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Consolidated Statements of Operations - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Total revenue $ 42,772 $ 43,675
Total cost of revenue 12,542 12,602
Gross profit 30,230 31,073
Operating expenses    
Sales and marketing 18,785 22,970
Research and development 1,270 1,684
Reimbursement, general and administrative 14,259 10,870
Total operating expenses 34,314 35,524
Loss from operations (4,084) (4,451)
Other (expense) income (10) 266
Loss before income taxes (4,094) (4,185)
Income tax benefit (1,828) (2,878)
Net loss $ (2,266) $ (1,307)
Net loss per common share    
Basic (in dollars per share) $ (0.12) $ (0.07)
Diluted (in dollars per share) $ (0.12) $ (0.07)
Weighted-average common shares used to compute net loss per common share    
Basic (in shares) 19,545,558 19,173,580
Diluted (in shares) 19,545,558 19,173,580
Sales revenue    
Total revenue $ 36,125 $ 37,623
Total cost of revenue 10,691 10,922
Gross profit 25,434 26,701
Rental revenue    
Total revenue 6,647 6,052
Total cost of revenue 1,851 1,680
Gross profit $ 4,796 $ 4,372