending balance December 31, 2023	$	(3.7)

MARKETABLE INVESTMENT SECURITIES - Schedule of Cash, Cash Equivalents, and Maturities of Debt Securities Classified as Available-For-Sale Securities (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Amortized cost
Cash and cash equivalents	$ 132.1	$ 56.9	$ 257.4
Available-for-sale, Due within one year	8.9
Amortized cost	141.0	172.4
Estimated fair value
Cash and cash equivalents	132.1	56.9
Available-for-sale, Due within one year	8.8
Total, Estimated fair value	140.9	169.7
Cash
Amortized cost
Cash and cash equivalents	129.9	53.6
Estimated fair value
Cash and cash equivalents	129.9	53.6
Cash equivalents
Amortized cost
Cash and cash equivalents	2.2	3.3
Estimated fair value
Cash and cash equivalents	$ 2.2	$ 3.3

STOCK-BASED COMPENSATION -Schedule of Intrinsic Value of Options Exercised (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Share-Based Payment Arrangement [Abstract]
Total intrinsic value of options exercised	$ 0.0	$ 0.0	$ 29.2

ACCRUED LIABILITIES

12 Months Ended

Dec. 31, 2023

Payables and Accruals [Abstract]

ACCRUED LIABILITIES

The Company's accrued liabilities at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Employee compensation and benefits	$	49.7	$	41.2

Accrued taxes payable	4.6		4.8
Refunds payable and reserves	20.1		19.3
Short-term contingent consideration	3.1		—

Accrued royalties	5.3		4.8
Legal settlement	6.0		—
Lease termination accrual	4.4		—
Other accrued liabilities	20.7		24.2
Total accrued liabilities	$	113.9	$	94.3

OTHER LONG-TERM LIABILITIES - Narrative (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Other Liabilities Disclosure [Abstract]
Escrow liability	$ 7.5	$ 7.5
Legal settlements	$ 24.0	$ 0.0

DIVESTITURES

12 Months Ended

Dec. 31, 2023

Discontinued Operations and Disposal Groups [Abstract]

DIVESTITURES

On May 28, 2021, the Company completed the sale of the Myriad myPath, LLC laboratory to Castle Biosciences, Inc. for cash consideration of $32.5 million. The transaction was accounted for as a sale of assets and the Company recognized a gain of $31.2 million, net of transaction costs of $1.3 million, in Other income (expense) in the Consolidated Statements of Operations.

On July 1, 2021, the Company completed the sale of Myriad RBM, Inc., then a wholly owned subsidiary of the Company, to IQVIA RDS, Inc., for cash consideration of $197.0 million. The transaction was accounted for as a sale of a business and the Company recognized a gain of $121.0 million, net of transaction costs of $4.8 million, in Other income (expense) in the Consolidated Statements of Operations.

On September 13, 2021, the Company completed the sale of select operating assets and intellectual property, including the Vectra test, from the Myriad Autoimmune business unit to Laboratory Corporation of America Holdings for cash consideration of $150.0 million. The transaction was accounted for as a sale of a business and the Company recognized a loss of $0.6 million, net of transaction costs of $4.4 million, in Other income (expense) in the Consolidated Statements of Operations.

The operating results of these businesses do not qualify for reporting as discontinued operations.

Inventory

In connection with the divestiture transactions, the Company recognized losses of $5.2 million and $6.5 million for a non-cancelable inventory purchase commitment and inventory, respectively, during the year ended December 31, 2021, as the Company no longer had use for the goods. Both of these losses are included in Other income (expense) in the Consolidated Statements of Operations for the year ended December, 2021.

The following table details the amounts recognized in Other income (expense) for the year ended December 31, 2021:


(in millions)	Year Ended December 31, 2021
Gain on sale of Myriad RBM, Inc.	$	121.0
Gain on sale of the Myriad myPath, LLC laboratory	31.2
Loss on inventory	(11.7)
Loss on sale of Myriad Autoimmune assets	(0.6)
Other	(0.6)
Total other income (expense)	$	139.3

FAIR VALUE MEASUREMENTS - Narrative (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Gateway Genomics, LLC
Fair Value, Balance Sheet Grouping [Line Items]
Contingent consideration liability		$ 2.1
Level 3 \| Measurement input, expected term \| Sividon Diagnostics GmbH
Fair Value, Balance Sheet Grouping [Line Items]
Measurement period for earn out liability	11 years 6 months
Level 3 \| Measurement input, expected term \| Gateway Genomics, LLC
Fair Value, Balance Sheet Grouping [Line Items]
Measurement period for earn out liability	1 year 3 months 18 days
Level 2
Fair Value, Balance Sheet Grouping [Line Items]
Estimated fair value of long-term debt	$ 39.7

SUPPLEMENTAL CASH FLOW INFORMATION (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Supplemental Cash Flow Elements [Abstract]
Cash paid for income taxes	$ 1.9	$ 1.8	$ 4.6
Cash paid for interest	1.4	0.0	4.4
Cash received for income tax receivables	0.0	0.0	90.0
Change in operating lease right-of-use assets and lease liabilities
Operating lease right-of-use assets	(31.0)	46.9	41.8
Operating lease liabilities	36.7	(46.9)	(48.1)
Tenant improvement allowance not yet received	0.0	22.9	0.0
Purchases of property, plant and equipment and capitalization of internal-use software in accounts payable and accrued liabilities	$ 6.9	$ 10.0	$ 0.0

OTHER LONG-TERM LIABILITIES (Tables)

12 Months Ended

Dec. 31, 2023

Other Liabilities Disclosure [Abstract]

Schedule of Other Long-Term Liabilities

The Company's other long-term liabilities at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Contingent consideration	$	2.3	$	6.8
Escrow liability	7.5		7.5
Legal settlements	24.0		—
Other	7.5		3.7
Total other long-term liabilities	$	41.3	$	18.0

EMPLOYEE DEFERRED SAVINGS PLAN - Schedule of Contributions to the Plan (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Retirement Benefits [Abstract]
Deferred savings plan contributions	$ 10.0	$ 9.0	$ 8.4

BUSINESS ACQUISITION (Tables)

12 Months Ended

Dec. 31, 2023

Business Combination and Asset Acquisition [Abstract]

Schedule of Estimated Fair Value of Identified Assets acquired and Liabilities Assumed

The following table summarizes the estimated fair value of identified assets acquired and liabilities assumed at the date of acquisition.


