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Summary of Significant Accounting Policies - Consolidated Statement of Cash Flows (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Accounting Policies [Abstract]      
Warrants exercised for common stock $ 3,538 $ 0 $ 0
Non-cash information: 2,230 931 226
Shares exchanged between common and preferred stock 0 (38,389) (3,150)
Additions to equipment in process included in accounts payable 0 100 0
Additions to equipment in process included in accounts payable $ 606 $ 341 $ 18