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Stock-based Compensation - Plan Description (Details) - shares
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Jan. 01, 2020
2003 Stock Incentive Plan, as amended and restated      
Stock-based compensation      
Number of additional shares authorized   26  
Number of shares authorized for plan as a percentage of stock outstanding 15.00%    
Shares authorized 30,200   2,100,443
Shares available for grant     2,100,397
2003 Stock Incentive Plan, as amended and restated | Minimum      
Stock-based compensation      
Purchase price of common stock (as a percent) 100.00%    
2003 Stock Incentive Plan, as amended and restated | Principal (10 percent) owner | Minimum      
Stock-based compensation      
Purchase price of common stock (as a percent) 110.00%    
2003 Stock Incentive Plan, as amended and restated | Stock options      
Stock-based compensation      
Award vesting period 4 years    
2003 Stock Incentive Plan, as amended and restated | Stock options | Maximum      
Stock-based compensation      
Option expiration period 10 years    
Inducement grants | Maximum      
Stock-based compensation      
Award vesting period 4 years