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Income Taxes - Reconciliation of Effective Income Tax Rate (Details)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Tax Disclosure [Abstract]      
Tax expense at statutory rate (percent) 21.00% 21.00% 21.00%
Increase (decrease) in tax rate resulting from:      
State and other income taxes, net of federal tax benefit (percent) 4.20% 4.30% 4.50%
Increase (decrease) in valuation allowance 1.70% 0.80% (0.40%)
Government, class action, and related settlements 0.00% (1.20%) 2.70%
Noncontrolling interests (percent) (3.70%) (3.00%) (3.20%)
Share-based windfall tax benefits (percent) (1.00%) (1.00%) (0.40%)
Other, net (percent) (0.20%) (0.30%) (0.10%)
Income tax expense (percent) 22.00% 20.60% 24.10%