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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(MARK ONE)
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarter ended March 31, 20212022
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                    to
Commission file number: 001-39228
mpln-20220331_g1.jpg
MULTIPLAN CORPORATION
(Exact Name of Registrant as Specified in Its Charter)
Delaware84-3536151
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
115 Fifth Avenue
New York, NY 10003
(Address of principal executive offices)
(212) 780-2000
(Issuer’s telephone number)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading
Symbol
Name of each exchange on which registered
Shares of Class A common stock, $0.0001 par value per shareMPLNNew York Stock Exchange
WarrantsMPLN.WSNew York Stock Exchange
Indicate by check mark whether the registrant (1) filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the past 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, a smaller reporting company or an emerging growth company. See definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated fileroxAccelerated filero
Non-accelerated filerxoSmaller reporting companyo
Emerging growth companyo
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  
As of May 7, 2021, 667,963,1334, 2022, 639,013,168 shares of Class A common stock, par value $0.0001 per share, were issued and outstanding.



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Glossary

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GLOSSARY

Unless otherwise stated in this Quarterly Report on Form 10-Q (this “Quarterly Report”"Quarterly Report") or the context otherwise requires, references to:

“2020"2021 Annual Report”Report" are to our Annual Report on Form 10-K for the fiscal year ended December 31, 2020;2021;

"2020 Omnibus Incentive Plan" are to our 2020 Omnibus Incentive Plan, as it may be amended and/or restated from time to time;

"5.50% Senior Secured Notes" are to the $1,050,000,000 in aggregate principal amount of 5.50% Senior Secured Notes due 2028 issued by MPH;

"5.750% Notes" are to the $1,300,000,000 in aggregate principal amount of 5.750% Senior Notes due 2028 issued by MPH;

"7.125% Notes" are to the 7.125% Senior Notes due 2024 issued by MPH. All of the outstanding 7.125% Notes were redeemed on October 29, 2020;

"Adjusted EPS" are to adjusted earnings per share;

"ASU" are to Accounting Standard Update;

"Board" are to the board of directors of the Company;

"CARES Act" are to The Coronavirus Aid, Relief, and Economic Security Act;

"Cash Interest" are to interest paid in cash on the Senior Convertible PIK Notes;

"Churchill" are to Churchill Capital Corp III, a Delaware corporation, which changed its name to MultiPlan Corporation following the consummation of the Transactions;

"Churchill IPO" are to the initial public offering by Churchill which closed on February 19, 2020;

"Churchill's Class A common stock" are, prior to consummation of the Transactions, to Churchill's Class A common stock, par value $0.0001 per share and, following consummation of the Transactions, to our Class A common stock, par value $0.0001 per share;

"Class A common stock" are to MultiPlan's Class A common stock, par value $0.0001 per share;

"Closing" are to the consummation of the Mergers;

"Closing Date" are to October 8, 2020, the date on which the Transactions were consummated;

"Common PIPE Investment" are to the private placement pursuant to which Churchill entered into subscription agreements with certain investors whereby such investors subscribed for (a) 130,000,000 shares of Churchill's Class A common stock at a purchase price of $10.00 per share for an aggregate commitment of $1,300,000,000 and (b) warrants to purchase 6,500,000 shares of Churchill's Class A Common Stock (for each share of Churchill's Class A common stock subscribed, the investor received 1/20th of a warrant to purchase one share of Churchill's Class A common stock, with each whole warrant having a strike price of $12.50 per share and a maturity date of October 8, 2025). The Common PIPE Investment was subject to an original issue discount (which was paid in additional shares of Churchill's Class A common stock) of 1% for subscriptions of $250,000,000 or less and 2.5% for subscriptions of more than $250,000,000, which resulted in an additional 2,050,000 shares of Churchill's Class A common stock being issued. The Common PIPE Investment was consummated on the Closing Date;

"common stock" are, prior to the consummation of the Transactions, to Churchill's Class A common stock and Churchill's Class B common stock and, following consummation of the Transactions, to the Class A common stock;

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"Company" are, prior to the consummation of the Transactions, to Churchill and, following consummation of the Transactions, to MultiPlan Corporation;

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"Convertible PIPE Investment" are to the private placement pursuant to which the Company entered into subscription agreements with certain investors whereby such Convertible PIPE Investors agreed to buy $1,300,000,000 in aggregate principal amount of Senior Convertible PIK Notes. The Convertible PIPE Investment was consummated on the Closing Date;

"Convertible PIPE Investors" are to the investors participating in the Convertible PIPE Investment;

"COVID-19" are to the COVID-19 pandemic;

"DHP" are to Discovery Health Partners;

"Director RSUs" are to restricted stock units issued to the Company's Non-Employee Directors under the 2020 Omnibus Incentive Plan (other than those Non-Employee Directors who have elected to forego their right to director compensation);

"Employee RS" are to grants of restricted stock awarded to certain employees under the 2020 Omnibus Incentive Plan;

"Employee RSUs" are to grants of restricted stock units awarded to certain employees under the 2020 Omnibus Incentive Plan;

"Employee NQSOs" are to grants of non-qualified stock options awarded to certain employees under the 2020 Omnibus Incentive Plan;

"EPS" are to Earnings and Loss Per Share;

"Exchange Act" are to the Securities Exchange Act of 1934, as amended;

"FASB" are to the Financial Accounting Standards Board;

"First Merger Sub" are to Music Merger Sub I, Inc., a Delaware corporation and direct, wholly owned subsidiary of the Company;

"Fixed Value RSUs" are to restricted stock units granted based on a fixed monetary amount under the 2020 Omnibus Incentive Plan in accordance with the terms of the related side letter;

"founder shares" are to shares of Churchill's Class B common stock and Churchill's Class A common stock issued upon the automatic conversion thereof in connection with the Closing;

"GAAP" are to generally accepted accounting principles in United States of America;

"H&F" are to Hellman & Friedman Capital Partners VIII, L.P.;

"Holdings" are to Polaris Investment Holdings, L.P.;

"HST" are to HSTechnology Solutions, Inc.;

"Integration expenses" are costs associated with the integration of acquired companies into MultiPlan;

"KG" are to The Klein Group, LLC, an affiliate of Michael Klein and the Sponsor and an affiliate and wholly owned subsidiary of M. Klein and Company. KG (and not the Sponsor) was engaged by Churchill to act as Churchill's financial advisor in connection with the Transactions, and as a placement agent in connection with the PIPE Investment as more fully described herein;

"LIBOR" are to London Interbank Offered Rate;

"Liquidity Event" are to any transaction or series or related transactions involving (i) the sale of all or substantially all of the assets of Holdings on a consolidated basis to a person, or group of persons, other than (A) the H&F Investors and their affiliates or (B) a distribution of an entity resulting from a reorganization, conversion, redomiciliation, distribution, exchange or other transaction undertaken in preparation for an initial public offering to the unitholders of Holdings as part of an IPO Conversion (as defined in the unitholders agreement) or following an initial public offering, (ii) a merger, reorganization, consolidation or other similar corporate transaction in which the outstanding voting securities of Holdings are exchanged for securities of the successor entity and the holders of the voting securities of Holdings immediately prior to such transaction do not own a majority of the outstanding voting securities of the successor entity immediately upon completion of such transaction or (iii) the direct or indirect sale (whether by sale, merger or otherwise) of all or a majority of the voting securities of Holdings to a person, or group of persons, other than the H&F Investors and their affiliates;

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"M. Klein and Company" are to M. Klein and Company, LLC, a Delaware limited liability company, and its affiliates;

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"Merger Agreement" are to that certain Agreement and Plan of Merger, dated as of July 12, 2020, by and among Churchill, MultiPlan Parent, Holdings, First Merger Sub and Second Merger Sub, as the same has been or may be amended, modified, supplemented or waived from time to time;

"Mergers" are to, together, (a) the merger of First Merger Sub with and into MultiPlan Parent with MultiPlan Parent being the surviving company in the merger (the "First Merger") and (b) immediately following and as part of the same transaction as the First Merger, the merger of MultiPlan Parent with and into Second Merger Sub, with Second Merger Sub surviving the merger as a wholly owned subsidiary of Churchill (the "Second Merger");

"MPH" are to MPH Acquisition Holdings LLC;

"MultiPlan" are, prior to consummation of the Transactions, to MultiPlan Parent and its consolidated subsidiaries and, following consummation of the Transactions, to MultiPlan Corporation and its consolidated subsidiaries;

"MultiPlan Parent" are to Polaris Parent Corp., a Delaware corporation;

"Non-Employee Director" are to each member of our Board that is not an employee of the Company or any parent or subsidiary of the Company;

"Non-income taxes" includes personal property taxes, real estate taxes, sales and use taxes and franchise taxes which are included in cost of services and general and administrative expenses.expenses;

"Other (income) expenses" represents miscellaneous income, miscellaneous expenses, gain or loss on disposal of assets, gain or loss on disposal of leases, tax penalties, and management fees, and costs associated with the integration of acquired companies into MultiPlan.fees;

"Payors" are our customers which include large national insurance companies, Blue Cross and Blue Shield plans, provider-sponsored and independent health plans, third party administrators, bill review companies, Taft-Hartley plans and other entities that pay medical bills related to the commercial healthcare, government, workers' compensation and auto medical markets

"PSAV" are to percentage of savings;

"PEPM" are to per-employee-per-month;

"PIK Interest" are to interest paid through an increase in the principal amount of the outstanding Senior Convertible PIK Notes or through the issuance of additional Senior Convertible PIK Notes;

"PIPE Investment" are to, collectively, the Common PIPE Investment and the Convertible PIPE Investment;

"PIPE Warrants" are to the warrants to purchase Churchill's Class A common stock issued in connection with the Common PIPE Investment, on terms identical to the terms of the Private Placement Warrants;Warrants, other than the exercise period that started on November 7, 2020, the exercise price which is $12.50 per share and the redemption feature that exists for all holders of the PIPE warrants.

"Polaris" is Polaris Parent Corp., a Delaware corporation and direct, wholly owned subsidiary of Holdings and parent company to MultiPlan, Inc.;

"PPOs" are to Preferred Provider Organizations;

"Private Placement Warrants" are to warrants issued to the Sponsor in a private placement simultaneously with the closing of the Churchill IPO and the Working Capital Warrants whose terms are identical to the Private Placement Warrants;

"Public Warrants" are to the Company's warrants sold as part of the units in the Churchill IPO (whether they were purchased in the Churchill IPO or thereafter in the open market);

"Refinancing" are to (a) the consummation of the 5.750% Notes offering by MPH and the increase of the revolving credit facility under the senior secured credit facilities from $100.0 million to $450.0 million and (b) the repayment of all outstanding 7.125% Notes and $369.0 million of indebtedness under MPH's term loan facility with the net proceeds of the 5.750% Notes offering, together with cash on hand, which occurred on October 29, 2020;

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"Revolver B" are to the revolving credit facility in conjunction with Term Loan B and maturing on August 24, 2026;

"Revolver G" are to the revolving credit facility in conjunction with Term Loan G;G and replaced by Revolver B on August 24, 2021;


"Revolvingrevolving credit facility" are to MPH's $450.0 million senior secured revolving credit facility maturing on June 7, 2023;facility;

"SEC" are to the United States Securities and Exchange Commission;

"Second Merger Sub" are to Music Merger Sub II, LLC, a Delaware limited liability company and direct, wholly owned subsidiary of the Company;

"Senior Convertible PIK Notes" are the 6.00% / 7.00% Convertible Senior PIK Toggle Notes due 2027;

"Senior PIK Notes" are to the 8.500% / 9.250% Senior PIK Toggle Notes due 2022 issued by Polaris Intermediate Corp. on November 21, 2017. All of the outstanding Senior PIK Notes were redeemed on October 8, 2020;

"senior secured credit facilities" are to MPH's senior secured credit facilities which, before August 24, 2021, consist of (a) a $2,341.0 million term loan facility maturing on June 7, 2023 and (b) a $450.0 million revolving credit facility maturing on June 7, 2023;2023, and as of and after August 24, 2021 consist of (a) a $1,325.0 million term loan facility maturing on September 1, 2028 and (b) a $450.0 million revolving credit facility maturing on August 24, 2026;

"Sponsor" are to Churchill Sponsor III, LLC, a Delaware limited liability company and an affiliate of M. Klein and Company in which certain of Churchill's directors and officers hold membership interests;

"Sponsor Note" are to the unsecured promissory note issued by the Company to the Sponsor in an aggregate principal amount of $1,500,000. The Sponsor converted the unpaid balance of the Sponsor Note into Working Capital Warrants in connection with the Closing;

"Subscription Agreements" are to, collectively, the (a) common stock subscription agreements entered into (i) by and between Churchill and the PIF and (ii) by and among Churchill, Holdings and MultiPlan Parent, on the one hand, and certain investment funds, on the other hand, in each case, dated as of July 12, 2020 and entered into in connection with the Common PIPE Investment and (b) subscription agreements, dated as of July 12, 2020, entered into in connection with the Convertible PIPE Investment;

"Term Loan B" are to a term loan payable borrowed on August 24, 2021 in the amount of $1,325.0 million with a group of lenders due and payable on September 1, 2028;

"Term Loan G" are to a term loan payable borrowed on June 7, 2016 in the amount of $3,500.0 million with a group of lenders due and payablewas repaid in full on June 7, 2023;August 24, 2021;

"Transactions" are to the Mergers, together with the other transactions contemplated by the Merger Agreement and the related agreements;

"Transaction-related expenses" represents transaction costs, including those related to the Transactions and the acquisitions of HST and DHP.

"Units" are to our stock-based compensation granted to employees in the form of Units and Holdings' Class B Units;

"warrants" are to the Public Warrants, the Private Placement Warrants, the PIPE Warrants and the Working Capital Warrants;

"we," "our" or "us" are to MultiPlan and its consolidated subsidiaries; and

"Working Capital Warrants" are to the warrants to purchase Churchill's Class A common stock pursuant to the terms of the Sponsor Note, on terms identical to the terms of the Private Placement Warrants.

