Intangible Assets and Goodwill - Intangible Assets Subject to Amortization (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 143,192	$ 10,192
Accumulated Amortization	(42,555)	(10,192)
Total	100,637
Acquired Technology
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,483	1,483
Accumulated Amortization	(1,483)	(1,483)
Distributor and Provider Networks
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	8,709	8,709
Accumulated Amortization	(8,709)	$ (8,709)
Tradename
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	9,000
Accumulated Amortization	(489)
Total	8,511
Customer list
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	110,000
Accumulated Amortization	(30,245)
Total	79,755
Retail customer relationship
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	8,000
Accumulated Amortization	(652)
Total	7,348
Noncompetition agreements
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	6,000
Accumulated Amortization	(977)
Total	$ 5,023