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Summary of Significant Accounting Policies - Investment in Unconsolidated Affiliate (Details) - VestaCare, Inc. - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2021
Schedule of Equity Method Investments [Line Items]      
Percentage of equity method investment   15.00% 15.00%
Payments to acquire equity method investments $ 2,500 $ 2,500  
VestaCare, Inc.      
Schedule of Equity Method Investments [Line Items]      
Voting interest   3.00%