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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, 2019
Mar. 31, 2018
Dec. 31, 2018
Schedule of Equity Method Investments [Line Items]      
Assets $ 520,254   $ 459,816
Liabilities 410,404   324,211
Equity interests 109,850   135,605
Total liabilities and equity 520,254   $ 459,816
Equity Method Investment, Summarized Financial Information, Income Statement [Abstract]      
Revenues 62,817 $ 43,750  
Net income $ 27,135 $ 19,003