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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 loss $ (51,287) $ (24,416) $ (19,434)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Depreciation and amortization expense 6,196 5,848 5,072
Stock-based compensation expense 24,096 28,986 30,020
Loss on sale of health assets 19,388    
Impairment of right-of-use asset 384    
Change in fair value of contingent consideration liabilities (150) (4,135) 196
Deferred taxes     (2,510)
Provision for (recovery of) bad debt 204 693 (41)
Unrealized foreign currency transaction (gains) losses 21 (9) 24
Changes in operating assets and liabilities, net of effects from acquisition:      
Accounts receivable 8,219 5,362 10,511
Prepaid expenses and other current assets 962 (2,111) 1,801
Commissions receivable, current and non-current 4,176 (24,240) (16,871)
Operating lease right-of-use assets 2,497 2,613 2,710
Other assets 421 (19) 534
Accounts payable (13,411) 1,124 (3,968)
Accrued expenses and other current liabilities (1,543) (2,375) 2,692
Deferred revenue 5 (229) 227
Operating lease liabilities (3,006) (2,883) (2,840)
Other long-term liabilities     (934)
Net cash provided by (used in) operating activities (2,828) (15,791) 7,189
Cash flows from investing activities:      
Acquisition of property and equipment, including costs capitalized for development of internal-use software (3,840) (4,290) (2,862)
Proceeds from sale of health assets 13,194    
Acquisition of business     (15,955)
Net cash provided by (used in) investing activities 9,354 (4,290) (18,817)
Cash flows from financing activities:      
Proceeds from exercise of stock options 979 942 3,615
Proceeds from private placement of common stock   15,000  
Tax withholding payments related to net share settlement (402) (100)  
Net cash provided by financing activities 577 15,842 3,615
Effect of exchange rate changes on cash, cash equivalents and restricted cash 18 (27) (6)
Net increase (decrease) in cash, cash equivalents and restricted cash 7,121 (4,266) (8,019)
Cash, cash equivalents and restricted cash at beginning of period 30,835 35,101 43,120
Cash, cash equivalents and restricted cash at end of period 37,956 30,835 35,101
Supplemental disclosure of noncash investing and financing information:      
Acquisition of property and equipment included in accounts payable 25 60 100
Fair value of contingent consideration in connection with acquisition included in liabilities     3,784
Operating lease liabilities arising from obtaining right-of-use assets   1,096 383
Reconciliation of cash, cash equivalents and restricted cash:      
Cash and cash equivalents 37,956 30,835 34,851
Restricted cash (included in other assets)     250
Cash, cash equivalents and restricted cash at end of period $ 37,956 30,835 $ 35,101
Settle Contingent Consideration Liability      
Supplemental disclosure of noncash investing and financing information:      
Issuance of Class A common stock   1,889  
Settlement of Stock-Based Compensation Liability      
Supplemental disclosure of noncash investing and financing information:      
Issuance of Class A common stock   $ 164