Quarterly report pursuant to Section 13 or 15(d)

Commitments and Contingencies - Additional Information (Details)

v3.8.0.1
Commitments and Contingencies - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Commitments And Contingencies [Line Items]    
Rent expense $ 321 $ 262
Outstanding purchase orders with its outside vendors and suppliers 48,900  
MedSupport Systems B.V.    
Commitments And Contingencies [Line Items]    
Rent expense $ 8  
Offices and Certain Equipment    
Commitments And Contingencies [Line Items]    
Operating leases expiration date Sep. 30, 2024