(in thousands)	Estimated fair value
Identifiable assets acquired
Current assets	$	1,053
Inventory	1,900
Intangible assets
Developed technology	10,100
Trademarks	6,100
Customer relationships	1,600
Total intangible assets	17,800
Other non-current assets	161
Total identifiable assets acquired	20,914
Liabilities assumed
Accounts payable	(246)
Accrued liabilities	(693)
Total liabilities assumed	(939)
Net identifiable assets acquired	19,975
Goodwill	48,723
Total fair value of Purchase Price	$	68,698

Schedule of Pro Forma Information


	Years Ended December 31,
(in thousands)	2022		2021
Revenue	$	695,632	$	709,132
Net loss	(112,185)		(28,686)

PREFERRED AND COMMON STOCKHOLDERS' EQUITY (Tables)

12 Months Ended

Dec. 31, 2023

Equity [Abstract]

Schedule of Shares of Common Stock Issued and Outstanding

Shares of common stock issued and outstanding


	Years Ended December 31,
(in millions)	2023	2022	2021
Beginning common stock issued and outstanding	81.2	80.0	75.4
Common stock issued upon exercise of options, vesting of restricted stock units, and purchases under employee stock purchase plans	1.3	1.2	4.6
Common stock issued for public offering	7.4	—	—

Common stock issued and outstanding at end of period	89.9	81.2	80.0

PREFERRED AND COMMON STOCKHOLDERS' EQUITY - Schedule of Shares of Common Stock Issued and Outstanding (Details) - shares shares in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning common stock issued (in shares)	81.2	80.0	75.4
Beginning common stock outstanding (in shares)	81.2	80.0	75.4
Common stock issued upon exercise of options, vesting of restricted stock units, and purchases under employee stock purchase plans (in shares)	1.3	1.2	4.6
Common stock issued for public offering (in shares)	7.4	0.0	0.0
Ending common stock issued (in shares)	89.9	81.2	80.0
Ending common stock outstanding (in shares)	89.9	81.2	80.0

INCOME TAXES - Schedule of Income Tax Benefit (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Current:
Federal	$ 3.4	$ (0.5)	$ (1.9)
State	1.8	1.9	3.6
Foreign	0.2	0.5	0.1
Total current	5.4	1.9	1.8
Deferred:
Federal	(51.8)	(25.8)	(33.7)
State	(5.2)	(4.8)	5.1
Foreign	0.1	(2.9)	0.1
Change in valuation allowance	52.6	3.0	(3.2)
Total deferred	(4.3)	(30.5)	(31.7)
Total income tax expense (benefit)	$ 1.1	$ (28.6)	$ (29.9)

GOODWILL AND INTANGIBLE ASSETS - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Goodwill And Intangible Assets [Line Items]
Goodwill impairment charge	$ 0	$ 0	$ 0
Estimated remaining useful life	13 years 10 months 24 days	14 years 4 months 24 days
Impairment of long-lived assets	$ 0	$ 0	$ 0
Developed technologies
Goodwill And Intangible Assets [Line Items]
Estimated remaining useful life	14 years 4 months 24 days	14 years 4 months 24 days
Developed technologies \| Minimum
Goodwill And Intangible Assets [Line Items]
Estimated remaining useful life	7 years
Developed technologies \| Maximum
Goodwill And Intangible Assets [Line Items]
Estimated remaining useful life	12 years
Customer relationships
Goodwill And Intangible Assets [Line Items]
Estimated acquired useful lives (in years)	9 years
Estimated remaining useful life	10 years	10 years
Trademarks
Goodwill And Intangible Assets [Line Items]
Estimated acquired useful lives (in years)	9 years
Estimated remaining useful life	10 years	10 years
Internal-use software
Goodwill And Intangible Assets [Line Items]
Estimated remaining useful life	3 years

PROPERTY, PLANT AND EQUIPMENT, NET

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment [Abstract]

PROPERTY, PLANT AND EQUIPMENT, NET

The property, plant and equipment at December 31, 2023 and December 31, 2022 were as follows:


	December 31,
(in millions)	2023		2022
Leasehold improvements	$	91.3	$	67.9
Equipment	147.6		124.7
Property, plant and equipment, gross	238.9		192.6
Less accumulated depreciation	(119.9)		(109.2)
Property, plant and equipment, net	$	119.0	$	83.4

During the year ended December 31, 2023, the Company incurred $5.7 million of accelerated depreciation of leasehold improvements and equipment in connection with the Company's decision to cease the use of its corporate headquarters in Salt Lake City and transition corporate support operations to its new facility in west Salt Lake City. The Company formally assigned the previous corporate headquarter lease to a third party as of December 31, 2023. See Note 13 for further discussion.

During the year ended December 31, 2022, the Company ceased the use of certain leased Salt Lake City facilities and one of its South San Francisco facilities. As a result, the Company recognized a $3.9 million impairment on the property, plant and equipment associated with the leases, which consisted primarily of leasehold improvements. See Note 13 for further discussion.

