Accrued Expenses and Other Current Liabilities (Details) - USD ($) $ in Thousands	Jun. 30, 2022	Dec. 31, 2021
Accrued Expenses and Other Current Liabilities
Professional fees	$ 12,029	$ 7,124
Consulting fees/provider fees	15,258	19,010
Client performance guarantees	4,277	3,034
Interest payable	1,479	1,480
Income tax payable	3,745	3,098
Insurance	7,037	3,884
Marketing	4,378	2,958
Operating lease liabilities - current	12,983	12,687
Acquisition & Integration	8,963	9,965
Device replacement cost	5,925	6,263
Accrued rebates	8,585	4,619
Staff augmentation	8,450	1,858
Other	34,078	26,953
Total	$ 127,187	$ 102,933
Current operating lease liabilities	Accrued expenses and other current liabilities	Accrued expenses and other current liabilities