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
Supplemental cash flow disclosures
Supplemental Cash Flow Information [Abstract]
Letter of Credit Agreement
Letter of Credit [Member]
Convertible Debt
Convertible Debt [Member]
Vested (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Domain]
Net loss
Net loss
Net Income (Loss) Attributable to Parent
Net realized losses on investment securities
Realized Investment (Losses) Gains
Realized Investment (Losses) Gains
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
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
Medical Records Exchange, LLC
Medical Records Exchange, LLC [Member]
Medical Records Exchange, LLC
Investment securities, available-for sale (Amortized cost: 2022: $77,855; 2021: $21,142)
Debt Securities, Available-for-sale, Current
Preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Income Statement Location [Axis]
Income Statement Location [Axis]
Statistical Measurement
Statistical Measurement [Domain]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Segment information
Segment Reporting, Policy [Policy Text Block]
Non-Insurance
Non-Insurance [Member]
Non-Insurance
Security Exchange Name
Security Exchange Name
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
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
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
Discount rate
Share-based Compensation Arrangement by Share-based Payment Award, Discount from Market Price, Purchase Date
Unpaid claims
Assumed Liability for Unpaid Claims and Claims Adjustment Expense
Forfeited (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period
Rogue Trading
Rogue Trading [Member]
Rogue Trading
Seek
Seek Insurance Services [Member]
Seek insurance services member
Beginning balance (in shares)
Ending balance (in shares)
Temporary Equity, Shares Outstanding
Other assets, non-current
Other Assets, Noncurrent
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Investment, Name [Axis]
Investment, Name [Axis]
Premium deficiency reserve benefit
Premium deficiency reserve benefit
Premium Deficiency Testing Expense (Benefit), Long-Duration Contract, Amount
Premium Deficiency Testing Expense (Benefit), Long-Duration Contract, Amount
Segments [Axis]
Segments [Axis]
Proceeds from maturities of short-term investments and available-for-sale securities
Proceeds from maturities of investment securities
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-sale
Proceeds From Maturity Of Short-Term Investments And Debt Securities, Available-for-sale
Accrued salaries and benefits
Increase (Decrease) in Accrued Salaries
Deferred acquisition costs
Deferred Policy Acquisition Costs, Policy [Policy Text Block]
Expected dividend yield
Dividend yield
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Number of shares available for issuance
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Net (decrease) increase in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Entity File Number
Entity File Number
Expected volatility
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate
2024
Long-Term Debt, Maturity, Year Two
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]
Stock-based compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Stock options
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value
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
Other expense
Other General Expense
Insurance Operations
Insurance Operations [Member]
Insurance Operations
Acquisition of Public and Private Warrants
Acquisition of Public and Private Warrants
Acquisition of Public and Private Warrants
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Deferred tax assets, net
Deferred Tax Assets, Net
Total anti-dilutive shares excluded from computation of net loss per share
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
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
Sale of Stock
Sale of Stock [Axis]
Liability Class
Liability Class [Axis]
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
Summary of Total Performance Restricted Stock Units
Share-based Payment Arrangement, Performance Shares, Activity [Table Text Block]
CarePoint Health Contract
Care Point Health Contract [Member]
CarePoint Health Contract
Debt Securities, Available-for-sale, Amortized Cost [Abstract]
Debt Securities, Available-for-sale, Amortized Cost [Abstract]
2014 Plan
Two Thousand Fourteen Equity Incentive Plan [Member]
2014 Equity Incentive Plan member.
Award Type
Award Type [Domain]
Local Phone Number
Local Phone Number
Insurance
Insurance [Member]
Insurance
Assets
Assets [Abstract]
Fair value
Debt Securities, Available-for-sale, Maturity, Allocated and Single Maturity Date, Fair Value
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
2025
Long-Term Debt, Maturity, Year Three
Stock options, exercisable, number (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Marketing expense
Marketing Expense
Other liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Schedule of Amortized Cost and Fair Value of Debt Securities
Investments Classified by Contractual Maturity Date [Table 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.
