Claritev Reports Fourth Quarter and Full Year 2024 Results with Initial Guidance for Full Year 2025

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Feb 25, 2025

Claritev Corporation (“Claritev” or the “Company”) (NYSE: MPLN), formerly known as MultiPlan, a technology, data and insights company focused on making healthcare more affordable, transparent and fair for all, today reported financial results for the fourth quarter and full year ended December 31, 2024.

Chairman, CEO and President Travis Dalton said, “We are celebrating the rebranding launch of our new company name, which signals our turn in the transformation journey to becoming a market-leading health technology organization. I am extremely proud of our talented team of leaders and associates whose rigor and discipline have laid the foundation for our way up and forward. By focusing our purpose-built solutions across the healthcare ecosystem — including payors, employers, patients, providers and third parties — we aim to make healthcare more affordable for all.”

“We are happy with the outcome of our debt refinancing that closed last month with an aggregate 99.75% participation in the exchanges. Not only does it free up our runway and some internal resources to focus on our multi-year journey ahead, but it reinforces the level of confidence our investors have in the Vision 2030 plan that we outlined and our renewed team’s ability to execute.”

Mr. Dalton concluded, “As I shared on our last earnings call, our expectation that fourth quarter results would mirror our third quarter results rang true, with a slight beat on sequential revenue and consistent adjusted EBITDA. As we start The Turn in 2025, we are working to stabilize the single-client impact and enhance our core solutions, all while staying focused on being product-led, partner-enabled and technology-driven. Our 2025 guidance reflects our view on the balancing of all these elements. I am optimistic for our future and look forward to reporting out on the progress of our journey and the great milestones along the way.”

Fourth Quarter 2024 Business and Financial Highlights

All comparisons are to the quarter ended December 31, 2023.

  • Revenues of $232.1 million, a decrease of 4.9%, compared to revenues of $244.1 million.
  • Net loss of $138.0 million, compared to net loss of $31.4 million.
  • Adjusted EBITDA of $141.6 million, compared to Adjusted EBITDA of $156.8 million.
  • The Company ended Q4 2024 with $16.8 million of unrestricted cash and cash equivalents on the balance sheet.

Full Year 2024 Business and Financial Highlights

All comparisons to the year ended December 31, 2023.

  • Revenues of $930.6 million, a decrease of 3.2%, compared to revenues of $961.5 million.
  • Net loss of $1,645.8 million, compared to net loss of $91.7 million.
  • Adjusted EBITDA of $576.7 million, compared to Adjusted EBITDA of $618.0 million.
  • Net cash provided by operating activities of $107.6 million, compared to $171.7 million.
  • Free Cash Flow of $(10.5) million, compared to $62.9 million.
  • For the year ended December 31, 2024, the Company processed approximately $177.6 billion in medical charges and identified approximately $24.7 billion in potential medical cost savings compared to $168.6 billion medical charges and approximately $22.9 billion in potential medical cost savings.

2025 Financial Guidance1

Financial Metric

Full Year 2025 Guidance

Revenues

(2)% to flat from FY 2024

Adjusted EBITDA Margin1

62.5% to 63.5%

Capital expenditures

$155 million to $165 million

Effective tax rate

25% to 28%

Free Cash Flow

$(65) to $(75) million

1 We have not reconciled the forward-looking Adjusted EBITDA guidance included above to the most directly comparable GAAP measure because this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain costs, the most significant of which are incentive compensation (including stock-based compensation), transformation-related expenses, certain fair value measurements, which are potential adjustments to future earnings. We expect the variability of these items to have a potentially unpredictable, and a potentially significant, impact on our future GAAP financial results.

Conference Call Information

The Company will host a conference call today, Tuesday, February 25, 2025, at 8:00 a.m. U.S. Eastern Time (ET) to discuss its financial results. Investors and analysts are encouraged to pre-register for the conference call by using the link below. Participants who pre-register will receive access details including a unique pin via email. Pre-registration may be completed at any time up to and following the call start time.

To pre-register, go to: https://www.netroadshow.com/events/login?show=c3f55c26&confId=76349

A live webcast of the conference call can be accessed through the Investor Relations section of the Company’s website at investors.claritev.com/events-and-presentations. Participants should join the webcast ten minutes prior to the start of the conference call. The earnings release and supplemental slide deck will also be available on this section of the Company’s website.

