Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Operating Activities:
Net loss	$ (101,636)	$ (1,707)
Adjustments to reconcile net loss to net cash provided in operating activities:
Provision for credit loss	46	35
Depreciation and amortization	7,751	7,284
Amortization-debt issuance costs and investment discount	1,110	1,082
Payment-in-kind interest	2,054	1,974
Loss on disposal of property and equipment	0	990
Equity-based compensation and common stock payments	51,275	676
Non-cash lease expense	1,314	1,151
Changes in operating assets and liabilities:
Accounts receivable	(25,503)	(18,674)
Prepaid expenses and other current assets	(14,393)	(6,729)
Other assets	6	35
Medical expenses payable	23,105	(1,108)
Accounts payable and accrued expenses	(2,368)	6,408
Accrued compensation	(2,529)	1,052
Lease liabilities	(1,788)	(3,140)
Noncurrent liabilities	0	(3,941)
Net cash (used in) provided by operating activities	(61,556)	(8,332)
Investing Activities:
Asset acquisition, net of cash received	(1,405)	0
Purchase of investments	(800)	(1,000)
Sale of investments	800	250
Acquisition of property and equipment	(9,462)	(6,725)
Proceeds from the sale of property and equipment	0	100
Net cash used in investing activities	(10,867)	(7,375)
Financing Activities:
Purchase of noncontrolling interest	15	0
Equity repurchase	(1,474)	(1,023)
Issuance of common stock	390,600	135,000
Common stock issuance costs	(29,011)	(3,371)
Net cash provided by financing activities	360,130	130,606
Net increase in cash	287,707	114,899
Cash and restricted cash at beginning of period	207,811	86,484
Cash and restricted cash at end of period	495,518	201,383
Supplemental disclosure of cash flow information:
Cash paid for interest	5,413	5,293
Supplemental non-cash investing and financing activities:
Acquisition of property in accounts payable	418	258
Reconciliation of cash, cash equivalents and restricted cash as shown in the statement of cash flows:
Cash	494,618	200,883
Restricted cash in other assets	900	500
Total	$ 495,518	$ 201,383