Revenue Recognition and Contractual Adjustments - Narrative (Details) $ in Thousands	3 Months Ended	9 Months Ended
Sep. 30, 2019 USD ($)	Sep. 30, 2019 USD ($) segment	Dec. 31, 2018 USD ($)
Disaggregation of Revenue [Line Items]
Number of operating segments \| segment		2
Increase in Pharma contract assets		$ 500
Pharma contract asset, increase (as a percent)	143.00%	143.00%
Increase in pharma contract liabilities		$ 500
Increase in pharma contract liabilities (as a percent)		20.00%
Capitalized contract costs	$ 1,061	$ 1,061	$ 921
Pharma contract liability, revenue recognized	100	2,000
Amortization of contract commissions	300	900
Commissions
Disaggregation of Revenue [Line Items]
Capitalized contract costs	$ 100	$ 100
Capitalized contract costs (as a percent)	15.00%	15.00%

Capitalized Contract Cost, Gross, Percent

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- Definition

Contract With Customer, Asset, Percent

+ References

No definition available.

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- Definition

Contract With Customer, Liability, Increase From Cash Receipts

+ References

No definition available.

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- Definition

Contract With Customer, Liability, Increase From Cash Receipts, Percentage

+ References

No definition available.

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- Definition

Amount of amortization expense for asset recognized from cost incurred to obtain or fulfill contract with customer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 340
-SubTopic 40
-Section 50
-Paragraph 3
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=68051541&loc=SL49131252-203054

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- Definition

Amount, before accumulated amortization and accumulated impairment loss, of asset recognized from cost incurred to obtain or fulfill contract with customer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 340
-SubTopic 40
-Section 50
-Paragraph 3
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=68051541&loc=SL49131252-203054

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- Definition

Amount of revenue recognized that was previously included in balance of obligation to transfer good or service to customer for which consideration from customer has been received or is due.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 8
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130549-203045

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

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- Definition

Amount of increase (decrease) in right to consideration in exchange for good or service transferred to customer when right is conditioned on something other than passage of time.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 28
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585

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- Definition

Number of operating segments. An operating segment is a component of an enterprise: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same enterprise), (b) whose operating results are regularly reviewed by the enterprise's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. An operating segment may engage in business activities for which it has yet to earn revenues, for example, start-up operations may be operating segments before earning revenues.

+ References

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