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Segment Reporting - Operating Results of Reportable Segments (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Segment Reporting Information [Line Items]                      
Net revenues $ 10,859 $ 12,475 $ 10,735 $ 6,562 $ 6,648 $ 7,151 $ 7,129 $ 7,216 $ 40,631 $ 28,144 $ 27,306
Operating loss                 (37,332) (11,932) 1,250
Depreciation and amortization                 2,920 796 512
Total assets 76,730 $ 102,092 $ 100,453 $ 48,834 55,638 $ 59,342 $ 61,366 $ 63,277 76,730 55,638  
CareDx [Member]                      
Segment Reporting Information [Line Items]                      
Net revenues                 29,917 28,144 27,306
Operating loss                 (18,374) (11,932) 1,250
Depreciation and amortization                 982 796 512
Total assets 41,169       55,638       41,169 55,638  
Olerup [Member]                      
Segment Reporting Information [Line Items]                      
Net revenues                 10,714 0 0
Operating loss                 (18,958) 0 0
Depreciation and amortization                 1,938 0 $ 0
Total assets $ 35,561       $ 0       $ 35,561 $ 0