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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2025 | Jun. 30, 2024
Cash Flows Provided by (Used In) Operating Activities |  |
Net loss before preferred dividends and accretion of Series A preferred stock | $ (84,515) | $ (15,684)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities: |  |
Change in fair value of contingent consideration | 2,926 | 8,908
Loss (gain) from equity method investees | (178) | 1,394
Extinguishment of Series A Preferred Stock | 9,000 | 0
Loss on option exercise | 52,544 | 0
Depreciation and amortization expenses | 47,199 | 59,373
Stock-based compensation expense | 22,661 | 31,445
Deferred tax expense (benefit) | (570) | (979)
Amortization of contract cost assets | 2,523 | 2,319
Amortization of deferred financing costs | 2,403 | 1,765
Loss on lease termination | 1,906 | 0
Change in tax receivables agreement liability | 0 | 173
Right-of-use operating assets | 792 | 1,940
Other current operating cash inflows (outflows), net | 0 | 12
Changes in assets and liabilities, net of acquisitions: |  |
Accounts receivable, net and contract assets | 55,925 | 73,021
Prepaid expenses and other current and non-current assets | (1,803) | 5,935
Contract cost assets | (1,649) | (3,619)
Accounts payable | 18,189 | (15,330)
Accrued liabilities | (5,867) | (490)
Operating lease liabilities | (20,973) | (10,688)
Accrued compensation and employee benefits | 4,543 | (25,065)
Deferred revenue | (174) | (1,418)
Reserve for claims and performance-based arrangements | (131,454) | (86,485)
Other long-term liabilities | 803 | (201)
Net cash and restricted cash (used in) provided by operating activities | (25,769) | 26,326
Cash Flows Used In Investing Activities |  |
Cash paid for asset acquisitions and business combinations | (56,047) | (5,947)
Return of equity method investments | 788 | 7
Purchases of investments and contributions to equity method investees | (1,000) | (4,880)
Investments in internal-use software and purchases of property and equipment | (17,365) | (12,453)
Net cash and restricted cash used in investing activities | (73,624) | (23,273)
Cash Flows (Used In) Provided by Financing Activities |  |
Changes in working capital balances related to claims processing | (44,754) | 6,109
Payment of contingent consideration | (1,000) | (70,355)
Proceeds from stock option exercises | 0 | 1,119
Proceeds from issuance of long-term debt, net of offering costs | 221,000 | (529)
Repayment of long-term debt | (62,500) | 0
Payment of preferred dividends | (9,198) | (10,145)
Taxes withheld and paid for vesting of equity awards | (4,621) | (14,698)
Net cash and restricted cash provided by (used in) financing activities | 98,927 | (88,499)
Effect of exchange rate on cash and cash equivalents and restricted cash | (60) | (62)
Net decrease in cash and cash equivalents and restricted cash | (526) | (85,508)
Cash and cash equivalents and restricted cash as of beginning-of-period | 178,496 | 223,457
Cash and cash equivalents and restricted cash as of end-of-period | $ 177,970 | $ 137,949

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