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Pay vs Performance Disclosure | 12 Months Ended
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Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Pay vs Performance Disclosure [Table] |  |  |
Pay vs Performance [Table Text Block] | PAY VERSUS PERFORMANCE Pay Versus Performance Disclosure In accordance with rules adopted by the Securities and Exchange Commission pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, we provide the following disclosure regarding executive compensation for our principal executive officers (“ PEOs ”) and Non-PEO NEOs and Company performance for the fiscal years listed below. The Remuneration Committee did not consider the pay versus performance disclosure below in making its pay decisions for any of the years shown.
Year |  | Summary Compensation Table Total for John F. Thero 1 ($) |  |  | Summary Compensation Table Total for Karim Mikhail 1 ($) |  |  | Compensation Actually Paid to John F. Thero 1,2,3 ($) |  |  | Compensation Actually Paid to Karim Mikhail 1,2,3 ($) |  |  | Average Summary Compensation Table Total for Non-PEO NEOs 1 ($) |  |  | Average Compensation Actually Paid to Non-PEO NEOs 1,2,3 ($) |  |  | Value of Initial Fixed $100 Investment based on: 4 |  |  | Net Income ($ Millions) |  |  | Cash Preservation 5 |
| TSR ($) |  |  | Peer Group TSR ($) |
(a) |  | (b) |  |  | (b) |  |  | (c) |  |  | (c) |  |  | (d) |  |  | (e) |  |  | (f) |  |  | (g) |  |  | (h) |  |  | (i) |
2022 |  |  | — |  |  |  | 8,393,551 |  |  |  | — |  |  |  | 1,247,331 |  |  |  | 1,910,071 |  |  |  | 226,545 |  |  |  | 5.64 |  |  |  | 113.65 |  |  |  | (105.8 | ) |  |  | 115 | %
2021 |  |  | 9,635,654 |  |  |  | 5,834,553 |  |  |  | (198,701 | ) |  |  | 3,521,093 |  |  |  | 2,873,934 |  |  |  | 1,523,340 |  |  |  | 15.72 |  |  |  | 126.45 |  |  |  | 7.7 |  |  |  | 140 | %
2020 |  |  | 17,915,671 |  |  |  | — |  |  |  | (19,584,674 | ) |  |  | — |  |  |  | 4,388,387 |  |  |  | (4,869,753 | ) |  |  | 22.81 |  |  |  | 126.42 |  |  |  | (18.1 | ) |  |  | 128 | %
1. | John F. Thero was our PEO from 2014 until he retired effective August 1, 2021. Karim Mikhail was our PEO starting from August 1, 2021 until his resignation on March 27, 2023. The individuals comprising the Non-PEO NEOs for each year presented are listed below.
2020 |  | 2021 |  | 2022
Joseph T. Kennedy |  | Joseph T. Kennedy |  | Michael W. Kalb
Michael W. Kalb |  | Michael W. Kalb |  | Steven B. Ketchum, Ph.D.
Steven B. Ketchum, Ph.D. |  | Steven B. Ketchum, Ph.D. |  | Aaron D. Berg
Aaron D. Berg |  | Aaron D. Berg |  | Jason Marks
|  | Jason Marks |  | Thomas Reilly
2. | The amounts shown for Compensation Actually Paid have been calculated in accordance with Item 402(v) of Regulation S-K and do not reflect compensation actually earned, realized, or received by the Company’s NEOs. These amounts reflect the Summary Compensation Table Total with certain adjustments as described in footnote 3 below.
3. | Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEOs and the Non-PEO NEOs as set forth below. Equity values are calculated in accordance with FASB ASC Topic 718. Amounts in the Exclusion of Stock Awards and Option Awards column are the totals from the Stock Awards and Option Awards columns set forth in the Summary Compensation Table.
