Quarterly report pursuant to Section 13 or 15(d)

Quarterly report pursuant to Section 13 or 15(d)

Revenue Recognition and Contractual Adjustments - Disaggregation of Revenue (Details)

v3.10.0.1
Revenue Recognition and Contractual Adjustments - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues $ 67,746 $ 62,264 $ 131,169 $ 119,693
Clinical Services        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues 59,540 55,547 116,511 108,455
Clinical Services | Client direct billing        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues 40,847 36,796 79,561 70,427
Clinical Services | Commercial Insurance        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues 8,981 10,124 18,922 21,560
Clinical Services | Medicare and Medicaid        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues 9,024 8,403 17,201 16,221
Clinical Services | Self-Pay        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues 688 224 827 247
Pharma Services        
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]        
Total revenues $ 8,206 $ 6,717 $ 14,658 $ 11,238