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General - Income Taxes (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Sep. 30, 2018
Income Taxes      
Effective income tax rates (as a percent) 36.70% 16.00%  
Taxes paid in resolution of examination     $ 0.3
Deferred Tax Assets, Valuation Allowance $ 1.5    
Federal      
Income Taxes      
Operating Loss Carryforwards 27.7    
State      
Income Taxes      
Operating Loss Carryforwards 88.2    
AlphaCare | Federal      
Income Taxes      
Operating Loss Carryforwards $ 27.1