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Acquisitions - Pro forma (Details) - Quebec Inc and SinfoniaRx - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Acquisition        
Revenue $ 39,420 $ 31,266 $ 112,079 $ 85,336
Net loss $ (727) $ (1,332) $ (5,098) $ (4,259)
Net income (loss) per share attributable to common stockholders, basic (in dollars per share) $ (0.04) $ 0.12 $ (0.30) $ (0.32)
Net loss per share attributable to common stockholders, diluted (in dollars per share) $ (0.04) $ (0.17) $ (0.30) $ (0.44)
Pro forma adjustment        
Acquisition        
Direct acquisition costs excluded $ 855   $ 949