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Summary of Significant Accounting Policies - Computation of Net Loss per Common Share (Details)
shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2020
USD ($)
shares
Mar. 31, 2019
USD ($)
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 19,021 21,528
Common stock equivalents under treasury stock method for options, shares issuable under the employee stock purchase plan, and unvested restricted stock 1,428 1,559
Shares issuable upon conversion of convertible notes at end of period (in shares) | $ 501 501
Common stock equivalents under if-converted method for convertible notes (in shares) 501 501