The Company recorded depreciation during the respective periods as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Depreciation expense	$	19.1	$	11.6	$	12.1

BUSINESS ACQUISITION - Narrative (Details) - Gateway Genomics, LLC - USD ($) $ in Millions		12 Months Ended
	Nov. 01, 2022	Dec. 31, 2023	Dec. 31, 2022
Business Acquisition [Line Items]
Business acquisition consideration	$ 68.7
Business combination, pro forma information, revenue of acquiree since acquisition date, actual		$ 21.1	$ 3.3
Business combination, pro forma information, loss of acquiree since acquisition date, actual		$ 4.0	$ 2.8

INCOME TAXES - Schedule of Net Operating Loss and Research Credit Carryforwards (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($)
Federal \| Federal
Operating Loss Carryforwards [Line Items]
Net operating loss	$ 38.5
Net operating loss subject to sections 382,383	Yes
Federal \| Federal \| Minimum
Operating Loss Carryforwards [Line Items]
Net operating loss, expiration in year	2033
Federal \| Federal \| Capital loss
Operating Loss Carryforwards [Line Items]
Tax credit	$ 13.8
Tax credit subject to sections 382,383	No
Federal \| Federal \| Capital loss \| Minimum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2026
Federal \| Federal \| Capital loss \| Maximum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2028
Federal \| Federal \| Research credit
Operating Loss Carryforwards [Line Items]
Tax credit	$ 10.5
Tax credit subject to sections 382,383	Yes
Federal \| Federal \| Research credit \| Minimum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2027
Federal \| Federal \| Research credit \| Maximum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2043
State \| Utah
Operating Loss Carryforwards [Line Items]
Net operating loss	$ 0.8
Net operating loss subject to sections 382,383	No
State \| Utah \| Minimum
Operating Loss Carryforwards [Line Items]
Net operating loss, expiration in year	2024
State \| Utah \| Research credit
Operating Loss Carryforwards [Line Items]
Tax credit	$ 5.4
Tax credit subject to sections 382,383	No
State \| Utah \| Research credit \| Minimum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2024
State \| Utah \| Research credit \| Maximum
Operating Loss Carryforwards [Line Items]
Tax credit, expiration in year	2037
State \| California
Operating Loss Carryforwards [Line Items]
Net operating loss	$ 4.4
Net operating loss subject to sections 382,383	Yes
State \| California \| Minimum
Operating Loss Carryforwards [Line Items]
Net operating loss, expiration in year	2029
State \| California \| Maximum
Operating Loss Carryforwards [Line Items]
Net operating loss, expiration in year	2043
State \| California \| Research credit
Operating Loss Carryforwards [Line Items]
Tax credit	$ 4.8
Tax credit subject to sections 382,383	No
State \| Other
Operating Loss Carryforwards [Line Items]
Net operating loss	$ 8.6
Net operating loss subject to sections 382,383	Yes
Foreign
Operating Loss Carryforwards [Line Items]
Net operating loss	$ 10.8
Net operating loss subject to sections 382,383	No

