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Pay vs Performance Disclosure - USD ($)

12 Months Ended

Dec. 31, 2022

Dec. 31, 2021

Dec. 31, 2020

Pay vs Performance Disclosure [Table]

Pay vs Performance [Table Text Block]

2022 Pay Versus Performance Table

Year		Summary Compensation Table Total for PEO (1)				Compensation Actually Paid to PEO (1)				Summary Compensation Table Total for PEO (2)				Compensation Actually Paid to PEO (2)				Summary Compensation Table Total for PEO (3)				Compensation Actually Paid to PEO (3)				Summary Compensation Table Total for PEO (4)				Compensation Actually Paid to PEO (4)
																																	2022			$14,798,522				$11,330,664				$2,071,184				$1,951,681				$7,695,856				$(3,624,626)				Not a PEO				Not a PEO
2021			Not a PEO				Not a PEO				Not a PEO				Not a PEO				$11,479,855				$9,094,405				$7,227,002				$(3,903,431)
2020			Not a PEO				Not a PEO				Not a PEO				Not a PEO				Not a PEO				Not a PEO				$4,122,039				$14,718,158

Year		Average Summary Compensation Table Total for Non-PEO Named Executive Officers (5)				Average Compensation Actually Paid to Non-PEO Named Executive Officers (5)				Value of Initial Fixed $100 Investment Based On:								Net Income ($ millions)				Company-selected measure (Adjusted EBITDA) ($ millions) (7)
											Total Stockholder Return				Peer Group Total Stockholder Return (6)
2022			$2,688,029				$1,906,745				$32				$114				$(144)				$(48)
2021			$4,041,472				$2,553,526				$117				$126				$(8)				$(4)
2020			$972,616				$2,315,879				$184				$126				$4				$35

(1)  Reflects compensation for our Chief Executive Officer, Christopher Smith, who has served as our Principal Executive Officer (“PEO”) since August 15, 2022.

(2)  Reflects compensation for our Interim Chief Executive Officer, Lynn Tetrault, who served as our PEO from March 28, 2022 through August 14, 2022.

(3)  Reflects compensation for our Former Chief Executive Officer, Mark Mallon, who served as our PEO from April 19, 2021 through March 27, 2022.

(4)  Reflects compensation for our Former Chair of the Board and Chief Executive Officer, Douglas VanOort, who served as our PEO from January 1, 2021 through April 19, 2021 and for the full year ended December 31, 2020.

(5)  Reflects compensation for Kathryn McKenzie, Sharon Virag, Robert Shovlin, Douglas Brown, Lawrence Weiss in 2020, Kathryn McKenzie, George Cardoza, Halley Gilbert, Clive Morris in 2021 and Jeff Sherman, Bill Bonello, Warren Stone, Vishal Sikri, Dr. Shashikant Kulkarni in 2022, as shown in the Summary Compensation Table for each respective year.

(6)  Peer Group used for Total Stockholder Return comparisons reflects the Nasdaq Biotechnology Index.

(7) We determined adjusted EBITDA, a non-GAAP measure, to be the most important financial performance measure used to link Company performance to Compensation Actually Paid (“CAP”) to our PEO and Non-PEO Named Executive Officers in 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 and we may determine a different financial performance measure to be the most important financial performance measure in future years.

Company Selected Measure Name

adjusted EBITDA

Named Executive Officers, Footnote [Text Block]

Kathryn McKenzie, Sharon Virag, Robert Shovlin, Douglas Brown, Lawrence Weiss in 2020, Kathryn McKenzie, George Cardoza, Halley Gilbert, Clive Morris in 2021 and Jeff Sherman, Bill Bonello, Warren Stone, Vishal Sikri, Dr. Shashikant Kulkarni in 2022

Peer Group Issuers, Footnote [Text Block]

Peer Group used for Total Stockholder Return comparisons reflects the Nasdaq Biotechnology Index.

