Debt Securities, Available-for-sale, Amortized Cost [Abstract]
Debt Securities, Available-for-Sale, Amortized Cost [Abstract]
Due within one year
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Financial asset or liabilities transfer in and out
Financial Assets Or Liabilities Transferred, Level 3
Financial asset or liabilities transfer in and out.
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
Other liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Net medical claims incurred
Policyholder Benefits and Claims Incurred, Net
Schedule of Gross Unrealized Losses and Fair Value for Fixed Maturities in a Continuous Unrealized Loss Position
Debt Securities, Available-for-Sale, Unrealized Loss Position, Fair Value [Table Text Block]
Due after ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Table]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Table]
Issuance of common stock, net of early exercise liability
Proceeds From Issuance Of Common Stock, Net Of Early Exercise Liability
Proceeds From Issuance Of Common Stock, Net Of Early Exercise Liability
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Medical Records Exchange, LLC
Medical Records Exchange, LLC [Member]
Medical Records Exchange, LLC
Accumulated unrealized gains
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Gain
Preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Schedule of Activity in the Liability for Unpaid Claims and Claims Adjustment Expense
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]
Gain on investment
Gain on investments
Gain on investment
Gain (Loss) on Investments
Fair value
Investments, Fair Value Disclosure
Non-Insurance
Non-Insurance [Member]
Non-Insurance
Aggregate amount
Line of Credit Facility, Maximum Borrowing Capacity
Investment securities, held-to-maturity
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss [Abstract]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Contingent liabilities
Loss Contingency, Loss in Period
Charter Bioscience Inc.
Character Biosciences Inc [Member]
Character Biosciences Inc
Additional paid-in capital
Additional Paid in Capital
Due after five years through ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Financial Instruments
Financial Instruments [Domain]
Letter of Credit
Short-Term Debt [Text Block]
Dividend Restrictions
Restrictions on Dividends, Loans and Advances [Text Block]
Statistical Measurement
Statistical Measurement [Domain]
Stock issuance for exercise of stock options, net of early exercise liability (in shares)
Exercised (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Deferred tax assets, net
Deferred Tax Assets, Net
Proceeds from maturities of short-term investments, available-for-sale, and held-to-maturity securities
Proceeds from maturities of investment securities
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-sale and Held-to-Maturity
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-Sale and Held-to-Maturity
Short-term Debt, Type
Short-Term Debt, Type [Axis]
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Exercise price, percentage of fair value of common stock
Share-based Compensation Arrangement by Share-based Payment Award, Exercise Price Cap, Percentage Of Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Exercise Price Cap, Percentage Of Fair Value
Insurance Operations
Insurance Operations [Member]
Insurance Operations
Greater than 12 months, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer, Fair Value
Beginning balance (in shares)
Ending balance (in shares)
Temporary Equity, Shares Outstanding
Treasury stock acquired
Treasury Stock, Value, Acquired, Cost Method
Net loss
Net loss
Net loss
Net Income (Loss) Attributable to Parent
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Schedule of Assumptions Used in ESPP Fair Value Determination
Schedule of Share-Based Payment Award, Employee Stock Purchase Plan, Valuation Assumptions [Table Text Block]
Total anti-dilutive shares excluded from computation of net loss per share (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Due after one year through five years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Document Information [Line Items]
Document Information [Line Items]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Investment income, net
Net Investment Income
Equity Component
Equity Component [Domain]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
CarePoint Health Contract
Care Point Health Contract [Member]
CarePoint Health Contract
Weighted average number of common shares outstanding
Earnings Per Share Reconciliation [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Total assets at fair value
Assets, Fair Value Disclosure
Insurance proceeds
Litigation Settlement, Insurance Proceeds
Litigation Settlement, Insurance Proceeds
Short-duration Insurance Contracts, Discounted Liabilities [Table]
Short-Duration Insurance Contracts, Discounted Liabilities [Table]
Investment, Name [Domain]
Investment, Name [Domain]
2014 Plan
Two Thousand Fourteen Equity Incentive Plan [Member]
2014 Equity Incentive Plan member.
Insurance
Insurance [Member]
Insurance
Related Party
Related Party [Domain]
Less: Treasury stock, at cost; 5,006,473 and 2,072,752 shares held at March 31, 2023 and December 31, 2022, respectively
Treasury Stock, Common, Value
Plan Name
Plan Name [Axis]
Title of 12(g) Security
Title of 12(g) Security
Fair value
Debt securities
Debt Securities, Available-for-Sale
Capitalized software development costs - cloud computing arrangements
Research, Development, and Computer Software, Policy [Policy Text Block]
Greater than 12 months, Unrealized loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer Accumulated Loss
Debt securities available for sale and held to maturity continuous unrealized loss position 12 months or longer accumulated loss.
