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Payment Consulting Fees

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Amount, after allowance, receivable from customers, clients, or other third-parties, and receivables classified as other due within one year or the normal operating cycle, if longer.

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Total carrying amount as of the balance sheet date of unearned revenue or income, not otherwise specified in the taxonomy, which is expected to be taken into income in future periods and obligations not separately disclosed in the balance sheet (other liabilities).

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The percentage of ownership of common stock or equity participation in the investee accounted for under the equity method of accounting.

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Revenue from insurance services, including net premiums earned, gain on sale of insurance block, agency management fees and insurance contract fees and commissions.

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Present value of lessee's discounted obligation for lease payments from operating lease.

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Amount of lessee's right to use underlying asset under operating lease.

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Related-Party Transactions - Additional Information (Details)	3 Months Ended
	Mar. 31, 2020 USD ($)	Mar. 31, 2019 USD ($)	Dec. 31, 2019 USD ($)	Nov. 28, 2018 USD ($) agreement	Jun. 28, 2018 USD ($)	Nov. 16, 2015 USD ($)
Related Party Transaction [Line Items]
Operating lease right-of-use assets	$ 18,199,000		$ 14,248,000
Lease liabilities	18,702,000
NMM \| Board Members
Related Party Transaction [Line Items]
Consulting services paid	$ 26,600
NMM \| LMA
Related Party Transaction [Line Items]
Ownership interest	25.00%
Revenue from related parties	$ 4,200,000	$ 3,200,000
APC \| PMIOC \| Service
Related Party Transaction [Line Items]
Payments to related parties	600,000	700,000
APC \| DMG \| Service
Related Party Transaction [Line Items]
Payments to related parties	1,800,000	2,000,000
Universal Care, Inc.
Related Party Transaction [Line Items]
Ownership interest						48.90%
Amount of subordinated note receivable agreement						$ 5,000,000
Universal Care Acquisition Partners, LLC
Related Party Transaction [Line Items]
Amount of subordinated note receivable agreement				$ 5,000,000	$ 2,500,000
Number of additional subordinated note receivable agreements \| agreement				2
APC Shareholders \| APC \| Service
Related Party Transaction [Line Items]
Payments to related parties	$ 7,300,000	9,300,000
APC Shareholders \| APC \| PMIOC \| Service
Related Party Transaction [Line Items]
Ownership interest	40.00%
APC Shareholders \| APC \| DMG \| Service
Related Party Transaction [Line Items]
Ownership interest	40.00%
Advance Diagnostic Surgery Center \| APC \| Service
Related Party Transaction [Line Items]
Payments to related parties	$ 39,800	92,000
APC Shareholders and Officers \| APC
Related Party Transaction [Line Items]
Payments to related parties	1,700,000	3,300,000
Medical Property Partners \| NMM
Related Party Transaction [Line Items]
Payments to related parties	300,000	300,000
One MSO, Inc. \| NMM
Related Party Transaction [Line Items]
Payments to related parties	400,000
Operating lease right-of-use assets	10,800,000
Lease liabilities	10,800,000
Critical Quality Management Corp
Related Party Transaction [Line Items]
Payments to related parties	100,000	100,000
Numen LLC \| SCHC
Related Party Transaction [Line Items]
Payments to related parties	100,000	100,000
AHMC
Related Party Transaction [Line Items]
Risk pool revenue	12,000,000	$ 10,100,000
Amount outstanding under agreement	$ 47,200,000		$ 40,400,000