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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 10-Q
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 20212022
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File Number: 001-40537
BRIGHT HEALTH GROUP, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware47-4991296
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
  
8000 Norman Center Drive, Suite 1200900, Minneapolis, MN
55437
(Address of principal executive offices)(Zip Code)
Registrant’s telephone number, including area code: (612) 238-1321
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class 
Trading
Symbol(s) 
 
Name of each exchange
on which registered 
Common Stock, $0.0001 par valueBHG New York Stock Exchange
 Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No   o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  x    No   o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated fileroAccelerated filero
Non-accelerated filerxSmaller reporting companyo
Emerging growth companyo o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).      Yes      No  x
As of November 4, 20217, 2022, the registrant had 630,077,675628,315,180 shares of common stock, $0.0001 par value per share, outstanding.


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FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q (“Quarterly Report”) contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended or the Securities Act,(the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended or (“the Exchange Act.Act”). Statements made in this Quarterly Report that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements, and should be evaluated as such. Forward-looking statements include any statement or information concerning possible or assumed future results of operations, including descriptions of our business plan and strategies.strategies, and our operational and– financial outlook, estimates, projections, and guidance. These statements often include words such as “anticipate,” “expect,” “plan,” “believe,” “intend,” “project,” “forecast,” “estimates,” “projections,” “should,” “might,” “may,” “will” and other similar expressions. These forward-looking statements include any statements regarding our plans and expectations with respect to Bright Health Group, Inc. Such forward-looking statements are subject to various risks, uncertainties and assumptions. Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements. Factors that might materially affect such forward-looking statements include: our ability to continue as a going concern; our ability to quickly and efficiently wind down our Individual and Family Plan (“IFP”) businesses and Medicare Advantage (“MA”) businesses outside of California; our ability to accurately estimate and effectively manage the costs relating to changes in our businesses offerings and models; a delay or inability to withdraw regulated capital from our subsidiaries; our ability to comply with ongoing regulatory requirements, including consent decrees or government orders; a lack of acceptance or slow adoption of our business model; our ability to retain existing consumers and expand consumer enrollment; our ability to obtain and accurately assess, code, and report IFP and MA risk adjustment factor scores for consumers; our ability to contract with care providers and arrange for the provision of quality care; our ability to accurately estimate our medical expenses, effectively manage our costs and claims liabilities or appropriately price our products and charge premiums; our ability to obtain claims information timely and accurately; the impact of the ongoing COVID-19 pandemic on our business and results of operations; the risks associated with our reliance on third-party providers to operate our business; the impact of modifications or changes to the U.S. health insurance markets; our ability to manage the growth of our business; our ability to operate, update or implement our technology platform and other information technology systems; our ability to retain key executives; our ability to successfully pursue acquisitions and integrate acquired businesses; the occurrence of severe weather events, catastrophic health events, natural or man-made disasters, and social and political conditions or civil unrest; our ability to prevent and contain data security incidents and the impact of data security incidents on our members, patients, employees and financial results; our ability to comply with requirements to maintain effective internal controls; our ability to adapt to new risks associated with our expansion into Direct Contracting; and the other factors set forth under the heading “Risk Factors” in this Quarterly Report and Bright Health Group’s prospectus dated June 23,Annual Report on Form 10-K for the year ended December 31, 2021, (File No.333-256286), asthat was filed with the United States Securities and Exchange Commission pursuant to Rule 424(b)(4) under(“SEC”) on March 18, 2022 (“2021 Form 10-K”) and our other filings with the Securities Act of 1933, as amended.SEC.

The preceding list is not intended to be an exhaustive list of all of the factors that might affect our forward-looking statements. The forward-looking statements are based on our beliefs, assumptions and expectations of future performance, taking into account the information currently available to us. These statements are only predictions based upon our current expectations and projections about future events. There are important factors that could cause our actual results, level of activity, performance or achievements to differ materially from the results, level of activity, performance or achievements expressed or implied by the forward-looking statements. Other sections of this Quarterly Report may include additional factors that could adversely impact our business and financial performance. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time and it is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make.

You should not rely upon forward-looking statements as predictions of future events. AlthoughOur forward-looking statements speak only as of the date of this Quarterly Report and, although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee that the future results, levels of activity, performance and events and circumstances reflected in thesuch forward-looking statements will be achieved or occur.occur at all. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason after the date of this release to conform these statements to actual results or to changes in our expectations.
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PART I. FINANCIAL INFORMATION

Item 1. Financial Statements
Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
(Unaudited)
September 30,
2021
December 31,
2020
September 30,
2022
December 31,
2021
AssetsAssetsAssets
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$956,189$488,371Cash and cash equivalents$1,605,525$1,061,179
Short-term investmentsShort-term investments331,719499,928Short-term investments299,897193,835
Accounts receivable, net of allowance of $5,701 and $2,602, respectively99,21660,522
Accounts receivable, net of allowance of $7,129 and $4,074, respectivelyAccounts receivable, net of allowance of $7,129 and $4,074, respectively120,489113,474
Direct contracting performance year receivableDirect contracting performance year receivable234,776
Prepaids and other current assetsPrepaids and other current assets240,545130,986Prepaids and other current assets377,214291,712
Total current assetsTotal current assets1,627,6691,179,807Total current assets2,637,9011,660,200
Other assets:Other assets:Other assets:
Long-term investmentsLong-term investments681,923175,176Long-term investments865,677675,192
Property, equipment and capitalized software, netProperty, equipment and capitalized software, net30,93212,264Property, equipment and capitalized software, net47,93838,344
GoodwillGoodwill842,301263,035Goodwill761,285835,140
Intangible assets, netIntangible assets, net351,519152,211Intangible assets, net263,265343,860
Other non-current assetsOther non-current assets40,75128,309Other non-current assets36,06145,603
Total other assetsTotal other assets1,947,426630,995Total other assets1,974,2261,938,139
Total assetsTotal assets$3,575,095$1,810,802Total assets$4,612,127$3,598,339
Liabilities, Redeemable Noncontrolling Interest, Redeemable Preferred Stock and Shareholders’ Equity (Deficit)Liabilities, Redeemable Noncontrolling Interest, Redeemable Preferred Stock and Shareholders’ Equity (Deficit)Liabilities, Redeemable Noncontrolling Interest, Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
Current liabilities:Current liabilities:Current liabilities:
Medical costs payableMedical costs payable$685,045$249,777Medical costs payable$975,126$817,975
Accounts payableAccounts payable95,16157,252Accounts payable111,272118,140
Unearned revenueUnearned revenue34,91734,628Unearned revenue195,89253,295
Risk adjustment payableRisk adjustment payable548,352187,777Risk adjustment payable1,308,959931,170
Direct contracting performance year obligationDirect contracting performance year obligation155,145
Short-term borrowingsShort-term borrowings303,947155,000
Other current liabilitiesOther current liabilities88,13335,847Other current liabilities201,014207,238
Total current liabilitiesTotal current liabilities1,451,608565,281Total current liabilities3,251,3552,282,818
Other liabilitiesOther liabilities56,25428,578Other liabilities33,12141,994
Total liabilitiesTotal liabilities1,507,862593,859Total liabilities3,284,4762,324,812
Commitments and contingencies (Note 10)00
Commitments and contingencies (Note 11)Commitments and contingencies (Note 11)
Redeemable noncontrolling interestsRedeemable noncontrolling interests130,02939,600Redeemable noncontrolling interests211,026128,407
Redeemable preferred stock, $0.0001 par value; 100,000,000 and 166,307,087 shares authorized in 2021 and 2020, respectively; — and 164,244,893 shares issued and outstanding in 2021 and 2020, respectively1,681,015
Series A redeemable preferred stock, $0.0001 par value; 100,000,000 shares authorized in 2022 and 2021; 750,000 and — shares issued and outstanding in 2022 and 2021, respectivelySeries A redeemable preferred stock, $0.0001 par value; 100,000,000 shares authorized in 2022 and 2021; 750,000 and — shares issued and outstanding in 2022 and 2021, respectively747,481
Shareholders’ equity (deficit):Shareholders’ equity (deficit):Shareholders’ equity (deficit):
Common stock, $0.0001 par value; 3,000,000,000 and 658,993,725 shares authorized in 2021 and 2020, respectively; 628,133,782 and 137,662,698 shares issued and outstanding in 2021 and 2020, respectively6314
Common stock, $0.0001 par value; 3,000,000,000 shares authorized in 2022 and 2021; 629,915,081 and 628,622,872 shares issued and outstanding in 2022 and 2021, respectivelyCommon stock, $0.0001 par value; 3,000,000,000 shares authorized in 2022 and 2021; 629,915,081 and 628,622,872 shares issued and outstanding in 2022 and 2021, respectively6363
Additional paid-in capitalAdditional paid-in capital2,823,2449,877Additional paid-in capital2,939,8202,861,243
Accumulated deficitAccumulated deficit(886,333)(515,989)Accumulated deficit(2,476,822)(1,700,851)
Accumulated other comprehensive income2302,426
Accumulated other comprehensive lossAccumulated other comprehensive loss(81,917)(3,335)
Treasury stock, at cost, 2,522,148 shares at September 30, 2022 and December 31, 2021, respectivelyTreasury stock, at cost, 2,522,148 shares at September 30, 2022 and December 31, 2021, respectively(12,000)(12,000)
Total shareholders’ equity (deficit)Total shareholders’ equity (deficit)1,937,204(503,672)Total shareholders’ equity (deficit)369,1441,145,120
Total liabilities, redeemable noncontrolling interests, redeemable preferred stock and shareholders’ equity (deficit)Total liabilities, redeemable noncontrolling interests, redeemable preferred stock and shareholders’ equity (deficit)$3,575,095$1,810,802Total liabilities, redeemable noncontrolling interests, redeemable preferred stock and shareholders’ equity (deficit)$4,612,127$3,598,339
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Income (Loss)
(in thousands, except share and per share data)
(Unaudited)
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended September 30,Nine Months Ended September 30,
20212020202120202022202120222021
Revenue:Revenue:Revenue:
Premium revenuePremium revenue$1,020,233$345,426$2,922,950$827,135Premium revenue$1,463,011$1,020,233$4,580,790$2,922,950
Direct contracting revenueDirect contracting revenue145,433465,435
Service revenueService revenue11,0794,92031,60213,344Service revenue12,11711,07937,39031,602
Investment income47,3451,774112,5037,063
Investment income (loss)Investment income (loss)11,73147,345(39,120)112,503
Total revenueTotal revenue1,078,657352,1203,067,055847,542Total revenue1,632,2921,078,6575,044,4953,067,055
Operating expenses:Operating expenses:Operating expenses:
Medical costsMedical costs1,050,943311,3192,640,143675,114Medical costs1,456,8621,050,9434,435,6242,640,143
Operating costsOperating costs309,79097,379779,090260,650Operating costs297,445309,7901,122,964779,090
Goodwill impairmentGoodwill impairment74,16574,165
Intangible assets impairmentIntangible assets impairment42,61149,331
Depreciation and amortizationDepreciation and amortization14,2052,67825,9815,550Depreciation and amortization13,90414,20540,17325,981
Total operating expensesTotal operating expenses1,374,938411,3763,445,214941,314Total operating expenses1,884,9871,374,9385,722,2573,445,214
Operating lossOperating loss(296,281)(59,256)(378,159)(93,772)Operating loss(252,695)(296,281)(677,762)(378,159)
Interest expenseInterest expense1,5946,282Interest expense4,9051,5946,4356,282
Other incomeOther income(1,226)(1,226)Other income(2)(1,226)(784)(1,226)
Loss before income taxesLoss before income taxes(296,649)(59,256)(383,215)(93,772)Loss before income taxes(257,598)(296,649)(683,413)(383,215)
Income tax expense (benefit)73(18,225)(9,162)
Income tax (benefit) expenseIncome tax (benefit) expense1,763737,907(18,225)
Net lossNet loss(296,722)(59,256)(364,990)(84,610)Net loss(259,361)(296,722)(691,320)(364,990)
Net earnings attributable to noncontrolling interestsNet earnings attributable to noncontrolling interests(3,942)(5,354)Net earnings attributable to noncontrolling interests(46,710)(3,942)(84,651)(5,354)
Series A preferred stock dividend accruedSeries A preferred stock dividend accrued(9,684)(28,083)
Net loss attributable to Bright Health Group, Inc. common shareholdersNet loss attributable to Bright Health Group, Inc. common shareholders$(300,664)$(59,256)$(370,344)$(84,610)Net loss attributable to Bright Health Group, Inc. common shareholders$(315,755)$(300,664)$(804,054)$(370,344)
Basic and diluted loss per share attributable to Bright Health Group, Inc. common shareholdersBasic and diluted loss per share attributable to Bright Health Group, Inc. common shareholders$(0.48)$(0.43)$(1.19)$(0.62)Basic and diluted loss per share attributable to Bright Health Group, Inc. common shareholders$(0.50)$(0.48)$(1.28)$(1.19)
Basic and diluted weighted-average common shares outstandingBasic and diluted weighted-average common shares outstanding630,378136,337312,294135,926Basic and diluted weighted-average common shares outstanding629,718630,378629,231312,294
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Comprehensive Income (Loss)
(in thousands)
(Unaudited)
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended September 30,Nine Months Ended September 30,
20212020202120202022202120222021
Net lossNet loss$(296,722)$(59,256)$(364,990)$(84,610)Net loss$(259,361)$(296,722)$(691,320)$(364,990)
Other comprehensive (loss) income:Other comprehensive (loss) income:Other comprehensive (loss) income:
Unrealized investment holding (losses) gains arising during the year, net of tax of $0 and $0, respectively(143)(958)(1,808)2,326
Less: reclassification adjustments for investment gains, net of tax of $0 and $0, respectively16011938868
Unrealized investment holding losses arising during the year, net of tax of $0 and $0, respectivelyUnrealized investment holding losses arising during the year, net of tax of $0 and $0, respectively(33,146)(143)(82,704)(1,808)
Less: reclassification adjustments for investment (losses) gains, net of tax of $0 and $0, respectivelyLess: reclassification adjustments for investment (losses) gains, net of tax of $0 and $0, respectively(1,615)160(4,122)388
Other comprehensive (loss) incomeOther comprehensive (loss) income(303)(1,077)(2,196)2,258Other comprehensive (loss) income(31,531)(303)(78,582)(2,196)
Comprehensive lossComprehensive loss(297,025)(60,333)(367,186)(82,352)Comprehensive loss(290,892)(297,025)(769,902)(367,186)
Comprehensive loss attributable to noncontrolling interestsComprehensive loss attributable to noncontrolling interests(3,942)(5,354)Comprehensive loss attributable to noncontrolling interests(46,710)(3,942)(84,651)(5,354)
Comprehensive loss attributable to Bright Health Group, Inc. common shareholdersComprehensive loss attributable to Bright Health Group, Inc. common shareholders$(300,967)$(60,333)$(372,540)$(82,352)Comprehensive loss attributable to Bright Health Group, Inc. common shareholders$(337,602)$(300,967)$(854,553)$(372,540)
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Changes in Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
(in thousands)
(Unaudited)
Redeemable Preferred StockCommon StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
TotalRedeemable
Preferred Stock
Common StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
2021SharesAmountSharesAmount
Balance at January 1, 2021164,245 1,681,015 137,663 $14 $9,877 $(515,989)$2,426 $(503,672)
20222022SharesAmountSharesAmountAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
Balance at January 1, 2022Balance at January 1, 2022— $— 628,623 $63 
Net lossNet loss     (25,162) (25,162)Net loss— — — — — (195,234)— — (195,234)
Issuance of preferred stockIssuance of preferred stock1,420 55,137       Issuance of preferred stock750 747,481 — — — — — — — 
Issuance of common stockIssuance of common stock  4,661  4,893   4,893 Issuance of common stock— — 370 — 257 — — — 257 
Share-based compensationShare-based compensation    5,176   5,176 Share-based compensation— — — — 32,921 — — — 32,921 
Other comprehensive lossOther comprehensive loss      (1,042)(1,042)Other comprehensive loss— — — — — — (26,340)— (26,340)
Balance at March 31, 2021165,665 $1,736,152 142,324 $14 $19,946 $(541,151)$1,384 $(519,807)
Net loss     (44,518) (44,518)
Issuance of preferred stock2,067 79,807       
Conversion of preferred stock to common stock(167,732)(1,815,959)427,897 43 1,815,916   1,815,959 
Issuance of common stock  4,120 1 4,722   4,723 
Sale of common stock from IPO, net of offering costs  51,350 5 880,637   880,642 
Share-based compensation    13,878   13,878 
Other comprehensive loss      (851)(851)
Balance at June 30, 2021  625,691 $63 $2,735,099 $(585,669)$533 $2,150,026 
Balance at March 31, 2022Balance at March 31, 2022750 $747,481 628,993 $63 $2,894,421 $(1,896,085)$(29,675)$(12,000)$956,724 
Net lossNet loss     (300,664) (300,664)Net loss— — — — — (274,666)— — (274,666)
Issuance of common stockIssuance of common stock  4,965  75,965   75,965 Issuance of common stock— — 329 — 415 — — — 415 
Return of common stock from escrow settlement  (2,522) (12,000)  (12,000)
Share-based compensationShare-based compensation    24,180   24,180 Share-based compensation— — — — 20,220 — — — 20,220 
Other comprehensive lossOther comprehensive loss      (303)(303)Other comprehensive loss— — — — — — (20,711)— (20,711)
Balance at September 30, 2021  628,134 $63 $2,823,244 $(886,333)$230 $1,937,204 
Balance at June 30, 2022Balance at June 30, 2022750 $747,481 629,322 $63 $2,915,056 $(2,170,751)$(50,386)$(12,000)$681,982 
Net lossNet loss— — — — — (306,071)— — (306,071)
Issuance of common stockIssuance of common stock— — 593 — 642 — — — 642 
Share-based compensationShare-based compensation— — — — 24,122 — — — 24,122 
Other comprehensive lossOther comprehensive loss— — — — — — (31,531)— (31,531)
Balance at September 30, 2022Balance at September 30, 2022750 $747,481 629,915 63 2,939,820 (2,476,822)(81,917)(12,000)369,144 
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Changes in Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
(in thousands)
(Unaudited)
Redeemable Preferred StockCommon StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
TotalRedeemable Preferred StockCommon StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
2020SharesAmountSharesAmount
Balance at January 1, 2020119,222 871,990 135,509 $14 $3,184 $(267,547)$982 $(263,367)
20212021SharesAmountSharesAmountAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
Balance at January 1, 2021Balance at January 1, 2021164,245 $1,681,015 137,663 $14 
Net lossNet loss— — — — — (7,280)— (7,280)Net loss— — — — — (25,162)— — (25,162)
Issuance of preferred stockIssuance of preferred stock— — — — — — — — Issuance of preferred stock1,420 55,137 — — — — — — — 
Issuance of common stockIssuance of common stock— — 183 — 13 — — 13 Issuance of common stock— — 4,661 — 4,893 — — — 4,893 
Share-based compensationShare-based compensation— — — — 943 — — 943 Share-based compensation— — — — 5,176 — — — 5,176 
Other comprehensive income (loss)— — — — — — 951 951 
Balance at March 31, 2020119,222 871,990 135,692 $14 $4,140 $(274,827)$1,933 $(268,740)
Other comprehensive lossOther comprehensive loss— — — — — — (1,042)— (1,042)
Balance at March 31, 2021Balance at March 31, 2021165,665 $1,736,152 142,324 $14 $19,946 $(541,151)$1,384 $— $(519,807)
Net lossNet loss— — — — — (18,074)— (18,074)Net loss— — — — — (44,518)— — (44,518)
Issuance of preferred stockIssuance of preferred stock19,661 291,200 — — — — — — Issuance of preferred stock2,067 79,807 — — — — — — — 
Conversion of preferred stock to common stockConversion of preferred stock to common stock(167,732)(1,815,959)427,897 43 1,815,916 — — — 1,815,959 
Issuance of common stockIssuance of common stock— — 246 — 118 — — 118 Issuance of common stock— — 4,120 4,722 — — — 4,723 
Sale of common stock from IPO, net of offering costsSale of common stock from IPO, net of offering costs— — 51,350 880,637 — — — 880,642 
Share-based compensationShare-based compensation— — — — 1,250 — — 1,250 Share-based compensation— — — — 13,878 — — — 13,878 
Other comprehensive income (loss)— — — — — — 2,384 2,384 
Balance at June 30, 2020138,883 1,163,190 135,938 $14 $5,508 $(292,901)$4,317 $(283,062)
Other comprehensive lossOther comprehensive loss— — — — — — (851)— (851)
Balance at June 30, 2021Balance at June 30, 2021— $— 625,691 $63 $2,735,099 $(585,669)$533 $— $2,150,026 
Net lossNet loss— — — — — (59,256)— (59,256)Net loss— $— — $— $— $(300,664)$— $— $(300,664)
Issuance of preferred stock23,296 475,640 — — — — — — 
Issuance of common stockIssuance of common stock— — 882 — 743 — — 743 Issuance of common stock— $— 4,965 $— $75,965 $— $— $— $75,965 
Return of common stock from escrow settlementReturn of common stock from escrow settlement(2,522)$— $(12,000)$— $— $— $(12,000)
Share-based compensationShare-based compensation— — — — 1,529 — — 1,529 Share-based compensation— $— — $— $24,180 $— $— $— $24,180 
Other comprehensive income (loss)— — — — — — (1,077)(1,077)
Balance at September 30, 2020162,179 1,638,830 136,820 $14 $7,780 $(352,157)$3,240 $(341,123)
Other comprehensive lossOther comprehensive loss— $— — $— $— $— $(303)$— $(303)
Balance at September 30, 2021Balance at September 30, 2021— $— 628,134 $63 $2,823,244 $(886,333)$230 $— $1,937,204 
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Cash Flows
(in thousands)thousands)
(Unaudited)
Nine Months Ended September 30,Nine Months Ended
September 30,
2021202020222021
Cash flows from operating activities:Cash flows from operating activities:Cash flows from operating activities:
Net lossNet loss$(370,344)$(84,610)Net loss$(691,320)$(370,344)
Adjustments to reconcile net loss to net cash provided by operating activities:Adjustments to reconcile net loss to net cash provided by operating activities:Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortizationDepreciation and amortization25,9815,550Depreciation and amortization40,17325,981
Impairment of intangible assetsImpairment of intangible assets49,331
Impairment of goodwillImpairment of goodwill74,165
Share-based compensationShare-based compensation43,2343,722Share-based compensation77,26343,234
Deferred income taxesDeferred income taxes(17,946)Deferred income taxes1,590(17,946)
Unrealized gain on equity securities(109,012)
Unrealized loss (gain) on equity securitiesUnrealized loss (gain) on equity securities58,821(109,012)
Other, netOther, net14,5551,022Other, net9,61214,555
Changes in assets and liabilities, net of acquired assets and liabilities:Changes in assets and liabilities, net of acquired assets and liabilities:Changes in assets and liabilities, net of acquired assets and liabilities:
Accounts receivableAccounts receivable(18,683)27,508Accounts receivable(7,015)(18,683)
Direct contracting performance year receivableDirect contracting performance year receivable(234,776)
Other assetsOther assets(86,836)(24,980)Other assets(77,551)(86,836)
Medical cost payableMedical cost payable342,53135,458Medical cost payable157,151342,531
Risk adjustment payableRisk adjustment payable359,25768,186Risk adjustment payable377,789359,257
Accounts payable and other liabilitiesAccounts payable and other liabilities53,853(22,015)Accounts payable and other liabilities(21,188)53,853
Unearned revenueUnearned revenue(3,476)1,498Unearned revenue142,597(3,476)
Direct contracting performance year obligationDirect contracting performance year obligation155,145
Net cash provided by operating activitiesNet cash provided by operating activities233,11411,339Net cash provided by operating activities111,787233,114
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Purchases of investmentsPurchases of investments(736,838)(702,672)Purchases of investments(1,422,025)(736,838)
Proceeds from sales, paydown, and maturities of investmentsProceeds from sales, paydown, and maturities of investments536,110349,113Proceeds from sales, paydown, and maturities of investments980,763536,110
Purchases of property and equipmentPurchases of property and equipment(20,682)(1,181)Purchases of property and equipment(21,579)(20,682)
Business acquisitions, net of cash acquiredBusiness acquisitions, net of cash acquired(431,718)(174,090)Business acquisitions, net of cash acquired(310)(431,718)
Net cash used in investing activitiesNet cash used in investing activities(653,128)(528,830)Net cash used in investing activities(463,151)(653,128)
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Proceeds from short-term borrowingsProceeds from short-term borrowings303,947200,000
Repayments of short-term borrowingsRepayments of short-term borrowings(155,000)(200,000)
Proceeds from issuance of preferred stockProceeds from issuance of preferred stock686,840Proceeds from issuance of preferred stock747,481
Proceeds from issuance of common stockProceeds from issuance of common stock10,581874Proceeds from issuance of common stock1,31410,581
Proceeds from short-term borrowings200,000
Repayments of short-term borrowings(200,000)
Distributions to noncontrolling interest holdersDistributions to noncontrolling interest holders(2,032)
Payments for debt issuance costsPayments for debt issuance costs(3,391)Payments for debt issuance costs(3,391)
Proceeds from IPOProceeds from IPO887,328Proceeds from IPO887,328
Payments for IPO offering costsPayments for IPO offering costs(6,686)Payments for IPO offering costs(6,686)
Net cash provided by financing activitiesNet cash provided by financing activities887,832687,714Net cash provided by financing activities895,710887,832
Net increase in cash and cash equivalentsNet increase in cash and cash equivalents467,818170,223Net increase in cash and cash equivalents544,346467,818
Cash and cash equivalents – beginning of yearCash and cash equivalents – beginning of year488,371522,910Cash and cash equivalents – beginning of year1,061,179488,371
Cash and cash equivalents – end of periodCash and cash equivalents – end of period$956,189$693,133Cash and cash equivalents – end of period$1,605,525$956,189
Supplemental disclosures of cash flow information:Supplemental disclosures of cash flow information:Supplemental disclosures of cash flow information:
Changes in unrealized (loss) gain on available-for-sale securities in OCI$(2,196)$2,258
Changes in unrealized loss on available-for-sale securities in OCIChanges in unrealized loss on available-for-sale securities in OCI$(78,582)$(2,196)
Cash paid for interestCash paid for interest3,865Cash paid for interest3,1713,865
Supplemental schedule of non-cash activities:Supplemental schedule of non-cash activities:Supplemental schedule of non-cash activities:
Redeemable convertible preferred stock issued for acquisitionsRedeemable convertible preferred stock issued for acquisitions$134,944$80,000Redeemable convertible preferred stock issued for acquisitions$$134,944
Conversion of redeemable convertible preferred stock to common stock upon initial public offeringConversion of redeemable convertible preferred stock to common stock upon initial public offering1,815,916Conversion of redeemable convertible preferred stock to common stock upon initial public offering$$1,815,916
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)

NOTE 1. ORGANIZATION AND BASIS OF PRESENTATION

Organization: Bright Health Group, Inc. and subsidiaries (collectively, “Bright Health,” “we,” “our,” “us,” or the “Company”) was founded in 2015 to transform healthcare. Our mission of Making Healthcare Right. Together. is built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care we can drive a superior consumer experience, optimize clinical outcomes, reduce systemic waste, and lower costs,costs. We are a healthcare company building a national Integrated System of Care in close partnership with our Care Partners. Our differentiated approach is built on alignment, focused on the consumer, and optimize clinical outcomes.powered by technology. We have two market facing businesses: NeueHealth and Bright HealthCare. NeueHealth provides care delivery and value-based enablement services through our owned and affiliated clinics. Bright HealthCare offers Commercial and Medicare health plan products across the nation.

