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Debt - Senior Secured Debt (Details) - USD ($)
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Mar. 28, 2017
Feb. 14, 2017
Feb. 09, 2017
May 23, 2013
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2017
May 03, 2016
Debt Instrument [Line Items]                      
Noncash interest expense               $ 1,476,000 $ 2,007,000    
Converted debt from CRG | Preferred Stock | Series A preferred stock                      
Debt Instrument [Line Items]                      
Number of shares issued upon conversion of debt   2,500,000               2,500,000  
Term Loan | Converted debt from CRG                      
Debt Instrument [Line Items]                      
Original debt amount converted   $ 25,000,000                  
Term Loan | Converted debt from CRG and WCAS                      
Debt Instrument [Line Items]                      
Original debt amount converted     $ 27,500,000                
Conversion price (usd per share)   $ 10                  
CRG Term Loan                      
Debt Instrument [Line Items]                      
Total potential borrowings         $ 50,000,000            
Debt instrument term         6 years            
CRG Term Loan                      
Debt Instrument [Line Items]                      
Cash and cash equivalents covenant held       $ 2,000,000.0              
Interest expense           $ 800,000 $ 0 800,000 0    
Noncash interest expense           $ 300,000 $ 900,000 $ 1,300,000 $ 1,800,000    
CRG Term Loan | Term Loan | Restructured debt                      
Debt Instrument [Line Items]                      
Debt interest rate, stated percentage                     11.00%
Quarterly cash interest payment percent 8.00%