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Stockholder's Equity and Stock-based Compensation - Transactions Under Stock Option Plans Summary (Details) - $ / shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Option Price per Share        
Outstanding, minimum (usd per share) $ 3.10 $ 3.10 $ 3.10 $ 34.20
Outstanding, maximum (usd per share) 151.35 245.85 245.85 $ 245.85
Granted, minimum (usd per share) 24.50 13.15 3.10  
Granted, maximum (usd per share) 24.50 13.15 3.10  
Exercised, minimum (usd per share) 3.10 3.10    
Exercised, maximum (usd per share) 3.10 3.10    
Cancelled/forfeited, minimum (usd per share) 3.10 3.10 3.10  
Cancelled/forfeited, maximum (usd per share) $ 245.85 $ 245.85 $ 245.85  
Outstanding        
Beginning balance (in shares) 890,341 847,635 560,797  
Granted (in shares) 10,000 156,000 415,000  
Exercised (in shares) (70,086) (15,000)    
Cancelled/forfeited (in shares) (44,365) (98,294) (128,162)  
Ending balance (in shares) 785,890 890,341 847,635 560,797
Vested        
Vested, beginning balance (in shares) 435,278 348,353 384,305  
Vested (in shares) 153,944 149,537 67,480  
Exercised (in shares) (70,086) (15,000)    
Cancelled/forfeited (in shares) (44,231) (47,612) (103,432)  
Vested, ending balance (in shares) 474,905 435,278 348,353 384,305
Available for Grant        
Beginning balance (in shares) 488,403 599,720 97,003  
Increase in shares authorized (in shares) 1,200,000   1,150,940  
Granted (in shares) 10,000 156,000 415,000  
Cancelled/forfeited (in shares) 2,568 82,118 18,895  
Restricted stock granted out of option plans (in shares) (996,775) (59,500) (259,300)  
Restricted stock forfeited or cancelled for employee minimum income taxes and returned to the plans (in shares) 48,524 22,065 7,182  
Ending balance (in shares) 732,720 488,403 599,720 97,003