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Warrants, Restricted Stock, Restricted Stock Units, Options and Option Matching Rights - Options and Equity Incentive Plan (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Mar. 08, 2016
Dec. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Options outstanding (in shares) 0 13,300 33,600   56,600
Stock-based compensation expense $ 7,200 $ 2,800 $ 2,700    
Total unrecognized compensation $ 2,200        
Vesting period for unrecognized compensation cost to be recognized (in years) 2 years 6 months        
Proceeds from stock options exercised $ 25 $ 16 $ 54    
2015 Equity Incentive Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of shares authorized (in shares) 2,280,701     2,600,707  
Stock-based compensation expense $ 1,900        
2014 MHHA Agreement          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Stock-based compensation expense $ 5,300