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REPORTABLE SEGMENTS AND RELATED INFORMATION - Summary of Financial Information for Reportable and Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Segment Reporting Information [Line Items]                      
Revenues $ 141,156 $ 134,590 $ 93,589 $ 91,119 $ 87,074 $ 90,385 $ 91,566 $ 85,180 $ 460,454 $ 354,205 $ 344,900
Costs & expenses                 358,776 279,176 260,723
Depreciation & amortization 3,762 3,528 3,473 3,482 3,535 3,524 3,130 2,421 14,245 12,610 9,117
Total operating expenses $ 23,924 $ 29,806 $ 18,379 $ 15,324 $ 11,744 $ 17,971 $ 17,729 $ 14,975 87,433 62,419 75,060
State Enterprise                      
Segment Reporting Information [Line Items]                      
Revenues                 331,720 290,281 312,492
Payments                      
Segment Reporting Information [Line Items]                      
Revenues                 41,092 37,976 10,936
TourHealth                      
Segment Reporting Information [Line Items]                      
Revenues                 61,634 0 0
Operating Segments | State Enterprise                      
Segment Reporting Information [Line Items]                      
Revenues                 331,720 290,281 312,492
Costs & expenses                 199,901 175,490 187,321
Depreciation & amortization                 2,682 2,723 2,985
Total operating expenses                 129,137 112,068 122,186
Operating Segments | Payments                      
Segment Reporting Information [Line Items]                      
Revenues                 41,092 37,976 10,936
Costs & expenses                 32,314 30,922 8,536
Depreciation & amortization                 6 3 0
Total operating expenses                 8,772 7,051 2,400
Operating Segments | TourHealth                      
Segment Reporting Information [Line Items]                      
Revenues                 61,634 0 0
Costs & expenses                 51,606 0 0
Depreciation & amortization                 0 0 0
Total operating expenses                 10,028 0 0
Operating Segments | All Other                      
Segment Reporting Information [Line Items]                      
Revenues                 26,008 25,948 21,472
Costs & expenses                 10,913 10,714 8,175
Depreciation & amortization                 4,516 1,619 100
Total operating expenses                 10,579 13,615 13,197
Other Reconciling Items                      
Segment Reporting Information [Line Items]                      
Revenues                 0 0 0
Costs & expenses                 64,042 62,050 56,691
Depreciation & amortization                 7,041 8,265 6,032
Total operating expenses                 $ (71,083) $ (70,315) $ (62,723)