Year |  | Summary Compensation Table Total for John F. Thero ($) |  |  | Exclusion of Stock Awards and Option Awards for John F. Thero ($) |  |  | Inclusion of Equity Values for John F. Thero ($) |  |  | Compensation Actually Paid to John F. Thero ($) |
2021 |  |  | 9,635,654 |  |  |  | (8,421,183 | ) |  |  | (1,413,172 | ) |  |  | (198,701 | )
2020 |  |  | 17,915,671 |  |  |  | (16,547,719 | ) |  |  | (20,952,626 | ) |  |  | (19,584,674 | )
Year |  | Summary Compensation Table Total for Karim Mikhail ($) |  |  | Exclusion of Stock Awards and Option Awards for Karim Mikhail ($) |  |  | Inclusion of Equity Values for Karim Mikhail ($) |  |  | Compensation Actually Paid to Karim Mikhail ($) |
2022 |  |  | 8,393,551 |  |  |  | (6,719,900 | ) |  |  | (426,320 | ) |  |  | 1,247,331 |
2021 |  |  | 5,834,553 |  |  |  | (4,645,747 | ) |  |  | 2,332,287 |  |  |  | 3,521,093 |
Year |  | Average Summary Compensation Table Total for Non-PEO NEOs ($) |  |  | Average Exclusion of Stock Awards and Option Awards for Non-PEO NEOs ($) |  |  | Average Inclusion of Equity Values for Non-PEO NEOs ($) |  |  | Average Compensation Actually Paid to Non-PEO NEOs ($) |
2022 |  |  | 1,910,071 |  |  |  | (928,504 | ) |  |  | (755,022 | ) |  |  | 226,545 |
2021 |  |  | 2,873,934 |  |  |  | (2,212,177 | ) |  |  | 861,583 |  |  |  | 1,523,340 |
2020 |  |  | 4,388,387 |  |  |  | (3,679,972 | ) |  |  | (5,578,168 | ) |  |  | (4,869,753 | )
The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:
Year |  | Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for John F. Thero ($) |  |  | Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for John F. Thero ($) |  |  | Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for John F. Thero ($) |  |  | Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for John F. Thero ($) |  |  | Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for John F. Thero ($) |  |  | Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for John F. Thero ($) |  |  | Total - Inclusion of Equity Values for John F. Thero ($) |
2021 |  |  | 483,954 |  |  |  | (277,056 | ) |  |  | 644,907 |  |  |  | 1,704,725 |  |  |  | (3,969,702 | ) |  |  | — |  |  |  | (1,413,172 | )
2020 |  |  | 4,273,070 |  |  |  | (18,396,633 | ) |  |  | 308,516 |  |  |  | (7,137,579 | ) |  |  | — |  |  |  | — |  |  |  | (20,952,626 | )
Year |  | Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Karim Mikhail ($) |  |  | Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Karim Mikhail ($) |  |  | Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for Karim Mikhail ($) |  |  | Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Karim Mikhail ($) |  |  | Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Karim Mikhail ($) |  |  | Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for Karim Mikhail ($) |  |  | Total - Inclusion of Equity Values for Karim Mikhail ($) |
2022 |  |  | 1,462,261 |  |  |  | (1,691,095 | ) |  |  | — |  |  |  | (197,486 | ) |  |  | — |  |  |  | — |  |  |  | (426,320 | )
2021 |  |  | 2,663,658 |  |  |  | (344,476 | ) |  |  | 38,307 |  |  |  | (25,202 | ) |  |  | — |  |  |  | — |  |  |  | 2,332,287 |
Year |  | Average Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Non-PEO NEOs ($) |  |  | Average Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Non-PEO NEOs ($) |  |  | Average Vesting- Date Fair Value of Equity Awards Granted During Year that Vested During Year for Non-PEO NEOs ($) |  |  | Average Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Non-PEO NEOs ($) |  |  | Average Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Non-PEO NEOs ($) |  |  | Average Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for Non-PEO NEOs ($) |  |  | Total - Average Inclusion of Equity Values for Non-PEO NEOs ($) |
2022 |  |  | 173,214 |  |  |  | (379,274 | ) |  |  | — |  |  |  | (207,649 | ) |  |  | (341,313 | ) |  |  | — |  |  |  | (755,022 | )
2021 |  |  | 1,138,315 |  |  |  | (432,757 | ) |  |  | 128,780 |  |  |  | 300,310 |  |  |  | (273,065 | ) |  |  | — |  |  |  | 861,583 |
2020 |  |  | 943,558 |  |  |  | (4,736,010 | ) |  |  | 84,894 |  |  |  | (1,870,610 | ) |  |  | — |  |  |  | — |  |  |  | (5,578,168 | )
4. | The Peer Group TSR set forth in this table utilizes the NASDAQ Biotechnology Index, which we also utilize in the stock performance graph required by Item 201(e) of Regulation S-K included in our Annual Report for the year ended December 31, 2022. The comparison assumes $100 was invested for the period starting December 31, 2019, through the end of the listed year in the Company and in the NASDAQ Biotechnology Index, respectively. Historical stock performance is not necessarily indicative of future stock performance.
