Annual report pursuant to Section 13 and 15(d)

Annual report pursuant to Section 13 and 15(d)

Segment Information - Summary of Segment Information (Detail)

v3.19.3.a.u2
Segment Information - Summary of Segment Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Revenues [Abstract]                      
Total Revenue $ 106,868 $ 104,672 $ 101,713 $ 95,577 $ 76,475 $ 69,097 $ 67,746 $ 63,423 $ 408,830 $ 276,741 $ 240,251
Cost of Goods and Services Sold [Abstract]                      
Cost of revenue                 211,994 149,476 138,295
Gross Profit [Abstract]                      
Gross Profit 49,923 50,832 48,966 47,115 37,111 32,321 30,530 27,303 196,836 127,265 101,956
Operating expenses:                      
General and administrative                 127,993 84,822 70,359
Research and development                 8,487 3,001 3,636
Sales and marketing                 47,350 29,402 24,001
Loss on sale of business                 0 0 1,058
Total operating expenses                 183,830 117,225 99,054
INCOME FROM OPERATIONS                 13,006 10,040 2,902
Interest expense, net                 3,713 6,230 5,540
Other expense (income)                 4,630 (14) 12
Loss on debt extinguishment                 1,018 0 0
Income (loss) before taxes                 3,645 3,824 (2,650)
Income tax (benefit) expense                 (4,361) 1,184 (2,254)
NET INCOME (LOSS) $ 6,296 $ 2,143 $ 1,991 $ (2,424) $ 353 $ 2,023 $ (380) $ 644 8,006 2,640 (396)
Clinical Services                      
Revenues [Abstract]                      
Total Revenue                 361,161 241,873 213,097
Cost of Goods and Services Sold [Abstract]                      
Cost of revenue                 185,612 128,297 121,785
Gross Profit [Abstract]                      
Gross Profit                 175,549 113,576 91,313
Pharma Services                      
Revenues [Abstract]                      
Total Revenue                 47,669 34,868 27,154
Cost of Goods and Services Sold [Abstract]                      
Cost of revenue                 26,382 21,179 16,510
Gross Profit [Abstract]                      
Gross Profit                 $ 21,287 $ 13,689 $ 10,643