COMMITMENTS AND CONTINGENCIES	12 Months Ended
COMMITMENTS AND CONTINGENCIES	Dec. 31, 2023
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES	COMMITMENTS AND CONTINGENCIES The Company is involved from time to time in various disputes, claims and legal actions, including class actions and other litigation, including the matters described below, arising in the ordinary course of business. Such actions may include allegations of negligence, product or professional liability or other legal claims, and could involve claims for substantial compensatory and punitive damages or claims for indeterminate amounts of damages. The Company is also involved, from time to time, in investigations by governmental agencies regarding its business which may result in adverse judgments, settlements, fines, penalties, injunctions or other relief. In addition, certain federal and state statutes, including the qui tam provisions of the federal False Claims Act, allow private individuals to bring lawsuits against healthcare companies on behalf of the government or private payors. The Company has received subpoenas from time to time related to billing or other practices based on the False Claims Act or other federal and state statutes, regulations or other laws. The Company intends to defend its current litigation matters but cannot provide any assurance as to the ultimate outcome or that an adverse resolution would not have a material adverse effect on its financial condition, results of operations or cash flows. The Company assesses legal contingencies to determine the degree of probability and range of possible loss for potential accrual in its financial statements. When evaluating legal contingencies, the Company may be unable to provide a meaningful estimate due to a number of factors, including the proceedings may be in early stages, there may be uncertainty as to the outcome of pending appeals or motions, there may be significant factual issues to be resolved, and there may be complex or novel legal theories to be presented. In addition, damages may not be specified or the damage amounts claimed may be unsupported, exaggerated or unrelated to possible outcomes, and therefore, such amounts are not a reliable indicator of potential liability. As of December 31, 2023, except as noted below, the Company has not recorded any material accrual for loss contingencies associated with legal proceedings or other matters or determined that an unfavorable outcome is probable and reasonably estimable in accordance with ASC 450, Contingencies. However, it is possible that the ultimate resolution of legal proceedings or other matters, if unfavorable, may be material to the Company's results of operations, financial condition or cash flows. Further, in the event that damages from an unfavorable resolution of one or more of these proceedings exceed the aggregate amount of the coverage limits of the Company’s insurance, or if the Company’s insurance carriers disclaim coverage, the amounts payable by the Company could also have a material adverse impact on the Company’s results of operations, financial condition or cash flows. Securities Class Action On September 27, 2019, a class action complaint was filed in the U.S. District Court for the District of Utah, against the Company, its former President and Chief Executive Officer, Mark C. Capone, and its Chief Financial Officer, R. Bryan Riggsbee (Defendants). On February 21, 2020, the plaintiff filed an amended class action complaint, which added the Company's former Executive Vice President of Clinical Development, Bryan M. Dechairo, as an additional Defendant. This action, captioned In re Myriad Genetics, Inc. Securities Litigation (No. 2:19-cv-00707-DBB), is premised upon allegations that the Defendants made false and misleading statements regarding the Company's business, operations, and acquisitions. The lead plaintiff sought the payment of damages allegedly sustained by it and the class by reason of the allegations set forth in the amended complaint, plus interest, and legal and other costs and fees. On March 16, 2021, the U.S. District Court for the District of Utah denied the Company's motion to dismiss. On December 1, 2021, the U.S. District Court for the District of Utah granted plaintiff's motion for class certification. On August 3, 2023, the Company entered into a stipulation and agreement of settlement to resolve this lawsuit (the "Settlement") and the parties filed a motion seeking court approval of the Settlement. The Settlement was approved by the court on December 15, 2023, and the case was subsequently dismissed. Pursuant to the terms of the Settlement, the Company paid an aggregate settlement amount of $77.5 million in cash. As part of the terms of the Settlement, the settlement class agreed to release the Company, the other defendants named in the lawsuit, and certain of their respective related parties from any and all claims, suits, causes of action, damages, demands, liabilities, or losses that are based upon, arise from, or relate to (a) the purchase, acquisition or trading of any common stock during the class period from August 9, 2017 until February 6, 2020; and (b) the allegations, transactions, facts, matters or occurrences, representations, or omissions involved, set forth, or referred to in the class action. The Settlement also contained no admission of liability, wrongdoing or responsibility by any of the parties. Stockholder Derivative Actions On August 9, 2021, a stockholder derivative complaint was filed in the Delaware Court of Chancery against the Company's former President and Chief Executive Officer, Mark C. Capone, its Chief Financial Officer, R. Bryan Riggsbee, its former Executive Vice President of Clinical Development, Bryan M. Dechairo, and certain of the Company's current and former directors, Lawrence C. Best, Walter Gilbert, John T. Henderson, Heiner Dreismann, Dennis Langer, Lee N. Newcomer, S. Louise Phanstiel, and Colleen F. Reitan (collectively, the Individual Defendants), and the Company, as nominal defendant. The complaint is premised upon similar allegations as set forth in the securities class action, including that the Individual Defendants made false and misleading statements regarding the Company's business and operations. The plaintiff, Donna Hickock, asserts breach of fiduciary duty and unjust enrichment claims against the Individual Defendants and seeks, on behalf of the Company, damages allegedly sustained by the Company as a result of the alleged breaches, or disgorgement or restitution, from each of the Individual Defendants, plus interest. Plaintiff Hickock also seeks legal and other costs and fees relating to this action. On November 19, 2021, this action was stayed by the Delaware Court of Chancery pending the resolution of the securities class action lawsuit. On January 18, 2022, a stockholder derivative complaint was filed in the Delaware Court of Chancery against the Individual Defendants, and the Company, as nominal defendant. The action is premised upon similar allegations as set forth in the securities class action and the Hickock stockholder derivative action. The plaintiff, Esther Kogus, asserts that the Individual Defendants breached their fiduciary duties and also asserts unjust enrichment and aiding and abetting breaches of fiduciary duty claims against the Individual Defendants. Plaintiff Kogus seeks, on behalf of the Company, damages allegedly sustained by the Company as a result of the alleged breaches and claims, and restitution from the Individual Defendants. On behalf of herself, plaintiff Kogus seeks legal and other costs and fees relating to this action. On March 3, 2022, the Delaware Court of Chancery consolidated the Hickock and Kogus derivative actions and stayed the consolidated action. This consolidated action currently remains stayed. On September 17, 2021, a stockholder derivative complaint was filed in the U.S. District Court in the District of Delaware against the Individual Defendants, and the Company, as nominal defendant. The action is premised upon similar allegations as set forth in the securities class action and Hickock stockholder derivative action. The plaintiff, Karen Marcey, asserts that the Individual Defendants violated U.S. securities laws and breached their fiduciary duties, and also asserts unjust enrichment, waste of corporate assets and insider trading claims against all or some of the Individual Defendants. Plaintiff Marcey seeks, on behalf of the Company, damages allegedly sustained by the Company as a result of the alleged violations and restitution from the Individual Defendants, plus interest and, on behalf of herself, legal and other costs and fees relating to this action. On January 4, 2022, this action was stayed by the U.S. District Court for the District of Delaware pending the resolution of the securities class action lawsuit. This action currently remains stayed. Other Legal Proceedings On December 21, 2020, Ravgen, Inc. ("Ravgen") filed a lawsuit against the Company and its wholly owned subsidiary, Myriad Women's Health, Inc., in the U.S. District Court for the District of Delaware, alleging infringement of two Ravgen-owned patents. The lawsuit sought monetary damages, enhancement of those damages for willfulness, injunctive relief, and recovery of attorney's fees and costs. Various third parties have filed challenges to the validity of the asserted patents with the U.S. Patent and Trademark Office, which challenges have been instituted for review. On March 14, 2022, the case was stayed pending the outcome of the first of these validity challenges. On February 13, 2023, the court lifted the stay and litigation of the case resumed. On October 23, 2023 (the "Effective Date"), the Company and Ravgen entered into a settlement agreement pursuant to which the parties agreed to settle the lawsuit. As part of the settlement, the Company agreed to pay Ravgen a minimum of $12.75 million in three installment payments as follows: (1) the first installment of $5.0 million on or before October 31, 2023, (2) the second installment of $5.0 million on or before October 31, 2024, and (3) the third installment of $2.75 million on or before October 31, 2025. Subject to the terms of the settlement agreement, the Company also agreed to pay Ravgen an additional contingent payment of $21.25 million payable in five annual installments, with (1) the first installment of $5.0 million payable on the later of (a) 30 days after notification in writing by Ravgen of the successful conclusion in favor of Ravgen of all of Ravgen's litigations and patent reexaminations pending as of the Effective Date and (b) January 1, 2026 (the "Contingent Payment Date"); (2) the second installment of $5.0 million on the first anniversary of the Contingent Payment Date; (3) the third installment of $5.0 million on the second anniversary of the Contingent Payment Date; (4) the fourth installment of $5.0 million on the third anniversary of the Contingent Payment Date; and (5) $1.25 million on the fourth anniversary of the Contingent Payment Date. As of December 31, 2023, the Company has accrued $29.0 million for this action, of which $24.0 million is included in Other long-term liabilities and $5.0 million is included in Accrued liabilities in the Company's Consolidated Balance Sheets as of December 31, 2023. On February 3, 2022, a purported class action lawsuit was filed against the Company in the U.S. District Court in the Northern District of California by Ashley Carroll. Plaintiff alleged, among other things, that the Company made false statements about the accuracy of its Prequel prenatal screening test. The complaint sought unspecified monetary damages, as well as punitive damages and injunctive relief. On April 1, 2022, the Company filed a motion to dismiss the lawsuit. On May 2, 2022, the plaintiff amended her complaint. On June 2, 2022, the Company filed a motion to dismiss the amended complaint. On July 26, 2022, the court granted and denied in part the Company's motion to dismiss the amended complaint. As part of the court's order, plaintiff was granted leave to file a second amended complaint. The plaintiff filed a second amended complaint on August 16, 2022. On September 6, 2022, the Company filed a motion to dismiss the second amended complaint. On November 9, 2022, the Court granted and denied in part the Company's motion to dismiss the second amended complaint. On October 6, 2023, the Company and the plaintiff agreed to settle the lawsuit for an immaterial amount. The settlement agreement contains no admission of liability, wrongdoing or responsibility on the part of the Company. From time to time, the Company receives recoupment requests from third-party payors for alleged overpayments. The Company disagrees with the contentions of the pending requests or has recorded an estimated reserve for the alleged overpayments.