Forfeited (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Plan Name
Plan Name [Domain]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Entity Address, State or Province
Entity Address, State or Province
Level 1
Fair Value, Inputs, Level 1 [Member]
ESPP
Employee Stock [Member]
Recognition of equity method investments and preferred stock
Transfer to Investments
Stock options, outstanding, weighted average remaining contractual term
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Equity interest percentage (less than)
Equity Interest Percentage (Less Than)
Equity Interest Percentage (Less Than)
Fair Value, Separate Account Investment [Line Items]
Fair Value, Separate Account Investment [Line Items]
Award Type
Award Type [Axis]
Accounting Policies [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Net cash provided by (used in) operating activities
Net Cash Provided by (Used in) Operating Activities
Operating lease liabilities
Operating Lease, Liability, Current
Accrued salaries and benefits
Increase (Decrease) in Accrued Salaries
Settlements
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Non-Insurance payable
Non-Insurance Payable, Current
Non-Insurance Payable, Current
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Employer maximum annual contributions per employee, percent
Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Receivables [Abstract]
Receivables [Abstract]
Performance year receivable
Performance Year Receivable
Performance Year Receivable
Penalties accrued
Income Tax Examination, Penalties Accrued
PRSUs
Performance Restricted Stock Units [Member]
Performance restricted stock units.
Short-term investments
Other Short-Term Investments
Liability Class
Liability Class [Axis]
Interest rate
Line of Credit Facility, Interest Rate During Period
Total liabilities
Total liabilities
Liabilities
Accrued retrospective premiums
Increase (Decrease) in Unearned Premiums
2020 Employee Stock Purchase Plan
2020 Employee Stock Purchase Plan [Member]
2020 Employee Stock Purchase Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Summary of Stock Option Activity
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Prior years
Incurred claims paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years
Increase (Decrease) in Temporary Equity [Roll Forward]
Increase (Decrease) in Temporary Equity [Roll Forward]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Short-duration Insurance Contracts, Claims Development [Table]
Short-Duration Insurance Contracts, Claims Development [Table]
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Domain]
Investment securities, available-for sale, amortized cost current
Debt Securities, Available-for-Sale, Amortized Cost, Current
Deposits with various states and regulatory bodies
Deposits
Investment securities, available-for-sale (Amortized cost: 2023: $159,062; 2022: $193,300)
Debt Securities, Available-for-Sale, Current
Preferred stock, shares issued (in shares)
Preferred Stock, Shares Issued
Document Type
Document Type
Weighted-average exercise price
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Number of shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Accumulated unrealized losses
Debt Securities, Held-to-Maturity, Accumulated Unrecognized Loss
Outstanding stock, percentage
Share-Based Compensation Arrangement by Share-Based Payment Award, Percentage of Outstanding Stock
Share-Based Compensation Arrangement by Share-Based Payment Award, Percentage of Outstanding Stock
Amortization of the Non-Insurance performance year receivable
Non-Insurance, Performance Year Receivable, Amortization
Non-Insurance, Performance Year Receivable, Amortization
Segments [Axis]
Segments [Axis]
Outstanding at beginning of period (in dollars per share)
Outstanding at end of period (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Employee Benefit Plans
Compensation and Employee Benefit Plans [Text Block]
Second Private Capital Transaction
Second Private Capital Transaction [Member]
Second Private Capital Transaction
Product and Service [Domain]
Product and Service [Domain]
Entity Shell Company
Entity Shell Company
Common Class B
Common Class B [Member]
Total held-to-maturity and available-for-sale investment securities
Investments [Abstract]
Schedule of Net Investment Income
Investment Income [Table Text Block]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Financial Instrument
Financial Instrument [Axis]
Due within one year
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, Year One
Affiliated Entity
Affiliated Entity [Member]
Due after one year through five years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Consolidation Items [Domain]
Consolidation Items [Domain]
Subsequent event
Subsequent Event [Member]
Document Period End Date
Document Period End Date
Tranche One
Share-Based Payment Arrangement, Tranche One [Member]
Debt Securities, Available-for-Sale [Table]
Debt Securities, Available-for-Sale [Table]
Deferred acquisition costs
Deferred Policy Acquisition Costs, Policy [Policy Text Block]
Non-Insurance performance year receivable
Non-Insurance, Performance Year Receivable, Current
Non-Insurance, Performance Year Receivable, Current
Total assets
Total assets
Assets
Total paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Per share data:
Earnings Per Share [Abstract]
Litigation settlement, amount awarded from other party
Litigation Settlement, Amount Awarded from Other Party
Income Statement Location [Axis]
Income Statement Location [Axis]
Due after five years through ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Exercised (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Net cash used in financing activities
Net Cash Provided by (Used in) Financing Activities
Non-Insurance performance year obligation, current
Non-Insurance, performance year obligation
Non-Insurance, Performance Year Obligation, Current
Non-Insurance, Performance Year Obligation, Current
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Receipts
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Receipts
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Receipts
Beginning balance
Ending balance
Temporary Equity, Carrying Amount, Attributable to Parent
Segments [Domain]
Segments [Domain]
Amortized cost
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss
Common stock, number of voting rights per share (in votes)
Common Stock, Number Of Voting Rights
Common Stock, Number Of Voting Rights
Net Loss per Share
Earnings Per Share [Text Block]
Due after one year through five years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year One Through Five
Thyme Care, Inc.
