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Acquisitions Acquisitions (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Dec. 31, 2019
Business Acquisition [Line Items]    
Goodwill $ 233,211 $ 239,724
Midwest U.S.-based multi-site reference laboratory    
Business Acquisition [Line Items]    
Consideration transferred   $ 50,000
Intangible assets acquired 26,900  
Tangible assets acquired 200  
Goodwill $ 22,900  
Customer Relationships | Midwest U.S.-based multi-site reference laboratory    
Business Acquisition [Line Items]    
Weighted average useful life of finite-lived intangible assets (in years) 13 years 9 months 18 days