| In millions, except per share items | Dec-31-22 | Dec-31-21 | Dec-31-20 | Dec-31-19 | Dec-31-18 | Dec-31-17 | Dec-31-16 | Dec-31-15 |
| | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K |
| Revenues: |
| Services | | | | | 547.4 | | | |
| Services revenue | | | | | 533.1 | 435.0 | | |
| Platform and operations services | | | | 671.9 | 500.2 | 405.5 | | |
| True Health | | | | | 94.8 | | | |
| Other | | | | 15.2 | | | | |
| Total revenues [+] | 1,352.0 | 908.0 | 924.6 | 687.1 | 627.1 | 435.0 | 254.2 | 96.9 |
| Technology services | | | | | | | | 19.9 |
| License and services | | | | | | | | 77.0 |
| Revenue growth [+] | 48.9% | -1.8% | 34.6% | 9.6% | 44.2% | 71.1% | 162.4% | |
| Services revenue | | | | | 22.6% | | | |
| Platform and operations services | | | | 34.3% | 23.4% | | | |
| Cost of goods sold | 1,011.9 | 670.8 | 700.4 | 513.0 | 327.8 | 269.4 | 155.2 | 57.4 |
| Gross profit | 340.1 | 237.1 | 224.2 | 174.1 | 299.2 | 165.6 | 99.0 | 39.5 |
| Gross margin | 25.2% | 26.1% | 24.2% | 25.3% | 47.7% | 38.1% | 39.0% | 40.8% |
| Selling, general and administrative | 269.3 | 219.5 | 210.4 | 236.4 | 235.4 | 205.7 | 160.7 | 75.3 |
| Equity in earnings | 4.6 | 13.2 | 10.0 | -9.5 | -4.7 | -1.8 | -0.8 | -28.2 |
| Other operating expenses | -2.2 | 0.8 | -3.9 | | 70.9 | | | |
| Adjusted EBITDA | 111.6 | 46.7 | 42.9 | -55.6 | 5.8 | -21.4 | -40.0 | -49.2 |
| Adjusted EBITDA margin | 8.3% | 5.1% | 4.6% | -8.1% | 0.9% | -4.9% | -15.7% | -50.8% |
| Stock-based compensation | 34.0 | 16.7 | 14.6 | 15.6 | 17.6 | 20.4 | 22.5 | 14.7 |
| EBITDA [+] | 77.6 | 30.0 | 28.3 | -71.2 | -11.8 | -41.8 | -62.5 | -64.0 |
| EBITDA growth | 158.7% | 5.9% | -139.8% | 503.4% | -71.8% | -33.1% | -2.3% | 153.4% |
| EBITDA margin | 5.7% | 3.3% | 3.1% | -10.4% | -1.9% | -9.6% | -24.6% | -66.0% |
| Depreciation | 32.0 | 30.6 | 29.2 | 23.8 | 17.3 | 9.6 | 4.7 | 1.4 |
| EBITA | 45.6 | -0.7 | -0.8 | -95.0 | -29.1 | -51.4 | -67.2 | -65.3 |
| EBITA margin | 3.4% | -0.1% | -0.1% | -13.8% | -4.6% | -11.8% | -26.5% | -67.4% |
| Amortization of intangibles | 35.2 | 29.4 | 32.3 | 37.1 | 27.2 | 22.8 | 12.5 | 5.8 |
| EBIT [+] | 10.4 | -30.1 | -33.2 | -132.1 | -56.3 | -74.2 | -79.7 | -71.1 |
| EBIT growth | -134.6% | -9.3% | -74.9% | 134.6% | -24.1% | -7.0% | 12.1% | 181.8% |
| EBIT margin | 0.8% | -3.3% | -3.6% | -19.2% | -9.0% | -17.1% | -31.4% | -73.4% |
| Non-recurring items [+] | 2.2 | -0.8 | 219.7 | 186.2 | -4.1 | 0.4 | 158.5 | |
| Asset impairment | | | 215.1 | 199.8 | | | 160.6 | |
| Loss (gain) on sale of assets | | | 0.7 | -9.6 | | | | |
| Unusual expense | 25.7 | -14.1 | | | | | | |
| Loss on contingent liability | -23.5 | 13.3 | 3.9 | -4.0 | -4.1 | 0.4 | -2.1 | |
| Interest expense, net [+] | 14.2 | 25.0 | 25.7 | 11.1 | 2.0 | 2.0 | -0.7 | -0.3 |
| Interest expense | 15.6 | 25.4 | 28.3 | 14.6 | 5.5 | 3.6 | 0.2 | |
| Interest income | 1.4 | 0.4 | 2.6 | 3.4 | 3.4 | 1.7 | 1.0 | 0.3 |
| Other income (expense), net [+] | -56.1 | 24.4 | -52.0 | -0.5 | 0.1 | 0.2 | 0.0 | 414.1 |
| Other | 0.1 | -0.1 | -0.1 | | | | | |
| Pre-tax income | -62.1 | -29.8 | -330.5 | -330.0 | -54.2 | -76.4 | -237.5 | 343.3 |
| Income taxes | -43.4 | 0.5 | -2.4 | -22.8 | 0.0 | -6.6 | -10.8 | 23.5 |
| Tax rate | 69.9% | | 0.7% | 6.9% | | 8.7% | 4.5% | 6.8% |
| Minority interest | | | | -3.6 | -1.5 | -9.1 | -67.0 | -12.7 |
| Earnings from continuing ops | -19.2 | -37.6 | -334.2 | -303.6 | -52.7 | -60.7 | -159.7 | 330.3 |
| Earnings from discontinued ops | | 0.0 | 0.0 | 1.6 | | | | |
| Net income | -19.2 | -37.6 | -334.2 | -302.0 | -52.7 | -60.7 | -159.7 | 330.3 |
| Net margin | -1.4% | -4.1% | -36.1% | -43.9% | -8.4% | -13.9% | -62.8% | 341.0% |
| |
| Basic EPS [+] | ($0.20) | ($0.44) | ($3.94) | ($3.69) | ($0.68) | ($0.94) | ($3.55) | $13.14 |
| Growth | -53.2% | -88.9% | 6.8% | 441.3% | -27.8% | -73.4% | -127.0% | -197.7% |
| Diluted EPS [+] | ($0.20) | ($0.44) | ($3.94) | ($3.69) | ($0.68) | ($0.94) | ($3.55) | $7.16 |
| Growth | -53.2% | -88.9% | 6.8% | 441.3% | -27.8% | -73.4% | -149.5% | -153.2% |
| |
| Shares outstanding (basic) [+] | 93.7 | 86.1 | 84.9 | 82.4 | 77.3 | 64.4 | 45.0 | 25.1 |
| Growth | 8.9% | 1.3% | 3.1% | 6.5% | 20.2% | 42.9% | 79.2% | 986.0% |
| Shares outstanding (diluted) [+] | 93.7 | 86.1 | 84.9 | 82.4 | 77.3 | 64.4 | 45.0 | 46.1 |
| Growth | 8.9% | 1.3% | 3.1% | 6.5% | 20.2% | 42.9% | -2.4% | 1893.8% |
| |
| EBIT is a non-GAAP figure that excludes all non-recurring expenses: restructuring costs, asset impairments, IPR&D writeoffs, and other unusual charges. |