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Equity method investment - Financial Position and Results of Operations (Details) - Bankers Healthcare Group, LLC - USD ($) $ in Thousands | 3 Months Ended |
--- | --- | ---
Mar. 31, 2020 | Mar. 31, 2019 | Dec. 31, 2019
Schedule of Equity Method Investments [Line Items] |  |  |
Assets | $ 1,156,130 |  | $ 840,398
Liabilities | 942,372 |  | 641,037
Equity interests | 213,758 |  | 199,361
Total liabilities and equity | 1,156,130 |  | $ 840,398
Equity Method Investment, Summarized Financial Information, Income Statement [Abstract] |  |  |
Revenues | 97,943 | $ 62,817 |
Net income | $ 32,471 | $ 27,135 |

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