Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities:
Net loss	$ (8,774)	$ (6,302)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Loss on disposal of assets and impairment of long-lived assets	258	40
Depreciation and amortization	3,805	3,355
Right-of-use assets amortization	1,411	841
Stock-based compensation	2,815	2,212
Interest expense from debt issuance costs	256	71
Gain on sale of certain recovery contracts	(3)	(382)
Gain on sale of land and buildings	0	(1,120)
Changes in operating assets and liabilities:
Trade accounts receivable	1,665	4,958
Contract assets	4,610	(1,622)
Prepaid expenses and other current assets	561	682
Income tax receivable	2,607	(52)
Other assets	86	(7)
Accrued salaries and benefits	(1,295)	(1,944)
Accounts payable	(390)	(339)
Contract liabilities and other current liabilities	(43)	(1,515)
Estimated liability for appeals, disputes, and refunds	(200)	(42)
Lease liabilities	(1,645)	(997)
Other liabilities	23	(19)
Net cash provided by (used in) operating activities	5,747	(2,182)
Cash flows from investing activities:
Purchase of property, equipment, and leasehold improvements	(2,956)	(2,198)
Proceeds from sale of certain recovery contracts	3	382
Proceeds from sales of property, equipment, and leasehold improvements	0	4,934
Net cash (used in) provided by investing activities	(2,953)	3,118
Cash flows from financing activities:
Repayment of notes payable	(8,250)	(375)
Debt issuance costs paid	(424)	(2)
Taxes paid related to net share settlement of stock awards	(196)	0
Proceeds from exercise of warrants	0	5,563
Net cash (used in) provided by financing activities	(8,870)	5,186
Net (decrease) increase in cash, cash equivalents and restricted cash	(6,076)	6,122
Cash, cash equivalents and restricted cash at beginning of period	23,465	19,550
Cash, cash equivalents and restricted cash at end of period	17,389	25,672
Reconciliation of the Consolidated Statements of Cash Flows to the Consolidated Balance Sheets:
Cash and cash equivalents	17,308	25,591
Restricted cash	81	81
Total cash, cash equivalents and restricted cash at end of period	17,389	25,672
Supplemental disclosures of cash flow information:
Cash (received) paid for income taxes	(2,904)	267
Cash paid for interest	$ 1,084	$ 449