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Debt - Summarizes the outstanding balances recorded for the Notes (Details) - USD ($)
$ in Thousands
Sep. 30, 2020
Dec. 31, 2019
Dec. 31, 2018
Aug. 30, 2015
Debt Instrument [Line Items]        
Net carrying amount   $ 9,492   $ 1,500
Less: current portion $ 1,949 7,791 $ 9,585  
Non-current portion 26,877 1,555 9,301  
Equipment and Loan Agreement [Member]        
Debt Instrument [Line Items]        
Net carrying amount   1,281 3,957  
Less: current portion   1,281 2,716  
Non-current portion   0 1,241  
Twenty seventeen Note [Member]        
Debt Instrument [Line Items]        
Unamortized discount   (56) (307)  
Net carrying amount   5,304 11,648  
Twenty Eighteen Notes [Member]        
Debt Instrument [Line Items]        
Unamortized discount   (81) (151)  
Net carrying amount   2,707 3,000  
New Notes [Member]        
Debt Instrument [Line Items]        
Unamortized discount (1,329)      
Net carrying amount 30,000      
Notes [Member]        
Debt Instrument [Line Items]        
Net carrying amount 28,671 7,874 14,190  
Less: current portion 1,897 6,459 6,320  
Non-current portion $ 26,774 1,415 7,870  
Notes [Member] | Equipment and Loan Agreement [Member]        
Debt Instrument [Line Items]        
Unamortized discount   (9) (66)  
Net carrying amount   $ 1,290 $ 4,023