Number of shares outstanding with convertible debt.

No definition available.

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- Definition

The benchmark adjustment for the basis spread on variable rate for debt instrument.

+ References

No definition available.

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The notice threshold for conversion of debt instrument.

+ References

No definition available.

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The per share amount of conversion premium for convertible debt instrument.

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No definition available.

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The percent conversion premium of convertible debt instrument.

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No definition available.

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The increase (decrease) in the maximum number of shares issuable of convertible debt.

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No definition available.

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The maximum number of shares issuable for convertible debt.

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No definition available.

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Amount of conversion fee with proceeds from convertible debt.

+ References

No definition available.

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Amount of excess of issue price over par or stated value of stock and from other transaction involving stock or stockholder. Includes, but is not limited to, additional paid-in capital (APIC) for common and preferred stock.

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Including the current and noncurrent portions, carrying amount of debt identified as being convertible into another form of financial instrument (typically the entity's common stock) as of the balance sheet date, which originally required full repayment more than twelve months after issuance or greater than the normal operating cycle of the company.

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The value of the financial instrument(s) that the original debt is being converted into in a noncash (or part noncash) transaction. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period.

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The number of shares issued in exchange for the original debt being converted in a noncash (or part noncash) transaction. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or payments in the period.

+ References

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The amount of the original debt being converted in a noncash (or part noncash) transaction. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period.

+ References

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Percentage points added to the reference rate to compute the variable rate on the debt instrument.

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No definition available.

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The price per share of the conversion feature embedded in the debt instrument.

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Ratio applied to the conversion of debt instrument into equity with equity shares divided by debt principal amount.

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Threshold period of specified consecutive trading days within which common stock price to conversion price of convertible debt instrument must exceed threshold percentage for specified number of trading days to trigger conversion feature.

+ References

No definition available.

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Minimum percentage of common stock price to conversion price of convertible debt instruments to determine eligibility of conversion.

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No definition available.

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Threshold number of specified trading days that common stock price to conversion price of convertible debt instruments must exceed threshold percentage within a specified consecutive trading period to trigger conversion feature.

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No definition available.

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Face (par) amount of debt instrument at time of issuance.

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Contractual interest rate for funds borrowed, under the debt agreement.

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Percentage price of original principal amount of debt at which debt can be redeemed by the issuer.

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Fair value amount of debt instrument that was repurchased.

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No definition available.

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Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

No definition available.

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Weighted average interest rate of debt outstanding.

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No definition available.

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Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges.

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The fee, expressed as a percentage of the line of credit facility, for the line of credit facility regardless of whether the facility has been used.

+ References

No definition available.

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Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility.

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Amount of borrowing capacity currently available under the credit facility (current borrowing capacity less the amount of borrowings outstanding).

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The fee, expressed as a percentage of the line of credit facility, for available but unused credit capacity under the credit facility.

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No definition available.

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The interest rate applicable to the portion of the carrying amount of long-term borrowings outstanding as of the balance sheet date, including current maturities, which accrues interest at a rate subject to change from time to time.

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The carrying value as of the balance sheet date of the noncurrent portion of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

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The cash outflow from the repayment of a long-term debt instrument which can be exchanged for a specified amount of another security, typically the entity's common stock, at the option of the issuer or the holder.

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Amount of accumulated undistributed earnings (deficit).

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Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