5. | We determined Cash Preservation to be the most important financial performance measure used to link Company performance to Compensation Actually Paid to our PEOs and Non-PEO NEOs in 2022. Cash Preservation is a financial measure that reflects the actual amount of net cash outflow from our operating activities relative to our operating plan target. Cash Preservation of 100% indicates net cash outflow from operating activities equal to operating plan target; figures above 100% indicate that net cash outflow from operating activities was lower than operating plan target. Cash Preservation is one of the measures used in determining the extent to which the corporate performance goals for the 2022 annual bonus incentive were achieved. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 and we may determine a different financial performance measure to be the most important financial performance measure in future years.
Company Selected Measure Name | Cash Preservation |  |
Named Executive Officers, Footnote [Text Block] |
1. | John F. Thero was our PEO from 2014 until he retired effective August 1, 2021. Karim Mikhail was our PEO starting from August 1, 2021 until his resignation on March 27, 2023. The individuals comprising the Non-PEO NEOs for each year presented are listed below.
2020 |  | 2021 |  | 2022
Joseph T. Kennedy |  | Joseph T. Kennedy |  | Michael W. Kalb
Michael W. Kalb |  | Michael W. Kalb |  | Steven B. Ketchum, Ph.D.
Steven B. Ketchum, Ph.D. |  | Steven B. Ketchum, Ph.D. |  | Aaron D. Berg
Aaron D. Berg |  | Aaron D. Berg |  | Jason Marks
|  | Jason Marks |  | Thomas Reilly
Peer Group Issuers, Footnote [Text Block] | The Peer Group TSR set forth in this table utilizes the NASDAQ Biotechnology Index, which we also utilize in the stock performance graph required by Item 201(e) of Regulation S-K included in our Annual Report for the year ended December 31, 2022. The comparison assumes $100 was invested for the period starting December 31, 2019, through the end of the listed year in the Company and in the NASDAQ Biotechnology Index, respectively. Historical stock performance is not necessarily indicative of future stock performance. |  |
Adjustment To PEO Compensation, Footnote [Text Block] |
3. | Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEOs and the Non-PEO NEOs as set forth below. Equity values are calculated in accordance with FASB ASC Topic 718. Amounts in the Exclusion of Stock Awards and Option Awards column are the totals from the Stock Awards and Option Awards columns set forth in the Summary Compensation Table.
Year |  | Summary Compensation Table Total for John F. Thero ($) |  |  | Exclusion of Stock Awards and Option Awards for John F. Thero ($) |  |  | Inclusion of Equity Values for John F. Thero ($) |  |  | Compensation Actually Paid to John F. Thero ($) |
2021 |  |  | 9,635,654 |  |  |  | (8,421,183 | ) |  |  | (1,413,172 | ) |  |  | (198,701 | )
2020 |  |  | 17,915,671 |  |  |  | (16,547,719 | ) |  |  | (20,952,626 | ) |  |  | (19,584,674 | )
Year |  | Summary Compensation Table Total for Karim Mikhail ($) |  |  | Exclusion of Stock Awards and Option Awards for Karim Mikhail ($) |  |  | Inclusion of Equity Values for Karim Mikhail ($) |  |  | Compensation Actually Paid to Karim Mikhail ($) |
2022 |  |  | 8,393,551 |  |  |  | (6,719,900 | ) |  |  | (426,320 | ) |  |  | 1,247,331 |
2021 |  |  | 5,834,553 |  |  |  | (4,645,747 | ) |  |  | 2,332,287 |  |  |  | 3,521,093 |
The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:
Year |  | Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for John F. Thero ($) |  |  | Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for John F. Thero ($) |  |  | Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for John F. Thero ($) |  |  | Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for John F. Thero ($) |  |  | Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for John F. Thero ($) |  |  | Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for John F. Thero ($) |  |  | Total - Inclusion of Equity Values for John F. Thero ($) |
2021 |  |  | 483,954 |  |  |  | (277,056 | ) |  |  | 644,907 |  |  |  | 1,704,725 |  |  |  | (3,969,702 | ) |  |  | — |  |  |  | (1,413,172 | )
