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Income Taxes - Reconciliation of Effective Income Tax Rate (Details)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]      
Tax expense at statutory rate (percent) 21.00% 21.00% 35.00%
Increase (decrease) in tax rate resulting from:      
State and other income taxes, net of federal tax benefit (percent) 4.30% 4.50% 3.50%
Increase (decrease) in valuation allowance 0.80% (0.40%) 0.40%
Government, class action, and related settlements (1.20%) 2.70% 0.00%
Noncontrolling interests (percent) (3.00%) (3.20%) (4.60%)
Share-based windfall tax benefits (percent) (1.00%) (0.40%) (1.80%)
Tax Act (percent) 0.00% 0.00% (2.80%)
Other, net (percent) (0.30%) (0.10%) (0.30%)
Income tax expense (percent) 20.60% 24.10% 29.40%