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Stockholder's Equity and Stock-Based Compensation Expense - Narrative (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 9 Months Ended
Mar. 21, 2019
Feb. 21, 2018
Mar. 31, 2018
Sep. 30, 2018
Sep. 30, 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       $ 46,999 $ 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       804,936 782,739  
Stock-based compensation expense       $ 2,508 $ 1,694  
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       128,131 163,184 201,702
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       $ 2,800 $ 500  
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