Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Current assets
Cash and cash equivalents	$ 43,838	$ 43,407
Accounts receivable, net of allowance for doubtful accounts of $7,805 and $7,486, respectively	86,095	96,994
Prepaid expenses	10,312	7,296
Other current assets	778	556
Total current assets	141,023	148,253
Property and equipment
Accumulated depreciation	(76,780)	(64,682)
Property and equipment, net	27,778	38,303
Intangible assets, net	114,632	130,568
Goodwill	396,310	395,171
Other assets	2,611	2,617
Total assets	682,354	714,912
Current liabilities
Current portion of long-term debt, net	11,106	11,689
Accounts payable and accrued expense	35,964	31,270
Current portion of contingent consideration	677	340
Deferred revenue	4,018	4,851
Total current liabilities	51,765	48,150
Long-term debt, net	467,163	468,932
Contingent consideration	225	482
Deferred tax liabilities	6,712	6,294
Other liabilities	9,776	7,289
Total liabilities	535,641	531,147
Commitments and contingencies
Stockholders' equity
Common stock $0.0001 par value, shares authorized - 200,000,000 shares authorized as of September 30, 2020 and December 31, 2019; shares issued and outstanding - 42,529,017 as of September 30, 2020 and December 31, 2019	4	4
Preferred Stock $0.0001 par value, 1,000,000 shares authorized, zero issued and outstanding as of September 30, 2020 and December 31, 2019
Additional paid-in capital	384,504	381,952
Accumulated deficit	(245,649)	(205,498)
Accumulated other comprehensive income	7,854	7,307
Total stockholders' equity	146,713	183,765
Total liabilities and stockholders' equity	682,354	714,912
Computer software and hardware
Property and equipment
Property and equipment, gross	73,343	72,228
Leasehold improvements
Property and equipment
Property and equipment, gross	27,493	26,963
Furniture, fixtures and other equipment
Property and equipment
Property and equipment, gross	$ 3,722	$ 3,794