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Part I. Financial Information
Item 1. Financial Statements
MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
March 31,
2021
December 31,
2020
Assets
Current assets:
Cash and cash equivalents$135,032 $126,755 
Trade accounts receivable, net54,119 63,198 
Prepaid expenses20,264 17,708 
Other current assets, net2,298 1,193 
Total current assets211,713 208,854 
Property and equipment, net198,004 187,631 
Operating lease right-of-use assets30,741 31,339 
Goodwill4,365,981 4,257,336 
Other intangibles, net3,540,539 3,584,187 
Other assets8,273 14,231 
Total assets$8,355,251 $8,283,578 
Liabilities and Shareholders’ Equity
Current liabilities:
Accounts payable$11,593 $15,261 
Accrued interest69,716 31,528 
Accrued taxes67,541 10,176 
Operating lease obligation, short-term7,060 6,439 
Accrued compensation27,988 21,843 
Other accrued expenses32,203 27,251 
Total current liabilities216,101 112,498 
Long-term debt4,879,343 4,578,488 
Operating lease obligation, long-term26,732 27,499 
Private Placement Warrants and unvested founder shares66,220 106,595 
Deferred income taxes789,721 900,633 
Other liabilities529 
Total liabilities5,978,646 5,725,713 
Commitments and contingencies (Note 6)00
Shareholders’ equity:
Shareholder interests
Preferred stock, $0.0001 par value — 10,000,000 shares authorized; 0 shares issued00
Common stock, $0.0001 par value — 1,500,000,000 shares authorized; 664,277,068 and 664,183,318 issued; 655,132,607 and 655,075,355 shares outstanding66 66 
Additional paid-in capital2,297,504 2,530,410 
Retained earnings168,909 116,999 
Treasury stock — 9,144,461 and 9,107,963 shares(89,874)(89,610)
Total shareholders’ equity2,376,605 2,557,865 
Total liabilities and shareholders’ equity$8,355,251 $8,283,578 
March 31,
2022
December 31,
2021
Assets
Current assets:
Cash and cash equivalents$350,830 $185,328 
Restricted cash2,958 3,051 
Trade accounts receivable, net78,206 99,905 
Prepaid expenses21,872 24,910 
Prepaid taxes— 5,064 
Other current assets, net909 999 
Total current assets454,775 319,257 
Property and equipment, net221,047 213,238 
Operating lease right-of-use assets27,715 30,104 
Goodwill4,363,121 4,363,070 
Other intangibles, net3,199,883 3,285,037 
Other assets9,227 9,701 
Total assets$8,275,768 $8,220,407 
Liabilities and Shareholders’ Equity
Current liabilities:
Accounts payable$10,939 $13,005 
Accrued interest78,147 55,685 
Accrued taxes41,983 — 
Operating lease obligation, short-term7,219 6,883 
Current portion of long-term debt13,250 13,250 
Accrued compensation24,558 25,419 
Other accrued expenses25,872 27,666 
Total current liabilities201,968 141,908 
Long-term debt4,878,386 4,879,144 
Operating lease obligation, long-term24,037 26,725 
Private Placement Warrants and unvested founder shares61,259 74,000 
Deferred income taxes718,533 753,825 
Other liabilities109 135 
Total liabilities5,884,292 5,875,737 
Commitments and contingencies (Note 5)00
Shareholders’ equity:
Shareholder interests
Preferred stock, $0.0001 par value — 10,000,000 shares authorized; no shares issued— — 
Common stock, $0.0001 par value — 1,500,000,000 shares authorized; 666,045,694 and 665,456,180 issued; 638,928,288 and 638,338,774 shares outstanding67 67 
Additional paid-in capital2,314,488 2,311,660 
Retained earnings269,090 225,112 
Treasury stock — 27,117,406 and 27,117,406 shares(192,169)(192,169)
Total shareholders’ equity2,391,476 2,344,670 
Total liabilities and shareholders’ equity$8,275,768 $8,220,407 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements
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MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Statements of Income (Loss) and Comprehensive Income (Loss)
(in thousands, except share and per share data)
Three Months Ended March 31,Three Months Ended March 31,
2021202020222021
RevenuesRevenues$254,864 $252,022 Revenues$298,046 $254,864 
Costs of services (exclusive of depreciation and amortization of intangible assets shown below)Costs of services (exclusive of depreciation and amortization of intangible assets shown below)39,730 44,685 Costs of services (exclusive of depreciation and amortization of intangible assets shown below)47,072 39,730 
General and administrative expensesGeneral and administrative expenses31,996 21,701 General and administrative expenses32,588 31,996 
DepreciationDepreciation16,165 14,506 Depreciation16,596 16,165 
Amortization of intangible assetsAmortization of intangible assets84,708 83,513 Amortization of intangible assets85,154 84,708 
Total expensesTotal expenses172,599 164,405 Total expenses181,410 172,599 
Operating incomeOperating income82,265 87,617 Operating income116,636 82,265 
Interest expenseInterest expense63,717 90,965 Interest expense71,445 63,717 
Interest incomeInterest income(4)(71)Interest income(12)(4)
Gain on investmentsGain on investments(289)— 
Change in fair value of Private Placement Warrants and unvested founder sharesChange in fair value of Private Placement Warrants and unvested founder shares(40,375)Change in fair value of Private Placement Warrants and unvested founder shares(12,741)(40,375)
Net income (loss) before income taxes58,927 (3,277)
Provision (benefit) for income taxes13,050 (683)
Net income (loss)$45,877 $(2,594)
Net income before taxesNet income before taxes58,233 58,927 
Provision for income taxesProvision for income taxes14,255 13,050 
Net incomeNet income$43,978 $45,877 
Weighted average shares outstanding – BasicWeighted average shares outstanding – Basic655,113,523 415,700,000 Weighted average shares outstanding – Basic638,497,587 655,113,523 
Weighted average shares outstanding – DilutedWeighted average shares outstanding – Diluted655,113,653 415,700,000 Weighted average shares outstanding – Diluted639,015,094 655,113,653 
Net income (loss) per share – Basic$0.07 $(0.01)
Net income (loss) per share – Diluted$0.07 $(0.01)
Net income per share – BasicNet income per share – Basic$0.07 $0.07 
Net income per share – DilutedNet income per share – Diluted$0.07 $0.07 
Comprehensive income (loss)$45,877 $(2,594)
Comprehensive incomeComprehensive income$43,978 $45,877 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements
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MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Statements of Shareholders' Equity
(in thousands, except share data)
Common Stock IssuedAdditional Paid-in CapitalRetained
Earnings
Treasury stockTotal
Shareholders’
Equity
SharesAmountSharesAmount
Balance as of January 1, 2021664,183,318 $66 $2,530,410 $116,999 (9,107,963)$(89,610)$2,557,865 
Effect of ASU 2020-06 (Note 3)— — (233,874)6,033 — — (227,841)
2020 Omnibus Incentive Plan93,750 — 968 — (36,498)(264)704 
Net income— — — 45,877 — — 45,877 
Balance as of March 31, 2021664,277,068 $66 $2,297,504 $168,909 (9,144,461)$(89,874)$2,376,605 
Balance as of January 1, 2020(1)
415,700,000 $42 $1,347,613 $637,563 $$1,985,218 
Class B Unit expense— — 9,361 — — — 9,361 
Net loss— — — (2,594)— — (2,594)
Balance as of March 31, 2020(1)
415,700,000 $42 $1,356,974 $634,969 $$1,991,985 
(1) The shares of the Company's common stock, prior to the Transactions, have been retroactively restated as shares reflecting the exchange ratio established in the Transactions.
Three Months Ended March 31, 2022
Common Stock IssuedAdditional Paid-in CapitalRetained
Earnings
Treasury stockTotal
Shareholders’
Equity
SharesAmountSharesAmount
Balance at beginning of period665,456,180 $67 $2,311,660 $225,112 (27,117,406)$(192,169)$2,344,670 
2020 Omnibus Incentive Plan589,514 — 4,785 — — — 4,785 
Tax withholding related to vesting of equity awards— — (1,957)— — — (1,957)
Net income— — — 43,978 — — 43,978 
Balance at end of period666,045,694 $67 $2,314,488 $269,090 (27,117,406)$(192,169)$2,391,476 
Three Months Ended March 31, 2021
Common Stock IssuedAdditional Paid-in CapitalRetained
Earnings
Treasury stockTotal
Shareholders’
Equity
SharesAmountSharesAmount
Balance at beginning of period664,183,318 $66 $2,530,410 $116,999 (9,107,963)$(89,610)$2,557,865 
Cumulative effect of ASU 2020-06 on the accounting for convertible instruments— — (233,874)6,033 — — (227,841)
2020 Omnibus Incentive Plan93,750 — 968 — — 968 
Tax withholding related to vesting of equity awards— — — — (36,498)(264)(264)
Net income— — — 45,877 — — 45,877 
Balance at end of period664,277,068 $66 $2,297,504 $168,909 (9,144,461)$(89,874)$2,376,605 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements
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MULTIPLAN CORPORATION
Unaudited Condensed Consolidated Statements of Cash Flows
(in thousands)
Three Months Ended March 31,Three Months Ended March 31,
2021202020222021
Operating activities:Operating activities:Operating activities:
Net income (loss)$45,877 $(2,594)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Net incomeNet income$43,978 $45,877 
Adjustments to reconcile net income to net cash provided by operating activities:Adjustments to reconcile net income to net cash provided by operating activities:
DepreciationDepreciation16,165 14,506 Depreciation16,596 16,165 
Amortization of intangible assetsAmortization of intangible assets84,708 83,513 Amortization of intangible assets85,154 84,708 
Amortization of the right-of-use assetAmortization of the right-of-use asset1,779 2,263 Amortization of the right-of-use asset1,683 1,779 
Stock-based compensationStock-based compensation968 9,361 Stock-based compensation3,130 968 
Deferred income taxesDeferred income taxes(47,049)31,026 Deferred income taxes(35,343)(47,049)
Non-cash interest costsNon-cash interest costs2,884 5,736 Non-cash interest costs2,577 2,884 
Gain on equity investmentsGain on equity investments(289)— 
Loss on disposal of property and equipmentLoss on disposal of property and equipment630 40 Loss on disposal of property and equipment49 630 
Change in fair value of Private Placement Warrants and unvested founder sharesChange in fair value of Private Placement Warrants and unvested founder shares(40,375)Change in fair value of Private Placement Warrants and unvested founder shares(12,741)(40,375)
Changes in assets and liabilities, net of assets acquired and liabilities assumed from acquisitions:Changes in assets and liabilities, net of assets acquired and liabilities assumed from acquisitions:Changes in assets and liabilities, net of assets acquired and liabilities assumed from acquisitions:
Accounts receivable, netAccounts receivable, net11,960 (885)Accounts receivable, net21,699 11,960 
Prepaid expenses and other assetsPrepaid expenses and other assets(3,555)(3,503)Prepaid expenses and other assets3,602 (3,555)
Prepaid taxesPrepaid taxes(34,416)Prepaid taxes5,064 — 
Operating lease obligationOperating lease obligation(150)(2,368)Operating lease obligation(1,646)(150)
Accounts payable and accrued expenses and otherAccounts payable and accrued expenses and other97,065 44,714 Accounts payable and accrued expenses and other61,424 97,065 
Net cash provided by operating activitiesNet cash provided by operating activities170,907 147,393 Net cash provided by operating activities194,937 170,907 
Investing activities:Investing activities:Investing activities:
Purchases of property and equipmentPurchases of property and equipment(18,113)(17,336)Purchases of property and equipment(24,454)(18,113)
Proceeds from sale of investmentProceeds from sale of investment5,616 Proceeds from sale of investment289 5,616 
HST Acquisition, net of cash acquiredHST Acquisition, net of cash acquired(28)HST Acquisition, net of cash acquired— (28)
DHP Acquisition, net of cash acquiredDHP Acquisition, net of cash acquired(149,873)DHP Acquisition, net of cash acquired— (149,873)
Net cash used in investing activitiesNet cash used in investing activities(162,398)(17,336)Net cash used in investing activities(24,165)(162,398)
Financing activities:Financing activities:Financing activities:
Repayments of Term Loan BRepayments of Term Loan B(3,313)— 
Borrowings on revolving credit facility98,000 
Purchase of treasury stock(264)
Taxes paid on settlement of vested share awardsTaxes paid on settlement of vested share awards(1,957)(264)
Borrowings (payments) on finance leases, net32 (7)
Net cash (used in) provided by financing activities(232)97,993 
Borrowings on finance leases, netBorrowings on finance leases, net— 32 
Net cash used in financing activitiesNet cash used in financing activities(5,270)(232)
Net increase in cash and cash equivalentsNet increase in cash and cash equivalents8,277 228,050 Net increase in cash and cash equivalents165,502 8,277 
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period126,755 21,825 Cash and cash equivalents at beginning of period185,328 126,755 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period$135,032 $249,875 Cash and cash equivalents at end of period$350,830 $135,032 
Cash and cash equivalentsCash and cash equivalents$350,830 $135,032 
Restricted cashRestricted cash2,958 — 
Cash, cash equivalents and restricted cash at end of periodCash, cash equivalents and restricted cash at end of period$353,788 $135,032 
Noncash investing and financing activities:Noncash investing and financing activities:Noncash investing and financing activities:
Purchases of property and equipment not yet paidPurchases of property and equipment not yet paid$5,056 $3,954 Purchases of property and equipment not yet paid$4,918 $5,056 
Operating lease right-of-use assets obtained in exchange for operating lease liabilitiesOperating lease right-of-use assets obtained in exchange for operating lease liabilities$$467 Operating lease right-of-use assets obtained in exchange for operating lease liabilities$40 $— 
Supplemental disclosure of cash flow information:Supplemental disclosure of cash flow information:Supplemental disclosure of cash flow information:
Cash paid during the period for:Cash paid during the period for:Cash paid during the period for:
InterestInterest$(22,279)$(32,278)Interest$(46,197)$(22,279)
Income taxes, net of refundsIncome taxes, net of refunds$(3,000)$(3,310)Income taxes, net of refunds$(2,833)$(3,000)
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements

1.General Information and Basis of Accounting
General Information
MultiPlan Corporation, formerly known as Churchill Capital Corp III (formerly known as Butler Acquisition Corp), was incorporated in DelawareWe are a provider of data analytics and technology-enabled solutions designed to bring affordability, efficiency and fairness to the U.S. healthcare industry. We do so through services focused on October 30, 2019reducing medical cost and formedimproving payment accuracy for the purposepayors of effecting a merger, capital stock exchange, asset acquisition, stock purchase, reorganization or similar business combination with one or morebusinesses.
On July 12, 2020, Churchill entered intohealthcare, which are health insurers, self-insured employers and other health plan sponsors (typically through their health plan administrators), and, indirectly, the Merger Agreement by and among First Merger Sub, Second Merger Sub, Holdings, and MultiPlan Parent. On October 8, 2020,plan members who are the Merger Agreement was consummated and the Transactions were completed. In connection with the Transactions, Churchill changed its name to MultiPlan Corporation and the New York Stock Exchange ticker symbols for its Class A common stock and warrants to "MPLN" and "MPLN.WS", respectively.
The Transactions were accounted for as a reverse recapitalization. Under this methodconsumers of accounting, Churchill has been treated as the acquired company for financial reporting purposes. This determination was primarily based on our existing stockholders being the majority stockholders and holding majority voting power in the combined company, our senior management comprising the majority of the senior management of the combined company, and our ongoing operations comprising the ongoing operations of the combined company. Accordingly, for accounting purposes, the Transactions were treated as the equivalent of MultiPlan issuing shares for the net assets of Churchill, accompanied by a recapitalization. The net assets of Churchill were recognized at fair value (which were consistent with carrying value), with no goodwill or other intangible assets recorded. Operations prior to the Transactions in these financial statements are those of Polaris and the retained earnings of Polaris has been carried forward after the Transactions. Earnings per share calculations for all periods prior to the Transactions have been retrospectively adjusted for the equivalent number of shares reflecting the exchange ratio established in the Transactions.healthcare services.
Throughout the notes to the unaudited condensed consolidated financial statements, unless otherwise noted, "we," "us," "our", "MultiPlan", and the "Company" and similar terms refer to Polaris and its subsidiaries prior to the consummation of the Transactions, and MultiPlan and its subsidiaries after the Transactions.
Basis of Presentation and Consolidation
The accompanying unaudited condensed consolidated financial statements of MultiPlan Corporation have been prepared pursuant to the rules and regulations for reporting on Form 10-Q. Certain information and disclosures required by accounting principles generally accepted in the United States (GAAP) for complete consolidated financial statements have been condensed or omitted pursuant to the SEC’s rules and regulations, although management believes that the disclosures are adequate and make the information presented not misleading. The unaudited condensed consolidated financial statements and notes herein should be read in conjunction with the audited consolidated financial statements of MultiPlan Corporation and the notes thereto, included in the Company’s 20202021 Annual Report. In the opinion of management, all adjustments, which are of a normal and recurring nature (except as otherwise noted), necessary for a fair statement of the Company’s financial position as of March 31, 20212022 and December 31, 2020,2021, and its results of operations for the three months ended March 31, 20212022 and 20202021 and cash flows for the three months ended March 31, 20212022 and 20202021 have been included.
Summary of Significant Accounting Policies
Use of Estimates
The preparation of the unaudited condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the reporting periods. Actual results could differ from the Company's estimates. Estimates are periodically reviewed in light of changes in circumstances, facts and experience. Changes in estimates are recorded in the period in which they become known. Significant estimates and assumptions reflected in these unaudited condensed consolidated financial statements include, but are not limited to, revenue recognition, recoverability of long-lived assets, goodwill, valuation of Private Placement Warrants and unvested founder shares, valuation of stock-based compensation awards and income taxes.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
COVID-19
COVID-19 has negatively impacted our business, results of operations and financial condition during 2020 andsince the three months ended March 31, 2021. Effects from COVID-19 began to impact our business in first quarter of 2020 withas various federal, state, and local governments and private entities mandatingmandated, and in some cases continue to mandate, restrictions on travel, restrictions on public gatherings, closure of non-essential commerce, and shelter in place orders. ExcludingFor the effectthree months ended March 31, 2022, the Company’s revenues continue to be negatively impacted as a result of the HSTmedical charges received on non-COVID claims from customers not yet reaching pre-COVID-19 pandemic levels due to fewer elective medical procedures and DHP acquisitions, the Company has experiencednon-essential medical services. Such negative impacts, however, have been to a net decline in revenues of approximately 1.7% for the first three months of 2021 aslesser extent compared to the same period in the prior year partly due to reduced volume2020 and change in claims mix from customers2021 as a result ofvaccination rates have increased and restrictions on elective medical procedures and non-essential medical services.services have been lifted. The extent of the ultimate impact of COVID-19 will depend on the severity and duration of the evolving pandemic. Future developments remain uncertain, including the widespread availability and distributionnumber of COVID-19 vaccines,confirmed cases, the emergence of highly contagious variants, and any actions taken by federal, state and local governments such as economic relief efforts, as well as U.S. and global economies, consumer behavior and healthcare utilization patterns.
Segment Reporting
Operating segments are defined as components of an entity for which separate financial information is available and regularly reviewed by the chief operating decision maker. The Company manages its operations as a single segment for the
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Notes to Unaudited Condensed Consolidated Financial Statements
purposes of assessing performance and making decisions. The Company's singular focus is being a leading value-added provider of data analytics and technology-enabled end-to-end cost management, payment and revenue integrity solutions to the U.S. healthcare industry.
In addition, all of the Company's revenues and long-lived assets are attributable to operations in the United States for all periods presented.
Revenue Recognition
Disaggregation of Revenue
The following table presents revenues disaggregated by services and contract types:
Three Months Ended March 31,Three Months Ended March 31,
(in thousands)(in thousands)20212020(in thousands)20222021
RevenuesRevenuesRevenues
Network Services$69,365 $73,582 
Network-Based ServicesNetwork-Based Services$68,624 $69,365 
PSAVPSAV54,242 57,157 PSAV51,963 54,242 
PEPMPEPM13,515 14,280 PEPM14,938 13,515 
OtherOther1,608 2,145 Other1,723 1,608 
Analytic-Based Services157,160 151,643 
Analytics-Based ServicesAnalytics-Based Services196,118 157,160 
PSAVPSAV153,078 151,191 PSAV190,292 153,078 
PEPMPEPM4,082 452 PEPM5,826 4,082 
Payment and Revenue Integrity ServicesPayment and Revenue Integrity Services28,339 26,797 Payment and Revenue Integrity Services33,304 28,339 
PSAVPSAV28,280 26,778 PSAV33,184 28,280 
PEPMPEPM59 19 PEPM120 59 
Total RevenuesTotal Revenues$254,864 $252,022 Total Revenues$298,046 $254,864 
Due to the nature of our arrangements, certain estimates may be constrained if it is probable that a significant reversal of revenue will occur when the uncertainty is resolved. For our percentage of savings contracts, portions of revenue that is recognized and collected in a reporting period may be returned or credited in subsequent periods. These credits are the result of payers not utilizing the discounts that were initially calculated, or differences between the Company’s estimates of savings achieved for a customer and the amounts self-reported in the following month by that same customer. Significant judgment is used in constraining estimates of variable consideration, and is based upon both client-specific and aggregated factors that include historical billing and adjustment data, client contract terms, and performance guarantees. We update our estimates at the end of each reporting period as additional information becomes available. There have not been any material changes to estimates of variable consideration for performance obligations satisfied prior to the three months ended March 31, 2021.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
2022.
The timing of payments from customers from time to time generates contract assets or contract liabilities, however these amounts are immaterial in all periods presented.
Stock-Based Compensation
The Company's awards are granted via the 2020 Omnibus Incentive Plan in the form of Employee RS, Employee RSUs, Employee NQSOs (together "employee awards"), and Director RSUs.
Stock-based compensation is measured at the grant date based on the fair value of the award and is recognized as compensation expense for employee awards, net of forfeitures, over the applicable requisite service period of the stock award using the straight-line method for awards with only service conditions. The compensation expense for Director RSUs is recognized in the same period(s) and in the same manner as if the Company had paid cash in exchange for the goods or services instead of a share-based award.
We determine the fair value of the Employee RS, Employee RSUs and Director RSUs with time based vesting using the value on our common stock on the date of the grant.
We determine the fair value of Employee NQSOs using a Black-Scholes option model while taking into consideration the price of the Company's Class A common stock and vesting conditions.
Certain assumptions used in the model are subjective and require significant management judgment, and include the (i) risk-free rate, (ii) volatility, and (iii) expected term. Changes in these assumptions can materially affect the estimate of the grant date fair value of the Employee NQSOs and ultimately compensation expenses. The Company has historically been a private company and lacked sufficient company-specific historical and implied volatility information. Therefore, it estimated its expected stock volatility based on the implied volatility of our publicly traded financial instruments and the historical volatility of a publicly traded set of peer companies. The risk-free interest rate is based on the interpolated 5 and 7 year U.S. Treasury constant maturity yields.
See Note 7 Stock-Based Compensation below for further information.
New Accounting Pronouncements
We consider the applicability and impact of all ASUs and applicable authoritative guidance. The ASUs not listed below were assessed and determined to be either not applicable or are expected to have an immaterial impact on our unaudited condensed consolidated financial statements.
New Accounting Pronouncements Recently Adopted
ASU 2020-06, Debt — Debt With Conversion and Other Options (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. On August 5, 2020, the FASB issued ASU 2020-06, Debt — Debt With Conversion and Other Options (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. The amendments simplify the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts on an entity's own equity. The standard is effective for public companies for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2021. Early adoption is permitted. The Company adopted this new accounting standard on January 1, 2021 on a modified retrospective basis. As a result, comparative financial information has not been restated and continues to be reported under the accounting standards in effect for those periods. The adoption of the standard resulted in a reclassification to long-term debt of $297.9 million, corresponding to the equity component of $233.9 million previously recorded in additional paid-in capital, the deferred taxes related to the equity component as of January 1, 2021 of $70.1 million, and a cumulative-effect adjustment to increase retained earnings as of January 1, 2021 by $6.0 million, which reflects the elimination of the discount amortization related to the equity component in prior periods, net of deferred taxes. See Note 3 Long-Term Debt below for additional information on the impact of this adoption.
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Notes to Unaudited Condensed Consolidated Financial Statements
New Accounting Pronouncements Issued but Not Yet Adopted
ASU 2020-04 and 2021-01, Reference Rate Reform (Topic 848) and Reference Rate Reform (Topic 848): Scope. In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848), which provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions affected by reference rate reform if certain criteria are met. The amendments apply only to contracts, hedging relationships, and other transactions that reference LIBOR or another reference rate expected to be discontinued because of reference rate reform. In January 2021, the FASB issued ASU No. 2021-01, Reference Rate Reform (Topic 848): Scope, which expanded the scope of Topic 848 to include derivative instruments impacted by discounting transition. ASU 2020-04 and ASU 2021-01 are effective for all entities through December 31, 2022. The expedients and exceptions provided by the amendments do not apply to contract modifications and hedging relationships entered into or evaluated after December 31, 2022, except for hedging transactions as of December 31, 2022, that an entity has elected certain optional expedients for and that are retained through the end of the hedging relationship. The Company has a term loan and a revolving credit loan for which the interest rates are indexed on the LIBOR. The guidance did not have an impact on our financial position, results of operations or disclosures at transition, but we will continue to evaluate its impact on contracts and hedging relationships modified on or before December 31, 2022.
2.Business Combinations
DHP Acquisition
On February 26, 2021, the Company completed the acquisition of DHP, an analytics and technology company offering healthcare revenue and payment integrity services. The Company acquired 100 percent of the voting equity interest of DHP. The acquisition strengthens MultiPlan's service offering in the payment integrity market with new and complementary services to help its payor customers manage the overall cost of care and improve their competitiveness. It also adds revenue integrity services for plans that receive premiums from the Centers for Medicare and Medicaid Services.
The DHP acquisition was accounted for as a business combination using the acquisition method of accounting. As a result of the DHP acquisition and the application of purchase accounting, DHP's identifiable assets and liabilities were adjusted to their fair market values as of the acquisition date. The amount of DHP goodwill that is deductible for income tax purposes is $48.0 million.
The following table summarizes the consideration transferred to acquire DHP and the amounts of identified assets acquired and liabilities assumed at the acquisition date:
(in thousands)
Total consideration transferred in cash$151,973 
Cash and cash equivalents2,100 
Trade accounts receivable, net2,993 
Prepaid expenses369 
Other current assets, net119 
Property and equipment, net(1)
9,056 
Other assets276 
Other intangibles, net(2)
41,060 
Accounts payable(458)
Other accrued expenses(5,209)
Deferred income taxes(6,215)
Long-Term Liabilities(553)
Total identifiable net assets43,538 
Goodwill$108,435
(1)Includes capitalized software of $8.9 million and other tangible assets of $0.2 million.
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Notes to Unaudited Condensed Consolidated Financial Statements
(2)Includes client relationships of $39.8 million and trade names of $1.2 million.
The preliminary purchase price allocation for the business combination is subject to adjustment as valuation analyses, primarily related to property and equipment and intangible assets, are finalized.
The results of operations and financial condition of DHP have been included in the Company's consolidated results from the date of acquisition. Through March 31, 2021, DHP's impact on revenues and net earnings was not material and as a result no pro forma disclosures were required.
In connection with the DHP acquisition, the Company incurred transaction costs. The transaction costs have been expensed as incurred and these amounts totaling $4.7 million for the three months ended March 31, 2021, are included in general and administrative expenses in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).
3.2.Long-Term Debt
As of March 31, 2021,2022, and December 31, 2020,2021, long-term debt consisted of the following:
Key TermsMarch 31, 2022December 31, 2021
(in thousands)(in thousands)March 31, 2021December 31, 2020(in thousands)CharacterPriorityMaturityCoupon
Term Loan G$2,341,000 $2,341,000 
Term Loan BTerm Loan BTerm LoanSenior Secured
9/1/2028(1)
Variable(2)
$1,318,375 $1,321,688 
5.50% Senior Secured Notes5.50% Senior Secured NotesNotesSenior Secured9/1/20285.50%1,050,000 1,050,000 
5.750% Notes5.750% Notes1,300,000 1,300,000 5.750% NotesNotesSenior Unsecured11/1/20285.750%1,300,000 1,300,000 
Senior Convertible PIK NotesSenior Convertible PIK Notes1,300,000 1,300,000 Senior Convertible PIK Notes
Convertible Notes(3)
Senior Unsecured10/15/2027Cash Interest 6.00%, PIK Interest 7.00%1,300,000 1,300,000 
Finance lease obligations, non-currentFinance lease obligations, non-current143 92 Finance lease obligations, non-currentOtherSenior Secured2022-20243.38% - 20.31%49 71 
Long-term debtLong-term debt4,941,143 4,941,092 Long-term debt4,968,424 4,971,759 
Discount – Term Loan G(3,464)(3,831)
Less: current portion of long-term debtLess: current portion of long-term debt(13,250)(13,250)
Discount - Term Loan BDiscount - Term Loan B(12,436)(12,864)
Discount – Senior Convertible PIK NotesDiscount – Senior Convertible PIK Notes(30,632)(329,494)Discount – Senior Convertible PIK Notes(26,711)(27,715)
Debt issuance costs, net:
Term Loan G(8,585)(9,666)
5.750% Notes(19,119)(19,613)
Less: debt discounts, netLess: debt discounts, net(39,147)(40,579)
Debt issuance costs - Term Loan BDebt issuance costs - Term Loan B(6,775)(7,008)
Debt issuance costs - 5.50% Senior Secured NotesDebt issuance costs - 5.50% Senior Secured Notes(13,801)(14,188)
Debt issuance costs - 5.750% NotesDebt issuance costs - 5.750% Notes(17,065)(17,590)
Less: debt issuance costs, netLess: debt issuance costs, net(37,641)(38,786)
Long-term debt, netLong-term debt, net$4,879,343 $4,578,488 Long-term debt, net$4,878,386 $4,879,144 
Term Loan(1)Beginning December 31, 2021 and Revolver
For all our debt agreements with an interest rate dependent on LIBOR, the Company is currently assessing and monitoring how transitioning from LIBOR to an alternative reference rate may affect the Company beyond 2023.
During the three months ended March 31, 2020,quarterly thereafter, we shall repay a correcting adjustmentprincipal amount of $2.3 million was made to increase interest expense to account for acceleration of debt issuance cost due to principal prepayments made on the Term Loan GB equal to 0.25% of the initial aggregate principal of $1,325.0 million. These scheduled principal repayments may be reduced by any voluntary or mandatory prepayments made in accordance with the years 2017, 2018credit agreement.
(2)Interest on Term Loan B and 2019.
Senior Convertible PIK Notes
PriorRevolver B is calculated, at MPH's option, as (a) LIBOR (or, with respect to the adoptionterm loan facility only, 0.50%, whichever is higher), plus the applicable margin, or (b) the highest rate of ASU 2020-06(1) prime rate, (2) the federal funds effective rate, plus 0.50%, (3) the LIBOR for an interest period of one month, plus 1.00% and (4) 0.50% for Term Loan B and 1.00% for Revolver B, in each case, plus an applicable margin of 4.25% for Term Loan B and between 3.50% and 4.00% for Revolver B, depending on January 1, 2021, the natureMPH's first lien debt to consolidated EBITDA ratio. The interest rate in effect for Term Loan B was 4.76% as of the notes required management to separate theMarch 31, 2022.
(3)The Senior Convertible PIK Notes are convertible into liability and equity components. ASU 2020-06’s eliminationshares of the beneficialClass A common stock based on a $13.00 conversion guidance resulted in "recombining" the equity and debt components of the Senior Convertible PIK Notes into a single liability. As a result, $297.9 million of the discount on the liability created by recognition of a component of the convertible debt in equity was eliminated. See Note 1 General Information and Basis of Accounting above for additional detail.price, subject to customary anti-dilution adjustments.
4.3.Private Placement Warrants and Unvested Founder Shares
The Company classifies the Private Placement Warrants and unvested founder shares as a liability on its unaudited condensed consolidated balance sheets as these instruments are precluded from being indexed to our own stock given the terms allow for a settlement that does not meet the scope of the fixed-for-fixed exception in Accounting Standards Codification 815.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
The Private Placement Warrants and unvested founder shares were initially recorded at fair value on the date of consummation of the Transactions and are subsequently adjusted to fair value at each subsequent reporting date. The fair value
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
of the unvested founder shares and unvested Private Placement Warrants is obtained using a Monte Carlo model and the fair value of the remaining Private Placement Warrants using a Black Scholes model, together referenced as the "option pricing" model. The Company will continue to adjust the liability for changes in fair value for the founder shares until the earlier of the re-vesting or forfeiture of these instruments. The Company will continue to adjust the liability for changes in fair value for the Private Placement Warrants until the warrant is equity classified.
As of March 31, 20212022 and December 31, 2020,2021, the fair value of the Private Placement Warrants were $29.3 million and $44.5$38.0 million, respectively, and the fair value of the unvested founder shares were $36.9$32.0 million and $62.1$36.0 million, respectively. From December 31, 2020 toFor the three months ended March 31, 2021,2022, and primarily as a result of the decreasevariations in the price of the Company's Class A common stock over that period,those periods, the fair value of the Private Placement Warrants decreased by $8.7 million and the fair value of the unvested founder shares decreased by $15.2 million and $25.2 million, respectively and the$4.0 million. The corresponding gain is recognized within change in fair value of Private Placement Warrants and unvested founder shares in the unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).income.
5.4.Fair Value Measurements
Fair value measurements are based on the premise that fair value represents an exit price representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, the following three-tier fair value hierarchy has been used in determining the inputs used in measuring fair value:
Level 1 — Quoted prices in active markets for identical assets or liabilities on the reporting date.
Level 2 — Inputs, other than quoted prices in active markets (Level 1), that are observable for the asset or liability, either directly or indirectly.
Level 3 — Unobservable inputs in which there is little or no market data, which require the entity to develop its own assumptions
Financial instruments
Certain financial instruments which are not measured at fair value on a recurring basis include cash and cash equivalents, accounts receivable and accounts payable, which approximate fair value due to their short-term nature. The financial instrument that potentially subjects the Company to concentrations of credit risk consists primarily of accounts receivable.
We estimateAs of March 31, 2022 and December 31, 2021, the Company's carrying amount and fair value of long-term debt consisted of the following:
March 31, 2022December 31, 2021
(in thousands)Carrying
Amount
Fair ValueCarrying
Amount
Fair Value
Liabilities:
Term Loan B, net of discount$1,305,939 $1,270,026 $1,308,824 $1,294,312 
5.50% Senior Secured Notes1,050,000 1,008,420 1,050,000 1,029,680 
5.750% Notes1,300,000 1,177,800 1,300,000 1,245,436 
Senior Convertible PIK Notes, net of discount1,273,289 968,336 1,272,285 1,245,958 
Finance lease obligations49 49 71 71 
Total Liabilities$4,929,277 $4,424,631 $4,931,180 $4,815,457 
As of March 31, 2022, the fair value of long-term debt, including current maturities of finance lease obligations, was obtained using quoted prices in active markets. As such, this is considered a Level 1 fair value measurement.
As of December 31, 2021, we estimated the fair value of long-term debt, including current maturities of finance lease obligations, based on estimates using present value techniques that arewere significantly affected by the assumptions used
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Notes to Unaudited Condensed Consolidated Financial Statements
concerning the amount and timing of estimated future cash flows and discount rates that reflect varying degrees of risk. Assumptions includeincluded interest rates currently available for instruments with similar terms as well as the five, seven, and eight-year Treasury bill rates. As such, this iswas considered a Level 2 fair value measurement.
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Notes to Unaudited Condensed Consolidated Financial Statements
As of March 31, 2021 and December 31, 2020, the Company's carrying amount and fair value of long-term debt consisted of the following:
March 31, 2021December 31, 2020
(in thousands)Carrying
Amount
Fair ValueCarrying
Amount
Fair Value
Liabilities:
Term Loan G, net of discount$2,337,536 $2,332,634 $2,337,169 $2,390,720 
Notes due 2028, net of discount1,300,000 1,238,256 1,300,000 1,300,000 
Convertible Notes, net of discount(1)
1,269,368 1,243,371 970,506 970,506 
Finance lease obligations143 143 92 92 
Total Liabilities$4,907,047 $4,814,404 $4,607,767 $4,661,318 
(1)See Note 1 General Information and Basis of Accounting and Note 3 Long-Term Debt for further detail.
Recurring fair value measurements
The Private Placement Warrants and unvested founder shares are measured at fair value on a recurring basis. The fair value of these instruments was determined based on significant inputs not observable in the market which would represent a level 3 measurement within the fair value hierarchy. The Company uses an option pricing simulation to estimate the fair value of these instruments.
Non-recurring fair value measurements
We also measure certain non-financial assets at fair value on a nonrecurring basis, primarily goodwill and long-lived tangible and intangible assets, in connection with periodic evaluations for potential impairment. We estimate the fair value of these assets using primarily unobservable inputs and, as such, these are considered Level 3 fair value measurements. There were no material impairment charges for these assets for fiscal years 20212022 and 2020.2021.
6.5.Commitments and Contingencies
Commitments
The Company has certain irrevocable letters of credit used to satisfy real estate lease agreements for three of our offices in lieu of security deposits in the amount of $1.8 million outstanding as of March 31, 20212022 and December 31, 2020.2021.
Claims and Litigation
The Company is a defendant in various lawsuits and other pending and threatened litigation and other adversarial matters as well as regulatory investigations, all of which have arisen in the ordinary course of business as well as regulatory investigations.business. While the ultimate outcome with respect to such proceedings cannot be predicted with certainty, the Company does not believe they will result, individually or in the aggregate, in a material adverse effect upon our financial condition or results of operations, or cash flows.
On March 25, 2021 and April 9, 2021, we were named as a defendant in 2two putative class action lawsuits relating to the Transactions that have since been consolidated under the caption In Re MultiPlan Corp. Stockholders Litigation,, Consolidated C.A. No. 2021-0300-MTZ2021-0300-LWW (Del.Ch) (“("Delaware Stockholder Litigation”Litigation"). The Delaware Stockholder Litigation asserts breach of fiduciary duty claims and aiding and abetting breach of fiduciary duty claims against the former directors of the Churchill board, the Sponsor, KG and M. Klein (collectively, the "Churchill Defendants") and the Company. The Delaware Stockholder Litigation complaint alleges that the Transactions were a product of an unfair process by Churchill, which was allegedly impacted by conflicts of interest, resulting in mispricing of the Transactions. The complaint seeks, among other things, damages, certain equitable relief including the reopening of redemptions, and attorneys’ fees and costs.
In addition, on February 24, 2021 The Company and March 5, 2021, putative securities class action complaints captioned Srock v. MultiPlan Corporation et al., No. 1:21-cv-1640 (S.D.N.Y.)the Churchill Defendants filed motions to dismiss the complaint. On January 3, 2022, the Chancery Court issued a ruling granting in part the Company’s motion to dismiss and Verger v. MultiPlan Corporation et al., No. 1:21-cv-01965 (S.D.N.Y.) weredenying the motion to dismiss filed inby the United States District Court forChurchill Defendants. The Company is therefore dismissed from the Southern District of New York. The Srock lawsuit was voluntarily dismissed on March 15, 2021. The Verger lawsuit was voluntarily dismissed on March 24, 2021. On April 6, 2021, a putative securities class action complaint captioned Samuel Paradis v. MultiPlan Corporation et. al., No. 1:21-cv. 1853 (E.D. N.Y.) was filed inDelaware Stockholder Litigation, which is proceeding against the United States District Court for the Eastern District of New York. The Paradis lawsuit is brought against
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
the Company; our Chief Executive Officer, Mr. Mark Tabak; and our Chief Financial Officer, Mr. David Redmond, as well as individuals and entities involved in the Transactions, including Paul Galant, our President, New Markets, and Glenn August and Michael Klein, each of whom currently serve on our Board. The complaint asserts claims for violations of Sections 10(b), 14(a), and 20(a)Churchill Defendants. Certain of the Securities Exchange Act of 1934 and Rules 10b-5 and 14a-9 promulgated thereunder and seeks damages based on alleged material misrepresentations and omissions concerningChurchill Defendants have contractual indemnification rights to the Transactions and in our public disclosures. The proposed class period is July 12, 2020, through November 10, 2020, inclusive.Company.
We accrue for costs associated with certain contingencies, including, but not limited to, settlement of legal proceedings, regulatory compliance matters and self-insurance exposures when such costs are probable and reasonably estimable. Such accruals are included in other accrued expenses on the accompanying unaudited condensed consolidated balance sheets. In addition, we accrue for legal fees incurred in defense of asserted litigation and regulatory matters as such legal fees are incurred. To the extent it is probable under our existing insurance coverage that we are able to recover losses and legal fees related to contingencies, we record such recoveries concurrently with the accrual of the related loss or legal fees. Significant management judgment is required to estimate the amounts of such contingent liabilities and the related insurance recoveries. In our determination of the probability and ability to estimate contingent liabilities and related insurance recoveries we consider the following: litigation exposure based on currently available information, consultations with external legal counsel, adequacy and applicability of existing insurance coverage and other pertinent facts and circumstances regarding the contingency. Liabilities established to provide for contingencies are adjusted as further information develops, circumstances change, or contingencies are resolved; and such changes are recorded in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss) during the period of the change and appropriately reflected in other accrued liabilities on the accompanying unaudited condensed consolidated balance sheets.
7.Stock-Based Compensation
On October 8, 2020, the Company’s stockholders approved the 2020 Omnibus Incentive Plan, which previously had been approved by the Company’s board of directors subject to stockholder approval. The Incentive Plan permits the granting of stock options, stock appreciation rights, restricted stock and restricted stock units to the Company’s employees and directors for up to 85,850,000 shares of Class A common stock.
During the three months ended March 31, 2021, activity under the 2020 Omnibus Incentive Plan is summarized in the table below:
Employee RSDirector RSUsEmployee RSUsEmployee NQSOs
Nonvested as of December 31, 20201,468,750 42,847 
Awarded5,214 1,637,376 1,247,851 
Vested(93,750)
Nonvested as of March 31, 20211,375,000 48,061 1,637,376 1,247,851 
Compensation cost charged to expense related to share-based compensation arrangements was $1.0 million and $9.4 million for the three months ended March 31, 2021 and 2020, respectively.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
8.6.Basic and Diluted Earnings and Loss Per Share
Basic and diluted earnings and loss per share was calculated as follows:
Three Months Ended March 31,
($ in thousands, except number of shares and per share data)20212020
Numerator for earnings per share calculation
Net Income$45,877 $(2,594)
Denominator for earnings per share calculation
Weighted average number of shares outstanding – basic655,113,523 415,700,000 
Effect of stock-based compensation130 
Weighted average number of shares outstanding – diluted655,113,653 415,700,000 
Income per share – basic and diluted:
Net income per share – basic$0.07 $(0.01)
Net income per share – diluted$0.07 $(0.01)
Earnings per share calculations for all periods prior to the Transactions have been retrospectively restated to the equivalent number of shares reflecting the exchange ratio established in the reverse recapitalization. Subsequent to the Transactions, earnings per share will be calculated based on the weighted average number of shares of common stock then outstanding.
Three Months Ended March 31,
($ in thousands, except number of shares and per share data)20222021
Numerator for earnings per share calculation
Net Income$43,978 $45,877 
Denominator for earnings per share calculation
Weighted average number of shares outstanding – basic638,497,587 655,113,523 
Effect of stock-based compensation517,507 130 
Weighted average number of shares outstanding – diluted639,015,094 655,113,653 
Income per share – basic and diluted:
Net income per share – basic$0.07 $0.07 
Net income per share – diluted$0.07 $0.07 
As of the three months ended March 31, 2022 and 2021, we have excluded from the calculation of diluted net income per share the instruments whose effect would have been anti-dilutive, including (i) 58,500,000 warrants outstanding, (ii) 100,000,000 shares which may be issued upon conversion of the Senior Convertible PIK Notes, and (iii) 12,404,080 unvested founder shares, and (iv) 4,303,074 unvestedshares. Additionally, we have excluded from the calculation of diluted net income per share awards within the 2020 Omnibus Incentive Plan, awards. The remaining 5,214 unvested 2020 Omnibus Incentive Plan awards were found towhose effect would have a dilutive effectbeen anti-dilutive of 130 shares using the treasury stock method.
There were 0 warrants, options, unvested founder shares, or 2020 Omnibus Incentive Plan awards13,066,509 and 4,303,074 for the three months ended March 31, 2020.2022 and 2021, respectively.
9.7.Related Party Transactions
The accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss) include expenses and revenues to and from related parties for the three months ended March 31, 20212022 and 20202021 as follows:
Three Months Ended March 31,Three Months Ended March 31,
(in thousands)(in thousands)20212020(in thousands)20222021
RevenuesRevenues$567 $560 Revenues$643 $567 
Total revenues from related partiesTotal revenues from related parties$567 $560 Total revenues from related parties643 567 
Cost of servicesCost of services$(690)$(583)Cost of services(612)(690)
General and administrativeGeneral and administrative$(265)$(50)General and administrative— (265)
Total expense from related partiesTotal expense from related parties$(955)$(633)Total expense from related parties$(612)$(955)
The accompanying unaudited condensed consolidated balance sheets include accruals from related parties as of March 31, 20212022 and December 31, 20202021 as follows:
(in thousands)(in thousands)March 31, 2021December 31, 2020(in thousands)March 31, 2022December 31, 2021
Current liabilities:Current liabilities:Current liabilities:
Accounts payableAccounts payable$2,800 $2,725 Accounts payable$2,015 $2,297 
Total liabilities from related partiesTotal liabilities from related parties$2,800 $2,725 Total liabilities from related parties$2,015 $2,297 
In 20212022 and 2020,2021, the related party transactions included the following:
The Company purchased PPO network services from a company controlled by Hellman & Friedman LLC, an affiliate of H&F, to supplement our provider network. We also recognize revenues from that same company for the use of our provider network and other claims processing services.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
The Company has obtained insurance brokered through a company controlled by Hellman & Friedman LLC.
The Company reimburses Hellman & Friedman LLC for reasonable out of pocket expenses that include travel, lodging, meals, and any similar expenses.
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MULTIPLAN CORPORATION
Notes to Unaudited Condensed Consolidated Financial Statements
Companies controlled or managed by members of the Board have participated in the PIPE Investment, including the Senior Convertible PIK Notes.
The Company purchased advisory services in connection with the Transactions from companies controlled or managed by members of the Board.
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Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of the Company’s financial condition and results should be read in conjunction with the unaudited condensed consolidated financial statements and accompanying notes thereto contained elsewhere in this Quarterly Report and together with the information included in the Company’s 20202021 Annual Report. Certain information contained in the discussion and analysis set forth below includes forward-looking statements that involve risks and uncertainties; the results described below are not necessarily indicative of the results to be expected in any future periods.
Cautionary Note Regarding Forward-looking StatementsStatements
All statements other than statements of historical fact included in this Quarterly Report including, without limitation, statements under this “Management’s Discussion and Analysis of Financial Condition and Results of Operations” regarding the Company’s financial position, business strategy and the plans and objectives of management for future operations, are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 or Section 21E of the Securities Exchange Act of 1934, each as amended, including, in particular, statements about our plans, strategies and prospects as well as estimates of industry growth for the next quarter and beyond. When used in this Quarterly Report, words such as “anticipate,“believes,“believe,“estimates,“estimate,“anticipates,“expect,“expects,“intend”“seeks,” “projects,” “intends,” “plans,” “may,” “will” or “should” or, in each case, their negative or other variations or comparable terminology represent forward-looking statements that include matters that are not historical facts. They may appear in a number of places throughout this Quarterly Report and similar expressions, as they relate to us or the Company’s management, identifythese forward-looking statements.statements reflect management’s expectations regarding our future growth, results of operations, operational and financial performance and business prospects and opportunities. Such forward-looking statements are based on available current market material and management’s expectations, beliefs and forecasts concerning future events impacting our business. Factors that may impact such forward-looking statements include:
the beliefsimpact of COVID-19 and its related effects on our projected results of operations, financial performance or other financial metrics;
loss of our customers, particularly our largest customers;
decreases in our existing market share or the size of our Preferred Provider Organization (“PPO”) networks;
effects of competition;
effects of pricing pressure;
the inability of our customers to pay for our services;
decreases in discounts from providers;
the loss of our existing relationships with providers;
the loss of key members of our management as well as assumptions made by,team;
pressure to limit access to preferred provider networks;
the ability to achieve the goals of our strategic plans and recognize the anticipated strategic, operational, growth and efficiency benefits when expected;
our ability to identify, complete and successfully integrate acquisitions;
changes in our industry;
interruptions or security breaches of our information currently availabletechnology systems and other cyber security attacks;
our ability to protect proprietary applications;
our inability to expand our network infrastructure;
our ability to maintain effective internal controls over financial reporting;
our ability to continue to attract, motivate and retain a large number of skilled employees, and adapt to the Company’s management. Actualeffects of inflationary pressure on wages;
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changes in our regulatory environment, including healthcare law and regulations;
the expansion of privacy and security laws;
heightened enforcement and investigations activity by government agencies;
our ability to pay interest and principal on our notes and other indebtedness;
the possibility that we may be adversely affected by other political, economic, business, and/or competitive factors;
other factors disclosed in this Quarterly Report; and
other factors beyond our control.
The forward-looking statements are based on our current expectations and beliefs concerning future developments and their potential effects on our business. There can be no assurance that future developments affecting our business will be those that we have anticipated. These forward-looking statements involve a number of risks, uncertainties (some of which are beyond our control) or other assumptions that may cause actual results could differor performance to be materially different from those contemplatedexpressed or implied by thethese forward-looking statements as a result of a variety ofstatements. These risks and uncertainties includinginclude, but are not limited to, those discussedfactors referred to under the headingRisk Factors” in Part II, Item 1A of this Quarterly Report or as described in our 20202021 Annual Report. Should one or more of these risks or uncertainties materialize, or should any of the assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. We do not undertake noany obligation to update or revise any forward-looking statement.

