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Summary of Significant Accounting Policies - Cash and Cash Equivalents (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Cash and Cash Equivalents          
Restricted cash $ 847 $ 847 $ 847 $ 847 $ 847
Equity Method Investment          
Impairment charges     0 0  
Cost of Goods and Services Sold $ 18,225 $ 17,880 $ 34,295 33,919  
Cost, Product and Service [Extensible List] us-gaap:LicenseAndServiceMember us-gaap:LicenseAndServiceMember      
Promon          
Equity Method Investment          
Ownership percentage 17.00%   17.00%    
Cost of Goods and Services Sold $ 100 $ 600 $ 1,400 $ 1,200  
Amount owed included in accounts payable and accrued liabilities $ 2,300   $ 2,300    
Letter of Credit          
Cash and Cash Equivalents          
Restricted Cash, Asset, Statement of Financial Position [Extensible List] Other Assets, Noncurrent   Other Assets, Noncurrent   Other Assets, Noncurrent
Restricted cash $ 800   $ 800