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Summary of Significant Accounting Policies - Revenue and Expense Recognition (Details)
12 Months Ended
Dec. 31, 2019
USD ($)
claim
Dec. 31, 2018
claim
Dec. 31, 2017
claim
Disaggregation of Revenue [Line Items]      
Minimum amount of insurance coverage $ 2,000    
Maximum amount of insurance coverage 10,000    
Average amount of insurance coverage $ 3,300    
Number of claims made | claim 9,059 8,091 6,214
Management Services Agreements (MSA) | Minimum      
Disaggregation of Revenue [Line Items]      
Contract term 3 years    
Management Services Agreements (MSA) | Maximum      
Disaggregation of Revenue [Line Items]      
Contract term 5 years