v3.26.1
Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash flows from operating activities    
Net income $ 13,444 $ 9,334
Adjustments to reconcile net income to net cash used in operating activities:    
Depreciation 291 415
Amortization of intangibles 6,346 4,069
Stock-based compensation 41,317 36,639
Deferred income taxes, net 3,683 2,671
Changes in asset and liabilities:    
Accounts receivable, net (172,378) (121,497)
Prepaid expenses and other current assets (8,492) (21,344)
Other non-current assets and right-of-use assets 1,472 1,056
Accounts payable and accrued expenses (5,794) (7,687)
Provider liability 70,972 81,185
Operating lease liabilities (1,032) (778)
Other long-term liabilities 1,806 (153)
Net cash used in operating activities (48,365) (16,090)
Cash from investing activities    
Business acquisitions, net of cash acquired (11,430) (89,058)
Other (59) 0
Net cash used in investing activities (11,489) (89,058)
Cash flows from financing activities    
Proceeds from exercised stock options 1,600 4,126
Proceeds from non-controlling interest 2,213 0
Repurchase of non-controlling interest (11,444) 0
Net cash (used in) provided by financing activities (7,631) 4,126
Net decrease in cash and cash equivalents (67,485) (101,022)
Cash and cash equivalents at beginning of period 479,685 491,149
Cash and cash equivalents at end of period 412,200 390,127
Supplemental disclosure of cash flow information:    
Interest paid 162 124
Income taxes paid 10,656 5,771
Supplemental disclosure of non-cash operating activities:    
Lease liabilities obtained in exchange for right-of-use assets 234 1,832
Contingent consideration payable $ 1,270 $ 0