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Debt - Squadron Credit Agreement (Details) - USD ($)
Mar. 27, 2019
Nov. 06, 2018
Sep. 01, 2016
Dec. 31, 2018
Dec. 31, 2017
Line of Credit Facility [Line Items]          
Minimum liquidity covenant amount       $ 5,000,000  
Squadron Credit Agreement          
Line of Credit Facility [Line Items]          
Current interest rate   10.50%      
Debt instrument, aggregate principal to be paid on installments   $ 10,000,000      
Debt instrument, frequency of periodic payment   29 equal monthly installments      
Debt instrument payment at maturity   $ 25,000,000      
Debt instrument, maturity date   Nov. 30, 2023      
Debt carrying amount, net of issuance cost   $ 32,400,000      
Debt issuance cost, amortization period   5 years      
Squadron Credit Agreement | Subsequent Event          
Line of Credit Facility [Line Items]          
Debt instrument, frequency of periodic payment 29 equal monthly installments        
Debt instrument, maturity date Nov. 30, 2023        
Squadron Credit Agreement | Expanded Credit Facility | Subsequent Event          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity $ 30,000,000        
Squadron Credit Agreement | Common Stock          
Line of Credit Facility [Line Items]          
Number of warrants issued (in shares)   845,000      
Exercise price of warrants   $ 3.15      
Warrants term   7 years      
Squadron Credit Agreement | Common Stock | Subsequent Event          
Line of Credit Facility [Line Items]          
Number of warrants issued (in shares) 4,800,000        
Exercise price of warrants $ 2.17        
Warrants term 7 years        
Squadron Credit Agreement | Minimum          
Line of Credit Facility [Line Items]          
Current interest rate   10.00%      
Squadron Credit Agreement | Maximum          
Line of Credit Facility [Line Items]          
Current interest rate   13.00%      
Globus facility agreement          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity     $ 30,000,000   $ 30,000,000
Term Loan | Squadron Credit Agreement          
Line of Credit Facility [Line Items]          
Secured debt agreement   $ 35,000,000   $ 35,000,000  
Proceeds from secured term loan   34,100,000      
Term Loan | Squadron Credit Agreement | Subsequent Event          
Line of Credit Facility [Line Items]          
Secured debt agreement $ 30,000,000        
Line of credit | Squadron Credit Agreement          
Line of Credit Facility [Line Items]          
Minimum liquidity covenant amount   $ 5,000,000      
Fixed Charge Coverage Ratio   100.00%      
Line of credit | Squadron Credit Agreement | Subsequent Event          
Line of Credit Facility [Line Items]          
Line of credit $ 0        
Line of credit | Squadron Credit Agreement | Maximum          
Line of Credit Facility [Line Items]          
Debt default, interest rate increase   5.00%      
Line of credit | Squadron Credit Agreement | LIBOR          
Line of Credit Facility [Line Items]          
Line of credit, expiration period   5 years      
Interest rate description   LIBOR plus 8%      
Line of credit | Squadron Credit Agreement | LIBOR | Subsequent Event          
Line of Credit Facility [Line Items]          
Interest rate description LIBOR plus 8%        
Line of credit | Globus facility agreement          
Line of Credit Facility [Line Items]          
Line of credit   $ 29,200,000      
Line of credit, expiration period     5 years