2020 |  |  | 4,273,070 |  |  |  | (18,396,633 | ) |  |  | 308,516 |  |  |  | (7,137,579 | ) |  |  | — |  |  |  | — |  |  |  | (20,952,626 | )
Year |  | Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Karim Mikhail ($) |  |  | Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Karim Mikhail ($) |  |  | Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for Karim Mikhail ($) |  |  | Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Karim Mikhail ($) |  |  | Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Karim Mikhail ($) |  |  | Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for Karim Mikhail ($) |  |  | Total - Inclusion of Equity Values for Karim Mikhail ($) |
2022 |  |  | 1,462,261 |  |  |  | (1,691,095 | ) |  |  | — |  |  |  | (197,486 | ) |  |  | — |  |  |  | — |  |  |  | (426,320 | )
2021 |  |  | 2,663,658 |  |  |  | (344,476 | ) |  |  | 38,307 |  |  |  | (25,202 | ) |  |  | — |  |  |  | — |  |  |  | 2,332,287 |
Non-PEO NEO Average Total Compensation Amount | $ 1,910,071 | $ 2,873,934 | $ 4,388,387
Non-PEO NEO Average Compensation Actually Paid Amount | $ 226,545 | 1,523,340 | (4,869,753)
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] |
Year |  | Average Summary Compensation Table Total for Non-PEO NEOs ($) |  |  | Average Exclusion of Stock Awards and Option Awards for Non-PEO NEOs ($) |  |  | Average Inclusion of Equity Values for Non-PEO NEOs ($) |  |  | Average Compensation Actually Paid to Non-PEO NEOs ($) |
2022 |  |  | 1,910,071 |  |  |  | (928,504 | ) |  |  | (755,022 | ) |  |  | 226,545 |
2021 |  |  | 2,873,934 |  |  |  | (2,212,177 | ) |  |  | 861,583 |  |  |  | 1,523,340 |
2020 |  |  | 4,388,387 |  |  |  | (3,679,972 | ) |  |  | (5,578,168 | ) |  |  | (4,869,753 | )
Year |  | Average Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Non-PEO NEOs ($) |  |  | Average Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Non-PEO NEOs ($) |  |  | Average Vesting- Date Fair Value of Equity Awards Granted During Year that Vested During Year for Non-PEO NEOs ($) |  |  | Average Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Non-PEO NEOs ($) |  |  | Average Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Non-PEO NEOs ($) |  |  | Average Value of Dividends or Other Earnings Paid on Equity Awards Not Otherwise Included for Non-PEO NEOs ($) |  |  | Total - Average Inclusion of Equity Values for Non-PEO NEOs ($) |
2022 |  |  | 173,214 |  |  |  | (379,274 | ) |  |  | — |  |  |  | (207,649 | ) |  |  | (341,313 | ) |  |  | — |  |  |  | (755,022 | )
2021 |  |  | 1,138,315 |  |  |  | (432,757 | ) |  |  | 128,780 |  |  |  | 300,310 |  |  |  | (273,065 | ) |  |  | — |  |  |  | 861,583 |
2020 |  |  | 943,558 |  |  |  | (4,736,010 | ) |  |  | 84,894 |  |  |  | (1,870,610 | ) |  |  | — |  |  |  | — |  |  |  | (5,578,168 | )
Compensation Actually Paid vs. Total Shareholder Return [Text Block] | Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Company Total Shareholder Return (“ TSR ”) The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and the Company’s cumulative TSR over the three most recently completed fiscal years. |  |
Compensation Actually Paid vs. Net Income [Text Block] | Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Net Income The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and our Net Income during the three most recently completed fiscal years. |  |
Compensation Actually Paid vs. Company Selected Measure [Text Block] | Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Cash Preservation The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and our Cash Preservation during the three most recently completed fiscal years. |  |
Total Shareholder Return Vs Peer Group [Text Block] | Description of Relationship Between Company TSR and Peer Group TSR The following chart compares our cumulative TSR over the three most recently completed fiscal years to that of the NASDAQ Biotechnology Index over the same period. |  |
Tabular List [Table Text Block] | Tabular List of Most Important Financial Performance Measures The following table presents the financial performance measures that the Company considers to have been the most important in linking Compensation Actually Paid to our PEO and other NEOs for 2022 to Company performance. The measures in this table are not ranked.