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Fair Value, Separate Account Investment [Table]
Fair Value, Separate Account Investment [Table]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
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
Accumulated
deficit
Retained Earnings [Member]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Investment securities, available-for-sale
Debt Securities, Available-for-sale [Abstract]
Deposits with various states and regulatory bodies
Deposits
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Convertible debt conversion and other issuances
Stock Issued During Period, Value, Conversion of Convertible Securities
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Related Party
Related Party [Axis]
Healthcare receivables
Increase (Decrease) in Accounts Receivable
Non-Insurance payable
Non-Insurance Payable, Current
Non-Insurance Payable, Current
Fair value
Fair value
Debt Securities, Held-to-maturity, Fair Value
Dividend Restrictions
Restrictions on Dividends, Loans and Advances [Text Block]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Prior years
Incurred claims paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years
Performance year receivable
Performance Year Receivable
Performance Year Receivable
PRSUs
Performance Restricted Stock Units [Member]
Performance restricted stock units.
Derecognition of noncontrolling interest
Derecognition of noncontrolling interest
Noncontrolling Interest, Decrease from Deconsolidation
Due to related parties
Due to Related Parties
Equity Securities, FV-NI
Equity Securities, FV-NI
Estimated fair value and carrying value of convertible securities
Convertible Debt Fair Value and Carrying Value Disclosures
Convertible debt fair value and carrying value disclosures.
Unused balance
Line of Credit Facility, Remaining Borrowing Capacity
Prior years
Unfavorable (favorable) development
Prior Year Claims and Claims Adjustment Expense
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
Document Information [Line Items]
Document Information [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
2023
Long-Term Debt, Maturity, Year One
Unamortized debt issuance cost
Unamortized Debt Issuance Expense
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
Amortization of debt issuance costs and interest expense
Interest Expense, Debt
Prepaid expenses
Prepaid Expense, Current
2027
Long-Term Debt, Maturity, Year Five
Seek Convertible Note
Seek Convertible Note [Member]
Seek Convertible Note
Number of shares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Disclosure of Restrictions on Dividends, Loans and Advances Disclosure [Abstract]
Amortization of the Non-Insurance performance year receivable
Non-Insurance, Performance Year Receivable, Amortization
Non-Insurance, Performance Year Receivable, Amortization
Shares authorized under plans (in shares)
Shares Authorized Under Plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
Accrued retrospective premiums
Increase (Decrease) in Unearned Premiums
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Accounting Policies [Line Items]
Claims Development [Line Items]
Claims Development [Line Items]
Plan Name
Plan Name [Axis]
Debt, carrying amount
Total
Long-term Debt
Total assets at fair value
Assets, Fair Value Disclosure
Level 1
Fair Value, Inputs, Level 1 [Member]
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Fair Value by Liability Class
Fair Value by Liability Class [Domain]
Investment securities, held-to-maturity (Fair value: 2022: $306; 2021: $307)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Current
Weighted average number of common shares outstanding
Earnings Per Share, Basic and Diluted, Other Disclosures [Abstract]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Acquisition of Public and Private Placement Warrants
Acquisition of Public and Private Placement Warrants
Acquisition of public and private placement warrants.
Non-Insurance performance year receivable
Non-Insurance, Performance Year Receivable, Current
Non-Insurance, Performance Year Receivable, Current
Entity Small Business
Entity Small Business
Cash and cash equivalents
Cash and Cash Equivalents [Member]
Preferred stock conversion (in shares)
Temporary Equity, Shares, Conversion Of Convertible Securities
Temporary Equity, Shares, Conversion Of Convertible Securities
Total liabilities and stockholders' equity
Liabilities and Equity
Investments, Debt and Equity Securities [Abstract]
Investments, Debt and Equity Securities [Abstract]
Tranche One
Share-based Payment Arrangement, Tranche One [Member]
Financial asset or liabilities transfer in and out
Financial Asset Or Liabilities Transfer In And Out
Financial asset or liabilities transfer in and out.
Exercised (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Due within one year
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity, Allocated and Single Maturity Date, Year One
Additional paid-in capital
Additional Paid in Capital
U.S. government and government agencies and authorities
US Government Agencies Debt Securities [Member]
Non-Insurance performance year obligation, current
Non-Insurance, performance year obligation
Non-Insurance, Performance Year Obligation, Current
Non-Insurance, Performance Year Obligation, Current
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Derivative liabilities
Derivative Financial Instruments, Liabilities [Member]
Transfers in
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers Into Level 3
Accounts payable and accrued expenses
Accounts Payable and Accrued Liabilities, Current
Common stock, number of voting rights per share
Common Stock, Number Of Voting Rights
Common Stock, Number Of Voting Rights
Short-term Debt, Type
Short-term Debt, Type [Domain]
Net Loss Per Share
Earnings Per Share [Text Block]
Treasury stock acquired
Treasury Stock, Value, Acquired, Cost Method
Operating expenses:
Operating Expenses [Abstract]
Ownership percentage
Equity Method Investment, Ownership Percentage
Entity Interactive Data Current
Entity Interactive Data Current
Thyme Care, Inc.