statements, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.
Company Overview
MultiPlan is a leading value-added provider of data analytics and technology-enabled end-to-end cost management, paymentsolutions designed to bring affordability, efficiency and revenue integrity solutionsfairness to the U.S.United States healthcare industry. We do so through services focused on reducing medical cost and improving payment accuracy for the payors of healthcare, which are also onehealth insurers, self-insured employers and other health plan sponsors (typically through their health plan administrators), and, indirectly, the plan members who are the consumers of the largest independent PPOshealthcare services.
Founded initially in the U.S., with contracted providers in all 50 states1980 as a New York-based hospital network, MultiPlan has evolved both organically and the Districtthrough acquisition into a national organization offering three categories of Columbia. We are committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team-rich industry experience, MultiPlan interprets clients' needs and customizes innovative solutions through the following offerings:services:
Analytics-Based Services: data-driven algorithms which detect claims over-charges and either negotiate or recommend or negotiate fair reimbursement;reimbursement using a variety of data sources and pricing algorithms;
Network-Based Services: contracted discounts with healthcare providers includingto form one of the largest independent preferred provider organizations ("PPO") in the United States andwith over 1.2 million under contract, as well as outsourced network development and/or management services; and
Payment and Revenue Integrity Services: data, technology, and clinical expertise deployed to identify and remove improper and unnecessary charges before or after claims are paid, or to identify and help restore and preserve underpaid premium dollars.
OurAlthough the end beneficiary of our services are employers and other plan sponsors and their health plan members, our direct customers almost entirely are payors.mostly health plan administrators ("Payors"). We offer these payorsPayors a single electronic gateway to a comprehensive set of services in each of the above three categories, (Analytics-Based Services, Network-Based Services, and Payment and Revenue Integrity Services), which are used in combination or individually to reduce the medical cost burden on healthcare payorstheir health plan customers and patientsmembers while fostering fair and efficient payments to the providers.These comprehensive offerings have enabled us to maintain long-term relationships with a number of our customers, including relationships of over 25 years with some of the nation’snation's largest commercial payors.Payors. For the three months ended March 31, 20212022 and year ended December 31, 20202021 our expansive network included access to over 1.2 million healthcare providers. Our comprehensive services identified approximately $4.9$5.6 billion and $18.8$21.7 billion in potential medical cost savings, in the three months ended March 31, 2021 and year ended December 31, 2020, respectively.
We believe our solutions provide a strong value proposition to Payors, their health plan customers and healthcare consumers, as well as to providers. Overall, our service offerings aim to reduce healthcare costs in a manner that is orderly, efficient and fair to all parties. In addition, because in most instances the fee for our services is directly linked to the savings we identify, our revenue model is aligned with the interests of our customers.
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Uncertainty Relating to the COVID-19 Pandemic
As discussed above in Note 1 General Information and Basis of Accounting of the notes to the unaudited condensed consolidated financial statements included in this Quarterly Report, COVID-19 has negatively impacted our business, results of operations and financial condition duringsince the first quarter of 2020.
Effects from COVID-19 began to impact our business in first quarter 2020 with various federal, state, and the three months ended March 31, 2021.
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local governments and private entities mandating restrictions on travel, restrictions on public gatherings, closure of non-essential commerce, and shelter in place orders. We have temporarily closed all of our offices and restricted travel in 2020 and 2021 due to concern for our employees'employees’ health and safety and also in compliance with state orders. Most of our approximately 2,3002,400 employees are workingcontinue to work remotely. Other than these modifications, we have not experienced any material changes to our operations including receiving and processing transactions with our customers as a result of COVID-19.
We believe COVID-19'sFor the three months ended March 31, 2022, the Company’s revenues continue to be negatively impacted as a result of the medical charges received on non-COVID claims from customers not yet reaching pre-COVID-19 pandemic levels due to fewer elective medical procedures and non-essential medical services. Such negative impacts, however, are to a lesser extent compared to the same period in 2020 and 2021, as vaccination rates have increased and restrictions on medical services have been lifted. The extent of the ultimate impact on our businesses, operating results, cash flows and/or financial condition primarilyof COVID-19 will be driven bydepend on the severity and duration of the pandemic;evolving pandemic. Future developments remain uncertain, including the pandemic's impact onnumber of confirmed cases, the emergence of highly contagious variants, and any actions taken by federal, state and local governments such as economic relief efforts, as well as U.S. and global economies, and consumer behavior and health carehealthcare utilization patterns; and the timing, scope and impact of stimulus legislation as well as other federal, state and local governmental responses to the pandemic. Those primary drivers are beyond our knowledge and control. COVID-19 will continue to impact our businesses, operating results, cash flows and/or financial condition but it is uncertain if such impact will become more adverse or material as explained above.
In connection with the COVID-19 pandemic, the CARES Act was enacted on March 27, 2020 and included certain changes to corporate income taxes. Specifically, the CARES Act provided numerous tax provisions and other stimulus measures, including temporary changes regarding the prior and future utilization of net operating losses, temporary changes to the prior and future limitations on interest deductions, temporary suspension of certain payment requirements for the employer portion of Social Security taxes, technical corrections from prior tax legislation for tax depreciation of certain qualified improvement property, and the creation of certain payroll tax credits associated with the retention of employees. We assessed these impacts and noted the largest impact is due to the tax law change related to the interest disallowance rules retroactive to 2019. The other aspects of the CARES Act did not have a material effect on us.patterns.
Factors Affecting Our Results of Operations
Medical Cost Savings
Our business and revenues are driven by the ability to lower medical costs through claims savings for our customers. The medical charges of those claims can influence our ability to generate claim savings.
The following table presents the medical charges processed and the potential savings identified for the periods presented:
Three Months Ended March 31,Three Months Ended March 31,Change
(in billions)20212020
(in millions)(in millions)20222021
Medical charges processed(1)(3)
Medical charges processed(1)(3)
$28.9 $25.9 
Medical charges processed(1)(3)
$31,692.1 $27,777.2 14.1 %
Potential medical cost savings(2)(3)
Potential medical cost savings(2)(3)
$4.9 $4.9 
Potential medical cost savings(2)(3)
$5,627.8 $5,159.6 9.1 %

