CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Cash flows from operating activities:
Net (loss) income	$ (25,580)	$ (29,979)	$ 64,727
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:
Effect of change in revenue recognition	(17,382)	0	0
Share-based compensation	12,064	14,768	21,195
Depreciation	6,546	5,882	4,087
Amortization of intangible assets	1,039	1,034	1,678
Amortization of inventory fair value step-up	0	0	203
Amortization of deferred financing costs and debt discount	1,431	137	176
Amortization of discount on notes receivable	0	(190)	(12)
Non cash lease expenses	947	0	0
Change in fair value of earn-out consideration	0	0	(3,560)
Loss on fixed asset disposal	318	0	0
Intangible asset impairment	1,258	0	590
Change in deferred income taxes	0	25,541	(26,670)
Loss on divestiture of Stability	0	0	1,048
Increase (decrease) in cash, net of effects of divestiture, resulting from changes in:
Accounts receivable	(10,938)	0	(479)
Inventory	6,882	(6,519)	2,747
Prepaid expenses	4	(4,548)	(305)
Income tax receivable	436	202	(656)
Other assets	(5,770)	3,562	225
Accounts payable	(6,171)	6,585	(1,324)
Accrued compensation	(1,722)	2,083	8,397
Accrued expenses	(57)	16,074	(3,534)
Income taxes	0	0	(5,611)
Other liabilities	(2,717)	1,164	17
Net cash flows (used in) provided by operating activities	(39,412)	35,796	62,939
Cash flows from investing activities:
Purchases of property and equipment	(1,752)	(9,419)	(5,126)
Proceeds from property and equipment sale	0	30	0
Principal payments from note receivable	2,722	778	0
Patent application costs	(466)	(609)	(271)
Net cash flows provided by (used in) investing activities	504	(9,220)	(5,397)
Cash flows from financing activities:
Proceeds from term loan	72,750	0	0
Repayment of term loan	(1,875)	0	0
Deferred financing costs	(6,650)	0	0
Shares repurchased for tax withholdings on vesting of restricted stock	(1,474)	(4,914)	(4,082)
Proceeds from exercise of stock options	108	3,555	11,987
Shares repurchased under repurchase plan	0	(7,572)	(68,263)
Payments under capital lease obligations		(3)	(29)
Net cash flows provided by (used in) financing activities	62,859	(8,934)	(60,387)
Net change in cash	23,951	17,642	(2,845)
Cash and cash equivalents, beginning of year	45,118	27,476	30,321
Cash and cash equivalents, end of year	$ 69,069	$ 45,118	$ 27,476

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- Definition

The cash outflow for acquisition of machinery and equipment.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3213-108585

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- Definition

The cash inflow associated with principal collections from a borrowing supported by a written promise to pay an obligation.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 12
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3179-108585

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- Definition

The cash inflow from a debt funding received on a regular basis with maturities ranging from 5-10 years.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 14
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3255-108585

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- Definition

The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 12
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3179-108585

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- Definition

Amount of cash inflow from exercise of option under share-based payment arrangement.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 718
-SubTopic 10
-Section 50
-Paragraph 2A
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=116856206&loc=SL79508275-113901

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-SubTopic 10
-Section 45
-Paragraph 14
-Subparagraph (a)
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- Definition

The cash outflow for the obligation for a lease meeting the criteria for capitalization (with maturities exceeding one year or beyond the operating cycle of the entity, if longer).

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 15
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3291-108585

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- Definition

The cash outflow to pay off borrowing used to receive debt funding on a regular basis with maturities ranging from 5-10 years.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 15
-Subparagraph (b)
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- Definition

Amount of noncash expense for share-based payment arrangement.

+ References

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