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Segment Reporting - Operating Results of Reportable Segments (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Segment Reporting Information [Line Items]      
Revenues $ 14,053 $ 11,584  
Revenues- product revenue 3,307 3,667  
Operating loss (5,235) (8,544)  
Depreciation and amortization 1,039 934  
Total assets 78,952   $ 83,565
Post-Transplant [Member]      
Segment Reporting Information [Line Items]      
Revenues 10,746 7,917  
Revenues-testing and license and other revenue 10,746 7,917  
Operating loss (3,195) (5,459)  
Depreciation and amortization 329 262  
Total assets 45,564   48,734
Pre-Transplant [Member]      
Segment Reporting Information [Line Items]      
Revenues 3,307 3,667  
Revenues- product revenue 3,307 3,667  
Operating loss (2,040) (3,085)  
Depreciation and amortization 710 $ 672  
Total assets $ 33,388   $ 34,831