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REVENUE (Tables)
12 Months Ended
Dec. 31, 2021
Revenue from Contract with Customer [Abstract]  
Disaggregation of Revenue [Table Text Block] The Company's revenue by segment payers/customer groups for the years ended December 31, 2021, 2020 and 2019 is as follows:
Year Ended
December 31, 2021
For the Year Ended
December 31, 2020
For the Year Ended
December 31, 2019
North AmericaEuropeOtherTotalNorth AmericaEuropeOtherTotalNorth AmericaEuropeOtherTotal
Payer/Customer
Dx
   Clients17 %— %— %17 %20 %— %— %20 %17 %— %— %17 %
   Patients%— %— %%%— %— %%%— %— %%
   Medicare and Medicaid%— %— %%%— %— %%%— %— %%
   Third party34 %— %— %34 %32 %— %— %32 %27 %— %— %27 %
Total Dx revenues by payer64 %— %— %64 %65 %— %— %65 %60 %— %— %60 %
DD
   Pharmaceutical, biotechnology and medical device companies17 %13 %%36 %17 %11 %%35 %21 %12 %%40 %
Total revenues81 %13 %%100 %82 %11 %%100 %81 %12 %%100 %
Capitalized Contract Cost
December 31, 2021December 31, 2020
Sales commission assets$36.2 $32.6 
Deferred contract fulfillment costs14.4 12.6 
Total$50.6 $45.2 
Contract with Customer, Contract Asset, Contract Liability, and Receivable
December 31, 2021December 31, 2020
Dx accounts receivable$1,193.8 $1,515.5 
DD accounts receivable1,089.2 986.4 
Less DD allowance for doubtful accounts(21.5)(22.1)
Accounts receivable$2,261.5 $2,479.8 
Gross unbilled services$730.8 $548.1 
Less reserve for unbilled services(14.0)(11.3)
Unbilled services$716.8 $536.8 
Unearned revenue$558.5 $506.5