CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2022	Jun. 30, 2021
Cash flows from operating activities:
Net loss	$ (77,803)	$ (40,573)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	18,562	23,244
Amortization of deferred financing costs and debt discount	939	1,172
Deferred taxes	(368)	263
Stock-based compensation	15,301	20,951
Acquisition-related contingent consideration paid		(67)
Impairment charges	40,510
Other noncash items	(54)	7
Changes in operating assets and liabilities:
Accounts receivable, net	2,979	(2,737)
Inventories	(354)	(605)
Prepaid expenses and other current assets	(7,916)	(3,811)
Client claims receivables	(3,162)	207
Other assets	(769)	(2,546)
Accounts payable	9,295	(926)
Accrued expenses and other liabilities	9,188	7,646
Client claims payables	353	(1,332)
Other long-term liabilities	2,139	7
Net cash provided by operating activities	8,840	900
Cash flows from investing activities:
Purchases of property and equipment	(471)	(970)
Software development costs	(17,870)	(14,011)
Net cash used in investing activities	(18,341)	(14,981)
Cash flows from financing activities:
Proceeds from exercise of stock options	60	3,082
Payments for debt financing costs	(350)	(8)
Borrowings on line of credit	27,700	12,500
Payment of acquisition-related notes payable		(13,000)
Payments of acquisition-related contingent consideration		(99)
Repayments of long-term debt and finance leases		(4)
Net cash provided by financing activities	27,410	2,471
Net increase (decrease) in cash and restricted cash	17,909	(11,610)
Cash and restricted cash, beginning of period	15,706	28,532
Cash and restricted cash, end of period	33,615	16,922
Supplemental disclosure of cash flow information:
Purchases of property and equipment and software development included in accounts payable and accrued expenses	2,693	131
Cash paid for interest	3,882	3,398
Cash paid for taxes	137	47
Interest costs capitalized to software development costs	$ 202	$ 134