CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands		9 Months Ended
		Sep. 30, 2022	Sep. 30, 2021
Cash flows from operating activities:
Net loss		$ (117,868)	$ (57,684)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization		24,285	35,343
Amortization of deferred financing costs and debt discount		1,972	1,714
Deferred taxes		(513)	337
Stock-based compensation		32,537	28,962
Acquisition-related contingent consideration paid			(67)
Impairment charges		46,355
Loss on divestiture of business		2,879
Other noncash items		(9)	9
Changes in operating assets and liabilities, net of effect of divestiture:
Accounts receivable, net		5,107	789
Inventories		(291)	(866)
Prepaid expenses and other current assets		(1,375)	(6,084)
Client claims receivables		(4,936)	(872)
Other assets		(1,357)	(2,604)
Accounts payable		5,074	1,587
Accrued expenses and other liabilities		13,534	2,138
Client claims payables		1,139	423
Other long-term liabilities		3,220	(108)
Net cash provided by operating activities		9,753	3,017
Cash flows from investing activities:
Purchases of property and equipment		(1,021)	(1,611)
Software development costs		(23,860)	(22,649)
Proceeds from divestiture of business	[1]	118,561
Net cash provided by (used in) investing activities		93,680	(24,260)
Cash flows from financing activities:
Proceeds from exercise of stock options		64	3,683
Payments for employee taxes for shares withheld		(1,112)
Payments for debt financing costs		(350)	(8)
Borrowings on line of credit		27,700	17,500
Repayments of line of credit		(57,200)
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 (used in) provided by financing activities		(30,898)	8,072
Net increase (decrease) in cash and restricted cash		72,535	(13,171)
Cash and restricted cash, beginning of period		15,706	28,532
Cash and restricted cash, end of period	[2]	88,241	15,361
Supplemental disclosure of cash flow information:
Purchases of property and equipment and software development included in accounts payable and accrued expenses		1,082	370
Cash paid for interest		7,204	8,169
Cash paid for taxes		137	44
Interest costs capitalized to software development costs		257	$ 216
Employee taxes for shares withheld included in accrued expenses		$ 1,028

[1] The cash proceeds received from divestiture of business do not include $1,477 of additional consideration subsequently received by the Company in October 2022 due to customary post-closing adjustments or $3,000 of transaction costs incurred as of the sale date and expected to be paid in the fourth quarter of 2022. See Note 3 for additional information.

[2] The cash flows related to discontinued operations have not been segregated. Accordingly, the unaudited consolidated statements of cash flows include the results of continuing and discontinued operations. As a result of the divestiture, the changes in operating assets and liabilities for the nine months ended September 30, 2022 exclude changes related to the divested business. See Note 3 for discussion of discontinued operations and divestiture of business.