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Bright Health Group Inc. - Quarter Report: 2023 June (Form 10-Q)

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 10-Q
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2023
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File Number: 001-40537
BRIGHT HEALTH GROUP, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware
47-4991296
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
  
8000 Norman Center Drive, Suite 900, Minneapolis, MN
55437
(Address of principal executive offices)
(Zip Code)
Registrant’s telephone number, including area code: (612) 238-1321
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class 
Trading
Symbol(s) 
 
Name of each exchange
on which registered 
Common Stock, $0.0001 par value
BHG
 
New York Stock Exchange
 Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No   o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  x    No   o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated fileroAccelerated filerx
Non-accelerated fileroSmaller reporting companyx
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  x
As of August 2, 2023, the registrant had 7,972,092 shares of common stock, $0.0001 par value per share, outstanding.


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FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q (“Quarterly Report”) contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Statements made in this Quarterly Report that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements, and should be evaluated as such. Forward-looking statements include any statement or information concerning possible or assumed future results of operations, including descriptions of our business plan and strategies, and our operational and financial outlook, estimates, projections, and guidance. These statements often include words such as “anticipate,” “expect,” “plan,” “believe,” “intend,” “project,” “forecast,” “estimates,” “projections,” “should,” “might,” “may,” “will,” “ensure” and other similar expressions. Such forward-looking statements are subject to various risks, uncertainties and assumptions. Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements. Factors that might materially affect such forward-looking statements include: our ability to continue as a going concern; our ability to comply with the terms of our credit facilities, including financial covenants, both during and after any applicable waiver period, and/or obtain any additional waivers of any terms of our credit facilities to the extent required; our ability to sell our Medicare Advantage business in California on acceptable terms, including our ability to receive the proceeds thereof in a manner that would alleviate our current financial position; the failure to satisfy or obtain a waiver of any closing condition in our agreement to sell our Medicare Advantage business in California to Molina Healthcare, Inc. (the “Molina Purchase Agreement”); our ability to comply with the terms of the Molina Purchase Agreement; whether our credit facilities will satisfy our working capital need pending the closing of our sale of our Medicare Advantage business in California; our ability to obtain any additional short or long term debt or equity financing needed to operate our business; our ability to quickly and efficiently wind down our Individual and Family Plan (“IFP”) businesses and Medicare Advantage (“MA”) businesses outside of California, including by satisfying liabilities of those businesses when due and payable; potential disruptions to our business due to our corporate restructuring and resulting headcount reduction; our ability to accurately estimate and effectively manage the costs relating to changes in our business offerings and models; a delay or inability to withdraw regulated capital from our subsidiaries; a lack of acceptance or slow adoption of our business model; our ability to retain existing consumers and expand consumer enrollment; our and our Care Partners’ abilities to obtain and accurately assess, code, and report risk adjustment factor scores; our ability to contract with care providers and arrange for the provision of quality care; our ability to accurately estimate our medical expenses, effectively manage our costs and claims liabilities or appropriately price our products and charge premiums; our ability to obtain claims information timely and accurately; the impact of the ongoing COVID-19 pandemic on our business and results of operations; the risks associated with our reliance on third-party providers to operate our business; the impact of modifications or changes to the U.S. health insurance markets; our ability to manage the growth of our business; our ability to operate, update or implement our technology platform and other information technology systems; our ability to retain key executives; our ability to successfully pursue acquisitions and integrate acquired businesses; the occurrence of severe weather events, catastrophic health events, natural or man-made disasters, and social and political conditions or civil unrest; our ability to prevent and contain data security incidents and the impact of data security incidents on our members, patients, employees and financial results; our ability to comply with requirements to maintain effective internal controls; our ability to adapt to new risks associated with our expansion into the ACO REACH program; and the other factors set forth under the heading “Risk Factors” in this Quarterly Report, Bright Health Group’s Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2023, that was filed with the United States Securities and Exchange Commission (the “SEC”) on May 10, 2023, and Bright Health Group’s Annual Report on Form 10-K for the year ended December 31, 2022, that was filed with the SEC on March 16, 2023 (“2022 Form 10-K”) and our other filings with the SEC.

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

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

Item 1. Financial Statements
Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
(Unaudited)
June 30,
2023
December 31,
2022
Assets
Current assets:
Cash and cash equivalents$107,660$217,006
Short-term investments156869
Accounts receivable, net of allowance of $7,653 and $6,098, respectively
27,63319,576
ACO REACH performance year receivable623,60999,181
Current assets of discontinued operations (Note 14)3,030,8703,187,464
Prepaids and other current assets61,19846,538
Total current assets3,851,1263,570,634
Other assets:
Long-term investments3445,401
Property, equipment and capitalized software, net18,47421,298
Goodwill401,385401,385
Intangible assets, net99,084104,952
Long-term assets of discontinued operations (Note 14)529,117
Other non-current assets22,74032,265
Total other assets542,0271,094,418
Total assets$4,393,153$4,665,052
Liabilities, Redeemable Noncontrolling Interest, Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
Current liabilities:
Medical costs payable$179,855$116,021
Accounts payable18,47618,714
ACO REACH performance year obligation474,700
Short-term borrowings303,947303,947
Current liabilities of discontinued operations (Note 14)2,584,8903,157,236
Other current liabilities73,22197,241
Total current liabilities3,635,0893,693,159
Other liabilities28,79232,208
Total liabilities3,663,8813,725,367
Commitments and contingencies (Note 9)
Redeemable noncontrolling interests244,561219,758
Redeemable Series A preferred stock, $0.0001 par value;750,000 shares authorized in 2023 and 2022; 750,000 shares issued and outstanding in 2023 and 2022
747,481747,481
Redeemable Series B preferred stock, $0.0001 par value; 175,000 shares authorized in 2023 and 2022; 175,000 shares issued and outstanding in 2023 and 2022
172,936172,936
Shareholders’ equity (deficit):
Common stock, $0.0001 par value; 3,000,000,000 shares authorized in 2023 and 2022; 7,972,033 and 7,878,394 shares issued and outstanding in 2023 and 2022*, respectively
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Additional paid-in capital3,021,4302,972,333
Accumulated deficit(3,444,238)(3,156,395)
Accumulated other comprehensive loss(899)(4,429)
Treasury Stock, at cost, 31,526 shares at June 30, 2023, and December 31, 2022*, respectively
(12,000)(12,000)
Total shareholders’ equity (deficit)(435,706)(200,490)
Total liabilities, redeemable noncontrolling interests, redeemable preferred stock and shareholders’ equity (deficit)$4,393,153$4,665,052

*Shares have been retroactively adjusted to reflect the decreased number of shares resulting from a 1 for 80 reverse stock split

See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Income (Loss)
(in thousands, except per share data)
(Unaudited)

Three Months Ended June 30,Six Months Ended June 30,
2023202220232022
Revenue:
Capitated revenue
$49,764$17,641$99,312$46,289
ACO REACH revenue236,994137,205476,801320,002
Service revenue
11,22210,73222,40920,962
Investment income (loss)
2(16,238)10(57,149)
Total revenue
297,982149,340598,532330,104
Operating expenses:
Medical costs
245,160130,793505,280310,249
Operating costs
70,28078,997149,798175,785
Restructuring charges1,2852,7931,5869,657
Depreciation and amortization
4,6718,27610,15416,336
Total operating expenses
321,396220,859666,818512,027
Operating loss
(23,414)(71,519)(68,286)(181,923)
Interest expense9,17033716,9571,530
Other income22
Loss from continuing operations before income taxes(32,584)(71,858)(85,243)(183,455)
Income tax expense(892)2,90436712,885
Net loss from continuing operations(31,692)(74,762)(85,610)(196,340)
Loss from discontinued operations, net of tax (Note 14)(56,935)(176,568)(172,478)(235,619)
Net Loss(88,627)(251,330)(258,088)(431,959)
Net earnings from continuing operations attributable to noncontrolling interests(24,205)(23,336)(29,755)(37,941)
Series A preferred stock dividend accrued(9,942)(9,461)(19,656)(18,399)
Series B preferred stock dividend accrued(2,231)(4,411)
Net loss attributable to Bright Health Group, Inc. common shareholders$(125,005)$(284,127)$(311,910)$(488,299)
Basic and diluted loss per share attributable to Bright Health Group, Inc. common shareholders
Continuing operations$(8.55)$(13.68)$(17.59)$(32.14)
Discontinued operations(7.15)(22.45)(21.76)(29.97)
Basic and diluted loss per share(15.70)(36.13)(39.35)(62.11)
Basic and diluted weighted-average common shares outstanding*7,9627,8657,9287,862

*Shares have been retroactively adjusted to reflect the decreased number of shares resulting from a 1 for 80 reverse stock split

See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Comprehensive Income (Loss)
(in thousands)
(Unaudited)

Three Months Ended June 30,Six Months Ended June 30,
2023202220232022
Net loss$(88,627)$(251,330)$(258,088)$(431,959)
Other comprehensive (loss) income:
Unrealized investment holding gains (losses) arising during the year, net of tax of $0 and $0, respectively
20(21,469)1,749(49,558)
Less: reclassification adjustments for investment (losses) gains, net of tax of $0 and $0, respectively
(1,317)(758)(1,781)(2,507)
Other comprehensive (loss) income1,337(20,711)3,530(47,051)
Comprehensive loss(87,290)(272,041)(254,558)(479,010)
Comprehensive loss attributable to noncontrolling interests(24,205)(23,336)(29,755)(37,941)
Comprehensive loss attributable to Bright Health Group, Inc. common shareholders$(111,495)$(295,377)$(284,313)$(516,951)

See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Changes in Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
(in thousands)
(Unaudited)

Redeemable Preferred StockCommon StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
2023SharesAmountShares*Amount
Balance at January 1, 2023925 $920,417 7,878 $$2,972,333 $(3,156,395)$(4,429)$(12,000)$(200,490)
Net loss— — — — — (175,011)— — (175,011)
Issuance of common stock— — 74 — — — — 
Share-based compensation— — — — 33,320 — — — 33,320 
Other comprehensive loss— — — — — — 2,193 — 2,193 
Balance at March 31, 2023925 $920,417 7,952 $$3,005,654 $(3,331,406)$(2,236)$(12,000)$(339,987)
Net loss— $— — $— $— $(112,832)$— $— $(112,832)
Issuance of common stock— — 20 — — — — 
Share-based compensation— — — — 15,775 — — — 15,775 
Other comprehensive loss— — — — — — 1,337 — 1,337 
Balance at June 30, 2023925 $920,417 7,972 $$3,021,430 $(3,444,238)$(899)$(12,000)$(435,706)
*Shares have been retroactively adjusted to reflect the decreased number of shares resulting from a 1 for 80 reverse stock split
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Changes in Redeemable Preferred Stock and Shareholders’ Equity (Deficit)
(in thousands)
(Unaudited)
Redeemable Preferred StockCommon StockAdditional
Paid-In
Capital
Retained
Earnings
(Deficit)
Accumulated
Other
Comprehensive
Income (Loss)
Treasury StockTotal
2022SharesAmountShares*Amount
Balance at January 1, 2022— $— 7,858 $$2,861,305 $(1,700,851)$(3,335)$(12,000)$1,145,120 
Net loss— — — — — (195,234)— — (195,234)
Issuance of preferred stock750 747,481 — — — — — — — 
Issuance of common stock— — — 257 — — — 257 
Share-based compensation— — — — 32,921 — — — 32,921 
Other comprehensive loss— — — — — — (26,340)— (26,340)
Balance at March 31, 2022750 $747,481 7,863 $$2,894,483 $(1,896,085)$(29,675)$(12,000)$956,724 
Net loss— $— — $— $— $(274,666)$— $— $(274,666)
Issuance of common stock— — — 415 — — — 415 
Share-based compensation— — — — 20,220 — — — 20,220 
Other comprehensive loss— — — — — — (20,711)— (20,711)
Balance at June 30, 2022750 $747,481 7,867 $$2,915,118 $(2,170,751)$(50,386)$(12,000)$681,982 
*Shares have been retroactively adjusted to reflect the decreased number of shares resulting from a 1 for 80 reverse stock split
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc. and Subsidiaries
Condensed Consolidated Statements of Cash Flows
(in thousands)
(Unaudited)
Six Months Ended June 30,
20232022
Cash flows from operating activities:
Net loss$(258,088)$(431,959)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization16,02626,270
Impairment of intangible assets6,720
Share-based compensation49,09553,141
Deferred income taxes8731,154
Unrealized loss on equity securities57,151
Amortization of investments(14,173)2,748
Other, net3,8911,834
Changes in assets and liabilities, net of acquired assets and liabilities:
Accounts receivable6,284(31,404)
ACO REACH performance year receivable(524,428)(396,104)
Other assets57,846(60,991)
Medical cost payable(567,932)231,899
Risk adjustment payable10,925916,713
Accounts payable and other liabilities(111,174)35,312
Unearned revenue132,1293,577
ACO REACH performance year obligation474,700310,603
Net cash (used in) provided by operating activities(724,026)726,664
Cash flows from investing activities:
Purchases of investments(828,546)(1,140,896)
Proceeds from sales, paydown, and maturities of investments988,749204,775
Purchases of property and equipment(2,394)(15,154)
Business divestitures, net of cash disposed of(682)
Business acquisitions, net of cash acquired(310)
Net cash provided by (used in) investing activities157,127(951,585)
Cash flows from financing activities:
Repayments of short-term borrowings(155,000)
Proceeds from issuance of preferred stock747,481
Proceeds from issuance of common stock2672
Distributions to noncontrolling interest holders(4,952)(1,894)
Net cash (used in) provided by financing activities(4,950)591,259
Net (decrease)/ increase in cash and cash equivalents(571,849)366,338
Cash and cash equivalents – beginning of year1,932,2901,061,179
Cash and cash equivalents – end of period$1,360,441$1,427,517
Supplemental disclosures of cash flow information:
Changes in unrealized loss on available-for-sale securities in OCI$3,530$(47,051)
Cash paid for interest7,7001,168
See accompanying Notes to Condensed Consolidated Financial Statements
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)

NOTE 1. ORGANIZATION AND BASIS OF PRESENTATION

Organization: Bright Health Group, Inc. and subsidiaries (collectively, “Bright Health,” “we,” “our,” “us,” or the “Company”) was founded in 2015 to transform healthcare. Our mission of Making Healthcare Right. Together. is built upon the belief that by aligning the best local resources in healthcare delivery with the financing of care we can drive a superior consumer experience, optimize clinical outcomes, reduce systemic waste, and lower costs. We are a healthcare company building a national Integrated System of Care in close partnership with our Care Partners. Our differentiated approach is built on alignment, focused on the consumer, and powered by technology. Our continuing Consumer Care business operates in two segments: Care Delivery and Care Solutions. Care Delivery provides primary comprehensive services in our clinics with wrap around care management and care coordination activities for those members where we take full or partial risk from a diverse set of payor partners. Care Solutions is our provider enablement business that facilitates care coordination activities using population health tools including technology and data analytics, and provides clinical solutions and care teams to support patients managed through our affiliate partners.

