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Summary of Significant Accounting Policies - Computation of Net Loss per Common Share (Details)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2019
USD ($)
shares
Dec. 31, 2018
USD ($)
shares
Dec. 31, 2017
USD ($)
shares
Computation of Net Loss per Common Share      
Options outstanding to purchase common stock, shares issuable under the employee stock purchase plan, and unvested restricted stock at end of period 14,815 17,380 14,290
Common stock equivalents under treasury stock method for options, shares issuable under the employee stock purchase plan, and unvested restricted stock 1,020 3,001 1,579
Shares issuable upon conversion of convertible notes at end of period (in shares) | $ 501 501 501
Common stock equivalents under if-converted method for convertible notes (in shares) 501 501 501