DIVESTITURES - Narrative (Details) - USD ($) $ in Millions				12 Months Ended
DIVESTITURES - Narrative (Details) - USD ($) $ in Millions	Sep. 13, 2021	Jul. 01, 2021	May 28, 2021	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Disposal of Subsidiary [Line Items]
Loss on non-cancelable purchase commitment						$ 5.2
Loss on inventory				$ 0.0	$ 0.0	6.5
Disposed of by Sale \| Myriad myPath LLC laboratory
Disposal of Subsidiary [Line Items]
Proceeds from sale of assets			$ 32.5
Net gain on sale of assets adjusted for transaction fees			31.2
Transaction costs			$ 1.3
Gain (loss) on sale of subsidiary						31.2
Disposed of by Sale \| Myriad RBM, Inc.
Disposal of Subsidiary [Line Items]
Transaction costs		$ 4.8
Proceeds from sale of business		197.0
Gain (loss) on sale of subsidiary		$ 121.0				121.0
Disposed of by Sale \| Myriad Autoimmune Assets
Disposal of Subsidiary [Line Items]
Transaction costs	$ 4.4
Proceeds from sale of business	150.0
Gain (loss) on sale of subsidiary	$ (0.6)					$ (0.6)

EMPLOYEE DEFERRED SAVINGS PLAN

12 Months Ended

Dec. 31, 2023

Retirement Benefits [Abstract]

EMPLOYEE DEFERRED SAVINGS PLAN

The Company has a deferred savings plan which qualifies under Section 401(k) of the Internal Revenue Code. Substantially all of the Company’s U.S. employees are covered by the plan. The Company makes matching contributions of 50% of each employee’s contribution with the employer’s contribution not to exceed 4% of the employee’s compensation.

The Company’s recorded contributions to the plan are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Deferred savings plan contributions	$	10.0	$	9.0	$	8.4

LEASES - Narrative (Details) ft² in Thousands, $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($) ft²	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Mar. 31, 2022 ft²
Lessee, Lease, Description [Line Items]
Operating lease right-of-use assets	$ (61.6)	$ (103.9)
Total future lease payments	161.2
Lease termination accrual	4.4	0.0
Loss on termination of lease	7.7	0.0	$ 0.0
Loss due to abandonment of facility		13.0
Goodwill and long-lived asset impairment charges		16.9
Lease cost	25.9	22.1
Variable lease expense	$ 3.5	3.2
Operating lease weighted average remaining lease term	9 years 4 months 24 days
Operating lease weighted average discount rate	6.34%
West Salt Lake City
Lessee, Lease, Description [Line Items]
Area of real estate property \| ft²				234
Operating lease right-of-use assets	$ (5.9)
Operating Lease, Liability	$ (5.9)
Lease term (in years)	15 years
Total future lease payments	$ 79.6
Lease termination accrual	8.5
West Salt Lake City \| Scenario, Adjustment
Lessee, Lease, Description [Line Items]
Operating lease right-of-use assets	33.3
Operating Lease, Liability	39.6
Salt Lake City
Lessee, Lease, Description [Line Items]
Reduction in operating lease, right-of-use assets	6.4
Reduction in operating lease liability	6.4
South San Francisco, California
Lessee, Lease, Description [Line Items]
Area of real estate property \| ft²				63
Total future lease payments	$ 56.7
Lease term (in years)				10 years
Lessee, operating lease, lease not yet commenced, right-of-use asset		30.7
Lessee, operating lease, lease not yet commenced, liability		30.7
Area of real estate, space utilized to perform testing \| ft²	49
Leasehold improvements
Lessee, Lease, Description [Line Items]
Impairment charge		$ 3.9
Minimum
Lessee, Lease, Description [Line Items]
Remaining lease terms	1 year
Maximum
Lessee, Lease, Description [Line Items]
Remaining lease terms	15 years

OTHER LONG-TERM LIABILITIES - Schedule of Other Long-Term Liabilities (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Other Liabilities Disclosure [Abstract]
Contingent consideration	$ 2.3	$ 6.8
Escrow liability	7.5	7.5
Legal settlements	24.0	0.0
Other	7.5	3.7
Total other long-term liabilities	$ 41.3	$ 18.0

