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Summary of Significant Accounting Policies Restricted Cash (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2017
Settlement agreement installment paid $ 1,400 $ 10,300      
Cash and cash equivalents in balance sheet   46,407 $ 51,609    
Restricted cash, current portion in balance sheet   4,597 55    
Restricted cash, long-term     0    
Total cash, cash equivalents and restricted cash in statements of cash flows   $ 51,004 $ 51,664 $ 39,099 $ 13,021
Letter of Credit          
Decrease in restricted cash $ 4,200