For those unable to listen to the live conference call, a replay will be available approximately two hours after the call through the archived webcast on the Investor Relations section of the Company’s website. For those requiring operator assistance please dial (404) 975-4839 or (833) 470-1428. The access code is 940787.

About Claritev

Claritev, formerly known as MultiPlan, is a healthcare technology, data and insights company focused on delivering affordability, transparency and quality to the U.S. healthcare system. Led by a team of deeply experienced associates, data scientists, and innovators, Claritev provides cutting-edge solutions and services fueled by over 40 years of claims processing data. Claritev leverages world-class technology and AI to power a robust enterprise platform that delivers meaningful insights to drive affordability and price transparency, and optimizes networks and benefits design in healthcare. By developing purpose-build solutions that support all key stakeholders - including payors, employers, patients, providers, and third parties - Claritev is dedicated to making healthcare more accessible and affordable for all.

Claritev serves more than 700 healthcare payors, over 100,000 employers, 60 million consumers, and 1.4 million contracted providers. For more information, visit claritev.com.

Forward Looking Statements

This press release includes statements that express our and our subsidiaries’ opinions, expectations, beliefs, plans, objectives, assumptions or projections regarding future events or future results and therefore are, or may be deemed to be, “forward-looking statements”. These forward-looking statements can generally be identified by the use of forward-looking terminology, including the terms “believes,” “estimates,” “anticipates,” “expects,” “seeks,” “projects,” “forecasts,” “intends,” “plans,” “may,” “will” or “should” or, in each case, their negative or other variations or comparable terminology. These forward-looking statements include all matters that are not historical facts. They appear in a number of places throughout this press release, including, but not limited to, statements relating to our ability to execute on our transformation plan, the anticipated benefits of our transformation plan, the anticipated benefits of our debt refinancing, our 2025 outlook and guidance, and the long-term prospects of the Company. Such forward-looking statements are based on available current market information and management’s expectations, beliefs and forecasts concerning future events impacting the business. Although we believe that these forward-looking statements are based on reasonable assumptions at the time they are made, you should be aware that these forward-looking statements involve a number of risks, uncertainties (some of which are beyond our control) or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. These factors include: loss of our clients, particularly our largest clients; interruptions or security breaches of our information technology systems and other cybersecurity attacks; the ability to achieve the goals of our strategic plans and recognize the anticipated strategic, operational, growth and efficiency benefits when expected; our ability to enter new lines of business and broaden the scope of our services; the loss of key members of our management team or inability to maintain sufficient qualified personnel; our ability to continue to attract, motivate and retain a large number of skilled employees, and adapt to the effects of inflationary pressure on wages; trends in the U.S. healthcare system, including recent trends of unknown duration of reduced healthcare utilization and increased patient financial responsibility for services; effects of competition; effects of pricing pressure; our ability to identify, complete and successfully integrate acquisitions; the inability of our clients to pay for our services; changes in our industry and in industry standards and technology; our ability to protect proprietary information, processes and applications; our ability to maintain the licenses or right of use for the software we use; our inability to expand our network infrastructure; our ability to obtain additional financing; our ability to pay interest and principal on our notes and other indebtedness; lowering or withdrawal of our credit ratings; adverse outcomes related to litigation or governmental proceedings; inability to preserve or increase our existing market share or the size of our preferred provider organization networks; decreases in discounts from providers; pressure to limit access to preferred provider networks; changes in our regulatory environment, including healthcare law and regulations; the expansion of privacy and security laws; heightened enforcement activity by government agencies; the possibility that we may be adversely affected by other political, economic, business, and/or competitive factors; changes in accounting principles or the incurrence of impairment charges; other factors disclosed in our Securities and Exchange Commission (“SEC”) filings; and other factors beyond our control.

The forward-looking statements contained in this press release are based on our current expectations and beliefs concerning future developments and their potential effects on our business. There can be no assurance that future developments affecting our business will be those that we have anticipated. These forward-looking statements involve a number of risks, uncertainties (some of which are beyond our control) or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. These risks and uncertainties include, but are not limited to, those factors described in our Annual Report on Form 10-K, our Quarterly Reports on Form 10-Q, and other documents filed or to be filed with the SEC by us. Should one or more of these risks or uncertainties materialize, or should any of the assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements.

We do not undertake any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.

