Organization and Basis of Presentation (Details)	6 Months Ended
Jun. 30, 2019 jurisdiction facility segment
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Number of facilities the entity owned, managed, or had ownership interests in \| facility	41
Number of jurisdictions in which the entity operates \| jurisdiction	19
Number of reportable segments \| segment	4

Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements.

No definition available.

Name:	us-gaap_NumberOfReportableSegments
Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	duration