Thyme Care, Inc. [Member]
Thyme Care, Inc.
Private Warrants
Private Warrants [Member]
Private Warrants
Initial offering period
Share-Based Compensation Arrangement By Share-Based Payment Award, Initial Offering Period
Share-Based Compensation Arrangement By Share-Based Payment Award, Initial Offering Period
Operating lease liabilities
Increase (Decrease) in Operating Lease Liability
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Short-term investments
Short-Term Investments [Member]
Award Type
Award Type [Domain]
Cost not yet recognized, period for recognition
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Stock options, exercisable, weighted average remaining contractual term
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Released (in shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period
Amortization expense due to recognition of premium deficiency reserve
Deferred Policy Acquisition Costs, Amortization Expense, Premium Deficiency Reserve
Deferred Policy Acquisition Costs, Amortization Expense, Premium Deficiency Reserve
Gross profit (loss)
Gross profit
Gross Profit
Entity Registrant Name
Entity Registrant Name
Due after five years through ten years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year 5 through 10
Subsequent Events
Subsequent Events [Text Block]
Dividend yield
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Entity Address, City or Town
Entity Address, City or Town
Proceeds from sales of short-term investments and available-for-sale securities
Proceeds from sales of investment securities
Proceeds From Sale Of Short-Term Investments And Available-For-Sale Securities
Proceeds From Sale Of Short-Term Investments And Available-For-Sale Securities
Derecognition of noncontrolling interest
Derecognition of noncontrolling interest
Noncontrolling Interest, Decrease from Deconsolidation
Operating expenses:
Operating Expenses [Abstract]
Beginning balance
Ending balance
Total stockholders' equity
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Eliminations
Intersegment Eliminations [Member]
Schedule of Company's Condensed Consolidated Statement of Comprehensive Income and Cash Flows
Schedule of Error Corrections and Prior Period Adjustments [Table Text Block]
Non-Insurance revenue
Revenue Not from Contract with Customer
Minimum
Minimum [Member]
Due within one year
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, Year One
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Entity Emerging Growth Company
Entity Emerging Growth Company
Common stock, par value, (in dollars per share)
Common Stock, Par or Stated Value Per Share
Claims Development [Line Items]
Claims Development [Line Items]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Treasury Stock
Treasury Stock, Common [Member]
Investment, Name [Axis]
Investment, Name [Axis]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Less than 12 months, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions Year One
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions Year One
Trading Symbol
Trading Symbol
Entity File Number
Entity File Number
Inducement Plan
Inducement Plan [Member]
Inducement Plan
Total, Fair value
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position, Fair Value
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position, Fair Value
Effect of Change
Effect of Change
Revision of Prior Period, Accounting Standards Update, Adjustment [Member]
Treasury stock, shares held (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Treasury Stock, Common, Shares
Fair Value by Liability Class
Fair Value by Liability Class [Domain]
Granted (in shares)
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
RSUs
Restricted Stock Units (RSUs) [Member]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
Use of estimates
Use of Estimates, Policy [Policy Text Block]
Equity Method Investments and Joint Ventures [Abstract]
Subsequent Events [Abstract]
Total revenues
Intersegment revenues
Revenues
Reconciliation of cash and cash equivalents and restricted cash
Reconciliation to condensed consolidated balance sheets [Abstract]
Reconciliation to condensed consolidated balance sheets
Investment securities, held-to-maturity, fair value noncurrent
Debt Securities, Held-to-Maturity, Fair Value, Noncurrent
Investment Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Schedule of Realized Gain (Loss) on Investment Securities
Realized Gain (Loss) on Investments [Table Text Block]
Income Taxes
Income Tax Disclosure [Text Block]
Due to related parties
Due to Related Parties
Debt Securities, Held-to-maturity, Maturity, Fair Value [Abstract]
Debt Securities, Held-to-Maturity, Fair Value, Maturity [Abstract]
