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Stockholders' Equity and Stock-Based Compensation - Additional Information (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Jan. 31, 2019
shares
Sep. 30, 2019
USD ($)
VotingRight
shares
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
VotingRight
shares
Sep. 30, 2018
USD ($)
Dec. 31, 2018
shares
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Common stock, authorized   200,000,000   200,000,000   200,000,000
Common stock, Issued   37,558,984   37,558,984   35,385,810
Common stock, outstanding   37,558,984   37,558,984   35,385,810
Dividends paid or declared | $       $ 0    
Common stock voting rights       Each share of common stock has the right to one vote on all matters submitted to a vote of stockholders.    
Number of common stock voting rights | VotingRight   1   1    
Options outstanding   866,000   866,000   1,303,000
Stock-based compensation expense | $   $ 14,094,000 $ 5,683,000 $ 43,398,000 $ 16,102,000  
Unrecognized stock-based compensation costs related to non-vested awards | $   3,090,000   $ 3,090,000    
Weighted-average period for unrecognized compensation cost expected to be recognized       2 years 3 months 18 days    
Restricted Stock Units            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Unrecognized stock-based compensation costs | $   $ 98,961,000   $ 98,961,000    
Weighted-average period for unrecognized compensation cost expected to be recognized       3 years    
2010 Equity Incentive Plan            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Shares available for future grants   0   0    
Options outstanding   526,683   526,683    
2015 Equity Incentive Plan            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Shares available for future grants   2,042,597   2,042,597    
Increase in share reserve under the plan 1,592,361          
2014 Equity Incentive Plan | Practice XYZ, Inc.            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Shares available for future grants   0   0    
Options outstanding   503   503    
2014 Equity Incentive Plan | Portfolium ,Inc            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Shares available for future grants   0   0    
Options outstanding   33,002   33,002    
ESPP            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Shares available for future grants   696,557   696,557    
Increase in share reserve under the plan 333,333          
Initial offering expiration period       27 months    
Percentage of discount through payroll deductions to eligible employees to purchase common stock       15.00%    
Unrecognized stock-based compensation costs | $   $ 351,000   $ 351,000    
Weighted average date for unrecognized compensation cost to expected to be recognized       Nov. 30, 2019    
2019 Bonus Plan            
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]            
Stock-based compensation expense | $       $ 0    
Unrecognized stock-based compensation costs | $   $ 0   $ 0