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Revenue Recognition (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Aug. 31, 2019
Feb. 28, 2019
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Dec. 31, 2018
Sep. 30, 2019
Revenue recognized         $ 1,622 $ 1,263      
Cost of revenues     $ 42,731 $ 41,382 84,251 82,987      
Deferred revenue, Long-term     22,533   22,533   $ 23,808    
Other assets     12,357   12,357   12,476    
Deferred revenue     74,925   74,925   79,824    
Deferred revenue, current portion     52,392   52,392   56,016    
Total revenues     86,472 74,355 180,484 141,179      
Deferred revenue, long-term portion     22,533   22,533   23,808    
Revenue recognized during the period that was included in deferred revenues at the beginning of the period         4,943        
Product                  
Revenue recognized     600 800 1,600 1,300      
Total revenues     80,414 65,099 $ 167,460 128,463      
Product | Minimum                  
Billing collection period (in months)         9 months        
Product | Maximum                  
Billing collection period (in months)         12 months        
Licensing and other                  
Cost of revenues     4,208 2,443 $ 7,666 4,141      
Total revenues     6,058 9,256 13,024 12,716      
Genetic testing services                  
Revenue recognized during the period that was included in deferred revenues at the beginning of the period         $ 300        
Qiagen                  
Proceeds from license agreement               $ 5,000  
Agreement term         10 years        
Revenue, remaining performance obligation               40,000  
Qiagen | Volume, regulatory and commercial milestones                  
Revenue, remaining performance obligation               $ 10,000  
Qiagen | Prepaid royalty                  
Revenue recognized     0            
Laboratory distribution partners | Product | Minimum                  
Billing collection period (in months)         2 months        
Laboratory distribution partners | Product | Maximum                  
Billing collection period (in months)         3 months        
BGI                  
Proceeds from license agreement   $ 50,000   35,600          
Receivable       $ 2,500   $ 2,500      
Agreement term   10 years              
Deferred revenue, current portion     500   $ 500        
BGI | Sequencing services                  
Other assets                 $ 6,000
BGI | Sequencing products                  
Other assets                 4,000
BGI | Sequencing products and services                  
Other assets     $ 10,000   10,000       $ 10,000
Foundation Medicine, Inc. ("FMI")                  
Proceeds from license agreement         0   16,300    
Agreement term 5 years                
Automatic renewals, successive period thereafter 1 year                
Foundation Medicine, Inc. ("FMI") | Upfront licensing fees and prepaid revenues                  
Initial transaction price $ 13,300                
Foundation Medicine, Inc. ("FMI") | Developmental, regulatory, and commercial milestones                  
Initial transaction price $ 32,000                
Foundation Medicine, Inc. ("FMI") | Developmental performance milestones                  
Proceeds from license agreement             3,000    
Foundation Medicine, Inc. ("FMI") | Licensing fees and prepaid revenue                  
Proceeds from license agreement             $ 13,300    
BGI and FMI | Genetic testing services                  
Revenue recognized during the period that was included in deferred revenues at the beginning of the period         $ 4,600