Fair value
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Fair Value
Due within one year
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Net loss per share attributable to Class A and Class B common stockholders - basic (in dollars per share)
Net loss per share attributable to Common Stockholders—basic (in dollars per share)
Earnings Per Share, Basic
2020 Plan
2020 Equity Incentive Plan [Member]
2020 Equity Incentive Plan [Member]
Other Assets
Other Assets [Member]
Accounting Policies [Table]
Accounting Standards Update and Change in Accounting Principle [Table]
Corporate/Other
Corporate, Non-Segment [Member]
Private Capital Transaction
Private Capital Transaction [Member]
Private Capital Transaction
Investment securities, held-to-maturity (Fair value: 2023: $15; 2022: $15)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Current
Counterparty Name [Domain]
Counterparty Name [Domain]
Amount of damages sought
Loss Contingency, Damages Sought, Value
Total stockholders' equity
Stockholders' Equity Attributable to Parent
Prepaid expenses
Prepaid Expense, Current
Forfeited (in dollars per share)
Forfeited (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Due after five years through ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10
Vesting [Domain]
Vesting [Domain]
Available-for-sale debt securities, allowance for credit loss
Debt Securities, Available-for-Sale, Allowance for Credit Loss
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Transfers in
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers Into Level 3
Entity Interactive Data Current
Entity Interactive Data Current
Released (in dollars per share)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period, Weighted Average Grant Date Fair Value
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Released In Period, Weighted Average Grant Date Fair Value
Sale of stock, number of shares issued in transaction (in shares)
Sale of Stock, Number of Shares Issued in Transaction
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Non-Insurance
Non-Insurance Disclosure [Text Block]
Non-Insurance Disclosure
Ceded premiums
Ceded Premiums Earned
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Conversion from Class B Common Stock to Class A Common Stock
Conversion From Class B To Class A Common Stock, Amount
Conversion From Class B To Class A Common Stock, Amount
Schedule of Changes in Balances of Level 3 Financial Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Accumulated
deficit
Retained Earnings [Member]
Unvested stock options, unrecognized stock-based compensation
Share-Based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount
Common Stock
Common Stock [Member]
Number of reporting segments (in segments)
Number of Reportable Segments
Treasury stock acquired
Payments for Repurchase of Common Stock
Number of shares available for issuance
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Class of Stock
Class of Stock [Axis]
Statement [Table]
Statement [Table]
Number of renewal options
Service Agreement, Number Of Renewal Options
Service Agreement, Number Of Renewal Options
Vested (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Schedule of Performance Guarantees
Schedule Of Performance Guarantees [Table Text Block]
Schedule Of Performance Guarantees
Document Quarterly Report
Document Quarterly Report
Letter of Credit Agreement
Letter of Credit [Member]
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Line Items]
Current assets
Assets, Current [Abstract]
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Statistical Measurement
Statistical Measurement [Axis]
Treasury stock acquired (in shares)
Treasury Stock, Shares, Acquired
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Due after ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 10
Non-Insurance payable
Increase (Decrease) In Non-Insurance Payable
Increase (Decrease) In Non-Insurance Payable
U.S. government and government agencies
US Treasury and Government [Member]
Equity Components
Equity Components [Axis]
Gross realized gains
Short-Term Investments And Available-for-sale Securities, Gross Realized Gains
Short-Term Investments And Available-for-sale Securities, Gross Realized Gains
Debt Securities, Held-to-maturity, Maturity, Amortized Cost, Net [Abstract]
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity [Abstract]
Stock options, exercisable, weighted average exercise price (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Segment information
Segment Reporting, Policy [Policy Text Block]
Unpaid claims
Increase (Decrease) In Unpaid Claims
Increase decrease in unpaid claims.
