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Employee and Consultant Equity-Based Compensation - Non-Qualified Stock Option Plan (Details) - shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Exercise of options (shares) 357,373 656,846  
Outstanding (shares) 8,090,636 7,328,131 6,857,124
Non-Qualified Stock Option Plan | Shares issuable upon exercise of stock options      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Expiration period 10 years    
Exercise of options (shares)   280,000  
Outstanding (shares) 0    
Options available (shares) 0