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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Tables)
 12 Months Ended
Dec. 31, 2024
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,
20242023
Collateral for letters of credit for facility leases (1)
$1,903 $2,132 
Collateral with financial institutions (2)
16,590 16,237 
Claims processing services (3)
55,800 12,263 
Total restricted cash and restricted investments$74,293 $30,632 
Current restricted cash$59,295 $13,768 
Total current restricted cash and restricted investments$59,295 $13,768 
Non-current restricted cash$14,998 $16,864 
Total non-current restricted cash and restricted investments$14,998 $16,864 
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(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 11 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.
(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 current and noncurrent restricted cash and restricted investments 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,
20242023
Cash and cash equivalents$104,203 $192,825 
Restricted cash and restricted investments74,293 30,632 
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows$178,496 $223,457 
Schedule 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 improvementsShorter of useful life or remaining lease term
The following summarizes our property and equipment (in thousands):
December 31,
20242023
Computer hardware$14,734 $21,501 
Furniture and equipment983 1,297 
Internal-use software development costs235,831 212,913 
Leasehold improvements1,479 1,052 
Total property and equipment253,027 236,763 
Accumulated depreciation expense(179,876)(158,569)
Total property and equipment, net$73,151 $78,194 
Schedule of Estimated Useful Lives Assets
The following summarizes the estimated useful lives by asset classification:
Customer relationships
11 - 25 years
Technology5 years
Provider network contracts
2 - 5 years
Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

December 31, 2024December 31, 2023
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name0.0$51,965 $51,965 $— 1.0$51,965 $30,288 $21,677 
Customer relationships13.5806,668 186,377 620,291 14.5806,668 139,150 667,518 
Technology3.0169,715 117,924 51,791 3.8162,015 101,566 60,449 
Below market lease, net0.01,218 1,218 — 0.01,218 1,218 — 
Provider network contracts4.826,522 18,448 8,074 1.118,054 15,689 2,365 
Total intangible assets, net$1,056,088 $375,932 $680,156 $1,039,920 $287,911 $752,009