through december 31 , 2020 , hst 's impact on revenues and net earnings was not material . in connection with the hst acquisition , the company incurred transaction costs . the transaction costs have been expensed as incurred and these amounts , totaling $ 0.9 million for the year ended december 31 , 2020 , are included in general and administrative expenses in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income . uncertainty relating to the covid-19 pandemic covid-19 has negatively impacted our business , results of operations and financial condition during 2020. effects from covid-19 began to impact our business in first quarter 2020 with various federal , state , and local governments and private entities mandating restrictions on travel , restrictions on public gatherings , closure of non-essential commerce , and shelter in place orders . the company experienced an approximately 4.6 % decline in revenues for the year ended december 31 , 2020 compared to 2019 primarily due to reduced volume from customers as a result of restrictions on elective medical procedures and non-essential medical services . the extent of the ultimate impact will depend on the severity and duration of the pandemic . future developments are highly uncertain , including the widespread availability and distribution of covid-19 vaccines , the emergence of highly contagious variants , and any actions taken by federal , state and local governments such as economic relief efforts , as well as u.s. and global economies and consumer behavior and health care utilization patterns . we have temporarily closed all of our offices and restricted travel due to concern for our employees ' health and safety and also in compliance with state shelter in place orders . most of our approximately 2,000 employees are working remotely . other than these modifications , we have not experienced any material changes to our operations including receiving and processing transactions with our customers as a result of covid-19 . the covid-19 pandemic is evolving rapidly . we believe covid-19 's impact on our businesses , operating results , cash flows and or financial condition primarily will be driven by the severity and duration of the pandemic ; the pandemic 's impact on the u.s. and global economies and consumer behavior and health care utilization patterns ; and the timing , scope and impact of stimulus legislation as well as other federal , state and local governmental responses to the pandemic . those primary drivers are beyond our knowledge and control . covid-19 will continue to impact our businesses , operating results , cash flows and or financial condition but it is uncertain if such impact will become more adverse or material as explained above . the cares act was enacted on march 27 , 2020 and included certain changes to corporate income taxes . specifically , the cares act provides numerous tax provisions and other stimulus measures , including temporary changes regarding the prior and future utilization of net operating losses , temporary changes to the prior and future limitations on interest deductions , temporary suspension of certain payment requirements for the employer portion of social security taxes , technical corrections from prior tax legislation for tax depreciation of certain qualified improvement property , and the creation of certain payroll tax credits associated with the retention of employees . we assessed these impacts and noted the largest impact is due to the tax law change related to the interest disallowance rules retroactive to 2019. the other aspects of the cares act did not have a material effect on us . see note 12 income taxes of the notes to consolidated financial statements for additional information . factors affecting our results of operations key technology our strength as a company is our ability to use data and analytics to develop new service opportunities to enhance our customer relationships and to increase revenues . we use technology , data and analytics to transform healthcare transactions into multiple opportunities for savings and recurring revenues by leveraging data and analytics to inform our transaction processing systems ( i.e . , our claims processing systems ) . the transaction processing systems generate savings for our customers , revenues for us and each transaction adds more data to our intelligence engine and data warehouse . the intelligence engine drives our analytics and development of new saving opportunities and revenue growth through service enhancement or new product development . our technology also contributes to our ability to efficiently process our transactions through edi batch files , real time web services and online through customer and provider portals . we believe our current infrastructure can support significantly more than the current transaction volume giving us room for growth and increased volume . our application platforms are architected and built with redundancy to eliminate downtime . all of the claims processed in our system are received via edi or direct web service integration . as we process more claims through edi and direct service integration , our electronic integration with customers results in substantial back office interconnectivity and considerably reduces complexity and processing failures . 44 because we believe our transaction processing systems are scalable , we should be able to absorb significant increases in volume at minimal marginal costs . our integration into our customers ' systems and processes is an important component of our business model . medical cost savings our business and revenues are driven by the ability to lower medical costs through claims savings for our customers . the medical charges of those claims can influence our ability to generate claim savings . the following table presents the medical charges processed and the potential savings identified for the periods presented : replace_table_token_1_th _ ( 1 ) medical charges processed represents the aggregate dollar amount of claims processed by our cost management solutions in the period presented . story_separator_special_tag debt refinancings , repayments and repricing we made several principal prepayments of the term loan g principal in the amounts of $ 369.0 million , $ 100.0 million and $ 245.0 million for the years ended december 31 , 2020 , 2019 and 2018 , respectively . these prepayments reduce interest expense for term loan g for these and future time periods . in connection with the issuance of our debt instruments , the company incurred specific expenses related to raising the debt , including commissions , fees and expenses of investment bankers and underwriters , registration and listing fees , accounting and legal fees pertaining to the financing and other external , incremental expenses