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v3.25.3

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash Flows Provided by (Used In) Operating Activities |  |
Loss before preferred dividends and accretion of Series A Preferred Stock including excise tax | $ (105,379) | $ (38,821)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities: |  |
Change in fair value of contingent consideration | 1,837 | 9,108
Loss (gain) from equity method investees | (334) | 3,623
Extinguishment of Series A Preferred Stock and other refinancing fees | 15,000 | 0
Gain on extinguishment of short-term debt | (431) | 0
Loss on option exercise | 52,544 | 0
Depreciation and amortization expenses | 70,814 | 89,074
Stock-based compensation expense | 37,343 | 45,861
Deferred tax expense (benefit) | 57 | (1,916)
Amortization of contract cost assets | 5,704 | 3,604
Amortization of deferred financing costs | 4,762 | 2,650
Loss on lease termination | 676 | 0
Change in tax receivables agreement liability | 0 | 173
Right-of-use operating assets | 1,297 | 2,739
Other current operating cash inflows (outflows), net | 0 | 180
Changes in assets and liabilities, net of acquisitions: |  |
Accounts receivable, net and contract assets | 7,364 | 38,844
Prepaid expenses and other current and non-current assets | 388 | 7,751
Contract cost assets | (3,486) | (4,687)
Accounts payable | 21,501 | 1,260
Accrued liabilities | (4,399) | 17,648
Operating lease liabilities | (29,987) | (12,209)
Accrued compensation and employee benefits | 21,661 | (24,780)
Deferred revenue | (636) | (3,355)
Reserve for claims and performance-based arrangements | (107,053) | (91,361)
Other long-term liabilities | 800 | (390)
Net cash and restricted cash (used in) provided by operating activities | (9,957) | 44,996
Cash Flows Used In Investing Activities |  |
Cash paid for asset acquisitions and business combinations | (56,045) | (16,947)
Return of equity method investments | 986 | 7
Purchases of investments and contributions to equity method investees | (1,000) | (7,320)
Investments in internal-use software and purchases of property and equipment | (26,327) | (18,742)
Net cash and restricted cash used in investing activities | (82,386) | (43,002)
Cash Flows (Used In) Provided by Financing Activities |  |
Changes in working capital balances related to claims processing | (45,332) | 584
Payment of contingent consideration | (1,750) | (70,355)
Proceeds from stock option exercises | 0 | 3,462
Proceeds from issuance of long-term debt, net of offering costs | 389,740 | (529)
Repayment of long-term debt | (229,255) | 0
Repurchase of common stock | (39,996) | 0
Payment of preferred dividends | (11,127) | (15,279)
Taxes withheld and paid for vesting of equity awards | (5,168) | (15,390)
Net cash and restricted cash provided by (used in) financing activities | 57,112 | (97,507)
Effect of exchange rate on cash and cash equivalents and restricted cash | (261) | (93)
Net decrease in cash and cash equivalents and restricted cash | (35,492) | (95,606)
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 | $ 143,004 | $ 127,851

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