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Summary of Significant Accounting Policies - Noncontrolling Interests (Details)
$ / shares in Units, $ in Thousands
6 Months Ended
Jan. 09, 2018
USD ($)
shares
Mar. 01, 2015
USD ($)
Feb. 05, 2015
$ / shares
Jun. 30, 2018
USD ($)
shares
Dec. 31, 2017
USD ($)
Business Acquisition [Line Items]          
Percentage of interest held       97.10%  
Unit conversion ratio       1  
Embedded derivative       $ 3,696 $ 0
Equity method investment   $ 5,000      
Percentage of internal rate of return   15.00%      
HealthEast Clinic & Specialty Center          
Business Acquisition [Line Items]          
Number of units issued for funding purchase price (in shares) | shares 104,172     104,172  
Consideration transferred, equity interests issued and issuable $ 22,700        
Redeemable Noncontrolling Interest Buyouts          
Business Acquisition [Line Items]          
Redemption value of equity investment       $ 6,400  
Series A Preferred Units          
Business Acquisition [Line Items]          
Cumulative preferred return     5.00%    
Redeemable noncontrolling interest, equity, preferred, redemption shares in exchange     1    
Redemption value (in dollars per share) | $ / shares     $ 200    
Period in which preferred units will be redeemable     1 year