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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Tables)
 12 Months Ended
Dec. 31, 2023
Accounting Policies [Abstract]  
Schedule of Restricted Cash and Restricted Investments
Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:
December 31, 2023December 31, 2022
Collateral for letters of credit for facility leases (1)
$2,132 $2,269 
Collateral with financial institutions (2)
16,237 10,912 
Claims processing services (3)
12,263 13,777 
Total restricted cash and restricted investments$30,632 $26,958 
Current restricted cash$13,768 $14,492 
Total current restricted cash and restricted investments$13,768 $14,492 
Non-current restricted cash$16,864 $12,466 
Total non-current restricted cash and restricted investments$16,864 $12,466 
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(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 19 for discussion of fair value measurement.
(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.
Schedule of Consolidated Statements of Cash Flows
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,
20232022
Cash and cash equivalents$192,825 $188,200 
Restricted cash and restricted investments30,632 26,958 
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows$223,457 $215,158 
Schedule of Estimated Useful Lives Assets
The following summarizes the estimated useful lives by asset classification:
Corporate trade name
1 year
Customer relationships
11 - 25 years
Technology5 years
Provider network contracts
3 - 5 years
Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

December 31, 2023December 31, 2022
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name1.0$51,965 $30,288 $21,677 12.7$43,600 $11,726 $31,874 
Customer relationships14.5806,668 139,150 667,518 15.8465,019 92,760 372,259 
Technology3.8162,015 101,566 60,449 2.7111,822 80,255 31,567 
Below market lease, net0.01,218 1,218 — 0.31,218 1,151 67 
Provider network contracts1.118,054 15,689 2,365 1.318,851 11,834 7,017 
Total intangible assets, net$1,039,920 $287,911 $752,009 $640,510 $197,726 $442,784 
Summary of property and equipment The following summarizes the estimated useful lives by asset classification:
Computer hardware3 years
Computer software1 year
Furniture and equipment
3 - 7 years
Internal-use software development costs5 years
Leasehold improvementsShorter of useful life or remaining lease term
The following summarizes our property and equipment (in thousands):
December 31,
20232022
Computer hardware$21,501 $30,092 
Furniture and equipment1,297 4,214 
Internal-use software development costs212,913 189,119 
Leasehold improvements1,052 14,926 
Total property and equipment236,763 238,351 
Accumulated depreciation and amortization expenses(158,569)(150,477)
Total property and equipment, net$78,194 $87,874