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Derivatives [Policy Text Block] Total current liabilities Liabilities, Current Class of Stock [Domain] Class of Stock [Domain] Measurement input Embedded Derivative Liability, Measurement Input Payments for debt and equity issuance costs Payment of Financing and Stock Issuance Costs Operating cash flows from finance leases Finance Lease, Interest Payment on Liability Entity Address, Postal Zip Code Entity Address, Postal Zip Code Central and South America Latin America [Member] Total Debt Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net Less: Current Portion Debt Instrument Face Amount Current Debt Instrument Face Amount Current Derivative Instruments, Gain (Loss) [Table] Derivative Instruments, Gain (Loss) [Table] Intangible and other assets, net of accumulated amortization of $10,575 and $9,998, respectively Intangible Assets And Other Assets Noncurrent Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. Also includes Aggregate carrying amount, as of the balance sheet date, of other noncurrent assets not separately disclosed in the balance sheet due to materiality considerations. Document Information [Line Items] Document Information [Line Items] 2021 (remaining) Finance Lease, Liability, to be Paid, Remainder of Fiscal Year Operating lease cost: Operating Lease Cost [Abstract] Operating Lease Cost [Abstract] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Title of 12(b) Security Title of 12(b) Security Statement [Table] Statement [Table] Recently Issued and Adopted Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Second Lien Facility Agreement Second Lien Term Loan Facility [Member] Second Lien Term Loan Facility [Member] Statistical Measurement [Axis] Statistical Measurement [Axis] Less: Voluntary Prepayment, June 2021 Repayment Of Debt, Voluntary Payment Repayment Of Debt, Voluntary Payment Contribution of services Adjustments to Additional Paid in Capital, Other Cover [Abstract] Long-term lease liability (as recorded in non-current liabilities) Finance Lease, Liability, Noncurrent Depreciation, amortization and accretion Depreciation, amortization and accretion Depreciation, Amortization and Accretion, Net Stock Price Volatility Measurement Input, Price Volatility [Member] Schedule of significant quantitative Level 3 inputs utilized Fair Value Measurement Inputs and Valuation Techniques [Table Text Block] Thereafter Finance Lease, Liability, To Be Paid, After Year Four Finance Lease, Liability, To Be Paid, After Year Four Name of Property [Domain] Name of Property [Domain] Reduction of debt discount and issuance costs due to conversion of Loan Agreement with Thermo Write off of deferred debt issuance cost Write off of Deferred Debt Issuance Cost Compound embedded derivative with the 2013 8.00% Notes Compound Embedded Conversion Option With Eight Point Zero Percent Notes Issued In Twenty Thirteen [Member] Compound Embedded Conversion Option with 8.0% Notes Issued In 2013 [Member] Adjustments to reconcile net loss to net cash provided by operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Schedule of fair values of derivative instruments Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Major Property Class [Axis] Major Property Class [Axis] Related Party Transactions Related Party Transactions Disclosure [Text Block] Accounting Standards Update 2016-13 [Member]