Accounts Payable and Accrued Expenses

9 Months Ended

Sep. 30, 2024

Accounts Payable and Accrued Liabilities, Current [Abstract]

Accounts Payable and Accrued Expenses

Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses as of September 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	September 30, 2024		December 31, 2023
Accounts payable	$	266,476	$	211,504
Employee-related accruals	58,606		47,462
Accrued interest	9,990		29,327
Litigation reserves	3,935		57,340
Other	91,364		46,361
Total	$	430,371	$	391,994

As previously disclosed, in February 2024, the Company learned that a cyber security threat actor had gained access to some of the information technology systems of Change Healthcare, a subsidiary of UnitedHealth Group, with which one of the Company’s third-party software providers interfaces in connection with the Company’s claims processing activity. UnitedHealth Group isolated the impacted systems upon learning of this threat and Change Healthcare suspended its claims processing activity with the Company’s software provider. The Company participated in the Optum Temporary Funding Assistance Program which was designed to provide short-term cash flow relief to providers impacted by the disruption in Change Healthcare’s services. As of September 30, 2024, the Company received $40.7 million under this program which is included in the Other category in the table above. The Company repaid the $40.7 million in October 2024. The Company has not incurred any fees, interest or other associated costs for participating in the program.