Operating Segments - Reconciliation of Revenue of Segments to Statement of Operations (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Segment Reporting [Abstract]
Gross loss	$ (79,182)
Salaries and benefits	260,458	$ 71,256	$ 91,626
General and administrative expenses	185,287	120,830	95,701
Premium deficiency reserve	110,628	(17,128)	7,523
Depreciation and amortization	1,246	555	551
Other expense	191	0	363
Change in fair value of warrants payable	(66,146)	80,328	2,909
Interest expense	3,229	35,990	23,155
Amortization of notes and securities discounts	13,681	21,118	15,913
Net loss	$ (587,756)	$ (136,392)	$ (363,737)