Thyme Care, Inc. [Member]
Thyme Care, Inc.
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
Stock issuance for exercise of stock options, net of early exercise liability
Stock Issued During Period, Value, Stock Options Exercised
Organization and Operations
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
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
Gross profit
Gross Profit
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Capitalized debt issuance cost
Debt Issuance Costs, Current, Net
Preferred stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Unrecognized tax position
Unrecognized Tax Benefits
Debt Securities, Held-to-maturity, Maturity, Amortized Cost, Net [Abstract]
Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss, Maturity [Abstract]
Class of Warrant or Right [Domain]
Class of Warrant or Right [Domain]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Accumulated unrealized gains
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Gain, before Tax
Entity Address, State or Province
Entity Address, State or Province
Due after ten years
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Amortization expense of deferred acquisition costs
Deferred Policy Acquisition Costs, Amortization Expense
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
Current liabilities
Liabilities, Current [Abstract]
2026
Long-Term Debt, Maturity, Year Four
Operating lease liabilities
Increase (Decrease) in Operating Lease Liability
General and administrative expenses
General and Administrative Expense
Notes and Securities Payable
Debt Disclosure [Text Block]
Greater than 12 Months, Fair Value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position 12 Months or Longer
Debt securities available for sale and held to maturity continuous unrealized loss position 12 months or longer.
Beginning balance (in shares)
Ending balance (in shares)
Shares, Outstanding
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
Level 3
Fair Value, Inputs, Level 3 [Member]
Accumulated unrealized losses
Debt Securities, Held-to-maturity, Unrealized Loss Position, Accumulated Loss
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Stock options, outstanding, weighted average remaining contractual term
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Total, Fair value
Debt Securities Available for Sale and Held to Maturity Unrealized Loss Position
Debt securities available for sale and held to maturity unrealized loss position.
Number of reporting segments
Number of reportable segments
Number of Reportable Segments
Acquisition of Clover Therapeutics Series A preferred shares
Payments to Acquire Interest in Subsidiaries and Affiliates
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
Inducement Plan
Inducement Plan [Member]
Inducement Plan
Summary of Weighted Average Grant Date Fair Value of Performance Restricted Stock Units
Share-based Payment Arrangement, Performance Shares, Outstanding Activity [Table Text Block]
Document Transition Report
Document Transition Report
Common stock, value
Common Stock, Value, Issued
Cost not yet recognized, period for recognition
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
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
Issuance of common stock related to exercises of legacy warrants
Stock Issued During Period, Value, Warrants Exercised
Stock issued during period value warrants exercised.
Basis of presentation
Basis of Accounting, Policy [Policy Text Block]
Commitments and Contingencies (Note 15)
Commitments and Contingencies
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Entity Emerging Growth Company
Entity Emerging Growth Company
Premium deficiency reserve
Liability for Future Policy Benefit, before Reinsurance
Employee Benefit Plans
Compensation and Employee Benefit Plans [Text Block]
Receivables [Abstract]
Receivables [Abstract]
Schedule of Assumptions to Estimate Fair Value of Stock Options on Weighted Average Basis
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Share-Based Payment Arrangement, Activity
Share-based Payment Arrangement, Activity [Table Text Block]
Investment Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
Legal Entity [Axis]
Legal Entity [Axis]
Cover [Abstract]
Cover [Abstract]
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
Class of Stock
Class of Stock [Axis]
Treasury stock, shares held (in shares)
Treasury Stock, Shares
Schedule of Gross Unrealized Losses and Fair Value for Fixed Maturities in a Continuous Unrealized Loss Position
Schedule of Unrealized Loss on Investments [Table Text Block]
Net proceeds from sale of stock
Sale of Stock, Consideration Received on Transaction
2020 Plan
2020 Equity Incentive Plan [Member]
2020 Equity Incentive Plan [Member]
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
Private Capital Transaction
Private Capital Transaction [Member]
Private Capital Transaction
Preferred stock conversion
Stock Issued During Period, Value, Conversion of Units
Financial Instrument
Financial Instrument [Axis]
Beginning balance
Ending balance
Temporary Equity, Carrying Amount, Attributable to Parent
Entity [Domain]
Entity [Domain]
Recognition of equity method investments and preferred stock
Transfer to Investments
Held-to-maturity debt securities, allowance for credit loss
Debt Securities, Held-to-maturity, Allowance for Credit Loss
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