paid to advisors that were directly attributable to realizing the proceeds of the debt issues . these costs were capitalized and are being amortized over the term of the related debt using the effective interest method . the amortization of the debt issuance costs , premiums and discounts are included in interest expense in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income . during the year-ended december 31 , 2019 , we repurchased and cancelled $ 121.3 million of the senior pik notes . the cash repurchase of $ 101.0 million resulted in the recognition of a gain of $ 18.5 million as well as a write off of the pro-rata share of debt issue costs of $ 1.0 million and discount of $ 0.8 million . in the years ended december 31 , 2019 , 2018 , and 2017 , we did not recognize expense for the portions of debt issuance costs related to the amounts of the principal loan prepayments of term loan g made in each year , which resulted in an understatement of long-term debt of $ 2.3 million as of december 31 , 2019. we corrected this error as an out-of-period adjustment resulting in an overstatement of interest expense of $ 2.3 million in the year ended december 31 , 2020. on october 8 , 2020 , the company issued and sold $ 1,300.0 million in aggregate principal amount of the senior convertible pik notes . the senior convertible pik notes were issued with a 2.5 % discount with a maturity date of october 15 , 2027. the senior convertible pik notes will accrue interest at a rate per annum equal to six percent ( 6.00 % ) with respect to cash interest and seven percent ( 7.00 % ) with respect to pik interest . the company must elect prior to the third business day prior to any interest payment date to pay cash interest or pik interest for such interest period ; provided that prior to any such election , the company is deemed to have selected cash interest . on october 8 , 2020 , we redeemed the senior pik notes in full at a redemption price of 102.000 % of the principal amount plus accrued and unpaid interest for a total redemption price of $ 1,237.6 million . on october 29 , 2020 , mph issued $ 1,300.0 million in aggregate principal amount of its 5.750 % notes and redeemed the 7.125 % notes in full at a redemption price of 103.563 % of the principal amount plus accrued and unpaid interest for a total redemption price of $ 1,661.3 million . the company also entered into an amendment to increase the commitments under its senior secured revolving credit facility from $ 100.0 million to $ 450.0 million . stock-based compensation prior to the consummation of the transactions , we were a wholly owned subsidiary of holdings and our stock-based compensation was granted to employees in the form of units via a class b unit award agreement . see note 15 stock-based compensation of the notes to consolidated financial statements for additional information . the consummation of the transactions constituted a definitive liquidity event under the agreements governing the unit awards and as a result all unvested units vested on october 7 , 2020 and the fair value of the outstanding units were adjusted to the cumulative exit value of the class b units of $ 475.5 million , which reflects the transaction value plus prior distributions . the company removed the discount for lack of marketability . therefore , the company recorded a stock-based compensation expense for class b units of $ 405.8 million during the year ended december 31 , 2020. the company recorded these awards 50 within shareholders ' equity as an equity contribution from holdings based on the fair value of the outstanding units at each reporting period . the settlement of these awards was made in a combination of cash and shares of class a common stock and was included in the aggregate consideration paid to the company 's owners . after the consummation of the transactions , the company operates under the 2020 omnibus incentive plan effective october 8 , 2020. to date , awards granted under the 2020 omnibus incentive plan have been in the form of employee rs and director rsus . the company granted 1,500,000 shares of employee rs and 42,847 shares of director rsus during the year ended december 31 , 2020. the company recorded stock-based compensation expense under the 2020 omnibus incentive plan of $ 0.2 million in general and administrative expenses in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income during the year ended december 31 , 2020. there was $ 13.4 million of unrecognized compensation cost as of december 31 , 2020 related to the outstanding shares of employee rs and director rsus , which is expected to be recognized over a weighted average period of 3 years , 9 months . 51 results of operations for the years ended december 31 , 2020 and december 31 , 2019 the following table provides the results of operations for the periods indicated : replace_table_token_4_th nm = not meaningful revenues revenues

cash flows from operating activities for the year ended december 31 , 2020 as compared to the year ended december 31 , 2019 cash flows from operating activities provided $ 377.4 million for the year ended december 31 , 2020 and $ 284.3 million for the year ended december 31 , 2019. this $ 93.1 million , or 32.7 % , increase in cash flows from operating activities was primarily the result of increases in net income after adjusting for non-cash items of $ 69.4 million and changes in net working capital of $ 23.7 million . the increase of net income adjusted for non-cash items of $ 69.4 million was due to an increase of non-cash items of $ 599.7 million partially offset by an increase in net loss of $ 530.3 million . the $ 599.7 million increase in non-cash items was primarily due to an increase in stock-based compensation of $ 420.9 million , increase in loss on extinguishment of debt of $ 121.4 million , change in the deferred tax benefit of $ 66.4 million , loss on investments of $ 12.2 million , and the increase in non-cash interest costs of $ 9.5 million including increases in debt issue costs , increases in depreciation expense of $ 4.8 million , increase in amortization of intangible assets $ 0.6 million , and loss on disposal of assets of $ 0.4 million , offset by the change in fair value of private placement warrants and unvested founder shares of $ 35.4 million and decrease in the amortization of right-of-use-asset of $ 1.2 million . the increase in net loss of $ 530.3 million was primarily the result of reductions in revenues , increases in costs of services , general and administrative expenses , depreciation , and loss on debt extinguishment , offset by reductions in interest expense , increases in change in fair value of private placement warrants and unvested founder shares , increases in the benefit for income taxes , and increases in interest income as explained above .