Basis of Presentation: The condensed consolidated financial statements include the accounts of Bright Health Group, Inc. and all subsidiaries and controlled companies. All intercompany balances and transactions are eliminated upon consolidation. The condensed consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial reporting. Accordingly, they do not include all of the information and footnotes required by GAAP for annual financial statements. We have omitted certain footnote disclosures that would substantially duplicate the disclosures in our audited consolidated financial statements, unless the information contained in those disclosures materially changed or is required by GAAP. As such, the condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and the related notes thereto as of and for the year ended December 31, 2022 included in our Form 10-K for the year ended December 31, 2022 (“2022 Form 10-K”). The accompanying condensed consolidated financial statements include all normal recurring adjustments necessary for fair presentation of the interim financial statements.

Reportable Segments: During the three months ended June 30, 2023, our reportable segments changed. We now report our operating results through four reportable segments: Care Delivery and Care Solutions within continuing operations and Bright HealthCare - Commercial and Bright HealthCare within discontinued operations. The Care Delivery and Care Solutions segments were formerly within the Consumer Care segment. The updates to our reportable segments conform with the Company’s chief operating decision maker’s (“CODM”) view of our ongoing operations. See Note 10, Segments and Geographic Information, for additional information on our segments. We have reflected this change in all historical periods presented.

Discontinued Operations: Having met the criteria for “held for sale,” we have reflected amounts relating to Bright HealthCare, comprised of the California Medicare Advantage business, as a disposal group classified as held for sale and included as part of discontinued operations in accordance with Accounting Standards Codification (“ASC”) 205-20. The combined assets are valued at the lower of their carrying amount or fair value, net of costs to sell and included as current assets on the Company’s condensed consolidated balance sheet. Assets classified as held for sale are not depreciated. However, interest attributable to the liabilities associated with assets classified as held for sale and other related expenses continue to be accrued. Bright HealthCare is no longer included in the segment reporting following the reclassification to discontinued operations. Refer to Note 14 for further discussion of our discontinued operations inclusive of Bright HealthCare and Bright HealthCare - Commercial.

Use of Estimates: The preparation of our condensed consolidated financial statements in conformance with GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Our most significant estimates include medical costs payable, ACO REACH performance year receivable and obligation, shared savings and shared losses for our capitation contracts, and valuation and impairment of goodwill and other intangible assets. Actual results could differ from these estimates.

Going Concern: The condensed consolidated financial statements have been prepared in accordance with GAAP applicable to a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The Company has a history of operating losses, and we generated a net loss of $258.1 million for the six months ended June 30, 2023. Additionally, the Company experienced negative operating cash flows primarily related to our discontinued Bright HealthCare – Commercial segment for the six months ended June 30, 2023, requiring additional cash to be infused to satisfy statutory capital requirements. The Company’s IFP discontinued operations will continue to experience negative cash flows through the third quarter of 2023, as it pays out the 2022 IFP risk adjustment obligations. Although the Company has sufficient cash to satisfy its IFP risk adjustment obligations in full in certain states, the Company is working with its regulators regarding the status of its obligations in certain other states.

In addition, the Company’s $350.0 million revolving credit agreement with a syndicate of banks (the “Credit Agreement”), matures on February 28, 2024. On March 1, 2023, the Company disclosed that during the First Quarter of 2023, it had breached the minimum liquidity covenant contained in the Credit Agreement. On June 29, 2023, the Company entered into a second amended and restated limited waiver and consent (the “Third Waiver”) under the Credit Agreement. The Third Waiver amended and restated the amended and restated limited waiver and consent entered into by the Company under the Credit Agreement on April 28, 2023 (the “Second Waiver”), which had amended and restated the limited waiver and consent entered into by the Company under the Credit Agreement on February 28, 2023 (the “Original Waiver”). The Third Waiver amended the Second Waiver and the Original Waiver by, among other things, extending the temporary waiver of compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which spanned from January 25, 2023 to June 30, 2023 under the Original Waiver and the Second Waiver, to January 25, 2023 to August 29, 2023 (the “Extended Waiver Period”). The Third Waiver also, among other things, added covenants (a) requiring the Company to deliver by July 17, 2023, an agreed term sheet for an equity or debt financing (the “Bridge Financing”) to support the Company’s ongoing operating cash needs through December 31, 2023 and, by July 31, 2023 (extended to August 4, 2023), definitive documentation for the Bridge Financing and an updated budget of the Company, (b) prohibiting the incurrence of certain types of debt and (c) requiring the Company not to request any interest period for any term SOFR borrowing other than a one-month interest period.

On August 4, 2023, the Company entered into a Credit Agreement (as amended, supplemented, restated or otherwise modified from time to time, the “New Credit Agreement”), among the Company, NEA 18 Venture Growth Equity, L.P. (“NEA”) and the lenders from time to time party thereto (together with NEA and each of their respective successors and assigns, the “Lenders”), to provide for a credit facility pursuant to which, among other things, the lenders have provided $60.0 million delayed draw term loan commitments. The Company may borrow delayed draw term loans under such commitments at any time and from time to time on or prior to the date that is nine months after the effective date of the New Credit Agreement, subject to the satisfaction or waiver of customary conditions. Borrowings under the New Credit Agreement accrue interest at a rate per annum of 15.00%, payable quarterly in arrears at the Company’s election, subject to limitations set forth in the Fourth Waiver (defined below) in respect of cash payments under the New Credit Agreement, either in cash or “in kind” by adding the amount of accrued interest to the principal amount of the outstanding loans under the New Credit Agreement. The New Credit Agreement contains covenants that, among other things, restrict the ability of the Company and its subsidiaries to make certain restricted payments, incur additional debt, engage in certain asset sales, mergers, acquisitions or similar transactions, create liens on assets, engage in certain transactions with affiliates, change its business or make investments. The New Credit Agreement constitutes the Bridge Financing referred to in the Third Waiver.

On August 4, 2023, the Company entered into a third amended and restated limited waiver and consent (the “Fourth Waiver”) under the Credit Agreement. The Fourth Waiver amends and restates the Third Waiver by, among other things, permanently waiving compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which waiver under the Third Waiver previously was temporary and would have expired on August 29, 2023. From August 4, 2023 until the Credit Agreement is terminated and all outstanding loans thereunder are repaid, the Company will be subject to a minimum liquidity covenant of not less than $25.0 million. The Fourth Waiver also, among other things, (a) removes from the credit agreement in its entirety the covenant requiring maintenance of a maximum total debt to capitalization ratio, which absent such removal would have applied after September 30, 2023, (b) prohibits the incurrence of certain types of debt and (c) requires the Company not to request any interest period for any Term Benchmark borrowing other than a one-month interest period.

In connection with the New Credit Agreement, on August 4, 2023, the Company and the Lenders entered into a warrantholders agreement (the “Warrantholders Agreement”) setting forth the rights and obligations of the Company and the Lenders as holders (in such capacity, the “Holders”) of the warrants to acquire shares of Common Stock at an exercise price of $0.01 per share (the “Warrants”), and providing for the issuance of the Warrants to purchase up to 1,656,789 shares of the Company’s common stock.
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)

Any future non-compliance with the covenants under the Credit Agreement or the Fourth Waiver, or termination of our agreement to sell our Medicare Advantage business in California to Molina Healthcare, Inc. (“the Molina Purchase Agreement”), may result in the obligations under the Credit Agreement being accelerated.

Based on our projected cash flows and absent any other action, the Company may not meet certain covenants under the Credit Agreement, the Fourth Waiver or the New Credit Agreement which may result in the obligations under the Credit Agreement and New Credit Agreement being accelerated. The Company will require additional liquidity to meet its obligations as they come due in the 12 months following the date the condensed consolidated financial statements contained in this Quarterly Report are issued. These conditions raise substantial doubt about the Company’s ability to continue as a going concern.

In response to these conditions, management has implemented a restructuring plan to reduce capital needs and our operating expenses in the future to drive positive operating cash flow and increase liquidity. The Company’s Bright HealthCare - Commercial business exited the ACA marketplace at the end of the 2022 plan year. In addition to our market exits, management is in the process of executing upon additional restructuring activities, which include reducing our workforce, exiting excess office space, and terminating or restructuring contracts. The Company closed on a $175.0 million capital raise in October 2022 to fund our continuing operations as further described in Note 7, Redeemable Convertible Preferred Stock. On June 30, 2023, the Company entered into the Molina Purchase Agreement to sell its California Medicare Advantage business, which consists of Brand New Day and Central Health Plan, for total purchase consideration of $600.0 million, subject to regulatory approval and other closing conditions. The closing of this transaction is expected to occur by early 2024. Further, as described above, the Company entered into the New Credit Agreement on August 4, 2023.

In the event the Company is unable to execute the sale of the California Medicare Advantage business, obtain additional financing or take other management actions, among other potential consequences, we forecast we will be unable to satisfy our obligations. As a result, the Company has concluded that management’s plans do not alleviate substantial doubt about the Company’s ability to continue as a going concern.

The condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of this uncertainty.

Reverse Stock Split: During our annual meeting on May 4, 2023, our stockholders voted to approve an amendment to our Ninth Amended and Restated Certificate of Incorporation to effect a reverse stock split at a ratio of not less than 1-for-15 and not greater than 1-for-80, with the exact ratio and effective time of the Reverse Stock Split to be determined by our Board of Directors at any time within one year of the date of the Annual Meeting. On May 5, 2023, our Board approved a ratio of 1-for-80. The reverse stock split took effect on May 19, 2023.

The reverse stock split decreased the number of outstanding shares of the Company’s common stock by a factor of 80, subject to rounding of shares. The reverse stock split did not affect any stockholder’s proportionate equity interest in the Company. The par value of the Company’s common stock remains at $0.0001 per share following the reverse stock split and the number of outstanding shares of the Company’s common stock was proportionally reduced. As a consequence, the aggregate par value of the Company’s outstanding common stock was reduced, while the aggregate capital in excess of par value attributable to the Company’s outstanding common stock for accounting purposes was correspondingly increased. Total stockholder equity was
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
not affected. All shares and per share information has been retroactively adjusted following the effective date of the reverse stock split to reflect the reverse stock split for all periods presented in future filings.

Operating Costs: Our operating costs, by functional classification for the three and six months ended June 30, 2023 and 2022, are as follows (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2023202220232022
Compensation and fringe benefits$42,413 $55,497 $101,037 $125,008 
Professional fees13,771 6,962 19,619 15,745 
Marketing and selling expenses630 842 1,204 2,270 
General and administrative expenses7,766 5,999 15,223 13,917 
Other operating expenses5,700 9,697 12,715 18,845 
Total operating costs$70,280 $78,997 $149,798 $175,785 

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

Correction of prior period financial statements: As previously reported, subsequent to the issuance of the condensed consolidated financial statements for the quarter ended June 30, 2022, we identified an error in the accounting for gross versus net revenue recognition conclusion from certain value-based care arrangements. As a result, Capitated revenue and Medical costs have been reduced by $54.9 million and $113.2 million for the three and six months ended June 30, 2022, respectively. There is no impact on Operating loss or Net loss. There was no impact to the condensed consolidated balance sheets, condensed consolidated statements of comprehensive income (loss), condensed consolidated statements of changes in redeemable preferred stock and shareholders’ equity (deficit) and condensed consolidated statements of cash flows.

The Company determined that the correction of these errors was not material to the condensed consolidated financial statements.

NOTE 2. RESTRUCTURING CHARGES

In October 2022, we announced our decision to further focus our business on our Fully Aligned Care Model, and that we will no longer offer commercial plans through Bright HealthCare, or Medicare Advantage products outside of California in 2023. As a result of these strategic changes, we announced and have taken actions to restructure the Company’s workforce and reduce expenses based on our updated business model.

