Quarterly report pursuant to Section 13 or 15(d)

Commitments and Contingencies - Additional Information (Details)

v3.10.0.1
Commitments and Contingencies - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Commitments And Contingencies [Line Items]        
Rent expense $ 453 $ 289 $ 1,183 $ 829
Outstanding purchase orders with its outside vendors and suppliers 61,600   61,600  
MedSupport Systems B.V.        
Commitments And Contingencies [Line Items]        
Rent expense $ 8   $ 24  
Offices and Certain Equipment        
Commitments And Contingencies [Line Items]        
Operating leases expiration date     Sep. 30, 2024