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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2021

Accounts Receivable, Allowance for Credit Loss

The following table details the changes in the allowance for doubtful accounts:


(in thousands)	2021		2020		2019
Allowance as of January 1,	$	466	$	408	$	529
Provision for doubtful accounts	—		58		—
Write-offs of uncollectible receivables	(51)		—		(121)
Allowance as of December 31,	$	415	$	466	$	408

Property, Plant and Equipment

The Company provides for depreciation and amortization on property and equipment using the straight-line method to allocate the cost of depreciable assets over their estimated lives as follows:


Asset Classification						Estimated Useful Life
Leasehold improvements						The shorter of the life of lease or asset life, 5 – 15 years
Furniture and equipment						5 – 7 years
Computer hardware						3 – 5 years
Computer software						3 – 5 years

Property and equipment, net consisted of the following as of December 31, 2021 and 2020:


	As of December 31,
	2021						2020
(in thousands)	Property and Equipment		Accumulated Depreciation		Property and Equipment, Net		Property and Equipment		Accumulated Depreciation		Property and Equipment, Net
Leasehold improvements	$	4,279	$	(3,074)	$	1,205	$	3,583	$	(2,507)	$	1,076
Furniture & equipment	5,569		(4,137)		1,432		5,719		(3,810)		1,909
Computer hardware	46,733		(26,776)		19,957		45,865		(29,115)		16,750
Computer software	35,991		(28,477)		7,514		33,903		(27,796)		6,107
Capitalized software development	405,203		(222,073)		183,130		341,844		(180,055)		161,789
Total Property and Equipment	$	497,775	$	(284,537)	$	213,238	$	430,914	$	(243,283)	$	187,631

Schedule of Finite-Lived Intangible Assets

Following is a summary of the range of estimated useful life of other intangible assets:


Asset Classification						Range of Estimated Useful Life
Client relationships						10 to 16 years
Provider Network						15 years
Technology						4 to 5 years
Trade Names						1 year to indefinite

As of each balance sheet date, other intangible assets consisted of the following:


		As of December 31,
		2021						2020
(in thousands)	Weighted-average amortization period	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Client relationships	15 years	$	4,178,280	$	(1,531,679)	$	2,646,601	$	4,138,460	$	(1,252,892)	$	2,885,568
Provider network	15 years	896,800		(332,812)		563,988		896,800		(273,026)		623,774
Technology	5 years	6,350		(1,482)		4,868		6,350		(211)		6,139
Trade names	9 years	2,670		(390)		2,280		1,430		(24)		1,406
Trade names	Indefinite	67,300		—		67,300		67,300		—		67,300
Total		$	5,151,400	$	(1,866,363)	$	3,285,037	$	5,110,340	$	(1,526,153)	$	3,584,187

Disaggregation of Revenue

The following table presents revenues disaggregated by services and contract types:


	For the Year Ended December 31,
(in thousands)	2021		2020		2019
Revenues
Network Services	$	278,457	$	271,262	$	314,510
PSAV	215,449		208,276		249,095
PEPM	55,684		55,301		56,841
Other	7,324		7,685		8,574
Analytic-Based Services	709,272		564,661		561,525
PSAV	692,880		560,981		560,675
PEPM	16,392		3,680		850
Payment Integrity Services	129,873		101,840		106,866
PSAV	129,477		101,753		106,782
PEPM	396		87		84
Total Revenues	$	1,117,602	$	937,763	$	982,901