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 9 Months Ended
Sep. 30, 2021
Jun. 18, 2021
Apr. 07, 2021
Jan. 01, 2020
Apr. 30, 2021
Sep. 30, 2021
Sep. 30, 2021
Sep. 30, 2020
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     $ 0.001    
Gain on investment in and loan receivable from non-consolidated affiliate, net             $ 109,260,000 $ 0        
Goodwill $ 525,802,000         $ 525,802,000 525,802,000     $ 211,083,000    
Clinical Services                        
Business Acquisition [Line Items]                        
Goodwill 461,449,000         461,449,000 461,449,000     179,534,000    
Pharma Services                        
Business Acquisition [Line Items]                        
Goodwill 64,353,000         64,353,000 $ 64,353,000     $ 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             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             $ 4,600,000     $ 6,000,000
Identifiable intangible assets - developed technology(1) | Minimum                        
Business Acquisition [Line Items]                        
Amortization period of acquired intangible assets             10 years          
Identifiable intangible assets - developed technology(1) | 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                        
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           100,000 1,600,000          
Goodwill     $ 44,664,000                  
Goodwill, tax deductible     $ 0                  
Trapelo Health | Clinical Services                        
Business Acquisition [Line Items]                        
Goodwill acquired             44,664,000          
Trapelo Health | Pharma Services                        
Business Acquisition [Line Items]                        
Goodwill acquired             0          
Trapelo Health | Identifiable intangible assets - developed technology(1)                        
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   $ 61,300,000         270,055,000          
Acquisition and integration costs       $ 11,700,000   1,500,000            
Fair value of previously-held equity interest(1) 64,900,000 64,906,000                    
Fair value of Purchase Option(1) $ 74,300,000 74,300,000                    
Line of credit settled as consideration for acquisition   15,000,000                    
Gain on investment in and loan receivable from non-consolidated affiliate, net           17,800,000 109,300,000          
Measurement period adjustments, net assets acquired   17,750,000       17,800,000            
Goodwill   270,055,000                    
Revenue from acquiree           700,000 700,000          
Net loss from acquiree           $ 14,800,000 17,100,000          
Acquisition related costs       $ 11,000,000                
Goodwill, tax deductible   0                    
Inivata | Clinical Services                        
Business Acquisition [Line Items]                        
Goodwill acquired             237,251,000          
Goodwill   237,300,000                    
Inivata | Pharma Services                        
Business Acquisition [Line Items]                        
Goodwill acquired             $ 32,804,000          
Goodwill   $ 32,800,000                    
Inivata | Identifiable intangible assets - developed technology(1) | 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