Stock Split: On June 2, 2021, we effected a stock split ofBeginning January 1, 2022, two Direct Contracting Entities (“DCEs”) aligned with our NeueHealth segment began participating in the Company’s common stock on a 1-for-3 basis (the “Stock Split”Centers for Medicare and Medicaid Services' (“CMS”) Global and Professional Direct Contracting model (“DC Model”). In connection with the Stock Split, the conversion rateBoth DCEs assume full risk for the Company’s preferred stock was proportionately adjusted such that the common stock issuable upon conversiontotal cost of such preferred stock was increased in proportion to the Stock Split. Accordingly, all common stock share and per share amounts for all periods presented in these financial statements have been retroactively adjusted to reflect this Stock Split.care of aligned beneficiaries.

Initial Public Offering: On June 28, 2021,In April 2022, we completed our initial public offering (“IPO”)announced that Bright HealthCare will exit the Commercial marketplace in which we issuedsix states for the 2023 plan year: Illinois, New Mexico, Oklahoma, South Carolina, Utah, and sold 51,350,000 shares of common stock, par value $0.0001 per share, at an offering price of $18.00 per share. We received net proceeds of $887.3 million from the sale of our common stock, after deducting underwriting discounts and commissions of $37.0 million. We used a portion of the net proceeds from our IPO to repay in full our outstanding borrowings under our revolving credit facility,Virginia, as well as to fund the acquisitiondiscontinuing our employer group business. In October 2022, we announced that Bright HealthCare will no longer offer Commercial products in 2023 or offer Medicare Advantage (“MA”) products outside of Centrum Medical Holdings, LLC (“Centrum”). Refer to Note 2, Business Combinations, and Note 7, Short-Term Borrowings for more information.

The Company’s Common Stock is traded on the New York Stock Exchange (the “NYSE”) under the symbol “BHG”.

We incurred $6.7 million of deferred offering costs consisting primarily of accounting, legal and other fees related to our IPO, which were recorded against IPO proceeds within additional paid-in capital upon closing of our IPO.

Conversion of Preferred Stock into Common Stock: OnJune 28, 2021, the Company issued 427,897,381 shares of common stock upon conversion (the “Conversion”) of all outstanding shares of its Series A Convertible Preferred Stock, par value $0.0001 per share, Series B Convertible Preferred Stock, par value $0.0001 per share, Series C Convertible Preferred Stock, par value $0.0001 per share, Series D Convertible Preferred Stock, par value $0.0001 per share, and Series E Convertible Preferred Stock, par value $0.0001 per share (collectively, the “Preferred Stock”), pursuant to its eighth amended and restated certificate of incorporation. Conversion of the preferred stock into shares of common stock occurred automatically immediately prior to the closing of our IPO.California.

Basis of Presentation: The condensed consolidated financial statements include the accounts of Bright Health Group, Inc. and all subsidiaries and controlled companies. All intercompany balances and transactions are eliminated upon consolidation. The condensed consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial reporting. Accordingly, they do not include all of the information and footnotes required by GAAP for annual financial statements. We have omitted certain footnote disclosures that would substantially duplicate the disclosures in our audited consolidated financial statements, unless the information contained in those disclosures materially changed or is required by GAAP. As such, the condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and the related notes thereto as of and for the year ended December 31, 20202021 included in our Form 10-K for the prospectus dated June 23,year ended December 31, 2021 (File No.333-256286) (the “Prospectus”(“2021 Form 10-K”), as filed with the United States Securities and Exchange Commission (“SEC”) pursuant to Rule 424(b)(4) under the Securities Act of 1933, as amended.. The accompanying condensed consolidated financial statements include all normal recurring adjustments necessary for fair presentation of the interim financial statements.

Reportable Segments: During the three months ended September 30, 2022, our reportable segments changed. We now report our operating results through three reportable segments: Bright HealthCare – Commercial, Medicare Advantage and NeueHealth. See Note 12, Segments and Geographic Information, for additional information on our segments. We have reflected this change in all historical periods presented.

Use of Estimates: The preparation of our condensed consolidated financial statements in conformance with GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Our most significant estimates include medical costs payable, risk adjustment revenue and associated payables and receivables, premium deficiency reserve, Direct Contracting performance year receivable and obligation, and valuation and impairment of goodwill and other intangible assets, valuation and impairment of investments and estimates of share-based compensation.assets. Actual results could differ from these estimates.

Going Concern:For The condensed consolidated financial statements have been prepared in accordance with GAAP assuming the threeCompany will continue as a going concern. The Company has a history of operating losses, and we generated a net loss of $691.3 million for the nine months ended September 30, 2021, we recognized a change2022. These losses, as well as significant growth in estimateconsumers in the Bright HealthCare – Commercial segment, which has required us to set aside additional cash for risk adjustmentequity contributions to maintain minimum regulatory amounts, have reduced the cash available to fund operations. In addition, the Company amended the terms of $134.0 millionits debt covenants in November 2022 as further described in Note 7, Short-Term Borrowings. These conditions raise substantial doubt about the Company’s ability to continue as a result of updated data inputs usedgoing concern.

In response to calculate Individualthese conditions, management is implementing a restructuring plan to reduce our capital needs and Family Plan (“IFP”) members’ expected full year risk scores, which resultedour operating expenses in anthe future to drive positive operating cash flow and increase in risk adjustmentliquidity. The Company’s Bright HealthCare business
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
payableis exiting the Commercial marketplace for the 2023 plan year and is focusing on its Medicare Advantage business in California. In addition to our market exits, management is implementing additional restructuring activities, which include reducing our workforce, exiting excess office space, and terminating or restructuring contracts. The Company also closed on a $175.0 million capital raise in October 2022 to capitalize our continuing operations as further described in Note 16, Subsequent Events.
The Company believes our restructuring initiatives, along with existing cash and investments, will provide sufficient liquidity to meet its obligations as they come due in the 12 months following the date the condensed consolidated financial statements are issued. As a result, the Company has concluded that management’s plans are probable of being achieved to alleviate substantial doubt about the Company’s ability to continue as a going concern.

Performance Guarantees: Through our participation in the DC Model, we determined that our arrangements with the providers of our DCE beneficiaries require us to guarantee their performance to CMS. We recognized our obligation to guarantee their performance for the duration of the performance year on the Condensed Consolidated Balance Sheets and a reduction in premiumSheets. As we fulfill our obligation we ratably amortize the guarantee for the amount that represents the completed portion of the performance obligation as Direct Contracting revenue inon the Condensed Consolidated Statements of Income (Loss). Direct Contracting revenue is derived from the estimated annual sum of the capitation payments made to the DCEs for services within the scope of the capitation arrangement with CMS and fee-for-service (“FFS”) payments from CMS made directly to third-party providers for our aligned beneficiaries. For each performance year, the final consideration due to the DCEs by CMS (shared savings) or the consideration due to CMS by the DCEs (shared loss) is reconciled in the year following the performance year. Periodically during the performance year, CMS will measure the shared savings or loss and adjust the performance benchmark and thus the remaining performance obligation if we are in a probable shared loss position.

Net loss per share: Prior to 2022, basic net loss per share attributable to common stockholders was computed by dividing the net loss attributable to common stockholders by the weighted average number of shares of common stock outstanding for the period. Diluted net loss attributable to common stockholders is computed by adjusting net losses attributable to common stockholders to reallocate undistributed earnings based on the potential impact of dilutive securities. Diluted net loss per share attributable to common stockholders is computed by dividing the diluted net loss attributable to common stockholders by the weighted average number of shares of common stock outstanding for the period, including potential dilutive common shares. Beginning in 2022, we also include our Series A Convertible Perpetual Preferred Stock (“Series A Preferred Stock”) issued in January 2022 as a participating security in the computation of net loss per share pursuant to the two-class method. The two-class method of calculating net income (loss) per share is an allocation method that calculates earnings per share for common stock and participating securities. Under the two-class method, total dividends due to the holders of the Series A Preferred Stock and undistributed earnings allocated to participating securities are subtracted from net income (loss) in determining net income (loss) attributable to common stockholders.

Operating Costs: Our operating costs, by functional classification for the three and nine months ended September 30, 20212022 and 2020,2021, are as follows (in thousands)thousands):
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended September 30,Nine Months Ended September 30,
20212020202120202022202120222021
Compensation and fringe benefitsCompensation and fringe benefits$100,062 $35,588 $234,467 $92,589 Compensation and fringe benefits$109,629 $100,062 $346,325 $234,467 
Professional feesProfessional fees61,483 20,745 143,248 53,381 Professional fees73,497 61,483 215,627 143,248 
Marketing and selling expense69,443 15,941 183,636 39,056 
Marketing and selling expensesMarketing and selling expenses77,721 69,443 249,458 183,636 
Premium taxes and feesPremium taxes and fees60,708 45,953 196,763 127,783 
Premium deficiency reservePremium deficiency reserve(78,990)— (42,233)— 
General and administrative expensesGeneral and administrative expenses38,778 19,148 113,344 52,856 
Other operating expensesOther operating expenses78,802 25,105 217,739 75,624 Other operating expenses16,102 13,701 43,680 37,100 
Total operating costsTotal operating costs$309,790 $97,379 $779,090 $260,650 Total operating costs$297,445 $309,790 $1,122,964 $779,090 

Recently Issued and Adopted Accounting Pronouncements: In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2020-06, Debt—Debt with Conversion and Other Options
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
(Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity's Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity (“ASU 2020-06”), which simplifies the accounting for convertible instruments by reducing the number of accounting models available for convertible debt instruments. This guidance eliminates the treasury stock method to calculate diluted earnings per share for convertible instruments and requires the use of the if-converted method. We adopted ASU 2020-06 on January 1, 2022. The adoption did not have a material impact on our financial condition, results of operations or cash flows.

There were no other accounting pronouncements that were recently issued and not yet adopted or adopted since our audited consolidated financial statements were issued that had, or are expected to have, a material impact on our consolidated financial position, results of operations, or cash flows.

NOTE 2. BUSINESS COMBINATIONS

Centrum Acquisition: On July 1, 2021, we acquired 75% of the outstanding equity interests of Centrum Medical Holdings, LLC (“Centrum”) for cash consideration of $222.4 million and $75.0 million of common stock, for total purchase consideration of $296.2 million, net of $1.2 million of cash acquired. Centrum is a value-based primary care focused, multi-specialty medical group based in Florida. Centrum primarily operates 17 health centers in Florida and Texas serving Commercial, Medicare, and Medicaid consumers across multiple payors, with secured expansion locations in Texas and North Carolina.payors. Centrum is included in our NeueHealth reportable segment. Transaction costs of $1.0 million incurred in connection with the acquisition are included in operating costs in the Condensed Consolidated Statements of Income (Loss) for the nine months ended September 30, 2021.

The total preliminary purchase consideration for the Centrum acquisition is allocated to tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the acquisition date. The excess of the purchase price over the net assets acquired is recorded as goodwill, which is predominantly attributable to the incremental financial benefits achievable through Bright Health Group’s integrated care delivery model, whereby Bright HealthCare members are cared for under value-based arrangements with Centrum. This model brings together the financing, distribution, and delivery of high-quality healthcare and provides the opportunity to enhance overall margin potential for the Company.
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Bright Health Group, Inc.
Notes The goodwill from the Centrum acquisition is expected to Condensed Consolidated Financial Statements
(Unaudited)
be deductible for tax purposes.
The following table discloses the preliminary estimated fair values of assets and liabilities acquired by the Company in the Centrum acquisition (in thousands)thousands):
Accounts receivable$1,874 
Prepaids and other current assets627 
Property and equipment2,557 
Intangible assets102,370 
Other assets8,917 
Total assets116,345 
Medical payables19 
Accounts payable359 
Other current liabilities861 
Other liabilities11,636 
Total liabilities12,875 
Net identified assets acquired103,470 
Goodwill277,831275,066 
Redeemable noncontrolling interest(85,075)(82,310)
Total purchase consideration, net of cash acquired$296,226 

The preliminary fair values of acquired assets and liabilities assumed represent management’s estimate of fair value and are subject to change if additional information, such as post-close working capital adjustments, becomes available. The Company is in process of identifying any additional intangible assets that would reduce the goodwill recognized. The fair values of certain assets and liabilities have changed from previous disclosure. We obtained additional information to estimate the fair value of the right-of-use lease asset and liability included within other assets and other liabilities. We also updated the fair value of intangible assets based on the methodologies described below.

Our preliminary estimate of intangible assets related to the Centrum acquisition consistsconsist of trade names with a 15-year useful life, customer relationships with 2-2 to 15-year useful lives, and a reacquired contract between Bright HealthCare and Centrum with a useful life of 4.5 years. In the third quarter of 2022, we fully impaired the reacquired contract as a result of our decision to no longer offer commercial
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
products for the 2023 plan year. The value of the trade name was determined using the relief of royalty method and the excess earnings method was used to value the customer relationships; both methods are considered Level 3 fair value measurements. The fair value of noncontrolling interest was determined using a market approach and included a discount to account for the lack of marketability of the noncontrolling interest.

The acquisition of Centrum would not have had a material impact on our revenue or net loss had it been included in the consolidated results of the Company for the nine months ended September 30, 2021 or the three and nine months ended September 30, 2020.2021.

Central Health Plan Acquisition: On April 1, 2021, we acquired all of the outstanding shares of Central Health Plan of California, Inc. (“CHP”) for cash consideration of $276.0 million and $79.8 million in Series E preferred stock and $13.9 million of working capital adjustments, for total purchase consideration of $271.7$285.6 million, net of $84.1 million of cash acquired. All outstanding shares of Series E preferred stock were converted into shares of common stock automatically immediately prior to the closing of our initial public offering on June 28, 2021. CHP is an insurance provider of Medicare AdvantageMA Health Maintenance Organization (“MA”HMO”) HMO services. CHP is included in our Bright HealthCareMedicare Advantage reportable segment. Transaction costs of $0.2 million incurred in connection with the acquisition are included in operating costs in the Condensed Consolidated Statements of Income (Loss) for the nine months ended September 30, 2021, out of $1.4 million of total transaction costs we have incurred.

The total preliminary purchase consideration for the CHP acquisition is allocated to tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the acquisition date. The excess of the purchase price over the net assets acquired is recorded as goodwill. The goodwill for CHP is attributable to synergies from leveraging CHP’s clinical model and California consumer expertise to continue to expand our MA business in the California market. The goodwill is not deductible for tax purposes.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following table discloses the preliminary estimated fair values of assets and liabilities acquired by the Company in the CHP acquisition (in thousands)thousands):

Accounts receivable$16,36117,240 
Short-term investments19,041 
Prepaids and other current assets25,52025,530 
Property and equipment370 
Intangible assets102,000 
Other assets1,249 
Total assets163,292165,430 
Medical costs payable79,45075,643 
Accounts payable2,371 
Other current liabilities17,2127,984 
Other liabilities28,62226,275 
Total liabilities127,655112,273 
Net identified assets acquired35,63753,157 
Goodwill236,037232,442 
Total purchase consideration, net of cash acquired$271,674285,599 

The preliminarymeasurement period adjustments above primarily resulted from obtaining additional information for the valuation of deferred taxes included in other liabilities, to estimate the fair valuesvalue of acquiredthe right-of-use lease asset and liability included within other assets and other liabilities, assumed represent management’s estimate of fair value and are subject to change if additional information, such asrecognize post-close working capital adjustments, becomes available.true-ups based on additional information.

Our preliminary estimate of intangible assets related to the CHP acquisition consistsconsist of customer relationships with a 10-year useful life, trade names with a 15-year useful life and the provider network with a 7-year useful life. The value of the trade name was determined using the relief from royalty method and the excess earnings method was used to value the customer relationships; both methods are considered Level 3 fair value measurements.

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The following pro forma financial information presents our revenue and net loss as ifTable of Contents
Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
If CHP had been included in the consolidated results of the Company for the nine months ended September 30, 2021, our pro forma revenue would have been $3.2 billion and the three and nine months ended September 30, 2020 (in thousands):
Pro Forma Consolidated Statements of Income (Loss)
(Unaudited)
Three Months EndedNine Months Ended
September 30,
September 30, 202020212020
Revenue$502,378 $3,195,925 $1,263,016 
Net Loss(49,157)(358,935)(70,971)

our pro forma net loss would have been $358.9 million.
True Health New Mexico and Zipnosis Acquisitions: On March 31, 2021, we acquired all of the outstanding equity interests of True Health New Mexico, Inc. (“THNM”) for initial cash consideration of $27.5 million and $8.1 million of favorable risk-based capital adjustments, net of cash acquired of $24.1 million, for total purchase consideration of $3.4$(4.7) million. THNM is a physician-led health insurance company offering policies available through the commercial market for individual on- and off-exchange and employer-sponsored health coverage. THNM is included in our Bright HealthCare – Commercial reportable segment. In addition, on March 31, 2021, we acquired Zipnosis, Inc. (“Zipnosis”), which is a telehealth platform that offers virtual care to health systems around the U.S., for aggregate consideration of $73.0 million, including $55.1 million in Series E preferred stock and adjusted for $0.5 million of tangible net equity adjustments. We acquired $3.2 million of cash as part of the Zipnosis acquisition, for net total purchase consideration of $69.8 million. Zipnosis is included in our NeueHealth reportable segment. Transaction costs of $0.5 million incurred in connection with these acquisitions are included in operating costs in the Condensed Consolidated Statements of Income (Loss) for the nine months ended September 30, 2021.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The total preliminary purchase consideration for the THNM and Zipnosis acquisitions is allocated to tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the acquisition date. The excess of the purchase price over the net assets acquired is recorded as goodwill. The goodwill for THNM is attributable to synergies from leveraging THNM’s strong local clinical model of care and the ability to enter into a new state of strategic interest for future growth and expansion. The goodwill from the Zipnosis acquisition is attributable to benefits from the ability to enhance our proprietary technology platform, DocSquad, and Zipnosis’ attractive virtual care capabilities to enhance Bright Health’s consumer and provider connectivity. The goodwill from the THNM and Zipnosis acquisitions is not deductible for tax purposes.

The following table discloses the preliminary estimated fair values of assets and liabilities acquired by the Company in the THNM and Zipnosis acquisitions (in thousands)thousands):
THNMZipnosisTHNMZipnosis
Accounts receivableAccounts receivable$714 $1,062 Accounts receivable$714 $1,062 
Short-term investmentsShort-term investments4,677 — Short-term investments4,705 — 
Prepaids and other current assetsPrepaids and other current assets8,337 141 Prepaids and other current assets8,337 141 
Property and equipmentProperty and equipment— 232 Property and equipment— 232 
Intangible assetsIntangible assets7,300 8,970 Intangible assets7,300 9,180 
Long-term investmentsLong-term investments13,081 — Long-term investments13,644 — 
Other non-current assetsOther non-current assets1,324 766 Other non-current assets1,324 766 
Total assetsTotal assets35,433 11,171 Total assets36,024 11,381 
Medical costs payableMedical costs payable13,268 — Medical costs payable12,617 — 
Accounts payableAccounts payable14,663 136 Accounts payable14,663 136 
Unearned revenueUnearned revenue3,645 120 Unearned revenue3,645 120 
Other current liabilitiesOther current liabilities2,682 665 Other current liabilities11,406 665 
Other liabilitiesOther liabilities2,499 2,730 Other liabilities2,499 2,730 
Total liabilitiesTotal liabilities36,757 3,651 Total liabilities44,830 3,651 
Net identified assets acquired(1,324)7,520 
Net identified assets (liabilities) acquiredNet identified assets (liabilities) acquired(8,806)7,730 
GoodwillGoodwill4,739 62,277 Goodwill4,148 62,067 
Total purchase consideration$3,415 $69,797 
Total purchase consideration, net of cash acquiredTotal purchase consideration, net of cash acquired$(4,658)$69,797 

The preliminary fair values of acquired assets and liabilities assumed represent management’s estimate of fair value and are subject to change if additional information, such asWe recognized measurement period adjustments for THNM for post-close working capital adjustments, becomes available.true-ups of a $0.7 million reduction in medical costs payable (from the $13.3 million previously reported) and a $8.7 million increase in other current liabilities (from the $2.7 million previously reported) based on additional information.

Our preliminary estimate of intangibleIntangible assets initially recognized related to the THNM acquisition consistsconsisted of customer relationships with 10-to10- to 14-year useful lives, trade names with a 15-year useful life and the provider network with a 7-year useful life. In the first quarter of 2022, we fully impaired the intangible assets related to THNM as a result of our decision to no longer offer Commercial
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
products in New Mexico for the 2023 plan year and exit the employer business as contracts expire. For the Zipnosis acquisition, our preliminary estimate of intangible assets consists of customer relationships with a 15-year useful life, trade names with a 5-year useful life and developed technology with a 7-year useful life. For these acquisitions the value of the trade names and developed technology was determined using the relief from royalty method and the excess earnings method was used to value the customer relationships; both methods are considered Level 3 fair value measurements.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following pro forma financial information presents our revenue and net loss as ifIf THNM and Zipnosis had been included in the consolidated results of the Company for the nine months ended September 30, 2021, and three and nine months ended September 30, 2020 (in thousands):
Pro Forma Consolidated Statements of Income (Loss)
(Unaudited)
Three Months EndedNine Months Ended
September 30,
September 30, 202020212020
Revenue384,797 $3,114,954 943,286 
Net Loss(57,035)$(372,315)(85,988)

PMA Acquisition: On December 31, 2020, we acquired a 62% controlling interest in Premier Medical Associates of Florida, LLC (“PMA”) in exchange for $74.2 million. PMA provides care services to Medicare and Medicaid patients in Florida through a network of primary care providers and population health-focused specialists. The acquisition of PMA is expected to enhance our clinical capabilities to better serve enrollees as part of our Florida market expansion. The total purchase consideration for the PMA acquisition was allocated to tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the acquisition date. The excess of the purchase price over the net assets acquired was recorded as goodwill. The purchase price allocation is preliminary and subject to change, including the valuation of property, equipment and capitalized software and intangible assets, among other items. The amounts recognized will be finalized as the information necessary to complete the analysis is obtained, but no later than one year after the acquisition date.