While the medical charges processed on claims received from customers have increased, the medical charges on our non-COVID-19 services have not yet returned to pre-pandemic levels as a result of fewer elective medical procedures and non-essential medical services. A portion of this increase is the result of medical charges and related savings for COVID-19 services, such as COVID-19 testing, treatment, and vaccines, which were higher in the three months ended March 31, 2022 as compared to the three months ended March 31, 2021.
_____________________________
(1)Medical charges processed represent the aggregate dollar amount of claims processed by our cost management and payment accuracy solutions in the period presented. The dollar amount of the claim for purposes of this calculation is the dollar amount of the claim prior to any reductions that may be made as a result of the claim being processed by our cost management solutions. Medical charges processed excludesexclude medical charges processed by HST and DHP.DHP in both time periods.
(2)Potential medical cost savings represent the aggregate amount of potential savings in dollars identified by our cost management and payment accuracy solutions in the period presented. Since certain of our fees are based on the amount of savings achieved by our customers, and our customers are the final adjudicator of the claims and may choose not to reduce claims or reduce claims by only a portion of the potential savings identified, potential medical cost savings may not directly correlate with the amount of fees earned in connection with the processing of such claims. Potential medical cost savings excludesexclude potential medical cost savings identified by HST and DHP.DHP in both time periods.
(3)Changes to previously reported medical charges processed and potential medical cost savings are due to claim development such as client claim resubmissions or cancellation of claims. Examples of these changes include, but are not limited to,
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adjudication changes, billing changes, and elimination of claims that were later determined to be invalid.
Our medical In second quarter 2021, we introduced a change in reporting methodology to exclude from the current and prior periods certain claims, the inclusion of which distorts the underlying trends in our core claim processing activities. We believe this change in methodology improves the comparability of current and prior periods. Medical charges processed and potential medical cost savings figures may not be directly comparablefor the three months ended March 31, 2021 have been restated from period$4.9 billion to period due$5.2 billion to reflect the completiondevelopment of claims and integration of acquisitions madethe change in a particular period.methodology.
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Components of Results of Operations
Revenues
We generate revenues from several sources including: (i) Network-Based Services that process claims at a discount compared to billed fee-for-service rates and by using an extensive network, (ii) Analytics-Based Services that use our leading and proprietary information technology platform to offer customers solutions to reduce medical costs, (ii) Network-Based Services that process claims at a discount compared to billed fee-for-service rates and by using an extensive network and (iii) Payment and Revenue Integrity Services that use data, technology, and clinical expertise to identify improper, unnecessary and excessive charges. Payors typically compensate us through either a PSAV achieved or a PEPM rate.
Costs of Services (exclusive of depreciation and amortization of intangible assets)
Costs of services (exclusive of depreciation and amortization of intangible assets) consist of all costs specifically associated with claims processing activities for customers, sales and marketing, and the development and maintenance of our networks, analytics-based services, and payment and revenue integrity services. Two of the largest components in costs of services are personnel expenses and access and bill review fees. Access and bill review fees include fees for accessing non-owned third-party provider networks, expenses associated with vendor fees for database access and systems technology used to reprice claims, and outsourced services. Third-party network expenses are fees paid to non-owned provider networks used to supplement our owned network assets to provide more network claim savings to our customers.
General and Administrative Expenses
General and administrative expenses include corporate management and governance functions composed of general management, legal, treasury, tax, real estate, financial reporting, auditing, benefits and human resource administration, communications, public relations, billing and information management. In addition, general and administrative expenses include taxes, insurance, advertising, transaction costs, and other general expenses.
Depreciation Expense
Depreciation expense consists of depreciation and amortization of property and equipment related to our investments in leasehold improvements, furniture and equipment, computer hardware and software, and internally generated capitalized software development costs. We provide for depreciation and amortization on property and equipment using the straight-line method to allocate the cost of depreciable assets over their estimated useful lives.
Amortization of intangible assets
Amortization of intangible assets includes amortization of the value of our customer relationships, provider network, technology, and trademarks which were identified in valuing the intangible assets in connection with the June 6, 2016 acquisition by H&F, as well as recent acquisitions by the Company. The acquisitions of HST and DHP contributed to an increase in intangibles recorded onby the balance sheet of $32.2 million and $41.1 million, respectively, for customer relationships, trade names, and technology.Company.
Interest expense
Interest expense consists of accrued interest and related interest payments on our outstanding long-term debt and amortization of debt issuance costs discounts on the Term Loan G and discounts on Senior PIK Notes.discounts.
Interest income
Interest income consists primarily of bank interest.
Change in fair value of Private Placement Warrants and unvested founder shares
The Company remeasures at each reporting period the fair value of the Private Placement Warrants and unvested founder shares. The changechanges in fair value of $40.4 million wasare primarily due to the changechanges in the stock price of the Company's Class A common stock, the expected stock volatility and the passage of time over the reporting period.
Income tax expense (benefit)
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Income tax expense (benefit)
Income tax expense consists of federal, state, and local income taxes. Our income tax provision (benefit) and effective tax rate could be affected by future changes in tax law and changes to business activity in the jurisdictions in which we operate which could have an adverse effect on our business, results of operations and cash flows.
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Non-GAAP Financial Measures
We use EBITDA, Adjusted EBITDA and Adjusted EPS to evaluate our financial performance. EBITDA, Adjusted EBITDA and adjusted earnings per shareEPS are financial measures that are not presented in accordance with GAAP. We believe the presentation of these non-GAAP financial measures provides useful information to investors in assessing our financial condition and results of operations across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our financial operating results of our core business.
These measurements of financial performance have important limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of our results as reported under GAAP. Additionally, they may not be comparable to other similarly titled measures of other companies. Some of these limitations are:
such measures do not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments;
such measures do not reflect changes in, or cash requirements for, our working capital needs;
such measures do not reflect the significant interest expense, or cash requirements necessary to service interest or principal payments on our debt;
such measures do not reflect any cash requirements for any future replacement of depreciated assets;
such measures do not reflect the impact of stock-based compensation upon our results of operations;
such measures do not reflect our income tax (benefit) expense or the cash requirements to pay our income taxes;
such measures do not reflect the impact of certain cash charges resulting from matters we consider not to be indicative of our ongoing operations; and
other companies in our industry may calculate these measures differently from how we do, limiting their usefulness as a comparative measure.
In evaluating EBITDA, Adjusted EBITDA and Adjusted EPS, you should be aware that in the future we may incur expenses similar to those eliminated in the presentation.
EBITDA, Adjusted EBITDA, and Adjusted EPS are widely used measures of corporate profitability eliminating the effects of financing and capital expenditures from the operating results. We define EBITDA as net income adjusted for interest expense, interest income, income tax (benefit) expense, depreciation, amortization of intangible assets, and non-income taxes. We define Adjusted EBITDA as EBITDA further adjusted to eliminate the impact of certain items that we do not consider to be indicative of our core business, including other expense,expenses, change in fair value of Private Placement Warrants and unvested founder shares, transaction related expenses, loss (gain) on the debt extinguishment, lossgain on investments and stock-based compensation. See our unaudited condensed consolidated financial statements included in this Quarterly Report for more information regarding these adjustments. Adjusted EBITDA is used in our agreements governing our outstanding indebtedness for debt covenant compliance purposes. Our Adjusted EBITDA calculation is consistent with the definition of Adjusted EBITDA used in our debt instruments.
Adjusted EPS is used in reporting to our Board and executive management and as a component of the measurement of our performance. We believe that this measure provides useful information to investors because it is the profitability measure we use to evaluate earnings performance on a comparable year-to-year basis. Adjusted EPS is defined as net income (loss) adjusted for amortization of intangible assets, stock-based compensation, transaction related expenses, lossgain on investments, loss (gain) on debt extinguishment, other expense, change in fair value of Private Placement Warrants and unvested founder shares and tax effect of adjustments to arrive at Adjusted net income divided by our basic weighted average number of shares outstanding.
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The following table presents a reconciliation of net income (loss) to EBITDA and Adjusted EBITDA for the periods presented:
Three Months Ended March 31,Three Months Ended March 31,
(in thousands)(in thousands)20212020(in thousands)20222021
Net income (loss)$45,877 $(2,594)
Net incomeNet income$43,978 $45,877 
Adjustments:Adjustments:Adjustments:
Interest expenseInterest expense63,717 90,965 Interest expense71,445 63,717 
Interest incomeInterest income(4)(71)Interest income(12)(4)
Income tax provision (benefit)13,050 (683)
Income tax provisionIncome tax provision14,255 13,050 
DepreciationDepreciation16,165 14,506 Depreciation16,596 16,165 
Amortization of intangible assetsAmortization of intangible assets84,708 83,513 Amortization of intangible assets85,154 84,708 
Non-income taxesNon-income taxes513 439 Non-income taxes553 513 
EBITDAEBITDA$224,026 $186,075 EBITDA$231,969 $224,026 
Adjustments:Adjustments:Adjustments:
Other expenses1,217 148 
Other (income) expensesOther (income) expenses(890)658 
Integration expensesIntegration expenses1,672 559 
Change in fair value of Private Placement Warrants and unvested founder sharesChange in fair value of Private Placement Warrants and unvested founder shares(40,375)— Change in fair value of Private Placement Warrants and unvested founder shares(12,741)(40,375)
Transaction-related expensesTransaction-related expenses5,225 360 Transaction-related expenses2,555 5,225 
Gain on investmentsGain on investments(289)— 
Stock-based compensationStock-based compensation968 9,361 Stock-based compensation3,130 968 
Adjusted EBITDAAdjusted EBITDA$191,061 $195,944 Adjusted EBITDA$225,406 $191,061 
Material differences between MultiPlan Corporation and MPH for the three months ended March 31, 20212022 include differences in interest expense, change in fair value of Private Placement Warrants and unvested founder shares, and stock-based compensation. InterestFor the three months ended March 31, 2022, interest expense for MultiPlan Corporation is $20.4$20.5 million higher than interest expense for MPH, due to interest expense incurred by MultiPlan Corporation on $1,300.0 millionthe Senior Convertible PIK Notes (issued on October 8, 2020), net of debt issue costs.. For the three months ended March 31, 2021,2022, the change in fair value of Private Placement Warrants and unvested founder shares, represents a $40.4 million differenceand stock-based compensation are recorded in the parent company MultiPlan Corporation and not in the MPH operating company and therefore represent differences between MultiPlan Corporation and MPH. In the three months ended March 31, 2021, stock-based compensation for MultiPlan Corporation represents a difference of $1.0 million between MultiPlan Corporation and MPH.
23


The following table presents a reconciliation of net income (loss) to Adjusted EPS for the periods presented:
Three Months Ended March 31,
($ in thousands, except share and per share amounts)($ in thousands, except share and per share amounts)20212020($ in thousands, except share and per share amounts)Three Months Ended March 31,
($ in thousands, except share and per share amounts)20222021
Net income (loss)$45,877 $(2,594)
Net incomeNet income$43,978 $45,877 
Adjustments:Adjustments:Adjustments:
Amortization of intangible assetsAmortization of intangible assets84,708 83,513 Amortization of intangible assets85,154 84,708 
Stock-based compensationStock-based compensation968 9,361 Stock-based compensation3,130 968 
Transaction-related expensesTransaction-related expenses5,225 360 Transaction-related expenses2,555 5,225 
Gain on investmentsGain on investments(289)— 
Other expenses1,217 148 
Other (income) expensesOther (income) expenses(890)658 
Integration expensesIntegration expenses1,672 559 
Change in fair value of Private Placement Warrants and unvested founder sharesChange in fair value of Private Placement Warrants and unvested founder shares(40,375)— Change in fair value of Private Placement Warrants and unvested founder shares(12,741)(40,375)
Estimated tax effect of adjustmentsEstimated tax effect of adjustments(22,864)(20,162)Estimated tax effect of adjustments(22,489)(22,864)
Adjusted net incomeAdjusted net income$74,756 $70,626 Adjusted net income$100,080 $74,756 
Weighted average shares outstanding - Basic655,113,523415,700,000
Weighted average shares outstanding – BasicWeighted average shares outstanding – Basic638,497,587655,113,523
Net income (loss) per share – Basic$0.07 $(0.01)
Net income per share – basicNet income per share – basic$0.07 $0.07 
Adjusted earnings per share$0.11 $0.17 
Adjusted EPSAdjusted EPS$0.16 $0.11 
25


Factors Affecting the Comparability of our Results of Operations
As a result of a number of factors, our historical results of operations may not be comparable to our results of operations in future periods and may not be directly comparable from period to period. Set forth below is a brief discussion of the key factors impacting the comparability of our results of operations.
The Transactions
On July 12, 2020, Churchill entered into the Merger Agreement by and among First Merger Sub, Second Merger Sub, Holdings, and MultiPlan Parent. On October 8, 2020, the Merger Agreement was consummated and the Transactions were completed.
The Transactions were accounted for as a reverse recapitalization, with no goodwill or other intangible assets recorded, in accordance with GAAP. Under this method of accounting, Churchill was treated as the "acquired" company for financial reporting purposes with MultiPlan Parent determined to be the accounting acquiror. This determination was primarily based on the existing MultiPlan Parent stockholders being the majority stockholders and holding majority voting power in the combined company, MultiPlan Parent's senior management comprising the majority of senior management of the combined company, and the ongoing operations of MultiPlan Parent comprising the ongoing operations of the combined company. Accordingly, for accounting purposes, the Transactions were treated as the equivalent of MultiPlan Parent issuing shares for the net assets of Churchill, accompanied by a recapitalization. The net assets of Churchill were recognized at fair value (which were consistent with carrying value), with no goodwill or other intangible assets recorded. See Note 1 General Information and Basis of Accounting of the notes to the unaudited condensed consolidated financial statements included in this Quarterly Report for further information on the Transactions.
As a consequence of the Transactions, we became the successor to a SEC-registered and NYSE-listed company.
HST Acquisition
On November 9, 2020, the Company acquired HST, a healthcare technology company that enables value-driven health benefit plan designs featuring reference-based pricing and tools to engage health plan members and providers in making the best use of available benefits both before and after care delivery. The Company acquired 100 percent of the voting equity interests of HST.
The results of operations and financial condition of HST have been included in the Company's consolidated results from the date of acquisition. Through March 31, 2021, HST's impact on revenues and net earnings was not material.
DHP Acquisition
On February 26, 2021, the Company completed the acquisition of DHP, an analytics and technology company offering healthcare payment and revenue integrity services. The Company acquired 100 percent of the voting equity interest of DHP. The acquisition strengthens MultiPlan's service offering in the payment integrity market with new and complementary services to help its payorPayor customers manage the overall cost of care and improve their competitiveness. It also adds revenue integrity services for plans that receive premiums from the Centers for Medicare and Medicaid Services.
The results of operations and financial condition of DHP have been included in the Company's consolidated results from the date of acquisition. ThroughIn 2021 and for the three months ended March 31, 2021,2022, DHP's impact on revenues and net earnings was not material. In connection with the DHP acquisition, the Company incurred transaction costs of $0.6$0.1 million for the year ended December 31, 2020 and $4.7 million for the three months ended March 31, 2021.2022 and March 31, 2021, respectively. The transaction coststransaction-related expenses have been expensed as incurred and are included in general and administrative expenses in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).income.
Debt Refinancings, Repayments and Repricing
We madeOn August 24, 2021, MPH issued new senior secured credit facilities composed of $1,325.0 million of Term Loan B and $450.0 million of a Revolver B, and $1,050.0 million in aggregate principal prepaymentamount of 5.50% Senior Secured Notes. MPH used the net proceeds from Term Loan B, issued with a discount of 1.00%, and the 5.50% Senior Secured Notes to repay all of the outstanding balance of its Term Loan G for a total redemption price of $2,354.6 million, and pay fees and expenses in connection therewith.
Interest on Term Loan B and Revolver B is calculated, at MPH’s option, as (a) LIBOR (or, with respect to Term Loan B only, 0.50%, if higher), plus the amountapplicable margin, or (b) the highest rate of $369.0 million(1) the prime rate, (2) the federal funds effective rate, plus 0.50%, (3) the LIBOR for an interest period of one month, plus 1.00% and (4) 0.50% for Term Loan B and 1.00% for Revolver B, in each case, plus an applicable margin of 4.25% for Term Loan B and between 3.50% and 4.00% for Revolver B,
24