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
Document Fiscal Year Focus
Document Fiscal Year Focus
Conversion of Character Biosciences, Inc. convertible note to preferred stock
Conversion of Convertible Note to Preferred Stock
Conversion of Convertible Note to Preferred Stock
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Performance year obligation
Increase (Decrease) In Performance Year Obligation
Increase (Decrease) In Performance Year Obligation
Statement [Line Items]
Statement [Line Items]
Beginning balance (in shares)
Ending balance (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Investment securities, held-to-maturity, fair value current
Debt Securities, Held-to-Maturity, Fair Value, Current
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Axis]
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Short-Duration Insurance Contracts, Discounted Liabilities [Line Items]
Loss Contingencies [Table]
Loss Contingencies [Table]
2020 MIP
2020 Management Incentive Plan [Member]
2020 management incentive plan member
Accumulated unrealized losses
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Loss, before Tax
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Accumulated
other
comprehensive
income (loss)
AOCI Attributable to Parent [Member]
Transfers out
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers out of Level 3
Volume-weighted average stock closing price
Share-based Compensation Arrangement by Share-based Payment Award, Volume-weighted Average Stock Closing price
Share-based Compensation Arrangement by Share-based Payment Award, Volume-weighted Average Stock Closing price
Document Transition Report
Document Transition Report
Local Phone Number
Local Phone Number
Schedule of Stock Option Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Loss from operations
Loss from operations
Operating Income (Loss)
Due after ten years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year 10
Schedule of Share-Based Payment Arrangement, Activity
Share-Based Payment Arrangement, Activity [Table Text Block]
Recent accounting pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Surety bonds and deposits
Increase (Decrease) in Deposit Assets
Document Information [Table]
Document Information [Table]
Common stock, shares, outstanding (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Outstanding
Adjustments to reconcile net loss to net cash used in operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Prepaid expenses
Increase (Decrease) in Prepaid Expense
Preferred stock par value, (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Income Statement [Abstract]
Income Statement [Abstract]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Additional paid-in capital
Additional Paid-in Capital [Member]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Document Fiscal Period Focus
Document Fiscal Period Focus
Stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value
Diluted weighted average number of Class A and Class B common shares and common share equivalents outstanding (in shares)
Diluted weighted average number of common shares and common share equivalents outstanding (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Expected term (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Maximum number of shares that may be purchased by any one participant
Share-Based Compensation Arrangement by Share-Based Payment Award, Maximum Number of Shares Per Employee
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Equity interest at fair value
Equity Securities, FV-NI
Employers matching contribution, vesting percentage
Defined Contribution Plan, Employers Matching Contribution, Annual Vesting Percentage
Debt Securities, Available-for-Sale [Line Items]
Debt Securities, Available-for-Sale [Line Items]
Accounts payable and accrued expenses
Accounts Payable and Accrued Liabilities, Current
Amortized cost
Investments
Issuance of common stock under Employee Stock Purchase Plan (in shares)
Stock Issued During Period, Shares, Employee Stock Ownership Plan
Common stock, value
Common Stock, Value, Issued
Preferred Stock
Preferred Stock [Member]
Accrued salaries and benefits
Accrued Salaries
Non-Insurance receivable
Non-Insurance Receivable
Non-Insurance Receivable
Granted (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Vested restricted stock units and performance stock units (in shares)
Stock Issued During Period, Shares, Restricted Stock Award, Gross
Net realized losses
Realized Investment Gains (Losses)
Schedule of Antidilutive Securities Excluded from Diluted Net Loss Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
Summary of Fair Value Measurements for Items
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Operating Segments
Operating Segments [Member]
Healthcare receivables
Receivables from Customers
Stock options, exercisable, intrinsic value
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value
Preferred stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Total, Unrealized Loss
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Accumulated Loss
Debt securities available for sale and held to maturity unrealized loss position accumulated loss.
Performance year obligation
Performance Year Obligation, Non-Cash Activities
Performance Year Obligation, Non-Cash Activities
Direct Contracting, shared savings and losses, percent
Direct Contracting, Shared Savings and Losses, Percent
Direct Contracting, Shared Savings and Losses, Percent
Warrants receivable
Warrants Receivable [Member]
Warrants Receivable
Cash, cash equivalents, and restricted cash, beginning of period
Cash, cash equivalents, and restricted cash, end of period
Total cash, cash equivalents, and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents
Investment securities
Securities Investment [Member]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Current liabilities
Liabilities, Current [Abstract]
Net loss attributable to Common Stockholders
Net Income (Loss) Available to Common Stockholders, Basic
Proceeds from stock options exercised
Proceeds from Stock Options Exercised
Schedule of Weighted Average Grant Date Fair Value of Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Outstanding Activity [Table Text Block]
Common stock, shares, issued (in shares)
Common Stock, Shares, Issued
Equity method investment
Equity Method Investments
Deferred revenue
Contract with Customer, Liability, Current
Employer matching contribution, percent of employees' gross pay
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay
Shares Outstanding Under Plans
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Shares Outstanding
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Shares Outstanding
Warrants receivable
Warrants and Rights Outstanding
Income Statement Location [Domain]
Income Statement Location [Domain]
Amendment Flag
Amendment Flag
Net cash provided by investing activities
Net Cash Provided by (Used in) Investing Activities
Investment Type
Investment Type [Axis]
Comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Equity And Temporary Equity [Abstract]
Equity And Temporary Equity
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Accumulated unrealized gains
Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Gain, before Tax
Entity Current Reporting Status
Entity Current Reporting Status
Other liabilities, current
Other Liabilities, Current
Other assets, non-current
Other Assets, Noncurrent
Stock options, exercisable, number (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Paid related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]
Counterparty Name [Axis]
Counterparty Name [Axis]
Effects of DCE Reinsurance [Abstract]
Non-Insurance [Abstract]
Non-Insurance [Abstract]
Outstanding at beginning of period (in shares)
Outstanding at end of period (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Percentage of current year medical claims paid as a percent of current year net medical claims
Ratio Of Current Year Medical Claims Paid As A Percent Of Current Year Net Medical Claims
Ratio of current year medical claims paid as a percent of current year net medical claims.
