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Debt - 2016 Convertible Notes (Details Textual) - Senior Convertible Notes 2016
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2019
USD ($)
Tradingday
$ / shares
Dec. 31, 2018
USD ($)
$ / shares
Debt Instrument [Line Items]    
Percentage of par value of convertible notes to be settled in cash 100.00%  
Initial conversion rate of common stock 17.5727 17.5604
Convertible Notes, initial conversion of Par Value Convertible Notes to common stock | $ $ 1 $ 1
Initial conversion price | $ / shares $ 56.91 $ 56.95
Rate of conversion price 130.00%  
Debt instrument, convertible, threshold consecutive trading days 30  
Debt instrument, convertible, threshold trading days 20