Non-Insurance
Non-Insurance Disclosure [Text Block]
Non-Insurance Disclosure
Stock options
Share-based Payment Arrangement, Option [Member]
Short-duration Insurance Contracts, Discounted Liabilities [Table]
Short-duration Insurance Contracts, Discounted Liabilities [Table]
Non-Insurance revenue
Revenue Not from Contract with Customer
Prepaid expenses
Increase (Decrease) in Prepaid Expense
Document Information [Table]
Document Information [Table]
Consolidation Items [Domain]
Consolidation Items [Domain]
Fair Value Hierarchy and NAV
Fair Value Hierarchy and NAV [Axis]
Stockholders' equity
Equity [Abstract]
Document Quarterly Report
Document Quarterly Report
Change in fair value of warrants payable
Fair Value Adjustment of Warrants
Common Stock
Common Stock [Member]
Performance guarantees
Minimum Guarantees, Policy [Policy Text Block]
Paid related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid [Abstract]
Operating Segments
Segment Reporting Disclosure [Text Block]
Loss from operations
Operating Income (Loss)
Employer discretionary contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Operating lease liabilities
Operating Lease, Liability, Current
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
Accumulated unrealized losses
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Table]
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Table]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Document Fiscal Year Focus
Document Fiscal Year Focus
Schedule of Performance Guarantees
Schedule Of Performance Guarantees [Table Text Block]
Schedule Of Performance Guarantees
Stock-based compensation expense
Share-based Payment Arrangement, Noncash Expense
Additional paid-in capital
Additional Paid-in Capital [Member]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Long-term Debt, Type
Long-term Debt, Type [Domain]
Treasury Stock
Treasury Stock [Member]
Unpaid Claims
Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
Preferred stock conversion (in shares)
Stock Issued During Period, Shares, Conversion of Units
Equity method of accounting and variable interest entities
Equity Method Investments [Policy Text Block]
Change in fair value of warrants payable and amortization of warrants
Increase Decrease In Fair Value Adjustment Of Warrants
Increase decrease in fair value adjustment of warrants.
Summary of Total RSU activity
Share-based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Non-Insurance payable
Increase (Decrease) In Non-Insurance Payable
Increase (Decrease) In Non-Insurance Payable
Warrants issued to purchase common stock shares (in shares)
Class of Warrant or Right, Number of Securities Called by Warrants or Rights
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
Other Assets
Other Assets [Member]
Clover Therapeutics Company
Clover Therapeutics Company [Member]
Clover Therapeutics Company
Unpaid claims
Increase (Decrease) In Unpaid Claims
Increase decrease in unpaid claims.
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Other liabilities, current
Other Liabilities, Current
Conversion of Clover Therapeutics convertible note to preferred stock
Conversion of Convertible Note to Preferred Stock
Conversion of Convertible Note to Preferred Stock
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
COVID-19
Risks And Uncertainties Policy [Policy Text Block]
Risks and uncertainties.
Performance year obligation
Increase (Decrease) In Performance Year Obligation
Increase (Decrease) In Performance Year Obligation
Share-based Payment Arrangement [Abstract]
Share-based Payment Arrangement [Abstract]
Investment securities
Securities Investment [Member]
Total liabilities
Liabilities
Award Type
Award Type [Axis]
Granted (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
2020 MIP
2020 Management Incentive Plan [Member]
2020 management incentive plan member
Stock options, outstanding, intrinsic value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value
Consolidation Items [Axis]
Consolidation Items [Axis]
Less than 12 months, Fair value
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One
Debt Securities Available for Sale and Held to Maturity Continuous Unrealized Loss Position Year One
Total stockholders’ equity (deficit)
Stockholders' Equity Attributable to Parent
Current year
Current Year Claims and Claims Adjustment Expense
Common stock, shares, issued (in shares)
Number of common stock purchased or distributed (in shares)
Common Stock, Shares, Issued
Preferred stock, shares issued (in shares)
Preferred Stock, Shares Issued
City Area Code
City Area Code
Settlements
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Ceded premiums
Ceded Premiums Earned
Stock options, exercisable, intrinsic value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value
Issuance of common stock related to warrants exercised
Issuance Of Common Stock Related To Warrants Exercised
Issuance Of Common Stock Related To Warrants Exercised
Variable Interest Entity and Equity Method of Accounting
Equity Method Investments and Joint Ventures Disclosure [Text Block]
Entity Address, City or Town
Entity Address, City or Town
Issuance of common stock related to convertible debt
Debt Conversion, Converted Instrument, Amount
Proceeds from reverse recapitalization, net of transaction costs
Proceeds From Reverse Capitalization Net of Transaction Costs
Proceeds from reverse capitalization, net of transaction costs.
