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Recently Adopted and Issued Accounting Guidance - Consolidated Statements of Operations (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2018 | Mar. 31, 2017
Revenue, Initial Application Period Cumulative Effect Transition [Line Items] |  |
Clinical Testing | $ 56,971 | $ 52,907
Pharma Services | 6,452 | 4,521
Total Revenue | 63,423 | 57,428
Gross Profit | 27,303 | 22,948
Total operating expenses | 24,798 | 23,528
INCOME (LOSS) FROM OPERATIONS | 2,505 | (580)
Interest expense | 1,486 | 1,364
Income tax (benefit) expense | 438 | (779)
Net income (loss) | $ 644 | (1,165)
Scenario, Previously Reported |  |
Revenue, Initial Application Period Cumulative Effect Transition [Line Items] |  |
Clinical Testing |  | 56,690
Pharma Services |  | 4,986
Total Revenue |  | 61,676
Gross Profit |  | 27,196
Total operating expenses |  | 27,311
INCOME (LOSS) FROM OPERATIONS |  | (115)
Interest expense |  | 1,364
Income tax (benefit) expense |  | (825)
Net income (loss) |  | (654)
Restatement Adjustment | Accounting Standards Update 2014-09 |  |
Revenue, Initial Application Period Cumulative Effect Transition [Line Items] |  |
Clinical Testing |  | (3,783)
Pharma Services |  | (465)
Total Revenue |  | (4,248)
Gross Profit |  | (4,248)
Total operating expenses |  | (3,783)
INCOME (LOSS) FROM OPERATIONS |  | (465)
Interest expense |  | 0
Income tax (benefit) expense |  | 46
Net income (loss) |  | $ (511)

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