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Related Party Transactions - Schedule of Related Party Transactions (Details) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Related Party Transaction [Line Items]    
Receipts, Net $ 47,300,000 $ 65,283,000
AHMC    
Related Party Transaction [Line Items]    
AHMC – Risk pool revenue 49,300,000 68,200,000
HSMSO    
Related Party Transaction [Line Items]    
Management fees, net (1,700,000) (2,600,000)
Aurion    
Related Party Transaction [Line Items]    
Management fees, net $ (300,000) $ (317,000)