Accumulated unrealized gains
Debt Securities, Held-to-maturity, Accumulated Unrecognized Gain
Treasury stock acquired
Payments for Repurchase of Common Stock
Supplemental disclosure of non-cash activities
Noncash Investing and Financing Items [Abstract]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Principal amount
Debt Instrument, Face Amount
Interest expense
Interest Expense
Effective interest rate
Debt Instrument, Interest Rate, Effective Percentage
Schedule of Realized Gain (Loss) on Investment Securities
Schedule Of Realized Gain (Loss) On Investment Securities [Table Text Block]
Schedule Of Realized Gain (Loss) On Investment Securities
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Capitalized software development costs - cloud computing arrangements
Research, Development, and Computer Software, Policy [Policy Text Block]
Operating Segments
Operating Segments [Member]
Expiration period
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Conversion of preferred stock to common stock
Conversion of Stock, Amount Converted
RSUs
Restricted Stock Units (RSUs) [Member]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Entity Filer Category
Entity Filer Category
Reconciliation of Revenue from Segments to Consolidated
Reconciliation of Revenue from Segments to Consolidated [Table Text Block]
Employer matching contribution, percent of match
Defined Contribution Plan, Employer Matching Contribution, Percent of Match
Gain on investment
Gain on investment
Gain (Loss) on Investments
Weighted-average risk-free interest rate
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Tranche Two
Share-based Payment Arrangement, Tranche Two [Member]
Income Statement [Abstract]
Income Statement [Abstract]
Equity method investment
Equity Method Investments
Entity Registrant Name
Entity Registrant Name
Letter of Credit
Short-term Debt [Text Block]
Schedule of Changes in Balances of Level 3 Financial Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Proceeds from stock options exercised
Proceeds from Stock Options Exercised
Vested restricted stock units (in shares)
Stock Issued During Period, Shares, Restricted Stock Award, Gross
Forfeited (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Total stockholders' equity
Beginning balance
Ending balance
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Issuance of common stock under Employee Stock Purchase Plan (in shares)
Stock Issued During Period, Shares, Employee Stock Ownership Plan
Amendment Flag
Amendment Flag
Equity Components
Equity Components [Axis]
Entity Tax Identification Number
Entity Tax Identification Number
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Investment Type
Investment Type [Axis]
Document Fiscal Period Focus
Document Fiscal Period Focus
Total current assets
Assets, Current
Stock issued upon conversion (in shares)
Conversion of Stock, Shares Issued
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.
Sale of Stock
Sale of Stock [Domain]
Forfeited (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Direct Contracting, shared savings and losses, percent
Direct Contracting, Shared Savings and Losses, Percent
Direct Contracting, Shared Savings and Losses, Percent
Incurred related to:
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims [Abstract]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Issuance of common stock in connection with Business Combination and PIPE offering
Stock Issued During Period, Value, Business Combination and Offering
Stock issued during period, value, business combination and offering.
Investment securities, held-to-maturity, Fair value noncurrent
Debt Securities, Held-to-Maturity, Fair Value, Noncurrent
Equity Method Investments and Joint Ventures [Abstract]
Debt Securities, Available-for-sale, Fair Value, Fiscal Year Maturity [Abstract]
Debt Securities, Available-for-sale, Fair Value, Fiscal Year Maturity [Abstract]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Unvested stock options, unrecognized stock-based compensation
Share-based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount
Product and Service [Axis]
Product and Service [Axis]
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
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
Preferred stock par value, (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Stock options, grants in period, weighted average grant date fair value (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Equity Component
Equity Component [Domain]
Other receivables
Other Receivables
Performance year receivable
Increase (Decrease) In Performance Year Receivable
Increase (Decrease) In Performance Year Receivable
Employers matching contribution, vesting percentage
Defined Contribution Plan, Employers Matching Contribution, Annual Vesting Percentage
Equity And Temporary Equity [Abstract]
Equity And Temporary Equity
Investment securities, held-to-maturity, Fair value current
Debt Securities, Held-to-Maturity, Fair Value, Current
Total investment securities
Investments [Abstract]
Accrued salaries and benefits
Accrued Salaries
Statement [Line Items]
Statement [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Issuance of Common Stock in connection with Business Combination and PIPE offering (in shares)
Stock Issued During Period, Shares, Business Combination and Offering
Stock issued during period shares business combination and offering.