BND Acquisition: On April 30, 2020, we acquired all of the outstanding shares of Universal Care, Inc. (d.b.a. Brand New Day) (“BND”). BND is a leader in providing healthcare services in California and serves Medicare eligible seniors and special needs populations through their extensive network of primary care providers and specialists. BND combines analytics and evidence-based clinical programs with aligned provider relationships to provide high quality, affordable care for complex and vulnerable populations. The total consideration included $206.9 million in cash and $80.0 million in Bright Health Series D preferred stock. We have since applied indemnity escrow adjustments of $44.0 million to the acquisition price, bringing total consideration to $210.1 million, net of cash acquired of $32.8 million. Transaction costs of $3.8 million incurred in connection with the acquisition are included in operating costs in the Consolidated Statements of Income (Loss) for the year ended December 31, 2020. If BND had been included in the consolidated results of the Company for the nine months ended September 30, 2020, our pro forma revenue would have been $1.0$3.1 billion and our pro forma net loss would have been $(100.9)$372.3 million.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The total purchase consideration for the BND acquisition was allocated to tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the acquisition date. The excess of the purchase price over the net assets acquired was recorded as goodwill. The goodwill is attributable to synergies from leveraging BND’s strong clinical model of care to drive growth in our MA business outside of California. The goodwill from the BND acquisition is not deductible for tax purposes. The following table discloses the preliminary estimated fair values of assets and liabilities acquired by the Company in the BND acquisition, as well as measurement adjustments made inDuring the nine months ended September 30, 2021 to2022, we completed an immaterial business combination which increased goodwill in the amounts initially recorded in 2020 NeueHealth reportable segment.
(in thousands):
Amount Recognized as of
Acquisition Date
(as previously reported)
Measurement
Period
Adjustments
Amounts Recognized as of
Acquisition Date
(as adjusted)
Accounts receivable$74,128 $— $74,128 
Prepaid and other currents assets30,583 — 30,583 
Property and equipment4,375 — 4,375 
Intangible assets72,600 1,900 74,500 
Other non-current assets2,906 — 2,906 
Total assets184,592 1,900 186,492 
Medical costs payable119,408 — 119,408 
Other current liabilities51,744 174 51,918 
Other liabilities1,236 108 1,344 
Total liabilities172,388 282 172,670 
Net identified assets acquired12,204 1,618 13,822 
Goodwill197,886 (1,618)196,268 
Total purchase consideration$210,090 $— $210,090 
The measurement period adjustments above primarily resulted from completing valuations for certain intangible assets. The related impact to net earnings that would have been recognized in previous periods if the adjustments were recognized as of the acquisition date is immaterial to the consolidated financial statements. We recognized intangible assets related to the BND acquisition, which consist of $25.6 million for the BND trade name with an estimated useful life of 15 years, customer relationships valued at $46.9 million with a 12-year useful life, and $2.0 million of other intangibles related to the provider network with a 10-year useful life. The value of the trade name was determined using the relief from royalty method and the excess earnings method was used to value the customer relationships; both methods are considered Level 3 fair value measurements.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 3. INVESTMENTS

Fixed Maturity Securities

Available-for-sale securities are reported at fair value as of September 30, 20212022 and December 31, 2020.2021. Held-to-maturity securities are reported at amortized cost as of September 30, 20212022 and December 31, 2020.2021. The following is a summary of our investment securities as of September 30, 20212022 and December 31, 20202021 (in thousands)thousands):
September 30, 2021
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Cash equivalents$271,984 $1 $(1)$271,984 
Available for sale:
U.S. government and agency obligations501,343 283 (376)501,250 
Corporate obligations290,917 384 (106)291,195 
State and municipal obligations15,437 51 (3)15,485 
Commercial paper5,160 5  5,165 
Certificates of deposit26,809   26,809 
Mortgage-backed securities2,533   2,533 
Other12,876 1 (8)12,869 
Total available-for-sale securities855,075 724 (493)855,306 
Held to maturity:
U.S. government and agency obligations7,745   7,745 
Certificates of deposit1,447   1,447 
Total held-to-maturity securities9,192   9,192 
Total investments$1,136,251 $725 $(494)$1,136,482 
December 31, 2020September 30, 2022
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Cash equivalentsCash equivalents$153,743 $— $(3)$153,740 Cash equivalents$379,081 $18 $— $379,099 
Available for sale:Available for sale:Available for sale:
U.S. government and agency obligationsU.S. government and agency obligations291,834 1,246 (1)293,079 U.S. government and agency obligations402,690 (11,027)391,672 
Corporate obligationsCorporate obligations280,557 1,104 (30)281,631 Corporate obligations540,226 (47,716)492,514 
State and municipal obligationsState and municipal obligations18,459 107 — 18,566 State and municipal obligations11,575 — (283)11,292 
Commercial paper14,990 — 14,991 
Certificates of depositCertificates of deposit53,504 (1)53,505 Certificates of deposit13,367 — — 13,367 
Mortgage-backed securitiesMortgage-backed securities171,915 — (18,144)153,771 
Asset-backed securitiesAsset-backed securities69,001 (4,171)64,831 
OtherOther5,534 — 5,536 Other390 — (17)373 
Total available-for-sale securitiesTotal available-for-sale securities664,878 2,462 (32)667,308 Total available-for-sale securities1,209,164 14 (81,358)1,127,820 
Held to maturity:Held to maturity:Held to maturity:
U.S. government and agency obligationsU.S. government and agency obligations6,677 — — 6,677 U.S. government and agency obligations7,007 — — 7,007 
Certificates of depositCertificates of deposit1,119 — — 1,119 Certificates of deposit1,447 — — 1,447 
Total held-to-maturity securitiesTotal held-to-maturity securities7,796 — — 7,796 Total held-to-maturity securities8,454 — — 8,454 
Total investmentsTotal investments$826,417 $2,462 $(35)$828,844 Total investments$1,596,699 $32 $(81,358)$1,515,373 
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
December 31, 2021
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Cash equivalents$192,623 $— $— $192,623 
Available for sale:
U.S. government and agency obligations311,936 259 (2,200)309,995 
Corporate obligations313,965 326 (1,104)313,187 
State and municipal obligations16,122 33 (38)16,117 
Certificates of deposit18,752 — — 18,752 
Mortgage-backed securities38,558 63 (67)38,554 
Other42,889 13 (30)42,872 
Total available-for-sale securities742,222 694 (3,439)739,477 
Held to maturity:
U.S. government and agency obligations7,739 — — 7,739 
Certificates of deposit1,447 — — 1,447 
Total held-to-maturity securities9,186 — — 9,186 
Total investments$944,031 $694 $(3,439)$941,286 
The fair value of available-for-sale investments, including those that are cash equivalents, with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position at September 30, 20212022 and December 31, 20202021 were as follows (in thousands)thousands):
September 30, 2021September 30, 2022
Less Than 12 Months12 Months or GreaterTotalLess Than 12 Months12 Months or GreaterTotal
Description of InvestmentsDescription of InvestmentsFair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Description of InvestmentsFair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Cash equivalents$9,643 $(1)$ $ $9,643 $(1)
U.S. government and agency obligationsU.S. government and agency obligations347,735 (376)  347,735 (376)U.S. government and agency obligations257,637 (4,296)123,821 (6,731)381,458 (11,027)
Corporate obligationsCorporate obligations137,456 (106)  137,456 (106)Corporate obligations472,630 (46,707)16,898 (1,009)489,528 (47,716)
State and municipal obligationsState and municipal obligations2,812 (3)  2,812 (3)State and municipal obligations10,468 (257)824 (26)11,292 (283)
Mortgage-backed securitiesMortgage-backed securities153,771 (18,144)— — 153,771 (18,144)
Asset-backed securitiesAsset-backed securities62,756 (4,171)— — 62,756 (4,171)
OtherOther10,950 (8)  10,950 (8)Other— — 374 (17)374 (17)
Total bonds$508,596 $(494)$ $ $508,596 $(494)
Total securitiesTotal securities$957,262 $(73,575)$141,917 $(7,783)$1,099,179 $(81,358)
December 31, 2020
Less Than 12 Months12 Months or GreaterTotal
Description of InvestmentsFair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Cash equivalents$25,007 $(3)$— $— $25,007 $(3)
U.S. government and agency obligations12,507 (1)— — 12,507 (1)
Corporate obligations121,006 (30)— — 121,006 (30)
Commercial paper999 — — — 999 — 
Certificates of deposit14,003 (1)— — 14,003 (1)
Total bonds$173,522 $(35)$— $— $173,522 $(35)
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
December 31, 2021
Less Than 12 Months12 Months or GreaterTotal
Description of InvestmentsFair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
Fair
Value
Unrealized
Losses
U.S. government and agency obligations286,823 (2,200)— — 286,823 (2,200)
Corporate obligations234,070 (1,104)— — 234,070 (1,104)
State and municipal obligations10,442 (38)— — 10,442 (38)
Mortgage-backed securities32,715 (67)— — 32,715 (67)
Other29,115 (30)— — 29,115 (30)
Total securities$593,165 $(3,439)$— $— $593,165 $(3,439)

As of September 30, 2021,2022, we had 7442,295 investment positions out of 1,8592,403 that were in an unrealized loss position. As of December 31, 2020,2021, we had 1171,343 investment positions out of 1,9171,836 that were in an unrealized loss position. We believe that we will collect the principal and interest due on our debt securities that have an amortized cost in excess of fair value. The unrealized losses were primarily caused by interest rate increases and not by unfavorable changes in the credit quality or issuer credit ratings associated with these securities. In addition, all issuers of debt securities we own remain current on all contractual payments as of September 30, 2022. At each reporting period, we evaluate debt securities for potential impairment when the fair value of the investment is less than its amortized cost. We evaluatedcost, and we intend to sell the underlying credit quality and credit ratingssecurities or it is more likely than not that we will be required to sell the securities before recovery of the issuers, noting no significant deterioration since purchase.their amortized cost basis. As of September 30, 2021,2022, we did not have the intent to sell any of the securities in an unrealized loss position. Therefore,position, and it is not more likely than not that we believewill be required to sell these losses to be temporary.securities before recovery of their amortized cost basis.

As of September 30, 2021,2022, the maturity of available-for-sale securities, by contractual maturity, reflected at amortized cost and fair value were as follows (in thousands)thousands):
Amortized
Cost
Fair
Value
Amortized
Cost
Fair
Value
Due in one year or lessDue in one year or less$203,284 $203,614 Due in one year or less$278,680 $275,803 
Due after one year through five yearsDue after one year through five years651,705 651,606 Due after one year through five years551,078 514,924 
Due after five years through 10 yearsDue after five years through 10 years86 86 Due after five years through 10 years373,324 331,655 
Due after 10 yearsDue after 10 years— — Due after 10 years6,082 5,438 
Total debt securitiesTotal debt securities$855,075 $855,306 Total debt securities$1,209,164 $1,127,820 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Investment income in the Condensed Consolidated Statements of Income (Loss) for the three months ended September 30, 2022 and 2021, was $6.9 million and $1.1 million, respectively, and $13.2 million, and $3.5 million for the nine months ended September 30, 20212022 and 2020, was $3.5 million, and $7.1 million,2021, respectively, related to our fixed maturity securities. The gross proceeds from the sale of available-for-sale securities for the nine months ended September 30, 2022 and 2021 were $723.4 million and $264.1 million, respectively. Realized (losses) gains (losses) from our fixed maturity securities of $0.4(4.1) million and $0.1$0.4 million are included within total investment income, and reclassified out of accumulated other comprehensive income, for the nine months ended September 30, 20212022 and 2020,2021, respectively.

Equity Securities

On April 1, 2021 we completed the purchase of 1.6 million shares of equity securities for aggregate cash consideration of $40.1 million. As of September 30, 2022 and December 31, 2021, thewe held equity securities had awith carrying value of $149.1$29.3 million and $120.4 million, respectively, which is included in short-term investments in the Condensed Consolidated Balance Sheet. We recognized an unrealized gain of $46.3 million and $109.0 million in investmentInvestment income (loss) in the Condensed Consolidated Statements of Income (Loss) for the three months ended September 30, 2022 and 2021, was $4.8 million and $46.3 million, respectively, and $(52.3) million and $109.0 million for the nine months ended September 30, 2022 and 2021, respectively, related to our equity securities. We recognized unrealized (losses) gains of $(12.2)
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
million and $46.3 million in investment income (loss) in the Condensed Consolidated Statements of Income (Loss) for the three months ended September 30, 2022 and 2021, respectively. We recognized unrealized (losses) gains of $(69.3) million and $109.0 million for the nine months ended September 30, 2022 and 2021, respectively. We recognized realized gains on equity securities of $17.0 million for the three and nine months ended September 30, 2021, respectively.2022, there were no realized gains on equity securities for the three and nine months ended September 30, 2021.

NOTE 4. FAIR VALUE MEASUREMENTS

Basis of fair value measurement:

Level 1:

Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities.

Level 2:

Quoted prices for similar assets or liabilities in active markets or quoted prices in markets that are not active, or inputs that are observable, either directly or indirectly, for substantially the full term of the asset or liability.

Level 3:

Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

Certain assets and liabilities are measured at fair value in the condensed consolidated financial statements or have fair values disclosed in the notes to the condensed consolidated financial statements. These assets and liabilities are classified into one of three levels of a hierarchy defined by GAAP.

For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument except for the equity securities, see noteNote 5 of notes to the audited consolidated financial statements included in our Prospectus filed with the SEC.2021 Form 10-K.

Equity Securities — The following tables set forth our fair value measurements as of the equity securities was determined basedSeptember 30, 2022 and December 31, 2021, for assets measured at fair value on the quoted market price of the underlying securities a recurring basis (in an active market.thousands):
September 30, 2022
Level 1Level 2Level 3Total
Assets
Cash equivalents$327,948 $27,223 $— $355,171 
Fixed maturity securities, available for sale:
U.S. government and agency obligations333,349 58,323 — 391,672 
Corporate obligations— 492,514 — 492,514 
State and municipal obligations— 11,292 — 11,292 
Certificates of deposit— 13,367 — 13,367 
Mortgage-backed securities— 153,771 — 153,771 
Asset-backed securities— 64,831 64,831 
Other— 373 — 373 
Total fixed maturity securities, available for sale:333,349 794,471 — 1,127,820 
Equity securities29,295 — — 29,295 
Total assets at fair value$690,592 $821,694 $— $1,512,286 
Liabilities
Contingent consideration$— $— $1,495 $1,495 
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following tables set forth our fair value measurements as of September 30, 2021 and December 31, 2020, for assets measured at fair value on a recurring basis (in thousands):
December 31, 2021
Level 1Level 2Level 3Total
Assets
Cash equivalents$192,063 $250 $— $192,313 
Fixed maturity securities, available for sale:
U.S. government and agency obligations220,801 89,194 — 309,995 
Corporate obligations2,323 310,864 — 313,187 
State and municipal obligations— 16,117 — 16,117 
Certificates of deposit— 18,752 — 18,752 
Mortgage-backed securities2,404 36,150 — 38,554 
Other— 42,872 — 42,872 
Total fixed maturity securities, available for sale:225,528 513,949 — 739,477 
Equity securities120,364 — — 120,364 
Total assets at fair value$537,955 $514,199 $— $1,052,154 
Liabilities
Contingent consideration$— $— $1,495 $1,495 
September 30, 2021
Level 1Level 2Level 3Total
Assets
Cash equivalents$209,727 $35,507 $ $245,234 
Fixed maturity securities, available for sale:
U.S. government and agency obligations358,202 143,048  501,250 
Corporate obligations2,234 288,961  291,195 
State and municipal obligations 15,485  15,485 
Commercial paper 5,165  5,165 
Certificates of deposit18,738 8,071  26,809 
Mortgage-backed securities2,533   2,533 
Other 12,869  12,869 
Total fixed maturity securities, available for sale:381,707 473,599  855,306 
Equity securities149,144   149,144 
Total assets at fair value$740,578 $509,106 $ $1,249,684 
Liabilities
Contingent consideration$ $ $7,079 $7,079 
December 31, 2020
Level 1Level 2Level 3Total
Assets
Cash equivalents$149,499 $4,019 $— $153,518 
Fixed maturity securities, available for sale:
U.S. government and agency obligations197,886 95,193 — 293,079 
Corporate obligations— 281,631 — 281,631 
State and municipal obligations— 18,566 — 18,566 
Commercial paper— 14,991 — 14,991 
Certificates of deposit— 53,505 — 53,505 
Other— 5,536 — 5,536 
Total assets at fair value$347,385 $473,441 $— $820,826 
Liabilities
Contingent consideration$— $— $5,716 $5,716 

The following tables set forth the Company’s fair value measurements as of September 30, 20212022 and December 31, 2020,2021, for certain financial instruments not measured at fair value on a recurring basis (in thousands)thousands):
September 30, 2021September 30, 2022
Level 1Level 2Level 3TotalLevel 1Level 2Level 3Total
Cash equivalents, held to maturityCash equivalents, held to maturity$26,750 $ $ $26,750 Cash equivalents, held to maturity$23,928 $— $— $23,928 
Fixed maturity securities, held to maturity:Fixed maturity securities, held to maturity:Fixed maturity securities, held to maturity:
U.S. government and agency obligationsU.S. government and agency obligations7,768   7,768 U.S. government and agency obligations7,007 — — 7,007 
Certificates of depositCertificates of deposit1,447   1,447 Certificates of deposit— 1,447 — 1,447 
Total held to maturityTotal held to maturity$35,965 $ $ $35,965 Total held to maturity$30,935 $1,447 $— $32,382 
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December 31, 2021
Level 1Level 2Level 3Total
Cash equivalents, held to maturity$310 $— $— $310 
Fixed maturity securities, held to maturity:
U.S. government and agency obligations7,732 — — 7,732 
Certificates of deposit— 1,447 — 1,447 
Total held to maturity$8,042 $1,447 $— $9,489 
Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
December 31, 2020
Level 1Level 2Level 3Total
Cash equivalents, held to maturity$222 $— $— $222 
Fixed maturity securities, held to maturity:
U.S. government and agency obligations6,732 — — 6,732 
Certificates of deposit— 1,119 — 1,119 
Total held to maturity$6,954 $1,119 $— $8,073 
There have been no transfers of assets or liabilities into or out of Level 3 of the fair value hierarchy. The contingent consideration liability related to the acquisition of AssociatesMD Medical Group, Inc. is measured using Level 3 inputs based on a formulaic multiple of forecasted 2023 EBITDA per the terms of the purchase agreement discounted back to net present
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
value. The following table presents the changes in fair value of the contingent consideration liability for the nine months ended September 30, 20212022 and year ended December 31, 20202021 (in thousands)thousands):
2021202020222021
Balance at beginning of periodBalance at beginning of period$5,716 $5,716 Balance at beginning of period$1,495 $5,716 
Change in fair value of contingent considerationChange in fair value of contingent consideration1,363 — Change in fair value of contingent consideration— (4,221)
Balance at end of periodBalance at end of period$7,079 $5,716 Balance at end of period$1,495 $1,495 
The carrying amounts reported on the Condensed Consolidated Balance Sheets for other current financial assets and liabilities approximate fair value due to their short-term nature. These assets and liabilities are not included in the tables above.

NOTE 5. GOODWILL AND INTANGIBLE ASSETS
As described in Note 12, Segments and Geographic Information, our reportable segments changed, and we now report our operating results through three reportable segments: Bright HealthCare – Commercial, Medicare Advantage and NeueHealth. The change in our reportable segments did not change our operating segments or our reporting units. Changes in the carrying value of goodwill by reportable segment were as follows (in thousands)thousands):
Bright HealthCareNeueHealth
Gross Carrying
Amount
Cumulative
Impairment
Gross Carrying
Amount
Cumulative
Impairment
Balance at December 31, 2020$197,886 $— $65,149 $— 
Acquisitions240,776 340,108 
Purchase adjustments(1,618)   
Balance at September 30, 2021$437,044 $ $405,257 $ 
Bright HealthCare - CommercialMedicare AdvantageNeueHealth
Gross Carrying
Amount
Cumulative
Impairment
Gross Carrying
Amount
Cumulative
Impairment
Gross Carrying
Amount
Cumulative
Impairment
Balance at December 31, 2021$4,148 $— $428,710 $— $402,282 $— 
Impairment Losses 4,148  70,017 —  
Acquisitions   310  
Balance at September 30, 2022$4,148 $4,148 $428,710 $70,017 $402,592 $— 
2022 Interim Goodwill Impairment Test
The gross
Historically, we test goodwill for impairment annually at the beginning of the fourth quarter or whenever events or circumstances indicate the carrying value may not be recoverable. During the three months ended September 30, 2022, we determined that our decision to exit the Commercial markets and accumulated amortization for definite-lived intangible assets werethe decrease in our enterprise market capitalization due to a decrease in the price of our common stock, represented events that indicated the carrying values of our reporting units may not be recoverable. As such, we performed an interim impairment test as follows of September 30, 2022.
(in thousands):
September 30, 2021December 31, 2020
Gross Carrying
Amount
Accumulated AmortizationGross Carrying
Amount
Accumulated Amortization
Customer relationships$209,321 $19,257 $117,451 $3,664 
Trade names99,231 5,057 38,161 1,604 
Reacquired contract59,000 3,278 — — 
Developed technology6,200 443 — — 
Other6,400 598 2,000 133 
Total$380,152 $28,633 $157,612 $5,401 
We estimated the fair values of our Medicare Advantage and NeueHealth reporting units using a combination of discounted cash flows and comparable market multiples, which include assumptions about a wide variety of internal and external factors. As a result of our interim impairment test, we recognized a non-cash impairment loss of $70.0 million in our Medicare Advantage reporting unit, which had a goodwill carrying amount of $358.7 million after impairment. The impairment of our Medicare Advantage reporting unit was primarily driven by an increase in the discount rate, which was impacted by higher interest rates and other market factors. We estimated the fair value of our Bright HealthCare – Commercial reporting unit using an adjusted balance sheet approach as a result of our decision to exit the Commercial business for the 2023 plan year. We recognized a $4.1 million non-cash impairment loss related to our Bright HealthCare – Commercial reporting unit, which represented all of the goodwill associated with the Bright HealthCare – Commercial reporting unit. There was no impairment of our NeueHealth reporting unit.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)

The acquisition date fair valuesgross carrying value and weighted-average useful lives assigned toaccumulated amortization for definite-lived intangible assets acquired duringwere as follows (in thousands):
September 30, 2022December 31, 2021
Gross Carrying
Amount
Accumulated AmortizationGross Carrying
Amount
Accumulated Amortization
Customer relationships$206,321 $36,777 $209,421 $21,728 
Trade names96,041 11,458 99,241 6,738 
Reacquired contract— — 59,000 6,556 
Developed technology6,300 1,350 6,300 675 
Other5,400 1,212 6,400 805 
Total$314,062 $50,797 $380,362 $36,502 
We recognized $42.6 million of impairment expense and $49.3 million of impairment expense on the intangible assets related to our THNM and Centrum acquisitions in intangible assets impairment in the Condensed Consolidated Statements of Income (Loss) for the three and nine months ended September 30, 2021 were2022, respectively, as followsa result of Bright HealthCare’s decision to no longer offer commercial products for the 2023 plan year. See Note 2 (in thousands)Business Combinations,: for additional information on this impairment. There was no impairment expense for the three and nine months ended September 30, 2021.
Fair ValueWeighted-Average
Useful Life
(in years)
Customer relationships$90,670 16.0
Trade names60,370 14.9
Reacquired contract59,000 4.5
Developed technology6,200 7.0
Other4,400 7.0
Total$220,640 9.8

Amortization expense relating to intangible assets for the three months ended September 30, 2022 and 2021 and 2020 was $13.3$10.4 million and $1.8$13.3 million, respectively, and amortization expense for the nine months ended September 30, 2022 and 2021 and 2020 was $23.2$31.3 million and $3.6$23.2 million, respectively. Estimated amortization expense relating to intangible assets for the remainder of 20212022 and for each of the next five full years ending December 31 is as follows (in thousands)thousands):
2021 (October-December)$10,513 
202242,050 
2022 (October - December)2022 (October - December)$7,095 
2023202342,029 202328,360 
2024202441,890 202428,221 
2025202541,890 202528,221 
2026202626,323 202628,104 
2027202728,065 
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 6. MEDICAL COSTS PAYABLE
The following table shows the components of the change in medical costs payable for the nine months ended September 30 (in thousands)thousands):
September 30,
2021202020222021
Medical costs payable - January 1Medical costs payable - January 1$249,777 $44,804 Medical costs payable - January 1$817,975 $249,777 
Incurred related to:Incurred related to:Incurred related to:
Current yearCurrent year2,647,719 685,637 Current year4,443,878 2,647,719 
Prior yearPrior year1,726 (9,297)Prior year(36,322)1,726 
Total incurredTotal incurred2,649,445 676,340 Total incurred4,407,556 2,649,445 
Paid related to:Paid related to:Paid related to:
Current yearCurrent year2,074,602 610,161 Current year3,538,386 2,074,602 
Prior yearPrior year232,312 29,974 Prior year712,019 232,312 
Total paidTotal paid2,306,914 640,135 Total paid4,250,405 2,306,914 
Acquired claims liabilitiesAcquired claims liabilities92,737 118,662 Acquired claims liabilities— 92,737 
Medical costs payable - September 30Medical costs payable - September 30$685,045 $199,671 Medical costs payable - September 30$975,126 $685,045 
Medical costs payable attributable to prior years decreased by $36.3 million and increased by $1.7 million and decreased by $9.3$1.7 million for the nine months ended September 30, 20212022 and 2020,2021, respectively. Medical costs payable estimates are adjusted as additional information becomes known regarding claims; there were no significant changes to estimation methodologies during the periods.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The table below details the components making up the medical costs payable as of September 30 (in thousands)thousands):
September 30,
2021202020222021
Claims unpaidClaims unpaid$42,488 $25,961 Claims unpaid$72,917 $42,488 
Provider incentive payableProvider incentive payable69,274 10,391 Provider incentive payable46,024 69,274 
Claims adjustment expense liabilityClaims adjustment expense liability12,413 2,572 Claims adjustment expense liability19,528 12,413 
Incurred but not reportedIncurred but not reported560,870 160,747 Incurred but not reported836,657 560,870 
Total medical costs payableTotal medical costs payable$685,045 $199,671 Total medical costs payable$975,126 $685,045 
Medical costs payable are primarily related to the current year. The Company has recorded claims adjustment expense as a component of operating costs in the Condensed Consolidated Statements of Income (Loss).

NOTE 7. SHORT-TERM BORROWINGS

On March 1, 2021, we entered intoWe have a $350.0 million revolving credit agreement with a syndicate of banks (the “Credit Agreement”). On August 2, 2021,, which matures on February 28, 2024. In January 2022, we repaid the $155.0 million outstanding under the Credit Agreement was amended to changeas of December 31, 2021. During the definition of “Qualified IPO” by reducing the net proceeds required to be received by the Company from $1.0 billion to $850.0 million. In addition, prior to such amendment,three months ended September 30, 2022, we borrowed $303.9 million under the Credit Agreement containedat a weighted-average effective annual interest rate of 8.41%, which remains outstanding as of September 30, 2022.

The Credit Agreement contains a covenant that requiredrequires the Company to maintain a total debt to capitalization ratio of (a) 0.25 to 1.00 prior to a Qualified IPO, and (b) 0.30 to 1.00 after a Qualified IPO. The Amendment changed this covenant by removing the increase in the ratio after a Qualified IPO such that the Company is now required to maintain a total debt to capitalization ratio of 0.25 to 1.00. The Credit Agreement also contains a covenant that require us to maintain a minimum liquidity of $150.0 million. We were not in compliance with the total debt to capitalization ratio covenant as of September 30, 2022. On August 4, 2021,November 8, 2022, we electedexecuted an amendment to extend the maturity date of the Credit Agreement from February 28,pursuant to which certain collateral related defaults were waived and, in
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
addition, it was agreed that we would (i) not be required to test our debt to capitalization ratio covenant during and including the four quarter test period ending September 30, 2022 through and including the four quarter test period ending September 30, 2023, (ii) be required to February 28, 2024. During the second quartermaintain a minimum liquidity of 2021, we utilized a portion of the net IPO proceeds to repay the $200.0 million principal balance of indebtedness outstanding under our revolving credit agreement originally entered into on March 1, 2021from November 8, 2022 through and the associated interest and other costs of $3.2 million. As ofincluding September 30, 2021, we have no borrowings outstanding under the Credit Agreement.2023 and (iii) be required to maintain a minimum liquidity of $150.0 million after September 30, 2023.

NOTE 8. SHARE-BASED COMPENSATION

2016 Incentive Plan

The Company adopted its 2016 Stock Incentive Plan (the “2016 Incentive Plan”) in March 2016. The 2016 Incentive Plan allowed for the Company to grant stock options, restricted stock awards (“RSAs”), and restricted stock units (“RSUs”) to certain employees, consultants and non-employee directors. The 2016 Incentive Plan was initially adopted on March 25, 2016, and most recently amended in December 2020. Following the effectiveness of our 2021 Omnibus Plan (the “2021 Incentive Plan”), no further awards will be granted under the 2016 Incentive Plan. However, all outstanding awards granted under the 2016 Incentive Plan will continue to be governed by the existing terms of the 2016 Incentive Plan and the applicable award agreements.