STOCK-BASED COMPENSATION - Schedule of Restricted Stock Units Activity (Details) - RSUs - $ / shares shares in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Number of shares
RSUs unvested and outstanding, beginning (in shares)	3.7
RSUs granted (in shares)	2.4
RSUs vested (in shares)	(1.3)
RSUs canceled (in shares)	(0.4)
RSUs unvested and outstanding, ending (in shares)	4.4	3.7
Weighted average grant date fair value
RSUs unvested and outstanding, beginning (in dollars per share)	$ 25.08
RSUs granted (in dollars per share)	23.02	$ 25.78	$ 29.83
RSUs vested (in dollars per share)	23.55
RSUs canceled (in dollars per share)	24.38
RSUs unvested and outstanding, ending (in dollars per share)	$ 24.37	$ 25.08

EMPLOYEE DEFERRED SAVINGS PLAN (Tables)

12 Months Ended

Dec. 31, 2023

Retirement Benefits [Abstract]

Schedule of Contributions to the Plan

The Company’s recorded contributions to the plan are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Deferred savings plan contributions	$	10.0	$	9.0	$	8.4

MARKETABLE INVESTMENT SECURITIES

12 Months Ended

Dec. 31, 2023

Investments, Debt and Equity Securities [Abstract]

MARKETABLE INVESTMENT SECURITIES

The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value for debt securities classified as available-for-sale securities by major security type and class of security at December 31, 2023 and December 31, 2022 were as follows:


(in millions)	Amortized cost		Gross unrealized holding gains		Gross unrealized holding losses		Estimated fair value
December 31, 2023:
Cash and cash equivalents:
Cash	$	129.9	$	—	$	—	$	129.9
Cash equivalents	2.2		—		—		2.2
Total cash and cash equivalents	132.1		—		—		132.1
Available-for-sale:
Corporate bonds and notes	8.4		—		(0.1)		8.3
Municipal bonds	0.5		—		—		0.5


Total	$	141.0	$	—	$	(0.1)	$	140.9


(in millions)	Amortized cost		Gross unrealized holding gains		Gross unrealized holding losses		Estimated fair value
December 31, 2022:
Cash and cash equivalents:
Cash	$	53.6	$	—	$	—	$	53.6
Cash equivalents	3.3		—		—		3.3
Total cash and cash equivalents	56.9		—		—		56.9
Available-for-sale:
Corporate bonds and notes	66.7		—		(1.6)		65.1
Municipal bonds	16.3		—		(0.3)		16.0
Federal agency issues	20.7		—		(0.7)		20.0
U.S. government securities	11.8		—		(0.1)		11.7
Total	$	172.4	$	—	$	(2.7)	$	169.7

Cash, cash equivalents, and maturities of debt securities classified as available-for-sale were as follows at December 31, 2023:


(in millions)	Amortized cost		Estimated fair value
Cash	$	129.9	$	129.9
Cash equivalents	2.2		2.2
Available-for-sale:
Due within one year	8.9		8.8


Total	$	141.0	$	140.9

During the years ended December 31, 2023, 2022, and 2021, the Company sold $90.4 million, $28.4 million, and $8.3 million of investments, respectively. The cost of the available for sale security sold was determined using the specific-identification method. The amount of gross realized gains and realized losses upon sales of investments was $1.5 million for the year ended December 31, 2023 and was insignificant for the years ended December 31, 2022 and 2021. As of December 31, 2023, the Company had 7 available-for-sale debt securities in a gross unrealized loss position of $0.1 million, with a fair market value of $8.8 million. As of December 31, 2022, the Company had 118 available-for-sale debt securities in a gross unrealized loss position of $2.7 million, with a fair market value of $111.6 million. As of December 31, 2023 and 2022, the expected losses were determined to be immaterial and as such, the Company did not record an allowance for credit losses. The Company does not intend to sell these available-for-sale debt securities, and it is not more likely than not that it will be required to sell these securities prior to recovery of their amortized cost basis. Additional information relating to fair value of marketable investment securities can be found in Note 3.

ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Reconciliation of Deferred Revenue (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Change In Contract with Customer, Liability, Current [Roll Forward]
Deferred revenue - beginning balance	$ 0.6	$ 5.2	$ 32.7
Revenue recognized	(0.5)	(4.9)	(40.5)
Prepayments	0.4	0.3	14.0
Divestitures	0.0	0.0	(1.0)
Deferred revenue - ending balance	$ 0.5	$ 0.6	$ 5.2

FAIR VALUE MEASUREMENTS (Tables)

12 Months Ended

Dec. 31, 2023

Fair Value Disclosures [Abstract]

Schedule of Fair Value of Financial Assets and Liabilities

The following table sets forth the fair value of the financial assets and liabilities that the Company re-measures on a regular basis:


(in millions)	Level 1		Level 2		Level 3		Total
December 31, 2023
Money market funds (a)	$	2.2	$	—	$	—	$	2.2
Corporate bonds and notes	—		8.3		—		8.3
Municipal bonds	—		0.5		—		0.5


Contingent consideration	—		—		(5.4)		(5.4)
Total	$	2.2	$	8.8	$	(5.4)	$	5.6


(in millions)	Level 1		Level 2		Level 3		Total
December 31, 2022
Money market funds (a)	$	3.3	$	—	$	—	$	3.3
Corporate bonds and notes	—		65.1		—		65.1
Municipal bonds	—		16.0		—		16.0
Federal agency issues	—		20.0		—		20.0
U.S. government securities	—		11.7		—		11.7
Contingent consideration	—		—		(6.8)		(6.8)
Total	$	3.3	$	112.8	$	(6.8)	$	109.3

(a)Money market funds are primarily comprised of exchange traded funds and accrued interest.

