Quarterly report pursuant to Section 13 or 15(d)

Quarterly report pursuant to Section 13 or 15(d)

Acquisitions - Narrative (Details)

v3.21.2
Acquisitions - Narrative (Details) - USD ($)
1 Months Ended 3 Months Ended 6 Months Ended
Jun. 18, 2021
Apr. 07, 2021
Apr. 30, 2021
Jun. 30, 2021
Jun. 30, 2021
Jun. 30, 2020
Jun. 17, 2021
Mar. 31, 2021
Dec. 31, 2020
May 31, 2020
May 22, 2020
Business Acquisition [Line Items]                      
Plus: Cash paid at closing         $ 419,404,000 $ 37,000,000          
Common stock, par value (in dollars per share)       $ 0.001 $ 0.001       $ 0.001    
Gain on investment in and loan receivable from non-consolidated affiliate, net         $ 91,510,000 $ 0          
Goodwill       $ 499,977,000 499,977,000       $ 211,083,000    
Clinical Services                      
Business Acquisition [Line Items]                      
Goodwill       438,761,000 438,761,000       179,534,000    
Pharma Services                      
Business Acquisition [Line Items]                      
Goodwill       61,216,000 $ 61,216,000       $ 31,549,000    
Inivata Limited                      
Business Acquisition [Line Items]                      
Amount outstanding under line of credit $ 10,300,000                    
Variable Interest Entity, Not Primary Beneficiary | Inivata Limited                      
Business Acquisition [Line Items]                      
Investment in minority interest 29,600,000             $ 29,600,000   $ 25,000,000 $ 25,000,000
Consideration paid to other shareholders 390,000,000                    
Variable Interest Entity, Not Primary Beneficiary | Inivata Limited | Preference Shares                      
Business Acquisition [Line Items]                      
Investment in minority interest 25,000,000           $ 62,900,000 25,000,000     19,600,000
Variable Interest Entity, Not Primary Beneficiary | Inivata Limited | Purchase Option                      
Business Acquisition [Line Items]                      
Investment in minority interest 4,600,000           $ 58,500,000 $ 4,600,000     $ 6,000,000
Identifiable intangible assets - developed technology | Minimum                      
Business Acquisition [Line Items]                      
Amortization period of acquired intangible assets         10 years            
Identifiable intangible assets - developed technology | Maximum                      
Business Acquisition [Line Items]                      
Amortization period of acquired intangible assets         15 years            
Marketing Assets                      
Business Acquisition [Line Items]                      
Amortization period of acquired intangible assets         4 years            
Trademarks | Minimum                      
Business Acquisition [Line Items]                      
Amortization period of acquired intangible assets         15 years            
Trade Name                      
Business Acquisition [Line Items]                      
Amortization period of acquired intangible assets         5 years            
Trapelo Health                      
Business Acquisition [Line Items]                      
Percentage of voting interests acquired (as a percent)   100.00%                  
Plus: Cash paid at closing   $ 35,591,000                  
Payments to acquire business, adjustments   600,000                  
Common stock issued for consideration   $ 29,174,000                  
Shares of common stock issued as consideration (in shares)   597,712 597,712                
Stock price per share on closing date (in dollars per share)   $ 48.81                  
Amortization period of acquired intangible assets   9 years 9 months 18 days                  
Goodwill acquired         $ 44,664,000            
Acquisition and integration costs       1,300,000 1,500,000            
Goodwill   $ 44,664,000                  
Goodwill, tax deductible   $ 0                  
Trapelo Health | Clinical Services                      
Business Acquisition [Line Items]                      
Goodwill acquired         44,664,000            
Goodwill     $ 44,700,000                
Trapelo Health | Pharma Services                      
Business Acquisition [Line Items]                      
Goodwill acquired         0            
Trapelo Health | Identifiable intangible assets - developed technology                      
Business Acquisition [Line Items]                      
Intangible assets, useful life   10 years                  
Trapelo Health | Marketing Assets                      
Business Acquisition [Line Items]                      
Intangible assets, useful life   4 years                  
Inivata                      
Business Acquisition [Line Items]                      
Plus: Cash paid at closing 398,594,000                    
Payments to acquire business, adjustments $ 8,600,000                    
Amortization period of acquired intangible assets 14 years 10 months 24 days                    
Goodwill acquired $ 64,700,000       244,230,000            
Acquisition and integration costs       9,700,000 10,300,000            
Line of credit settled as consideration for acquisition 15,000,000                    
Gain on investment in and loan receivable from non-consolidated affiliate, net       96,500,000 91,500,000            
Goodwill 244,230,000     $ 244,200,000 244,200,000            
Goodwill, tax deductible 0                    
Inivata | Clinical Services                      
Business Acquisition [Line Items]                      
Goodwill acquired         214,563,000            
Goodwill 214,500,000                    
Inivata | Pharma Services                      
Business Acquisition [Line Items]                      
Goodwill acquired         29,667,000            
Goodwill $ 29,700,000                    
Inivata | Inivata Limited                      
Business Acquisition [Line Items]                      
Acquisition and integration costs         $ 11,000,000            
Inivata | Identifiable intangible assets - developed technology | Maximum                      
Business Acquisition [Line Items]                      
Intangible assets, useful life 15 years                    
Inivata | Trademarks | Maximum                      
Business Acquisition [Line Items]                      
Intangible assets, useful life 15 years                    
Inivata | Trade Name                      
Business Acquisition [Line Items]                      
Intangible assets, useful life 5 years