2021 Incentive Plan

The 2021 Incentive Plan (the “2021 Incentive Plan”) was adopted by our Board of Directors on May 21, 2021 and approved by our stockholders on May 25, 2021 and June 5, 2021. The 2021 Incentive Plan allows the Company to grant stock options, RSAs, RSUs, stock appreciation rights, other equity based awards, and cash based incentive awards to certain employees, consultants and non-employee directors. There are 42.073.4 million shares of common stock authorized for issuance under the 2021 Incentive Plan. As of September 30, 2021,2022, a total of 26.816.7 million shares of common stock were available for future issuance under the 2021 Incentive Plan.

Share-Based Compensation Expense

We recognized share-based compensation expense of $43.2$77.3 million and $3.743.2 million for the nine months ended September 30, 20212022 and 2020,2021, respectively, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss).
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Stock Options

The Board of Directors, or the Compensation and Human Capital Committee of the Board of Directors, as applicable, determines the exercise price, vesting periods and expiration date at the time of the grant. Stock options granted prior to the third quarter of 2021 generally vest 25% at one year from the grant date, then ratably over the next 36 months with continuous employee service. Stock options granted after the beginning of the third quarter of 2021 generally vest ratably over three years. Option grants generally expire 10 years from the date of grant.

The calculated value of each option award iswas estimated on the date of grant using a Black-Scholes option valuation model that used the following weighted-average assumptions for options granted during the nine months ended September 30, 2021:2022:
20212022
Risk-free interest rate0.81.9 %
Expected volatility33.354.3 %
Expected dividend rate0.0%
Forfeiture rate14.5 %
Expected life in years6.16.0

Risk-free interest rates are based on U.S. Treasury yields in effect at the time of grant. Expected volatilities are based on the historical volatility of our publicly traded industry peers.peers and the implied volatility from exchange-traded options on the Company’s common stock. We use historical data to estimate option forfeitures within the valuation model. The expected lives
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
of options granted represent the period of time that the awards granted are expected to be outstanding based on historical exercise patterns.

The activity for the stock options for the nine months ended September 30, 20212022 is as follows (in thousands,thousands, except exercise price and contractual life):
SharesWeighted-Average
Exercise Price
Weighted-Average
Remaining
Contractual Life
(In Years)
Aggregate
Intrinsic Value
SharesWeighted-Average
Exercise Price
Weighted-Average
Remaining
Contractual Life
(In Years)
Aggregate
Intrinsic Value
Outstanding at January 1, 202163,925 $1.47 8.7$53,573 
Outstanding at January 1, 2022Outstanding at January 1, 202269,244 $1.84 8.2$113,908 
GrantedGranted20,447 2.58 Granted8,479 1.83 
ExercisedExercised(9,373)1.09 Exercised(1,231)1.07 
ForfeitedForfeited(4,709)1.75 Forfeited(9,087)2.05 
ExpiredExpired(11)1.09 Expired(1,607)1.99 
Outstanding at September 30, 202170,279 $1.83 8.5$445,246 
Outstanding at September 30, 2022Outstanding at September 30, 202265,798 $1.82 7.2$1,318 

We recognized share-based compensation expense related to stock options of $39.8 million for the nine months ended September 30, 2022, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). The weighted-average grant date fair value of stock options granted during the nine months ended September 30, 20212022 was $10.86$0.96 per share. At September 30, 2021,2022, there was $150.7$91.5 million of unrecognized compensation expense related to stock options that is expected to be recognized over a weighted-average period of 3.42.4 years.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Restricted Stock Units

RSUs represent the right to receive shares of our common stock at a specified date in the future and generally vest over a three-year period.period, except for Board of Director grants which generally vest one year from the date of grant. The fair value of RSUs is determined based on the closing market price of our common stock on the date of grant.

The following table summarizes RSU award activity for the nine months ended September 30, 20212022 (in in thousands,thousands, except weighted average grant date fair value):
RSU
Number of RSUsWeighted Average Grant Date Fair Value
Unvested RSUs at December 31, 2020$ 
    RSUs granted364 9.11 
    RSUs canceled(19)9.01 
Unvested RSUs at September 30, 2021345 $9.11 
Number of RSUsWeighted Average Grant Date Fair Value
Unvested RSUs at December 31, 202115,651$3.98 
Granted28,948 1.77 
Vested(140)8.76 
Forfeited(7,134)2.99 
Unvested RSUs at September 30, 202237,325 $2.44 

We recognized share-based compensation expense related to RSUs of $0.2$16.8 million for the three and nine months ended September 30, 2021,2022, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). As of September 30, 2021,2022, there was $2.5$60.5 million of unrecognized compensation expense related to the RSU grants, which is expected to be recognized over a weighted-average period of 2.72.3 years.

Performance-based Restricted Stock Units (“PSUs”)

In connection with our IPO, our Board of Directors approved the grant of PSUs to members of our executive leadership team. The grant encompassesencompassed a total of 14.7 million PSUs, separated into 4four equal tranches, each of which are eligible to vest based
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
on the achievement of predetermined stock price goals and a minimum service period of 3 years. This grant is intended to retain and incentivize our executive leadership to lead the Company to sustained, long-term financial and operational performance. The fair value of the PSUs iswas determined using a Monte-Carlo simulation.
The following table summarizes PSU award activity for the nine months ended September 30, 20212022 (in thousands,thousands, except weighted average grant date fair value):
PSU
Number of PSUsWeighted Average Grant Date Fair Value
Unvested PSUs at December 31, 2020$ 
    PSUs granted14,700 9.30 
    PSUs canceled  
Unvested PSUs at September 30, 202114,700 $9.30 
Number of PSUsWeighted Average Grant Date Fair Value
Unvested PSUs at December 31, 202114,700$9.30 
Granted— — 
Forfeited(3,150)9.30 
Unvested PSUs at September 30, 202211,550 $9.30 
We recognized share-based compensation expense related to the PSU grantPSUs of $10.0 million and $10.3$20.7 million for the three and nine months ended September 30, 2021, respectively,2022, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). At September 30, 2021,2022, there was $108.5$57.0 million of unrecognized compensation expense related to the PSU grant, which is expected to be recognized over a weighted-average period of 2.71.7 years.

NOTE 9. REDEEMABLE CONVERTIBLE PREFERRED STOCK

Series A Convertible Preferred Stock

On December 6, 2021, we entered into an investment agreement with certain subsidiaries of Cigna Corporation (“Cigna”) and certain affiliates of New Enterprise Associates (“NEA”) (collectively, the “Purchasers”) relating to the issuance of 750,000 shares of Series A Preferred Stock, par value $0.0001 per share, for an aggregate purchase price of $750.0 million, or $1,000 per share (the “Issuance”). The close of the Issuance occurred on January 3, 2022 (the “Closing Date”).

The Series A Preferred Stock ranks senior to the shares of the Company’s common stock with respect to dividend rights and rights on the distribution of assets on any voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company. The Preferred Stock has an initial liquidation preference of $1,000 per share, which shall increase by accumulated quarterly dividends that are not paid in cash (“compounded dividends”). Holders of the Series A Preferred Stock are entitled to a dividend at the rate of 5.0% per annum, accruing daily and payable quarterly in arrears and subject to certain adjustments, as set forth in the Certificate of Designations. Dividends will be payable in cash, by increasing the amount of liquidation preference (compounded dividends) with respect to a share of Series A Preferred Stock, or any combination thereof, at the sole discretion of the Company. The Series A Preferred Stock had accrued compounded dividends of $28.1 million as of September 30, 2022.

The Series A Preferred Stock will be convertible at the option of the holders into (I) the number of shares of common stock equal to the quotient of (a) the sum of (x) the liquidation preference (reflecting increases for compounded dividends) plus (y) the accrued dividends with respect to each share of Series A Preferred Stock as of the applicable conversion date divided by (b) the conversion price (initially approximately $4.55 per share) as of the applicable conversion date plus (II) cash in lieu of fractional shares, subject to certain anti‑dilution adjustments. At any time after the third anniversary of the Closing Date, if the closing price per share of Common Stock on the New York Stock Exchange was greater than $7.96 for (x) each of at least twenty (20) trading days in any period of thirty (30) consecutive trading days and (y) the last trading day immediately before the Company provides the holders with notice of its election to convert all of the Series A Preferred Stock into the relevant number of shares of common stock, the Company may elect to convert all of the Series A Preferred Stock into the relevant number of shares of common stock.

Under the Certificate of Designations, holders of the Series A Preferred Stock are entitled to vote with the holders of the common stock on an as‑converted basis, solely with respect to (i) a change of control transaction (to the extent such change of control transaction is submitted to a vote of the holders of the common stock) or (ii) the issuance of capital stock by the Company in connection with an acquisition by the Company (to the extent such issuance is submitted to a vote of the holders of
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
the common stock), subject to certain restrictions. Holders of the Series A Preferred Stock are entitled to a separate class vote with respect to, among other things, amendments to the Company’s organizational documents that have an adverse effect on the Series A Preferred Stock, authorizations or issuances by the Company of securities that are senior to the Series A Preferred Stock, increases or decreases in the number of authorized shares of Preferred Stock, and issuances of shares of the Series A Preferred Stock after the Closing Date.

At any time following the fifth anniversary of the original issuance date, the Company may redeem all of the Series A Preferred Stock for a per share amount in cash equal to: (i) the sum of (A) the liquidation preference (reflecting increases for compounded dividends) thereof plus (B) all accrued dividends as of the applicable redemption date, multiplied by (ii) (A) 105% if the redemption occurs at any time prior to the seventh anniversary of the Closing Date and (B) 100% if the redemption occurs at any time on or after the seventh anniversary of the Closing Date. Upon certain change of control events involving the Company, the holders of the Series A Preferred Stock may, at such holder’s election, convert their shares of Series A Preferred Stock into common stock at the then‑current conversion price or require the Company to purchase all or a portion of such holder’s shares of Preferred Stock that have not been so converted at a purchase price per share of Preferred Stock, payable in cash, equal to the greater of (I) (A) if the change of control effective date occurs at any time prior to the seventh anniversary of the Closing Date, the product of 105% multiplied by the sum of (x) the liquidation preference of such share of Series A Preferred Stock (reflecting increases for compounded dividends) plus (y) the accrued dividends in respect of such share of Series A Preferred Stock as of the change of control purchase date and (B) if the change of control effective date occurs on or after the seventh anniversary of the Closing Date, the sum of (x) the liquidation preference (reflecting increases for compounded dividends) of such share of Series A Preferred Stock plus (y) the accrued dividends in respect of such share of Series A Preferred Stock as of the change of control purchase date and (II) the consideration that would have been payable in connection with such change of control if such share of Series A Preferred Stock had been converted into Common Stock immediately prior to the change of control.

We have applied the guidance in ASC 480‑10‑S99‑3A, SEC Staff Announcement: Classification and Measurement of Redeemable Securities, and have therefore classified the Series A Preferred Stock outside of shareholders’ equity on the Condensed Consolidated Balance Sheet because the shares contain liquidation features that are not solely within the Company's control. The Series A Preferred Stock was recorded at its fair value on the date of issuance net of $2.5 million of issuance costs. The Company has elected not to adjust the carrying value of the Series A Preferred Stock to the liquidation preference of such shares because of the uncertainty of whether or when such an event would occur. Subsequent adjustments to increase the carrying value to the liquidation preferences will be made only when it becomes probable that such a liquidation event will occur.

NOTE 9.10. NET LOSS PER SHARE

The following table sets forth the computation of basic and diluted net loss per share attributable to common stockholders for the three and nine months ended September 30, (in thousands,thousands, except for per share amounts):
Three Months Ended September 30,Nine Months Ended
September 30,
Three Months Ended
September 30,
Nine Months Ended
September 30,
20212020202120202022202120222021
Net loss attributable to Bright Health Group, Inc. common shareholdersNet loss attributable to Bright Health Group, Inc. common shareholders$(300,664)$(59,256)$(370,344)$(84,610)Net loss attributable to Bright Health Group, Inc. common shareholders$(315,755)$(300,664)$(804,054)$(370,344)
Weighted-average number of shares outstanding used to compute net loss per share attributable to common stockholders, basic and dilutedWeighted-average number of shares outstanding used to compute net loss per share attributable to common stockholders, basic and diluted630,378 136,337 312,294 135,926 Weighted-average number of shares outstanding used to compute net loss per share attributable to common stockholders, basic and diluted629,718 630,378 629,231 312,294 
Net loss per share attributable to common stockholders, basic and dilutedNet loss per share attributable to common stockholders, basic and diluted$(0.48)$(0.43)$(1.19)$(0.62)Net loss per share attributable to common stockholders, basic and diluted$(0.50)$(0.48)$(1.28)$(1.19)
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following outstanding shares of potentially dilutive securities were excluded from the computation of diluted net loss per share because including them would have had an anti-dilutive effect for the nine months ended September 30 (in thousands)thousands):
Nine Months Ended
September 30,
Nine Months Ended
September 30,
2021202020222021
Redeemable convertible preferred stock (as converted to common stock)Redeemable convertible preferred stock (as converted to common stock) 411,238 Redeemable convertible preferred stock (as converted to common stock)171,061 — 
Stock options to purchase common stockStock options to purchase common stock70,279 58,224 Stock options to purchase common stock65,798 70,279 
Restricted stock unitsRestricted stock units37,325 — 
TotalTotal70,279 469,462 Total274,184 70,279 

NOTE 10.11. COMMITMENTS AND CONTINGENCIES

Legal proceedings: In the normal course of business, we could be involved in various legal proceedings such as, but not limited to, the following: lawsuits alleging negligence in care or general liability, violation of regulatory bodies’ rules and regulations, or violation of federal and/or state laws. At September 30, 2021

On January 6, 2022, a putative securities class action lawsuit was filed against us and December 31, 2020, there were no material known contingent liabilities.
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Tablecertain of Contentsour officers and directors in the Eastern District of New York. The case is captioned
Marquez v. Bright Health Group, Inc.et al., 1:22-cv-00101 (E.D.N.Y.). The lawsuit alleges, among other things, that we made materially false and misleading statements regarding our business, operations, which in turn adversely affected our stock price. An amended complaint was filed on June 24, 2022, which expands on the allegations in the original complaint and alleges a putative class period of June 24, 2021 through March 1, 2022. The amended complaint also adds as defendants the underwriters of our initial public offering. The Company has served a motion to dismiss the amended complaint, which has not yet been ruled on by the court.
Notes
By letter dated January 28, 2022, we received a demand from a purported shareholder to Condensed Consolidated Financial Statementsinspect our books and records pursuant to Delaware law. The demand sought information related to the December 6, 2021 Investment Agreement that the Company entered into with NEA and Cigna. The Company and the shareholder’s counsel executed a confidentiality agreement, and we produced certain books and records in response to the demand. On June 3, 2022, the purported shareholder filed a putative class action complaint against us and our Board of Directors alleging that the standstill provisions and certain transfer restrictions in the Investment Agreement breached fiduciary duties to shareholders. The case is captioned Berger v. Adkins et al., 2022-0487 (Del. Ch.). The complaint seeks declaratory and injunctive relief, and an award of attorneys’ fees, but does not allege damages. The Company filed a motion to dismiss the complaint, which has not yet been ruled on by the court. The parties are also currently preparing to exchange discovery.
(Unaudited)
We intend to vigorously defend the Company in the above actions, but there can be no assurance that we will be successful in any defense. Based on our assessment of the facts underlying the claims and the degree to which we intend to defend the Company in these matters, the amount or range of reasonably possible losses, if any, cannot be estimated. As a result, we have not accrued for any potential loss as of September 30, 2022 for these actions.

Other commitments: As of September 30, 2022, we had $46.1 million outstanding, undrawn letters of credit under the Credit Agreement.

NOTE 11.12. SEGMENTS AND GEOGRAPHIC INFORMATION

Our 2Factors used to determine our reportable segments areinclude the nature of operating activities, economic characteristics, existence of separate senior management teams and the type of information used by the Company’s chief operating decision maker (“CODM”) to evaluate its results of operations. We have identified three operating segments based on our primary product and service offerings: Bright HealthCare – Commercial, Medicare Advantage and NeueHealth.

The following tables presentWe have historically aggregated our Bright HealthCare – Commercial and Medicare Advantage operating segments into a single Bright HealthCare reportable segment. In the reportable segment financial information for the three and nine months ended September 30, 20212022, we determined it was no longer appropriate to aggregate our Bright HealthCare – Commercial and 2020 (in thousands):
Three Months Ended September 30, 2021Bright
HealthCare
NeueHealthEliminationsConsolidated
Premium revenue$994,586 $25,647 $ $1,020,233 
Service revenue(61)11,140  11,079 
Investment income1,087 46,258  47,345 
Total unaffiliated revenue995,612 83,045  1,078,657 
Affiliated revenue 139,759 (139,759) 
Total segment revenue995,612 222,804 (139,759)1,078,657 
Operating income (loss)(303,271)6,990  (296,281)
Depreciation and amortization$4,584 $9,621 $ $14,205 
Three Months Ended September 30, 2020Bright
HealthCare
NeueHealthEliminationsConsolidated
Premium revenue$343,472 $1,954 $— $345,426 
Service revenue— 4,920 — 4,920 
Investment income1,774 — — 1,774 
Total unaffiliated revenue345,246 6,874 — 352,120 
Affiliated revenue— 2,727 (2,727)— 
Total segment revenue345,246 9,601 (2,727)352,120 
Operating income (loss)(57,263)(1,993)— (59,256)
Depreciation and amortization$2,274 $404 $— $2,678 
Nine Months Ended September 30, 2021Bright
HealthCare
NeueHealthEliminationsConsolidated
Premium revenue$2,860,270 $62,680 $ $2,922,950 
Service revenue29 31,573  31,602 
Investment income3,491 109,012  112,503 
Total unaffiliated revenue2,863,790 203,265  3,067,055 
Affiliated revenue 182,392 (182,392) 
Total segment revenue2,863,790 385,657 (182,392)3,067,055 
Operating income (loss)(443,450)65,291  (378,159)
Depreciation and amortization$11,524 $14,457 $ $25,981 
Medicare Advantage operating segments, as the planned exit
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Nine Months Ended September 30, 2020Bright
HealthCare
NeueHealthEliminationsConsolidated
Premium revenue$821,185 $5,950 $— $827,135 
Service revenue— 13,344 — 13,344 
Investment income7,063 — — 7,063 
Total unaffiliated revenue828,248 19,294 — 847,542 
Affiliated revenue— 8,176 (8,176)— 
Total segment revenue828,248 27,470 (8,176)847,542 
Operating income (loss)(88,427)(5,345)— (93,772)
Depreciation and amortization$4,131 $1,419 $— $5,550 
of the Commercial business for the 2023 plan year results in a significant difference in our long-term revenue and cash flow projections for the operating segments.

Our three reportable segments are Bright HealthCare – Commercial, Medicare Advantage and NeueHealth. The following is a description of the types of products and services from which our three reportable segments derive their revenues:

Bright HealthCareCommercial: Our Commercial healthcare financing and distribution business focused on commercial plans delivers simple, personal, and affordable solutions to integrate the consumer into Bright Health’s alignment model. Bright HealthCare – Commercial serves approximately 1.0 million individuals through commercial health plan offerings across 16 states as of September 30, 2022.

Medicare Advantage: Our Medicare Advantage healthcare financing and distribution business focused on serving aging and underserved populations with unmet clinical needs through a Fully-Aligned Care Model. As of September 30, 2022, Medicare Advantage includes MA products in 6 states, which serve over 125,000 lives and generally focus on higher risk, special needs, or other traditionally underserved populations.

NeueHealth: Our healthcare enablement and technology business, NeueHealth, aims to significantly reduce the friction and current lack of coordination between payors by delivering on our Fully-Aligned Care Model with multiple payors. NeueHealth delivers virtual and in-person clinical care through its approximately 75 owned primary care clinics within an integrated care delivery system. Through these risk-bearing clinics and our affiliated network of care providers, NeueHealth maintains over 571,000 unique patient relationships as of September 30, 2022, approximately 520,000 of which are served through value-based arrangements, across multiple payors. NeueHealth receives network rental fees from Bright HealthCare for the delivery of NeueHealth’s Care Partner and network services. In addition, NeueHealth contracts directly with Bright HealthCare to provide care through its managed and affiliated clinics. Other NeueHealth customers include external payors, third party administrators, affiliated providers and direct-to-government programs.

The Company’s accounting policies for reportable segment operations are consistent with those described in Note 2, Summary of Significant Accounting Policies, in our 2021 Form 10-K. Transactions between reportable segments principally consist of care management and local care delivery provided by NeueHealth to Bright HealthCare. We utilize operating income (loss) before income taxes as the profitability metric for our reportable segments.

The following tables present the reportable segment financial information for the three and nine months ended September 30, 2022 and 2021 (in thousands):
Three Months Ended September 30, 2022Bright HealthCare - CommercialMedicare AdvantageNeueHealthCorporate & EliminationsConsolidated
Premium revenue$976,530 $408,939 $77,542 $— $1,463,011 
Direct contracting revenue— — 145,433 — 145,433 
Service revenue38 — 12,079 — 12,117 
Investment income6,849 36 4,846 — 11,731 
Total unaffiliated revenue983,417 408,975 239,900 — 1,632,292 
Affiliated revenue— — 262,129 (262,129)— 
Total segment revenue983,417 408,975 502,029 (262,129)1,632,292 
Operating income (loss)(79,289)(71,276)(37,547)(64,583)(252,695)
Goodwill impairment$4,148 $70,017 $— $— $74,165 
Intangible assets impairment— — 42,611 — 42,611 
Depreciation and amortization— 4,416 6,913 2,575 13,904 
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Three Months Ended September 30, 2021Bright HealthCare - CommercialMedicare AdvantageNeueHealthCorporate & EliminationsConsolidated
Premium revenue$625,987 $368,599 $25,647 $— $1,020,233 
Direct contracting revenue— — — — — 
Service revenue(61)— 11,140 — 11,079 
Investment income1,058 29 46,258 — 47,345 
Total unaffiliated revenue626,984 368,628 83,045 — 1,078,657 
Affiliated revenue— 139,759 (139,759)— 
Total segment revenue626,984 368,628 222,804 (139,759)1,078,657 
Operating income (loss)(228,648)(30,989)11,312 (47,956)(296,281)
Depreciation and amortization$145 $3,781 $9,563 $716 $14,205 
Nine Months Ended September 30, 2022Bright HealthCare - CommercialMedicare AdvantageNeueHealthCorporate & EliminationsConsolidated
Premium revenue$3,084,958 $1,258,846 $236,986 $— $4,580,790 
Direct contracting revenue— — 465,435 — 465,435 
Service revenue108 — 37,282 — 37,390 
Investment income13,103 83 (52,306)— (39,120)
Total unaffiliated revenue3,098,169 1,258,929 687,397 — 5,044,495 
Affiliated revenue— — 857,716 (857,716)— 
Total segment revenue3,098,169 1,258,929 1,545,113 (857,716)5,044,495 
Operating income (loss)(260,483)(109,893)(105,981)(201,405)(677,762)
Goodwill impairment$4,148 $70,017 $— $— $74,165 
Intangible assets impairment6,720 — 42,611 — 49,331 
Depreciation and amortization145 13,291 20,572 6,165 40,173 
Nine Months Ended September 30, 2021Bright HealthCare - CommercialMedicare AdvantageNeueHealthCorporate & EliminationsConsolidated
Premium revenue$1,930,896 $929,374 $62,680 $— $2,922,950 
Direct contracting revenue— — — — — 
Service revenue29 — 31,573 — 31,602 
Investment income3,386 105 109,012 — 112,503 
Total unaffiliated revenue1,934,311 929,479 203,265 — 3,067,055 
Affiliated revenue— — 182,392 (182,392)— 
Total segment revenue1,934,311 929,479 385,657 (182,392)3,067,055 
Operating income (loss)(214,039)(105,351)74,111 (132,880)(378,159)
Depreciation and amortization$290 $9,903 $14,362 $1,426 $25,981 
As a percentage of our total consolidated revenue, premium revenues and Direct Contracting revenues from CMS were 34% and 34% for the three months ended September 30, 2022 and 2021, respectively. For the nine months ended September 30, 2022 and 2021 premium revenues and Direct Contracting revenues from CMS were 34% and 30%, respectively. The revenues from CMS are included in premium revenue of our Bright HealthCare – Commercial and Medicare Advantage segments and
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Direct Contracting revenue of our NeueHealth segment. For all periods presented, all of our long-lived assets were located in the United States, and all revenues were earned in the United States. We do not include asset information by reportable segment in the reporting provided to the chief operating decision maker.CODM.

NOTE 12.13. INCOME TAXES

Income tax expense (benefit) was an expense of $0.1$1.8 million and a benefit of $18.2$0.1 million for the three months ended September 30, 2022 and 2021, respectively. For the nine months ended September 30, 2022 and 2021, income tax was an expense of $7.9 million and benefit of $18.2 million, respectively. The impact from income taxes varies from the federal statutory rate of 21.0% due to state income taxes, changes in the valuation allowance for deferred tax assets and adjustments for permanent differences. For the three months ended September 30, 2021,2022, the expense largely relates to amortization of originating goodwill from asset acquisitions.acquisitions and estimated state income taxes attributable to income earned in separate filing states without state net operating loss carryforwards. For the three and nine months ended September 30, 2021, the overall tax benefit is primarily duelargely relates to adjustments to the release of valuation allowance in connection with newfor federal and state deferred tax liabilitiesassets, as well as the effect of deferred taxes recorded on identifiable intangibles as part of business combination accounting for the BND,Universal Care, Inc. (d.b.a. Brand New Day), THNM, Zipnosis, THNM, and CHP stockCentral Health Plan of California acquisitions. The Centrum acquisition was treated as an asset acquisition, and accordingly, no deferred tax assets or liabilities were recorded as part of business-combination accounting.

We assess whether sufficient future taxable income will be generated to permit the use of deferred tax assets. This assessment includes consideration of the cumulative losses incurred over the three-year period ended September 30, 2021.2022. Such objective evidence limits the ability to consider other subjective evidence, such as the Company’s projections for future earnings. On the basis of this evaluation, we have recorded a valuation allowance for deferred tax assets to the extent that they cannot be supported by reversals of existing cumulative temporary differences. Any federal tax benefit generated from losses in 20212022 is expected to require an offsetting adjustment to the valuation allowance for deferred tax assets, and thus have no net effect on the income tax provision.

