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Related-Party Transactions - Fees Incurred and Income Received (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Related Party Transaction [Line Items]        
Net total $ 5,815 $ 15,985 $ 17,607 $ 26,835
AHMC        
Related Party Transaction [Line Items]        
AHMC – Risk pool, capitation, claims payment, net 6,057 16,350 18,056 27,950
Net total 10,200 21,000 10,200 25,000
HSMSO        
Related Party Transaction [Line Items]        
Management fees (189) (265) (321) (915)
Aurion        
Related Party Transaction [Line Items]        
Management fees $ (53) $ (100) $ (128) $ (200)