Adjustment To PEO Compensation, Footnote [Text Block]

To calculate the CAP for our PEOs and other Named Executive Officers the following adjustments were made to Summary Compensation Table total compensation:

Deductions and Additions to Summary Compensation Table Total

Year		Summary Compensation Table total				Deductions from Summary Compensation Table Total Pay				Additions to Summary Compensation Table Total Pay				Compensation Actually Paid
Chief Executive Officer serving as PEO - Christopher Smith
2022		$	14,798,522			$	11,850,000			$	8,382,142			$	11,330,664
Interim Chief Executive Officer serving as PEO - Lynn Tetrault
2022		$	2,071,184			$	180,000			$	60,497			$	1,951,681
Former Chief Executive Officer serving as PEO - Mark Mallon
2022		$	7,695,856			$	5,947,510			$	(5,372,972	)		$	(3,624,626	)
2021		$	11,479,855			$	10,500,000			$	8,114,550			$	9,094,405
Chief Executive Officer serving as PEO - Douglas VanOort
2021		$	7,227,002			$	6,577,675			$	(4,552,758	)		$	(3,903,431	)
2020		$	4,122,039			$	3,000,000			$	13,596,119			$	14,718,158
Average for other Named Executive Officers indicated above
2022		$	2,688,029			$	1,981,553			$	1,200,269			$	1,906,745
2021		$	4,041,472			$	3,350,000			$	1,862,054			$	2,553,526
2020		$	972,616			$	469,900			$	1,813,164			$	2,315,879

Detailed Equity Additions to Summary Compensation Table

Year		Addition of fair value at fiscal year (FY) end, of equity awards granted during the FY that remained outstanding				Addition of fair value at vesting date, of equity awards granted during the FY that vested during the FY				Addition of change in fair value at FY end versus prior FY end for awards granted in prior FY that remained outstanding				Addition of change in fair value at vesting date versus prior FY end for awards granted in prior FY that vested during the FY				Deduction of the fair value at the prior FY end for awards granted in prior FY that failed to meet their vesting conditions				Addition in respect of any dividends or other earnings paid during applicable FY prior to vesting date of underlying award				Total Equity Adjustments Reflect in Compensation Actually Paid
Chief Executive Officer serving as PEO - Christopher Smith
2022		$	8,382,142			$	—			$	—			$	—			$	—			$	—			$	8,382,142
Interim Chief Executive Officer serving as PEO - Lynn Tetrault
2022		$	210,599			$	—			$	(150,102)			$	—			$	—			$	—			$	60,497
Former Chief Executive Officer serving as PEO - Mark Mallon
2022		$	—			$	—			$	—			$	2,741,578			$	(8,114,550)			$	—			$	(5,372,972)
2021		$	8,114,550			$	—			$	—			$	—			$	—			$	—			$	8,114,550
Chief Executive Officer serving as PEO - Douglas VanOort
2021		$	—			$	—			$	(4,381,981)			$	11,265,258			$	(11,436,035)			$	—			$	(4,552,758)
2020		$	8,485,218			$	9,145,571			$	(4,034,670)			$	—			$	—			$	—			$	13,596,119
Average for other Named Executive Officers indicated above
2022		$	1,458,012			$	—			$	(100,428)			$	103,249			$	(260,563)			$	—			$	1,200,269
2021		$	2,720,213			$	(488,131)			$	(370,028)			$	—			$	—			$	—			$	1,862,054
2020		$	1,329,346			$	970,205			$	(486,387)			$	—			$	—			$	—			$	1,813,164

Non-PEO NEO Average Total Compensation Amount

$ 2,688,029

$ 4,041,472

$ 972,616

Non-PEO NEO Average Compensation Actually Paid Amount

$ 1,906,745

2,553,526

2,315,879

Adjustment to Non-PEO NEO Compensation Footnote [Text Block]

To calculate the CAP for our PEOs and other Named Executive Officers the following adjustments were made to Summary Compensation Table total compensation:

Deductions and Additions to Summary Compensation Table Total

Year		Summary Compensation Table total				Deductions from Summary Compensation Table Total Pay				Additions to Summary Compensation Table Total Pay				Compensation Actually Paid
Chief Executive Officer serving as PEO - Christopher Smith
2022		$	14,798,522			$	11,850,000			$	8,382,142			$	11,330,664
Interim Chief Executive Officer serving as PEO - Lynn Tetrault
2022		$	2,071,184			$	180,000			$	60,497			$	1,951,681
Former Chief Executive Officer serving as PEO - Mark Mallon
2022		$	7,695,856			$	5,947,510			$	(5,372,972	)		$	(3,624,626	)
2021		$	11,479,855			$	10,500,000			$	8,114,550			$	9,094,405
Chief Executive Officer serving as PEO - Douglas VanOort
2021		$	7,227,002			$	6,577,675			$	(4,552,758	)		$	(3,903,431	)
2020		$	4,122,039			$	3,000,000			$	13,596,119			$	14,718,158
Average for other Named Executive Officers indicated above
2022		$	2,688,029			$	1,981,553			$	1,200,269			$	1,906,745
2021		$	4,041,472			$	3,350,000			$	1,862,054			$	2,553,526
2020		$	972,616			$	469,900			$	1,813,164			$	2,315,879

