v3.26.3
Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Cash flows from operating activities    
Net income $ 28,038 $ 19,141
Adjustments to reconcile net income to net cash (used in) provided by operating activities:    
Depreciation 432 580
Amortization of intangibles 9,708 6,670
Stock-based compensation 55,349 55,616
Deferred income taxes, net 3,888 9,337
Changes in asset and liabilities:    
Accounts receivable, net (221,800) (176,544)
Prepaid expenses and other current assets 721 (3,038)
Other non-current assets and right-of-use assets (1,806) 2,345
Accounts payable and accrued expenses 2,949 2,682
Provider liability 102,102 118,815
Operating lease liabilities (1,509) (1,187)
Other long-term liabilities 2,500 1,487
Net cash (used in) provided by operating activities (19,428) 35,904
Cash from investing activities    
Business acquisitions, net of cash acquired (11,430) (89,058)
Other (1,128) (1,200)
Net cash used in investing activities (12,558) (90,258)
Cash flows from financing activities    
Proceeds from exercised stock options 7,468 4,557
Repurchase of non-controlling interest (11,444) 0
Proceeds from non-controlling interest 2,560 0
Net cash (used in) provided by financing activities (1,416) 4,557
Net decrease in cash and cash equivalents (33,402) (49,797)
Cash and cash equivalents at beginning of period 479,685 491,149
Cash and cash equivalents at end of period 446,283 441,352
Supplemental disclosure of cash flow information:    
Interest paid 288 188
Income taxes paid 14,136 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