Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 15,351	$ 32,629
Accounts receivable, net of allowance for doubtful accounts of $3,642 and $5,403, respectively	101,257	95,727
Prepaid expenses	15,787	10,726
Other current assets	1,585	1,175
Total current assets	133,980	140,257
Property and equipment
Accumulated depreciation	(73,045)	(79,958)
Property and equipment, net	17,261	19,840
Operating lease right of use assets, net	10,078	12,412
Intangible assets, net	39,729	46,862
Goodwill	396,283	391,114
Other assets	8,262	8,957
Total assets	605,593	619,442
Current liabilities
Current portion of long-term debt, net	546,845	3,000
Accounts payable and accrued expense	25,957	25,009
Operating lease liabilities	5,906	7,850
Current portion of contingent consideration	650
Deferred revenue	3,181	4,536
Total current liabilities	582,539	40,395
Long-term debt, net		524,529
Deferred tax liabilities	8,941	7,793
Long term operating lease liabilities	7,870	10,340
Other liabilities	2,176	2,694
Total liabilities	601,526	585,751
Commitments and contingencies
Stockholders' equity
Common stock $0.0001 par value, 200,000,000 shares authorized, 43,086,267 and 42,920,136 issued and outstanding as of December 31, 2023 and December 31, 2022, respectively	4	4
Preferred stock $0.0001 par value, 1,000,000 shares authorized,zero issued and outstanding as of December 31, 2023 and December 31, 2022
Additional paid-in capital	395,461	391,977
Accumulated deficit	(393,954)	(359,141)
Accumulated other comprehensive income	2,556	851
Total stockholders' equity	4,067	33,691
Total liabilities and stockholders' equity	605,593	619,442
Computer software and hardware
Property and equipment
Property and equipment, gross	61,731	71,720
Leasehold improvements
Property and equipment
Property and equipment, gross	26,313	25,869
Furniture, fixtures and other equipment
Property and equipment
Property and equipment, gross	$ 2,262	$ 2,209