Detailed Equity Additions to Summary Compensation Table

Year		Addition of fair value at fiscal year (FY) end, of equity awards granted during the FY that remained outstanding				Addition of fair value at vesting date, of equity awards granted during the FY that vested during the FY				Addition of change in fair value at FY end versus prior FY end for awards granted in prior FY that remained outstanding				Addition of change in fair value at vesting date versus prior FY end for awards granted in prior FY that vested during the FY				Deduction of the fair value at the prior FY end for awards granted in prior FY that failed to meet their vesting conditions				Addition in respect of any dividends or other earnings paid during applicable FY prior to vesting date of underlying award				Total Equity Adjustments Reflect in Compensation Actually Paid
Chief Executive Officer serving as PEO - Christopher Smith
2022		$	8,382,142			$	—			$	—			$	—			$	—			$	—			$	8,382,142
Interim Chief Executive Officer serving as PEO - Lynn Tetrault
2022		$	210,599			$	—			$	(150,102)			$	—			$	—			$	—			$	60,497
Former Chief Executive Officer serving as PEO - Mark Mallon
2022		$	—			$	—			$	—			$	2,741,578			$	(8,114,550)			$	—			$	(5,372,972)
2021		$	8,114,550			$	—			$	—			$	—			$	—			$	—			$	8,114,550
Chief Executive Officer serving as PEO - Douglas VanOort
2021		$	—			$	—			$	(4,381,981)			$	11,265,258			$	(11,436,035)			$	—			$	(4,552,758)
2020		$	8,485,218			$	9,145,571			$	(4,034,670)			$	—			$	—			$	—			$	13,596,119
Average for other Named Executive Officers indicated above
2022		$	1,458,012			$	—			$	(100,428)			$	103,249			$	(260,563)			$	—			$	1,200,269
2021		$	2,720,213			$	(488,131)			$	(370,028)			$	—			$	—			$	—			$	1,862,054
2020		$	1,329,346			$	970,205			$	(486,387)			$	—			$	—			$	—			$	1,813,164

Compensation Actually Paid vs. Total Shareholder Return [Text Block]

Compensation Actually Paid vs. Net Income [Text Block]

Compensation Actually Paid vs. Company Selected Measure [Text Block]

Total Shareholder Return Vs Peer Group [Text Block]

Tabular List [Table Text Block]

Tabular List of Company Performance Measures

The following table alphabetically lists the measures we believe are most important in linking compensation actually paid to company performance during 2022:

 Adjusted EBITDA                    

 Revenue

Total Shareholder Return Amount

$ 32

117

184

Peer Group Total Shareholder Return Amount

114

126

126

Net Income (Loss)

$ (144,000,000)

$ (8,000,000)

$ 4,000,000

Company Selected Measure Amount

(48,000,000)

(4,000,000)

35,000,000

Measure [Axis]: 1

Pay vs Performance Disclosure [Table]

Measure Name

Adjusted EBITDA                 

Non-GAAP Measure Description [Text Block]

We determined adjusted EBITDA, a non-GAAP measure, to be the most important financial performance measure used to link Company performance to Compensation Actually Paid (“CAP”) to our PEO and Non-PEO Named Executive Officers in 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 and we may determine a different financial performance measure to be the most important financial performance measure in future years.

Measure [Axis]: 2

Pay vs Performance Disclosure [Table]

Measure Name

Revenue

Christopher Smith [Member]

Pay vs Performance Disclosure [Table]

PEO Total Compensation Amount

$ 14,798,522

PEO Actually Paid Compensation Amount

$ 11,330,664

PEO Name

Christopher Smith

Lynn Tetrault [Member]

Pay vs Performance Disclosure [Table]

PEO Total Compensation Amount

$ 2,071,184

PEO Actually Paid Compensation Amount

$ 1,951,681

PEO Name

Lynn Tetrault

Mark W. Mallon [Member]

Pay vs Performance Disclosure [Table]

PEO Total Compensation Amount

$ 7,695,856

$ 11,479,855

PEO Actually Paid Compensation Amount

$ (3,624,626)

9,094,405

PEO Name

Mark Mallon

Douglas M. VanOort [Member]

