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Loss Per Common Share - Antidilutive Securities (Details) - shares
shares in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Anti-dilutive stock options (in shares) 1,058,085 748,671 1,058,534 716,639
Stock options        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Anti-dilutive stock options (in shares) 163,382 135,597 163,382 135,597
Restricted shares        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Anti-dilutive stock options (in shares) 894,703 613,074 895,152 581,042