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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Cash Flows Provided by (Used In) Operating Activities |  |
Net loss before preferred dividends and accretion of Series A preferred stock | $ (15,684) | $ (54,305)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities: |  |
Change in fair value of contingent consideration | 8,908 | 747
Loss (gain) from equity method investees | 1,394 | (578)
Depreciation and amortization expenses | 59,373 | 61,409
Stock-based compensation expense | 31,445 | 19,676
Deferred tax provision | (979) | (71,019)
Amortization of contract cost assets | 2,319 | 5,672
Amortization of deferred financing costs | 1,765 | 1,915
Right-of-use assets impairment | 0 | 24,065
Change in tax receivables agreement liability | 173 | 66,184
Right-of-use operating assets | 1,940 | 1,147
Other current operating cash outflows, net | 12 | 20
Changes in assets and liabilities, net of acquisitions: |  |
Accounts receivable, net and contract assets | 73,021 | (63,137)
Prepaid expenses and other current and non-current assets | 5,935 | (21,142)
Contract cost assets | (3,619) | (2,859)
Accounts payable | (15,330) | (12,732)
Accrued liabilities | (490) | 11,944
Operating lease liabilities | (10,688) | (338)
Accrued compensation and employee benefits | (25,065) | (20,643)
Deferred revenue | (1,418) | 1,050
Reserve for claims and performance-based arrangements | (86,485) | 46,081
Other long-term liabilities | (201) | (477)
Net cash and restricted cash provided by (used in) operating activities | 26,326 | (7,320)
Cash Flows Used In Investing Activities |  |
Cash paid for asset acquisitions and business combinations | (5,947) | (388,246)
Return of equity method investments | 7 | 799
Purchases of investments and contributions to equity method investees | (4,880) | 0
Investments in internal-use software and purchases of property and equipment | (12,453) | (15,900)
Net cash and restricted cash used in investing activities | (23,273) | (403,347)
Cash Flows (Used In) Provided by Financing Activities |  |
Changes in working capital balances related to claims processing | 6,109 | 33,122
Payment of contingent consideration | (70,355) | 0
Proceeds from stock option exercises | 1,119 | 4,654
Proceeds from issuance of long-term debt, net of offering costs | (529) | 256,063
Repayment of long-term debt | 0 | (37,500)
Proceeds from issuance of preferred stock, net of offering costs | 0 | 168,000
Payment of preferred dividends | (10,145) | (8,535)
Taxes withheld and paid for vesting of equity awards | (14,698) | (12,745)
Net cash and restricted cash (used in) provided by financing activities | (88,499) | 403,059
Effect of exchange rate on cash and cash equivalents and restricted cash | (62) | 49
Net decrease in cash and cash equivalents and restricted cash | (85,508) | (7,559)
Cash and cash equivalents and restricted cash as of beginning-of-period | 223,457 | 215,158
Cash and cash equivalents and restricted cash as of end-of-period | $ 137,949 | $ 207,599

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