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Note 7 - Debt (Details Textual)	1 Months Ended			3 Months Ended	6 Months Ended	47 Months Ended
Note 7 - Debt (Details Textual)	May 31, 2021 USD ($) shares	Feb. 28, 2019 USD ($) $ / shares shares	Feb. 28, 2018 USD ($) $ / shares	Mar. 31, 2023 USD ($)	Jun. 30, 2023 USD ($) shares	Dec. 31, 2016 USD ($) shares	Jun. 29, 2023 USD ($)	Jan. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Jun. 30, 2022 USD ($)	Mar. 31, 2022 USD ($)	Jan. 01, 2022 USD ($)	Dec. 31, 2021 USD ($)	Feb. 01, 2019 USD ($)	Nov. 30, 2015 USD ($)
Retained Earnings (Accumulated Deficit)					$ (1,860,830,000)				$ (1,822,923,000)
Additional Paid in Capital					3,427,094,000				3,421,872,000
Line of Credit Facility, Maximum Borrowing Capacity					80,028,000
Equity, Attributable to Parent				$ 1,551,810,000	1,535,348,000				1,561,648,000	$ 1,718,799,000	$ 1,614,883,000		$ 1,685,126,000
Goodwill					597,375,000				595,851,000
Intangible Assets, Net (Excluding Goodwill)					782,195,000				$ 823,520,000
BioReference [Member]
Equity, Attributable to Parent					525,700,000
Goodwill					283,000,000.0
Intangible Assets, Net (Excluding Goodwill)					$ 177,900,000
Minimum [Member]
Long-Term Debt, Percentage Bearing Variable Interest, Percentage Rate					0.70%
Maximum [Member]
Long-Term Debt, Percentage Bearing Variable Interest, Percentage Rate					5.10%
Accounting Standards Update 2020-06 [Member] \| Cumulative Effect, Period of Adoption, Adjustment [Member]
Retained Earnings (Accumulated Deficit)												$ (17,500,000)
Additional Paid in Capital												(39,100,000)
Equity, Attributable to Parent													$ (21,642,000)
Conversion of the 2025 Notes into Common Stock [Member]
Debt Conversion, Original Debt, Amount	$ 55,400,000
Debt Conversion, Converted Instrument, Shares Issued (in shares) \| shares	19,051,270
Line of Credit [Member]
Debt, Weighted Average Interest Rate					8.80%				5.40%
The 2025 Notes [Member] \| Accounting Standards Update 2020-06 [Member] \| Cumulative Effect, Period of Adoption, Adjustment [Member]
Convertible Debt												$ 21,600,000
The 2025 Notes [Member] \| Convertible Debt [Member]
Debt Instrument, Face Amount		$ 200,000,000.0
Debt Instrument, Interest Rate, Stated Percentage		4.50%
Debt Instrument, Convertible, Conversion Ratio		236.7424
Debt Instrument, Convertible, Conversion Price (in dollars per share) \| $ / shares		$ 4.22
Debt Instrument, Convertible Debt, Maximum Shares Issuable (in shares) \| shares		30,000,000
Debt Instrument, Convertible Debt, Increase (Decrease) in Maximum Shares Issuable (in shares) \| shares	8,105,175
Debt Conversion, Converted Instrument, Shares Outstanding (in shares) \| shares					21,144,825
Proceeds From Convertible Debt, Conversion Fee		$ 300,000
The 2025 Notes [Member] \| Convertible Debt [Member] \| Debt Instrument, Redemption, Period One [Member]
Debt Instrument, Convertible, Threshold Trading Days		20
Debt Instrument, Convertible, Threshold Consecutive Trading Days		30
Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger		130.00%
Debt Instrument, Redemption Price, Percentage		100.00%
The 2025 Notes [Member] \| Convertible Debt [Member] \| Debt Instrument, Redemption, Period Two [Member]
Debt Instrument, Convertible, Threshold Trading Days		5
Debt Instrument, Convertible, Threshold Consecutive Trading Days		5
Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger		98.00%
The 2025 Notes [Member] \| Convertible Debt [Member] \| Debt Instrument, Redemption, Period Three [Member]
Debt Instrument, Convertible, Threshold Trading Days		20
Debt Instrument, Convertible, Threshold Consecutive Trading Days		30
Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger		130.00%
Debt Instrument, Redemption Price, Percentage		100.00%
The 2023 Convertible Notes [Member] \| Convertible Debt [Member]
Debt Instrument, Face Amount			$ 55,000,000.0
Debt Instrument, Interest Rate, Stated Percentage			5.00%
Debt Instrument, Convertible, Conversion Price (in dollars per share) \| $ / shares			$ 5.00
Debt Instrument, Term (Year)			5 years
Debt Instrument, Convertible, Conversion Premium, Percent			25.00%
Debt Instrument, Convertible, Conversion Premium, Per Share (in dollars per share) \| $ / shares			$ 1.66
The 2023 Convertible Notes [Member] \| Convertible Debt [Member] \| Minimum [Member]
Debt Instrument, Convertible, Conversion Notice Threshold (Day)			30 days
The 2023 Convertible Notes [Member] \| Convertible Debt [Member] \| Maximum [Member]
Debt Instrument, Convertible, Conversion Notice Threshold (Day)			60 days
The 2033 Senior Notes [Member] \| Convertible Debt [Member]
Debt Conversion, Converted Instrument, Shares Issued (in shares) \| shares						21,539,873
Debt Conversion, Converted Instrument, Amount						$ 143,200,000
Debt Instrument, Repurchase Amount														$ 28,800,000
Repayments of Convertible Debt				$ 3,000,000.0
The 2033 Senior Notes [Member] \| Senior Notes [Member]
Debt Instrument, Face Amount								$ 175,000,000.0
Debt Instrument, Interest Rate, Stated Percentage								3.00%
Credit Agreement [Member] \| Line of Credit [Member] \| Revolving Credit Facility [Member]
Line of Credit Facility, Maximum Borrowing Capacity							$ 50,000,000								$ 75,000,000
Line of Credit Facility, Remaining Borrowing Capacity					$ 13,300,000
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage					0.40%
Long-Term Line of Credit, Noncurrent					$ 13,300,000				$ 18,100,000
Credit Agreement [Member] \| Line of Credit [Member] \| Revolving Credit Facility [Member] \| Quarterly Availability is 50% or More [Member]
Line of Credit Facility, Commitment Fee Percentage					1.00%
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage					0.275%
Credit Agreement [Member] \| Line of Credit [Member] \| Revolving Credit Facility [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Debt Instrument, Basis Spread on Variable Rate					2.50%
Debt Instrument, Basis Spread on Variable Rate, Benchmark Adjustment					0.10%
Credit Agreement [Member] \| Line of Credit [Member] \| Revolving Credit Facility [Member] \| Secured Overnight Financing Rate 12 Months [Member]
Debt Instrument, Basis Spread on Variable Rate					0.10%
Credit Agreement [Member] \| Line of Credit [Member] \| Bridge Loan [Member]
Line of Credit Facility, Maximum Borrowing Capacity															20,000,000.0
Credit Agreement [Member] \| Line of Credit [Member] \| Letter of Credit [Member]
Line of Credit Facility, Maximum Borrowing Capacity															$ 20,000,000.0
Notes and Other Debt [Member]
Debt, Weighted Average Interest Rate					4.00%				3.50%