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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Tables)

12 Months Ended

Dec. 31, 2022

Accounting Policies [Abstract]

Schedule of Restricted Cash And Cash Equivalents

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

			December 31,
			2022						2021
Collateral for letters of credit for facility leases (1)			$	2,269					$	3,769
Collateral with financial institutions (2)			10,912						11,662
Claims processing services (3)			13,777						73,226
Other			—						5
Total restricted cash and restricted investments			$	26,958					$	88,662
Current restricted cash			14,492						75,685
Total current restricted cash and restricted investments			$	14,492					$	75,685
Non-current restricted cash			12,466						12,977
Total non-current restricted cash and restricted investments			$	12,466					$	12,977

————————

(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 12 for further discussion of our lease commitments.

(2)Represents collateral held with financial institutions for risk-sharing and other arrangements which are held in a FDIC participating bank account. See Note 18 for discussion of fair value measurement and Note 11 for discussion of our risk-sharing arrangements.

(3)Represents cash held by the Company related to claims processing services on behalf of partners. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed.

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

			December 31,
			2022						2021
Cash and cash equivalents			$	188,200					$	266,280
Restricted cash and restricted investments			26,958						88,662
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows (1)			$	215,158					$	354,942

————————

(1)As a result of the closing of the sale of True Health during the first quarter of 2021, the consolidated statement of operations and related financial information reflect the Company’s operations and assets and liabilities of True Health as discontinued operations. Cash flows and comprehensive income have not been adjusted and are included in the consolidated statements of cash flows and consolidated statements of comprehensive income (loss) for year ended December 31, 2021. See Note 5.

Schedule of Cash And Cash Equivalents

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

			December 31,
			2022						2021
Cash and cash equivalents			$	188,200					$	266,280
Restricted cash and restricted investments			26,958						88,662
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows (1)			$	215,158					$	354,942

————————

(1)As a result of the closing of the sale of True Health during the first quarter of 2021, the consolidated statement of operations and related financial information reflect the Company’s operations and assets and liabilities of True Health as discontinued operations. Cash flows and comprehensive income have not been adjusted and are included in the consolidated statements of cash flows and consolidated statements of comprehensive income (loss) for year ended December 31, 2021. See Note 5.

Summary of property and equipment

The following summarizes the estimated useful lives by asset classification:

Computer hardware			3 years
Computer software			1 year
Furniture and equipment			3 - 7 years
Internal-use software development costs			5 years
Leasehold improvements			Shorter of useful life or remaining lease term

The following summarizes our property and equipment (in thousands):

			December 31,
			2022						2021
Computer hardware			$	30,092					$	21,970
Furniture and equipment			4,214						3,581
Internal-use software development costs			189,119						159,587
Leasehold improvements			14,926						15,325
Total property and equipment			238,351						200,463
Accumulated depreciation and amortization expenses			(150,477)						(119,098)
Total property and equipment, net			$	87,874					$	81,365

Schedule of Intangible Assets

The following summarizes the estimated useful lives by asset classification:

Corporate trade name			10 - 20 years
Customer relationships			11 - 25 years
Technology			5 years
Provider network contracts			3 - 5 years

Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

			December 31, 2022																								December 31, 2021
			Weighted- Average Remaining Useful Life						Gross Carrying Amount						Accumulated Amortization						Net Carrying Value						Weighted- Average Remaining Useful Life						Gross Carrying Amount						Accumulated Amortization						Net Carrying Value
Corporate trade name			12.7						$	43,600					$	11,726					$	31,874					12.4						$	25,800					$	7,693					$	18,107
Customer relationships			15.8						465,019						92,760						372,259						14.9						311,019						72,697						238,322
Technology			2.7						111,822						80,255						31,567						2.0						87,922						73,378						14,544
Below market lease, net			0.3						1,218						1,151						67						1.3						1,218						950						268
Provider network contracts			1.3						18,851						11,834						7,017						2.2						16,417						7,874						8,543
Total intangible assets, net									$	640,510					$	197,726					$	442,784											$	442,376					$	162,592					$	279,784

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