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Leases - Additional Information (Details) - USD ($) | 12 Months Ended |
--- | --- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Jan. 01, 2019
Lessee Lease Description [Line Items] |  |  |
Operating lease, option to extend | options to extend the leases for up to 5 years. |  |
Operating lease, existence of option to extend [true false] | true |  |
Operating lease right-of-use asset | $ 5,855,000 |  | $ 6,418,000
Operating lease, liability | 6,716,000 |  | $ 6,418,000
Operating lease cost | $ 2,269,000 |  |
Corporate Headquarters in California |  |  |
Lessee Lease Description [Line Items] |  |  |
Annual percentage increase in rental expense | 3.50% |  |
Lease payments annual increase description | Lease payments for its corporate headquarters will increase annually by the lesser of the change, if any, in the Consumer Price Index of the Bureau of Labor Statistics of the U.S. Department of Labor or three and one-half percent (3.5%) at each annual adjustment date thereafter. |  |
Commercial and Industrial Space In Texas |  |  |
Lessee Lease Description [Line Items] |  |  |
Annual percentage increase in rental expense | 2.50% |  |
Lease payments annual increase description | Lease payments for the Company’s commercial and industrial space in Texas will increase annually by two and one-half percent (2.5%) at each annual adjustment date thereafter. |  |
MedSupport Systems B.V. |  |  |
Lessee Lease Description [Line Items] |  |  |
Operating lease cost | $ 31,000 | $ 33,000 |
Minimum |  |  |
Lessee Lease Description [Line Items] |  |  |
Operating leases, lease term | 2 years |  |
Minimum | Corporate Headquarters in California and Commercial and Industrial Space in Texas |  |  |
Lessee Lease Description [Line Items] |  |  |
Operating leases, lease term | 10 years |  |
Additional operating lease cost | $ 27,215,000 |  |
Maximum |  |  |
Lessee Lease Description [Line Items] |  |  |
Operating leases, lease term | 8 years |  |
Operating lease option to extend term | 5 years |  |
Maximum | Corporate Headquarters in California and Commercial and Industrial Space in Texas |  |  |
Lessee Lease Description [Line Items] |  |  |
Operating leases, lease term | 11 years |  |

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- Definition Lessee operating lease option to extend term. + References No definition available. + Details
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- Definition Operating lease, rental expense increase percentage. + References No definition available. + Details
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
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- Definition Indicates (true false) whether lessee has option to extend operating lease. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 3 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918673-209980 + Details
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- Definition Description of terms and conditions of option to extend lessee's operating lease. Includes, but is not limited to, information about option recognized as part of right-of-use asset and lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 3 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918673-209980 + Details
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- Definition Term of lessee's operating lease, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 3 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918673-209980 + Details
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- Definition Description of basis, terms, and conditions on which variable lease payment for lessee's operating lease is determined. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 3 -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918673-209980 + Details
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- Definition Amount of single lease cost, calculated by allocation of remaining cost of lease over remaining lease term. Includes, but is not limited to, single lease cost, after impairment of right-of-use asset, calculated by amortization of remaining right-of-use asset and accretion of lease liability. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 55 -Paragraph 53 -URI http://asc.fasb.org/extlink&oid=77888399&loc=SL77918982-209971 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918686-209980 + Details
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- Definition Present value of lessee's discounted obligation for lease payments from operating lease. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=77888419&loc=SL77918627-209977 + Details
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- Definition Amount of lessee's right to use underlying asset under operating lease. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=77888419&loc=SL77918627-209977 + Details
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