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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash flows from operating activities    
Net income $ 7,699 $ 12,762
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation 585 581
Amortization of intangibles 3,054 2,449
Stock-based compensation 26,295 14,628
Deferred tax expense 3,896 3,259
Changes in asset and liabilities:    
Accounts receivable (79,287) (130,235)
Prepaid expenses and other current assets (1,739) (1,850)
Other non-current assets and right-of-use asset (676) 473
Accounts payable and accrued expenses 2,987 (3,967)
Provider liability 40,047 97,944
Operating lease liabilities (1,531) (1,789)
Other long-term liabilities 0 (32)
Net cash provided by (used in) operating activities 1,330 (5,777)
Cash from investing activities    
Business acquisitions, net of cash acquired (707) (24,856)
Other (5,006) (72)
Net cash used in investing activities (5,713) (24,928)
Cash flows from financing activities    
Proceeds from exercised stock options 1,224 5,783
Repurchase of non-controlling interest 0 (5,694)
Contributed non-controlling interest 1,000 569
Net cash provided by financing activities 2,224 658
Net decrease in cash and cash equivalents (2,159) (30,047)
Cash and cash equivalents at beginning of period 389,511 347,992
Cash and cash equivalents at end of period 387,352 317,945
Supplemental disclosure of cash flow information:    
Interest paid 156 57
Income taxes paid $ 2,881 $ 599