depending on October 29, 2020. This prepayment reducesMPH’s first lien debt to consolidated EBITDA ratio. The interest expenserate in effect for Term Loan B was 4.76% as of March 31, 2022 and the interest rate in effect for Term Loan G for thiswas 3.75% as of March 31, 2021.
The Company is obligated to pay a commitment fee on the average daily unused amount of Revolver B. The annual commitment fee can range from an annual rate of 0.25% to 0.50% based on the Company's first lien debt to consolidated EBITDA ratio, as defined in the agreement.
The interest rate on the 5.50% Senior Secured Notes is fixed at 5.50%, and future time periods.is payable semi-annually on March 1 and September 1 of each year.
In connection with the issuance of our debt instruments, the Company incurred specific expenses, related to raising the debt, including commissions, fees and expenses of investment bankers and underwriters, registration and listing fees, accounting and legal fees pertaining to the financing and other external, incremental expenses paid to advisors that were directly attributable to realizing the proceeds of the debt issues. These costs were capitalized and are being amortized over the term of the related debt
26


using the effective interest method. The amortization of the debt issuance costs premiums and discounts are included in interest expense in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).
In the years ended December 31, 2019, 2018, and 2017, we did not recognize expense for the portions of debt issuance costs related to the amounts of the principal loan prepayments of Term Loan G made in each year, which resulted in an understatement of long-term debt of $2.3 million as of December 31, 2019. We corrected this error as an out-of-period adjustment resulting in an overstatement of interest expense of $2.3 million in the three months ended March 31, 2020.
On October 8, 2020, the Company issued and sold $1,300.0 million in aggregate principal amount of the Senior Convertible PIK Notes. The Senior Convertible PIK Notes were issued with a 2.5% discount with a maturity date of October 15, 2027. The Senior Convertible PIK Notes will accrue interest at a rate per annum equal to six percent (6.00%) with respect to Cash Interest and seven percent (7.00%) with respect to PIK Interest. The Company must elect prior to the third business day prior to any interest payment date to pay Cash Interest or PIK Interest for such interest period; provided that prior to any such election, the Company is deemed to have selected Cash Interest.
On October 8, 2020, we redeemed the Senior PIK Notes in full at a redemption price of 102.000% of the principal amount plus accrued and unpaid interest for a total redemption price of $1,237.6 million.
On October 29, 2020, MPH issued $1,300.0 million in aggregate principal amount of its 5.750% Notes and redeemed the 7.125% Notes in full at a redemption price of 103.563% of the principal amount plus accrued and unpaid interest for a total redemption price of $1,661.3 million. The Company also entered into an amendment to increase the commitments under its senior secured revolving credit facility from $100.0 million to $450.0 million.income.
Stock-Based Compensation
Prior to the consummation of the Transactions, we were a wholly owned subsidiary of Holdings and our stock-based compensation was granted to employees in the form of Units via a Class B Unit Award Agreement. The fair value of the Units was remeasured at each reporting period. The consummation of the Transactions constituted a definitive Liquidity Event under the agreements governing the Unit awards and as a result the incentive plan was liquidated. For the three months ended March 31, 2020, the Company recorded stock-based compensation expense under the Class B Unit Award Agreement of $9.4 million in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).
AfterSince the consummation of the Transactions, the Company operateshas operated under the 2020 Omnibus Incentive Plan effective October 8, 2020. To date, awards granted under the 2020 Omnibus Incentive Plan have been in the form of Employee RS, Employee RSUs, Fixed Value RSUs, Employee NQSOs and Director RSUs. Stock-based compensation is measured at the grant date based on the fair value of the award.
During the three months ended March 31, 2021,2022, the Company has granted 1.27.3 million Employee NQSOs 1.6and 3.9 million Employee RSUs and 5.2 thousand Director RSUs under the 2020 Omnibus Incentive Plan. For the three months ended March 31, 2022 and 2021, the Company recorded stock-based compensation expense under the 2020 Omnibus Incentive Plan of $3.1 million and $1.0 million, respectively, in the accompanying unaudited condensed consolidated statements of income (loss) and comprehensive income (loss).income.
2725


Results of Operations for the Three Months Ended March 31, 20212022 and 20202021
The following table provides the results of operations for the periods indicated:
Three Months Ended March 31,Change
($ in thousands)20212020$%
Revenues
Network Services$69,365 $73,582 $(4,217)(5.7)%
Analytics-Based Services157,160 151,643 5,517 3.6 %
Payment and Revenue Integrity Services28,339 26,797 1,542 5.8 %
Total Revenues$254,864 $252,022 $2,842 1.1 %
Costs of services (exclusive of depreciation and amortization of intangible assets shown below)
Personnel expenses excluding stock-based compensation32,632 31,604 1,028 3.3 %
Stock-based compensation10 5,452 (5,442)(99.8)%
Personnel expenses including stock-based compensation32,642 37,056 (4,414)(11.9)%
Access and bill review fees3,715 3,638 77 2.1 %
Other cost of services expenses3,373 3,991 (618)(15.5)%
Total costs of services (exclusive of depreciation and amortization of intangible assets shown below)39,730 44,685 (4,955)(11.1)%
General and administrative expenses excluding stock-based compensation and transaction costs25,813 17,432 8,381 48.1 %
Stock-based compensation958 3,909 (2,951)(75.5)%
Transaction costs5,225 360 4,865 NM
Total general and administrative expenses31,996 21,701 10,295 47.4 %
Depreciation expense16,165 14,506 1,659 11.4 %
Amortization of intangible assets84,708 83,513 1,195 1.4 %
Operating income82,265 87,617 (5,352)(6.1)%
Interest expense63,717 90,965 (27,248)(30.0)%
Interest income(4)(71)67 94.4 %
Change in fair value of Private Placement Warrants and unvested founder shares(40,375)— (40,375)NM
Net income (loss) before income taxes58,927 (3,277)62,204 NM
Provision (benefit) for income taxes13,050 (683)13,733 NM
Net income (loss)$45,877 $(2,594)$48,471 NM
Three Months Ended March 31,Change
($ in thousands)20222021$%
Revenues
Network-Based Services$68,624 $69,365 $(741)(1.1)%
Analytics-Based Services196,118 157,160 38,958 24.8 %
Payment and Revenue Integrity Services33,304 28,339 4,965 17.5 %
Total Revenues298,046 254,864 43,182 16.9 %
Costs of services (exclusive of depreciation and amortization of intangible assets shown below)
Personnel expenses excluding stock-based compensation39,157 32,632 6,525 20.0 %
Stock-based compensation600 10 590 NM
Personnel expenses including stock-based compensation39,757 32,642 7,115 21.8 %
Access and bill review fees3,758 3,715 43 1.2 %
Other cost of services expenses3,557 3,373 184 5.5 %
Total costs of services (exclusive of depreciation and amortization of intangible assets shown below)47,072 39,730 7,342 18.5 %
General and administrative expenses excluding stock-based compensation and transaction-related expenses27,503 25,813 1,690 6.5 %
Stock-based compensation2,530 958 1,572 164.1 %
Transaction-related expenses2,555 5,225 (2,670)(51.1)%
Total general and administrative expenses32,588 31,996 592 1.9 %
Depreciation expense16,596 16,165 431 2.7 %
Amortization of intangible assets85,154 84,708 446 0.5 %
Operating income116,636 82,265 34,371 41.8 %
Interest expense71,445 63,717 7,728 12.1 %
Interest income(12)(4)(8)200.0 %
Gain on investments(289)— (289)NM
Change in fair value of Private Placement Warrants and unvested founder shares(12,741)(40,375)27,634 68.4 %
Net income before taxes58,233 58,927 (694)(1.2)%
Provision for income taxes14,255 13,050 1,205 9.2 %
Net income$43,978 $45,877 $(1,899)(4.1)%
_____________________
NM = Not meaningful
Revenues
RevenuesThe increase of $43.2 million, or 16.9%, in revenues for the three months ended March 31, 2022 as compared to revenues for the three months ended March 31, 2021 was driven by an increase in revenues of $37.4 million primarily related to higher medical charges processed on claims received from customers, resulting in higher savings for such customers. Revenues from the acquisition of DHP were $8.7 million for the three months ended March 31, 2022, as compared to $2.9 million for the three months ended March 31, 2021. This period-over-period increase of $5.8 million also contributed to the increase in total revenues for this period. Excluding the increase of revenue from the acquisition of DHP, revenue grew by 14.9% in the $254.9three months ended March 31, 2022 as compared to the same period in the prior year.
Network-Based Services revenues decreased $0.7 million, or 1.1%, in the three months ended March 31, 2022 as compared to revenues offor the three months ended March 31, 2021, reflecting substantially consistent period over period performance for this service line.
26


Analytics-Based Services revenues increased $252.039.0 million, or 24.8%, for the three months ended March 31, 2022 as compared to revenues for the three months ended March 31, 2020, representing an2021 primarily driven by higher medical charges from customers, resulting in higher savings for such customers. The increase in medical charges processed reflects, in part, a favorable decline of the effects of the COVID-19 pandemic during the increasethree months ended of $2.8 million, or 1.1%. This increase in revenues was primarily due to acquired revenues relatedMarch 31, 2022, as compared to the acquisitions of DHP and HST of $7.2 million. By service, the increase is attributed to increases in Analytics-Based Services revenues of $5.5 million and increases in three months ended March 31, 2021.
Payment and Revenue Integrity Services revenues ofincreased $5.0 million, or 17.5%, for the three months ended $1.5 million, offset by decreases in Network ServicesMarch 31, 2022 as compared to revenues of $4.2 million, as discussed below.
Forfor the three months ended March 31, 2021 Network Services revenues were $69.4 million as compared to $73.6 million for the three months ended March 31, 2020, representing a decrease of $4.2 million, or 5.7%. This decrease was primarily due declines in claims volumes from some customers as claims were moved from using our Network Services solutions to our Analytics-Based Services solutions and partially due to declines caused by changes in the mix of claims due to COVID-19 related reductions in medical services.
28


For the three months ended March 31, 2021, revenues from our Analytics-Based Services, including Financial Negotiation and Reference-Based Pricing revenues, were $157.2 million as compared to $151.6 million for the three months ended March 31, 2020, representing an increase of $5.5 million, or 3.6%. Increases in the Analytics-Based Services revenues were primarily related to the acquisition of HST and due to some customers that moved their claims from using our Network Services product to our Analytics-Based Services products, offset by declines caused by changesincrease in the mix of claims due to COVID-19 related reductions in medical services.
For the three months ended March 31, 2021, revenues from our Payment and Revenue Integrity Services were $28.3 million as compared to $26.8 million for the three months ended March 31, 2020, representing an increase of $1.5 million, or 5.8%. This increase was primarily related to the acquisition of DHP of $5.8 million as described above, offset by $0.8 million of declines caused by changes in the mix of claims due to COVID-19 reductionsrevenues in medical services.our pre-payment integrity service line.
Costs of Services (exclusive of depreciation and amortization of intangible assets)
Three Months Ended March 31,ChangeThree Months Ended March 31,Change
($ in thousands)($ in thousands)20212020$%($ in thousands)20222021$%
Costs of services excluding stock-based compensationCosts of services excluding stock-based compensation$46,472 $39,720 $6,752 17.0 %
Stock-based compensationStock-based compensation600 10 590 NM
Cost of services (exclusive of depreciation and amortization of intangible assets)Cost of services (exclusive of depreciation and amortization of intangible assets)$39,730 $44,685 $(4,955)(11.1)%Cost of services (exclusive of depreciation and amortization of intangible assets)$47,072 $39,730 $7,342 18.5 %
Less: stock-based compensation10 5,452 (5,442)(99.8)%
Costs of services excluding stock-based compensation$39,720 $39,233 $487 1.2 %
CostsThe increase of $7.3 million, or 18.5% in cost of services for the three months endedMarch 31, 2021 were $39.7 million2022, as compared to $44.7 millionthe three months ended March 31, 2021was primarily due to increases in personnel expenses, including stock-based compensation as explained below.
The increase in personnel expenses, including contract labor, for the three months endedMarch 31, 2020, representing a decrease of $5.0 million, or 11.1%. This decrease2022, as compared to the three months ended March 31, 2021 was primarily due to decreases in personnel expenses of $4.4 million primarily related to stock-based compensation as explained below and decreases in other expenses of $0.6 million.
Personnel expenses, including contract labor, were $32.6 million for the three months ended March 31, 2021, as compared to $37.1 million for the three months ended March 31, 2020, representing a decrease of $4.4 million, or 11.9%. This decrease was primarily due to decreasesincreases in stock-based compensation of $5.4$0.6 million offset by increases in otherand non-stock compensation related expenses includingof $6.5 million primarily due to $3.1 million increase in compensation related expenses from the acquisition of DHP which was acquired on February 26, 2021. The remaining $3.4 million increase in compensation related expenses was primarily related to increases in salaries of $2.6 million, bonus and commission of $0.3 million, and fringe benefitsbenefit expenses of $1.0 million.$0.5 million, partially due to increases in employee headcount. The remaining increase in cost of services was due to increases of $0.2 million related to access and bill review fees and other costs of services.
General and Administrative Expenses
Three Months Ended March 31,Change
($ in thousands)20212020$%
General and administrative expenses$31,996$21,701$10,29547.4 %
Less: stock-based compensation9583,909(2,951)(75.5)%
Less: transaction costs5,2253604,865NM
General and administrative expenses excluding stock-based compensation and transaction costs$25,813$17,432$8,38148.1 %
_____________________
Three Months Ended March 31,Change
($ in thousands)20222021$%
General and administrative expenses excluding stock-based compensation and transaction-related expenses$27,503$25,813$1,6906.5 %
Stock-based compensation2,5309581,572 164.1 %
Transaction-related expenses2,5555,225(2,670)(51.1)%
General and administrative expenses$32,588$31,996$5921.9 %
NM = Not meaningful
GeneralThe increase of $0.6 million, or 1.9%, in general and administrative expenses for the three months ended March 31, 2021 were $32.0 million as compared to $21.7 million for the three months ended March 31, 2020, representing an increase of $10.3 million, or 47.4%. This increase was primarily due to increases in transactions costs of $4.9 million, increases in insurance of $1.7 million primarily due to higher D&O insurance as a result of being a public company, increases in professional fees of $1.7 million including higher legal, audit, and consulting fees, and increases in personnel expenses of $0.5 million. The increases in transactions costs of $4.9 million were primarily due to costs associated with the acquisition of DHP on February 26, 2021. See Note 2 Business Combinations of the notes to the unaudited condensed consolidated financial statements included in this Quarterly Report for additional information.
Depreciation Expense
Depreciation expense was $16.2 million for the three months ended March 31, 2021,2022, as compared to $14.5 million for the three months ended March 31, 2020, representing2021 was primarily due to an increase in personnel expenses of $1.7$4.8 million, or 11.4%. Thisan increase in integration expenses of $1.1 million primarily related to the acquisitions of HST and DHP, an increase in professional fees of $0.9 million including higher legal and consulting fees, an increase in insurance of $0.7 million primarily related to higher D&O insurance and Technology E&O insurance, and an increase in net other expenses of $0.1 million, offset by a decrease in transaction costs of $2.7 million and an increase in the capitalized software development offset of $4.3 million. The increase in personnel expenses of $4.8 million was due to an increase in compensation related expenses of $3.2 million, primarily in salaries, fringe benefits, and contract labor and an increase in stock-based compensation of $1.6 million.
Depreciation Expense
The increase of $18.10.4 million
29


and, or 2.7%, in depreciation expense for the three months ended $70.8 millionMarch 31, 2022 as compared to the three months ended March 31, 2021 was due to purchases of property and equipment, including internally generated
27


