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Summary of Significant Accounting Policies - Property and equipment (Details)
12 Months Ended
Dec. 31, 2018
Facilities | Minimum  
Property and equipment  
Estimated useful lives 10 years
Facilities | Maximum  
Property and equipment  
Estimated useful lives 40 years
Furniture, fixtures and equipment | Minimum  
Property and equipment  
Estimated useful lives 3 years
Furniture, fixtures and equipment | Maximum  
Property and equipment  
Estimated useful lives 10 years