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Income Taxes - Schedule of Effective Income Tax Rate Reconciliation (Details)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Percent of pre-tax income:      
U.S. federal statutory income tax rate 21.00% 35.00% 35.00%
State taxes, net of federal benefit 18.50% 14.60% 2.80%
Permanent items 4.00% 4.00% (1.40%)
Remeasurement of deferred tax assets 0.00% 49.90% 0.00%
Impact of state rate changes (0.20%) (27.90%) (11.00%)
Research and development credit (2.40%) (0.00%) 1.90%
Alternative minimum tax credit 0.00% (1.30%) 1.10%
Change in valuation allowance (42.60%) (78.60%) (28.20%)
Effective income tax rate (1.70%) (4.30%) 0.20%