Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Current assets
Cash and cash equivalents	$ 32,629	$ 46,468
Accounts receivable, net of allowance for doubtful accounts of $5,403 and $9,774, respectively	95,727	93,273
Prepaid expenses	10,726	9,669
Other current assets	1,175	1,133
Total current assets	140,257	150,543
Property and equipment
Accumulated depreciation	(79,958)	(81,261)
Property and equipment, net	19,840	22,276
Operating lease right of use assets, net	12,412
Intangible assets, net	46,862	59,291
Goodwill	391,114	395,759
Other assets	8,957	8,535
Total assets	619,442	636,404
Current liabilities
Current portion of long-term debt, net	3,000	3,000
Accounts payable and accrued expense	25,009	27,067
Operating lease liabilities	7,850
Current portion of contingent consideration		646
Deferred revenue	4,536	4,800
Total current liabilities	40,395	35,513
Long-term debt, net	524,529	507,706
Deferred tax liabilities	7,793	6,772
Long term operating lease liabilities	10,340
Other liabilities	2,694	8,559
Total liabilities	585,751	558,550
Commitments and contingencies
Stockholders' equity
Common stock $0.0001 par value, 200,000,000 shares authorized, 42,920,136 and 42,684,549 issued and outstanding as of December 31, 2022 and December 31, 2021, respectively	4	4
Preferred stock $0.0001 par value, 1,000,000 shares authorized, zero issued and outstanding as of December 31, 2022 and December 31, 2021
Additional paid-in capital	391,977	386,028
Accumulated deficit	(359,141)	(315,967)
Accumulated other comprehensive income	851	7,789
Total stockholders' equity	33,691	77,854
Total liabilities and stockholders' equity	619,442	636,404
Computer software and hardware
Property and equipment
Property and equipment, gross	71,720	73,677
Leasehold improvements
Property and equipment
Property and equipment, gross	25,869	26,796
Furniture, fixtures and other equipment
Property and equipment
Property and equipment, gross	$ 2,209	$ 3,064