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Summary of Significant Accounting policies - Equity Method Investments (Details) - Investment In Promon A - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Equity Method Investments      
Ownership percentage 17.00%    
Impairment of investments $ 0 $ 0 $ 0
Accounts Payable and Accrued Liabilities [Member]      
Equity Method Investments      
Costs and Expenses 2,200    
Cost of Sales [Member]      
Equity Method Investments      
Costs and Expenses $ 3,500