Change in Fair Value of Contingent Consideration

The following table reconciles the change in the fair value of the contingent consideration during the periods presented:


(in millions)	Years Ended December 31,
	2023		2022		2021
Carrying amount at beginning of period	$	6.8	$	8.6	$	10.9
Payment of contingent consideration	—		(3.0)		(3.3)
Consideration recognized at acquisition	—		2.1		—
Change in fair value recognized in the statement of operations	(1.5)		(0.4)		1.8
Translation adjustments recognized in other comprehensive income (loss)	0.1		(0.5)		(0.8)
Carrying amount at end of period	$	5.4	$	6.8	$	8.6

FAIR VALUE MEASUREMENTS - Schedule of Change in Fair Value of Contingent Consideration (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Beginning balance	$ 6.8	$ 8.6	$ 10.9
Payment of contingent consideration	0.0	(3.0)	(3.3)
Consideration recognized at acquisition	(1.5)	(0.4)	1.8
Change in fair value recognized in the statement of operations	0.0	2.1	0.0
Translation adjustments recognized in other comprehensive income (loss)	0.1	(0.5)	(0.8)
Ending balance	$ 5.4	$ 6.8	$ 8.6
Fair value, recurring basis, unobservable input reconciliation, gain (loss), statement of income	Change in fair value recognized in the statement of operations	Change in fair value recognized in the statement of operations	Change in fair value recognized in the statement of operations

INCOME TAXES - Schedule of Components of Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Millions	Dec. 31, 2023	Dec. 31, 2022
Deferred tax assets:
Net operating loss carryforwards	$ 77.1	$ 66.6
Stock compensation expense	5.0	3.6
Research and development credits	20.8	19.9
Lease liability	28.0	35.2
Section 174 capitalized costs	38.4	21.2
Accrued expenses and liabilities	22.5	10.8
Other, net	3.2	3.6
Total gross deferred tax assets	195.0	160.9
Less valuation allowance	(95.0)	(42.4)
Total deferred tax assets	100.0	118.5
Deferred tax liabilities:
Intangible assets	84.2	93.8
Lease right-of-use assets	15.5	25.4
Property, plant and equipment	1.9	2.8
Total deferred tax liabilities	101.6	122.0
Net deferred tax liability	$ (1.6)	$ (3.5)

INCOME TAXES

12 Months Ended

Dec. 31, 2023

Income Tax Disclosure [Abstract]

INCOME TAXES

Income tax expense (benefit) consists of the following:


	Years Ended December 31,
(in millions)	2023		2022		2021
Current:
Federal	$	3.4	$	(0.5)	$	(1.9)
State	1.8		1.9		3.6
Foreign	0.2		0.5		0.1
Total current	5.4		1.9		1.8
Deferred:
Federal	(51.8)		(25.8)		(33.7)
State	(5.2)		(4.8)		5.1
Foreign	0.1		(2.9)		0.1
Change in valuation allowance	52.6		3.0		(3.2)
Total deferred	(4.3)		(30.5)		(31.7)
Total income tax expense (benefit)	$	1.1	$	(28.6)	$	(29.9)

Loss before income taxes consists of the following:


	Years Ended December 31,
(in millions)	2023		2022		2021
United States	$	(263.2)	$	(141.3)	$	(53.8)
Foreign	1.0		0.7		(3.3)
Total	$	(262.2)	$	(140.6)	$	(57.1)

The differences between income taxes at the statutory federal income tax rate and income taxes reported in the Consolidated Statements of Operations were as follows:


	Years Ended December 31,
(in millions)	2023				2022				2021
Federal income tax expense at the statutory rate	$	(54.9)	21.0	%	$	(29.5)	21.0	%	$	(12.0)	21.0	%
State income taxes, net of federal benefit	(4.1)		1.6	%	(3.3)		2.3	%	(1.8)		3.2	%
Research and development credits	(1.6)		0.6	%	(3.5)		2.5	%	2.5		(4.4)	%
Uncertain tax positions	3.7		(1.4)	%	0.6		(0.4)	%	(3.0)		5.3	%
Incentive stock option and employee stock purchase plan expense	1.2		(0.5)	%	2.5		(1.8)	%	0.7		(1.2)	%
Foreign rate differential	(0.4)		0.2	%	—		—	%	0.5		(0.9)	%
Change in valuation allowance	52.6		(20.1)	%	2.6		(1.8)	%	(3.2)		5.6	%
CARES Act	—		—	%	—		—	%	2.7		(4.7)	%
Non-deductible meals and entertainment	—		—	%	—		—	%	0.1		(0.2)	%
Non-deductible officer compensation	3.0		(1.1)	%	3.5		(2.5)	%	3.3		(5.8)	%

Non-deductible legal settlement	—		—	%	—		—	%	2.5		(4.5)	%
Acquisitions, dispositions, and contingent consideration	0.1		—	%	(0.1)		0.1	%	(23.0)		40.3	%

Other, net	1.5		(0.7)	%	(1.4)		0.9	%	0.8		(1.4)	%
Total income tax expense (benefit)	$	1.1	-0.4	%	$	(28.6)	20.3	%	$	(29.9)	52.3	%

The significant components of the Company’s deferred tax assets and liabilities were comprised of the following:


	December 31,
(in millions)	2023		2022
Deferred tax assets:
Net operating loss carryforwards	$	77.1	$	66.6

Stock compensation expense	5.0		3.6
Research and development credits	20.8		19.9
Lease liability	28.0		35.2
Section 174 capitalized costs	38.4		21.2
Accrued expenses and liabilities	22.5		10.8
Other, net	3.2		3.6
Total gross deferred tax assets	195.0		160.9
Less valuation allowance	(95.0)		(42.4)
Total deferred tax assets	100.0		118.5
Deferred tax liabilities:
Intangible assets	84.2		93.8
Lease right-of-use assets	15.5		25.4
Property, plant and equipment	1.9		2.8
Total deferred tax liabilities	101.6		122.0
Net deferred tax liability	$	(1.6)	$	(3.5)

The Tax Cuts and Jobs Act (TCJA), passed in 2017, amended Section 174 of the Internal Revenue Code to require that specific research and experimental (R&E) expenditures be capitalized and amortized over five years for U.S. R&E expenditures or 15 years for non-U.S. R&E expenditures beginning in the Company’s fiscal year ended December 31, 2022. Although Congress has considered legislation that would defer, modify or repeal the capitalization and amortization requirement, there is no assurance that the provision will be deferred, repealed or otherwise modified. If the requirement is not modified, the Company may be required to utilize some of its federal and state tax attributes and there may be increases to state cash taxes or tax expense.

