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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Cash Flows Provided by (Used In) Operating Activities |  |  |
Net loss before preferred dividends and accretion of Series A preferred stock | $ (61,623) | $ (113,040) | $ (19,164)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities: |  |  |
Change in fair value of contingent consideration | 4,908 | 17,984 | (23,522)
Loss on disposal of non-strategic assets | 0 | 8,107 | 0
Loss on discontinued operations | 0 | 0 | 463
Loss (gain) from equity method investees | 3,441 | (1,290) | (4,569)
Depreciation and amortization expenses | 118,370 | 123,415 | 67,195
Stock-based compensation expense | 39,746 | 40,501 | 33,981
Deferred tax benefit | (2,989) | (93,254) | (45,608)
Amortization of contract cost assets | 4,798 | 10,944 | 23,056
Amortization of deferred financing costs | 3,547 | 3,812 | 2,302
Loss on extinguishment/repayment of debt, net | 0 | 21,010 | 10,192
Right-of-use asset impairment | 2,588 | 24,065 | 0
Loss on lease termination | 18,922 | 0 | 0
Change in tax receivables agreement liability | 173 | 61,982 | 45,950
Right-of-use operating assets | 3,261 | 16,625 | 2,500
Other current operating cash inflows (outflows), net | 180 | (171) | 2,612
Changes in assets and liabilities, net of acquisitions: |  |  |
Accounts receivable, net and contract assets | 32,062 | (164,694) | (102,980)
Prepaid expenses and other current and non-current assets | 4,510 | (10,613) | 1,673
Contract cost assets | (6,056) | (5,602) | (7,693)
Accounts payable | 4,248 | (6,723) | 13,165
Accrued liabilities | (24,198) | 23,653 | (28,791)
Operating lease liabilities | (14,983) | (15,373) | (2,983)
Accrued compensation and employee benefits | (22,675) | (2,052) | 447
Deferred revenue | (3,469) | (263) | (6,508)
Reserve for claims and performance-based arrangements | (85,343) | 204,318 | 28,436
Other long-term liabilities | (653) | (759) | (1,707)
Net cash and restricted cash provided by (used in) operating activities | 18,765 | 142,582 | (11,553)
Cash Flows Used In Investing Activities |  |  |
Cash paid for asset acquisitions and business combinations | (30,725) | (388,246) | (248,111)
Proceeds from transfer of membership and release of Passport escrow | 0 | 0 | 30,969
Disposal of non-strategic assets and divestiture of discontinued operations, net | 0 | 577 | (9,164)
Return of equity method investments | 7 | 870 | 5,552
Purchases of investments and contributions to equity method investees | (7,321) | 0 | 0
Investments in internal-use software and purchases of property and equipment | (24,893) | (28,745) | (38,361)
Net cash and restricted cash used in investing activities | (62,932) | (415,544) | (259,115)
Cash Flows (Used In) Provided by Financing Activities |  |  |
Changes in working capital balances related to claims processing | 43,537 | (1,514) | (59,449)
Payment of contingent consideration | (70,355) | (46,873) | 0
Proceeds from stock option exercises | 3,461 | 12,519 | 4,452
Proceeds from issuance of long-term debt, net of offering costs | 58,576 | 647,494 | 219,740
Repayment of long-term debt | 0 | (464,201) | 0
Distributions to Sponsors | 0 | 0 | (14,884)
Proceeds from issuance of preferred stock, net of offering costs | 0 | 168,000 | 0
Payment of preferred dividends | (20,085) | (18,793) | 0
Taxes withheld and paid for vesting of equity awards | (15,699) | (15,292) | (18,318)
Net cash and restricted cash (used in) provided by financing activities | (565) | 281,340 | 131,541
Effect of exchange rate on cash and cash equivalents and restricted cash | (229) | (79) | (657)
Net (decrease) increase in cash and cash equivalents and restricted cash | (44,961) | 8,299 | (139,784)
Cash and cash equivalents and restricted cash as of beginning-of-period | 223,457 | 215,158 | 354,942
Cash and cash equivalents and restricted cash as of end-of-period | $ 178,496 | $ 223,457 | $ 215,158

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