Restructuring charges by reportable segment and corporate for the periods ended June 30 were as follows (in thousands):

Three Months Ended June 30, 2023
Care DeliveryCare SolutionsCorporate & EliminationsTotal
Employee termination benefits$— $— $1,387 $1,387 
Long-lived asset impairments— — — — 
Contract termination and other costs— — (102)(102)
Total continuing operations$— $— $1,285 $1,285 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Three Months Ended June 30, 2022
Care DeliveryCare SolutionsCorporate & EliminationsTotal
Employee termination benefits$— $— $2,604 $2,604 
Long-lived asset impairments— — — — 
Contract termination and other costs— — 189 189 
Total continuing operations$— $— $2,793 $2,793 

Six Months Ended June 30, 2023
Care DeliveryCare SolutionsCorporate & EliminationsTotal
Employee termination benefits$(44)$$662 $621 
Long-lived asset impairments— — 880 880 
Contract termination and other costs— — 85 85 
Total continuing operations$(44)$$1,627 $1,586 

Six Months Ended June 30, 2022
Care DeliveryCare SolutionsCorporate & EliminationsTotal
Employee termination benefits$— $— $8,701 $8,701 
Long-lived asset impairments— — — — 
Contract termination and other costs— — 956 956 
Total continuing operations$— $— $9,657 $9,657 

The $0.9 million of long-lived asset impairments is the result of a lease abandonment for one of our corporate office locations during the six months ended June 30, 2023.

Restructuring accrual activity recorded by major type for the six months ended June 30, 2023 were as follows (in thousands):

Employee Termination BenefitsContract Termination CostsTotal
Balance at January 1, 2023$24,077 $— $24,077 
Charges621 85 706 
Cash payments(16,935)(85)(17,020)
Balance at June 30, 2023
$7,763 $— $7,763 

Employee termination benefits are recorded within Other current liabilities while contract termination costs are recorded within Accounts payable.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 3. GOODWILL AND INTANGIBLE ASSETS

Changes in the carrying value of goodwill by reportable segment were as follows (in thousands):

June 30, 2023December 31, 2022
Gross Carrying
Amount
Cumulative
Impairment
Gross Carrying
Amount
Cumulative
Impairment
Care Delivery$401,385 $— $401,385 $ 
Total$401,385 $— $401,385 $— 

For the periods ending June 30, 2023 and December 31, 2022, Care Solutions had no assigned goodwill.

The gross carrying value and accumulated amortization for definite-lived intangible assets were as follows (in thousands):

June 30, 2023December 31, 2022
Gross Carrying
Amount
Accumulated AmortizationGross Carrying
Amount
Accumulated Amortization
Customer relationships$80,021 $21,910 $80,021 $17,655 
Trade names48,361 7,388 48,361 5,776 
Total$128,382 $29,298 $128,382 $23,431 

There was no impairment expense for the three and six months ended June 30, 2023 and 2022.

We are continuously evaluating factors that affect the fair values of our reporting units including our market capitalization, macroeconomic trends and other events and uncertainties. Negative trends in these factors could result in a non-cash charge for impairment to goodwill or intangible assets in a future period.

Amortization expense relating to intangible assets for the three months ended June 30, 2023 and 2022 was $2.9 million and $6.2 million, respectively and amortization expense for the six months ended June 30, 2023 and 2022 was $5.9 million and $12.4 million, respectively. Estimated amortization expense relating to intangible assets for the remainder of 2023 and for each of the next five full years ending December 31 is as follows (in thousands):

2023 (July-December)$5,846 
2024$11,574 
2025$11,574 
2026$11,574 
2027$11,574 
2028$10,295 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 4. MEDICAL COSTS PAYABLE

The following table shows the components of the change in medical costs payable for the six months ended June 30 (in thousands):

June 30,
20232022
Medical costs payable - January 1$116,021 $6,764 
Incurred related to:
Current year504,307 312,339 
Prior year1,029 (2,089)
Total incurred505,336 310,250 
Paid related to:
Current year347,629 210,452 
Prior year93,873 4,547 
Total paid441,502 214,999 
Medical costs payable - June 30$179,855 $102,015 

Medical costs payable attributable to prior years increased by $1.0 million and decreased by $2.1 million for the six months ended June 30, 2023 and 2022, respectively. Medical costs payable estimates are adjusted as additional information regarding claims becomes known; there were no significant changes to estimation methodologies during the periods.

The table below details the components making up the medical costs payable as of June 30 (in thousands):

June 30,
20232022
Provider incentive payable$27,884 $— 
Incurred but not reported (IBNR)151,971 102,015 
Total medical costs payable$179,855 $102,015 

Medical costs payable are primarily related to the current year. The Company has recorded claims adjustment expense as a component of operating costs in the Condensed Consolidated Statements of Income (Loss).

NOTE 5. SHORT-TERM BORROWINGS

We have a $350.0 million revolving credit agreement with a syndicate of banks (the “Credit Agreement”), which matures on February 28, 2024. As of June 30, 2023 and December 31, 2022 we had $303.9 million borrowed under the Credit Agreement at a weighted-average effective annual interest rate of 10.19%, which remains outstanding as of June 30, 2023. Refer to Note 9, Commitments and Contingencies for more information on the undrawn letters of credit of $30.7 million under the Credit Agreement, which reduce the amount available to borrow.

On June 29, 2023, the Company entered into a second amended and restated limited waiver and consent (the “Third Waiver”) under the Credit Agreement, which amended and restated the amended and restated limited waiver and consent entered into by the Company under the Credit Agreement on April 28, 2023 (the “Second Waiver”), which previously amended and restated that certain limited waiver and consent entered into by the Company under the Credit Agreement on February 28, 2023 (the “Original Waiver”). The Third Waiver amended the Second Waiver and the Original Waiver by, among other things, extending
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
the temporary waiver of compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which spanned from January 25, 2023 to June 30, 2023 under the Original Waiver and the Existing Waiver, to January 25, 2023 to August 29, 2023 (the “Extended Waiver Period”). The Third Waiver also, among other things, added covenants (a) requiring the Company to deliver by July 17, 2023, an agreed term sheet for the Bridge Financing to support the Company’s ongoing operating cash needs through December 31, 2023 and, by July 31, 2023 (extended to August 4, 2023), definitive documentation for the Bridge Financing and an updated budget of the Company, (b) prohibiting the incurrence of certain types of debt and (c) requiring the Company not to request any interest period for any term SOFR borrowing other than a one-month interest period.

On August 4, 2023, the Company entered into a Credit Agreement (as amended, supplemented, restated or otherwise modified from time to time, the “New Credit Agreement”), among the Company, NEA 18 Venture Growth Equity, L.P. (“NEA”) and the lenders from time to time party thereto (together with NEA and each of their respective successors and assigns, the “Lenders”), to provide for a credit facility pursuant to which, among other things, the lenders have provided $60.0 million delayed draw term loan commitments. The Company may borrow delayed draw term loans under such commitments at any time and from time to time on or prior to the date that is nine months after the effective date of the New Credit Agreement, subject to the satisfaction or waiver of customary conditions. Borrowings under the New Credit Agreement accrue interest at a rate per annum of 15.00%, payable quarterly in arrears at the Company’s election, subject to limitations set forth in the Fourth Waiver (defined below) in respect of cash payments under the New Credit Agreement, either in cash or “in kind” by adding the amount of accrued interest to the principal amount of the outstanding loans under the New Credit Agreement. The New Credit Agreement contains covenants that, among other things, restrict the ability of the Company and its subsidiaries to make certain restricted payments, incur additional debt, engage in certain asset sales, mergers, acquisitions or similar transactions, create liens on assets, engage in certain transactions with affiliates, change its business or make investments. The New Credit Agreement constitutes the Bridge Financing referred to in the Third Waiver.

On August 4, 2023, the Company entered into a third amended and restated limited waiver and consent (the “Fourth Waiver”) under the Credit Agreement. The Fourth Waiver amends and restates the Third Waiver by, among other things, permanently waiving compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which under the Third Waiver previously was temporary and would have expired on August 29, 2023. From August 4, 2023 until the Credit Agreement is terminated and all outstanding loans thereunder are repaid, the Company will be subject to a minimum liquidity covenant of not less than $25.0 million. The Fourth Waiver also, among other things, (a) removes from the credit agreement in its entirety the covenant requiring maintenance of a maximum total debt to capitalization ratio, which absent such removal would have applied after September 30, 2023, (b) prohibits the incurrence of certain types of debt and (c) requires the Company not to request any interest period for any Term Benchmark borrowing other than a one-month interest period.

NOTE 6. SHARE-BASED COMPENSATION

2016 Incentive Plan

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

2021 Incentive Plan

The 2021 Incentive Plan was adopted by our Board of Directors on May 21, 2021 and approved by our stockholders on May 25, 2021 and June 5, 2021. The 2021 Incentive Plan allows the Company to grant stock options, RSAs, RSUs, stock appreciation rights, other equity based awards, and cash based incentive awards to certain employees, consultants and non-employee directors. There are 1.7 million shares of common stock authorized for issuance under the 2021 Incentive Plan. As of June 30, 2023, a total of 0.3 million shares of common stock were available for future issuance under the 2021 Incentive Plan.

Share-Based Compensation Expense
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)

We recognized share-based compensation expense of $49.1 million and $53.1 million for the six months ended June 30, 2023 and 2022, respectively, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss).

Stock Options

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

There were no options granted during the six months ended June 30, 2023.

The activity for stock options for the six months ended June 30, 2023 is as follows (in thousands, except exercise price and contractual life):

SharesWeighted-Average
Exercise Price
Weighted-Average
Remaining
Contractual Life
(In Years)
Aggregate
Intrinsic Value
Outstanding at January 1, 2023804 $145.60 6.7$6,560 
Granted— — 
Exercised— — 
Forfeited(26)220.21 
Expired(58)151.36 
Outstanding at June 30, 2023720 $142.13 5.2$569 

We recognized share-based compensation expense related to stock options of $24.5 million for the six months ended June 30, 2023, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). At June 30, 2023, there was $17.7 million of unrecognized compensation expense related to stock options that is expected to be recognized over a weighted-average period of 1.6 years.

Restricted Stock Units

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

The following table summarizes RSU award activity for the six months ended June 30, 2023 (in thousands, except weighted average grant date fair value):
Number of RSUsWeighted Average Grant Date Fair Value
Unvested RSUs at December 31, 2022470$189.88 
Granted964 32.24 
Vested(94)129.70 
Forfeited(232)101.45 
Unvested RSUs at June 30, 20231,108 $72.57 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
We recognized share-based compensation expense related to RSUs of $10.8 million for the six months ended June 30, 2023, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). As of June 30, 2023, there was $44.3 million of unrecognized compensation expense related to the RSU grants, which is expected to be recognized over a weighted-average period of 1.8 years.

Performance-based Restricted Stock Units (“PSUs”)

In connection with our IPO, our Board of Directors approved the grant of PSUs to members of our executive leadership team. The grant encompassed a total of 183,750 PSUs, separated into four equal tranches, each of which are eligible to vest based on the achievement of predetermined stock price goals and a minimum service period of 3.0 years. The fair value of the PSUs was determined using a Monte-Carlo simulation.

The following table summarizes PSU award activity for the six months ended June 30, 2023 (in thousands, except weighted average grant date fair value):
Number of PSUsWeighted Average Grant Date Fair Value
Unvested PSUs at December 31, 2022131$744.00 
Granted— — 
Forfeited— — 
Unvested PSUs at June 30, 2023131 $744.00 

We recognized share-based compensation expense related to PSUs of $13.8 million for the six months ended June 30, 2023, which is included in operating costs in the Condensed Consolidated Statements of Income (Loss). At June 30, 2023, there was $24.6 million of unrecognized compensation expense related to the PSU grant, which is expected to be recognized over a weighted-average period of 1.0 years.

NOTE 7. REDEEMABLE CONVERTIBLE PREFERRED STOCK

Series A Convertible Preferred Stock

On January 3, 2022, we issued 750,000 shares of Series A Preferred Stock, par value $0.0001 per share, for an aggregate purchase price of $750.0 million, or $1,000 per share.

The Series A Preferred Stock ranks senior to the shares of the Company’s common stock with respect to dividend rights and rights on the distribution of assets on any voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company. The Preferred Stock has an initial liquidation preference of $1,000 per share, which shall increase by accumulated quarterly dividends that are not paid in cash (“compounded dividends”). Holders of the Series A Preferred Stock are entitled to a dividend at the rate of 5.0% per annum, accruing daily and payable quarterly in arrears and subject to certain adjustments, as set forth in the Certificate of Designations. Dividends will be payable in cash, by increasing the amount of liquidation preference (compounded dividends) with respect to a share of Series A Preferred Stock, or any combination thereof, at the sole discretion of the Company. The Series A Preferred Stock had accrued compounded dividends of $57.6 million and $37.9 million as of June 30, 2023 and December 31, 2022, respectively.

The Series A Preferred Stock will be convertible at the option of the holders into (I) the number of shares of common stock equal to the quotient of (a) the sum of (x) the liquidation preference (reflecting increases for compounded dividends) plus (y) the accrued dividends with respect to each share of Series A Preferred Stock as of the applicable conversion date divided by (b) the conversion price (initially approximately $364.00 per share and approximately $325.32 per share subsequent to the issuance of the Series B Preferred Stock) as of the applicable conversion date plus (II) cash in lieu of fractional shares, subject to certain anti‑dilution adjustments. At any time after January 3, 2025, if the closing price per share of Common Stock on the New York Stock Exchange was greater than 175% of the then effective Conversion Price for (x) each of at least twenty (20) trading days in any period of thirty (30) consecutive trading days and (y) the last trading day immediately before the Company provides the holders with notice of its election to convert all of the Series A Preferred Stock into the relevant number of shares of common
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
stock, the Company may elect to convert all of the Series A Preferred Stock into the relevant number of shares of common stock.

