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Stockholder's Equity and Stock-Based Compensation Expense - Narrative (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 21, 2019
Feb. 21, 2018
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of warrants issued to purchase additional shares of common stock (in warrants)   1,820,000      
Net proceeds from issuance of stock     $ 47,219 $ 0  
Amount of debt retired     $ 28,500    
Warrant exercise price (usd per warrant)   $ 33.60      
Number of shares issued or reserved for future issuance under outstanding stock options     871,757 838,582  
Stock-based compensation expense     $ 812 $ 634  
Forecast          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Potential additional proceeds from exercise of warrants $ 61,200        
Restricted Stock and Unit Awards          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of shares of restricted stock and shares reserved for restricted stock units outstanding     182,053 203,622 201,702
Stock Appreciation Rights          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of shares issued or reserved for future issuance under outstanding stock options     530,865 1,416,133 565,864
Stock-based compensation expense     $ 800 $ 200  
Common stock          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
New issues of equity in public offering (in shares)   1,820,000      
Public offering price of stock (usd per share)   $ 27.50