NOTE 13.14. REDEEMABLE NONCONTROLLING INTEREST

As part of the Centrum acquisition on July 1, 2021, we entered into put/call agreements with respect to the equityRedeemable noncontrolling interests in Centrum held by the controllingour subsidiaries whose redemption is outside of our control are classified as temporary equity. The following table provides details of our redeemable noncontrolling interest holder. The call options allowactivity for the Company to purchase the 25% noncontrolling interest equity over time beginning onthree and nine months ended September 30, 2022 or under certain other accelerating events as defined and 2021 (in the agreement, solely at the Company’s discretion. The put options allow the noncontrolling interest holder the ability to cause the Company to purchase their noncontrolling equity interest on consistent terms with the call options.thousands):
20222021
Balance at January 1$128,407 $39,600 
(Losses) earnings attributable to noncontrolling interest(2,681)288 
Measurement adjustment17,285 329 
Balance at March 31$143,011 $40,217 
Earnings attributable to noncontrolling interest3,625 640 
Tax distributions to noncontrolling interest holders(1,894)— 
Measurement adjustment19,712 155 
Balance at June 30$164,454 $41,012 
Earnings attributable to noncontrolling interest30,765 85,075 
Tax distributions to noncontrolling interest holders(138)(4,577)
Measurement adjustment15,945 8,519 
Balance at September 30$211,026 $130,029 

Based on
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 15. DIRECT CONTRACTING

Beginning January 1, 2022, we began participating in CMS’ DC Model with two DCEs participating through the natureglobal risk arrangement and assuming full risk for the total cost of care of aligned beneficiaries. As part of our participation in the DC Model, we are guaranteeing the performance of our care network of participating and preferred providers. The intention of the put option’s redemption features, which are outsideDC Model is to enhance the controlquality of care for Medicare FFS beneficiaries while reducing the administrative burden, supporting a focus on complex, chronically ill patients, and encouraging physician organizations that have not typically participated in Medicare FFS programs to serve Medicare FFS beneficiaries.

Key components of the Company,financial agreement for the noncontrolling interestsDC Model include:

Performance Year Benchmark: The target amount for Medicare expenditures on covered services (Medicare Part A and B) furnished to a DCE’s aligned beneficiaries during a performance year. The Performance Year Benchmark will be compared to the DCE’s performance year expenditures. This comparison will be used to calculate shared savings and shared losses. The Performance Year Benchmark is established at the beginning of the performance year utilizing prospective trend estimates and is subject to retrospective trend adjustments, if warranted, before the Financial Reconciliation.
Risk-Sharing Arrangements: Used in determining the percent of savings and losses that DCEs are classifiedeligible to receive as redeemableshared savings or may be required to repay as shared losses.
Financial Reconciliation: The process by which CMS determines shared savings or shared losses by comparing the calculated total benchmark expenditures for a given DCE’s aligned population to the actual expenditures of that DCE’s aligned beneficiaries over the course of a performance year that includes various risk-mitigation options such as stop-loss reinsurance and risk corridors.
Risk-Mitigation Options: Both DCEs elected to participate in a “stop-loss arrangement” for the current performance year offered by CMS. The “stop-loss arrangement” is designed to reduce the financial uncertainty associated with high-cost expenditures of individual beneficiaries. Additionally, CMS has created a mandatory risk corridor program that allocates the DCE’s shared savings and losses in bands of percentage thresholds, after a deviation of greater than 25.0% of the Performance Year Benchmark.

Performance Guarantees

Through our participation in the accompanyingDC Model, we determined that our arrangements with the providers of our DCE beneficiaries require us to guarantee their performance to CMS. At the beginning of the performance year, we recognized the Direct Contracting performance year obligation and receivable for the duration of the performance year. This receivable and obligation are measured at an amount equivalent to the Performance Year Benchmark per CMS that is representative of the expected Medicare expenditures for beneficiaries aligned to our DCEs. As we fulfill our obligation, we amortize the guarantee on a straight-line basis for the amount that represents the completed portion of the performance obligation. The receivable is reduced as we receive payments from CMS for in-network claims or receive CMS reporting detailing out-of-network claims paid by CMS on behalf of our aligned beneficiaries. At the end of each reporting period, we estimate both in-network claims and out-of-network claims incurred by beneficiaries aligned to our DCEs but not yet reported and record a reserve for the estimated amount which is included in medical costs payable on the Condensed Consolidated Balance SheetsSheets. For each performance year, the final consideration due to the DCEs by CMS (shared savings) or the consideration due to CMS by the DCEs (shared loss) is reconciled in the year following the performance year. On a quarterly basis CMS adjusts the Performance Year Benchmark based upon revised trend assumptions and changes in attributed membership. CMS will also estimate the shared savings or loss for the DCE on a quarterly basis based upon this revised Performance Year Benchmark, changes to membership, payments made to the DCE for in-network claims, out-of-network claims paid on behalf of the DCE and various other assumptions including incurred but not reported reserves. The Performance Year Benchmark is our best estimate of our obligation as we are unable to estimate the potential shared savings or loss due to the “stop-loss arrangement”, risk corridor components of the agreement, and a number of variables including but not limited to risk ratings and benchmark trends that could have an inestimable impact on estimated future payments.

There were no financial statement impacts of the performance guarantee at September 30, 2021.2021 or for the three and nine-month period then ended. The put option redemption feature that is outsidetables below include the controlfinancial statement impacts of the Company is settled based on EBITDA, which is an other thanperformance guarantee at September 30, 2022 and for the three and nine-month period then ended (in thousands):
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
fair value settlement amount. As such, we will make a measurement adjustment when the put option redemption price exceeds the carrying amount as calculated under ASC 810, Consolidation.

There was no redeemable noncontrolling interest during the three and nine months ended September 30, 2020. The following table provides details of our redeemable noncontrolling interest activity for the three and nine months ended September 30, 2021 (in thousands):
Redeemable
Noncontrolling
Interest
September 30, 2022
Balance at January 1, 2021Direct contracting performance year receivable(1)(2)
$39,600234,776 
Earnings attributable to noncontrolling interestDirect contracting performance year obligation(2)
288
Measurement adjustment329
Balance at March 31, 2021$40,217
Earnings attributable to noncontrolling interest640
Measurement adjustment155
Balance at June 30, 2021$41,012
Acquisition85,075
Loss attributable to noncontrolling interest(4,577)
Measurement adjustment8,519
Balance at September 30, 2021$130,029155,145 

(1)     We estimate there to be $98.6 million in in-network and out-of-network claims incurred by beneficiaries aligned to our DCE but not reported as of September 30, 2022; this is included in medical costs payable on the Condensed Consolidated Balance Sheets.
(2)    CMS updated benchmarks have resulted in the reduction of both our Direct Contracting performance year receivable and obligation by $7.5 million and $105.1 million for the three and nine months ended September 30, 2022, respectively.

Three Months Ended
September 30, 2022
Nine Months Ended
September 30, 2022
Amortization of Direct contracting performance year receivable$153,868 $385,804 
Amortization of Direct contracting performance year obligation151,281 498,482 
Direct contracting revenue145,433 465,435 

NOTE 16. SUBSEQUENT EVENTS

We entered into an Investment Agreement dated as of October 10, 2022 (as amended, the “Investment Agreement”) with certain purchasers (collectively, the “Purchasers”), relating to the issuance and sale by the Company to the Purchasers of 175,000 shares of the Company’s Series B Convertible Perpetual Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”), for an aggregate purchase price of $175.0 million, or $1,000 per share (the “Issuance”). On October 17, 2022, the Issuance was consummated. In connection with the closing, the Certificate of Designations for the Company’s Series A Convertible Perpetual Preferred Stock was amended to provide for a weighted average anti-dilution adjustment in connection with issuances of equity-linked securities with a purchase or conversion price less than the optional conversion price of the Series A Preferred Stock.

In October 2022, we announced our decision to further focus our business on our Fully Aligned Care Model, and we will no longer offer commercial plans through Bright HealthCare, or Medicare Advantage products outside of California in 2023. As a result of these strategic changes, on November 4, 2022, the Board of Directors approved a plan to restructure the Company’s workforce and reduce expenses based on the Company's updated business model. The Company expects to effectuate this plan over the next six to twelve months.

We expect this restructuring will include costs related to employee termination benefits, lease exits, contract modification or termination, as well as the potential for non-cash property, equipment and capitalized software impairments. The Company is currently unable in good faith to make a determination of an estimate of the amount or range of amounts expected to be incurred in connection with this plan, both with respect to each major type of cost associated therewith and with respect to the total cost, or an estimate of the amount or range of amounts that will result in future cash expenditures.

On November 8, 2022, we executed an amendment to the Credit Agreement pursuant to which certain collateral related defaults were waived and, in addition, it was agreed that we would (i) not be required to test our debt to capitalization ratio covenant during and including the four quarter test period ending September 30, 2022 through and including the four quarter test period ending September 30, 2023, (ii) be required to maintain a minimum liquidity of $200.0 million from November 8, 2022 through and including September 30, 2023 and (iii) be required to maintain a minimum liquidity of $150.0 million after September 30, 2023.
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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis is intended to help the reader understand our business, financial condition, results of operations, liquidity and capital resources. This discussion should be read in conjunction with our unaudited condensed consolidated financial statements and accompanying notes and the “Risk Factors” included elsewhere in this Quarterly Report on Form 10-Q and Bright Health Group, Inc.’sour audited consolidated financial statements and the accompanying notes as well as the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Bright Health Group, Inc.’s Prospectus datedour 2021 Form 10-K and our Form 10-Qs for the quarterly periods ended March 31, 2022 and June 23, 2021 (File No. 333-256286), as filed with the SEC pursuant to Rule 424(b)(4) under the Securities Act of 1933, as amended (the “Prospectus”).30, 2022. Unless the context otherwise indicates or requires, the terms “we”, “our”, and the “Company” as used herein refer to Bright Health Group, Inc. and its consolidated subsidiaries.

Business Overview

Bright Health Group was founded in 2015 to transform healthcare. Our mission of Making Healthcare Right. Together.is built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care we can drive a superior consumer experience, optimize clinical outcomes, reduce systemic waste, and lower costs, and optimize clinical outcomes. We believe that for too long, U.S. healthcare, primarily designed to cater to employers and large institutions, has failedcosts. Our value-driven approach is built on alignment, focused on the consumer, through unnecessary complexity, a lack of transparency, and rising costs. We are making healthcare simple, personal, and affordable.

To execute on our mission, we have developed a model for healthcare transformation built upon the delivery, financing, and optimization of care. By bringing these three core pillars together, we aim to build the national, integrated healthcare system of the future, designed to break down historical barriers and create an environment in which all stakeholders — from the consumer, to the provider, to the payor — can win.

powered by technology. Bright Health Group consists of twothree reportable segments: NeueHealth, and Bright HealthCare:

NeueHealth is critical to our differentiated, aligned model of care. While Bright HealthCare is currently a larger contributor to revenue, due in part to the significant health plan premium revenue contribution from our consumers, we believe NeueHealth has a disproportional impact on our enterprise today– Commercial and anticipate it will become increasingly important to our business and prospects, contributing an increasing percentage of our overall revenue in the long-term. We have presented NeueHealth first in the following discussion, consistent with management’s view of our business.Medicare Advantage:

NeueHealth. Our healthcare enablement and technology business, NeueHealth, is developing the next generation, integrated healthcare system. NeueHealthaims to significantly reducesreduce the friction and current lack of coordination between payors and providers to enable a truly consumer-centric healthcare experience.by delivering on our Fully-Aligned Care Model with multiple payors. As of September 2021,2022, NeueHealth works with nearly 250,000 care provider partners and delivers high-quality virtual and in-person clinical care through our 44its approximately 75 owned primary care clinics within itsan integrated care delivery system. Through thosethese risk-bearing clinics and our affiliated network of care providers, NeueHealth maintains over 200,000571,000 unique patient relationships as of September 30, 2021, over 170,0002022, approximately 520,000 of which are served through value-based arrangements, across multiple payors. In addition to our directly owned clinics, NeueHealth manages care for an additional 87 clinics through its additional affiliated clinics.

NeueHealth engages in local, personalized care delivery in multiple ways, including:

Integrated Care Delivery – NeueHealth operates clinics providing comprehensive care to all populations.
Bright Health Network – A key component of our NeueHealth business is our ecosystem of Care Partners with whom we contract in service of Bright HealthCare today.
Value Services Organization – NeueHealth empowers high-performing primary care practices and care delivery organizations to succeed in their evolution towards risk-bearing care delivery.

NeueHealth receives network rental fees from Bright HealthCare for the delivery of NeueHealth’s Care Partner and network services. In addition, NeueHealth contracts directly with Bright HealthCare to provide care through its managed and affiliated
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clinics. Other NeueHealth customers include external payors, third party administrators, affiliated providers and direct-to-government programs.

Bright HealthCare.HealthCareCommercial. Our Commercial healthcare financing and distribution business Bright HealthCare,focused on commercial plans delivers simple, personal, and affordable solutions to integrate the consumer into Bright Health’s alignment model. Bright HealthCare currently aggregates and delivers healthcare benefits to over 720,000 consumers– Commercial serves approximately 1.0 million individuals through its variouscommercial health plan offerings serving consumers across multiple product lines16 states as of September 30, 2022. In October 2022, we announced that we will no longer offer commercial health plans in 14 states and 99 markets.2023. We also participate in a numberanticipate that Bright HealthCare – Commercial will qualify for presentation as discontinued operations as of specialized plans and recently began offering employer group plans.December 31, 2022, when we exit the business.

Bright HealthCare’s customers include commercial health plans across 11Medicare Advantage.Our Medicare Advantage healthcare financing and distribution business focused on serving aging and underserved populations with unmet clinical needs through a Fully-Aligned Care Model. As of September 30, 2022, Medicare Advantage includes MA products in 6 states, which serve approximately 607,000 individuals, as well as MA products in 11 states, which serve approximately 114,000over 125,000 lives and generally focus on higher risk, special needs, or other traditionally underserved populations. We believeIn October 2022, we are well-positioned to grow our Medicaid and Employer administrative services only (“ASO”) products, which would provide strategic diversification and be highly complementary to our aligned model.

Key Factors Affecting Our Performance

We believe that the growth and future success of our business depends on a number of factors described below. While each of these factors presents significant opportunities for our business, they also pose important challengesannounced that we must successfully addressplan to sustainfocus our growth and continue to improve results of operations.

Bright HealthCare’s ability to grow membership and retain consumers drives revenue growth

Bright HealthCare products are primarily soldMedicare Advantage business on the California market for the following year through an annual selling season, which includes the open enrollment period for Individual and Family Plan products and annual enrollment period for Medicare Advantage. Outside of an annual selling season, IFP and MA products typically can only be sold during special enrollment periods based on the consumer’s eligibility status and certain life events. It is critical to effectively engage both prospective and existing consumers through our multi-channel distribution strategy. For both IFP and MA products, we aim to offer competitive benefits at an affordable price to meet the needs of our consumers. Our IFP products membership typically peaks after the open enrollment period and experiences modest levels of attrition until year-end. We have historically increased our MA consumer base during special enrollment periods, given our consumers' eligibility to enroll during those periods.

Our MA business is afforded additional in-year growth opportunity due to its focus on serving low-income seniors and special needs individuals, who can enroll in and change MA health plans at any time. Therefore, constant engagement with this population is critical to effectively retain membership and drive in-year growth. MA products are generally associated with higher revenue and higher medical cost ratios (“MCR”) as compared to IFP products, particularly with respect to special needs plans.

Bright HealthCare’s ability to capture complete and accurate risk adjustment data affects revenue

Portions of premium revenue from our IFP products and MA plans are determined by the applicable Centers for Medicare and Medicaid Services (“CMS”) risk adjustment models, which compensate insurers based on the underlying health status (acuity) of insured consumers. CMS requires that a consumer’s health status be documented annually and accurately submitted to CMS to determine the appropriate risk adjustment. Ensuring that complete and accurate health conditions of our consumers are captured within documentation submitted to CMS is critical to recognizing accurate risk adjustment, which is reflected in our revenue year-over-year.

Bright HealthCare’s ability to drive lower unit costs and medical utilization reduces medical costs and MCR

Bright HealthCare utilizes our Bright Health Network to provide healthcare services primarily within its exclusive provider networks under capitated contracts and fee-for-service arrangements. Certain provider and payor contracts include value-based incentive compensation based on providers meeting contractually defined quality and financial performance metrics. To effectively manage medical costs, Bright HealthCare must ensure a consumer’s healthcare needs are primarily delivered through its Care Partners to recognize discounted contracted rates, which limits the amount of out-of-network utilization that
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can have an adverse financial impact on medical costs and MCR. Out-of-network utilization is typically higher upon entry into new markets, which increases medical costs during periods of market expansion.

Our business is generally affected by the seasonal patterns of medical expenses. With respect to IFP products, medical costs tend to be lower early in the2023 plan year and increase toward the end of year, driven by high deductible plan designs and out-of-pocket maximums over the course of the policy year, which shift more costs to us in the second half of the year as we pay a higher proportion of claims. With respect to MA plans, medical costs are impacted by the severity of the flu season, generally from December to March, and we typically experience slightly higher Part D medical costs early in the year, which decline toward the end of year due to standard plan design.

NeueHealth’s ability to identify and align with high-performing care delivery partners drives performance

NeueHealth engages providers through a variety of alignment options ranging from having providers participate inexit our networks to having providers employed by us. As we enter new markets and expand our offerings, we must build an ecosystem of care delivery assets capable of supporting both our Bright HealthCare business as well as third-party payors.

NeueHealth’s ability to deliver and enable high-quality, value-based care drives revenue

NeueHealth supports and manages providers in fee-for-service and value-based contracts with payors. We help organizations enter value-based arrangements designed around their needs, while simultaneously empowering them with the tools and capabilities necessary to maximize their success. In order to drive financial performance, NeueHealth must effectively manage risk and continue to develop and deliver tools and services supporting both managed and affiliated providers.

Bright Health Group’s ability to achieve operating cost efficiencies and scale profitably

Bright Health Group, including Bright HealthCare and NeueHealth, will need to continue investing in operating platforms, processes, people, and resources to enable our businesses to scale profitably. We leverage centralized shared services for operational, clinical, technological, and administrative functions to support the segments in a cost-effective and efficient manner.

Components of Our Results of Operations

Revenue

We generate revenue from premiums, including value-based provider revenue, and fee-for-service provider revenue received from consumers and payors, as well as income from our investments.

Premium revenue

Premium revenue is derived primarily from Bright HealthCare IFP products and MA plans sold to consumers as well as NeueHealth value-based provider revenue from serving patients.

Bright HealthCare Commercial premium revenue

The sources of commercial premium revenue are primarily IFP products which are comprised of advanced premium tax credit subsidies that are based on consumers income levels and compensated directly by the federal government, as well as billed consumer premiums. IFP products reflect adjustments related to the Patient Protection and Affordable Care Act (“ACA”) risk adjustment program, which adjusts premium revenue based on the demographic factors and health status of each consumer as derived from current-year medical diagnoses.

Bright HealthCare MA premium revenue

The sources of MA premium revenue areother Medicare Part C premiums related to consumers’ medical benefit coverage and Part D premiums related to consumers’ prescription drug benefit coverage. Medicare Part C premiums are comprised of CMS monthly
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capitation premiums that are risk adjusted based on CMS defined formulas using consumers’ demographics and prior-year medical diagnoses. Medicare Part D premiums are comprised of CMS monthly capitation premiums that are risk adjusted, consumer billed premiums and CMS low-income premium subsidies for the Company’s insurance risk coverage. Medicare Part D premiums are subject to risk sharing with CMS under the risk corridor provisions based on profitability of the Part D benefit. As a percentage of our total consolidated revenue, premium revenues from CMS were 30% and 37% forAdvantage markets. For the nine months ended September 30, 2021 and 2020, respectively, which are included in2022, our Bright HealthCare segment.

NeueHealth premium revenue

NeueHealthMedicare Advantage markets outside of California generated $49.7 million of premium revenue represents revenue under value-based arrangements entered into by NeueHealth’s Value Services Organization and affiliated$54.9 million in medical groups in which the responsibilitycosts, for controlan MCR of an attributed patient’s medical care is transferred, in part or wholly, to such medical groups. Such revenue includes capitation payments,110.5%, as well as quality incentive payments, and shared savings distributions payable upon achievementincurring $11.5 million of certain financial and quality metrics. Value-based revenue shifts responsibility for control over the medical care delivered to attributed patients to the Company and aligns incentives around the overall well-being of the payor’s consumers.

We expect that as our NeueHealth business continues to grow, NeueHealth premium revenue will become an increasing proportion of our overall revenue.

Service revenue

Service revenue primarily represents revenue from fee-for-service payments received by NeueHealth’s affiliated medical groups. These include patient copayments and deductibles collected directly from patients and payments from private and government payors based upon contractual terms that define the fee-for-service reimbursement for specific procedures performed.

In addition, service revenue includes network service revenue generated by NeueHealth’s Bright Health Network. Bright HealthCare is currently the only customer of Bright Health Network.

Investment income

The sources of investment income are interest income and realized gains and losses derived from the Company’s investment portfolio that is comprised of debt securities of the U.S. government and other government agencies, corporate investment grade, money market funds and various other securities, as well as realized and unrealized gains and losses from equity securities.

Operating Costs

Medical costs

Medical costs consist of reimbursements to providers for medical services, costs of prescription drugs, supplemental benefits, reinsurance and quality incentive and shared savings compensation to providers. The Company contracts with hospitals, physicians and other providers of healthcare primarily within its exclusive provider networks under fee-for-service and value-based arrangements. Emergency medical services incurred out-of-network are a covered benefit to consumers and reimbursed to providers according to the Company’s payment policies that are based on applicable regulations. Prescription drug costs are determined based on the contract with our pharmacy benefits manager, which includes pharmacy rebates that are received for certain drug utilization levels or contracted minimums. Dental, vision, and other supplemental medical services are provided to consumers under capitated arrangements. Reinsurance arrangements enable us to cede a specified percent of our premiums and claims to our third-party reinsurers. Under such contracts, the reinsurer is paid to cover claims-related losses over a specified amount, which mitigates catastrophic risk. We make quality incentive and shared savings compensation payments to certain providers in accordance with the terms of the contractual arrangement upon the achievement of certain financial and quality metrics.


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Operating Costs

Operating costs are comprised of the expenses necessary to execute the Company’s business operations. These include employee compensation for salaries and related benefit costs, share-based compensation, outsourced vendor contracted service and technology fees, professional services, technological infrastructure and service fees, facilities costs and other administrative expenses. Operating costs also include payments made by Bright HealthCare to NeueHealth for the provision of Bright Health Network services; selling and marketing expenses from external broker commissions and advertising, primarily related to consumer acquisition; and premium taxes, exchange fees and other regulatory costs, which are primarily based on premium revenue. We expect operating costs to increase in absolute amounts as our business grows, but to decrease as a percentage of our revenue in the long-term.

Depreciation and Amortization

Depreciation and amortization consist of depreciation of property, equipment and capitalized software, as well as amortization of definite-lived intangible assets acquired in business combinations, including trade names, customer relationships, and reacquired rights.

Other Income

Income Tax Expense (Benefit)

Income tax expense (benefit) consists primarily of changes to our current and deferred federal tax assets and liabilities net of applicable valuation allowances.

Initial Public Offering

On June 23, 2021, the Company’s Registration Statement on Form S-1 for the initial public offering of shares of common stock was declared effective by the U.S. Securities & Exchange Commission. The Company’s common stock began trading on the NYSE under the ticker symbol “BHG” on June 24, 2021. The IPO closed on June 28, 2021 and the Company sold 51,350,000 shares of common stock at a price of $18.00 per share. In aggregate, the shares issued in the offering generated $887.3 million in net proceeds, the amount of which is net of $37.0 million in underwriters’ discounts and commissions. Immediately effective upon the closing of our IPO, all 167,731,830 shares of our then outstanding preferred stock were converted into 427,897,381 shares of common stock, causing the Company to reclassify $1.8 billion from redeemable preferred stock within temporary equity to common stock and additional paid-in capital on our consolidated balance sheet.

We utilized a portion of the net proceeds to repay the $200.0 million principal balance of indebtedness outstanding under our revolving credit agreement originally entered into on March 1, 2021 and the associated interest and other costs of $3.2 million. Additionally, we used a portion of the proceeds to fund the acquisition of Centrum as described in Note 2, Business Combinations. The remainder of the net proceeds will be used for general corporate purposes.

See further discussion related to the IPO as described in Note 1, Basis of Presentation, to Bright Health Group, Inc.’s unaudited condensed consolidated financial statements.costs.

COVID-19 Update

The ongoing COVID-19 pandemic,endemic, including its effect on the macroeconomic environment, and the response of our local, state, and federal governments to contain and manage the virus, continues to impact our business. The emergence of COVID-19 variants in the United States and abroad continues to prolong the risk of additional surges of the virus. In addition, somecertain new variants have emerged that appear more transmissible and more resistant to current vaccines. Some individuals have also delayed or are not seeking routine medical care to avoid COVID-19 exposure. These and other responses to the COVID-19 pandemicendemic have meant that our MCRMedical Cost Ratio (“MCR”) may be subject to additional uncertainty as certain segments of the economy and workforce come back on line, members resume care that may have been foregone, and the broader population becomes vaccinated.

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We have experienced impacts to our business from COVID-19, which have varied as the pandemic progressed. Initially, as a result of the suspension of elective surgeries and deferral of medical care, we experienced decreased medical utilization, particularly in the second quarter of 2020. Since then, medical utilization has returned to more normal levels and adverse financial impacts from inpatient admissions emerged primarily due to increased average length of stays.

In the third quarter of 2021, our results were impacted by COVID-19 trends in two of our largest IFP markets. Florida and North Carolina both saw significant increases in COVID-19 cases in the third quarter, with Centers for Disease Control and Prevention (“CDC”) data indicating average daily COVID-19 case counts were up nearly 300% in each state when compared to the second quarter of 2021. In addition, during the third quarter of 2021, the Southeast United States experienced average daily COVID-19 counts increasing nearly 250% when compared against the second quarter of 2021. This drove our COVID-19 expense in the third quarter of 2021 up 65.6% from the second quarter and our IFP COVID expense was up more than 160% compared to the second quarter of 2021. For the three months ended September 30, 2021 and 2020, the impact of COVID-19 increased our MCR by 540 basis points and 390 basis points, respectively, reflecting an increase in medical costs of $55.6 million and $13.3 million, respectively. For the nine months ended September 30, 2021 and 2020, the impact of COVID-19 increased our MCR by 420 basis points and 290 basis points, respectively, reflecting an increase in medical costs of $124.0 million and $23.8 million, respectively.