Total, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions
Debt securities available for sale and held to maturity unrealized loss position number of positions.
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Goodwill and other intangible assets
Intangible Assets, Net (Including Goodwill)
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Basis of presentation
Basis of Accounting, Policy [Policy Text Block]
Property and equipment, net
Property, Plant and Equipment, Net
Schedule of Investment Securities Reconciliation
Schedule Of Investment Securities Reconciliation [Table Text Block]
Schedule Of Investment Securities Reconciliation
Right-of-use assets obtained in exchange for lease liabilities
Lease Obligation Incurred
Accretion, net of amortization
Depreciation, Amortization and Accretion, Net
Salaries and benefits
Labor and Related Expense
Operating lease right-of-use assets
Increase (Decrease) In Operating Lease Right Of Use Assets
Increase decrease in operating lease right of use assets.
Stock options
Share-Based Payment Arrangement, Option [Member]
Expected volatility
Expected volatility
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Stock issuance for exercise of stock options, net of early exercise liability
Stock Issued During Period, Value, Stock Options Exercised
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Non-Insurance receivable
Increase (Decrease) In Non-Insurance Receivable
Increase (Decrease) In Non-Insurance Receivable
Net unrealized gain (loss) on available-for-sale investments
Unrealized holdings gain on investment securities, available for sale
OCI, Debt Securities, Available-for-Sale, Gain (Loss), after Adjustment and Tax
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Class of Warrant or Right [Axis]
Class of Warrant or Right [Axis]
Total operating expenses
Total operating expenses
Operating Expenses
Maximum
Maximum [Member]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Gross realized losses
Short-Term Investments And Available-for-sale Securities, Gross Realized Losses
Short-Term Investments And Available-for-sale Securities, Gross Realized Losses
Common Class A
Common Class A [Member]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Deferred revenue
Increase (Decrease) in Contract with Customer, Liability
Total current assets
Assets, Current
Accounting Policies [Table]
Accounting Policies [Table]
Accounting Policies [Table]
Entity Small Business
Entity Small Business
Less than 12 months, Unrealized loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One Accumulated Loss
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One Accumulated Loss
Revenues:
Revenues [Abstract]
Term of renewal option
Service Agreement, Renewal Option, Term
Service Agreement, Renewal Option, Term
Premium deficiency reserve
Liability for Future Policy Benefit, before Reinsurance
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Premiums earned, net (Net of ceded premiums of $122 and $119, for the three months ended March 31, 2023 and 2022, respectively)
Premiums earned, net (Net of ceded premiums)
Premiums Earned, Net
Number of options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward]
Surety bonds and deposits
Deposits Assets, Current
Schedule of Total Performance Restricted Stock Units
Share-Based Payment Arrangement, Performance Shares, Activity [Table Text Block]
Performance guarantees
Minimum Guarantees, Policy [Policy Text Block]
Stock options, outstanding, intrinsic value
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Decrease In accumulated deficit
Decrease In Accumulated Deficit
Decrease In Accumulated Deficit
Conversion from Class B Common Stock to Class A Common Stock (in shares)
Conversion From Class B To Class A Common Stock, Shares
Conversion From Class B To Class A Common Stock, Shares
Healthcare receivables
Increase (Decrease) in Accounts Receivable
Organization and Operations
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Due after one year through five years
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, after Year One through Five
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Class of Stock [Line Items]
Class of Stock [Line Items]
U.S. government and government agencies and authorities
US Government Agencies Debt Securities [Member]
Non-Insurance
Non-Insurance Operations [Member]
Non-Insurance Operations
Operating Segments
Segment Reporting Disclosure [Text Block]
Investments, Debt and Equity Securities [Abstract]
Investments, Debt and Equity Securities [Abstract]
Other receivables
Other Receivables
Previously reported
As computed excluding anticipated net investment income
Previously Reported [Member]
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Granted (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Amortized cost
Debt Securities, Available-for-Sale, Amortized Cost
Current year
Current Year Claims and Claims Adjustment Expense
Net proceeds from sale of stock
Sale of Stock, Consideration Received on Transaction
Accumulated unrealized gains
Available for Sale Securities and Held to Maturity Securities Accumulated Gross Unrealized Gain Before Tax
Available for sale securities and held to maturity securities accumulated gross unrealized gain before tax.
