CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 122,863	$ 103,791
Short-term investments	12,218	41,457
Investment securities, available-for-sale (Amortized cost: 2023: $101,412; 2022: $193,300)	100,702	189,498
Investment securities, held-to-maturity (Fair value: 2023: $6,778; 2022: $15)	6,902	15
Accrued retrospective premiums	22,076	20,387
Other receivables	16,666	23,596
Healthcare receivables	64,164	70,607
Non-Insurance receivable	10,926	52,955
Surety bonds and deposits	55,631	100,502
Prepaid expenses	14,418	18,146
Other assets, current	1,404	4,043
Total current assets	427,970	624,997
Investment securities, available-for-sale (Amortized cost: 2023: $121,868; 2022: $142,940)	120,208	137,368
Investment securities, held-to-maturity (Fair value: 2023: $692; 2022: $636)	793	742
Property and equipment, net	5,082	5,753
Operating lease right-of-use assets	3,382	4,025
Goodwill and other intangible assets	2,990	20,000
Other assets, non-current	10,246	15,735
Total assets	570,671	808,620
Current liabilities
Unpaid claims	138,593	141,947
Non-Insurance performance year obligation, current	15,568	73,844
Non-Insurance payable	41,565	148,191
Accounts payable and accrued expenses	37,184	32,445
Accrued salaries and benefits	21,061	23,962
Deferred revenue	3,099	0
Operating lease liabilities	1,665	1,827
Premium deficiency reserve	0	7,239
Total current liabilities	261,115	431,507
Long-term operating lease liabilities	2,998	4,033
Other liabilities, non-current	20,164	16,193
Total liabilities	284,277	451,733
Commitments and Contingencies (Note 19)
Stockholders' equity
Additional paid-in capital	2,461,238	2,319,157
Accumulated other comprehensive loss	(2,370)	(9,374)
Accumulated deficit	(2,159,794)	(1,946,433)
Less: Treasury stock, at cost; 7,912,750 and 2,072,752 shares held at December 31, 2023 and December 31, 2022, respectively	(12,729)	(6,509)
Total stockholders' equity	286,394	356,887
Total liabilities and stockholders' equity	570,671	808,620
Common Class A
Stockholders' equity
Common stock, value	40	37
Common Class B
Stockholders' equity
Common stock, value	9	9
Related party
Current liabilities
Due to related parties, net	1,363	1,566
Other liabilities, current	1,363	1,566
Nonrelated Party
Current liabilities
Due to related parties, net	1,017	486
Other liabilities, current	$ 1,017	$ 486