Overall measures to contain the COVID-19 outbreak may remain in place for a significant period of time, as certain geographic regions have experienced a resurgence of COVID-19 infections and new strains of COVID-19 that appear to be more transmissible have emerged. Although the number of people who have been vaccinated has been increasing, the duration and severity of this pandemic is unknown and the extent of the business disruption and financial impact depends on factors beyond our knowledge and control.

Business Update

We continue to make progress on our model that aligns the financing of care with the delivery of care. We are focused on serving the consumer in retail healthcare marketplaces, including the exchange and government direct-to-consumer markets. Both businesses are supported by our Bright Health Intelligent Operating System (“BiOS”) technology platform, where we continue to see efficiencies due to that investment. We view the following five key themes as important in connection with our third quarter and year-to-date results:

1.We continue to demonstrate significant growth – We continue to experience strong growth across both of our businesses. Bright HealthCare now serves over 720,000 consumers as of September 30, 2021, up 247% compared to the third quarter of 2020. This includes over 114,000 MA members. In commercial, the growth in members reflects the extended 2021 Special Enrollment Period in IFP with enrollment of nearly 607,000 consumers at the end of the third quarter of 2021 up nearly 10% from the end of the second quarter of 2021. NeueHealth also continues to demonstrate growth with a total of 131 owned and affiliated Primary Care Clinics serving over 170,000 patients under value-based arrangements as of September 30, 2021.

2.We have delivered consistent performance – Our third quarter 2021 results reflect quarterly variability due to the negative impact of an increase in direct COVID-19 costs, as well as risk adjustment pressures from the significant contribution of new 2021 membership and COVID-19 related challenges in member engagement. The extended Special Enrollment Period led to significant membership growth beyond the interim capacity within the owned and affiliated parts of our integrated systems of care, which we have alleviated through an accelerated pace of clinic and affiliate development and additional investments in our operating platform. While we did experience a modest reduction in utilization from non-COVID related procedures, such as certain elective inpatient surgeries and other diagnostic tests, the cost benefit was more than offset by the negative impact to appropriately diagnose our newly attributed members, which resulted in an increase in our risk adjustment payable. We believe our year-to-date results better reflect the underlying performance of our business than the third quarter results. We expect a number of the factors that drove volatility in the third quarter of 2021 to normalize in 2022 as the contribution from retained consumers increases, direct COVID-19 costs decrease, and as capacity improvements in our aligned integrated systems of care drive improved gross margin.

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3.
For the three months ended September 30, 2022 and 2021, the impact of COVID-19 increased our MCR by 140 basis points and 540 basis points, respectively, reflecting an increase in medical costs of $22.6 million and $55.6 million, respectively. For the nine months ended September 30, 2022 and 2021, the impact of COVID-19 increased our MCR by 200 basis points and 420 basis points, respectively, reflecting an increase in medical costs of $101.0 million and $124.0 million, respectively.

Business Update

Our mission – We are driving differentiation through NeueHealthMaking Healthcare Right. Together.We are seeing strong growthis built on the belief that by connecting and aligning the best local resources in NeueHealth’s revenue and operating income thathealthcare delivery with the financing of care, we believe highlights the power of our owned clinics and our affiliates within our aligned model. The growth in our NeueHealth business reflects the continued investments we are making in value-based care, as well as the Centrum acquisition, which closed on July 1, 2021. We are continuing to expand on this model in Florida, as well as bringing this model to new markets, including Texas and North Carolina in 2022. Our previous target to open more than 25 de novo clinics in 2022 is still on track. We are also bringing in more affiliates intocan deliver better outcomes at a fully aligned model, where providers are clinically, financially, and technologically aligned with Bright HealthCare. In addition, we have a robust pipeline of third-party payors interested in leveraging our integrated model across multiple populations as we go into 2022 and, as a result, expect to see growth in health plan customers in 2022.lower cost for all consumers.

4.We are building one technology platform – We continue investingIn October 2022, we announced that our business will be a focused on delivering affordable healthcare for aging and underserved populations in the BiOS back-end infrastructure, DocSquad consumerlargest healthcare markets in the country and provider-facing tools,continuing to leverage our Fully Aligned Care Model with external payor partners and acquisition integration.affiliate care providers. We havewill continue to build on the value-driven care model that we’ve been making investments and acceleratingadvancing since the start of the company. While we started to take the steps to move to this more focused model, while continuing to remain focused on delivering on our timelinefinancial performance for integration to one platform, which has resulted in some near-term cost structure headwinds. We are making progress on integrating the health plan assets we acquired, with integration of appropriate corporate office and support functions expected to be completed in 2022, our Bright HealthCare IFP business expected on a single platform in 2023, and full operating platform unification to follow.2022.

5.Continued futureIn the third quarter, we continued to deliver strong top-line growth while effectively managing medical costs. We ended the third quarter with over 1.0 million Commercial consumers, a modest increase from the second quarter on in-year Individual and Family Plan (“IFP”) enrollment, and more than 125,000 Medicare Advantage consumers, as well as approximately 520,000 NeueHealth willvalue-based lives. Our medical cost management efforts continue to be an increasingly important componentachieve our cost savings targets and utilization remained stable in the third quarter.

As we move forward into 2023, we are focusing our business on our NeueHealth care delivery business and our Medicare Advantage business, and we will no longer offer Commercial health plans for 2023 or Medicare Advantage health plans outside of our business.California. We expect growth for thehave a scaled Medicare Advantage business in 2022California, the largest market for seniors and continued integration of NeueHealthunderserved populations, and we have built a high performing Fully Aligned Care Model with our Bright HealthCare business.Care Partners. In Florida and Texas, weour NeueHealth risk-bearing care delivery and provider affiliate management business continues to deliver differentiated results. We expect to see movement towardexpand our footprint over time serving the aging and underserved consumers in Medicare and the consumer marketplace, together with our key health plan offerings that leveragepartners. We will also continue to grow our owned and affiliated clinics within our aligned Integrated Systems of Care. Direct Contracting also provides abusiness in the new ACO Reach program, building on our 2022 performance.

We have started implementing the restructuring plans to adjust our costs to our more focused business in order to achieve our 2023 gross margin and operating expense targets. We will continue to take steps to adjust our expenses in-line with milestones in the marketplace business through the end of the year and over the course of the run-out period of the exited markets.

While we wind down the marketplace business, we will remain focused on the growth opportunityopportunities for our Medicare Advantage and NeueHealth adding to the total livesbusinesses. Both businesses are in fully aligned value-based arrangements and contributing to revenue in a capital efficient model. In Bright HealthCare, we expect growth in our core MAattractive markets with a focus on higher complexity patient populations, including C-SNP and D-SNP products, specific ethnic communities requiring culturally competent care and service models, and states with an opportunity for IFP consumers to age into MA plans. In IFP, we are well-positioned based onstrong tailwinds, where we have set rates for 2022, with our plans consistently the lowest or second-lowest cost silver plandifferentiated offerings. We will manage each business to reach operating profitability in core growth markets. Additionally, we are expanding our addressable market next year, entering four new states including Texas and Georgia, and offering IFP plans for the first time California, which represent three of the largest ACA markets in the country. At the same time, we will remain disciplined in our growth, making appropriate rate adjustments based on our 2021 experience and competitive positioning.2023, as well as managing corporate expenses to reach consolidated Adjusted EBITDA profitability.

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Key Metrics and Non-GAAP Financial Measures
In addition to our GAAP financial information, we review a number of operating and financial metrics, including the following key metrics, to evaluate our business, measure our performance, identify trends affecting our business, formulate our business plan and make strategic decisions. The following table provides the approximate consumers and patients served as of September 30, 2022 and 2021.
As of September 30,As of September 30,
2021202020222021
Bright HealthCare Consumers Served
Commercial(1)
606,594 149,794 
Consumers ServedConsumers Served
Bright HealthCare - Commercial(1)
Bright HealthCare - Commercial(1)
1,025,000 600,000 
Medicare AdvantageMedicare Advantage114,094 57,751 Medicare Advantage125,000 110,000 
NeueHealth PatientsNeueHealth PatientsNeueHealth Patients
Value-based Care Patient LivesValue-based Care Patient Lives170,211 19,141 Value-based Care Patient Lives520,000 170,000 
(1) Commercial plans includeBright HealthCare – Commercial includes IFP and employer plans. Prior to 2021, our commercial business was solely comprised of IFP products.
Bright HealthCare Consumers Served

Consumers served include Bright HealthCare individual lives served via health insurance policies across multiple lines of business, primarily attributable to IFPcommercial products and MA plans in markets across the country. We believehistorically believed growth in the number of consumers isat the Bright HealthCare level was a key indicator of the performance of our Bright HealthCare business. ItHowever, given Bright HealthCare’s decision to exit the commercial marketplace for the 2023 plan year, we expect Commercial consumers to decline to zero, and we will focus on growth in our Medicare Advantage consumers in California. The number of consumers served also informs our management of the
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operational, clinical, technological and administrative functional area needs that will require further investment to support expected future consumer growth.

Value-Based Care Patients

Value-based care patients are patients attributed to providers contracted under varied value-based care delivery models in which the responsibility for control of an attributed patient’s medical care is transferred, in part or wholly, to our NeueHealth managed medical groups. We believe growth in the number of value-based care patients is a key indicator of the performance of our NeueHealth business. It also informs our management of the operational, clinical, technological and administrative functional area needs that will require further investment to support expected future patient growth. Over time,While we expect ourthe value-based carepatients NeueHealth supports in 2023 to decline compared to 2022 due Bright HealthCare’s commercial market exits, we expect external value-based payor contracts as well as the conversion of fee for service patients into value-based patients, will increase as we convert fee-for-servicethe number of patients managed in value-based arrangements into value-based care financial arrangements.over time.

Three Months Ended
September 30,
Nine Months Ended
September 30,
($ in thousands)2021202020212020
Net Loss$(296,722)(59,256)$(364,990)(84,610)
Adjusted EBITDA(1)
$(245,918)(54,084)$(290,757)(81,188)

Three Months Ended
September 30,
Nine Months Ended
September 30,
($ in thousands)2022202120222021
Net Loss$(259,361)(296,722)$(691,320)(364,990)
Adjusted EBITDA(1)
$(82,929)(292,176)$(352,620)(399,769)

(1)See “Non-GAAP Financial Measures” below for reconciliations to the most directly comparable financial measures calculated in accordance with GAAP and related disclosures.

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Non-GAAP Financial Measures

Adjusted EBITDA

We define Adjusted EBITDA as net loss excluding interest expense, income taxes, depreciation and amortization, any impairment of goodwill or intangible assets, adjusted for the impact of acquisition and financing-related transaction costs, share-based compensation, changes in the fair value of equity securities, changes in the fair value of contingent consideration, and contract termination costs and restructuring costs. Adjusted EBITDA has been presented in this Quarterly Report as a supplemental measure of financial performance that is not required by, or presented in accordance with, GAAP, because we believe it assists management and investors in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. Management believes Adjusted EBITDA is useful to investors in highlighting trends in our operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate and capital investments. Management uses Adjusted EBITDA to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish discretionary annual incentive compensation and to compare our performance against that of other peer companies using similar measures. Management supplements GAAP results with non-GAAP financial measures to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone.

Adjusted EBITDA is not a recognized term under GAAP and should not be considered as an alternative to net income (loss) as a measure of financial performance or cash provided by operating activities as a measure of liquidity, or any other performance measure derived in accordance with GAAP. Additionally, this measure is not intended to be a measure of free cash flow available for management’s discretionary use as we do not consider certain cash requirements such as interest payments, tax payments and debt service requirements. The presentation of this measure has limitations as an analytical tool and should not be considered in isolation, or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentation of this measure may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company.

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The following table provides a reconciliation of net loss to Adjusted EBITDA for the periods presented:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
September 30,
Nine Months Ended
September 30,
($ in thousands)($ in thousands)2021202020212020($ in thousands)2022202120222021
Net lossNet loss$(296,722)$(59,256)$(364,990)$(84,610)Net loss$(259,361)$(296,722)$(691,320)$(364,990)
Interest expenseInterest expense1,594 — 6,282 — Interest expense4,905 1,594 6,435 6,282 
Income tax expense (benefit)Income tax expense (benefit)73 — (18,225)(9,162)Income tax expense (benefit)1,763 73 7,907 (18,225)
Depreciation and amortizationDepreciation and amortization14,205 2,678 25,981 5,550 Depreciation and amortization13,904 14,205 40,173 25,981 
Goodwill impairmentGoodwill impairment74,165 — 74,165 — 
Intangible assets impairmentIntangible assets impairment42,611 — 49,331 — 
Transaction costs (a)
Transaction costs (a)
448 965 5,598 3,312 
Transaction costs (a)
448 417 5,598 
Share-based compensation expense (b)
Share-based compensation expense (b)
24,180 1,529 43,234 3,722 
Share-based compensation expense (b)
24,122 24,180 77,263 43,234 
Change in fair value of contingent consideration (c)
304 — 1,363 — 
Contract termination costs (d)
10,000 — 10,000 — 
Change in fair value of equity securities (c)
Change in fair value of equity securities (c)
12,189 (46,258)69,340 (109,012)
Change in fair value of contingent consideration (d)
Change in fair value of contingent consideration (d)
— 304 — 1,363 
Contract termination costs (e)
Contract termination costs (e)
— 10,000 1,241 10,000 
Restructuring costs (f)
Restructuring costs (f)
2,766 — 12,428 — 
Adjusted EBITDAAdjusted EBITDA$(245,918)$(54,084)$(290,757)$(81,188)Adjusted EBITDA$(82,929)$(292,176)$(352,620)$(399,769)

(a)Transaction costs include accounting, tax, valuation, consulting, legal and investment banking fees directly relating to business combinations and certain costs associated with our initial public offering. These costs can vary from period to
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period and impact comparability, and we do not believe such transaction costs reflect the ongoing performance of our business.
(b)Represents non-cash compensation expense related to stock option and restricted stock unit award grants, which can vary from period to period based on a number of factors, including the timing, quantity and grant date fair value of the awards.
(c)Beginning in 2022, Adjusted EBITDA excludes the impact of changes in unrealized gains and losses on equity securities. The comparable period in 2021 has been recast to exclude changes in unrealized gains and losses on equity securities.
(d)Represents the non-cash change in fair value of contingent consideration from business combinations, which is remeasured at fair value each reporting period. There was no material activity for periods prior to the first quarter of 2021.
(d)(e)Represents amountamounts paid for early termination of an existing vendor contract.contracts.
(f)Restructuring costs represents severance costs as part of a workforce reduction in 2022 and impairment of capitalized software as a result of our decision to exit the Commercial business for the 2023 plan year.

Acquisitions

Effective March 31, 2021, we acquired THNM, which offers policies available through the commercial market for individual on- and off-exchange and employer-sponsored health coverage. In addition, we acquired Zipnosis on March 31, 2021, which is a telehealth platform that offers virtual care to health systems across the U.S. This NeueHealth acquisition was completed to enhance our proprietary technology platform, DocSquad, and our consumer and provider connectivity with Zipnosis’ virtual care capabilities.

Effective April 1, 2021, we acquired CHP, an insurance provider of MA HMO services. This Bright HealthCare – Commercial acquisition was completed to gain synergies from leveraging CHP’s clinical model and California consumer expertise to continue to expand our MA business in the California market.

Effective July 1, 2021, we acquired Centrum, a value-based primary care focused, multi-specialty medical group, serving Commercial, Medicare, and Medicaid consumers across multiple payors. This NeueHealth acquisition was completed for the incremental financial benefits achievable through our integrated care delivery model, whereby Bright HealthCare members are cared for under value-based arrangements with Centrum. This model brings together the financing, distribution, and delivery of high-quality healthcare and provides the opportunity to enhance our overall margin potential.

See Note 2, Business Combinations, in our condensed consolidated financial statements of this Quarterly Report. for more information regarding our business combinations.

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Results of Operations
The following table summarizes our unaudited Condensed Consolidated Statements of Income (Loss) data and other financial information for the three and nine months ended September 30, 20212022 and 2020.2021.
($ in thousands)($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Condensed Consolidated Statements of Income (loss) and operating data:Condensed Consolidated Statements of Income (loss) and operating data:2021202020212020Condensed Consolidated Statements of Income (loss) and operating data:2022202120222021
Revenue:Revenue:Revenue:
Premium revenuePremium revenue$1,020,233$345,426$2,922,950$827,135Premium revenue$1,463,011$1,020,233$4,580,790$2,922,950
Direct contracting revenueDirect contracting revenue145,433465,435
Service revenueService revenue11,0794,92031,60213,344Service revenue12,11711,07937,39031,602
Investment income47,3451,774112,5037,063
Investment income (loss)Investment income (loss)11,73147,345(39,120)112,503
Total revenueTotal revenue1,078,657352,1203,067,055847,542Total revenue1,632,2921,078,6575,044,4953,067,055
Operating expensesOperating expensesOperating expenses
Medical costsMedical costs1,050,943311,3192,640,143675,114Medical costs1,456,8621,050,9434,435,6242,640,143
Operating costsOperating costs309,79097,379779,090260,650Operating costs297,445309,7901,122,964779,090
Goodwill impairmentGoodwill impairment74,165 — 74,165 — 
Intangible assets impairmentIntangible assets impairment42,611 — 49,331 — 
Depreciation and amortizationDepreciation and amortization14,2052,67825,9815,550Depreciation and amortization13,90414,20540,17325,981
Total operating expensesTotal operating expenses1,374,938411,3763,445,214941,314Total operating expenses1,884,9871,374,9385,722,2573,445,214
Operating lossOperating loss(296,281)(59,256)(378,159)(93,772)Operating loss(252,695)(296,281)(677,762)(378,159)
Interest expenseInterest expense1,5946,282Interest expense4,9051,5946,4356,282
Other incomeOther income(1,226)(1,226)Other income(2)(1,226)(784)(1,226)
Loss before income taxesLoss before income taxes(296,649)(59,256)(383,215)(93,772)Loss before income taxes(257,598)(296,649)(683,413)(383,215)
Income tax expense (benefit)73(18,225)(9,162)
Income tax expenseIncome tax expense1,763737,907(18,225)
Net lossNet loss(296,722)(59,256)(364,990)(84,610)Net loss(259,361)(296,722)(691,320)(364,990)
Net earnings attributable to
non-controlling interest
Net earnings attributable to
non-controlling interest
(3,942)(5,354)Net earnings attributable to non-controlling interest(46,710)(3,942)(84,651)(5,354)
Series A preferred stock dividend accruedSeries A preferred stock dividend accrued(9,684)(28,083)
Net loss attributable to Bright Health
Group, Inc. common shareholders
Net loss attributable to Bright Health
Group, Inc. common shareholders
$(300,664)$(59,256)$(370,344)$(84,610)Net loss attributable to Bright Health Group, Inc. common shareholders$(315,755)$(300,664)$(804,054)$(370,344)
Adjusted EBITDAAdjusted EBITDA$(245,918)$(54,084)$(290,757)$(81,188)Adjusted EBITDA$(82,929)$(292,176)$(352,620)$(399,769)
Medical Cost Ratio (1)
Medical Cost Ratio (1)
103.0%90.1%90.3%81.6%
Medical Cost Ratio (1)
90.6%103.0%87.9%90.3%
Operating Cost Ratio (2)
Operating Cost Ratio (2)
28.7%27.7%25.4%30.8%
Operating Cost Ratio (2)
18.2%28.7%22.3%25.4%
(1)Medical Cost Ratio is defined as medical costs divided by premium and Direct Contracting revenue.
(2)Operating Cost Ratio is defined as operating costs divided by total revenue.

Total revenuesrevenues increased by $726.5$553.6 million, or 206.3%51.3%, for the three months ended September 30, 20212022 as compared to the same period in 2020,2021, which was largely driven by premium revenue due to an increase inof approximately 440,000 Bright HealthCare consumers and over 350,000 value-based care patient lives. In addition, two DCEs aligned with our NeueHealth segment began participating in the DC Model effective January 1, 2022, which contributed $145.4 million of approximately 513,000 consumer lives, or 247.2%, primarily from organic growththe increase in IFP within our Commercial business, including the 2021 Special Enrollment Period, as well as organictotal revenue. The increases in premium revenue and inorganic contributions from the MA business. Increases in our risk adjustment liabilityDirect Contracting revenue were partially offset by a reduction in investment income driven by changes in the total revenue increases. For the three months ended September 30, 2021, we recognized a changefair value investments in estimate for risk adjustment of $134.0 million due to a change in our risk adjustment payable accrual as a result of updated data inputs used to calculate IFP members’ expected full year risk scores, of which $89.3 million related to the first six months of 2021. The three months ended September 30, 2021 included $200.0 million from the acquisitions of PMA, THNM, Zipnosis, CHP and Centrum. equity securities.

Total revenues increased by $2.2$2.0 billion, or 261.9%64.5%, for the nine months ended September 30, 20212022 as compared to the same period in 2020, primarily2021. This increase is driven by organic consumer growthincreases in our Commercial business,Bright HealthCare consumers and value-based care patient lives, as well as favorable rate impacts in our Commercial business. The nine months ended September 30, 2021 included $699.8 million from acquisitions for which there was no comparable amount in the nine months ended September 30, 2020. The three and nine months ended September 30, 2021 also experienced an increase in investment income compared to the same periods in 2020, primarily driven by unrealized gains from investments in equity securities of $46.3 million and $109.0 million, respectively.
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as $465.4 million of Direct Contracting revenue. The increases in premium revenue and Direct Contracting revenue were partially offset by an investment loss for the nine months ended September 30, 2022, as a result of unrealized losses from investments in equity securities, compared to unrealized gains in the prior-year period.

Medical costs increased by $739.6$405.9 million, or 237.6%38.6%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in medical costs was driven by an increase in consumers through both organic growth ingrowth. Medical costs incurred associated with beneficiaries aligned to our Commercial and MA businesses and inorganic growth attributableDCEs also contributed to the acquisitions of PMA, THNM, CHP and Centrum, as well as increased medical costs from COVID-19.increase. Medical costs increased by $2.0$1.8 billion, or 291.1%68.0%, for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in medical costs was driven by consistent factors with the three months ended September 30, 20212022 with additional impact from the acquisitionacquisitions of Brand New Day,CHP and THNM, which waswere acquired on April 30, 2020.1, 2021 and March 31, 2021, respectively.

Our MCR of 103.0%90.6% for the three months ended September 30, 2021 increased 1,2902022 decreased 1,240 basis points compared to the same period in 2020. The Special Enrollment Period2021. Our MCR included a 140 basis point and our overall growth created challenges for capturing underlying risk, and we were impacted bya 540 basis point unfavorable impact from COVID-19 related costs given the significant portion of our consumers in Florida, as well as our significant mix of new members given our consumer growth in 2021. Our MCR for the three months ended September 30, 2022 and 2021, included a 540respectively. In addition, our MCR was impacted by DCEs 100.6% MCR, which increased our MCR by 100 basis point unfavorable impact from COVID-19 related costs and a 900 basis point unfavorable impact from non-COVID prior period developments (“PPD”) primarily related to a reduction in premium revenue related to an increase in our risk adjustment payable.points. Our MCR for the three months ended September 30, 2020 included a 390 basis point unfavorable impact from COVID-19 costs and a 530 basis point favorable impact from non-COVID PPD.

Our MCRof 90.3%87.9% for the nine months ended September 30, 2021 increased 8702022 decreased 240 basis points compared to the same period in 2020, which reflected the challenges of COVID-19, significant growth and the Special Enrollment Period.2021. Our MCR for the nine months ended September 30, 2021 included a 200 basis point and a 420 basis point unfavorable impact from COVID-19 related costs and a 90 basis point unfavorable impact from non-COVID PPD. Our MCR for the nine months ended September 30, 2020 included a 290 basis point unfavorable impact from COVID-19 costs, a 200 basis point favorable impact from non-COVID PPD2022 and a 150 basis point favorable impact due to deferred utilization. The2021, respectively. In addition, our MCR in both 2021 periods was also impacted by the DCEs 98.2% MCR, which increased medical costs from MA product mix as a result of the Brand New Day and CHP acquisitions.our MCR by 100 basis points.

Operating costs increaseddecreased by $212.4$12.3 million, or 218.1%4.0%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. The decrease in operating costs was primarily due to releasing $79.0 million of premium deficiency reserve (“PDR”) expense, which was partially offset by an increase in operating costs from new market entry and consumer growth, as well as an increase in compensation and benefit costs driven by increases in employees. Operating costs increased by $518.4$343.9 million or 198.9%,44.1% for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in operating costs in both periods was primarily due to increases in operating costs from new market entry, increased marketing and selling expenses related to the 2021 special enrollment period in our Commercial business and increased compensation and benefit costs driven by an increase in employeesconsistent factors with the three months ended September 30, 2022. Operating costs for the nine months ended September 30, 2022, also include $12.4 million of severance costs and an increase in share-based compensation costs.impairment of capitalized software. The nine months ended September 30, 2022 also include a net release of $42.2 million of PDR expense.

Our operating cost ratio of 28.7%18.2% for the three months ended September 30, 2021, increased 1002022, decreased 1,050 basis points compared to the same period in 2020 primarily due to increased compensation and benefit costs driven by an increase in employees and an increase in share-based compensation costs as well as an early contract termination charge in the current-year period.2021. Our operating cost ratio of 25.4%22.3% for the nine months ended September 30, 2021 improved 5402022 decreased 310 basis points compared to the same period in 20202021. The decrease in both 2022 periods was primarily due to operating costs increasing at a slower rate than the increased premium revenues earned due toas a result of consumer growth and participation in the DC Model, as we continue to gain leverage on our operating costs as we grow, partially offset by an increase in broker commission costs associated with new membership growth .grow.

Depreciation and amortization increased by $11.5 million, or 430.4%, for the three months ended September 30, 2021 as compared to the same period in 2020, primarily due to the $11.3We recognized $74.2 million of amortization expense resulting from intangible assets acquired in the PMA, THNM, Zipnosis, CHP, and Centrum acquisitions, for which there were no comparable amounts in the three months ended September 30, 2020. Depreciation and amortization increased by $20.4 million, or 368.1%, for the nine months ended September 30, 2021 as compared to the same period in 2020, primarily due to $19.5 million from intangible assets acquired for which there were no comparable amounts in the nine months ended September 30, 2020.

