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Segment Information (Details) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2018 USD ($) segment | Mar. 31, 2017 USD ($)
Segment Reporting [Abstract] |  |
Number of operating segments | segment | 2 |
Segment Reporting Information [Line Items] |  |
Revenues | $ 63,423 | $ 57,428
Cost of Revenue | 36,120 | 34,480
GROSS PROFIT | 27,303 | 22,948
General and administrative | 17,067 | 17,018
Research and development | 956 | 862
Sales and marketing | 6,775 | 5,648
Total operating expenses | 24,798 | 23,528
Income (Loss) From Operations | 2,505 | (580)
Interest expense, net | (1,486) | (1,364)
Other income | 63 | 0
Income (loss) before taxes | 1,082 | (1,944)
Income tax (benefit) expense | 438 | (779)
Net income (loss) | 644 | (1,165)
Clinical Services |  |
Segment Reporting Information [Line Items] |  |
Revenues | 56,971 | 52,907
Cost of Revenue | 31,042 | 30,700
GROSS PROFIT | 25,929 | 22,207
Pharma Services |  |
Segment Reporting Information [Line Items] |  |
Revenues | 6,452 | 4,521
Cost of Revenue | 5,078 | 3,780
GROSS PROFIT | $ 1,374 | $ 741

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