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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Cash Flows Provided by (Used In) Operating Activities |  |  |
Net loss before dividends declared and accretion of Series A preferred stock | $ (113,040) | $ (19,164) | $ (37,601)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities: |  |  |
Change in fair value of contingent consideration | 17,984 | (23,522) | 13,281
Loss on disposal of non-strategic assets | 8,107 | 0 | 0
Loss on discontinued operations | 0 | 463 | 6,786
Gain from equity method investees | (1,290) | (4,569) | (13,179)
Depreciation and amortization expenses | 123,415 | 67,195 | 60,037
Stock-based compensation expense | 40,501 | 33,981 | 16,711
Deferred tax benefit | (93,254) | (45,608) | (526)
Amortization of contract cost assets | 10,944 | 23,056 | 13,041
Amortization of deferred financing costs | 3,812 | 2,302 | 18,045
Gain on transfer of membership | 0 | 0 | (45,938)
Loss on extinguishment/repayment of debt, net | 21,010 | 10,192 | 21,343
Right-of-use asset impairment | 24,065 | 0 | 0
Change in tax receivables agreement liability | 61,982 | 45,950 | 0
Right-of-use operating assets | 16,625 | 2,500 | 8,844
Operating lease liabilities | (15,373) | (2,983) | (6,522)
Other current operating cash outflows, net | (171) | 2,612 | 392
Changes in assets and liabilities, net of acquisitions: |  |  |
Accounts receivable, net and contract assets | (164,694) | (102,980) | (5,779)
Prepaid expenses and other current and non-current assets | (10,613) | 1,673 | 5,599
Contract cost assets | (5,602) | (7,693) | (18,979)
Accounts payable | (6,723) | 13,165 | 7,250
Accrued liabilities | 23,653 | (28,791) | (324)
Accrued compensation and employee benefits | (2,052) | 447 | 3,538
Deferred revenue | (263) | (6,508) | (739)
Reserve for claims and performance-based arrangements | 204,318 | 28,436 | (3,799)
Other long-term liabilities | (759) | (1,707) | (2,734)
Net cash and restricted cash provided by (used in) operating activities | 142,582 | (11,553) | 38,747
Cash Flows Used In Investing Activities |  |  |
Cash paid for asset acquisitions and business combinations | (388,246) | (248,111) | (49,012)
Proceeds from transfer of membership and release of Passport escrow | 0 | 30,969 | 42,996
Disposal of non-strategic assets and divestiture of discontinued operations, net | 577 | (9,164) | 3,490
Return of equity method investments | 870 | 5,552 | 14,218
Purchases of investments | 0 | 0 | (2,995)
Maturities and sales of investments | 0 | 0 | 500
Investments in internal-use software and purchases of property and equipment | (28,745) | (38,361) | (24,983)
Net cash and restricted cash used in investing activities | (415,544) | (259,115) | (15,786)
Cash Flows Provided by Financing Activities |  |  |
Changes in working capital balances related to claims processing on behalf of partners | (1,514) | (59,449) | 61,162
Payment of contingent consideration | (46,873) | 0 | 0
Proceeds from stock option exercises | 12,519 | 4,452 | 13,289
Proceeds from issuance of long-term debt, net of offering costs | 647,494 | 219,740 | 0
Repayment and repurchase of 2021 Notes and financing fees | 0 | 0 | (429)
Repayment of long-term debt | (464,201) | 0 | (98,420)
Distributions to Sponsors | 0 | (14,884) | (1,300)
Proceeds from issuance of preferred stock, net of offering costs | 168,000 | 0 | 0
Payment of preferred dividends | (18,793) | 0 | 0
Taxes withheld and paid for vesting of equity awards | (15,292) | (18,318) | (3,850)
Net cash and restricted cash provided by (used in) financing activities | 281,340 | 131,541 | (29,548)
Effect of exchange rate on cash and cash equivalents and restricted cash | (79) | (657) | (52)
Net increase (decrease) in cash and cash equivalents and restricted cash | 8,299 | (139,784) | (6,639)
Cash and cash equivalents and restricted cash as of beginning-of-period | 215,158 | 354,942 | 361,581
Cash and cash equivalents and restricted cash as of end-of-period | $ 223,457 | $ 215,158 | $ 354,942

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