Interest expense was $1.6 million and $6.3 millionnon-cash goodwill impairment for the three and nine months ended September 30, 2022, which included $4.1 million in our Bright HealthCare – Commercial segment and $70.0 million in our Medicare Advantage segment. We recognized $42.6 million and $49.3 million of non-cash intangible assets impairment for the three months and nine months ended September 30, 2022, respectively, which included impairments at our Bright HealthCare – Commercial and NeueHealth segments.

Depreciation and amortization remained relatively flat for the three months ended September 30, 2022 as compared to the same period in 2021. Depreciation and amortization increased by $14.2 million, or 54.6%, for the nine months ended September 30, 2022 as compared to the same period in 2021, primarily due to nine months of amortization expense from 2021 acquisitions in the 2022 period compared to only portions of the 2021 period specifically the acquisition of CHP on April 1, 2021 and Centrum on July 1, 2021. Both 2022 periods also experienced an increase in depreciation expense compared to the same periods in 2021 primarily due to depreciation related to capitalized software projects completed in the past year.

Interest expense was $4.9 million and $1.6 million for the three months ended September 30, 2022 and 2021, respectively, which was due to interestincreased borrowings on the Credit Agreement we entered into in March 2021, as well as amortization of debt issuance costs. We did not have any interest2021. Interest expense for either of the comparable periods in 2020.nine months ended September 30, 2022 and 2021 was $6.4 million and $6.3 million, respectively.

Income tax was an expense of $1.8 million and $0.1 million for the three months ended September 30, 2022 and a2021, respectively. For the nine months ended September 30, 2022 and 2021, income tax was an expense of $7.9 million and benefit of $18.2 million, respectively. The impact from income taxes varies from the federal statutory rate of 21.0% due to state income
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taxes, changes in the valuation allowance for deferred tax assets and adjustments for permanent differences. For the three months ended September 30, 2022, the expense largely relates to amortization of originating goodwill from asset acquisitions and estimated state income taxes attributable to income earned in separate filing states without state net operating loss carryforwards. For the three and nine months ended September 30, 2021, the benefit largely relates to adjustments to the valuation allowance for federal and state deferred tax assets, as well as the effect of deferred taxes recorded as part of business combination accounting for the Universal Care, Inc. (d.b.a. Brand New Day), THNM, Zipnosis, and CHP acquisitions.
Bright HealthCare - Commercial
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Statement of income (loss) and operating data:2022202120222021
Revenue:
Premium revenue$976,568 $625,926 $3,085,066 $1,930,925 
Investment income6,849 1,058 13,103 3,386 
Total revenue983,417 626,984 3,098,169 1,934,311 
Operating expenses:
Medical costs896,645 673,679 2,646,265 1,682,380 
Operating costs161,913 181,808 701,374 465,680 
Goodwill impairment4,148 — 4,148 — 
Intangible assets impairment — 6,720 — 
Depreciation and amortization 145 145 290 
Total operating expenses1,062,706 855,632 3,358,652 2,148,350 
Operating loss$(79,289)$(228,648)$(260,483)$(214,039)
Medical Cost Ratio (MCR)91.8 %107.6 %85.8 %87.1 %

Bright HealthCareCommercial revenue increased by $350.6 million, or 56.0%, for the three months ended September 30, 2022 as compared to the same period in 2021. Bright HealthCareCommercial revenue increased by $1.2 billion, or 59.8%, for the nine months ended September 30, 2022 as compared to the same period in 2021. The increase in revenues in both 2022 periods, compared to 2021, was driven by an increase in consumer lives of approximately 425,000 due to organic growth and entry into new markets in 2022 – particularly entry into Texas. The increase in the three and nine months ended September 30, 2022 were partially offset by increases in risk adjustment from the three and nine months ended September 30, 2021 of $212.9 million and $813.2 million, respectively. The increase in risk adjustment for the nine months ended September 30, 2022 included a $93.1 million increase in risk adjustment based on final settlement of the 2021 risk adjustment payable.

Bright HealthCareCommercial medical costs increased by $223.0 million, or 33.1%, for the three months ended September 30, 2022 as compared to the same period in 2021. For the three months ended September 30, 2022 and 2021, the impact of COVID-19 increased our medical costs $15.7 million and $42.0 million, respectively. Medical costs increased by $963.9 million, or 57.3%, for the nine months ended September 30, 2022 as compared to the same period in 2021. For the nine months ended September 30, 2022 and 2021, the income tax expense largely relatesimpact of COVID-19 increased our medical costs $73.1 million and $75.4 million, respectively.The remaining increase in the 2022 periods is due to amortizationan increase in consumers, partially offset by favorable medical cost rates.

Our Commercial MCR of 91.8% for the three months ended September 30, 2022 decreased 1,580 basis points compared to the same period in 2021. Our MCR for the three months ended September 30, 2022 included a 160 basis point unfavorable impact from COVID-19 costs. Our MCR for the three months ended September 30, 2021 included a 670 basis point unfavorable impact from COVID-19 costs. Our MCR of 85.8% for the nine months ended September 30, 2022 decreased 130 basis points compared to the same period in 2021. Our MCR included a 240 basis point and a 390 basis point unfavorable impact from COVID-19 costs for the nine months ended September 30, 2022 and 2021, respectively. The decrease in MCR in both 2022 periods compared to 2021, was primarily due to favorable medical cost rates.

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originating goodwill from asset acquisitions. For the nine months ended September 30, 2021, the overall tax benefit is primarily due to the release of valuation allowance in connection with new deferred tax liabilities recorded on identifiable intangibles as part of business combination accounting for the Zipnosis, THNM, and CHP stock acquisitions, as well as a measurement period adjustment related to the BND acquisition. We recognized an income tax benefit of $9.2 million during the nine months ended September 30, 2020, which was due to the impact of goodwill and intangible assets acquired in the Brand New Day acquisition in April 2020.
Bright HealthCare
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Statement of income (loss) and operating data:2021202020212020
Bright HealthCare:
Commercial revenue$625,926 $170,434 $1,930,925 $510,915 
Medicare Advantage revenue368,599 173,038 929,374 310,270 
Investment income1,087 1,774 3,491 7,063 
Total revenue995,612 345,246 2,863,790 828,248 
Operating expenses:
Medical costs1,019,081 311,319 2,588,196 675,114 
Operating costs275,218 88,916 707,520 237,430 
Depreciation and amortization4,584 2,274 11,524 4,131 
Total operating expenses1,298,883 402,509 3,307,240 916,675 
Operating loss$(303,271)$(57,263)$(443,450)$(88,427)
Medical Cost Ratio (MCR)102.5 %90.6 %90.5 %82.2 %

Commercial revenue increasedOperating costs decreased by $455.5$19.9 million, or 267.3%10.9%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. The decrease was primarily due to the release of $70.8 million of PDR, partially offset by increased operating costs from the increase in consumers. In addition, operating costs for the nine months ended September 30, 2022 increased by $235.7 million, or 50.6%, as compared to the same period in 2021. The increase in operating costs was driven by increases in operating costs from new market entry and increased marketing and selling expenses, partially offset by a net release of $33.0 million of PDR.

We recognized a $4.1 million non-cash impairment of goodwill for the three and nine months ended September 30, 2022, as a result of our decision to exit the Commercial market for the 2023 plan year. We also recognized $6.7 million of non-cash intangible assets impairment for the nine months ended September 30, 2022, as a result of our prior decision to exit the Commercial markets in New Mexico.

Depreciation and amortization was immaterial to the Bright HealthCareCommercial segment for the three and nine months ended September 30, 2022 and 2021.
Medicare Advantage
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Statement of income (loss) and operating data:2022202120222021
Revenue:
Premium revenue$408,939 $368,599 $1,258,846 $929,374 
Investment income36 29 83 105 
Total revenue408,975 368,628 1,258,929 929,479 
Operating expenses:
Medical costs362,527 345,402 1,157,528 905,816 
Operating costs43,291 50,434 127,986 119,111 
Goodwill impairment70,017 — 70,017 — 
Depreciation and amortization4,416 3,781 13,291 9,903 
Total operating expenses480,251 399,617 1,368,822 1,034,830 
Operating loss$(71,276)$(30,989)$(109,893)$(105,351)
Medical Cost Ratio (MCR)88.7 %93.7 %92.0 %97.5 %

Medicare Advantage revenue increased by $1.4 billion,$40.3 million, or 277.9%10.9%, for the three months ended September 30, 2022 as compared to the same period in 2021. The increase was driven by favorable premium rates and an increase in consumer lives of approximately 15,000 due to organic growth. Medicare Advantage revenue increased by $329.5 million, or 35.5%, for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in revenues in both 2021 periods compared to 2020, was driven by an increase in consumer lives of approximately 513,000 due to organic growth, higher net premium rates in certain markets, plan mix, and inorganic growth from the acquisition of THNM, which are partially offset by an increase in risk adjustment payables. The three months ended September 30, 2021 included a change in estimate for the expected full-year risk adjustment scoring impact of $134.0 million, of which $89.3 million related to the first six months of 2021.

MA revenue increased by $195.6 million, or 113.0%, for the three months ended September 30, 2021 as compared to the same period in 2020. MA revenue increased by $619.1 million, or 199.5%, for the nine months ended September 30, 2021 as compared to the same period in 2020. The three and nine months ended September 30, 20212022 included $125.7 million and $266.8 million, respectively,an additional quarter of revenue from our acquisition of CHP, which occurred on April 1, 2021. The remaining increase was primarily driven by volume increases due tofavorable premium rates and organic consumer growth.

MedicalMedicare Advantage medical costs increased by $707.8$17.1 million, or 227.3%5.0%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. For the three months ended September 30, 20212022 and 2020,2021, the impact of COVID-19 increased our medical costs $55.6$6.9 million and $13.3$13.6 million, respectively. The increase in medical costs was primarily driven by an increase in members, partially offset by favorable medical cost rates. Medical costs increased by $1.9 billion,$251.7 million, or 283.4%27.8%, for the nine months ended September 30, 20212022 as compared to the same period in 2020. 2021. For the nine months ended September 30, 20212022 and 2020,2021, the impact of COVID-19 increased our medical costs by $124.0$28.0 million and $23.8$48.6 million, respectively. The remaining increase in both 2021 periodsmedical costs is also due to an increase in consumers driven by organic growth, unfavorableIn addition, the nine months ended September 30, 2022 included nine months of medical cost rates and inorganic growth as a resultcosts from our acquisition of acquisitions.CHP, compared to the same period in 2021, which included six months of medical costs from CHP.

Our MCR of 102.5%88.7% for the three months ended September 30, 2021 increased 1,1802022 decreased 500 basis points compared to the same period in 2020.2021. Our MCR for the three months ended September 30, 2022 included a 170 basis point unfavorable impact from
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COVID-19 costs. Our MCR for the three months ended September 30, 2021 included a 560370 basis point unfavorable impact from COVID-19 related costs and a 910 basis point unfavorable impact from non-COVID PPD related to risk adjustment. Our MCR
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for the three months ended September 30, 2020 included a 390 basis point unfavorable impact from COVID-19 costs and a 530 basis point favorable impact from non-COVID PPD.

costs. Our MCR of 90.5%92.0% for the nine months ended September 30, 2021 increased 8302022 decreased 550 basis points compared to the same period in 2020.2021. Our MCR included a 220 basis point and a 520 basis point unfavorable impact from COVID-19 costs for the nine months ended September 30, 2022 and 2021, included a 430 basis point unfavorable impact from COVID-19 related costs and a 90 basis point unfavorable impact from non-COVID PPD. Our MCR for the nine months ended September 30, 2020 included a 290 basis point unfavorable impact from COVID-19 costs, a 210 basis point favorable impact from non-COVID PPD and a 150 basis point unfavorable impact from deferred utilization. The MCR in both 2021 periods was also impacted by increased medical costs from MA product mix as a result of the Brand New Day and CHP acquisitions and an increase in risk adjustment payable, which was partially offset by favorable market mix and rate in IFP.respectively.

Operating costs increaseddecreased by $186.3$7.1 million, or 209.5%14.2%, for the three months ended September 30, 20212022 as compared to the same period in 2020. 2021. The decrease was primarily due to release of $8.2 million of PDR expense. Operating costs for the nine months ended September 30, 2022 increased by $470.1$8.9 million, or 198.0%7.5%, as compared to the same period in 2021. The increase in operating costs was driven by an increase in costs due to consumer growth and an increase in compensation and benefit costs, partially offset by a release of $9.2 million of PDR expense.

We recognized a $70.0 million non-cash impairment of goodwill for the three and nine months ended September 30, 2022, which was primarily driven by an increase in the discount rate due to higher interest rates and other market factors.

Depreciation and amortization remained relatively flat for the three months ended September 30, 2022 as compared to the same period in 2021. Depreciation and amortization increased by $3.4 million, or 34.2%, for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in both periods during 2021 compared to the same periods in 2020 was primarily due to increases$2.4 million from an additional quarter in operating costs from new market entry, increased marketing and selling expenses related to2022 of amortization of intangible assets acquired in the 2021 SEP in our Commercial business and increased compensation and benefit costs driven by an increase in employees and an increase in share-based compensation costs. In addition, the 2021 periods also have increased operating costs from acquisitions, which do not have a comparable prior period impact.CHP acquisition that occurred on April 1, 2021.
NeueHealth
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Statement of income (loss) and operating data:2022202120222021
NeueHealth:
Premium revenue$328,135 $156,990 $1,059,597 $221,836 
Direct contracting revenue145,433 — 465,435 — 
Service revenue23,615 19,556 72,387 54,809 
Investment income (loss)4,846 46,258 (52,306)109,012 
Total revenue502,029 222,804 1,545,113 385,657 
Operating expenses
Medical costs447,604 163,279 1,453,985 211,176 
Operating costs42,448 38,650 133,926 86,008 
Intangible assets impairment42,611 — 42,611 — 
Depreciation and amortization6,913 9,563 20,572 14,362 
Total operating expenses539,576 211,492 1,651,094 311,546 
Operating income (loss)$(37,547)$11,312 $(105,981)$74,111 
Medical Cost Ratio (MCR)94.5 %104.0 %95.3 %95.2 %

Depreciation and amortizationPremium revenue increased by $2.3$171.1 million, or 101.6%109.0%, for the three months ended September 30, 20212022 as compared to the same period in 2020. Depreciation and amortization2021. Premium revenue increased by $7.4$837.8 million, or 179.0%377.6%, for the nine months ended September 30, 20212022 as compared to the same period in 2020. The increase in the three and nine month periods ended September 30, 2021 was primarily due to amortization expense of $2.6 million and $7.0 million, respectively, resulting primarily from intangible assets acquired for which there were no comparable amounts in the 2020 periods.
NeueHealth
($ in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
Statement of income (loss) and operating data:2021202020212020
NeueHealth:
Premium revenue$156,990 $1,954 $221,836 $5,950 
Service revenue19,556 7,647 54,809 21,520 
Investment income46,258 — 109,012 — 
Total revenue222,804 9,601 385,657 27,470 
Operating expenses
Medical costs163,279 — 211,176 — 
Operating costs42,914 11,190 94,733 31,396 
Depreciation and amortization9,621 404 14,457 1,419 
Total operating expenses215,814 11,594 320,366 32,815 
Operating income (loss)$6,990 $(1,993)$65,291 $(5,345)
Medical Cost Ratio (MCR)104.0 %— %95.2 %— %

Premium revenue increased by $155.0 million for the three months ended September 30, 2021 as compared to the same period in 2020. Premium revenue increased by $215.9 million for the nine months ended September 30, 2021 as compared to the same period in 2020.2021. The increase in premium revenue for the three and nine months ended September 30, 2021 include2022 is primarily due to growth in capitated revenue driven by the acquisition of Centrum on July 1, 2021.

s $137.2
We began participating in the DC Model beginning in January 2022 through two DCEs aligned with our NeueHealth business. Direct Contracting revenue was $145.4 million and $170.3$465.4 million respectively,for the three and nine months ended September 30, 2022, respectively. This revenue was attributable to the alignment of beneficiaries to our DCE entities, which numbered approximately 46,000 at September 30, 2022. We received updated benchmark data from CMS during the acquisitionsthird quarter of PMA and Centrum, as well as an organic2022, which resulted in a sequential increase in patient lives.

Direct Contracting revenue in the third quarter of 2022 compared to the second
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quarter of 2022. See Note 15, Direct Contracting, for additional information regarding our remaining performance obligation based on the most recent benchmark data.

Service revenue increased by $11.9$4.1 million, or 155.7%20.8%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. Service revenue increased by $33.3$17.6 million, or 154.7%32.1%, for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in service revenue in both 20212022 periods is primarily driven by increased intercompany network contract service revenue with our Bright HealthCare - Commercial segment, which is charged on a per consumer per month basis and has increased due to market expansion and an increase in consumer lives. The acquisitionsacquisition of PMA on December 31, 2020 and Zipnosis on March 31, 2021 also contributed to the year-over-year increase in service revenue.

InvestmentWe had investment income was $46.3 million and $109.0of $4.8 million for the three and nine months endingended September 30, 2021, respectively, due2022, compared to unrealized gains on equity securities acquiredinvestment income of $46.3 million in 2021. NeueHealth did not hold any investments during the three andmonths ended September 30, 2021. For the nine months ended September 30, 2020.2022 and 2021 we experienced a $52.3 million investment loss and $109.0 million investment income, respectively. The investment income and loss in both periods was due to gains and losses on equity securities.

Medical costs were $163.3 million and $211.2$447.6 million for the three and nine months ended September 30, 2022, an increase of $284.3 million as compared to the same period in 2021, respectively, which werewas primarily driven by an increase in patient lives as a result of the PMACentrum acquisition, new market expansion and Centrum acquisitions, as well as organic growthour participation in our value-based arrangements.Direct Contracting beginning in January 2022. MCR was 104.0% and 95.2% in94.5% for the three andmonths ended September 30, 2022, compared to 104.0% for the three months ended September 30, 2021. The decrease was primarily due to a $62.2 million adjustment to the risk share intercompany payable due to the Bright Healthcare - Commercial segment resulting in a decrease to medical expenses. Medical costs for the nine months ended September 30, 2021, respectively. There2022 were no$1.5 billion, an increase of $1.2 billion as compared to the same period in 2021. The increase in medical costs inwas driven by consistent factors with the three andmonths ended September 30, 2022. MCR was 95.3% for the nine months ended September 30, 2020.2022, compared to 95.2% for the nine months ended September 30, 2021. Higher MCR in the Texas market, new in 2022, and within the DCEs 98.2% offset the favorable MCR factors from Florida and the intercompany payable adjustment, mentioned previously, for the three months ended September 30, 2022 resulting in a consistent MCR year over year.

Operating costs increased by $31.7$3.8 million, or 283.5%9.8%, for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. Operating costs increased by $63.3$47.9 million, or 201.7%55.7%, for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in both 20212022 periods was primarily due to increased compensation and benefit costs from more employees, and outsourced vendor fees in support of consumer growth, as well asgrowth. In addition, the nine months ended September 30, 2022 included two additional quarters of costs from Centrum as a result of the PMA, Zipnosisacquisition occurring on July 1, 2021.

We recognized $42.6 million of intangible assets impairment for the three months and Centrum acquisitions.nine months ended September 30, 2022, which related to a full impairment of Centrum’s reacquired contract with Bright HealthCare Florida as a result of our decision to no longer offer Commercial products for the 2023 plan year.

Depreciation and amortization increaseddecreased by $9.2$2.7 million for the three months ended September 30, 20212022 as compared to the same period in 2020.2021. The decrease is primarily due to measurement period adjustments that resulted in a reduced valuation of Centrum’s intangible assets subsequent to the third quarter of 2021. Depreciation and amortization increased by $13.0$6.2 million for the nine months ended September 30, 20212022 as compared to the same period in 2020.2021. The increase in the three and nine months ended September 30, 2021 was primarily due to amortization expense of $8.8$12.5 million and $12.4 million, respectively,for the nine months ended September 30, 2022, resulting from intangible assets acquired foras part of the Centrum acquisition, which there were no comparable amounts in the 2020 periods.occurred on July 1, 2021.


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Liquidity and Capital Resources

We assess our liquidity and capital resources in terms of our ability to generate adequate amounts of cash to meet our current and future needs. Our expected primary uses on a short-term and long-term basis are for geographic and service offering expansion, acquisitions, and other general corporate purposes. We have historically funded our operations and acquisitions primarily through the sale of preferred stock, and more recently,including the issuance of Series B Preferred Stock in October 2022, which generated proceeds of $175.0 million, the issuance of Series A Preferred Stock in January 2022, which generated cash proceeds of $750.0 million, as well as through salesthe issuance of our common stock in June 2021 in connection with our initial public offering, which generated cash proceeds of $887.3 million upon closingmillion.

We have incurred operating losses since our founding, and we expected to incur operating losses in the future. However, we are implementing a restructuring plan to reduce our capital needs and our operating expenses in the future to drive positive operating cash flow and increase liquidity. Our restructuring plan includes Bright HealthCare’s exiting of the Commercial marketplace for the 2023 plan year and focusing on our IPOMedicare Advantage business in California, as well as reducing our workforce, exiting excess office space, and terminating or restructuring contracts. We believe our restructuring initiatives, along existing cash and investments, will provide sufficient liquidity to satisfy our anticipated cash requirements for the next 12 months.

In addition to our current capital needs, we regularly evaluate our future capital needs to support our future growth plans and other strategic opportunities that may arise. We may seek funds through borrowings or through additional rounds of financing, including private or public equity offerings. Our longer-term future capital requirements and ability to raise additional capital will depend on June 28,many forward-looking factors, including:

investor confidence in our ability to continue as a going concern,
2021.our ability to continue executing on cost saving measures previously described, and
our ability to successfully improve our profitability.

Our expected primary short-term uses of cash for our regulated insurance entities include ongoing disbursements for claims payments, the Direct Contracting performance year obligation, as well as payments into the risk adjustment program which generally occur in the third quarter. For our non-regulated entities, our expected short-term uses of cash include capital infusions into our regulated insurance entities, interest payments and other general and administrative costs. Our long-term cash requirements primarily include operating lease obligations and redeemable noncontrolling interests.

Cash and investment balances held at regulated insurance entities are subject to regulatory restrictions and can only be accessed through dividends declared to the non-regulated parent company, pending regulatory approval, or through reimbursements fromrelated to administrative services agreements with the parent company. The Company has declared one dividendno dividends from the regulated insurance entities to the parent company during the nine months ended September 30, 2021,2022 and had no dividends for the same period in 2020.2021. The regulated legal entities are required to hold certain minimum levels of risk-based capital and surplus to meetsatisfy regulatory requirements. As of September 30, 20212022 and December 31, 2020,2021, the amounts held in risk-based capital and surplus at regulated insurance legal entities was in excess of the minimum requirements.requirements, except for four states where we are currently working with the state departments of insurance to rectify potential instances of noncompliance.

We expect to continue to incur operating losses and generate negative cash flows from operations for the foreseeable future due to the investments we intend to continue to make in expanding our operations and due to additional general and administrative costs we expect to incur in connection with operating as a public company. We believe that existing cash on hand, investments and amounts available under our
Credit Agreement described below will be sufficient to satisfy our anticipated cash requirements for the next twelve months. However, we may seek additional capital to support our future growth plans and other strategic opportunities that may arise.

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Indebtedness

On March 1, 2021, we entered intoWe have a $350.0 million revolving credit agreement with a syndicate of banks (the “Credit Agreement”). On August 2, 2021, the Credit Agreement, was amended to change the definition of “Qualified IPO” by reducing the net proceeds required to be received by the Company from $1.0 billion to $850.0 million. In addition, prior to such amendment, thewhich matures on February 28, 2024. The Credit Agreement containedcontains a covenant that requiredrequires the Company to maintain a total debt to capitalization ratio of (a) 0.25 to 1.00 prior to a Qualified IPO, and (b) 0.30 to 1.00 after a Qualified IPO. The Amendment changed this covenant by removing the increase in the ratio after a Qualified IPO such that the Company is now required to maintain a total debt to capitalization ratio of 0.25 to 1.00. On August 4, 2021, we elected to extend the maturity date of the Credit Agreement from February 28, 2022 to February 28, 2024. We utilized a portion of the net IPO proceeds to repay the $200.0 million principal balance of indebtedness outstanding under our revolving credit agreement originally entered into on March 1, 2021 and the associated interest and other costs of $3.2 million. During the second quarter of 2021, we repaid the full amount and as of September 30, 2021, we have no borrowings outstanding under the Credit Agreement. The Credit Agreement also contains a covenant that require us to maintain a minimum liquidity of $150.0 million. We were not in compliance with the total debt to capitalization ratio covenant as of September 30, 2022. On November 8, 2022, we executed an amendment to the Credit Agreement pursuant to which certain collateral related defaults were waived and, in addition, it was agreed that we would (i) not be required to test our debt to capitalization ratio covenant during and including the four quarter test period ending September 30, 2022 through and including the four quarter test period ending September 30, 2023, (ii) be required to maintain a minimum liquidity of $200.0 million from November 8, 2022 through and including September 30, 2023 and (iii) be required to
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maintain a minimum liquidity of $150.0 million after September 30, 2023.As of September 30, 2022, we had $303.9 million of short-term borrowings under the Credit Agreement.

The obligations under the Credit Agreement are secured by substantially all of the assets of the Company and its wholly owned subsidiaries that are designated as guarantors, including a pledge of the equity of each of its subsidiaries. Borrowings under the Credit Agreement accrue interest at the Company’s election either at a rate of: the (i) the sum of (a) the greatest of (1) the Prime Rate (as defined in the Credit Agreement), (2) the rate of the Federal Reserve Bank of New York in effect plus 1∕2 of 1.0% per annum, and (3) London interbank offered rate (“LIBOR”), plus 1% per annum, and (b) a margin of 4.0%; or (ii) the sum of (a) the LIBOR multiplied by a statutory reserve rate and (b) a margin of 5.0%. In addition, the commitment fee is 0.75% of the unused amount of the Credit Agreement.

Furthermore, the Credit Agreement contains covenants that, among other things, restrict the ability of the Company and its subsidiaries to make dividends or other distributions, incur additional debt, engage in certain asset sales, mergers, acquisitions or similar transactions, create liens on assets, engage in certain transactions with affiliates, change its business or make investments. In addition, the Credit Agreement contains other customary covenants, representations and events of default.

As of September 30, 2022, we had $46.1 million of outstanding, undrawn letters of credit under the Credit Agreement, which reduce the amount available to borrow.

Preferred Stock Financing

On January 3, 2022, we issued 750,000 shares of the Series A Preferred Stock, par value $0.0001 per share, for an aggregate purchase price of $750.0 million. We used a portion of the proceeds to repay in full our $155.0 million of outstanding borrowings under the Credit Agreement on January 4, 2022.

