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Balance Sheet Components (Tables)
3 Months Ended
Mar. 31, 2020
Balance Sheet Related Disclosures [Abstract]  
Accounts Receivable
  March 31, 2020 (unaudited)December 31, 2019
Accounts receivable:(in thousands)
Billed accounts receivable, net$77,313  $87,021  
Unbilled revenues, net49,415  42,097  
Total$126,728  $129,118  
Property and Equipment
Property and equipment:  
Computer hardware (useful life of 3 years)
$13,667  $12,995  
Software (useful life of 1 to 7 years)
5,275  5,272  
Furniture and fixtures (useful life of 5 years)
4,098  3,883  
Leasehold improvements (useful life of 5 years)
5,952  5,674  
Less: Accumulated depreciation(16,692) (15,654) 
Total$12,300  $12,170  
Other Current Liabilities
Other current liabilities:  
Estimated fair value of contingent consideration liability (1)$10,228  $4,196  
Current operating lease liabilities9,538  8,992  
Accrued variable compensation8,377  27,030  
Deferred revenues8,521  7,733  
Other current liabilities6,462  5,841  
Payroll related costs3,031  3,716  
Professional fees1,815  1,758  
Accrued medical claims expense1,568  1,905  
Accrued subcontractor fees324  332  
Total$49,864  $61,503  
Other Non-Current Liabilities
Other non-current liabilities:  
Deferred income taxes$12,434  $11,108  
Deferred compensation liability4,943  5,566  
Non-current software accrual4,949  5,226  
Other non-current liabilities8,744  8,680  
Total$31,070  $30,580  
(1)As of March 31, 2020, represents the fair value estimate of revenue and earnings-based contingent consideration that was realized by Elixiter and may be realized by Sundog, MedTouch, and Brainjocks, 12 months after the respective acquisitions. As of December 31, 2019, represents the fair value estimate of revenue and earnings-based contingent consideration that was realized by Elixiter and may be realized by Sundog 12 months after the respective acquisitions.