Weighted-average exercise price
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Amortized cost
Investments
Investment securities, available-for sale (Amortized cost: 2022: $165,503; 2021: $177,527)
Debt Securities, Available-for-sale, Noncurrent
Purchases of short-term investments, available-for-sale, and held-to-maturity securities
Payments to Acquire Investments
Issuances
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances
Short-term Debt, Type
Short-term Debt, Type [Axis]
Summary of Stock-Based Compensation Cost
Share-based Payment Arrangement, Cost by Plan [Table Text Block]
Fair value
U.S. government and government agencies
Debt Securities, Available-for-sale
Short-term investments
Short-term Investments [Member]
Counterparty Name [Domain]
Counterparty Name [Domain]
Estimated fair value of convertible securities
Convertible Debt, Fair Value Disclosures
Effects of DCE Reinsurance [Abstract]
Non-Insurance [Abstract]
Non-Insurance [Abstract]
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Weighted Average
Weighted Average [Member]
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.
Level 2
Fair Value, Inputs, Level 2 [Member]
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.
Unused lines of Credit
Unused lines of Credit [Member]
Surety bonds and deposits
Increase (Decrease) in Deposit Assets
Debt Securities, Held-to-maturity, Maturity, Fair Value [Abstract]
Debt Securities, Held-to-maturity, Maturity, Fair Value [Abstract]
Corporate/Other
Corporate, Non-Segment [Member]
Segment Reporting [Abstract]
Amortized cost
Debt Securities, Available-for-sale, Amortized Cost
Investment securities, available-for sale, Amortized cost noncurrent
Debt Securities, Available-for-sale, Amortized Cost, Noncurrent
Schedule of Investment Securities Reconciliation
Schedule Of Investment Securities Reconciliation [Table Text Block]
Schedule Of Investment Securities Reconciliation
Gross proceeds from sale of stock
Sale of Stock, Consideration Received Per Transaction
Due within one year
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Operating lease right-of-use assets
Increase (Decrease) In Operating Lease Right Of Use Assets
Increase decrease in operating lease right of use assets.
Use of estimates
Use of Estimates, Policy [Policy Text Block]
Schedule of Basic and Diluted Loss Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
Vesting [Axis]
Vesting [Axis]
Total assets
Total assets
Assets
Investment, Name [Domain]
Investment, Name [Domain]
Net realized losses
Realized Investment Gains (Losses)
Plan Name
Plan Name [Domain]
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Cash paid during the period for interest
Interest Paid, Excluding Capitalized Interest, Operating Activities
Net loss attributable to Common Stockholders
Net Income (Loss) Available to Common Stockholders, Basic
Amortized cost
Debt Securities, Available-for-sale, Maturity, Allocated and Single Maturity Date, Amortized Cost
Payment of notes payable principal
Repayments of Notes Payable
Document Type
Document Type
Other income
Revenue Not from Contract with Customer, Other
Product and Service [Domain]
Product and Service [Domain]
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
Noncontrolling
interest
Noncontrolling Interest [Member]
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]
Depreciation and amortization
Depreciation and amortization expense
Depreciation, Depletion and Amortization, Nonproduction
Interest rate
Debt Instrument, Interest Rate, Stated Percentage
Premiums earned, net (Net of ceded premiums of $119 and $124 for the three months ended March 31, 2022 and 2021, respectively)
Premiums earned, net (Net of ceded premiums of $119)
Premiums Earned, Net
Accounting Policies [Table]
Accounting Policies [Table]
Accounting Policies [Table]
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]
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
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Net cash used in operating activities
Net Cash Provided by (Used in) Operating Activities
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Net medical claims incurred
Policyholder Benefits and Claims Incurred, Net
Transfers out
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers out of Level 3
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
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
Segments [Domain]
Segments [Domain]
Amortization of notes and securities discounts
Amortization of notes and securities discounts and debt issuance costs
Amortization of Debt Issuance Costs and Discounts
Due to related parties, net
Due to Related Parties, Current
Sale of stock, price per share (in dollars per share)
Sale of Stock, Price Per Share
Vesting [Domain]
Vesting [Domain]
Beginning balance
Ending balance
Financial Liabilities Fair Value Disclosure
Comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Net cash (used in) provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Less: Treasury stock, at cost; 1,893,793 and 14,730 shares held as of March 31, 2022, and December 31, 2021, respectively
Treasury Stock, Value
Vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Non-Insurance
Non-Insurance Operations [Member]
Non-Insurance Operations
Convertible debt conversion and other issuances (in shares)
Stock Issued During Period, Shares, Conversion of Convertible Securities
Fair Value Measurements
Fair Value Disclosures [Text Block]
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]
Fair Value, Separate Account Investment [Line Items]
Fair Value, Separate Account Investment [Line Items]
Revenue, Major Customer [Line Items]
Revenue, Major Customer [Line Items]
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Summary of Fair Value Measurements for Items
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Due after ten years
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10
Title of 12(g) Security
Title of 12(g) Security
Accumulated
other
comprehensive
income (loss)
AOCI Attributable to Parent [Member]
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.