For additional information on the Series A Preferred Stock, see Note 9, Redeemable Convertible Preferred Stock, in our condensed consolidated financial statements of this Quarterly Report.

On October 17, 2022, we issued 175,000 shares of the Series B Preferred Stock, par value $0.0001 per share, for an aggregate purchase price of $175.0 million.

Cash and Investments

As of September 30, 2021,2022, we had $956.2 million$1.6 billion in cash and cash equivalents, $331.7$299.9 million in short-term investments and $681.9$865.7 million in long-term investments on the consolidated balance sheet. Our cash and investments are held at non-regulated entities and regulated insurance entities.

As of September 30, 2021,2022, we had non-regulated cash and cash equivalents of $207.9$190.4 million, short-term investments of $206.8$30.4 million and no long-term investments of $88.3 million.investments.

As of September 30, 2021,2022, we had regulated insurance entity cash and cash equivalents of $748.3$1.4 billion, of which $4.5 million was restricted, short-term investments of $124.9$269.5 million, of which $3.5$5.0 million was restricted, and long-term investments of $593.6$865.7 million, of which $4.1$3.0 million was restricted.

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Cash Flows
The following table presents a summary of our cash flows for the periods shown:
Nine Months Ended
September 30,
Nine Months Ended
September 30,
($ in thousands)($ in thousands)20212020($ in thousands)20222021
Net cash provided by operating activitiesNet cash provided by operating activities$233,114 $11,339 Net cash provided by operating activities$111,787 $233,114 
Net cash used in investing activitiesNet cash used in investing activities(653,128)(528,830)Net cash used in investing activities(463,151)(653,128)
Net cash provided by financing activitiesNet cash provided by financing activities887,832 687,714 Net cash provided by financing activities895,710 887,832 
Net increase in cash and cash equivalentsNet increase in cash and cash equivalents467,818 170,223 Net increase in cash and cash equivalents544,346 467,818 
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period488,371 522,910 Cash and cash equivalents at beginning of period1,061,179 488,371 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period$956,189 $693,133 Cash and cash equivalents at end of period$1,605,525 $956,189 

Operating Activities

During the nine months ended September 30, 2021,2022, net cash provided by operating activities increaseddecreased by $221.8$121.3 million compared to the nine-month period ended September 30, 2020, 2021, primarily driven by themore timely payment of our medical cost liabilities resulting in a reduction of cash generated from medical costs payable and an increase in consumer growth driving the increased medical costs and risk adjustment payables, as well as accounts payables and other liabilities, and increased medical costs in the MA business driven by the Brand New Day and CHP acquisitions,our net loss, partially offset by an increase in our net loss.unearned revenue due to the timing of receipt of the October Medicare Advantage premium payment from CMS.

Investing Activities

During the nine months ended September 30, 2021,2022, net cash used in investing activities increaseddecreased by $124.3$190.0 million compared to the nine-month period ended September 30, 2020.2021. The increasedecrease was primarily attributabledue to a $257.6$431.4 million increasedecrease in cash used for acquisitions whichcompared to the nine months ended September 30, 2021. The decrease from acquisitions was partially offset by a decrease$240.5 million increase in purchases of investments, net of proceeds from sales, paydowns and maturities of investments.investments, which was driven by additional investments at our regulated entities to support continued consumer growth.

Financing Activities

During the nine months ended September 30, 2021,2022, net cash provided by financing activities increased by $200.1$7.9 million compared to the nine-month period ended September 30, 2020, primarily driven by $887.3 million of proceeds from our IPO in June 2021, offset by $6.7 million of cash paid for IPO offering costs, and an increase in proceeds from the issuance of common stock resulting from stock option exercise in the nine months ended September 30, 2021. These increases were partially2021, primarily due to an net increase in short-term borrowings of $148.9 million, which more than offset the $142.4 decrease in net cash provided by $686.8 million of proceeds from issuance of preferred stock in the nine months ended September 30, 2020.equity issuances.

Critical Accounting Policies and Estimates

The critical accounting policies that reflect our more significant judgements and estimates used in the preparation of our condensed consolidated financial statements include those described in the Prospectus2021 Form 10-K and the Form 10-Q for the quarterly period ended March 31, 2022 under “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Critical Accounting Policies and Estimates.”

ThereOther than as described below, which relates to our interim goodwill impairment assessment, there have been no material changes to our critical accounting policies and estimates as comparedfor the period ended September 30, 2022.

Goodwill

As of September 30, 2022, we have three reporting units, two of which comprise our goodwill balance. These two reporting units had an aggregate goodwill carrying amount of $761.3 million at September 30, 2022.

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We test goodwill for impairment annually at the beginning of the fourth quarter or whenever events or circumstances indicate the carrying value may not be recoverable. Such events and circumstances could include a sustained decrease in our market capitalization, disposal of significant components of our business, unexpected business disruptions, unexpected significant declines in our operating results, significant adverse changes in the markets we operate, changes in interest rates or changes in management strategy. We test reporting units for impairment by measuring the fair values of the reporting units and comparing them to their aggregate carrying values, including goodwill. If the fair value of the reporting unit is greater than its carrying value, no goodwill impairment is recognized. If the calculated fair value of the reporting unit is less than its carrying value, we recognize an impairment equal to the critical accounting policiesdifference between the carrying value of the reporting unit and its calculated fair value.

Fair value determinations require considerable judgment and are sensitive to changes in underlying assumptions, estimates disclosedand market factors. We estimate the fair values of our reporting units using a combination of discounted cash flows and comparable market multiples, which include assumptions about a wide variety of internal and external factors. Significant assumptions used in the Prospectus.impairment analysis include financial projections of free cash flow (including significant assumptions about revenue growth rates, operating margins, capital requirements and income taxes), long-term growth rates for determining terminal value beyond the discretely forecasted periods and discount rates. Underperformance to the financial projections used in the impairment analysis could negatively impact the fair value of our reporting units; whereas, overperformance relative to the financial projections used in the impairment analysis could positively impact the fair value of our reporting units. Additionally, the passage of time and the availability of additional information regarding areas of uncertainty with respect to the reporting units’ operations could cause these assumptions to change in the future.

We performed an interim goodwill impairment test as of September 30, 2022, as described in Note 5, Goodwill and Intangibles Assets, in our condensed consolidated financial statements of this Quarterly Report. We recognized a goodwill impairment at our Bright HealthCare – Commercial and Medicare Advantage reporting units. Our reporting units that were impaired were written down to their respective fair values resulting in zero excess fair value over carrying value as of September 30, 2022. Our reporting units that have zero excess fair value over carrying value as of our interim impairment testing date have a heightened risk of future impairments if any assumptions, estimates or market factors change in the future.

Our Medicare Advantage reporting unit represents our only remaining reporting unit with zero excess fair value over carrying value that maintains a goodwill balance. The Medicare Advantage reporting unit had a goodwill carrying value of $358.7 million at September 30, 2022, our interim goodwill testing date. Based on our interim test, our NeueHealth reporting unit had a fair value significantly in excess of its carrying value of $402.6 million.

The assumptions used in our goodwill impairment testing are made at a point in time, require significant judgment and are subject to change based on the facts and circumstances present at each annual or interim impairment test date. Additionally, these assumptions are generally interdependent and do not change in isolation. It is reasonably possible that changes in assumptions could occur. As the Medicare Advantage reporting unit had zero excess fair value over carrying value, any significant adverse change in our near or long-term financial projections or macroeconomic conditions could result in future goodwill impairment, which could be material.

Recently Adopted Accounting Pronouncements

For a description of recently issued accounting pronouncements, see Note 1, Organization and Basis of Presentation, in our condensed consolidated financial statements of this Quarterly Report on Form 10-Q.Report.

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Our earnings and financial position are exposed to financial market risk, including those resulting from changes in interest rates.

Interest Risk

The level of our pretax earnings is subject to market risk due to changes in interest rates and the resulting impact on investment income and interest expense. We invest in a professionally managed portfolio of securities, which includes debt securities of publicly traded companies, obligations of the U.S. government, domestic government agencies, and state and political subdivisions. AtInterest rate risk is highly sensitive due to many factors, including U.S. monetary and tax policies and other factors outside of our control. Assuming a hypothetical and immediate 1% increase in interest rates across the entire U.S. Treasury curve at September 30, 20212022, the aggregate market value decrease to our net unrealized gain position was $0.2 million, compared to a net unrealized gain position of $2.4 million at December 31, 2020.regulated and unregulated portfolios would be approximately $22.8 million.

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ITEM 4. CONTROLS AND PROCEDURES

Limitations on effectivenessEffectiveness of controlsControls and proceduresProcedures

In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures must reflect the fact that there are resource constraints and that management is required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.

Evaluation of disclosure controlsDisclosure Controls and proceduresProcedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated, as of the end of the period covered by this Quarterly Report on Form 10-Q, the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of September 30, 2021,2022, our disclosure controls and procedures were not effective due to the material weakness in our internal control over financial reporting described below. In light of this fact, our management has performed additional analyses, reconciliations, and other post-closing procedures and has concluded that, notwithstanding the material weaknesses in our internal control over financial reporting, the condensed consolidated financial statements for the periods covered by and included in this Quarterly Report on Form 10-Q fairly present, in all material respects, our financial position, results of operations and cash flows for the periods presented in conformity with U.S. GAAP.

Previously Reported Material Weakness in Internal Control Over Financial Reporting

As disclosed in the section entitled Risk Factors in our Prospectus,2021 Form 10-K, we previously identified a material weakness in Brand New Day’s internal control over financial reporting.related to claims pertaining to our commercial business, which were processed by a third-party service provider. The claims were processed inaccurately according to terms of provider contracts and/or related fee schedules, or did not consistently go through claims re-pricing, where necessary, prior to payment. As of September 30, 2021,2022, we continue to have a material weakness in Brand New Day’s internal control over financial reporting. So far in 2021,commercial third-party claims processing. However, since the identification of this material weakness, we have taken a number of remediation stepscontinued to enhance the control environment at Brand New Day, including actions to further centralize accountingmake progress with our pre-pay and other financial responsibilities, enhance controls,post-pay claims quality assurance procedures and documentation supporting key accountsdata mining capabilities. These capabilities are enabling early identification of overpayment issues so the issues can be addressed timely. Additionally, our provider data improvement initiatives have enhanced the accuracy of our provider rosters, determination of in-network versus out-of-network status, and processes,alignment of providers to appropriate contracts and hirefee schedules. Finally, additional resources to oversee accounting, reporting and other activities occurring within Brand New Day. With these improvements, management is now focused on demonstrating consistencyfront-end claims review procedures implemented in the performance of these controls and procedures from period to period. Additionally, we migrated Brand New Day’s financial accounting and reporting activities over to Bright Health’s legacy enterprise resource planning system in the thirdfirst quarter of 2021.fiscal year 2022 have resulted in improved claims payment accuracy, based on fee schedules agreed-upon with providers.

Changes in Internal Control over Financial Reporting

We considerOther than the material weakness remediation actions discussed above, asthere have been no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. Management continues to advance its remediation program to ensure that control deficiencies contributing to the material weakness are remediated.
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PartPART II. OTHER INFORMATION

Item 1. Legal Proceedings

WeOther than the matters described in Note 11, Commitments and Contingencies, we are not presently a party to any litigation the outcomes of which, we believe, if determined adversely to us, would individually or taken together have a material adverse effect on our business, operating results, cash flows, or financial condition.

Item 1A. Risk Factors

This Quarterly Report on Form 10-Q should be read in conjunction with the risk factors included in our Prospectus. There2021 Form 10-K and our other filings with the SEC. Except as set forth below, there have been no material changes to the risk factors disclosed under the heading “Risk Factors” in our Prospectus, except2021 Form 10-K and Form 10-Q’s for the following risk factor, which supplements the “Risk Factors” section in our Prospectus.quarterly periods ended March 31, 2022 and June 30, 2022.

Security incidents or breaches, loss of data and other disruptionsManagement action plans in place may not fully alleviate doubt about our ability to our or our third-party service providers’ systems, information technology infrastructure, and networks could compromise sensitive or legally protected information related to our business or consumers, disrupt our business operations, and expose us to liability, which could adversely affect our business and our reputation.

In the ordinary course of our business, we receive, collect, store, use, process, transmit and disclose (“Process”) sensitive data, including protected health information (“PHI”), and other types of personal data, personal information or personally identifiable information protected by various laws and regulations (collectively, “PII”). We also use third-party service providers to Process PHI, PII, sensitive information and other confidential information, including that of our consumers and service providers. We manage and maintain our technology platform and data usingcontinue as a combination of on-site systems, managed data center systems and cloud-based systems. Because of the sensitivity of the PHI, other PII and other confidential information we and our consumers and service providers process, the security of our technology platform and other aspects of our services, including those provided or facilitated by our third-party service providers, are critically important to our operations and business strategy.going concern

The operation, stability, integrity and availabilityCompany has a history of our technology platform and underlying network infrastructure are critical to the implementation of our business strategy, our financial results, our brand and reputation, our relationship with our Care Partners,operating losses. These losses, as well as significant growth in consumers network providers, broker network, third-party providers and other key constituents. Any system failure, including network, software or hardware failure, that causes an interruption in our network or a decrease in the responsiveness of our technology platform could result in dissatisfaction and a loss of trust with those constituents and adversely impact our business and reputation. Although we have redundancies in place that will permitBright HealthCare – Commercial segment, which has required us to respond, at leastset aside additional cash for equity contributions to some degree,maintain minimum regulatory amounts, have reduced the cash available to service outages, it could takefund operations. These factors raised significant timedoubt about our ability to have all systems fully operationalmeet future obligations and our third-party cloud providers are also subjectcontinue as a going concern in the second quarter of 2022 and caused us to vulnerabilities.

Security incidents and breaches of our infrastructure or our third-party service providers’ infrastructure, including physical or electronic break-ins, computer viruses, ransomware, or other malware, employee or contractor error or malfeasance, can disrupt or shut down our systems, or allow unauthorized access to, or misuse, disclosure, modifications or loss of confidential information, PHI, and other PII. Such breaches could result in legal claims or proceedings, liability under laws and regulations that protect the privacy of PHI or other PII, such as the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the California Consumer Privacy Act (“CCPA”), and other state and federal laws and regulations. We may also be required to notify government authorities, individuals, the media, and other third parties in connection with a security incident or breach involving PHI or other PII, and could become subject to investigations, consent decrees, resolution agreements, monitoring agreements and similar agreements, and civil penalties. We require business associates and other outsourcing subcontractors who handle consumer and patient information to enter into business associate agreements, if applicable, and to agree to use reasonable efforts to safeguard PHI, other PII and other sensitive information. However, these measures may not adequately protect us from the risks associated with the Processing of such information.seek additional financing.

In response to these conditions, management is implementing a restructuring plan to reduce our capital needs and our operating expenses in the future to drive positive operating cash flow and increase liquidity. The Company’s Bright HealthCare business is exiting the Commercial marketplace for the 2023 plan year and is focusing on its Medicare Advantage business in California. In addition to our market exits, management is implementing additional restructuring activities, which include reducing our workforce, exiting excess office space, and terminating or restructuring contracts. The Company also closed on a $175.0 million capital raise in October 2021, one2022 to capitalize our continuing operations as further described in Note 16, Subsequent Events. While the Company believes its restructuring initiatives, along with existing cash and investments, will provide sufficient liquidity to meet its obligations as they come due in the 12 months following the date the condensed consolidated financial statements are issued, there can be no assurance that such actions will be sufficient or that such actions will fully alleviate the fears of investors and creditors that we may be unable to continue as a going concern. In addition, there can be no assurance that we will not face conditions in the future that raise doubts about our ability to continue as a going concern.

The Credit Agreement contains restrictions on our ability to operate our business and to pursue our business strategies, and our failure to comply with, cure breaches of, or obtain waivers of covenants could result in an acceleration of the maturity date on our indebtedness.

The Credit Agreement contains, and agreements governing future debt issuances may contain, covenants that restrict our ability to finance future operations or capital needs, to respond to changing business and economic conditions, or to engage in other transactions or business activities that may be important to our growth strategy or otherwise important to us. The Credit Agreement restricts, subject to certain exceptions, among other things, our ability and the ability of our subsidiaries True Health New Mexico, Inc. (“True Health”) experiencedto:

incur additional indebtedness and guarantee indebtedness;
create or incur liens;
make investments and loans;
engage in mergers, consolidations, or sales of all or substantially all of our assets;
pay dividends or make other distributions, in respect of, or repurchase or redeem, capital stock;
prepay, redeem, or repurchase certain debt;
engage in certain transactions with affiliates;
sell or otherwise dispose of assets; and
amend, modify, waive, or supplement certain subordinated indebtedness to the extent such amendments would be materially adverse to lenders.

In addition, any future financing arrangements entered into by us or any of our subsidiaries may contain similar restrictions. As a data security incident. Upon learningresult of the incident,these covenants and restrictions, through our subsidiaries we promptly took steps to secureare and contain the impacted True Health systems and supplementedwill be limited in how we conduct our internal response teams with leading cyber security defense firms and other outside experts. These steps included taking preventative measures, including shutting down certain systems where necessary, as well as taking steps to supplement existing security monitoring, scanning and protective measures. True Health has restored its principal operations with no material day-to-day impact to its operations. Our investigation of the attack is substantially complete,business, and we are alsomay be unable to raise additional debt or equity financing to compete effectively or to take advantage of new business
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workingopportunities. In addition, we are required to maintain specified financial ratios and satisfy other financial condition tests. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Liquidity and Capital Resources — Indebtedness.” The terms of any future indebtedness we or our subsidiaries may incur could include more restrictive covenants. We cannot assure you that we will be able to maintain compliance with law enforcement officials on their ongoing criminal investigation of this matter. True Health has notified appropriate governmental authoritiesthese covenants in the future and, if we fail to do so, that we will provide additional noticesbe able to impacted parties as required.obtain waivers from the lenders and/or amend the covenants.

In addition, breachesOur or our subsidiaries’ failure to comply with the restrictive covenants described above as well as others contained in our or our subsidiaries’ future debt instruments from time to time could result in an event of default, which, if not cured or waived, could require us to repay these borrowings before their maturity. As of September 30, 2022, we were not in compliance with the total debt to capitalization ratio covenant of our security systems or those systems usedCredit Agreement. On November 8, 2022, we executed an amendment to the Credit Agreement pursuant to which certain collateral related defaults were waived and, in addition, it was agreed that we would (i) not be required to test our debt to capitalization ratio covenant during and including the four quarter test period ending September 30, 2022 through and including the four quarter test period ending September 30, 2023, (ii) be required to maintain a minimum liquidity of $200.0 million from November 8, 2022 through and including September 30, 2023 and (iii) be required to maintain a minimum liquidity of $150.0 million after September 30, 2023. While due to these waivers, we did not experience an event of default as defined by our third-party service providers or other cyber security incidents could also result in the misappropriation of confidential or proprietary information of ourselves,Credit Agreement, there can be no assurance that should we fail to maintain compliance with our consumers, our patients, or other third parties; viruses, spyware, ransomware or other malware being served from our network, platform or systems; the deletion or modification of content or the display of unauthorized content on our platform; the loss of access to critical data or systems through ransomware, destructive attacks or other means; and business delays, service or system disruptions such as denials of service attacks. For example, although none of our consumers PHI or PII was put at risk, earlier this year, one of our third-party suppliers of certain services was recently subject to a ransomware attack, which caused delays in our claims payment processing to consumers. We cannot guarantee that our recovery protocols and backup systems will be sufficient to prevent data loss now ordebt covenants in the future that we would be able to obtain additional waivers on commercially reasonable terms or that our remedies against third-party service providers will be sufficient to protect us in the event such service provider suffers a security breachat all or similar incident.otherwise avert events of default.

If we are notforced to refinance these borrowings on less favorable terms or cannot refinance these borrowings, our results of operations and financial condition could be adversely affected. If we were unable to repay or otherwise refinance these borrowings, the lenders under the Credit Agreement could proceed against the collateral granted to them to secure such indebtedness, which could force us into bankruptcy or liquidation. Any acceleration of amounts due under the Credit Agreement, or the exercise by the applicable lenders or agent of their rights under the related security documents, would likely have a material adverse effect on our business.

If we are perceivedunable to noteffectively and efficiently wind down the operations of our Commercial plans and Medicare Advantage plans outside of California, our results and performance could be ableimpacted negatively.

On October 11, 2022, the Company issued a press release announcing, among other things, it will focus on delivering affordable healthcare to prevent such security breachesaging and underserved populations through its fully aligned care model in Florida, Texas and California, and that it will no longer offer Commercial products through Bright HealthCare in 2023, or privacy violations or implement acceptable remedial measures,Medicare Advantage products outside of California. If we are unable to effectively and efficiently execute the wind down of these businesses in a manner that minimizes disruption to our ongoing operations, our business, results of operations, financial performance and reputation may be unableadversely impacted.

If we are required to maintain higher statutory capital levels, if we are subject to additional capital reserve requirements or we experience any delay or inability in withdrawing statutory capital from our insurance subsidiaries that, in each of the forgoing cases, operate our platform, perform our services, provide consumer assistance services, maintain accurate patient medical records, conduct research and development activities, collect, process and prepare company financial information, or provide information about our current and future products. There can be no assurance thatin states in which we will no longer offer health plans in 2023, our balance sheet and results of operations may be ableadversely affected.

Our IFP and MA plans are operated through regulated insurance subsidiaries in various states. These subsidiaries are subject to prevent another security incident such as occurred with True Health orstate regulations that, any future incidents will not have a more significant impact on our operations. There is an increased risk that we may experience cybersecurity-related events such as COVID-19-themed phishing attacks andamong other security challenges as a result of our employees and service providers working remotely from non-corporate-managed networks during the ongoing pandemic and beyond. The True Health breach and any future such breaches and violations may result in fines and penalties,things, require us to comply with breach notificationmaintain minimum levels of statutory capital, or net worth, as defined by each applicable state. Such states may raise or lower the statutory capital level requirements at will. The state departments of insurance, or applicable bodies regulating insurance, in any state could require our regulated insurance subsidiaries that operate in states in which we will no longer offer health plans in 2023 to maintain minimum levels of statutory capital in excess of amounts required under the applicable state laws require usif they determine that maintaining additional statutory capital is in the best interests of our consumers. In addition, although we will no longer offer health plans in these states, if we are unable to verifywithdraw, or are subject to an unexpected delay in withdrawing, the accuracy of database contents, and expose us to material operating expenses related to investigation, remediation and resolution of claims, all ofstatutory capital in these subsidiaries, this could reduce our available funds, which could resultharm our ability to execute our business strategy, invest in increased costs.

As a result, we could suffer a loss of businessgrowth opportunities, and we may suffer reputational harm, adverse impacts on consumeradversely affect our balance sheet and investor confidence and negative impact to our results of operations.

Item 2. Unregistered Sale of Equity Securities and Use of Proceeds

Unregistered Sales of Equity SecuritiesNone.

On July 1, 2021, we issued 4,388,811 shares of common stock, par value $0.0001 per share, to security holders of Centrum in connection with our acquisition of Centrum. This transaction was deemed exempt from the registration under the Securities Act in reliance upon Section 4(a)(2) of the Securities Act as a transaction by an issuer not involving any public offering. The recipients of the securities in this transaction represented their intentions to acquire the securities for investment only and not with a view to or for sale in connection with any distribution thereof and appropriate legends were placed upon the stock certificates issued in this transaction.
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Use of Proceeds from Initial Public Offering of Common Stock

On June 28, 2021, we completed our IPO in which we issued and sold 51,350,000 shares of common stock, par value $0.0001 per share, at an offering price of $18.00 per share. The offer and sale of all of the shares in the IPO were registered under the Securities Act pursuant to the Company’s registration statement on Form S-1 (File No. 333-256286), as amended, which was declared effective by the SEC on June 23, 2021. We received net proceeds of $880.6 million from the sale of our common stock, after deducting underwriting discounts and commissions of $37.0 million and other offering expenses of $6.7 million. We used a portion of the net proceeds from our IPO to repay the $200.0 million principal balance of indebtedness outstanding under our revolving credit facility agreement originally entered into on March 1, 2021 and the associated interest and other costs of $3.2 million. We used $222.4 million to fund the acquisition of Centrum as described in Note 2, Business Combinations. The remainder of the net proceeds will be used for general corporate purposes.

The representatives of the underwriters of our IPO were J.P. Morgan Securities LLC, Goldman Sachs & Co. LLC, Morgan Stanley & Co. LLC and Barclays Capital Inc. No payments were made by us to directors, officers, or persons owning ten percent or more of our common stock or to their associates, or to our affiliates, other than payments in the ordinary course of business to officers for salaries and to non-employee directors pursuant to our director compensation policy.

Upon completion of the sale of the shares of our common stock in the IPO, the IPO terminated. There has been no material change in the planned use of proceeds from our IPO from those disclosed in our final prospectus filed with the SEC on June 25, 2021, pursuant to Rule 424(b) under the Securities Act of 1933.
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Item 3. Defaults upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

Item 6. Exhibits
EXHIBIT INDEX
Exhibit
Number
Description
3.1
3.2
3.3

3.4
3.5
10.1
10.2
10.3
31.1
31.2
32.1
32.2
101The following financial information from our Quarterly Report on Form 10-Q for the third quarter of fiscal 2021,2022, filed with the SEC on November 15, 2021,14, 2022, formatted in Inline Extensible Business Reporting Language (“iXBRL”)
104Cover Page Interactive Data File (formatted as Inline XBRLiXBRL and embedded within Exhibit 101)

* Filed herewith

(1) The certifications in ExhibitExhibits 32.1 and 32.2 to this Quarterly Report on Form 10-Q shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and shall not be incorporated by reference into any filing or other document pursuant to the Securities Act of 1933, as amended, except as shall be expressly set forth by specific reference in such filing or document.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


BRIGHT HEALTH GROUP, INC.
Dated: November 15, 202114, 2022By:/s/ G. Mike Mikan
Name:G. Mike Mikan
Title:Vice Chairman, President and Chief Executive Officer
(Principal Executive Officer)
By:/s/ Catherine R. Smith
Name:Catherine R. Smith
Title:Chief Financial and Administrative Officer
(Principal Financial Officer)
By:/s/ Jeffrey J. Scherman
Name:Jeffrey J. Scherman
Title:Chief Accounting Officer
(Principal Accounting Officer)


4851