Risk Factors Update Summary

• Increased potential obligations due to processing and analyzing third-party data, including PHI, may impact compliance with laws.
• Our ability to retain key customers is crucial as we depend on a core group for a significant portion of revenues. The percentage of revenues from our three largest customers decreased from 32%, 20%, and 10% to 25%, 22%, and 8% respectively.
• Incorporating advanced AI/ML capabilities may lead to reputational harm, competitive challenges, and legal liability.
• Securities class action lawsuits often target companies post-merger, with insurers paying $33.75 million.
• Launching new products, expanding services, and entering new lines of business are key to our growth strategy. We launched new products like Pro PricerTM and Balance Bill ProtectionTM in 2023.
• Transitioning from LIBOR to Term SOFR could result in higher borrowing costs over time.
• Settlement reached in Delaware Stockholder Litigation on November 17, 2023, resolving claims.
• The impact of trends in the U.S. healthcare system, including reduced healthcare utilization and increased patient financial responsibility, continues to affect our operations. The decrease in patient visits to hospitals and providers in the first half of 2020 led to operational challenges.
• Provisions in agreements may delay or prevent actions, including convening special stockholder meetings.
• Our ability to integrate acquisitions efficiently is crucial for growth. Failure to identify, complete, and integrate acquisitions, including BST, may limit our business growth and impact financial results.
• Private Placement Warrants exercisable for [numerical value] as of December 31, 2023.
• Competition and pricing pressures may impact our profitability and ability to expand operations. Increased competition from HMOs, independent PPOs, and insurance companies could compress margins and affect our market position.
• Evolving industry standards and rapid technological changes may reduce demand for our products and services. Our success depends on timely introduction of new products and services to meet customer requirements and market acceptance.
• Lawsuits and litigation risks could adversely affect our financial results and operations. Increased litigation involving multiple parties or on a class-wide basis may impact insurers' use of our products and services.