capitalized software in the three months ended March 31, 20212022 and year ended December 31, 2020,2021, respectively, partially offset by assets that were written-off or became fully depreciated in the period.
Amortization of Intangible Assets
AmortizationThe increase of $0.4 million, or 0.5%, in the amortization of intangible assets was $84.7 million for the three months ended March 31, 20212022, as compared to $83.5 million for the three months ended March 31, 2020. This increase of $1.2 million2021 was primarily relatesdue to the acquisitionsacquisition of HST and DHP. This expense represents the amortization of intangible assets, as explained above and in the notes to the unaudited condensed consolidated financial statements.
Interest Expense
Interest expense wasThe increase of $63.7 million for the three months ended March 31, 2021, as compared to $91.0 million for the three months ended March 31, 2020, representing a decrease of $27.2$7.7 million, or 30.0%. The decrease 12.1%, in interest expense for this time period was due to a $369.0 million lower principal balance on Term Loan G in the three months ended March 31, 2021,2022, as compared to the three months endedMarch 31, 2020. In addition,2021 was due to the increase in interest rates and the effect of the refinancing on October 8, 2020 we redeemed our Senior PIK Notes (8.500% interest rate)August 24, 2021 where MPH issued new senior secured credit facilities composed of Term Loan B and Revolver B, and issued Convertible PIKthe 5.50% Senior Secured Notes, (6.000% interest rate) and on October 29, 2020 we redeemedusing the 7.125% Notes and issued 5.750% Notes, as explained below, resulting in overall lower annualnet proceeds to repay all of the outstanding balance of Term Loan G. As a result of this refinancing, our annualized weighted average cash interest of approximately $70 million.
In the years ended December 31, 2017, 2018 and 2019, we did not recognize expense for the portions ofrate increased by 0.6% across our total debt issuance costs related to the amounts of the principal loan prepayments made in each year, which resulted in an understatement of long-term debt of $2.3 million as of December 31, 2019. We corrected this error as an out-of-period adjustment resulting in an overstatement of interest expense of $2.3 million in the three months ended March 31, 2020.2022 as compared to the same period in prior year.
As of March 31, 2021,2022, our long-term debt was $4,879.3$4,878.4 million and included (i) $2,341.0$1,305.1 million Term Loan G,B, discount on Term Loan GB of $3.5$12.4 million, excluding the current portion of Term Loan B of $13.3 million (ii) $1,050.0 million of 5.50% Senior Secured Notes, (iii) $1,300.0 million of 5.750% Senior Notes, (iii)(iv) $1,300.0 million of Senior Convertible PIK Notes, discount on Senior Convertible PIK Notes of $30.6$26.7 million, and (iv)(v) $0.1 million of long-term finance lease obligations, net of (v)(vi) debt issue costs of $27.7$37.6 million. As of March 31, 2022, our total debt had an annualized weighted average cash interest rate of 5.5%. As of March 31, 2021, our total debt had an annualized weighted average cash interest rate of 4.9%.
As of MarchDecember 31, 2020,2021, our long-term debt was $4,879.1 million and included (i) $5,402.8 million and included (i) $2,710.01,308.4 million Term Loan G,B, discount on Term Loan GB of $5.8$12.9 million, excluding the current portion of Term Loan B of $13.3 million (ii) $1,560.0$1,050.0 million of 7.125%5.50% Senior Secured Notes, premium on 7.125% Notes of $9.8 million, (iii) $1,178.7$1,300.0 million of 5.750% Senior Notes, (iv) $1,300.0 million of Senior Convertible PIK Notes, discount on Senior Convertible PIK Notes of $6.9$27.7 million, and (iv) $0.1 million of long-term finance lease obligations, net of (v) debt issue costs of $43.1$38.8 million. As of MarchDecember 31, 2020,2021, our total debt had a weighted average cash interest rate of 6.0%4.6%.
Change in fair value of Private Placement Warrants and unvested founder shares
For the three months ended March 31, 2021, the change in fair value of Private Placement Warrants and unvested founder shares was $40.4 million.The Company remeasures at each reporting period the fair value of the Private Placement Warrants and unvested founder shares.shares at each reporting period. From December 31, 20202021 to March 31, 2021,2022, the fair value of the Private Placement Warrants and the unvested founder shares decreased by $15.2$8.7 million and $25.2$4.0 million,, respectively. The decrease was primarily due to the declinedecrease in the expected stock pricevolatility and the passage of the Company's Class A common stocktime over that period.
Provision (Benefit) for Income Taxes
Net income before income taxes for the three months ended March 31, 2021 of $58.9 million generated a provision for income taxes
Our effective tax rate of $13.1 million. Net loss before income taxes24.5% for the three months ended March 31, 2020 of $3.3 million generated2022 differed from the statutory rate primarily due to a benefit for income taxes of $0.7 million.non-deductible mark-to-market liability and state tax expense. Our effective tax rate of 22.1% for the periodthree months ended March 31, 2021 differed from the statutory rate primarily due to a non-deductible mark-to-market liability, impact of our acquisitions and changes in the Company's deferred state tax rate due to operations, and state tax expense. Our effective tax rate for the period ended March 31, 2020 differed from the statutory rate primarily due to state taxes and stock based compensation expense.
Net Income (Loss)
Net income for the three months ended March 31, 2021 was $45.9 million as compared to net loss of $2.6 million for the three months ended March 31, 2020. The increase in net income of $48.5 million was primarily due to an increase in revenues of $2.8 million, decreases in costs of services of $5.0 million (of which $5.4 million was due to a decrease in stock-based compensation), decreases in interest expense of $27.2 million, reduction in fair value of Private Placement Warrants and
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unvested founder shares of $40.4 million, offset by increases in general and administrative expenses of $10.3 million (of which $4.9 million was due to increases in transaction costs), increases in depreciation expense of $1.7 million, increases in amortization of intangible assets of $1.2 million, increases in the provision for income taxes of $13.7 million and decreases in interest income of $0.1 million as explained in the sections above.
Liquidity and Capital Resources
As of March 31, 2021,2022, we had cash and cash equivalents of $135.0$350.8 million and $450.0$448.2 million of loan availability under the revolving credit facility. In connection withOn August 24, 2021, the Refinancing,maturity of the commitments under the Revolver G were increasedrevolving credit facility was extended from $100.0 millionJune 7, 2023 to $450.0 million and $369.0 millionAugust 24, 2026. As of indebtedness under the Term Loan G was repaid. WeMarch 31, 2022, we have three letters of credit totaling $1.8 million as of March 31, 2021.utilization against the revolving credit facility. The three letters of credit are used to satisfy real estate lease agreements for three of our offices in lieu of security deposits. Effective starting in fourth quarter 2020, these letters of credit are no longer utilized against the revolver.
As of March 31, 2020, we had cash and cash equivalents of $249.9 million, three letters of credit totaling $1.8 million of utilization against the Revolver G and $98.2 million loan availability under Revolver G. In March 2020, $98.0 million of borrowings were drawn on our Revolver G. This borrowing was a precautionary measure taken due to the uncertainty of the COVID-19 pandemic. As there were no liquidity issues related to COVID-19, the Revolver G and associated interest were repaid on June 25, 2020.
Our primary sources of liquidity are internally generated funds combined with our borrowing capacity under our Revolver G.revolving credit facility. We believe that these sources will provide sufficient liquidity for us to meet our working capital, capital expenditure and other cash requirements for at least the next twelve months. We may from time to time at our sole discretion, purchase, redeem or retire our long-term debt, through tender offers, in privately negotiated or open market transactions or otherwise. We plan to finance our capital expenditures with cash from operations. Furthermore, our future liquidity and future ability to fund capital expenditures, working capital and debt requirements are also dependent upon our future financial
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performance, which is subject to many economic, commercial, financial and other factors that are beyond our control, including the ability of financial institutions to meet their lending obligations to us. If those factors significantly change, our business may not be able to generate sufficient cash flow from operations or future borrowings may not be available to meet our liquidity needs. We anticipate that to the extent we require additional liquidity as a result of these factors or in order to execute our strategy, it would be financed either by borrowings under our senior secured credit facilities, by other indebtedness, additional equity financings or a combination of the foregoing. We may be unable to obtain any such additional financing on reasonable terms or at all.
Cash Flow Summary
The following table is derived from our unaudited condensed consolidated statements of cash flows:
Three Months Ended March 31,
(in thousands)20212020
Net cash flows provided by (used in):
Operating activities$170,907 $147,393 
Investing activities$(162,398)$(17,336)
Financing activities$(232)$97,993 

Three Months Ended March 31,
(in thousands)20222021
Net cash flows provided by (used in):
Operating activities$194,937 $170,907 
Investing activities$(24,165)$(162,398)
Financing activities$(5,270)$(232)
Cash Flows from Operating Activities
Cash flows from operating activities provided $194.9 million for the providedthree months ended March 31, 2022 and $170.9$170.9 million for the three months ended March 31, 2021 and $147.4 million for t2021. The three months ended March 31, 2020. This $23.5his $24.0 million, or 15.9%14.1%, increase in cash flows from operating activities was primarily the result of increasesan increase in net income of $48.5 million after adjustingadjustments for decreases in non-cash items of $126.7$41.1 million, and decreasesoffset by changes in net working capital of $101.8$15.2 million and a decrease in net income of $1.9 million.
The $126.7$41.1 million decreaseincrease in non-cash items was primarily due to decreasesan increase in deferred income taxes of $78.1$11.7 million, decreasesan increase in stock-based compensation of $8.4 million, decreases in non-cash interest costs of $2.9 million including decreases in debt issue costs, the change in fair value of Private Placement Warrants and unvested founder shares of $40.4$27.6 million, decreasesan increase in amortizationstock-based compensation of right of use asset of $0.5$2.2 million, offset by increasesan increase in depreciation of $1.7$0.4 million, increasesand an increase in amortization of intangible assets of $1.2$0.4 million, and increasesoffset by a decrease in loss on disposal of property and equipment of $0.6 million.
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million,
The increasea decrease in net incomenon-cash interest costs of $48.5$0.3 million was primarily due to an increase in revenues,including decreases in costs of services, decreases in interest expense, increases in change in fair value of Private Placement Warrants and unvested founder shares, offset by increases in general and administrative expenses, increases in depreciation expense, increasesdebt issue costs, a decrease in amortization of intangible assets, increases in the provision for income taxesright of use asset of $0.1 million, and decreases in interest income as explained in the sections above.a gain on equity investments of $0.3 million.
During the three months ended March 31, 2022, $90.1 million was provided by changes in net working capital including an increase in accounts payable and accrued expenses and other expenses of $61.4 million primarily related to the timing of tax and interest payments throughout the year which increased our liabilities by $42.0 million and $22.5 million, respectively, a decrease in net accounts receivable of $21.7 million primarily due to timing of collections, a decrease in prepaid expenses and other assets of $3.6 million, and a decrease in prepaid taxes of $5.1 million, offset by a decrease in operating lease obligations of $1.6 million.
During the three months ended March 31, 2021, $105.3 million was provided by changes in net working capital including decreases in net accounts receivable of $12.0 million primarily due to timing of collections and increases in accounts payable and accrued expenses and other of $97.1 million primarily due to increases in accrued interest of $38.2 million and accrued taxes of $57.4 million, offset by increases in prepaid expenses and other assets of $3.6 million and decreases in operating lease obligations of $0.2 million.
DuringCash Flows from Investing Activities
For the three months ended March 31, 2020, $3.52022, net cash of $24.2 million was provided by changeswas used in net working capitalinvesting activities including increases in accounts payable$24.5 million for purchases of property and accrued expensesequipment and othercapitalization of $44.7 million primarily due to increases in accrued interest of $52.9 million, offset by increases in prepaid taxes of $34.4 million as a result of a retrospective tax adjustment in 2019 resulting in overpaid taxes, increases in prepaid expenses and other assets of $3.5 million, decreases in operating lease obligations of $2.4 million, and increases in net accounts receivable of $0.9 million.
Cash Flow from Investing Activities
software development. For the three months ended March 31, 2021, net cash of $162.4 million waswas used in investing activities including $149.9 million for the acquisition of DHP and $18.1 million for purchases of property and equipment and capitalization of software development, offset by proceeds from the sale of an investment of $5.6 million. For
Cash Flows from Financing Activities
Cash flows used in financing activities for the three months ended March 31, 2020,2022 were $5.3 million consisting of repayments of Term Loan B of $3.3 million and $2.0 million of taxes paid on net cashsettlement of $17.3 million was used in investing activities for purchases of property and equipment and capitalization of software development. The increase in purchases of property and equipment and capitalization of software development of $0.8 million was primarily due to increased capitalization of software development on capital projects primarily to enhance our information technology infrastructure and platforms to increase efficiencies, data security, and service line capabilities.vested share awards.
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Cash Flow from Financing Activities
Cash flows used in financing activities for the three months ended March 31, 2021 were $0.2 million primarily consisting of purchasestaxes paid on net settlement of treasury stockvested share awards of $0.3 million.
Cash flows provided in financing activities for the three months ended March 31, 2020 were $98.0 million primarily consisting of $98.0 million of borrowings on Revolver G.
Term Loans and Revolvers
On August 24, 2021, MPH issued new senior secured credit facilities composed of $1,325.0 million of Term Loan B, $450.0 million of Revolver B, and $1,050.0 million in aggregate principal amount of 5.50% Senior Secured Notes. MPH used the net proceeds from Term Loan B, issued with a discount of 1.00%, and the 5.50% Senior Secured Notes to repay all of the outstanding balance of its Term Loan G of $2,341.0 million, and pay fees and expenses in connection therewith.
Interest on Term Loan GB and Revolver GB is calculated, at ourMPH's option, as (a) LIBOR (or, with respect to the senior secured term loan facilityTerm Loan B only, 1.00%0.50%, whichever isif higher), plus the applicable margin, or (b) the highest rate of (1) the prime rate, (2) the federal funds effective rate, plus 0.50%, (3) the LIBOR for an interest period of one month plus 1.00% and (4) 2.00%0.50% for Term Loan GB and 0.00%1.00% for Revolver G,B, in each case, plus an applicable margin of 2.00%.4.25% for Term Loan B and between 3.50% and 4.00% for Revolver B, depending on MPH's first lien debt to consolidated EBITDA ratio. The interest rate in effect for Term Loan B was 4.76% as of March 31, 2022 and the interest rate in effect for Term Loan G was 3.75% and 4.20% as of March 31, 20212021.
Term Loan B matures on September 1, 2028 and 2020, respectively.Revolver B matures on August 24, 2026.
For all our debt agreements with an interest rate dependent on LIBOR, we are currently assessing and monitoring how transitioning from LIBOR to an alternative reference rate may affect us past 2023.
We are obligated to pay a commitment fee on the average daily unused amount of Revolver G.our revolving credit facility. The annual commitment fee rate was 0.25%0.375% at March 31, 20212022 and 2020.0.50% at December 31, 2021. The fee can range from an annual rate of 0.25% to 0.50% based on our leverage ratio, as defined in the agreement.
Senior Notes
On October 29,8, 2020, the 7.125%Company issued $1,300.0 million in aggregate principal amount of Senior Convertible PIK Notes. The Senior Convertible PIK Notes were redeemed in full forissued with a total redemption2.5% discount with a maturity date of October 15, 2027.
The Senior Convertible PIK Notes are convertible into shares of Class A common stock based on a $13.00 conversion price, of $1,661.3 million, which included a redemption premium and accrued interest.subject to customary anti-dilution adjustments. The interest rate on the 7.125%Senior Convertible PIK Notes wasis fixed at 7.125%6% in cash and was7% in kind, and is payable semi-annually on June 1April 15 and December 1October 15 of each year.
On October 29, 2020, the Company issued $1,300.0 million in aggregate principal amount of the 5.750% Notes of $1,300.0 million.Notes. The 5.750% Notes are guaranteed on a senior unsecured basis jointly and severally by the Company and its subsidiaries and have a maturation date of November 1, 2028. The 5.750% Notes were issued at par. The interest rate on the 5.750% Notes is fixed at 5.750%, and is payable semi-annually on May 1 and November 1 of each year.
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On October 8, 2020, the Senior PIK notes were redeemed in full for a total redemption price of $1,237.6 million, which included a redemption premium and accrued interest. The interest rate on the Senior PIK Notes was fixed at 8.5% and was payable semi-annually on June 1 and December 1 of each year.
On October 8, 2020, the CompanyAugust 24, 2021 MPH issued and sold $1,300.0$1,050.0 million in aggregate principal amount of 5.50% Senior Convertible PIK Notes. The Senior Convertible PIKSecured Notes were issued with a 2.5% discount with a maturitymaturation date of October 15, 2027. Prior to the adoption of ASU 2020-06 on JanuarySeptember 1, 2021, the nature of the notes required management to separate the Senior Convertible PIK Notes into liability and equity components. ASU 2020-06’s elimination of the beneficial conversion guidance resulted in "recombining" the equity and debt components of the Senior Convertible PIK Notes into a single liability. As a result, $297.9 million of the discount on the liability created by recognition of a component of the convertible debt in equity was eliminated. See Note 1 General Information and Basis of Accounting and Note 3 Long-Term Debt of the notes to the unaudited condensed consolidated financial statements included in this Quarterly Report for further detail.
The Senior Convertible PIK Notes are convertible into shares of Class A common stock based on a $13.00 conversion price, subject to customary anti-dilution adjustments.2028. The interest rate on the 5.50% Senior Convertible PIKSecured Notes is fixed at 6% in cash and 7% in kind,5.50%, and is payable semi-annually on April 15March 1 and October 15September 1 of each year. The 5.50% Senior Secured Notes are guaranteed and secured as described below under "Guarantees and Security".
Debt Covenants and Events of Default
We are subject to certain affirmative and negative debt covenants under the debt agreements governing the Term Loan G, the Revolver G and the 5.750% Notesour indebtedness that limit our andand/or certain of our subsidiaries' ability to engage in specific types of transactions. These covenants limit our andand/or certain of our subsidiaries' ability to, among other things:
incur additional indebtedness or issue disqualified or preferred stock;
pay certain dividends or make certain distributions on capital stock or repurchase or redeem capital stock;
make certain loans, investments or other restricted payments;
transfer or sell certain assets;
incur certain liens;
place restrictions on the ability of its subsidiaries to pay dividends or make other payments to us;
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guarantee indebtedness or incur other contingent obligations;
prepay junior debt and make certain investments;
consummate any merger, consolidation or amalgamation, or liquidate, wind up or dissolve itself (or suffer any liquidation or dissolution), or dispose of all or substantially all of its business units, assets or other properties; and
engage in transactions with our affiliates.
Certain covenants related to the 5.50% Senior Secured Notes will cease to apply to the 5.50% Senior Secured Notes for so long as such notes have investment grade ratings from both Moody’s Investors Service, Inc. and S&P Global Ratings.
In connection with the Refinancing, the Revolver Ratio was amended such that, if, as of the last day of any fiscal quarter of MPH, the aggregate amount of loans under the Revolver G,revolving credit facility, letters of credit issued under the Revolver Grevolving credit facility (to the extent not cash collateralized or backstopped or, in the aggregate, in excess of $10.0 million) and swingline loans are outstanding and/or issued in an aggregate amount greater than 35% of the total commitments in respect of the Revolver Grevolving credit facility at such time, the Revolver Grevolving credit facility will require MPH to maintain a maximum first lien secured leverage ratio of 6.75 to 1.00. Our consolidated first lien debt to consolidated EBITDA ratio wasis 2.32 times, 3.15 times, 3.37 times, and 3.142.61 times as of March 31, 2021, 2022, March 31, 2020,2021, and December 31, 2020,2021, respectively.
As of March 31, 2021, March 31, 2020,2022 and December 31, 20202021 we were in compliance with all of the debt covenants.
The debt agreements governing the new senior secured credit facilities, Term Loan G, the Revolver G, the 5.750% Notes and the 5.750%5.50% Senior Secured Notes contain customary events of default, subject to grace periods and exceptions, which include, among others, payment defaults, cross-defaults to certain material indebtedness, certain events of bankruptcy, material judgments, and, in the case of the debt agreementagreements governing the new senior secured credit facilities and the 5.50% Senior Secured Notes, failure of a guarantee on the liens on material collateral to remain in effect, in the case of the debt agreements governing the new senior secured credit facilities, Term Loan G and the Revolver G, any change of control. Upon the occurrence of an event of default under such debt agreements, the lenders and holders of such debt will be permitted to accelerate the loans and terminate the commitments, as applicable, thereunder and exercise other specified remedies available to the lenders and holders thereunder.
See the footnotes to the EBITDA and Adjusted EBITDA reconciliation table provided above under "Non-GAAP Financial Measures" for material differences between the financial information of MultiPlan and MPH.
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Guarantees and Security
All obligations under the debt agreements governing Term Loan B, Revolver B and the 5.50% Senior Secured Notes are unconditionally guaranteed by MPH Acquisition Corp. 1, the direct holding company parent of MPH, and each existing and subsequently acquired or organized direct or indirect wholly owned U.S. organized restricted subsidiary of MPH (subject to certain exceptions). All such obligations, and the guarantees of such obligations, are secured, subject to permitted liens and other exceptions, by a first priority lien shared between the senior secured credit facilities and the 5.50% Senior Secured Notes on substantially all of MPH’s and the subsidiary guarantors’ tangible and intangible property, and a pledge of all of the capital stock of each of their respective subsidiaries.


