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Commitments and Contingencies - Legal (Details)
$ in Millions
3 Months Ended
Mar. 07, 2018
USD ($)
installment
Mar. 31, 2018
USD ($)
item
installment
Dec. 31, 2017
USD ($)
Other commitments      
Shareholders (as a percent)   5.00%  
Accrued settlement liability $ 11.4 $ 7.1 $ 11.4
Settlement agreement, amount plus applicable interest to be paid in installments $ 5.3 $ 5.3  
Settlement agreement, number of equal quarterly installments | installment 4 4  
Accrued settlement liability, current     10.1
Accrued settlement liability, long-term     $ 1.3
Number of third-party payers that have alleged to have overpaid the company | item   3  
Inventory material      
Other commitments      
Purchase commitment   $ 5.9  
Other supplier commitments | Inventory material      
Other commitments      
Purchase commitment   5.0  
Supplier two | Inventory material      
Other commitments      
Purchase commitment   1.0  
Supplier three | Biological sample processing and storage      
Other commitments      
Purchase commitment   0.6  
Supplier Four | Diagnostic reagents      
Other commitments      
Purchase commitment   3.7  
Supplier Five | Tests      
Other commitments      
Purchase commitment   3.7  
Securities related claims      
Other commitments      
Estimate of possible loss   1.5  
Commercial general liability claims      
Other commitments      
Estimate of possible loss   $ 0.3