 Write a concise suspicious activity report of the following text delimited by triple backquotes. Return your response as a formal report which covers the key points highlighting the location,dates,entity names and account holder information in chronological order of the text.
     ```cash flows from operating activities for the year ended december 31 , 2020 as compared to the year ended december 31 , 2019 cash flows from operating activities provided $ 377.4 million for the year ended december 31 , 2020 and $ 284.3 million for the year ended december 31 , 2019. this $ 93.1 million , or 32.7 % , increase in cash flows from operating activities was primarily the result of increases in net income after adjusting for non-cash items of $ 69.4 million and changes in net working capital of $ 23.7 million . the increase of net income adjusted for non-cash items of $ 69.4 million was due to an increase of non-cash items of $ 599.7 million partially offset by an increase in net loss of $ 530.3 million . the $ 599.7 million increase in non-cash items was primarily due to an increase in stock-based compensation of $ 420.9 million , increase in loss on extinguishment of debt of $ 121.4 million , change in the deferred tax benefit of $ 66.4 million , loss on investments of $ 12.2 million , and the increase in non-cash interest costs of $ 9.5 million including increases in debt issue costs , increases in depreciation expense of $ 4.8 million , increase in amortization of intangible assets $ 0.6 million , and loss on disposal of assets of $ 0.4 million , offset by the change in fair value of private placement warrants and unvested founder shares of $ 35.4 million and decrease in the amortization of right-of-use-asset of $ 1.2 million . the increase in net loss of $ 530.3 million was primarily the result of reductions in revenues , increases in costs of services , general and administrative expenses , depreciation , and loss on debt extinguishment , offset by reductions in interest expense , increases in change in fair value of private placement warrants and unvested founder shares , increases in the benefit for income taxes , and increases in interest income as explained above .
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 Suspicious Activity Report : through december 31 , 2020 , hst 's impact on revenues and net earnings was not material . in connection with the hst acquisition , the company incurred transaction costs . the transaction costs have been expensed as incurred and these amounts , totaling $ 0.9 million for the year ended december 31 , 2020 , are included in general and administrative expenses in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income . uncertainty relating to the covid-19 pandemic covid-19 has negatively impacted our business , results of operations and financial condition during 2020. effects from covid-19 began to impact our business in first quarter 2020 with various federal , state , and local governments and private entities mandating restrictions on travel , restrictions on public gatherings , closure of non-essential commerce , and shelter in place orders . the company experienced an approximately 4.6 % decline in revenues for the year ended december 31 , 2020 compared to 2019 primarily due to reduced volume from customers as a result of restrictions on elective medical procedures and non-essential medical services . the extent of the ultimate impact will depend on the severity and duration of the pandemic . future developments are highly uncertain , including the widespread availability and distribution of covid-19 vaccines , the emergence of highly contagious variants , and any actions taken by federal , state and local governments such as economic relief efforts , as well as u.s. and global economies and consumer behavior and health care utilization patterns . we have temporarily closed all of our offices and restricted travel due to concern for our employees ' health and safety and also in compliance with state shelter in place orders . most of our approximately 2,000 employees are working remotely . other than these modifications , we have not experienced any material changes to our operations including receiving and processing transactions with our customers as a result of covid-19 . the covid-19 pandemic is evolving rapidly . we believe covid-19 's impact on our businesses , operating results , cash flows and or financial condition primarily will be driven by the severity and duration of the pandemic ; the pandemic 's impact on the u.s. and global economies and consumer behavior and health care utilization patterns ; and the timing , scope and impact of stimulus legislation as well as other federal , state and local governmental responses to the pandemic . those primary drivers are beyond our knowledge and control . covid-19 will continue to impact our businesses , operating results , cash flows and or financial condition but it is uncertain if such impact will become more adverse or material as explained above . the cares act was enacted on march 27 , 2020 and included certain changes to corporate income taxes . specifically , the cares act provides numerous tax provisions and other stimulus measures , including temporary changes regarding the prior and future utilization of net operating losses , temporary changes to the prior and future