Non-GAAP Financial Measures

In addition to the financial measures prepared in accordance with generally accepted accounting principles in the United States (“GAAP”), this press release contains certain non-GAAP financial measures, including EBITDA, Adjusted EBITDA, Free Cash Flow, Unlevered Free Cash Flow and Adjusted cash conversion ratio. A non-GAAP financial measure is generally defined as a numerical measure of a company’s financial or operating performance that excludes or includes amounts so as to be different than the most directly comparable measure calculated and presented in accordance with GAAP.

EBITDA, Adjusted EBITDA, Free Cash Flow, Unlevered Free Cash Flow and Adjusted cash conversion ratio are supplemental measures of Claritev’s performance that are not required by or presented in accordance with GAAP. These measures are not measurements of our financial or operating performance under GAAP, have limitations as analytical tools and should not be considered in isolation or as an alternative to net (loss) income, cash flows or any other measures of performance prepared in accordance with GAAP.

EBITDA represents net (loss) income before interest expense, interest income, income tax provision (benefit), depreciation, amortization of intangible assets, and non-income taxes. Adjusted EBITDA is EBITDA as further adjusted by certain items as described in the table below.

In addition, in evaluating EBITDA and Adjusted EBITDA you should be aware that in the future, we may incur expenses similar to the adjustments in the presentation of EBITDA and Adjusted EBITDA. The presentation of EBITDA and Adjusted EBITDA should not be construed as an inference that our future results will be unaffected by unusual or non-recurring items. The calculations of EBITDA and Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies. Based on our industry and debt financing experience, we believe that EBITDA and Adjusted EBITDA are customarily used by investors, analysts and other interested parties to provide useful information regarding a company’s ability to service and/or incur indebtedness.

We also believe that Adjusted EBITDA is useful to investors and analysts in assessing our operating performance during the periods these charges were incurred on a consistent basis with the periods during which these charges were not incurred. Both EBITDA and Adjusted EBITDA have limitations as analytical tools, and you should not consider either in isolation, or as a substitute for analysis of our results as reported under GAAP. Some of the limitations are:

  • EBITDA and Adjusted EBITDA do not reflect changes in, or cash requirements for, our working capital needs;
  • EBITDA and Adjusted EBITDA do not reflect interest expense, or the cash requirements necessary to service interest or principal payments on our debt;
  • EBITDA and Adjusted EBITDA do not reflect our tax expense or the cash requirements to pay our taxes; and
  • Although depreciation and amortization are non-cash charges, the tangible assets being depreciated will often have to be replaced in the future, and EBITDA and Adjusted EBITDA do not reflect any cash requirements for such replacements.

Claritev’s presentation of Adjusted EBITDA should not be construed as an inference that our future results and financial position will be unaffected by unusual items.

Free Cash Flow is defined as net cash provided by operating activities less capital expenditures, all as disclosed in the Statements of Cash Flows. Unlevered Free Cash Flow is defined as net cash provided by operating activities less capital expenditures, plus cash interest paid, all as disclosed in the Statements of Cash Flows. Free Cash Flow and Unlevered Free Cash Flow are measures of our operational performance used by management to evaluate our business after purchases of property and equipment and, in the case of Unlevered Free Cash Flow, prior to the impact of our capital structure. Free Cash Flow and Unlevered Free Cash Flow should be considered in addition to, rather than as a substitute for, consolidated net income as a measure of our performance and net cash provided by operating activities as a measure of our liquidity. Additionally, Claritev’s definitions of Free Cash Flow and Unlevered Free Cash Flow are limited, in that they do not represent residual cash flows available for discretionary expenditures, due to the fact that the measures do not deduct the payments required for debt service, in the case of Unlevered Free Cash Flow, and other contractual obligations or payments made for business acquisitions.

Adjusted cash conversion ratio is defined as Unlevered Free Cash Flow divided by Adjusted EBITDA. Claritev believes that the presentation of the Adjusted cash conversion ratio provides useful information to investors because it is an financial performance measure that shows how much of its Adjusted EBITDA Claritev converts into Unlevered Free Cash Flow.

