CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands		Jun. 30, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents		$ 101,250	$ 192,825
Restricted cash and restricted investments		20,053	13,768
Accounts receivable, net	[1]	373,725	446,749
Prepaid expenses and other current assets		25,943	30,331
Total current assets		520,971	683,673
Restricted cash and restricted investments		16,646	16,864
Investments and equity method investees		8,371	4,895
Property and equipment, net		75,297	78,194
Right-of-use assets - operating		9,905	11,983
Prepaid expenses and other noncurrent assets		2,672	4,028
Contract cost assets		13,419	12,120
Intangible assets, net		711,290	752,009
Goodwill		1,116,538	1,116,542
Total assets		2,475,109	2,680,308
Current liabilities:
Accounts payable	[1]	39,030	48,246
Accrued liabilities	[1]	84,788	149,849
Operating lease liability - current		6,133	9,738
Accrued compensation and employee benefits		31,302	56,385
Deferred revenue		4,558	5,976
Reserve for claims and performance - based arrangements		317,563	404,048
Total current liabilities		483,374	674,242
Long-term debt, net		598,784	597,049
Other long-term liabilities		3,431	3,637
Tax receivables agreement liability		108,105	107,932
Operating lease liabilities - noncurrent		30,789	38,009
Deferred tax liabilities, net		12,559	13,311
Total liabilities		1,237,042	1,434,180
Commitments and Contingencies (See Note 10)
Mezzanine Equity
Preferred class A common stock - $0.01 par value; 50,000,000 shares authorized; 175,000 issued, respectively		184,206	178,427
Shareholders' Equity
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 116,261,854 and 115,424,833 shares issued, respectively		1,163	1,154
Additional paid-in-capital		1,810,054	1,808,121
Accumulated other comprehensive loss		(1,355)	(1,257)
Retained earnings (accumulated deficit)		(734,878)	(719,194)
Treasury stock, at cost; 1,537,582 shares issued, respectively		(21,123)	(21,123)
Total shareholders' equity		1,053,861	1,067,701
Total liabilities, mezzanine equity and shareholders' equity		$ 2,475,109	$ 2,680,308

[1] See Note 18 for amounts attributable to related parties included in these line items.