Under the Certificate of Designations, holders of the Series A Preferred Stock are entitled to vote with the holders of the common stock on an as‑converted basis, solely with respect to (i) a change of control transaction (to the extent such change of control transaction is submitted to a vote of the holders of the common stock) or (ii) the issuance of capital stock by the Company in connection with an acquisition by the Company (to the extent such issuance is submitted to a vote of the holders of the common stock), subject to certain restrictions. Holders of the Series A Preferred Stock are entitled to a separate class vote with respect to, among other things, amendments to the Company’s organizational documents that have an adverse effect on the Series A Preferred Stock, authorizations or issuances by the Company of securities that are senior to the Series A Preferred Stock, increases or decreases in the number of authorized shares of Preferred Stock, and issuances of shares of the Series A Preferred Stock after January 3, 2022.

At any time following January 3, 2027, the Company may redeem all of the Series A Preferred Stock for a per share amount in cash equal to: (i) the sum of (A) the liquidation preference (reflecting increases for compounded dividends) thereof plus (B) all accrued dividends as of the applicable redemption date, multiplied by (ii) (A) 105% if the redemption occurs at any time prior to January 3, 2029 and (B) 100% if the redemption occurs at any time on or after January 3, 2029. Upon certain change of control events involving the Company, the holders of the Series A Preferred Stock may, at such holder’s election, convert their shares of Series A Preferred Stock into common stock at the then‑current conversion price or require the Company to purchase all or a portion of such holder’s shares of Preferred Stock that have not been so converted at a purchase price per share of Preferred Stock, payable in cash, equal to the greater of (I) (A) if the change of control effective date occurs at any time prior to January 3, 2029, the product of 105% multiplied by the sum of (x) the liquidation preference of such share of Series A Preferred Stock (reflecting increases for compounded dividends) plus (y) the accrued dividends in respect of such share of Series A Preferred Stock as of the change of control purchase date and (B) if the change of control effective date occurs on or after January 3, 2029, the sum of (x) the liquidation preference (reflecting increases for compounded dividends) of such share of Series A Preferred Stock plus (y) the accrued dividends in respect of such share of Series A Preferred Stock as of the change of control purchase date and (II) the consideration that would have been payable in connection with such change of control if such share of Series A Preferred Stock had been converted into Common Stock immediately prior to the change of control.

Series B Convertible Preferred Stock

On October 17, 2022, we issued 175,000 shares of Series B Preferred Stock, par value $0.0001 per share, for an aggregate purchase price of $175.0 million, or $1,000 per share.

The Series B Preferred Stock ranks senior to the shares of the Company’s common stock with respect to dividend rights and rights on the distribution of assets on any voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company. The Preferred Stock has an initial liquidation preference of $1,000 per share, which shall increase by compounded dividends. Holders of the Series B Preferred Stock are entitled to a dividend at the rate of 5.0% per annum, accruing daily and payable quarterly in arrears and subject to certain adjustments, as set forth in the Certificate of Designations. Dividends will be payable in cash, by increasing the amount of liquidation preference (compounded dividends) with respect to a share of Series B Preferred Stock, or any combination thereof, at the sole discretion of the Company. The Series B Preferred Stock had accrued compounded dividends of $6.2 million and $1.8 million as of June 30, 2023 and December 31, 2022, respectively.

The Series B Preferred Stock will be convertible at the option of the holders into (I) the number of shares of common stock equal to the quotient of (a) the sum of (x) the liquidation preference (reflecting increases for compounded dividends) plus (y) the accrued dividends with respect to each share of Series B Preferred Stock as of the applicable conversion date divided by (b) the conversion price (initially approximately $113.60 per share) as of the applicable conversion date plus (II) cash in lieu of fractional shares, subject to certain anti‑dilution adjustments. At any time after October 17, 2025, if the closing price per share of common stock on the NYSE was greater than 287% of the then effective Conversion Price for (x) each of at least twenty (20) trading days in any period of thirty (30) consecutive trading days and (y) the last trading day immediately before the Company provides the holders with notice of its election to convert all of the Series B Preferred Stock into the relevant number of shares
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
of common stock, the Company may elect to convert all of the Series B Preferred Stock into the relevant number of shares of common stock.

Under the Certificate of Designations, holders of the Series B Preferred Stock are entitled to vote with the holders of the common stock on an as‑converted basis, solely with respect to (i) a change of control transaction (to the extent such change of control transaction is submitted to a vote of the holders of the common stock) or (ii) the issuance of capital stock by the Company in connection with an acquisition by the Company (to the extent such issuance is submitted to a vote of the holders of the common stock), subject to certain restrictions. Holders of the Series B Preferred Stock are entitled to a separate class vote with respect to, among other things, amendments to the Company’s organizational documents that have an adverse effect on the Series B Preferred Stock, authorizations or issuances by the Company of securities that are senior to the Series B Preferred Stock, increases or decreases in the number of authorized shares of Preferred Stock, and issuances of shares of the Series B Preferred Stock after October 17, 2022.

At any time following October 17, 2027, the Company may redeem all of the Series B Preferred Stock for a per share amount in cash equal to: (i) the sum of (A) the liquidation preference (reflecting increases for compounded dividends) thereof plus (B) all accrued dividends as of the applicable redemption date, multiplied by (ii) (A) 105% if the redemption occurs at any time prior to October 17, 2029 and (B) 100% if the redemption occurs at any time on or after October 17, 2029. Upon certain change of control events involving the Company, the holders of the Series B Preferred Stock may, at such holder’s election, convert their shares of Series B Preferred Stock into common stock at the then‑current conversion price or require the Company to purchase all or a portion of such holder’s shares of Preferred Stock that have not been so converted at a purchase price per share of Preferred Stock, payable in cash, equal to the greater of (I) (A) if the change of control effective date occurs at any time prior to October 17, 2029, the product of 105% multiplied by the sum of (x) the liquidation preference of such share of Series B Preferred Stock (reflecting increases for compounded dividends) plus (y) the accrued dividends in respect of such share of Series B Preferred Stock as of the change of control purchase date and (B) if the change of control effective date occurs on or after October 17, 2029, the sum of (x) the liquidation preference (reflecting increases for compounded dividends) of such share of Series B Preferred Stock plus (y) the accrued dividends in respect of such share of Series B Preferred Stock as of the change of control purchase date and (II) the consideration that would have been payable in connection with such change of control if such share of Series B Preferred Stock had been converted into common stock immediately prior to the change of control.

NOTE 8. NET LOSS PER SHARE

The following table sets forth the computation of basic and diluted net loss per share attributable to common stockholders for the three and six months ended June 30 (in thousands, except for per share amounts):

Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Loss from continuing operations, net noncontrolling interests and accrued preferred stock dividends$(68,070)$(107,559)$(139,432)$(252,680)
Loss from discontinued operations(56,935)(176,568)(172,478)(235,619)
Net loss attributable to Bright Health Group, Inc. common shareholders
$(125,005)$(284,127)$(311,910)$(488,299)
Weighted-average number of shares outstanding used to compute net loss per share attributable to common stockholders, basic and diluted
7,962 7,865 7,928 7,862 
Basic and diluted loss per share attributable to Bright Health Group, Inc. common shareholders
Continuing operations$(8.55)$(13.68)$(17.59)$(32.14)
Discontinued operations$(7.15)$(22.45)$(21.76)$(29.97)
Net loss per share attributable to common stockholders, basic and diluted
$(15.70)$(36.13)$(39.35)$(62.11)
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following outstanding shares of potentially dilutive securities were excluded from the computation of diluted net loss per share because including them would have had an anti-dilutive effect for the six months ended June 30 (in thousands):

Six Months Ended
June 30,
20232022
Redeemable convertible preferred stock (as converted to common stock)4,081 2,112 
Stock options to purchase common stock720 853 
Restricted stock units1,108 458 
Total5,909 3,423 


NOTE 9. COMMITMENTS AND CONTINGENCIES

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

On January 6, 2022, a putative securities class action lawsuit was filed against us and certain of our officers and directors in the Eastern District of New York. The case is captioned Marquez v. Bright Health Group, Inc. et al., 1:22-cv-00101 (E.D.N.Y.). The lawsuit alleges, among other things, that we made materially false and misleading statements regarding our business, operations, and compliance policies, which in turn adversely affected our stock price. An amended complaint was filed on June 24, 2022, which expands on the allegations in the original complaint and alleges a putative class period of June 24, 2021 through March 1, 2022. The amended complaint also adds as defendants the underwriters of our initial public offering. The Company has served a motion to dismiss the amended complaint, which has not yet been ruled on by the court.

We are vigorously defending the Company in the above actions, but there can be no assurance that we will be successful in any defense.

Based on our assessment of the facts underlying the claims and the degree to which we intend to defend the Company in these matters, other than as set forth above, the amount or range of reasonably possible losses, if any, cannot be estimated. We have not accrued for any potential loss as of June 30, 2023 and December 31, 2022 for these actions.

Other commitments: As of June 30, 2023, we had $30.7 million outstanding, undrawn letters of credit under the Credit Agreement.

NOTE 10. SEGMENTS AND GEOGRAPHIC INFORMATION

Factors used to determine our reportable segments include the nature of operating activities, economic characteristics, existence of separate senior management teams and the type of information used by the Company’s CODM to evaluate its results of operations. We have identified two operating segments within our continuing operations based on our primary product and service offerings: Care Delivery and Care Solutions. The Care Delivery and Care Solutions segments are new in the second quarter of 2023 and were formerly reported together within the aggregated Consumer Care segment. The updates to our reportable segments conform with the Company’s CODM’s view of our ongoing operations.

Care Delivery and Care Solutions, which make up our value-driven Consumer Care business that manages risk in partnership with external payors, aim to significantly reduce the friction and current lack of coordination between payors by delivering on our Fully-Aligned Care Model with multiple payors. The following is a description of the types of products and services from which the two reportable segments of our continuing operations derive their revenues:

Care Delivery: Provides care services in our clinics with wrap around care management and care coordination activities for those members where we take full or partial risk. As of June 30, 2023, Care Delivery provides virtual and in-person clinical care through its 71 owned primary care clinics within an integrated care delivery system. Through these risk-bearing clinics and
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
our affiliated network of care providers, our Care Delivery segment serves approximately 340,000 consumers. Care Delivery customers include external payors, third party administrators, affiliated providers and direct-to-government programs.

Care Solutions: Our provider enablement business that facilitates care coordination activities through the use of population health tools including technology, data analytics, care and utilization management, and clinical solutions and care teams to support patients. As of June 30, 2023, Care Solutions has approximately 65,000 members attributed to its REACH ACO’s.

The Company’s accounting policies for reportable segment operations are consistent with those described in Note 2, Summary of Significant Accounting Policies, in our 2022 Form 10-K. We utilize operating income (loss) before income taxes as the profitability metric for our reportable segments.

The following tables present the reportable segment financial information for the three and six months ended June 30, 2023 and 2022 (in thousands):
Three Months Ended June 30, 2023Care DeliveryCare SolutionsCorporate & EliminationsConsolidated
Capitated revenue$49,764 $— $— $49,764 
ACO REACH revenue— 236,994 — 236,994 
Service revenue10,530 692 — 11,222 
Investment income (loss)— — 
Total unaffiliated revenue60,294 237,686 297,982 
Affiliated revenue5,774 — (5,774)— 
Total segment revenue66,068 237,686 (5,772)297,982 
Operating income (loss)11,031 2,996 (37,441)(23,414)
Depreciation and amortization3,178 — 1,493 4,671 
Restructuring charges— — 1,285 1,285 
Three Months Ended June 30, 2022Care DeliveryCare SolutionsCorporate & EliminationsConsolidated
Capitated revenue$17,641 $— $— $17,641 
ACO REACH revenue— 137,205 — 137,205 
Service revenue10,691 41 — 10,732 
Investment income (loss)— — (16,238)(16,238)
Total unaffiliated revenue28,332 137,246 (16,238)149,340 
Affiliated revenue204,271 — (204,271)— 
Total segment revenue232,603 137,246 (220,509)149,340 
Operating income (loss)(698)825 (71,646)(71,519)
Depreciation and amortization6,369 — 1,907 8,276 
Restructuring charges— — 2,793 2,793 
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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Six Months Ended June 30, 2023Care DeliveryCare SolutionsCorporate & EliminationsConsolidated
Capitated revenue$99,312 $— $— $99,312 
ACO REACH revenue— 476,801 — 476,801 
Service revenue21,466 943 — 22,409 
Investment income (loss)— — 10 10 
Total unaffiliated revenue120,778 477,744 10 598,532 
Affiliated revenue7,969 — (7,969)— 
Total segment revenue128,747 477,744 (7,959)598,532 
Operating income (loss)17,667 1,487 (87,440)(68,286)
Depreciation and amortization6,310 — 3,844 10,154 
Restructuring charges— — 1,586 1,586 

Six Months Ended June 30, 2022Care DeliveryCare SolutionsCorporate & EliminationsConsolidated
Capitated revenue$46,289 $— $— $46,289 
ACO REACH revenue— 320,002 — 320,002 
Service revenue20,910 52 — 20,962 
Investment income (loss)— — (57,149)(57,149)
Total unaffiliated revenue67,199 320,054 (57,149)330,104 
Affiliated revenue572,391 — (572,391)— 
Total segment revenue639,590 320,054 (629,540)330,104 
Operating income (loss)(22,749)4,989 (164,163)(181,923)
Depreciation and amortization12,745 — 3,591 16,336 
Restructuring charges— — 9,657 9,657 

For all periods presented, all of our long-lived assets were located in the United States, and all revenues were earned in the United States. We do not include asset information by reportable segment in the reporting provided to the CODM.

