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Income Taxes - Tax Rate Reconciliation (Details)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Income Taxes    
Income tax benefit at U.S. federal statutory rate 21.00% 21.00%
State income tax benefit, net of federal benefit 3.90%  
Other permanent differences (14.90%) (0.40%)
Goodwill impairment   (7.60%)
Research and development credit (0.20%) 0.90%
Change in state tax rate   (1.10%)
Foreign rate differential (0.10%)  
Other adjustments 0.30%  
Change in valuation allowance (8.80%) (3.90%)
Effective income tax rate 1.20% 8.90%