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Goodwill and Intangible Assets - Narrative (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 10 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Dec. 31, 2018
Dec. 10, 2018
Goodwill [Line Items]              
Goodwill $ 198,571   $ 198,571   $ 198,571 $ 197,892  
Amortization of intangibles 2,400 $ 1,400 7,482 $ 4,255      
Genoptix              
Goodwill [Line Items]              
Goodwill $ 51,552   $ 51,552   51,552   $ 50,873
Measurement period adjustments, goodwill         $ 679