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Revenue Recognition (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 31, 2021
Feb. 28, 2019
Mar. 31, 2021
Jun. 30, 2019
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
May 31, 2021
Aug. 31, 2019
Deferred revenue, Long-term         $ 21,318 $ 22,805        
Other assets         18,820 14,743        
Deferred revenue         28,722 72,930        
Deferred revenue, current portion         7,404 50,125        
Total revenues         625,486 391,005 $ 302,328      
Deferred revenue, long-term portion         21,318 22,805        
Revenue recognized during the period that was included in deferred revenues at the beginning of the period         37,784          
Product                    
Revenue recognized         5,700 5,400 2,400      
Cost of revenues         302,663 185,865 162,604      
Total revenues         567,149 367,211 269,881      
Licensing and other                    
Cost of revenues         15,755 17,755 12,866      
Total revenues         58,337 $ 23,794 32,447      
Genetic testing services and provision of IVD kits                    
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    
Revenue recognized during the period that was included in deferred revenues at the beginning of the period         28,600          
Qiagen | Volume, regulatory and commercial milestones                    
Revenue, remaining performance obligation               $ 10,000    
Qiagen | Other licensing and other revenue                    
Refunds of revenues previously deferred     $ 10,000              
Deferred revenue     $ 28,600              
BGI Genomics                    
Proceeds from license agreement   $ 50,000   $ 35,600            
Receivable       2,500            
Deferred revenue, Long-term         20,400          
Deferred revenue, current portion         3,200          
Deferred revenue, long-term portion         20,400          
BGI Genomics | Sequencing services                    
Other assets       6,000            
BGI Genomics | Sequencing products                    
Other assets       4,000            
BGI Genomics | Sequencing products and services                    
Other assets       $ 10,000            
Foundation Medicine ("FMI")                    
Proceeds from license agreement             16,300      
Agreement term           5 years        
Automatic renewals, successive period thereafter           1 year        
Deferred revenue, Long-term         900          
Deferred revenue, current portion         500          
Deferred revenue, long-term portion         900          
Foundation Medicine ("FMI") | Milestone payments                    
Proceeds from license agreement $ 1,000                  
Deferred revenue, current portion         $ 2,000       $ 1,000  
Foundation Medicine ("FMI") | Upfront licensing fees and prepaid revenues                    
Initial transaction price                   $ 13,300
Foundation Medicine ("FMI") | Developmental, regulatory, and commercial milestones                    
Initial transaction price                   $ 32,000
Foundation Medicine ("FMI") | Developmental performance milestones                    
Proceeds from license agreement             3,000      
Foundation Medicine ("FMI") | Licensing fees and prepaid revenue                    
Proceeds from license agreement             $ 13,300