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CONSOLIDATED STATEMENT OF EQUITY - USD ($) $ in Thousands | Total | Acquisitions And Asset Purchases | DeepHealth, Inc. | Parent | Parent Acquisitions And Asset Purchases | Parent DeepHealth, Inc. | Common Stock | Common Stock Acquisitions And Asset Purchases | Common Stock DeepHealth, Inc. | Additional Paid-in Capital | Additional Paid-in Capital Acquisitions And Asset Purchases | Additional Paid-in Capital DeepHealth, Inc. | Accumulated Other Comprehensive (Loss) Income | Accumulated Deficit | Noncontrolling Interests
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Beginning balance (in shares) at Dec. 31, 2018 |  |  |  |  |  |  | 48,977,485 |  |  |  |  |  |  |  |
Beginning balance, value at Dec. 31, 2018 | $ 200,253 |  |  | $ 127,184 |  |  | $ 5 |  |  | $ 242,835 |  |  | $ 2,259 | $ (117,915) | $ 73,069
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of stock upon exercise of options (in shares) |  |  |  |  |  |  | 12,500 |  |  |  |  |  |  |  |
Issuance of stock upon exercise of options | 75 |  |  | 75 |  |  |  |  |  | 75 |  |  |  |  |
Stock-based compensation (in shares) |  |  |  |  |  |  | 771,042 |  |  |  |  |  |  |  |
Stock-based compensation | 8,735 |  |  | 8,735 |  |  |  |  |  | 8,735 |  |  |  |  |
Forfeiture of restricted stock (in shares) |  |  |  |  |  |  | (1,500) |  |  |  |  |  |  |  |
Forfeiture of restricted stock | $ (5) |  |  | (5) |  |  |  |  |  | (5) |  |  |  |  |
Non-cash severance (in shares) | 12,692 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Non-cash severance | $ 188 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of stock for acquisitions (in shares) |  |  |  |  |  |  | 542,109 |  |  |  |  |  |  |  |
Issuance of stock for acquisitions | 7,500 |  |  | 7,500 |  |  |  |  |  | 7,500 |  |  |  |  |
Sale to noncontrolling interests, net of taxes | 5,545 |  |  | 3,537 |  |  |  |  |  | 3,537 |  |  |  |  | 2,008
Contributions from noncontrolling interests | 750 |  |  |  |  |  |  |  |  |  |  |  |  |  | 750
Distributions paid to noncontrolling interests | (3,057) |  |  |  |  |  |  |  |  |  |  |  |  |  | (3,057)
Change in cumulative foreign currency translation adjustment | (32) |  |  | (32) |  |  |  |  |  |  |  |  | (32) |  |
Change in fair value cash flow hedge, net of taxes | (10,253) |  |  | (10,253) |  |  |  |  |  |  |  |  | (10,253) |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (loss) | 23,440 |  |  | 14,756 |  |  |  |  |  |  |  |  |  | 14,756 | 8,684
Ending balance, value at Dec. 31, 2019 | 233,139 |  |  | 151,685 |  |  | $ 5 |  |  | 262,865 |  |  | (8,026) | (103,159) | 81,454
Ending balance (in shares) at Dec. 31, 2019 |  |  |  |  |  |  | 50,314,328 |  |  |  |  |  |  |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation | 12,463 |  |  | 12,463 |  |  |  |  |  | 12,463 |  |  |  |  |
Shares issued under the equity compensation plan (in shares) |  |  |  |  |  |  | 491,674 |  | 10,920 |  |  |  |  |  |
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 |  |  |  |  |
Tax effect on gain on sale of noncontrolling interest | (551) |  |  | (551) |  |  |  |  |  | (551) |  |  |  |  |
Distributions paid to noncontrolling interests | (1,985) |  |  |  |  |  |  |  |  |  |  |  |  |  | (1,985)
Change in cumulative foreign currency translation adjustment | (101) |  |  | (101) |  |  |  |  |  |  |  |  | (101) |  |
Change in fair value cash flow hedge, net of taxes | (19,372) |  |  | (19,372) |  |  |  |  |  |  |  |  | (19,372) |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings | 3,448 |  |  | 3,448 |  |  |  |  |  |  |  |  | 3,448 |  |
Net income (loss) | (1,749) |  |  | (14,840) |  |  |  |  |  |  |  |  |  | (14,840) | 13,091
Ending balance, value at Dec. 31, 2020 | 258,303 |  |  | 165,743 |  |  | $ 5 |  |  | 307,788 |  |  | (24,051) | (117,999) | 92,560
Ending balance (in shares) at Dec. 31, 2020 |  |  |  |  |  |  | 51,640,537 |  |  |  |  |  |  |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of stock upon exercise of options (in shares) |  |  |  |  |  |  | 53,960 |  |  |  |  |  |  |  |
Issuance of stock upon exercise of options | 488 |  |  | 488 |  |  |  |  |  | 488 |  |  |  |  |
Stock-based compensation | 25,284 |  |  | 25,284 |  |  |  |  |  | 25,284 |  |  |  |  |
Shares issued under the equity compensation plan (in shares) |  |  |  |  |  |  | 1,212,758 |  | 471,162 |  |  |  |  |  |
Forfeiture of restricted stock (in shares) |  |  |  |  |  |  | (4,365) |  |  |  |  |  |  |  |
Forfeiture of restricted stock | (81) |  |  | (81) |  |  |  |  |  | (81) |  |  |  |  |
Gain on contribution of assets to majority owned subsidiary | (4) |  |  | (4) |  |  |  |  |  | (4) |  |  |  |  |
Contribution from noncontrolling partner | 123 |  |  |  |  |  |  |  |  |  |  |  |  |  | 123
Issuance of stock for acquisitions (in shares) |  |  |  |  |  |  |  | 82,658 | 91,517 |  |  |  |  |  |
Issuance of stock for acquisitions |  | $ 2,498 | $ 2,413 |  | $ 2,498 | $ 2,413 |  |  |  |  | $ 2,498 | $ 2,413 |  |  |
Sale to noncontrolling interests, net of taxes | 11,610 |  |  | 4,206 |  |  |  |  |  | 4,206 |  |  |  |  | 7,404
Distributions paid to noncontrolling interests | (2,426) |  |  |  |  |  |  |  |  |  |  |  |  |  | (2,426)
Change in cumulative foreign currency translation adjustment | (65) |  |  | (65) |  |  |  |  |  |  |  |  | (65) |  |
Change in fair value cash flow hedge, net of taxes | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Change in fair value of cash flow hedge from prior periods reclassified to earnings | 3,695 |  |  | 3,695 |  |  |  |  |  |  |  |  | 3,695 |  |
Net income (loss) | 44,319 |  |  | 24,727 |  |  |  |  |  |  |  |  |  | 24,727 | 19,592
Ending balance, value at Dec. 31, 2021 | $ 346,157 |  |  | $ 228,904 |  |  | $ 5 |  |  | $ 342,592 |  |  | $ (20,421) | $ (93,272) | $ 117,253
Ending balance (in shares) at Dec. 31, 2021 |  |  |  |  |  |  | 53,548,227 |  |  |  |  |  |  |  |

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