v3.24.0.1
Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities      
Net income (loss) $ 21,028 $ (12,064) $ (190,649)
Adjustments to reconcile net (loss) income to net cash provided by operating activities:      
Depreciation 1,174 1,220 1,152
Amortization of intangibles 5,359 3,351 1,312
Amortization of debt issuance costs 0 687 157
Stock-based compensation 37,098 67,359 253,531
Debt Issuance costs Amortization 0 0 0
Deferred tax expense (benefit) 7,465 (7,004) (28,411)
Changes in asset and liabilities:      
Accounts receivable (96,877) (72,202) (14,642)
Prepaid expenses and other current assets (6,159) (5,669) (1,269)
Other non-current assets and right-of-use asset (2,418) 1,383 (9,680)
Accounts payable and accrued expenses 4,994 6,852 1,262
Provider liability 113,367 67,716 33,897
Operating lease liabilities (3,214) (2,433) 13,936
Other long-term liabilities (1,032) (2,000) (5,538)
Net cash provided by operating activities 80,785 47,196 55,058
Cash flows from investing activities      
Purchases of property and equipment (113) (104) (547)
Business acquisitions, net of cash acquired (42,858) 0 (32,228)
Net cash used in investing activities (42,971) (104) (32,775)
Cash flows from financing activities      
Proceeds from initial public offering 0 0 223,685
Payments of underwriting fees, net of discounts and offering costs 0 0 (12,691)
Repurchase of non-controlling interest (5,694) 0 0
Proceeds from non-controlling interest 659 125 0
Repayment of note payable 0 (33,250) (875)
Proceeds from exercised stock options 8,740 13,448 3,829
Debt issuance costs 0 0 (287)
Net cash provided by (used in) financing activities 3,705 (19,677) 213,661
Net increase in cash and cash equivalents 41,519 27,415 235,944
Cash and cash equivalents at beginning of period 347,992 320,577 84,633
Cash and cash equivalents at end of period 389,511 347,992 320,577
Supplemental disclosure of cash flow information:      
Interest paid 40 713 888
Income taxes paid $ 1,040 $ 307 $ 504