CLARITEV CORPORATION
Consolidated Balance Sheets
(in thousands, except share and per share data)

December 31,

2024

2023

Assets

Current assets:

Cash and cash equivalents

$

16,848

$

71,547

Restricted cash

12,824

9,947

Trade accounts receivable, net

89,758

76,558

Unbilled Independent Dispute Resolution fees, net

21,850

8,197

Prepaid expenses

20,493

23,432

Prepaid taxes

6,747

1,364

Other current assets, net

6,995

2,548

Total current assets

175,515

193,593

Property and equipment, net

292,649

267,429

Operating lease right-of-use assets

16,097

19,680

Goodwill

2,403,140

3,829,002

Other intangibles, net

2,226,323

2,633,207

Other assets, net

37,103

21,776

Total assets

$

5,150,827

$

6,964,687

Liabilities and Shareholders’ Equity

Current liabilities:

Accounts payable

$

86,327

$

19,590

Accrued interest

55,532

56,827

Operating lease obligation, short-term

4,385

4,792

Current portion of long-term debt

13,250

13,250

Accrued compensation

33,690

44,720

Accrued legal contingencies

1,623

12,123

Other accrued expenses

18,983

15,437

Total current liabilities

213,790

166,739

Long-term debt

4,509,725

4,532,733

Operating lease obligation, long-term

13,857

17,124

Private Placement Warrants and Unvested Founder Shares

477

Deferred income taxes

325,834

521,707

Other liabilities

3,599

16,783

Total liabilities

5,066,805

5,255,563

Shareholders’ equity:

Shareholder interests

Preferred stock, $0.0001 par value — 10,000,000 shares authorized; no shares issued

Common stock, $0.0001 par value — 1,500,000,000 shares authorized; 16,930,827 and 16,695,207 issued; 16,187,968 and 16,207,984 shares outstanding

2

2

Additional paid-in capital

2,372,954

2,348,570

Accumulated other comprehensive loss

(5,063

)

(11,778

)

Retained deficit

(2,145,138

)

(499,307

)

Treasury stock — 742,859 and 487,223 shares

(138,733

)

(128,363

)

Total shareholders’ equity

84,022

1,709,124

Total liabilities and shareholders’ equity

$

5,150,827

$

6,964,687

CLARITEV CORPORATION
Consolidated Statements of Loss and Comprehensive Loss
(in thousands, except share and per share data)

Years Ended December 31,

2024

2023

Revenues

$

930,624

$

961,524

Costs of services (exclusive of depreciation and amortization of intangible assets shown below)

239,404

235,468

General and administrative expenses

160,215

144,057

Depreciation

88,190

77,323

Amortization of intangible assets

343,883

342,694

Loss on impairment of goodwill and intangible assets

1,488,863

Total expenses

2,320,555

799,542

Operating (loss) income

(1,389,931

)

161,982

Interest expense

326,371

333,208

Interest income

(3,130

)

(8,233

)

Transaction Costs - Refinancing Transaction

63,930

Gain on extinguishment of debt

(5,913

)

(53,968

)

Gain on change in fair value of Private Placement Warrants and Unvested Founder Shares

(477

)

(1,965

)

Net loss before taxes

(1,770,712

)

(107,060

)

Benefit for income taxes

(124,881

)

(15,363

)

Net loss

$

(1,645,831

)

$

(91,697

)

Weighted average shares outstanding – Basic and Diluted

16,147,506

16,128,366

Net loss per share – Basic and Diluted

$

(101.92

)

$

(5.69

)

Net loss

$

(1,645,831

)

$

(91,697

)

Other comprehensive income:

Unrealized gain (loss) on interest rate swap, net of tax

6,715

(11,778

)

Comprehensive loss

$

(1,639,116

)

$

(103,475

)

CLARITEV CORPORATION
Consolidated Statements of Cash Flows
(in thousands)

Years Ended December 31,

2024

2023

Operating activities:

Net loss

$

(1,645,831

)

$

(91,697

)

Adjustments to reconcile net (loss) income to net cash provided by operating activities:

Depreciation

88,190

77,323

Amortization of intangible assets

343,883

342,694

Amortization of the right-of-use asset

4,364

5,769

Loss on impairment of goodwill and intangible assets

1,488,863

Stock-based compensation

26,645

18,018

Deferred income taxes

(198,008

)

(114,060

)

Amortization of debt issuance costs and discounts

10,974

10,663

Gain on extinguishment of debt

(5,913

)

(53,968

)

Loss on disposal of property and equipment

8,595

851

Change in fair value of Private Placement Warrants and Unvested Founder Shares

(477

)

(1,965

)