NOTE 11. INCOME TAXES

Income tax was a benefit of $0.9 million and an expense of $2.9 million for the three months ended June 30, 2023 and 2022, respectively. For the six months ended June 30, 2023 and 2022, income tax was an expense of $0.4 million and $12.9 million, respectively. The impact from income taxes varies from the federal statutory rate of 21.0% due to state income taxes, changes in the valuation allowance for deferred tax assets and adjustments for permanent differences. For the three and six months ended June 30, 2023, and 2022, the expense largely relates to amortization of originating goodwill from asset acquisitions and estimated state income taxes attributable to income earned in separate filing states without state net operating loss carryforwards.

We assess whether sufficient future taxable income will be generated to permit the use of deferred tax assets. This assessment includes consideration of the cumulative losses incurred over the three-year period ended June 30, 2023. Such objective evidence limits the ability to consider other subjective evidence, such as the Company’s projections for future earnings. On the basis of this evaluation, we have recorded a valuation allowance for deferred tax assets to the extent that they cannot be supported by reversals of existing cumulative temporary differences. Any federal tax benefit generated from losses in 2023 is expected to require an offsetting adjustment to the valuation allowance for deferred tax assets, and thus have no net effect on the income tax provision.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
NOTE 12. REDEEMABLE NONCONTROLLING INTEREST

Redeemable noncontrolling interests in our subsidiaries whose redemption is outside of our control are classified as temporary equity. The following table provides details of our redeemable noncontrolling interest activity for the three and six months ended June 30, 2023 and 2022 (in thousands):

20232022
Balance at January 1$219,758 $128,407 
Earnings attributable to noncontrolling interest1,421 (2,681)
Distribution to noncontrolling interest holders(1,805)— 
Measurement adjustment4,129 17,285 
Balance at March 31$223,503 $143,011 
Earnings attributable to noncontrolling interest3,139 3,625 
Distribution to noncontrolling interest holders(3,147)(1,894)
Measurement adjustment21,066 19,712 
Balance at June 30$244,561 $164,454 

NOTE 13. ACO REACH

We participate in the Centers for Medicare & Medicaid Services’ (“CMS”) ACO REACH Model with three REACH ACOs participating through the global risk arrangement and assuming full risk for the total cost of care of aligned beneficiaries. As part of our participation in the ACO REACH Model, we are guaranteeing the performance of our care network of participating and preferred providers. The intention of the ACO REACH Model is to enhance the quality of care for Medicare FFS beneficiaries while reducing the administrative burden, supporting a focus on complex, chronically ill patients, and encouraging physician organizations that have not typically participated in Medicare FFS programs to serve Medicare FFS beneficiaries.

Key components of the financial agreement for the ACO REACH Model include:

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

Performance Guarantees

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

The tables below include the financial statement impacts of the performance guarantee at June 30, 2023 and for the three and six-month period then ended (in thousands):

June 30, 2023December 31, 2022
ACO REACH performance year receivable(1)
$623,609 $99,181 
ACO REACH performance year obligation474,700 — 

(1)     We estimate there to be $144.3 million and $1.2 million in-network and out-of-network claims incurred by beneficiaries aligned to our REACH ACOs but not reported as of June 30, 2023 and December 31, 2022, respectively; this is included in medical costs payable on the Condensed Consolidated Balance Sheets.

Three Months Ended June 30,Six Months Ended June 30,
2023202220232022
Amortization of ACO REACH performance year receivable(1)
$249,449 $156,808 $424,972 $231,935 
Amortization of ACO REACH performance year obligation234,893 164,404 474,700 347,201 
ACO REACH revenue236,994 137,205 476,801 320,002 

(1)     The amortization of the ACO REACH performance year receivable includes $99.2 million related to the amortization of the prior year receivable.

NOTE 14. DISCONTINUED OPERATIONS

In April 2023, we announced that we were exploring strategic alternatives for our California Medicare Advantage business, the Bright HealthCare reporting segment, with the focus on a potential sale. At this time, we met the criteria for “held for sale,” in accordance with ASC 205-20. This represents a strategic shift that will have a material impact on our business and financial results. As such, we have reflected amounts relating to Bright HealthCare as a disposal group as part of discontinued operations. On June 30, 2023, the Company entered into a definitive agreement with Molina Healthcare, Inc. to sell its California Medicare Advantage business, which consists of Brand New Day and Central Health Plan, for total purchase consideration of $600.0 million, subject to regulatory approval and other closing conditions. The closing of this transaction is expected to occur by early 2024.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
In October 2022, we announced that we will no longer offer commercial plans through our Bright HealthCare - Commercial segment in 2023. As a result, we exited the Commercial marketplace effective December 31, 2022. We determined this exit represented a strategic shift that will have a material impact on our business and financial results that requires presentation as discontinued operations.

While we are no longer offering plans in the Commercial marketplace as of December 31, 2022, we will continue to have involvement in the states where we formerly operated in as we support run out activities of medical claims incurred in the 2022 plan year and perform other activities necessary to wind down our operations in each state, including making final payments of 2022 risk adjustment payable liabilities during the third quarter of 2023. We expect these activities to be substantially complete by the end of 2023.

Our discontinued operations are also inclusive of our DocSquad business that was sold in March 2023; this is presented within the column labeled Other in the tables below.

The discontinued operations presentation has been retrospectively applied to all prior periods presented.

The financial results of discontinued operations by major line item for the periods ended June 30 were as follows (in thousands):

Three Months Ended June 30, 2023Bright HealthCare - CommercialBright HealthCareOtherTotal
Revenue:
Premium revenue$(15,354)$443,532 $— $428,178 
Service revenue— — — — 
Investment income (loss)21,120 400 — 21,520 
Total revenue from discontinued operations5,766 443,932 — 449,698 
Operating expenses:
Medical costs14,588 400,114 — 414,702 
Operating costs35,859 54,289 318 90,466 
Depreciation and amortization— 1,465 — 1,465 
Total operating expenses from discontinued operations50,447 455,868 318 506,633 
Operating loss from discontinued operations(44,681)(11,936)(318)(56,935)
Interest expense— — — — 
Loss from discontinued operations before income taxes(44,681)(11,936)(318)(56,935)
Income tax expense (benefit)— — — — 
Net loss from discontinued operations$(44,681)$(11,936)$(318)$(56,935)

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Three Months Ended June 30, 2022Bright HealthCare - CommercialBright HealthCareOtherTotal
Revenue:
Premium revenue$961,650 $403,185 $— $1,364,835 
Service revenue34 — 2,079 2,113 
Investment income (loss)5,462 24 — 5,486 
Total revenue from discontinued operations967,146 403,209 2,079 1,372,434 
Operating expenses:
Medical costs858,347 356,442 — 1,214,789 
Operating costs278,878 40,181 3,482 322,541 
Intangible assets impairment6,720 — — 6,720 
Depreciation and amortization— 4,416 536 4,952 
Total operating expenses from discontinued operations1,143,945 401,039 4,018 1,549,002 
Operating loss from discontinued operations(176,799)2,170 (1,939)(176,568)
Interest expense— — — — 
Loss from discontinued operations before income taxes(176,799)2,170 (1,939)(176,568)
Income tax expense (benefit)— — — — 
Net loss from discontinued operations$(176,799)$2,170 $(1,939)$(176,568)

Six Months Ended June 30, 2023Bright HealthCare - CommercialBright HealthCareOtherTotal
Revenue:
Premium revenue$(14,588)$896,849 $— $882,261 
Service revenue30 — 2,383 2,413 
Investment income (loss)42,011 438 — 42,449 
Total revenue from discontinued operations27,453 897,287 2,383 927,123 
Operating expenses:
Medical costs60,602 828,839 — 889,441 
Operating costs91,293 110,628 2,367 204,288 
Depreciation and amortization— 5,872 — 5,872 
Total operating expenses from discontinued operations151,895 945,339 2,367 1,099,601 
Operating loss from discontinued operations(124,442)(48,052)16 (172,478)
Interest expense— — — — 
Loss from discontinued operations before income taxes(124,442)(48,052)16 (172,478)
Income tax expense (benefit)— — — — 
Net loss from discontinued operations$(124,442)$(48,052)$16 $(172,478)

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Six Months Ended June 30, 2022Bright HealthCare - CommercialBright HealthCareOtherTotal
Revenue:
Premium revenue$2,141,963 $816,372 $— $2,958,335 
Service revenue70 — 4,242 4,312 
Investment income (loss)6,250 47 — 6,297 
Other income— — 799 799 
Total revenue from discontinued operations2,148,283 816,419 5,041 2,969,743 
Operating expenses:
Medical costs1,804,267 754,770 — 2,559,037 
Operating costs544,378 83,502 8,532 636,412 
Intangible assets impairment6,720 — — 6,720 
Depreciation and amortization145 8,875 914 9,934 
Total operating expenses from discontinued operations2,355,510 847,147 9,446 3,212,103 
Operating loss from discontinued operations(207,227)(30,728)(4,405)(242,360)
Interest expense— — — — 
Loss from discontinued operations before income taxes(207,227)(30,728)(4,405)(242,360)
Income tax expense (benefit)(2)(6,741)(6,741)
Net loss from discontinued operations$(207,225)$(23,987)$(4,407)$(235,619)


The following table presents cash flows from operating and investing activities for discontinued operations for the six months ended June 30, 2023 (in thousands):

Cash used in operating activities - discontinued operations(667,237)
Cash provided by investing activities - discontinued operations157,048 



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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Assets and liabilities of discontinued operations were as follows (in thousands):

June 30, 2023
Bright HealthCare - CommercialBright HealthCareTotal
Assets
Current assets:
Cash and cash equivalents$917,328 $335,453 $1,252,781 
Short-term investments991,106 4,308 995,414 
Accounts receivable, net of allowance1,915 48,856 50,771 
Prepaids and other current assets57,465 156,817 214,282 
Property, equipment and capitalized software, net— 19,948 19,948 
Goodwill— 358,693 358,693 
Intangible assets, net— 138,981 138,981 
Current assets of discontinued operations1,967,814 1,063,056 3,030,870 
Total assets of discontinued operations$1,967,814 $1,063,056 $3,030,870 
Liabilities
Current liabilities:
Medical costs payable$98,482 $251,269 $349,751 
Accounts payable38,802 8,564 47,366 
Risk adjustment payable1,953,502 1,313 1,954,815 
Unearned revenue— 142,698 142,698 
Other current liabilities20,738 69,522 90,260 
Current liabilities of discontinued operations2,111,524 473,366 2,584,890 
Total liabilities of discontinued operations$2,111,524 $473,366 $2,584,890 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
December 31, 2022
Bright HealthCare - CommercialBright HealthCareOtherTotal
Assets
Current assets:
Cash and cash equivalents$1,469,577 $244,616 $1,091 $1,715,284 
Short-term investments1,129,800 3,972 — 1,133,772 
Accounts receivable, net of allowance4,167 59,308 1,636 65,111 
Prepaids and other current assets187,818 85,479 — 273,297 
Current assets of discontinued operations2,791,362 393,375 2,727 3,187,464 
Other assets:
Property, equipment and capitalized software, net— 21,298 — 21,298 
Goodwill— 358,693 — 358,693 
Intangible assets, net— 144,131 — 144,131 
Other non-current assets— 4,995 — 4,995 
Other assets of discontinued operations— 529,117 — 529,117 
Total assets of discontinued operations$2,791,362 $922,492 $2,727 $3,716,581 
Liabilities
Current liabilities:
Medical costs payable$691,221 $290,296 $— $981,517 
Accounts payable160,707 10,858 — 171,565 
Risk adjustment payable1,942,643 1,247 — 1,943,890 
Unearned revenue— — 242 242 
Other current liabilities19,373 40,002 647 60,022 
Current liabilities of discontinued operations2,813,944 342,403 889 3,157,236 
Total liabilities of discontinued operations$2,813,944 $342,403 $889 $3,157,236 

Revenue Recognition: We record adjustments for changes to the risk adjustment balances for individual policies in premium revenue. The risk adjustment program adjusts premiums based on the demographic factors and health status of each consumer as derived from current-year medical diagnoses as reported throughout the year. Under the risk adjustment program, a risk score is assigned to each covered consumer to determine an average risk score at the individual and small-group level by legal entity in a particular market in a state. Additionally, an average risk score is determined for the entire subject population for each market in each state. Settlements are determined on a net basis by legal entity and state and are made in the middle of the year following the end of the contract year. Each health insurance issuer’s average risk score is compared to the state’s average risk score. Risk adjustment is subject to audit by the U.S. Department of Health and Human Services (“HHS”), which could result in future payments applicable to benefit years.

Premium revenue under the MA program includes CMS monthly premiums that are risk adjusted based on CMS defined formulas using consumer demographics and hierarchical condition category codes (“HCC risk scores”) calculated based on historical data submitted to CMS on a lagged basis. Risk Adjustment Factor-related (“RAF”) premiums settle between CMS and the Company during both a midyear and final reconciliation process. Due to the lagged nature of the reconciliation and settlement, RAF-related premiums are estimated based on the lagged information that we submitted to CMS. The accuracy of the data submissions to CMS used in the RAF reconciliation are subject to CMS audit under the RADV audits and could result in future adjustments to premiums.