Gross Profit Minus U.S. Sales and Marketing Costs Annual Revenues (Europe) Cash Preservation
Total Shareholder Return Amount | $ 5.64 | 15.72 | 22.81
Peer Group Total Shareholder Return Amount | 113.65 | 126.45 | 126.42
Net Income (Loss) | $ (105,800,000) | $ 7,700,000 | $ (18,100,000)
Company Selected Measure Amount | 1.15 | 1.40 | 1.28
Measure [Axis]: 1 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Gross Profit Minus U.S. Sales and Marketing Costs |  |
Measure [Axis]: 2 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Annual Revenues (Europe) |  |
Measure [Axis]: 3 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Cash Preservation |  |
John F. Thero [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
PEO Total Compensation Amount | $ 0 | $ 9,635,654 | $ 17,915,671
PEO Actually Paid Compensation Amount | 0 | $ (198,701) | $ (19,584,674)
PEO Name |  | John F. Thero | John F. Thero
Karim Mikhail [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
PEO Total Compensation Amount | 8,393,551 | $ 5,834,553 | $ 0
PEO Actually Paid Compensation Amount | $ 1,247,331 | $ 3,521,093 | 0
PEO Name | Karim Mikhail | Karim Mikhail |
PEO [Member] | John F. Thero [Member] | Exclusion of Stock Awards and Option Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | $ (8,421,183) | (16,547,719)
PEO [Member] | John F. Thero [Member] | Inclusion of Equity Values [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | (1,413,172) | (20,952,626)
PEO [Member] | John F. Thero [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | 483,954 | 4,273,070
PEO [Member] | John F. Thero [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | (277,056) | (18,396,633)
PEO [Member] | John F. Thero [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | 644,907 | 308,516
PEO [Member] | John F. Thero [Member] | Change In Fair Value From Last Day Of Prior Year To Vesting Date Of Unvested Equity Awards That Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | 1,704,725 | (7,137,579)
PEO [Member] | John F. Thero [Member] | Fair Value At Last Day Of Prior Year Of Equity Awards Forfeited During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | (3,969,702) | 0
PEO [Member] | John F. Thero [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  | 0 | 0
PEO [Member] | Karim Mikhail [Member] | Exclusion of Stock Awards and Option Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | $ (6,719,900) | (4,645,747) |
PEO [Member] | Karim Mikhail [Member] | Inclusion of Equity Values [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (426,320) | 2,332,287 |
PEO [Member] | Karim Mikhail [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 1,462,261 | 2,663,658 |
PEO [Member] | Karim Mikhail [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (1,691,095) | (344,476) |
PEO [Member] | Karim Mikhail [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 0 | 38,307 |
PEO [Member] | Karim Mikhail [Member] | Change In Fair Value From Last Day Of Prior Year To Vesting Date Of Unvested Equity Awards That Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (197,486) | (25,202) |
PEO [Member] | Karim Mikhail [Member] | Fair Value At Last Day Of Prior Year Of Equity Awards Forfeited During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 0 | 0 |
PEO [Member] | Karim Mikhail [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 0 | 0 |
Non-PEO NEO [Member] | Exclusion of Stock Awards and Option Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (928,504) | (2,212,177) | (3,679,972)
Non-PEO NEO [Member] | Inclusion of Equity Values [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (755,022) | 861,583 | (5,578,168)
Non-PEO NEO [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 173,214 | 1,138,315 | 943,558
Non-PEO NEO [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (379,274) | (432,757) | (4,736,010)
Non-PEO NEO [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member] |  |  |
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Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (341,313) | (273,065) | 0
Non-PEO NEO [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | $ 0 | $ 0 | $ 0

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