Critical Accounting Policies
In preparing our Unaudited Condensed Consolidated Financial Statements, we are required to make judgments, assumptions and estimates, which we believe are reasonable and prudent based on the available facts and circumstances. These judgments, assumptions and estimates affect certain of our revenues and expenses and their related balance sheet accounts and disclosure of our contingent liabilities. We base our assumptions and estimates primarily on historical experience and consider known and projected trends. On an ongoing basis, we re-evaluate our selection of assumptions and the method of calculating our estimates. Actual results, however, may materially differ from our calculated estimates, and this difference would be reported in our current operations.
For a detailed description of our critical accounting estimates, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 in our 20202021 Annual Report. For a detailed discussion of our significant accounting policies, see Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements and Supplementary Data” in our 20202021 Annual Report. As of March 31, 2021,2022, our critical accounting policies and estimates have not changed from those described in our 20202021 Annual Report, except for the policies related to convertible notes, which changed as a result of the adoption of a new accounting pronouncement, and stock-based compensation, which changed as a result of the grant of stock options.Report.
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Customer Concentration
TwoThree customers individually accounted for 35%34%, 19% and 20%10% of revenues for the year ended December 31, 2020.2021. The loss of the business of one or more of our larger customers could have a material adverse effect on our results of operations. For further discussion on our customer concentration, please refer to Item 1A. “Risk Factors” in our 2021 Annual Report.
Recent Accounting Pronouncements
See Note 1 General Information and Basis of Accounting of the Notes to the unaudited condensed consolidated financial statements included in this Quarterly Report for additional information.
Quantitative and Qualitative Disclosure About Market Risk
See Item 3. Quantitative and Qualitative Disclosure about Market Risk below.
Internal Controls Over Financial Reporting
For further information on the Company’s internal controls over financial reporting see Item 4. Controls and Procedures.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Reference is made to our 20202021 Annual Report and in particular Item 7A.“Quantitative and Qualitative Disclosure about Market Risk” therein. As of March 31, 2021,2022, there were no material changes in the market risks described in our 20202021 Annual Report.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Disclosure controls and procedures are designed to ensure that information required to be disclosed by us in the reports that we file or submit under Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.
Under the supervision and with the participation of our management, including the Company’s principal executive officer and principal financial and accounting officer, the Company conducted an evaluation of the effectiveness of our disclosure controls and procedures as of the three months ended March 31, 2021,end of the period covered by this report, as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act.
Based on this evaluation, our principal executive officer and principal financial and accounting officers have concluded that, as of March 31, 2022, our disclosure controls and procedures were notdesigned at a reasonable assurance level and were effective as of March 31, 2021, solely as a result ofto provide reasonable assurance that the following two material weaknessesinformation we are required to disclose in internal control over financial reporting:
We did not maintain a sufficient complement of resources with an appropriate level of accounting knowledgereports that we file or submit under the Exchange Act is recorded, processed, summarized and experience commensurate withreported within the financial reporting requirements for a public company, including condensed timelines to closetime periods specified in the SEC rules and sufficient oversight of internal controls over financial reporting.
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We did not maintain sufficient formal accounting policies, procedures,forms, and controls for accountingthat such information is accumulated and financial reporting with respect to the requirements and application of public company financial reporting requirements, including accounting for debt and equity arrangements.
These material weaknesses, which continue to exist as of March 31, 2021, did not result in any material misstatementscommunicated to our unaudited condensed consolidatedmanagement, including our principal executive officer and principal financial statements for the three months ended March 31, 2021.
Remediation of Material Weaknesses
In 2020, the Company took the following actionsand accounting officers, as appropriate, to remediate the two material weaknesses:
The Company hired a Senior Vice President and Chief Accounting Officer, a Vice President of Internal Audit, and an Assistant Vice President and Assistant General Counsel, Securities in September 2020, October 2020, and December 2020, respectively.
The Company continues to evaluate the need for additional resources with the requisite knowledge of accounting and financial reporting while supplementing existing resources with temporary resources to assist with performing technical accounting activities.
The Company engaged a professional services firm to assist in the design and documentation of formal policies, procedures and internal controls.
The Company continues to formalize and implement accounting policies, procedures, and internal controls for financial close and reporting, in line with public company financial reporting requirements.
Building on our efforts during 2020, during the first quarter of 2021, the Company took the following additional actions:
The Company hired a Senior Vice President of Finance and Investor Relations and strengthened the financial reporting and technical accounting team with individuals who have significant experience in technical accounting matters and internal controls.
The Company prepared a risk assessment of key controls. Through this analysis, the Company is identifying areas where new controls are needed as well as areas where control enhancements to existing controls are necessary. The Company will further develop and implement these controls as part of the close process and will continue to enhance or modify these controls in future periods if needed.
The Company worked to strengthen the internal control environment for financial reporting by conducting training on policies and procedures, standardizing business practices, improving communication, leadership, and process improvement within various financial functional areas.
We believe the measures described above will facilitate the remediation of the control deficiencies we have identified and strengthen our internal control over financial reporting. We are committed to continuing to improve our internal control processes and will continue to review, optimize and enhance our financial reporting controls and procedures. As we continue to evaluate and work to improve our internal control over financial reporting, we may take additional measures to address control deficiencies, or we may modify certain of the remediation measures described above. These material weaknesses will not be considered remediated until the applicable controls operate for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively. Accordingly, the material weaknesses are not remediated as of March 31, 2021.allow timely decisions regarding required disclosures.
Changes in Internal Control Over Financial Reporting
Other than the measures described above, thereThere has been no change in our internal control over financial reporting during the quarterthree months ended March 31, 20212022 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.
Inherent Limitations on Effectiveness of Controls
Management recognizes that a control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud or error, if any, have been detected.
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Part II - Other Information
Item 1. Legal Proceedings
We are a defendant in various lawsuits and other pending and threatened litigation and other adversarial matters as well as regulatory investigations, all of which have arisen in the ordinary course of business as well as regulatory investigations.business. While the ultimate outcome with respect to such proceedings cannot be predicted with certainty, we believe they will not have a material adverse effect on our financial condition or results of operations.
On March 25, 2021 and April 9, 2021, we were named as a defendant in two putative class action lawsuits relating to the Transactions that have since been consolidated under the caption In Re MultiPlan Corp. Stockholders Litigation,, Consolidated C.A. No. 2021-0300-MTZ2021-0300-LWW (Del.Ch) (“("Delaware Stockholder Litigation”Litigation"). The Delaware Stockholder Litigation asserts breach of fiduciary duty claims and aiding and abetting breach of fiduciary duty claims against the former directors of the Churchill board, the Sponsor, KG and M. Klein (collectively, the "Churchill Defendants") and the Company. The Delaware Stockholder Litigation complaint alleges that the Transactions were a product of an unfair process by Churchill, which was allegedly impacted by conflicts of interest, resulting in mispricing of the Transactions. The complaint seeks, among other things, damages, certain equitable relief including the reopening of redemptions, and attorneys’ fees and costs.
In addition, on February 24, 2021 The Company and March 5, 2021, putative securities class action complaints captioned Srock v. MultiPlan Corporation et al., No. 1:21-cv-1640 (S.D.N.Y.)the Churchill Defendants filed motions to dismiss the complaint. On January 3, 2022, the Chancery Court issued a ruling granting in part the Company’s motion to dismiss and Verger v. MultiPlan Corporation et al., No. 1:21-cv-01965 (S.D.N.Y.) weredenying the motion to dismiss filed inby the United States District Court forChurchill Defendants. The Company is therefore dismissed from the Southern District of New York. The Srock lawsuit was voluntarily dismissed on March 15, 2021. The Verger lawsuit was voluntarily dismissed on March 24, 2021. On April 6, 2021, a putative securities class action complaint captioned Samuel Paradis v. MultiPlan Corporation et. al., No. 1:21-cv. 1853 (E.D. N.Y.) was filed in the United States District Court for the Eastern District of New York. The Paradis lawsuitDelaware Stockholder Litigation, which is broughtproceeding against the Company; our Chief Executive Officer, Mr. Mark Tabak; and our Chief Financial Officer, Mr. David Redmond, as well as individuals and entities involved in the Transactions, including Paul Galant, our President, New Markets, and Glenn August and Michael Klein, each of whom currently serve on our Board. The complaint asserts claims for violations of Sections 10(b), 14(a), and 20(a)Churchill Defendants. Certain of the Securities Exchange Act of 1934 and Rules 10b-5 and 14a-9 promulgated thereunder and seeks damages based on alleged material misrepresentations and omissions concerningChurchill Defendants have contractual indemnification rights to the Transactions and in our public disclosures. The proposed class period is July 12, 2020, through November 10, 2020, inclusive.Company.
We cannot reasonably estimate a potential future loss or a range of potential future losses and have not recorded a contingent liability accrual in connection with these matters as of March 31, 2021.2022.
Item 1A. Risk Factors
There have been no material changes except for the following, during the three months ended March 31, 20212022 to the risk factors previously disclosed in Item 1A. “Risk Factors” in the Company's 20202021 Annual Report.
Our Private Placement Warrants and unvested founder shares are accounted for as derivative liabilities and changes in fair value for each period are reported in earnings, which may have an adverse effect on the market price of our Class A common stock.
As of March 31, 2021, we had Private Placement Warrants exercisable for an aggregate of 24,500,000 shares of our Class A common stock and unvested founder shares contingently issuable for an aggregate of 12,404,080 shares of our Class A common stock outstanding. We account for the Private Placement Warrants and unvested founder shares as liabilities. At each reporting period (i) the accounting treatment of the Private Placement Warrants and unvested founder shares will be re-evaluated for proper accounting treatment as a liability or equity and (ii) the fair value of the liability of the Private Placement Warrants and unvested founder shares will be remeasured and the change in the fair value of the liability will be recorded as Change in fair value of Private Placement Warrants and unvested founder shares in our Statements of Income (Loss) and Comprehensive Income (Loss). Changes in the inputs and assumptions for the valuation model we use to determine the fair value of such liability may have a material impact on the estimated fair value of the embedded derivative liability. The share price of our Class A common stock represents the primary underlying variable that impacts the value of the derivative instruments. Additional factors that impact the value of the derivative instruments include the volatility of our stock price, risk-free rate and discount for lack of marketability. As a result, our consolidated financial statements and results of operations will fluctuate quarterly, based on various factors, such as the share price of our Class A common stock, many of which are outside of our control. In addition, we may change the underlying assumptions used in our valuation model, which could result in significant fluctuations in our results of operations. If our stock price is volatile, we expect that we will recognize non-cash gains or losses on the outstanding Private Placement Warrants, unvested founder shares or any other similar derivative instruments each reporting period and that the amount of such gains or losses could be material. The impact of changes in fair value on earnings may have an adverse effect on the market price of our Class A common stock.
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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
We are permitted to repurchase shares to satisfy tax withholding obligations arising upon the vesting of certain restricted shares issued under the 2020 Omnibus Incentive Plan. The table below represents the Company’s repurchase of such shares at a cost of $0.3 millionits Class A common stock during the three months ended March 31, 2021.2022.
PeriodTotal Number of Shares PurchasedAverage Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly AnnouncedApproximate Dollar Value of Shares that May Yet Be Purchased
January 1 - 31, 202112,297 $8.70 — $— 
February 1 - 28, 202111,904 $7.11 — $— 
March 1 - 31, 202112,297 $5.88 — $— 
Total36,498 $7.23 — $— 
(in thousands, except share data)Total Number of Shares PurchasedAverage Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsApproximate Dollar Value of Shares that May Yet Be Purchased
Period
January 1 - 31, 2022— $— — $150,000 
February 1 - 28, 2022— — — — 
March 1 - 31, 2022— — — — 
Total— $— — $150,000 
(a) On August 27, 2021, the Company announced a share repurchase program approved by its board of directors, authorizing, but not obligating, the repurchase of up to an aggregate amount of $250,000,000 of its Class A common stock from time to time through December 31, 2022. Repurchases under the share repurchase program may be made in amounts and at prices the Company deems appropriate and may be made pursuant to a trading plan intended to qualify under Rule 10b5-1 of the Exchange Act. Repurchases by the Company under the share repurchase program will be subject to general market and economic conditions, applicable legal requirements and other considerations, and the share repurchase program may be suspended, modified or discontinued at any time without prior notice at the Company’s discretion.
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Item 6. Exhibits
Incorporated by Reference
Incorporated by Reference
Exhibit NumberDescriptionFormFile No.ExhibitFiling Date
10.1+8-K001-3922810.1January 31, 2022
10.28-K001-3922810.2January 31, 2022
10.3+8-K001-3922810.3January 31, 2022
31.1
31.2
32.1
32.2
101
The following financial information from MultiPlan Corporation's Quarterly Report on Form 10-Q for the three months ended March 31, 2022 formatted in Inline XBRL (Extensible Business Reporting Language) includes: (i) the Unaudited Condensed Consolidated Balance Sheets, (ii) Unaudited Condensed Consolidated Statements of Income and Comprehensive Income, (iii) the Unaudited Condensed Statements of Changes in Stockholders' Equity, (iv) the Unaudited Condensed Consolidated Statements of Cash Flows, and (v) Notes to the Unaudited Condensed Consolidated Financial Statements.
104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
+Denotes a management contract or compensatory arrangement.

Exhibit NumberDescriptionFormFile No.ExhibitFiling Date
31.1
31.2
32.1
32.2
101
The following financial information from MultiPlan Corporation's Quarterly Report on Form 10-Q for the three months ended March 31, 2021 formatted in Inline XBRL (Extensible Business Reporting Language) includes: (i) the Unaudited Condensed Consolidated Balance Sheets, (ii) Unaudited Condensed Consolidated Statements of Income (Loss) and Comprehensive Income (Loss), (iii) the Unaudited Condensed Statements of Changes in Stockholders' Equity, (iv) the Unaudited Condensed Consolidated Statements of Cash Flows, and (v) Notes to the Unaudited Condensed Consolidated Financial Statements.
104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Quarterly Report to be signed on its behalf by the undersigned hereunto duly authorized.
Dated: May 13, 202110, 2022
MULTIPLAN CORPORATION
By:/s/ David L. RedmondJames M. Head
David L. RedmondJames M. Head
Executive Vice President and Chief Financial Officer

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