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Goodwill and Intangible Assets - Schedule Goodwill and Intangible Assets (Details) - USD ($)
 6 Months Ended
Jun. 30, 2021
Dec. 31, 2020
Indefinite lived:    
Goodwill, gross $ 10,513,371 $ 10,513,371
Goodwill, net book value 10,513,371 10,513,371
Definite lived:    
Intangible assets, gross 10,473,761 10,473,761
Intangible assets, accumulated amortization (7,593,865) (7,326,991)
Intangible assets, net book value 2,879,896 3,146,770
Total goodwill and intangible assets, gross 20,987,132 20,987,132
Total goodwill and intangible assets, net book value 13,393,267 13,660,141
Licenses    
Definite lived:    
Intangible assets, gross 1,323,761 1,323,761
Intangible assets, accumulated amortization (1,291,226) (1,276,852)
Intangible assets, net book value 32,535 46,909
Bioject    
Definite lived:    
Intangible assets, gross 5,100,000 5,100,000
Intangible assets, accumulated amortization (2,608,889) (2,468,889)
Intangible assets, net book value 2,491,111 2,631,111
Other    
Definite lived:    
Intangible assets, gross 4,050,000 4,050,000
Intangible assets, accumulated amortization (3,693,750) (3,581,250)
Intangible assets, net book value $ 356,250 $ 468,750
Weighted Average    
Definite lived:    
Useful life (in years) 11 years  
Weighted Average | Licenses    
Definite lived:    
Useful life (in years) 10 years  
Weighted Average | Bioject    
Definite lived:    
Useful life (in years) 12 years  
Weighted Average | Other    
Definite lived:    
Useful life (in years) 18 years