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Operating Segments (Tables)
12 Months Ended
Dec. 31, 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
Year ended December 31, 2023(in thousands)
Premiums earned, net (net of ceded premiums of $444)
1,235,769 — — — 1,235,769 
Non-Insurance revenue— 773,177 — — 773,177 
Other income10,336 5,267 59,569 (50,398)24,774 
Intersegment revenues— — 155,089 (155,089)— 
Net medical claims incurred1,003,683 771,798 17,432 (16,525)1,776,388 
Gross profit (loss)242,422 6,646 197,226 (188,962)257,332 
Total assets401,812 71,878 873,971 (776,990)570,671 
InsuranceNon-InsuranceCorporate/OtherEliminationsConsolidated Total
Year ended December 31, 2022(in thousands)
Premiums earned, net (net of ceded premiums of $470)
1,084,869 — — — 1,084,869 
Non-Insurance revenue— 2,380,135 — — 2,380,135 
Other income2,577 1,311 74,610 (66,815)11,683 
Intersegment revenues— — 108,249 (108,249)— 
Net medical claims incurred996,410 2,460,879 9,042 (12,379)3,453,952 
Gross profit (loss)91,036 (79,433)173,817 (162,685)22,735 
Total assets354,748 156,754 957,483 (660,365)808,620 
Schedule of Reconciliation of Revenue from Segments to Consolidated
A reconciliation of the reportable segments' gross profit to the Net loss included in the audited Consolidated Statements of Operations and Comprehensive Loss is as follows:
Year ended December 31,
20232022
(in thousands)
Gross profit$257,332 $22,735 
Salaries and benefits257,157 278,725 
General and administrative expenses187,571 207,917 
Impairment of goodwill and other intangible assets
15,945 — 
Premium deficiency reserve benefit(7,239)(93,517)
Depreciation and amortization2,509 1,187 
Restructuring costs9,931 — 
Other expense
— 70 
Change in fair value of warrants86 (900)
Interest expense1,333 
Amortization of notes and securities discounts— 30 
Loss (gain) on investment
4,726 (9,217)
Gain on debt extinguishment on note payable
— (23,326)
Net loss$(213,361)$(339,567)