Restructuring Charges: As a result of the strategic changes, we announced and have taken actions to restructure the Company’s workforce and reduce expenses based on our updated business model.

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
There were no restructuring charges for the three and six months ended June 30, 2022. Restructuring charges within our discontinued operations for the three and six months ended June 30, 2023 were as follows (in thousands):

Three Months Ended June 30,Six Months Ended June 30,
20232023
Employee termination benefits$213 $3,177 
Long-lived asset impairments2,489 7,429 
Contract termination and other costs(1,041)(989)
Total discontinued operations restructuring charges$1,661 $9,617 

Restructuring accrual activity recorded by major type for the six months ended June 30, 2023 was as follows (in thousands):

Employee Termination BenefitsContract Termination CostsTotal
Balance at January 1, 2023$16,053 $29,053 $45,106 
Charges3,177 (989)2,188 
Cash payments(12,409)199 (12,210)
Balance at June 30, 2023
$6,821 $28,263 $35,084 

Employee termination benefits are recorded within Other current liabilities of discontinued operations while contract termination costs are recorded within Accounts payable of discontinued operations.

Fixed Maturity Securities: Available-for-sale securities within our discontinued operations are reported at fair value as of June 30, 2023 and December 31, 2022. Held-to-maturity securities are reported at amortized cost as of June 30, 2023 and December 31, 2022. The following is a summary of our investment securities (in thousands):

June 30, 2023
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Cash equivalents$564,557 $14 $— $564,571 
Available for sale:
U.S. government and agency obligations975,759 128 (270)975,617 
Corporate obligations3,025 — (27)2,998 
State and municipal obligations4,169 — (8)4,161 
Certificates of deposit3,661 — — 3,661 
Mortgage backed securities1,695 — (149)1,546 
Asset-backed securities698 — 701 
Total available-for-sale securities989,007 131 (454)988,684 
Held to maturity:
U.S. government and agency obligations6,512 — (113)6,399 
Certificates of deposit331 — — 331 
Total held-to-maturity securities6,843 — (113)6,730 
Total investments$1,560,407 $145 $(567)$1,559,985 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
December 31, 2022
Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Carrying
Value
Cash equivalents$963,062 $32 $— $963,094 
Available for sale:
U.S. government and agency obligations372,244 (3,239)369,006 
Corporate obligations520,619 521 (714)520,426 
State and municipal obligations10,308 — (96)10,212 
Certificates of deposit12,012 — (2)12,010 
Mortgage-backed securities154,167 46 (156)154,057 
Asset backed securities59,289 — — 59,289 
Other386 — (14)372 
Total available-for-sale securities1,129,025 568 (4,221)1,125,372 
Held to maturity:
U.S. government and agency obligations6,622 — (158)6,464 
Certificates of deposit1,936 — — 1,936 
Total held-to-maturity securities8,558 — (158)8,400 
Total investments$2,100,645 $600 $(4,379)$2,096,866 

We believe that we will collect the principal and interest due on our debt securities that have an amortized cost in excess of fair value. The unrealized losses were primarily caused by interest rate increases and not by unfavorable changes in the credit quality associated with these securities. At each reporting period, we evaluate securities for impairment when the fair value of the investment is less than its amortized cost. We evaluated the underlying credit quality and credit ratings of the issuers, noting no significant deterioration since purchase.

Fair Value Measurements: As of June 30, 2023, investments and cash equivalents within our discontinued operations were comprised of $1.5 billion and $53.2 million with fair value measurements of Level 1 and Level 2, respectively. As of December 31, 2022, the investments and cash equivalents within our discontinued operations were comprised of $1.3 billion and $826.0 million with fair value measurements of Level 1 and Level 2, respectively.

Medical Costs Payable: The table below details the components making up the medical costs payable within current liabilities of discontinued operations (in thousands):

Bright HealthCare - CommercialBright HealthCare
June 30, 2023December 31, 2022June 30, 2023December 31, 2022
Claims unpaid
$49,474 $60,856 $41,236 $41,188 
Provider incentive payable
1,454 310 31,424 40,908 
Claims adjustment expense liability
6,993 46,490 4,981 6,732 
Incurred but not reported (IBNR)
40,562 583,564 173,628 201,468 
Total medical costs payable of discontinued operations
$98,483 $691,220 $251,269 $290,296 

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The following table shows the components of the change in medical costs payable for the six months ended June 30 (in thousands):

Bright Health Care
20232022
Medical costs payable - January 1$290,296 $240,854 
Incurred related to:
Current year810,631 747,953 
Prior year16,058 8,662 
Total incurred826,689 756,615 
Paid related to:
Current year602,338 523,662 
Prior year263,378 206,329 
Total paid865,716 729,991 
Medical costs payable - June 30$251,269 $267,478 

Risk Adjustment: We record adjustments for changes to the risk adjustment balances for individual policies in premium revenue. The risk adjustment program adjusts premiums based on the demographic factors and health status of each consumer as derived from current-year medical diagnoses as reported throughout the year. Under the risk adjustment program, a risk score is assigned to each covered consumer to determine an average risk score at the individual and small-group level by legal entity in a particular market in a state. Additionally, an average risk score is determined for the entire subject population for each market in each state. Settlements are determined on a net basis by legal entity and state and are made in the middle of the year following the end of the contract year. Each health insurance issuer’s average risk score is compared to the state’s average risk score. Risk adjustment is subject to audit by HHS, which could result in future payments applicable to benefit years.

Restricted Capital and Surplus: Our regulated insurance legal entities are required by statute to meet and maintain a minimum level of capital as stated in applicable state regulations, such as risk-based capital requirements. These balances are monitored regularly to ensure compliance with these regulations. We are out of compliance with the minimum levels for certain of our regulated insurance legal entities.

NOTE 15. SUBSEQUENT EVENTS

On August 4, 2023, we entered into the New Credit Agreement to provide for a credit facility pursuant to which, among other things, the lenders have provided $60.0 million delayed draw term loan commitments. We may borrow delayed draw term loans under such commitments at any time and from time to time on or prior to the date that is nine months after the effective date of the New Credit Agreement, subject to the satisfaction or waiver of customary conditions. Borrowings under the New Credit Agreement accrue interest at a rate per annum of 15.00%, payable quarterly in arrears at our election, subject to limitations set forth in the Fourth Waiver in respect of cash payments under the New Credit Agreement, either in cash or “in kind” by adding the amount of accrued interest to the principal amount of the outstanding loans under the New Credit Agreement.

Also on August 4, 2023, we entered into the Fourth Waiver under the Credit Agreement. The Fourth Waiver amends and restates the Third Waiver by, among other things, permanently waiving compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which waiver under the Third Waiver previously was temporary and would have expired on August 29, 2023. From August 4, 2023 until the Credit Agreement is terminated and all outstanding loans thereunder are repaid, we will be subject to a minimum liquidity covenant of not less than $25.0 million.

In addition, on August 4, 2023, we entered into the Warrantholders Agreement setting forth the rights and obligations of us and the Holders of the Warrants and providing for the issuance of the Warrants to purchase up to 1,656,789 shares of our common stock. See Note 1, Organization and Basis of Presentation, for additional information regarding the New Credit Agreement, the Fourth Waiver and the Warrantholders Agreement.     

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Bright Health Group, Inc.
Notes to Condensed Consolidated Financial Statements
(Unaudited)
We have evaluated the events and transactions that have occurred through the date at which the condensed consolidated financial statements were issued. Except as stated above, no additional events or transactions have occurred that may require adjustment to the condensed consolidated financial statements or disclosure.
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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis is intended to help the reader understand our business, financial condition, results of operations, liquidity and capital resources. This discussion should be read in conjunction with our unaudited condensed consolidated financial statements and accompanying notes and the “Risk Factors” included elsewhere in this Quarterly Report on Form 10-Q and our audited consolidated financial statements and the accompanying notes as well as the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2022 Form 10-K. Unless the context otherwise indicates or requires, the terms “we”, “our”, and the “Company” as used herein refer to Bright Health Group, Inc. and its consolidated subsidiaries.

Business Overview

Bright Health Group was founded in 2015 to transform healthcare. Our mission of Making Healthcare Right. Together. is built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, leveraging what we call the “Value Layer” of healthcare, we can drive a superior consumer experience, reduce systemic waste, lower costs, and optimize clinical outcomes. Bright Health Group consists of two reportable segments within our continuing Consumer Care operations: Care Delivery and Care Solutions.

Care Delivery. Provides comprehensive services in our clinics with wrap around care management and care coordination activities for those members where we take full or partial risk. As of June 30, 2023, Care Delivery provides virtual and in-person clinical care through its 71 owned primary care clinics within an integrated care delivery system. Through these risk-bearing clinics and our affiliated network of care providers, the Care Delivery segment serves approximately 340,000 consumers. Care Delivery segment customers include external payors, third party administrators, affiliated providers and direct-to-government programs.

Care Solutions. Our provider enablement business that facilitates the transition to value-based care. Support services provided by Care Solutions include, but are not limited to, population health management, data analytics, provider report cards, real time patient monitoring, transitions of care, chronic case management, utilization management, and claims adjudication and payments. In addition, Care Solutions operates three ACOs as part of CMS’s ACO REACH program that has approximately 65,000 attributed members as of June 30, 2023.

Business Update

Bright Health Group has gone through significant changes over the past few months. We have focused and simplified our business on what was core to Bright Health when it was founded: delivering personalized and affordable healthcare for aging and underserved consumers, through our Fully Aligned Care Model. That focus, and our mission of Making Health Care Right. Together. has not changed and is core to everything we do. We believe, and the results continue to demonstrate, that when you connect the financing and delivery of care, you unlock the best outcomes. When we announced our exit of the ACA insurance business at the end of 2022, we set out to accomplish the following:

Focus and simplify our business. With the sale of the Medicare Advantage and discontinuation of ACA insurance businesses, the Company will have a singular focus on value-driven care delivery and the results we can drive with our partners.

Secure core external payor partners. While always an important part of our business, no longer having a captive insurance company accelerated the need to develop strong and deep partnerships with payors so that we can deliver and execute our model. We have been building and deepening relationships with some of the largest payors in the country. We ended the second quarter serving 371,000 consumers through value-based arrangements, including approximately 65,000 through our REACH ACO. We continue to build and expand on those relationships, as well as enter new relationships, such as the provider agreement with Molina to serve Medicaid and ACA Marketplace populations in Florida and Texas in 2024. These partners have millions of members, where we believe we can continue to expand value-based arrangements together.

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Demonstrate strong performance for those partners. The Consumer Care business generated positive operating income in both Consumer Care segments. This positive segment operating income drove Bright Health to our first quarter of Adjusted EBITDA profitability, a key milestone on our path to long-term profitable growth. We remain focused on delivering Adjusted EBITDA profitability for the full year.

Manage the liability for our discontinued operations. The runout of our ACA Marketplace business continues to progress, reaching approximately 95% claims completion as of June 30, 2023. We have also received the final details on the risk adjustment obligations by state. We believe that together the progress on claims and risk adjustment means that our ultimate liability in the ACA Marketplace business is much closer to a final outcome with the risks related to this business being much narrower at this point.

Bolster the company’s capital position. We announced on April 28, 2023 that we were exploring strategic alternatives for our California Medicare Advantage business and on June 30, 2023 we signed an agreement with Molina for them to acquire that business for $600 million. On August 4, 2023, we announced the Company entered a $60 million credit facility with NEA along with a permanent waiver of default on our existing credit facility. Taken together, we believe these actions put the Company in its strongest possible capital position as we continue to execute against our transformation and our mission.

We believe the ongoing business at Bright Health is one of the largest providers of value-based care delivery with substantial long-term growth opportunities. As we have shown so far this year through positive segment operating income and enterprise Adjusted EBITDA, we are focused on balancing risk and growth in the business, and setting Bright Health up for long-term profitable growth.

Key Metrics and Non-GAAP Financial Measures

In addition to our GAAP financial information, we review a number of operating and financial metrics, including the following key metrics, to evaluate our business, measure our performance, identify trends affecting our business, formulate our business plan and make strategic decisions. The following table provides the approximate consumers and patients served as of June 30, 2023 and 2022.

As of June 30,
20232022
Value-Based Consumers served(1)
371,000 118,000 
(1) The value-based care consumers at June 30, 2022 have been recast for comparability to exclude approximately 384,000 consumers attributable to our Bright HealthCare- Commercial business that we exited beginning in 2023.

Value-Based Care Consumers

Value-based care consumers are consumers attributed to providers contracted under varied value-based care delivery models in which the responsibility for control of an attributed patient’s medical care is transferred, in part or wholly, to our Consumer Care managed medical groups. We believe growth in the number of value-based care consumers is a key indicator of the performance of our Consumer Care business. It also informs our management of the operational, clinical, technological and administrative functional area needs that will require further investment to support expected future patient growth. We saw a year over year increase in value-based care consumers of approximately 253,000 consumers. Our focus is to continue to grow the number of value-based care consumers through third-party payor relationships.

