Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2022

Accounts Receivable, Allowance for Credit Loss

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


(in thousands)	2022		2021		2020
Allowance as of January 1,	$	415	$	466	$	408
Provision for doubtful accounts	—		—		58
Write-offs of uncollectible receivables	—		(51)		—
Allowance as of December 31,	$	415	$	415	$	466

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, 2022 and 2021:


	As of December 31,
	2022						2021
(in thousands)	Property and Equipment		Accumulated Depreciation		Property and Equipment, Net		Property and Equipment		Accumulated Depreciation		Property and Equipment, Net
Leasehold improvements	$	4,115	$	(3,358)	$	757	$	4,279	$	(3,074)	$	1,205
Furniture & equipment	5,256		(4,455)		801		5,569		(4,137)		1,432
Computer hardware	60,279		(34,579)		25,700		46,733		(26,776)		19,957
Computer software	40,928		(32,217)		8,711		35,991		(28,477)		7,514
Capitalized software development	473,703		(276,837)		196,866		405,203		(222,073)		183,130
Total Property and Equipment	$	584,281	$	(351,446)	$	232,835	$	497,775	$	(284,537)	$	213,238

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
Customer 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,
		2022						2021
(in thousands)	Weighted-average amortization period	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Customer relationships	15 years	$	4,178,280	$	(1,810,880)	$	2,367,400	$	4,178,280	$	(1,531,679)	$	2,646,601
Provider network	15 years	896,800		(392,599)		504,201		896,800		(332,812)		563,988
Technology	5 years	6,350		(2,752)		3,598		6,350		(1,482)		4,868
Trade names	9 years	2,670		(668)		2,002		2,670		(390)		2,280
Trade names	Indefinite	63,000		—		63,000		67,300		—		67,300
Total		$	5,147,100	$	(2,206,899)	$	2,940,201	$	5,151,400	$	(1,866,363)	$	3,285,037

Disaggregation of Revenue

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


	For the Year Ended December 31,
(in thousands)	2022			2021			2020
Revenues
Network Services	$	245,280		$	278,457		$	271,262
PSAV	183,742			215,449			208,276
PEPM	55,001			55,684			55,301
Other	6,537			7,324			7,685
Analytic-Based Services	713,715			709,272			564,661
PSAV	691,524			692,880			560,981
PEPM	22,191			16,392			3,680
Payment Integrity Services	120,721			129,873			101,840
PSAV	120,259			129,477			101,753
PEPM	462			396			87
Total Revenues	$	1,079,716		$	1,117,602		$	937,763

Percent of PSAV revenues	92.2		%	92.9		%	92.9		%
Percent of PEPM revenues	7.2		%	6.5		%	6.3		%
Percent of other revenues	0.6		%	0.7		%	0.8		%