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Operating Segments (Tables)
6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The table below summarizes the Company's results by operating segment:

InsuranceNon-InsuranceCorporate/OtherEliminationsConsolidated Total
Three months ended June 30, 2023(in thousands)
Premiums earned, net (net of ceded premiums of $113)
314,383 — — — 314,383 
Non-Insurance revenue— 193,490 — — 193,490 
Other income 2,015 1,316 12,459 (10,035)5,755 
Intersegment revenues — — 45,654 (45,654)— 
Net medical claims incurred242,839 192,692 3,682 (2,259)436,954 
Gross profit (loss)73,559 2,114 54,431 (53,430)76,674 
Total assets478,797 555,982 970,942 (747,724)1,257,997 
InsuranceNon-InsuranceCorporate/OtherEliminationsConsolidated Total
Six months ended June 30, 2023(in thousands)
Premiums earned, net (net of ceded premiums of $235)
631,469 — — — 631,469 
Non-Insurance revenue— 399,273 — — 399,273 
Other income3,854 1,744 29,770 (24,707)10,661 
Intersegment revenues— — 68,885 (68,885)— 
Net medical claims incurred517,343 390,393 7,130 (5,422)909,444 
Gross profit (loss)117,980 10,624 91,525 (88,170)131,959 
Total assets478,797 555,982 970,942 (747,724)1,257,997 
InsuranceNon-InsuranceCorporate/OtherEliminationsConsolidated Total
Three months ended June 30, 2022(in thousands)
Premiums earned, net (net of ceded premiums of $119)
268,505 — — — 268,505 
Non-Insurance revenue— 577,370 — — 577,370 
Other income 220 20 15,441 (14,856)825 
Intersegment revenues — — 27,029 (27,029)— 
Net medical claims incurred247,275 612,122 2,547 (3,158)858,786 
Gross profit (loss)21,450 (34,732)39,923 (38,727)(12,086)
Total assets426,723 1,298,224 1,143,146 (804,887)2,063,206 
InsuranceNon-InsuranceCorporate/OtherEliminationsConsolidated Total
Six months ended June 30, 2022(in thousands)
Premiums earned, net (net of ceded premiums of $238)
546,674 — — — 546,674 
Non-Insurance revenue— 1,172,268 — — 1,172,268 
Other income491 20 42,840 (41,214)2,137 
Intersegment revenues— — 46,165 (46,165)— 
Net medical claims incurred515,401 1,206,121 5,175 (6,189)1,720,508 
Gross profit (loss)31,764 (33,833)83,830 (81,190)571 
Total assets426,723 1,298,224 1,143,146 (804,887)2,063,206 
Schedule of Reconciliation of Revenue from Segments to Consolidated
A reconciliation of the reportable segments' gross profit to the Net loss included in the Consolidated Statements of Operations and Comprehensive Loss is as follows:
Three months ended June 30,Six months ended June 30,
2023202220232022
(in thousands)
Gross profit$76,674 $(12,086)$131,959 $571 
Salaries and benefits62,437 70,491 132,644 139,582 
General and administrative expenses42,433 47,040 99,841 104,737 
Premium deficiency reserve benefit(5,138)(27,476)(6,948)(54,952)
Depreciation and amortization999 586 1,278 1,412 
Restructuring costs4,750 — 6,557 — 
Interest expense390 793 
Amortization of notes and securities discounts— 18 — 18 
Gain on investment— 1,227 — (11,167)
Net loss$(28,814)$(104,362)$(101,420)$(179,852)