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Three Months Ended
June 30,
Six Months Ended June 30,
($ in thousands)2023202220232022
Net loss from continuing operations$(31,692)(74,762)$(85,610)(196,340)
Adjusted EBITDA(1)
$6,413 (23,277)$670 (44,758)

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

Non-GAAP Financial Measures

Adjusted EBITDA

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

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

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The following table provides a reconciliation of net loss to Adjusted EBITDA for the periods presented:

Three Months Ended June 30,Six Months Ended June 30,
($ in thousands)2023202220232022
Net loss$(88,627)$(251,330)$(258,088)$(431,959)
Loss from Discontinued Operations (a)
56,935 176,568 172,478 235,619 
EBITDA adjustments from continuing operations
Interest expense9,170 337 16,957 1,530 
Income tax benefit (expense)(892)2,904 367 12,885 
Transaction costs (b)
8,096 271 9,948 382 
Depreciation and amortization4,671 8,276 10,154 16,336 
Share-based compensation expense (c)
15,775 20,220 49,095 53,141 
Restructuring costs (d)
1,285 2,793 1,586 9,657 
Contract termination costs (e)
— 500 — 500 
Change in fair value of contingent consideration (f)
— — (1,827)— 
Change in fair value of equity securities— 16,184 — 57,151 
EBITDA adjustments from continuing operations $38,105 $51,485 $86,280 $151,582 
Adjusted EBITDA$6,413 $(23,277)$670 $(44,758)

(a)Beginning in the fourth quarter of 2022, Adjusted EBITDA excludes the impact of discontinued operations. The comparable period in 2022 has been recast to exclude these impacts. Represents losses associated with the Commercial business segment and MA Legacy operations that we exited at the end of 2022 and the California Medicare Advantage business classified as held for sale.
(b)Transaction costs include accounting, tax, valuation, consulting, legal and investment banking fees directly relating to financing initiatives. These costs can vary from period to period and impact comparability, and we do not believe such transaction costs reflect the ongoing performance of our business.
(c)Represents non-cash compensation expense related to stock option and restricted stock unit award grants, which can vary from period to period based on a number of factors, including the timing, quantity and grant date fair value of the awards.
(d)Represents the non-cash change in fair value of contingent consideration from business combinations, which is remeasured at fair value each reporting period.
(e)Represents amounts paid for early termination of existing vendor contracts and leases. Beginning in the second quarter of 2023, this amount excludes the impact of MA legacy operations that we exited at the end of 2022 as these amounts are now included in the Loss from Discontinued Operations. The adjustment in the comparable period in 2022 has been recast to include these impacts.
(f)Restructuring costs represent severance costs as part of a workforce reduction and impairment of certain long-lived assets relating to our decision to exit the Commercial business for the 2023 plan year.
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Results of Operations

The following table summarizes our unaudited Condensed Consolidated Statements of Income (Loss) data and other financial information for the three and six months ended June 30, 2023 and 2022.

($ in thousands)Three Months Ended
June 30,
Six Months Ended
June 30,
Condensed Consolidated Statements of Income (loss) and operating data:2023202220232022
Revenue:
Capitated revenue$49,764$17,641$99,312$46,289
ACO REACH revenue236,994137,205476,801320,002
Service revenue11,22210,73222,40920,962
Investment income (loss)2(16,238)10(57,149)
Total revenue297,982149,340598,532330,104
Operating costs
Medical costs245,160130,793505,280310,249
Operating costs70,28078,997149,798175,785
Restructuring charges1,2852,7931,5869,657
Depreciation and amortization4,6718,27610,15416,336
Total operating costs321,396220,859666,818512,027
Operating loss(23,414)(71,519)(68,286)(181,923)
Interest expense9,17033716,9571,530
Other income22
Loss from continuing operations before income taxes(32,584)(71,858)(85,243)(183,455)
Income tax expense (benefit)(892)2,90436712,885
Net loss from continuing operations(31,692)(74,762)(85,610)(196,340)
Loss from discontinued operations, net of tax (Note 16)(56,935)(176,568)(172,478)(235,619)
Net loss(88,627)(251,330)(258,088)(431,959)
Net earnings from continuing operations attributable to noncontrolling interests(24,205)(23,336)(29,755)(37,941)
Series A preferred stock dividend accrued(9,942)(9,461)(19,656)(18,399)
Series B preferred stock dividend accrued(2,231)(4,411)
Net loss attributable to Bright Health
Group, Inc. common shareholders
$(125,005)$(284,127)$(311,910)$(488,299)
Adjusted EBITDA$6,413$(23,277)$670$(44,758)
Operating Cost Ratio (1)
23.6 %52.9 %25.0 %53.3 %

(1)Operating Cost Ratio is defined as operating costs divided by total revenue.

Total revenues increased by $148.6 million, or 99.5%, for the three months ended June 30, 2023 as compared to the same period in 2022, which was primarily driven by an increase of approximately 16,000 beneficiaries aligned to our REACH ACOs. Our capitated revenue also increased $32.1 million for the three months ended June 30, 2023 as compared to the same period in 2022 as a result of increased membership through our third party payor contracts as compared to the three months ended June 30, 2022. In addition, for the three months ended June 30, 2022 we had an investment loss of $16.2 million driven by changes in the fair value of our investments in equity securities; we held no equity securities during the three months ended June 30, 2023 and as such there was not equivalent activity in the current period.
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Total revenues increased by $268.4 million, or 81.3%, for the six months ended June 30, 2023 as compared to the same period in 2022, which was driven by an increase of approximately 16,000 beneficiaries aligned to our REACH ACOs. Our premium revenue also increased $53.0 million for the six months ended June 30, 2023 as compared to the same period in 2022. The increase was a result of increased membership through our third party payor contracts as compared to the six months ended June 30, 2022. In addition, for the six months ended June 30, 2022 we had an investment loss of $57.1 million driven by changes in the fair value of our investments in equity securities; we held no equity securities during the six months ended June 30, 2023 and as such there was not equivalent activity in the current period.

Medical costs increased by $114.4 million, or 87.4%, for the three months ended June 30, 2023 as compared to the same period in 2022. Medical costs increased by $195.0 million, or 62.9%, for the six months ended June 30, 2023 as compared to the same period in 2022. The increase in medical costs was primarily driven by an increase in beneficiaries aligned to our REACH ACOs.

Operating costs decreased by $8.7 million, or 11.0%, for the three months ended June 30, 2023 as compared to the same period in 2022. Operating costs decreased by $26.0 million, or 14.8%, for the six months ended June 30, 2023 as compared to the same period in 2022. The decrease in operating costs was primarily due to a decrease in compensation and benefit costs resulting from a decrease in employees.

Our operating cost ratio of 23.6% and 25.0% for the three and six months ended June 30, 2023, decreased 2,930 and 2,830 basis points respectively compared to the same periods in 2022. The decrease is primarily a result of our restructuring efforts.

Depreciation and amortization decreased by $3.6 million and $6.2 million for the three and six months ended June 30, 2023 as compared to the same period in 2022, respectively. The decrease is primarily due to the full impairment of the reacquired contract intangible asset during the third quarter of 2022; for the three and six months ended June 30, 2022 amortization of the reacquired contract intangible asset was $3.3 million and $6.6 million, respectively as compared to no related expense for the same periods ended June 30, 2023.

Interest expense increased $8.8 million and $15.4 million for the three and six months ended June 30, 2023 as compared to the same periods in 2022, respectively. These increases are due to increased borrowings on the Credit Agreement throughout the periods.

Income tax was a benefit of $0.9 million as compared to a $2.9 million expense for the three months ended June 30, 2023 and 2022, respectively. Income tax was an expense of $0.4 million and $12.9 million for the six months ended June 30, 2023 and 2022, respectively. The impact from income taxes varies from the federal statutory rate of 21.0% due to state income taxes, changes in the valuation allowance for deferred tax assets and adjustments for permanent differences. For the three months ended June 30, 2023, the benefit is due to true-ups of our state income taxes related to 2022. For the six months ended June 30, 2023, the expense largely relates to amortization of originating goodwill from asset acquisitions and estimated state income taxes attributable to income earned in separate filing states without state net operating loss carryforwards.

Loss from discontinued operations decreased by $119.6 million and $63.1 million for the three and six months ended June 30, 2023 as compared to the same periods in 2022. The three and six months ended June 30, 2023 are reflective of the run out of our Bright HealthCare - Commercial business as compared to active operations of the commercial business during the three and six months ended June 30, 2022. For the three and six months ended June 30, 2023, the loss from discontinued operations aligned to our Bright HeathCare - Commercial business decreased $132.1 million and $82.8 million, compared to the same periods ended June 30, 2022, respectively. Additionally, the loss from discontinued operations aligned to our Bright HealthCare operations classified as held for sale increased $14.1 million and decreased $24.1 million for the three and six ended June 30, 2023 as compared to 2022, respectively.
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Care Delivery
($ in thousands)Three Months Ended
June 30,
Six Months Ended
June 30,
Statement of income (loss) and operating data:2023202220232022
Revenue:
Capitated revenue$49,764$17,641$99,312$46,289
Service revenue10,53010,69121,46620,910
Total unaffiliated revenue60,29428,332120,77867,199
Affiliated revenue5,774204,2717,969572,391
Total segment revenue66,068232,603128,747639,590
Operating expenses
Medical Costs19,720194,53143,442585,998
Operating Costs32,13932,40161,32863,596
Depreciation and amortization3,1786,3696,31012,745
Total operating expenses55,037233,301111,080662,339
Operating income (loss)$11,031$(698)$17,667$(22,749)

Consumer Care’s Care Delivery segment’s capitated revenue increased by $32.1 million, or 182.1%, for the three months ended June 30, 2023 as compared to the same period in 2022. For the six months ended June 30, 2023 the Care Delivery segment’s capitated revenue increased by $53.0 million, or 114.5%, as compared to the same period in 2022. The increase was a result of increased membership through our third-party payor contracts as compared to the three and six months ended June 30, 2022.

Consumer Care’s Care Delivery segment’s service revenue remained relatively flat the three and six months ended June 30, 2023 as compared to the same period in 2022. Care Delivery segment’s service revenue decreased $0.2 million and increased $0.6 million for the three and six months ended June 30, 2023 as compared to the same period in 2022. Care Delivery’s service revenue for the three and six months ended June 30, 2023 was driven by improved performance of our Care Delivery REACH ACOs that participate in our Care Solutions REACH ACO network.

Affiliated revenue decreased to $5.8 million and $8.0 million for the three and six months ended June 30, 2023 as compared to $204.3 million and $572.4 million for the three and six months ended June 30, 2022 as our result of our exit of our Commercial business.

Consumer Care’s Care Delivery segment’s medical costs decreased by $174.8 million and $542.6 million for the three and six months ended June 30, 2023 as compared to the same period in 2022. The decrease is primarily a result of the limited risk contracts that we have entered into with third-party payors that are accounted for on a net basis as compared to the full risk contract with Bright Healthcare - Commercial that was accounted for on a gross basis in the prior period.

Operating costs remained relatively flat for the three and six months ended June 30, 2023 as compared to the same periods in 2022.

Consumer Care’s Care Delivery segment’s depreciation and amortization decreased by $3.2 million and $6.4 million for the three and six months ended June 30, 2023 as compared to the same periods in 2022, respectively. The decrease is primarily due to the full impairment of the reacquired contract intangible asset during the third quarter of 2022; for the three and six months ended June 30, 2022 amortization of the reacquired contract intangible asset was $3.3 million and $6.6 million, respectively, as compared to no related expense for the same periods ended June 30, 2023.

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Care Solutions
($ in thousands)Three Months Ended
June 30,
Six Months Ended
June 30,
Statement of income (loss) and operating data:2023202220232022
Revenue:
ACO REACH revenue$236,994$137,205$476,801$320,002
Service revenue6924194352
Total segment revenue237,686137,246477,744320,054
Operating expenses
Medical Costs231,279134,274469,874310,908
Operating Costs3,4112,1476,3834,157
Total operating expenses234,690136,421476,257315,065
Operating income$2,996$825$1,487$4,989

Consumer Care’s Care Solutions segment’s ACO REACH revenue increased $99.8 million, or 72.7% for the three months ended June 30, 2023 compared to the same period in 2022. The Care Solutions segment’s ACO REACH revenue increased $156.8 million, or 49.0% for the six months ended June 30, 2023 compared to the same period in 2022. This increase is attributable to an increase of approximately 16,000 beneficiaries aligned to our REACH ACOs as of June 30, 2023 compared to the same period in 2022. See Note 13, ACO REACH, for additional information regarding our remaining performance obligation based on the most recent benchmark data.

Consumer Care’s Care Solutions segment’s service revenue increased $0.7 million and $0.9 million for the three and six months ended June 30, 2023 as compared to the same period in 2022. The increase in service revenue was driven by revenue for the managed service organization contracts.

Consumer Care’s Care Solutions segment’s medical costs increased by $97.0 million and $159.0 million for the three and six months ended June 30, 2023 as compared to the same period in 2022. These increases correspond to the increase in the ACO REACH revenue as the medical costs are derived from the amortization of the ACO REACH performance obligation that is aligned to the number of beneficiaries aligned to our REACH ACOs.

Consumer Care’s Care Solutions segment’s operating costs increased by $1.3 million and $2.2 million for the three and six months ended June 30, 2023 as compared to the same periods in 2022. These increases were driven by the additional compensation and general administrative expenses supporting the growing business and increased membership.

Liquidity and Capital Resources

We assess our liquidity and capital resources in terms of our ability to generate adequate amounts of cash to meet our current and future needs. We have historically funded our operations and acquisitions primarily through the sale of stock, including the issuance of Series B Preferred Stock in October 2022, which generated cash proceeds of $172.9 million and the issuance of Series A Preferred Stock in January 2022, which generated cash proceeds of $747.5 million.

