Operating Segments (Tables)

12 Months Ended

Dec. 31, 2024

Segment Reporting [Abstract]

Schedule of Segment Reporting Information, by Segment

	Year ended December 31,
Insurance Segment	2024		2023		2022
	(in thousands)
Premiums earned, net (net of ceded premiums)	$	1,344,881	$	1,235,769	$	1,084,869
Less:
Net medical claims incurred	1,010,289		1,003,683		996,410
Salaries and benefits	228,004		252,103		275,755
General and administrative expenses	173,101		179,491		201,508
Segment net loss	$	(66,513)	$	(199,508)	$	(388,804)
Reconciliation:
Elimination of intersegment profits	$	3,962	$	(907)	$	3,337
Other income	26,250		24,774		11,683
Other salaries and benefits	(4,450)		(5,054)		(2,970)
Other general and administrative expenses	(3,379)		(3,598)		(2,170)
Impairment of goodwill and other intangible assets	—		(15,945)		—
Premium deficiency reserve benefit	—		7,239		93,517
Depreciation and amortization	(1,331)		(2,509)		(1,187)
Restructuring costs	(288)		(9,821)		—
Other expense	—		—		(70)
Change in fair value of warrants	(50)		(86)		900
Interest expense	—		(7)		(1,333)
Amortization of notes and securities discounts	—		—		(30)
(Loss) gain on investment	(467)		(4,726)		9,217
Gain on debt extinguishment on note payable	—		—		23,326
Net loss from continuing operations	$	(46,266)	$	(210,148)	$	(254,584)
Total Assets	$	404,966	$	401,812	$	354,748