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Income Taxes - Effective Income Tax Rate Reconciliation (Details)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Tax Disclosure [Abstract]      
Income at US statutory rate 21.00% 21.00% 21.00%
State taxes, net of federal benefit 12.80% 13.90% 12.00%
Permanent differences (1.20%) (1.70%) (1.40%)
Tax law change 0.00% 0.00% 0.50%
Foreign rate differential 0.20% 0.10% 0.00%
Valuation allowance (33.90%) (33.90%) (33.60%)
Other (0.10%) 0.00% 0.90%
Total income taxes (1.20%) (0.60%) (0.60%)