We have incurred operating losses since our founding, and we expect to incur operating losses in the future. However, we are implementing a restructuring plan to reduce our capital needs and our operating expenses in the future to drive positive operating cash flow and increase liquidity. Our restructuring plan includes Bright HealthCare’s exiting of the Commercial marketplace for the 2023 plan year as well as reducing our workforce, exiting excess office space, and terminating or restructuring contracts. On June 30, 2023, the Company entered into a definitive agreement with Molina Healthcare, Inc. to sell its California Medicare Advantage business, which consists of Brand New Day and Central Health Plan, for total purchase consideration of $600.0 million, subject to regulatory approval and other closing conditions. The closing of this transaction is expected to occur by early 2024.

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In the event the Company is unable to execute the sale of the California Medicare Advantage business, obtain additional financing or take other management actions, among other potential consequences, we forecast we will be unable to satisfy our obligations.

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

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

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

Cash and investment balances held at regulated insurance entities are subject to regulatory restrictions and can only be accessed through dividends declared to the non-regulated parent company, pending regulatory approval, or through reimbursements related to administrative services agreements with the parent company. The Company declared no dividends from the regulated insurance entities to the parent company during the six months ended June 30, 2023 and 2022.

The regulated legal entities are required to hold certain minimum levels of risk-based capital and surplus to satisfy regulatory requirements. As of June 30, 2023, we were out of compliance with the minimum levels for certain of our regulated insurance legal entities within our Bright HealthCare-Commercial and Bright Health Care segments.

Credit Agreement

We have a $350.0 million Credit Agreement, which matures on February 28, 2024. The Credit Agreement contains a covenant that requires the Company to maintain a total debt to capitalization ratio of (a) 0.25 to 1.00. The Credit Agreement also contains a covenant that requires us to maintain a minimum liquidity of $150.0 million. We were not in compliance with the total debt to capitalization ratio covenant as of September 30, 2022. On November 8, 2022, we executed an amendment to the Credit Agreement pursuant to which certain collateral related defaults were waived and, in addition, it was agreed that we would (i) not be required to test our debt to capitalization ratio covenant during and including the four quarter test period ending September 30, 2022 through and including the four quarter test period ending September 30, 2023, (ii) be required to maintain a minimum liquidity of $200.0 million from November 8, 2022 through and including September 30, 2023 and (iii) be required to maintain a minimum liquidity of $150.0 million after September 30, 2023. As of June 30, 2023, we had $303.9 million of short-term borrowings under the Credit Agreement.

On March 1, 2023, the Company disclosed that during the First Quarter of 2023, the Company breached the minimum liquidity covenant of the Credit Agreement. On February 28, 2023, the Company entered into a limited waiver and consent (the “Original Waiver”) under the Credit Agreement, which, among other matters, provided for a temporary waiver for the period from January 25, 2023 through April 30, 2023 of compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement.

On April 28, 2023, the Company entered into an amended and restated limited waiver and consent (the “Second Waiver”) under the Credit Agreement, which amended and restated the Original Waiver. The Second Waiver amended the Original Waiver by, among other things, extending the temporary waiver of compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which originally spanned from January 25, 2023 to April 30, 2023, to January 25, 2023 to June 30, 2023 (the “Extended Waiver Period”). The Second Waiver also (i) amended the Original Waiver and the Credit Agreement by changing the definition of "Minimum Liquidity" to mean unrestricted cash of the Company and the other loan parties and (ii) waived permanently any default or event of default arising from the failure to deliver the 2022 audit report
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without a qualification as to "going concern." In addition, during the Extended Waiver Period, the Company did not have access to certain negative covenant baskets and will be subject to additional cash-flow, cash balance, and other reporting requirements.

On June 29, 2023, the Company entered into a second amended and restated limited waiver and consent (the “Third Waiver”) under the Credit Agreement. The Third Waiver amended and restated the Second Waiver, which previously amended and restated the Original Waiver. The Third Waiver amended the Second Waiver and the Original Waiver by, among other things, extending the temporary waiver of compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which spanned from January 25, 2023 to June 30, 2023 under the Original Waiver and the Second Waiver, to January 25, 2023 to August 29, 2023 (the “Extended Waiver Period”). The Waiver also, among other things, added covenants (a) requiring the Company to deliver by July 17, 2023, an agreed term sheet for the Bridge Financing to support the Company’s ongoing operating cash needs through December 31, 2023 and, by July 31, 2023 (extended to August 4, 2023), definitive documentation for the Bridge Financing and an updated budget of the Company, in form and substance acceptable to the Administrative Agent, (b) prohibiting the incurrence of certain types of debt and (c) requiring the Company not to request any interest period for any Term SOFR borrowing other than a one-month interest period. In connection with the Waiver, the Company agreed to pay to the Administrative Agent, for the account of each lender consenting thereto that delivered a signature page by 4:00 p.m. on June 29, 2023, a waiver fee in the amount of 0.25% of such lender’s commitment.

On August 4, 2023, the Company entered into the New Credit Agreement to provide for a credit facility pursuant to which, among other things, the lenders have provided $60.0 million delayed draw term loan commitments. The Company may borrow delayed draw term loans under such commitments at any time and from time to time on or prior to the date that is nine months after the effective date of the New Credit Agreement, subject to the satisfaction or waiver of customary conditions. Borrowings under the New Credit Agreement accrue interest at a rate per annum of 15.00%, payable quarterly in arrears at the Company’s election, subject to limitations set forth in the Fourth Waiver (defined below) in respect of cash payments under the New Credit Agreement, either in cash or “in kind” by adding the amount of accrued interest to the principal amount of the outstanding loans under the New Credit Agreement. The New Credit Agreement contains covenants that, among other things, restrict the ability of the Company and its subsidiaries to make certain restricted payments, incur additional debt, engage in certain asset sales, mergers, acquisitions or similar transactions, create liens on assets, engage in certain transactions with affiliates, change its business or make investments. The New Credit Agreement constitutes the Bridge Financing referred to in the Third Waiver.

On August 4, 2023, the Company entered into a third amended and restated limited waiver and consent (the “Fourth Waiver”) under the Credit Agreement. The Fourth Waiver amends and restates the Third Waiver by, among other things, permanently waiving compliance with the minimum liquidity covenant set forth in Section 11.12.2 of the Credit Agreement, which waiver under the Third Waiver previously was temporary and would have expired on August 29, 2023. From August 4, 2023 until the Credit Agreement is terminated and all outstanding loans thereunder are repaid, the Company will be subject to a minimum liquidity covenant of not less than $25.0 million. The Fourth Waiver also, among other things, (a) removes from the credit agreement in its entirety the covenant requiring maintenance of a maximum total debt to capitalization ratio, which absent such removal would have applied after September 30, 2023, (b) prohibits the incurrence of certain types of debt and (c) requires the Company not to request any interest period for any Term Benchmark borrowing other than a one-month interest period.

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

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

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As of June 30, 2023, we had $30.7 million of outstanding, undrawn letters of credit under the Credit Agreement, which reduce the amount available to borrow.

Preferred Stock Financing

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

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

For additional information on the Series A and Series B Preferred Stock, see Note 7, Redeemable Convertible Preferred Stock, in our condensed consolidated financial statements of this Quarterly Report.

Cash and Investments

As of June 30, 2023, we had $1.36 billion in cash and cash equivalents, $995.6 million in short-term investments and $0.3 million in long-term investments on the consolidated balance sheet. Our cash and investments are held at non-regulated entities and regulated insurance entities.

As of June 30, 2023, we had non-regulated cash and cash equivalents of $107.7 million, short-term investments of $0.2 million and $0.3 million of long-term investments.

As of June 30, 2023, we had regulated insurance entity cash and cash equivalents of $1.25 billion, of which $9.4 million was restricted, and short-term investments of $995.4 million, of which $5.8 million was restricted.
Cash Flows

The following table presents a summary of our cash flows for the periods shown:

Six Months Ended
June 30,
($ in thousands)20232022
Net cash (used in) provided by operating activities$(724,026)$726,664 
Net cash provided by (used in) investing activities157,127 (951,585)
Net cash (used in) provided by financing activities(4,950)591,259 
Net increase/(decrease) in cash and cash equivalents(571,849)366,338 
Cash and cash equivalents at beginning of period1,932,290 1,061,179 
Cash and cash equivalents at end of period$1,360,441 $1,427,517 

Operating Activities

During the six months ended June 30, 2023, net cash provided by operating activities decreased by $1.5 billion compared to the six-month period ended June 30, 2022, primarily driven by our Commercial business being in runout and not incurring additional medical costs and increase to our risk adjustment payable beyond prior period development.

Investing Activities

During the six months ended June 30, 2023, net cash used in investing activities increased by $1.1 billion compared to the six-month period ended June 30, 2022. The increase was primarily attributable to an increase in the proceeds of investment sales of
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$784.0 million during the six months ended June 30, 2023 as compared to the six months ended June 30, 2022. Investment purchases also decreased by $312.4 million during the six months ended June 30, 2023 as compared to the six months ended June 30, 2022.

Financing Activities

During the six months ended June 30, 2023, net cash provided by financing activities decreased by $596.2 million compared to the six months ended June 30, 2022. This decrease is primarily due to our Series A issuance during the six months ended June 30, 2022 net of a $155.0 million repayment of debt during that same period; the six months ended June 30, 2023 had no comparable activity.

Critical Accounting Policies and Estimates

As of June 30, 2023, there had been no material changes to the critical accounting policies and estimates used in the preparation of our condensed consolidated financial statements as described in the 2022 Form 10-K under “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Critical Accounting Policies and Estimates.”

Recently Adopted Accounting Pronouncements

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

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

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ITEM 4. CONTROLS AND PROCEDURES

Limitations on Effectiveness of Controls and Procedures

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

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated, as of the end of the period covered by this Quarterly Report on Form 10-Q, the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of June 30, 2023, our disclosure controls and procedures were not effective due to the material weakness in our internal control over financial reporting described below. In light of this fact, our management has performed additional analyses, reconciliations, and other post-closing procedures and has concluded that, notwithstanding the material weaknesses in our internal control over financial reporting, the condensed consolidated financial statements for the periods covered by and included in this Quarterly Report on Form 10-Q fairly present, in all material respects, our financial position, results of operations and cash flows for the periods presented in conformity with GAAP.

Previously Reported Material Weakness in Internal Control Over Financial Reporting

As disclosed in our 2022 Form 10-K, we previously identified a material weakness related to the control activities component of internal control over financial reporting, based upon the criteria established in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (“the COSO framework”). Specifically, multiple deficiencies constituted a material weakness, in the aggregate, relating to deployment of control activities through internal control policies that establish what is expected and procedures that put policies into action. As of June 30, 2023, our efforts to remediate the material weakness have included addressing control deficiencies noted in 2022 and validating, through our internal controls over financial reporting program, the design effectiveness of those remediation activities and underlying controls. As we continue forward through the remainder of 2023, we will evaluate the operating effectiveness of those controls in order to conclude on the remediation of the material weakness.

Changes in Internal Control over Financial Reporting

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

Item 1. Legal Proceedings

Other than the matters described in Note 9, Commitments and Contingencies, we are not presently a party to any litigation the outcomes of which, we believe, if determined adversely to us, would individually or taken together have a material adverse effect on our business, operating results, cash flows, or financial condition.

Item 1A. Risk Factors

This Quarterly Report on Form 10-Q should be read in conjunction with the risk factors included in our 2022 Form 10-K and our other filings with the SEC. There have been no material changes to the risk factors disclosed under the heading “Risk Factors” in our 2022 Form 10-K except for the following risk factor, which supplements the “Risk Factors” in our 2022 Form 10-K.

We may not be able to execute the sale of our California Medicare Advantage business.

We may not be able to execute the sale of our California Medicare Advantage business to Molina Healthcare, Inc. Further, in the event we are unable to execute the sale of this business, we may not be able to effect a strategic alternative to a sale. In addition, in executing this sale, we may experience operational difficulties separating it from our retained assets and operations, which could result in disruptions to our operations or claims for damages, among other things. Failure to consummate this sale or other strategic alternative could have a material adverse effect on our liquidity, business, financial condition, results of operations or cash flows.

Item 2. Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities

None.

Item 3. Defaults upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.
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Item 6. Exhibits

EXHIBIT INDEX

Exhibit
Number
Description
2.1
3.1
3.2
3.3

3.4
3.5
3.6
10.1
10.2
10.3†
10.4†
31.1
31.2
32.1
32.2
101The following financial information from our Quarterly Report on Form 10-Q for the second quarter of fiscal 2023, filed with the SEC on August 9, 2023, formatted in Inline Extensible Business Reporting Language (“iXBRL”)
104Cover Page Interactive Data File (formatted as iXBRL and embedded within Exhibit 101)

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

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SIGNATURES

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


BRIGHT HEALTH GROUP, INC.
Dated: August 9, 2023By:/s/ G. Mike Mikan
Name:G. Mike Mikan
Title:Vice Chairman, President and Chief Executive Officer
(Principal Executive Officer)
By:/s/ Jay Matushak
Name:Jay Matushak
Title:Chief Financial Officer
(Principal Financial Officer)
By:/s/ Jeffrey J. Scherman
Name:Jeffrey J. Scherman
Title:Chief Accounting Officer
(Principal Accounting Officer)


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