Acquisition - Pro forma information (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Business Acquisition [Line Items]
Revenues	$ 277,743	$ 191,603	$ 196,129
Acquisition and integration costs	16,506	711	2,390
Amortization of inventory step-up to fair value	10,950	0	0
Triage Business
Business Acquisition [Line Items]
Pro forma total revenues	468,577	437,525
Pro forma net income	$ 41,296	$ 28,045
Pro forma basic earnings per share	$ 1,220	$ 860
Pro forma diluted net earnings per share	$ 1,180	$ 840
Net loss included in the Consolidated Statement of Operations since acquisition	$ (4,776)
Acquisition and integration costs	11,700
Amortization of inventory step-up to fair value	11,000
Molecular
Business Acquisition [Line Items]
Revenues		$ 0	$ 0
Molecular \| Triage Business
Business Acquisition [Line Items]
Revenues	$ 47,030

Amortization of Inventory Step-Up To Fair Value

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

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- Definition

The pro forma basic net income per share for a period as if the business combination or combinations had been completed at the beginning of a period.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (h)(2)-(3)
-URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463

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- Definition

The pro forma diluted net income per share for a period as if the business combination or combinations had been completed at the beginning of a period.

+ References

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The pro forma net Income or Loss for the period as if the business combination or combinations had been completed at the beginning of a period.

+ References

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The pro forma revenue for a period as if the business combination or combinations had been completed at the beginning of the period.

+ References

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- Definition

This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 25
-Paragraph 23
-URI http://asc.fasb.org/extlink&oid=84229725&loc=d3e1043-128460

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- Definition

This element represents the amount of earnings or loss of the acquiree since the acquisition date included in the consolidated income statement for the reporting period.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (h)(1)
-URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463

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- Definition

Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1)
-URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688

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