Revenue Performance - Q4 2023 revenues were 244.1million,a1.3241.1 million[5] - Full year 2023 revenues totaled 961.5million,adecreaseof10.91,079.7 million in 2022[5] - MultiPlan's revenues for 2023 were 961,524thousand,adecreaseof10.91,079,716 thousand in 2022[27] - Full year 2024 revenue guidance is set between 1,000millionand1,030 million, with Adjusted EBITDA guidance of 630millionto650 million[4] Net Loss and Financial Improvement - The net loss for Q4 2023 was 31.4million,significantlyimprovedfromanetlossof650.1 million in Q4 2022[5] - The company reported a net loss of 91,697thousandin2023,comparedtoanetlossof572,912 thousand in 2022, indicating an improvement in financial performance[27] - Net loss for 2023 was 91,697,comparedtoalossof572,912 in 2022, indicating a significant improvement[34] EBITDA and Cash Flow - Adjusted EBITDA for Q4 2023 was 156.8million,comparedto161.5 million in Q4 2022[5] - Adjusted EBITDA for 2023 was 161,982thousand,asignificantrecoveryfromanoperatinglossof362,732 thousand in 2022[27] - EBITDA for 2023 reached 640,215,asubstantialincreasefrom150,103 in 2022[34] - Net cash provided by operating activities for 2023 was 171,720thousand,adecreasefrom372,364 thousand in 2022[30] - Net cash provided by operating activities decreased to 171,720in2023from372,364 in 2022, indicating lower operational cash flow[36] Medical Cost Savings - The company identified potential medical cost savings of approximately 5.9billioninQ42023,up2.322.9 billion, compared to 22.3billionin2022[5]DebtManagement−Thecompanyrepurchasedandrepaid222 million of debt during 2023, including 25millioninQ4[3]−Long−termdebtwasreducedto4,532,733 thousand in 2023 from 4,741,856thousandin2022,reflectingafocusondebtmanagement[25]CashandAssets−ThecompanyendedQ42023with71.5 million of unrestricted cash and cash equivalents[5] - Cash and cash equivalents at the end of 2023 were 71,547thousand,downfrom334,046 thousand at the end of 2022[25] - Total current assets decreased to 193,593thousandin2023from446,737 thousand in 2022, primarily due to a reduction in cash and cash equivalents[25] - The company’s total assets decreased to 6,964,687thousandin2023from7,371,104 thousand in 2022[25] Capital Expenditures and Investments - The company made significant investments in property and equipment, totaling 108,852thousandin2023,comparedto89,735 thousand in 2022[30] - Net cash used in investing activities rose to 249,792in2023,comparedto104,446 in 2022, reflecting increased capital expenditures[36] Efficiency and Cost Management - The Adjusted cash conversion ratio, which measures how much of Adjusted EBITDA is converted into Unlevered Free Cash Flow, is a key performance indicator for the company[23] - Adjusted Cash Conversion Ratio fell to 62% in 2023, compared to 74% in 2022, suggesting a decline in cash conversion efficiency[36] - Integration expenses decreased to 3,358in2023from4,055 in 2022, showing improved integration efficiency[34] - Stock-based compensation increased to 18,018in2023from15,083 in 2022, indicating higher employee compensation costs[34] Interest and Expenses - Interest expense increased to 333,208in2023from303,401 in 2022, highlighting rising borrowing costs[34] - Free Cash Flow decreased to 62,868in2023from282,629 in 2022, reflecting a decline in cash generation[36] - Unlevered Free Cash Flow for 2023 was 386,264,downfrom572,395 in 2022, indicating reduced operational efficiency[36]