Warrants to purchase common stock
Warrants To Purchase Common Stock [Member]
Warrants To Purchase Common Stock.
Common stock, shares, outstanding (in shares)
Common Stock, Shares, Outstanding
Financial Instruments
Financial Instruments [Domain]
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
Increase (Decrease) in Temporary Equity [Roll Forward]
Increase (Decrease) in Temporary Equity [Roll Forward]
Revenues:
Revenues [Abstract]
Investment securities, available-for sale, Amortized cost current
Debt Securities, Available-for-sale, Amortized Cost, Current
Document Period End Date
Document Period End Date
Common Class B
Common Class B [Member]
Entity Central Index Key
Entity Central Index Key
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Net unrealized loss on available-for-sale investments
Unrealized holdings loss on investment securities, available-for-sale
OCI, Debt Securities, Available-for-Sale, Gain (Loss), after Adjustment and Tax
Accrued retrospective premiums
Accrued Retrospective Premiums Current
Accrued retrospective premiums.
Number of options
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Income Statement Location [Domain]
Income Statement Location [Domain]
Fair value
Investments, Fair Value Disclosure
Investment income, net
Net Investment Income
Due within one year
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, Year One
Property and equipment, net
Property, Plant and Equipment, Net
Total operating expenses
Operating Expenses
Other liabilities, non-current
Other Liabilities, Noncurrent
Treasury stock acquired (in shares)
Treasury Stock, Shares, Acquired
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Trading Symbol
Trading Symbol
Per share data:
Earnings Per Share [Abstract]
Other assets
Increase (Decrease) in Other Operating Assets
Total revenues
Intersegment revenues
Revenues
Exercise price of warrants (in dollars per share)
Class of Warrant or Right, Exercise Price of Warrants or Rights
Line of Credit Facility [Table]
Line of Credit Facility [Table]
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
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
Convertible securities
Convertible Securities [Member]
Convertible securities member.
Notes and securities payable, net of discounts and deferred issuance costs
Long-term Debt, Excluding Current Maturities
Investment securities, held-to-maturity (Fair value: 2022: $367; 2021: $364)
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss, Noncurrent
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Stock compensation expense recognized
Total compensation cost recognized for stock-based compensation plans
Share-based Payment Arrangement, Expense
Amortization of the Non-Insurance performance year obligation
Non-Insurance, Performance Year Obligation, Amortization
Non-Insurance, Performance Year Obligation, Amortization
Stock options, exercisable, weighted average remaining contractual term
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Goodwill and other intangible assets
Intangible Assets, Net (Including Goodwill)
Entity Current Reporting Status
Entity Current Reporting Status
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]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
2020 Equity and Management Incentive Plan
Two Thousand Twenty Equity And Management Incentive Plan [Member]
Two thousand twenty equity and management incentive plan.
Preferred stock conversion
Temporary Equity, Value, Conversion Of Convertible Securities
Temporary Equity, Value, Conversion Of Convertible Securities
Salaries and benefits
Labor and Related Expense
Net loss
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Public Stock Offering
Public Stock Offering [Member]
Public Stock Offering
Investments
Investments [Domain]
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
Legacy Warrants
Legacy Warrants [Member]
Legacy Warrants
Counterparty Name [Axis]
Counterparty Name [Axis]
Healthcare receivable
Receivables from Customers
Class of Warrant or Right [Axis]
Class of Warrant or Right [Axis]
Common Class A
Common Class A [Member]
Cash and cash equivalents, beginning of period
Cash and cash equivalents, end of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Sale of stock, number of shares issued in transaction (in shares)
Sale of Stock, Number of Shares Issued in Transaction
Common stock, par value, (in dollars per share)
Common Stock, Par or Stated Value Per Share
Available-for-sale debt securities, allowance for credit loss
Debt Securities, Available-for-sale, Allowance for Credit Loss
Current assets
Assets, Current [Abstract]
Maximum number of shares that may be purchased
Shares Remaining Under Plans
Common Stock, Capital Shares Reserved for Future Issuance
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Short-duration Insurance Contracts, Claims Development [Table]
Short-duration Insurance Contracts, Claims Development [Table]
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
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
Warrants outstanding
Warrants and Rights Outstanding
Stockholders' Equity and Convertible Preferred Stock
Stockholders' Equity And Temporary Equity [Text Block]
Stockholders' Equity And Temporary Equity
Income Taxes
Income Tax Disclosure [Text Block]
Long-term Debt, Type
Long-term Debt, Type [Axis]
Related Party
Related Party [Domain]
Summary of Stock Option Activity
Share-based Payment Arrangement, Option, Activity [Table Text Block]
Options to purchase common stock
Options To Purchase Common Stock [Member]
Options To Purchase Common Stock.
