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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Tables) | 3 Months Ended
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Mar. 31, 2026
Accounting Policies [Abstract] |
Schedule of Restricted Cash and Restricted Investments | Restricted cash includes cash and investments used to collateralize various contractual obligations (in thousands) as follows:
| March 31, 2026 |  | December 31, 2025
Collateral for letters of credit for facility leases (1) | $ | 222 |  |  | $ | 222 |
Collateral with financial institutions (2) | 15,739 |  |  | 15,706 |
Claims processing services (3) | 10,755 |  |  | 12,912 |
Total restricted cash | $ | 26,716 |  |  | $ | 28,840 |
Current restricted cash | $ | 23,977 |  |  | $ | 26,134 |
Total current restricted cash | $ | 23,977 |  |  | $ | 26,134 |
Non-current restricted cash | $ | 2,739 |  |  | $ | 2,706 |
Total non-current restricted cash | $ | 2,739 |  |  | $ | 2,706 |
———————— (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. (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 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):
| March 31,
| 2026 |  | 2025
Cash and cash equivalents | $ | 142,028 |  |  | $ | 246,547 |
Restricted cash | 26,716 |  |  | 31,298 |
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows | $ | 168,744 |  |  | $ | 277,845 |
Schedule of Estimated Useful Lives Assets | The following summarizes the estimated useful lives by asset classification:
Customer relationships | 11 - 25 years
Technology | 5 years
Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:
| March 31, 2026 |  | December 31, 2025
| 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 | 0.0 |  | $ | 51,965 |  |  | $ | 51,965 |  |  | $ | — |  |  | 0.0 |  | $ | 51,965 |  |  | $ | 51,965 |  |  | $ | — |
Customer relationships | 12.4 |  | 806,668 |  |  | 266,709 |  |  | 539,959 |  |  | 12.6 |  | 806,668 |  |  | 255,517 |  |  | 551,151 |
Technology | 1.8 |  | 169,715 |  |  | 139,992 |  |  | 29,723 |  |  | 2.0 |  | 169,715 |  |  | 135,929 |  |  | 33,786 |
Below market lease, net | 0.0 |  | 1,218 |  |  | 1,218 |  |  | — |  |  | 0.0 |  | 1,218 |  |  | 1,218 |  |  | — |
Provider network contracts | 0.0 |  | 9,600 |  |  | 9,600 |  |  | — |  |  | 0.0 |  | 9,600 |  |  | 9,600 |  |  | — |
Total intangible assets, net |  |  | $ | 1,039,166 |  |  | $ | 469,484 |  |  | $ | 569,682 |  |  |  |  | $ | 1,039,166 |  |  | $ | 454,229 |  |  | $ | 584,937 |

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