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Basis of Presentation, Summary of Significant Accounting Policies and Recent Accounting Pronouncements - Loss Per Share (Details) - shares
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Net Earnings per Share    
Securities excluded from diluted loss per share calculation 9,898,322 7,361,001
Employee stock options    
Net Earnings per Share    
Securities excluded from diluted loss per share calculation 8,289,605 6,881,001
Restricted stock awards    
Net Earnings per Share    
Securities excluded from diluted loss per share calculation 146,800 480,000
Restricted stock units    
Net Earnings per Share    
Securities excluded from diluted loss per share calculation 1,461,917