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]
Total incurred
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Net medical claims incurred and other medical costs
Policyholder Benefits And Claims Incurred, Net And Other Medical Costs
Policyholder Benefits And Claims Incurred, Net And Other Medical Costs
Short-term investments
Other Short-term Investments
Class of Stock [Line Items]
Class of Stock [Line Items]
Entity Address, Address Line One
Entity Address, Address Line One
Net cash provided by (used in) investing activities
Net Cash Provided by (Used in) Investing Activities
Entity Address, Address Line Two
Entity Address, Address Line Two
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Amortized cost
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
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
General and Administrative Expense
General and Administrative Expense [Member]
Entity Shell Company
Entity Shell Company
Warrants payable
Warrants Payable [Member]
Warrants payable.
Investment securities, held-to-maturity
Debt Securities, Held-to-Maturity, Amortized Cost, before Allowance for Credit Loss [Abstract]
Expected term (in years)
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Proceeds from maturities of investment securities
Proceeds From Maturity Of Investment Secutities
Proceeds From Maturity Of Investment Secutities
Total current liabilities
Liabilities, Current
ESPP
Employee Stock [Member]
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 Five through Ten
Class of Stock
Class of Stock [Domain]
Intersegment Eliminations
Intersegment Eliminations [Member]
Right-of-use assets obtained in exchange for lease liabilities
Lease Obligation Incurred
Aggregate amount
Line of Credit Facility, Maximum Borrowing Capacity
Employer matching contribution, percent of employees' gross pay
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay
Healthcare Receivables
Account Receivables [Text Block]
Account Receivables
Current Fiscal Year End Date
Current Fiscal Year End Date
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
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
Other assets, current
Other Assets, Current
Statement [Table]
Statement [Table]
12 Months or Longer, 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
Capital contribution for extinguishment of debt
Capital Contribution for Extinguishment of Debt
Capital contribution for extinguishment of debt.
Total paid
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid
Schedule of Net Investment Income
Investment Income [Table Text Block]
Recent accounting pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Penalties accrued
Income Tax Examination, Penalties Accrued
Total realized losses (gains)
Fair Value, Asset (Liability), Recurring Basis, Still Held, Unrealized Gain (Loss)
Surety bonds and deposits
Deposits Assets, Current
Statistical Measurement
Statistical Measurement [Axis]
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.
Other receivables
Increase (Decrease) in Other Receivables
Subsequent Event
Subsequent Event [Member]
Preferred Stock
Preferred Stock [Member]
Capital contribution for extinguishment of debt
Extinguishment of Debt, Amount
Due after ten years
Debt Securities, Available-for-Sale, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 10
Noncontrolling interest
Stockholders' Equity Attributable to Noncontrolling Interest
Accretion, net of amortization
Depreciation, Amortization and Accretion, Net
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]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Due within one year
Debt Securities, Available-for-Sale, Fair Value, Maturity, Allocated and Single Maturity Date, Year One
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Issuance of common stock related to exercises of warrants (in shares)
Stock Issued During Period, Shares, Warrants Exercised
Stock issued during period shares warrants exercised.
Interest rate
Line of Credit Facility, Interest Rate During Period
Calculation of maximum number of ESPP, percentage of total number of shares outstanding
Common Stock, Percentage Of Total Shares Outstanding
Common Stock, Percentage Of Total Shares Outstanding
Employer maximum annual contributions per employee, percent
Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent
Assumptions Used in ESPP Fair Value Determination
Schedule of Share-based Payment Award, Employee Stock Purchase Plan, Valuation Assumptions [Table Text Block]
Current year
Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year