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Summary of Significant Accounting Policies Intangible asset (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]    
Finite-Lived Intangible Assets, Amortization Expense, Year Two   $ 1,766
Finite-Lived Intangible Assets, Amortization Expense, Year Three   1,766
Finite-Lived Intangible Assets, Amortization Expense, Year Four   1,766
Finite-Lived Intangible Assets, Amortization Expense, Year Four   1,766
Finite-Lived Intangible Assets, Amortization Expense, Year Five   1,766
Finite-Lived Intangible Assets, Amortization Expense, after Year Five   10,886
Finite-Lived Intangible Assets, Net   $ 19,716
XERMELO Intangible Assets Finite Lived $ 24,700