The Company has incurred a cumulative three-year loss. Pursuant to ASC 740, Income Taxes ("ASC 740"), the negative evidence of a cumulative loss may be difficult to overcome. Due to cumulative book losses and the lack of sufficient positive evidence, the Company has applied a valuation allowance to all applicable deferred tax assets, leaving a remaining deferred tax liability balance of $1.6 million.

Carryforwards

Amount

Subject to
sections 382, 383

Expires
beginning in year

Through

Federal net operating loss

38.5

Yes

2033

Indefinite

Federal capital loss

13.8

2026

2028

Utah net operating loss

0.8

2024

Indefinite

California net operating loss

4.4

Yes

2029

2043

Other state net operating loss

8.6

Yes

Various

Foreign net operating losses (various jurisdictions)

10.8

Various

Federal research credit

10.5

Yes

2027

2043

Utah research credit

5.4

2024

2037

California research credit

4.8

Indefinite

Due to the cumulative losses that have been incurred to date in foreign operations, the changes of the Tax Cuts and Jobs Act and the election to treat its foreign subsidiaries as disregarded entities, no deferred taxes related to the Company’s foreign operations have been recorded. For those foreign entities for which an election has been made to be treated as disregarded for U.S. tax purposes, the appropriate U.S. jurisdiction deferred tax assets and liabilities have been recorded.

The Company provides for uncertain tax positions when such tax positions do not meet the recognition thresholds or measurement criteria as set forth in ASC 740. As of December 31, 2023, the Company had net unrecognized tax benefits of $48.1 million. The Company’s gross unrecognized tax benefits as of the years ended December 31, 2023, 2022, and 2021 and the changes in those balances are as follows:


	Years Ended December 31,
(in millions)	2023		2022		2021
Unrecognized tax benefits at the beginning of period	$	43.9	$	32.1	$	37.6
Gross increases - current year tax positions	0.8		12.9		1.4
Gross increases - prior year tax positions	3.6		1.6		1.1

Gross decreases - prior year tax positions	(0.2)		(2.0)		(2.8)
Gross decreases - settlements	—		(0.7)		(5.1)
Gross decreases - statute lapse	—		—		(0.1)
Unrecognized tax benefits at end of year	$	48.1	$	43.9	$	32.1
Interest and penalties in year-end balance	$	6.4	$	4.1	$	3.3

In 2022, the Company filed a U.S. federal tax return taking an uncertain tax position that was not recorded as a benefit or deferred tax asset in the financial statements but for which the $12.0 million unrecognized tax benefit has been included in the table above. Interest and penalties related to uncertain tax positions are included as a component of Income tax benefit and all other interest and penalties are included as a component of Other income (expense) in the Consolidated Statements of Operations. For the years ended December 31, 2023 and December 31, 2022, $30.2 million and $26.8 million of the unrecognized tax benefits, if recognized, would affect the effective tax rate, respectively.

The Company files U.S. federal, foreign and state income tax returns in jurisdictions with various statutes of limitations. The Company is currently under audit by Switzerland for the years ended June 30, 2017 through December 31, 2021 Annual tax provisions include amounts considered necessary to pay assessments that may result from examination of prior year tax returns; however, the amount ultimately paid upon resolution of issues may differ materially from the amount accrued.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480990/946-20-50-13

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(h)(2))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480678/235-10-S99-1

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org//740/tableOfContent

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 14
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482685/740-10-50-14

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 21
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482685/740-10-50-21

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 270
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482526/740-270-50-1

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 17
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482685/740-10-50-17

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SAB TOPIC 6.I.5.Q1)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479360/740-10-S99-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 2
-Subparagraph (SAB Topic 11.C)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479360/740-10-S99-2

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482603/740-30-50-2

+ Details

MARKETABLE INVESTMENT SECURITIES (Tables)

12 Months Ended

Dec. 31, 2023

Investments, Debt and Equity Securities [Abstract]

Schedule of Fair Value for Available-for-Sale Securities by Major Security Type and Class of Security


(in millions)	Amortized cost		Gross unrealized holding gains		Gross unrealized holding losses		Estimated fair value
December 31, 2023:
Cash and cash equivalents:
Cash	$	129.9	$	—	$	—	$	129.9
Cash equivalents	2.2		—		—		2.2
Total cash and cash equivalents	132.1		—		—		132.1
Available-for-sale:
Corporate bonds and notes	8.4		—		(0.1)		8.3
Municipal bonds	0.5		—		—		0.5


Total	$	141.0	$	—	$	(0.1)	$	140.9


(in millions)	Amortized cost		Gross unrealized holding gains		Gross unrealized holding losses		Estimated fair value
December 31, 2022:
Cash and cash equivalents:
Cash	$	53.6	$	—	$	—	$	53.6
Cash equivalents	3.3		—		—		3.3
Total cash and cash equivalents	56.9		—		—		56.9
Available-for-sale:
Corporate bonds and notes	66.7		—		(1.6)		65.1
Municipal bonds	16.3		—		(0.3)		16.0
Federal agency issues	20.7		—		(0.7)		20.0
U.S. government securities	11.8		—		(0.1)		11.7
Total	$	172.4	$	—	$	(2.7)	$	169.7

Schedule of Cash, Cash Equivalents, and Maturities of Debt Securities Classified as Available-For-Sale Securities

Cash, cash equivalents, and maturities of debt securities classified as available-for-sale were as follows at December 31, 2023:


(in millions)	Amortized cost		Estimated fair value
Cash	$	129.9	$	129.9
Cash equivalents	2.2		2.2
Available-for-sale:
Due within one year	8.9		8.8


Total	$	141.0	$	140.9