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Income Taxes - reconciliation of the expected income tax (Details)
12 Months Ended
Dec. 21, 2017
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Taxes        
U. S. statutory income tax rate 34.00% 21.00% 21.00% 35.00%
Non-deductible expenses:        
Non-deductible stock awards   (0.70%) (1.90%)  
Non-deductible loss on contingent consideration   1.20% (1.10%)  
Others   (3.30%) (0.30%)  
Non-deductible interest expenses   (2.20%) (1.20%)  
Increase in valuation allowance   (17.20%) (16.40%)  
Tax rate differential   1.20% (0.50%)  
Effective income tax rate   0.00% (0.40%)