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Other Accrued Liabilities (Details) - USD ($)
$ in Thousands
Sep. 30, 2020
Dec. 31, 2019
Payables and Accruals [Abstract]    
Provider relief funds $ 1,882 $ 0
Accrued service fees 1,201 1,162
Accrued interest 154 184
Employee stock purchase plan contributions 128 218
Accrued royalties 70 169
Accrued state income taxes 0 79
Other accrued liabilities $ 3,435 $ 1,812