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Related Parties (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Related Parties          
Advance on tax distributions paid $ 300   $ 300    
Accrued estimated tax distributions         $ 1,200
Notes payable to Seller's of VIP 17,500   17,500   17,500
Accrued interest 290   290   $ 169
Payment of interest 0 $ 0 692 $ 257  
Contingent note due 10,000   10,000    
Rent expense 91 89 274 268  
Chris Christensen          
Related Parties          
Payment of premium expenses 555 522 693 522  
Commission paid $ 28 $ 20 $ 35 $ 25