Changes in assets and liabilities, net of assets acquired and liabilities assumed from acquisitions:

Accounts receivable, net

(13,200

)

4,402

Prepaid expenses and other assets

(31,761

)

(6,615

)

Prepaid taxes

(5,383

)

(13

)

Operating lease obligation

(5,541

)

(6,601

)

Accounts payable and accrued expenses and other

42,216

(13,081

)

Net cash provided by operating activities

107,616

171,720

Investing activities:

Purchases of property and equipment

(118,123

)

(108,852

)

BST Acquisition, net of cash acquired

(140,940

)

Net cash used in investing activities

(118,123

)

(249,792

)

Financing activities:

Repayments of Term Loan B

(13,250

)

(13,250

)

Repurchase of 5.750% Notes

(134,975

)

Repurchase of Senior Convertible PIK Notes

(14,886

)

(17,563

)

Taxes paid on settlement of vested share awards

(3,356

)

(465

)

CLARITEV CORPORATION
Consolidated Statements of Cash Flows (continued)
(in thousands)

Years Ended December 31,

2024

2023

Purchase of treasury stock

(10,370

)

(15,218

)

Payment of debt issuance costs

(615

)

Borrowings on finance leases, net

67

(30

)

Proceeds from issuance of common stock under Employee Stock Purchase Plan

1,095

508

Net cash used in financing activities

(41,315

)

(180,993

)

Net increase (decrease) in cash, cash equivalents and restricted cash

(51,822

)

(259,065

)

Cash, cash equivalents and restricted cash at beginning of period

81,494

340,559

Cash, cash equivalents and restricted cash at end of period

$

29,672

$

81,494

Cash and cash equivalents

$

16,848

$

71,547

Restricted cash

12,824

9,947

Cash, cash equivalents and restricted cash at end of period

$

29,672

$

81,494

Noncash investing and financing activities:

Purchases of property and equipment not yet paid

$

12,530

$

8,649

Operating lease right-of-use assets obtained in exchange for operating lease liabilities

$

5,015

$

1,304

Debt issuance costs not yet paid

4,267

Supplemental disclosure of cash flow information:

Cash paid during the period for:

Interest

$

(315,245

)

$

(323,396

)

Income taxes, net of refunds

$

(80,089

)

$

(100,083

)

CLARITEV CORPORATION
Calculation of EBITDA and Adjusted EBITDA
(in thousands)

Year Ended December 31,

2024

2023

Net loss

$

(1,645,831

)

$

(91,697

)

Adjustments:

Interest expense

326,371

333,208

Interest income

(3,130

)

(8,233

)

Income tax benefit

(124,881

)

(15,363

)

Depreciation

88,190

77,323

Amortization of intangible assets

343,883

342,694

Non-income taxes

2,338

2,283

EBITDA

$

(1,013,060

)

$

640,215

Adjustments:

Other expenses, net (1)

5,402

3,472

Loss on disposal of assets

8,595

851

Integration expenses

2,683

3,358

Change in fair value of Private Placement Warrants and Unvested Founder Shares

(477

)

(1,965

)

Transaction-related expenses

8,064

Transaction Costs - Refinancing Transaction

63,930

Gain on extinguishment of debt

(5,913

)

(53,968

)

Loss on impairment of goodwill and intangible assets

1,488,863

Stock-based compensation

26,645

18,018

Adjusted EBITDA

$

576,668

$

618,045

(1) "Other expenses, net" represents miscellaneous non-recurring expenses, impairment of other assets, gain or loss on disposal of leases, tax penalties, non-integration related severance costs, implementation costs for cloud computing arrangements, and transformation costs including internal labor.

CLARITEV CORPORATION
Calculation of Free Cash Flow, Unlevered Free Cash Flow and Adjusted Cash Conversion Ratio
(in thousands)

Year Ended December 31,

2024

2023

Net cash provided by operating activities

$

107,616

$

171,720

Purchases of property and equipment

(118,123

)

(108,852

)

Free Cash Flow

(10,507

)

62,868

Interest paid

315,245

323,396

Unlevered Free Cash Flow

$

304,738

$

386,264

Adjusted EBITDA

$

576,668

$

618,045

Adjusted Cash Conversion Ratio

53

%

62

%

Net cash used in investing activities

$

(118,123

)

$

(249,792

)

Net cash used in financing activities

$

(41,315

)

$

(180,993

)

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