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Consolidated Statements of Operations and Comprehensive Income (Loss) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Revenue      
Total revenue $ 108,892 $ 92,847 $ 52,192
Cost of services 9,786 7,806 4,603
Gross profit 99,106 85,041 47,589
Operating expenses      
General and administrative 32,584 13,774 12,125
Selling and marketing 7,841 7,482 6,188
Research and development 1,964 1,170 802
Operating income 56,717 62,615 28,474
Change in fair value of contingent consideration (131,932) 0 0
Interest expense (11,601) (322) (341)
Interest income 202 24 13
Other income (expense) (4,377) 197 170
Income (loss) before income taxes (90,991) 62,514 28,316
Provision (benefit) for income taxes 6,573 (30) 37
Net income (loss) and comprehensive income (loss) (97,564) 62,544 28,279
Preferred distribution to redeemable convertible Series C preferred units (40,689) (11,058) (9,066)
Accretion to redemption value of redeemable convertible Series C preferred units 47,537 (163,425) (63,311)
Net loss attributable to common stockholders $ (90,716) $ (111,939) $ (44,098)
Net loss and comprehensive loss per common share      
Basic and diluted net loss per share (in dollars per share) $ (1.09) $ (2.97) $ (1.17)
Weighted average basic and diluted shares of common stock outstanding (in shares) 82,908,772 37,631,052 37,631,052
Program fees      
Revenue      
Total revenue $ 43,995 $ 36,667 $ 25,044
Profit share      
Revenue      
Total revenue 60,392 53,038 24,835
Claims administration service fees      
Revenue      
Total revenue $ 4,505 $ 3,142 $ 2,313