Pay vs Performance Disclosure [Table]

PEO Total Compensation Amount

7,227,002

$ 4,122,039

PEO Actually Paid Compensation Amount

(3,903,431)

14,718,158

PEO Name

Douglas VanOort

PEO [Member] | Christopher Smith [Member] | Deductions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

$ (11,850,000)

PEO [Member] | Christopher Smith [Member] | Additions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

8,382,142

PEO [Member] | Christopher Smith [Member] | Fair Value at Fiscal Year End of Equity Awards Granted During the FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

8,382,142

PEO [Member] | Christopher Smith [Member] | Total Equity Adjustments [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

8,382,142

PEO [Member] | Lynn Tetrault [Member] | Deductions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(180,000)

PEO [Member] | Lynn Tetrault [Member] | Additions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

60,497

PEO [Member] | Lynn Tetrault [Member] | Fair Value at Fiscal Year End of Equity Awards Granted During the FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

210,599

PEO [Member] | Lynn Tetrault [Member] | Fair Value at FY End Versus Prior FY End for Awards Granted in Prior FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(150,102)

PEO [Member] | Lynn Tetrault [Member] | Total Equity Adjustments [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

60,497

PEO [Member] | Mark W. Mallon [Member] | Deductions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(5,947,510)

(10,500,000)

PEO [Member] | Mark W. Mallon [Member] | Additions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(5,372,972)

8,114,550

PEO [Member] | Mark W. Mallon [Member] | Fair Value at Fiscal Year End of Equity Awards Granted During the FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

8,114,550

PEO [Member] | Mark W. Mallon [Member] | Fair Value at Vesting Date Versus Prior FY End for Awards Granted in Prior FY that Vested during the FY [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

2,741,578

PEO [Member] | Mark W. Mallon [Member] | Fair Value at the Prior FY End for Awards Granted in Prior FY that Failed to meet their Vesting Conditions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(8,114,550)

PEO [Member] | Mark W. Mallon [Member] | Total Equity Adjustments [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(5,372,972)

8,114,550

PEO [Member] | Douglas M. VanOort [Member] | Deductions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(6,577,675)

(3,000,000)

PEO [Member] | Douglas M. VanOort [Member] | Additions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(4,552,758)

13,596,119

PEO [Member] | Douglas M. VanOort [Member] | Fair Value at Fiscal Year End of Equity Awards Granted During the FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

8,485,218

PEO [Member] | Douglas M. VanOort [Member] | Fair Value at Vesting Date, of Equity Awards Granted during the FY that Vested during the FY [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

9,145,571

PEO [Member] | Douglas M. VanOort [Member] | Fair Value at FY End Versus Prior FY End for Awards Granted in Prior FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(4,381,981)

(4,034,670)

PEO [Member] | Douglas M. VanOort [Member] | Fair Value at Vesting Date Versus Prior FY End for Awards Granted in Prior FY that Vested during the FY [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

11,265,258

PEO [Member] | Douglas M. VanOort [Member] | Fair Value at the Prior FY End for Awards Granted in Prior FY that Failed to meet their Vesting Conditions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(11,436,035)

PEO [Member] | Douglas M. VanOort [Member] | Total Equity Adjustments [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(4,552,758)

13,596,119

Non-PEO NEO [Member] | Deductions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(1,981,553)

(3,350,000)

(469,900)

Non-PEO NEO [Member] | Additions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

1,200,269

1,862,054

1,813,164

Non-PEO NEO [Member] | Fair Value at Fiscal Year End of Equity Awards Granted During the FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

1,458,012

2,720,213

1,329,346

Non-PEO NEO [Member] | Fair Value at Vesting Date, of Equity Awards Granted during the FY that Vested during the FY [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(488,131)

970,205

Non-PEO NEO [Member] | Fair Value at FY End Versus Prior FY End for Awards Granted in Prior FY that Remained Outstanding [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(100,428)

(370,028)

(486,387)

Non-PEO NEO [Member] | Fair Value at Vesting Date Versus Prior FY End for Awards Granted in Prior FY that Vested during the FY [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

103,249

Non-PEO NEO [Member] | Fair Value at the Prior FY End for Awards Granted in Prior FY that Failed to meet their Vesting Conditions [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

(260,563)

Non-PEO NEO [Member] | Total Equity Adjustments [Member]

Pay vs Performance Disclosure [Table]

Adjustment to Compensation Amount

$ 1,200,269

$ 1,862,054

$ 1,813,164

X

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