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Summary of Significant Accounting Policies - Intangible Assets (Details)
1 Months Ended 12 Months Ended
Sep. 30, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Noncompete Agreements        
Finite-Lived Intangible Assets [Line Items]        
Finite-lived intangible asset, useful life   5 years    
Minimum | Trade names        
Finite-Lived Intangible Assets [Line Items]        
Finite-lived intangible asset, useful life   5 years    
Minimum | Employment Contracts        
Finite-Lived Intangible Assets [Line Items]        
Finite-lived intangible asset, useful life   9 years    
Maximum | Trade names        
Finite-Lived Intangible Assets [Line Items]        
Finite-lived intangible asset, useful life   15 years    
Maximum | Employment Contracts        
Finite-Lived Intangible Assets [Line Items]        
Finite-lived intangible asset, useful life   11 years    
Regular Member        
Finite-Lived Intangible Assets [Line Items]        
Average member life 26 months 26 months 25 months 22 months