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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities:      
Net loss $ (1,184,862) $ (248,442) $ (125,337)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Depreciation and amortization 35,484 8,289 1,134
Share-based compensation 68,423 5,452 1,864
Deferred income taxes (25,654) 0 0
Unrealized gain on equity securities (80,231) 0 0
Other, net 20,254 2,667 (1,331)
Changes in assets and liabilities, net of acquired assets and liabilities:      
Accounts receivable (32,941) 24,631 (201)
Other assets (143,463) (44,061) (8,788)
Medical cost payable 475,461 78,591 21,826
Risk adjustment payable 742,075 100,974 70,137
Accounts payable and other liabilities 192,611 (3,962) 25,553
Unearned revenue 14,902 18,623 6,935
Net cash provided by (used in) operating activities 82,059 (57,238) (8,208)
Cash flows from investing activities:      
Purchases of investments (1,017,588) (916,823) (300,325)
Proceeds from sales, paydown, and maturities of investments 926,901 463,887 238,330
Purchases of property and equipment (30,414) (6,474) (793)
Business acquisitions, net of cash acquired (431,791) (230,332) (31,855)
Net cash used in investing activities (552,892) (689,742) (94,643)
Cash flows from financing activities:      
Proceeds from issuance of preferred stock 0 711,200 423,800
Proceeds from issuance of common stock 11,390 1,241 260
Proceeds from short-term borrowings 355,000 0 0
Repayments of short-term borrowings (200,000) 0 0
Payments for debt issuance costs (3,391) 0 0
Proceeds from IPO 887,328 0 0
Payments for IPO offering costs (6,686) 0 0
Net cash provided by financing activities 1,043,641 712,441 424,060
Net increase (decrease) in cash and cash equivalents 572,808 (34,539) 321,209
Cash and cash equivalents – beginning of year 488,371 522,910 201,701
Cash and cash equivalents – end of year 1,061,179 488,371 522,910
Supplemental disclosures of cash flow information:      
Changes in unrealized (loss) gain on available-for-sale securities in OCI (5,761) 1,444 1,173
Cash paid for interest 4,592 0 0
Supplemental schedule of non-cash activities:      
Redeemable convertible preferred stock issued for acquisitions 134,944 97,825 3,500
Contingent consideration (4,221) 0 5,716
Conversion of redeemable convertible preferred stock to common stock upon initial public offering $ 1,815,916 $ 0 $ 0