Other assets
Increase (Decrease) in Other Operating Assets
Held-to-maturity debt securities, allowance for credit loss
Debt Securities, Held-to-Maturity, Allowance for Credit Loss
Other receivables
Increase (Decrease) in Other Receivables
Schedule of Amortized Cost and Fair Value of Debt Securities
Investments Classified by Contractual Maturity Date [Table Text Block]
Expense (more than)
Share-based Compensation Arrangement by Share-based Payment Award, Expense More Than Stock-based Compensation Plans
Share-based Compensation Arrangement by Share-based Payment Award, Expense More Than Stock-based Compensation Plans
Entity Filer Category
Entity Filer Category
Basic weighted average number of Class A and Class B common shares and common share equivalents outstanding (in shares)
Basic weighted average number of common shares and common share equivalents outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
Loss contingency accrual
Loss Contingency Accrual
Prior years
Unfavorable (favorable) development
Prior Year Claims and Claims Adjustment Expense
Accrued retrospective premiums
Accrued Retrospective Premiums Current
Accrued retrospective premiums.
Ownership percentage
Equity Method Investment, Ownership Percentage
Total compensation cost recognized for stock-based compensation plans
Share-Based Payment Arrangement, Expense
Supplemental disclosure of non-cash activities
Noncash Investing and Financing Items [Abstract]
Commitments and Contingencies (Note 14)
Commitments and Contingencies
Security Exchange Name
Security Exchange Name
Outstanding at beginning of period (in dollars per share)
Outstanding at end of period (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Class of Warrant or Right [Domain]
Class of Warrant or Right [Domain]
Amortization expense of deferred acquisition costs
Deferred Policy Acquisition Costs, Amortization Expense
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Schedule of Reconciliation of Revenue from Segments to Consolidated
Reconciliation of Revenue from Segments to Consolidated [Table Text Block]
Restricted cash
Restricted Cash, Current
Fair Value, Separate Account Investment [Table]
Fair Value, Separate Account Investment [Table]
Short-term Debt, Type
Short-Term Debt, Type [Domain]
General and Administrative Expense
General and Administrative Expense [Member]
Employer matching contribution, percent of match
Defined Contribution Plan, Employer Matching Contribution, Percent of Match
Maximum number of shares that may be purchased
Shares Remaining Under Plans
Common Stock, Capital Shares Reserved for Future Issuance
Cash and cash equivalents
Cash and Cash Equivalents [Member]
Cover [Abstract]
Cover [Abstract]
Level 3
Fair Value, Inputs, Level 3 [Member]
Depreciation and amortization
Depreciation and amortization expense
Depreciation, Depletion and Amortization, Nonproduction
Investment securities, available-for-sale (Amortized cost: 2023: $139,643; 2022: $142,940)
Debt Securities, Available-for-Sale, Noncurrent
Schedule of Summary of Stock-Based Compensation Cost
Share-Based Payment Arrangement, Cost by Plan [Table Text Block]
Fair value
Fair value
Debt Securities, Held-to-Maturity, Fair Value
Segment Reporting [Abstract]
Investment securities, held-to-maturity (Fair value: 2023: $651; 2022: $636)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Noncurrent
Incurred related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims [Abstract]
Investments
Investments [Domain]
Noncontrolling
interest
Noncontrolling Interest [Member]
Risk-free interest rate
Weighted-average risk-free interest rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Total liabilities and stockholders' equity
Total liabilities and stockholders' equity
Liabilities and Equity
Current year
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Eligibility for vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Eligibility For Vesting Period
Share-based Compensation Arrangement by Share-based Payment Award, Eligibility For Vesting Period
Related Party
Related Party [Axis]
Premium deficiency reserve benefit
Premium deficiency reserve
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Premium Deficiency Testing Benefit, Long-Duration Contract, Amount
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Level 2
Fair Value, Inputs, Level 2 [Member]
Purchases of short-term investments, available-for-sale, and held-to-maturity securities
Payments to Acquire Investments
Current Fiscal Year End Date
Current Fiscal Year End Date
Amortization of the Non-Insurance performance year obligation
Non-Insurance, Performance Year Obligation, Amortization
Non-Insurance, Performance Year Obligation, Amortization
Vesting [Axis]
Vesting [Axis]
Net loss per share attributable to Class A and Class B common stockholders - diluted (in dollars per share)
Net loss per share attributable to Common Stockholders—diluted (in dollars per share)
Earnings Per Share, Diluted
Sale of Stock
Sale of Stock [Domain]
Tranche Two
Share-Based Payment Arrangement, Tranche Two [Member]
2020 Equity and Management Incentive Plan
Two Thousand Twenty Equity And Management Incentive Plan [Member]
Two thousand twenty equity and management incentive plan.
Vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Investment securities, available-for sale, amortized cost noncurrent
Debt Securities, Available-for-Sale, Amortized Cost, Noncurrent
Proceeds from insurance credit duration
Proceeds From Insurance Credit Duration
Proceeds From Insurance Credit Duration
Stock-based compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Consolidation Items [Axis]
Consolidation Items [Axis]
Maximum common stock reserved, threshold percentage
Common Stock, Capital Shares Reserved For Future Issuance, Threshold Percentage
Common Stock, Capital Shares Reserved For Future Issuance, Threshold Percentage
Total current liabilities
Total current liabilities
Liabilities, Current
Other assets, current
Other Assets, Current
Due after ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Unrecognized tax position
Unrecognized Tax Benefits
Gross and net balance, beginning of period
Gross and net balance, end of period
Unpaid claims
Liability for Unpaid Claims and Claims Adjustment Expense, Net
Schedule of Summary of Total RSU Activity
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Expiration period
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
Corporate debt securities
Corporate Debt Securities [Member]
Entity Address, Address Line Two
Entity Address, Address Line Two
Entity Address, Address Line One
Entity Address, Address Line One
Stockholders' Equity and Convertible Preferred Stock
Stockholders' Equity And Temporary Equity [Text Block]
Stockholders' Equity And Temporary Equity
Product and Service [Axis]
Product and Service [Axis]
Class of Stock
Class of Stock [Domain]
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Unused balance
Line of Credit Facility, Remaining Borrowing Capacity
Total incurred
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims
Interest expense
Interest Expense
Options to purchase common stock
Options To Purchase Common Stock [Member]
Options To Purchase Common Stock.
Investment securities, available-for-sale
Debt Securities, Available-for-Sale [Abstract]
Equity method of accounting and variable interest entities
Equity Method Investments [Policy Text Block]
Employer discretionary contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Stockholders' equity
Equity [Abstract]
Subsequent Event [Table]
Subsequent Event [Table]
Vested (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Entity Tax Identification Number
Entity Tax Identification Number
Shares authorized under plans (in shares)
Shares Authorized Under Plans
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized
Discount rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Discount from Market Price, Purchase Date
Unpaid Claims
Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Other income
Revenue Not from Contract with Customer, Other
Litigation settlement, expense
Litigation Settlement, Expense
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Net (decrease) increase in cash, cash equivalents, and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Amortized cost
Debt Securities, Available-for-Sale, Maturity, Allocated and Single Maturity Date, Amortized Cost
Healthcare Receivables
Account Receivables [Text Block]
Account Receivables
Entity Central Index Key
Entity Central Index Key
Weighted-average grant date fair value per share
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Greater than 12 months, Number of positions
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions 12 Months Or Longer
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position Number of Positions 12 Months Or Longer
Less than 12 months, Fair value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One, Fair Value
Unpaid claims
Assumed Liability for Unpaid Claims and Claims Adjustment Expense
City Area Code
City Area Code
General and administrative expenses
General and administrative expenses (less than)
General and Administrative Expense
Assets
Assets [Abstract]
Total realized losses (gains)
Fair Value, Asset (Liability), Recurring Basis, Still Held, Unrealized Gain (Loss)
Accumulated unrealized losses
Available for sale Securities and Held to Maturity Securities Accumulated Gross Unrealized Loss before Tax
Available for sale securities and held to maturity securities accumulated gross unrealized loss before tax.
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Sale of Stock
Sale of Stock [Axis]
Revenue, Major Customer [Line Items]
Revenue, Major Customer [Line Items]
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Due to related parties, net
Due to Related Parties, Current
Beginning balance
Ending balance
Financial Liabilities Fair Value Disclosure
Stock-based compensation expense
Share-Based Payment Arrangement, Noncash Expense
Other liabilities, non-current
Other Liabilities, Noncurrent
Variable Interest Entity and Equity Method of Accounting
Equity Method Investments and Joint Ventures Disclosure [Text Block]
Debt Securities, Available-for-sale, Fair Value, Fiscal Year Maturity [Abstract]
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Weighted Average
Weighted Average [Member]
Schedule of Basic and Diluted Net Loss Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Unused lines of Credit
Unused lines of Credit [Member]
Acquisition of Character Biosciences, Inc. Series A preferred shares
Payments to Acquire Interest in Subsidiaries and Affiliates