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CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY - USD ($) $ in Thousands | Total | Parent | Common Stock | Common Stock DeepHealth, Inc. | Additional Paid-In Capital | Accumulated Other Comprehensive Loss | Accumulated Deficit | Noncontrolling Interests
--- | --- | --- | --- | --- | --- | --- | --- | ---
Beginning balance (in shares) at Dec. 31, 2019 |  |  | 50,314,328 |  |  |  |  |
Beginning balance, value at Dec. 31, 2019 | $ 233,139 | $ 151,685 | $ 5 |  | $ 262,865 | $ (8,026) | $ (103,159) | $ 81,454
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Issuance of common stock under the equity compensation plan (in shares) |  |  | 416,817 |  |  |  |  |
Stock-based compensation expense | 8,136 | 8,136 |  |  | 8,136 |  |  |
Issuance of common stock for sale of unregistered securities for the DeepHealth acquisition (in shares) |  |  | 823,615 |  |  |  |  |
Issuance of common stock for sale of unregistered securities for the DeepHealth acquisition | 33,011 | 33,011 |  |  | 33,011 |  |  |
Change in cumulative foreign currency translation adjustment | (6) | (6) |  |  |  | (6) |  |
Change in fair value of cash flow hedge, net of taxes | (18,958) | (18,958) |  |  |  | (18,958) |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings, net of taxes | 892 | 892 |  |  |  | 892 |  |
Net (loss) income | (22,958) | (26,952) |  |  |  |  | (26,952) | 3,994
Ending balance (in shares) at Jun. 30, 2020 |  |  | 51,554,760 |  |  |  |  |
Ending balance, value at Jun. 30, 2020 | 233,256 | 147,808 | $ 5 |  | 304,012 | (26,098) | (130,111) | 85,448
Beginning balance (in shares) at Mar. 31, 2020 |  |  | 50,694,375 |  |  |  |  |
Beginning balance, value at Mar. 31, 2020 | 207,189 | 123,375 | $ 5 |  | 269,461 | (26,574) | (119,517) | 83,814
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Issuance of common stock under the equity compensation plan (in shares) |  |  | 36,770 |  |  |  |  |
Stock-based compensation expense | 1,540 | 1,540 |  |  | 1,540 |  |  |
Issuance of common stock for sale of unregistered securities for the DeepHealth acquisition (in shares) |  |  | 823,615 |  |  |  |  |
Issuance of common stock for sale of unregistered securities for the DeepHealth acquisition | 33,011 | 33,011 |  |  | 33,011 |  |  |
Change in cumulative foreign currency translation adjustment | (7) | (7) |  |  |  | (7) |  |
Change in fair value of cash flow hedge, net of taxes | (409) | (409) |  |  |  | (409) |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings, net of taxes | 892 | 892 |  |  |  | 892 |  |
Net (loss) income | (8,960) | (10,594) |  |  |  |  | (10,594) | 1,634
Ending balance (in shares) at Jun. 30, 2020 |  |  | 51,554,760 |  |  |  |  |
Ending balance, value at Jun. 30, 2020 | 233,256 | 147,808 | $ 5 |  | 304,012 | (26,098) | (130,111) | 85,448
Beginning balance (in shares) at Dec. 31, 2020 |  |  | 51,640,537 |  |  |  |  |
Beginning balance, value at Dec. 31, 2020 | 258,303 | 165,743 | $ 5 |  | 307,788 | (24,051) | (117,999) | 92,560
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Issuance of common stock upon exercise of options (in shares) |  |  | 2,500 |  |  |  |  |
Issuance of common stock upon exercise of options | 26 | 26 |  |  | 26 |  |  |
Issuance of common stock under the equity compensation plan (in shares) |  |  | 1,033,358 | 1,635 |  |  |  |
Stock-based compensation expense | 17,145 | 17,145 |  |  | 17,145 |  |  |
Purchase of noncontrolling interests | (4) | (4) |  |  | (4) |  |  |
Contribution from noncontrolling partner | 123 |  |  |  |  |  |  | 123
Change in cumulative foreign currency translation adjustment | (21) | (21) |  |  |  | (21) |  |
Change in fair value of cash flow hedge, net of taxes | 0 |  |  |  |  |  |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings, net of taxes | 1,845 | 1,845 |  |  |  | 1,845 |  |
Other | 0 | (1) |  |  | (1) |  |  | 1
Net (loss) income | 21,862 | 12,331 |  |  |  |  | 12,331 | 9,531
Ending balance (in shares) at Jun. 30, 2021 |  |  | 52,678,030 |  |  |  |  |
Ending balance, value at Jun. 30, 2021 | 299,279 | 197,064 | $ 5 |  | 324,954 | (22,227) | (105,668) | 102,215
Beginning balance (in shares) at Mar. 31, 2021 |  |  | 52,340,856 |  |  |  |  |
Beginning balance, value at Mar. 31, 2021 | 281,358 | 184,358 | $ 5 |  | 316,032 | (23,138) | (108,541) | 97,000
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |
Issuance of common stock upon exercise of options (in shares) |  |  | 2,500 |  |  |  |  |
Issuance of common stock upon exercise of options | 26 | 26 |  |  | 26 |  |  |
Issuance of common stock under the equity compensation plan (in shares) |  |  | 333,533 | 1,141 |  |  |  |
Stock-based compensation expense | 8,897 | 8,897 |  |  | 8,897 |  |  |
Change in cumulative foreign currency translation adjustment | (9) | (9) |  |  |  | (9) |  |
Change in fair value of cash flow hedge, net of taxes | 0 |  |  |  |  |  |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings, net of taxes | 920 | 920 |  |  |  | 920 |  |
Other | 0 | (1) |  |  | (1) |  |  | 1
Net (loss) income | 8,087 | 2,873 |  |  |  |  | 2,873 | 5,214
Ending balance (in shares) at Jun. 30, 2021 |  |  | 52,678,030 |  |  |  |  |
Ending balance, value at Jun. 30, 2021 | $ 299,279 | $ 197,064 | $ 5 |  | $ 324,954 | $ (22,227) | $ (105,668) | $ 102,215

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