limitations on interest deductions , temporary suspension of certain payment requirements for the employer portion of social security taxes , technical corrections from prior tax legislation for tax depreciation of certain qualified improvement property , and the creation of certain payroll tax credits associated with the retention of employees . we assessed these impacts and noted the largest impact is due to the tax law change related to the interest disallowance rules retroactive to 2019. the other aspects of the cares act did not have a material effect on us . see note 12 income taxes of the notes to consolidated financial statements for additional information . factors affecting our results of operations key technology our strength as a company is our ability to use data and analytics to develop new service opportunities to enhance our customer relationships and to increase revenues . we use technology , data and analytics to transform healthcare transactions into multiple opportunities for savings and recurring revenues by leveraging data and analytics to inform our transaction processing systems ( i.e . , our claims processing systems ) . the transaction processing systems generate savings for our customers , revenues for us and each transaction adds more data to our intelligence engine and data warehouse . the intelligence engine drives our analytics and development of new saving opportunities and revenue growth through service enhancement or new product development . our technology also contributes to our ability to efficiently process our transactions through edi batch files , real time web services and online through customer and provider portals . we believe our current infrastructure can support significantly more than the current transaction volume giving us room for growth and increased volume . our application platforms are architected and built with redundancy to eliminate downtime . all of the claims processed in our system are received via edi or direct web service integration . as we process more claims through edi and direct service integration , our electronic integration with customers results in substantial back office interconnectivity and considerably reduces complexity and processing failures . 44 because we believe our transaction processing systems are scalable , we should be able to absorb significant increases in volume at minimal marginal costs . our integration into our customers ' systems and processes is an important component of our business model . medical cost savings our business and revenues are driven by the ability to lower medical costs through claims savings for our customers . the medical charges of those claims can influence our ability to generate claim savings . the following table presents the medical charges processed and the potential savings identified for the periods presented : replace_table_token_1_th _ ( 1 ) medical charges processed represents the aggregate dollar amount of claims processed by our cost management solutions in the period presented . story_separator_special_tag debt refinancings , repayments and repricing we made several principal prepayments of the term loan g principal in the amounts of $ 369.0 million , $ 100.0 million and $ 245.0 million for the years ended december 31 , 2020 , 2019 and 2018 , respectively . these prepayments reduce interest expense for term loan g for these and future time periods . in connection with the issuance of our debt instruments , the company incurred specific expenses related to raising the debt , including commissions , fees and expenses of investment bankers and underwriters , registration and listing fees , accounting and legal fees pertaining to the financing and other external , incremental expenses paid to advisors that were directly attributable to realizing the proceeds of the debt issues . these costs were capitalized and are being amortized over the term of the related debt using the effective interest method . the amortization of the debt issuance costs , premiums and discounts are included in interest expense in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income . during the year-ended december 31 , 2019 , we repurchased and cancelled $ 121.3 million of the senior pik notes . the cash repurchase of $ 101.0 million resulted in the recognition of a gain of $ 18.5 million as well as a write off of the pro-rata share of debt issue costs of $ 1.0 million and discount of $ 0.8 million . in the years ended december 31 , 2019 , 2018 , and 2017 , we did not recognize expense for the portions of debt issuance costs related to the amounts of the principal loan prepayments of term loan g made in each year , which resulted in an understatement of long-term debt of $ 2.3 million as of december 31 , 2019. we corrected this error as an out-of-period adjustment resulting in an overstatement of interest expense of $ 2.3 million in the year ended december 31 , 2020. on october 8 , 2020 , the company issued and sold $ 1,300.0 million in aggregate principal amount of the senior convertible pik notes . the senior convertible pik notes were issued with a 2.5 % discount with a maturity date of october 15 , 2027. the senior convertible pik notes will accrue interest at a rate per annum equal to six percent ( 6.00 % ) with respect to cash interest and seven percent ( 7.00 % ) with respect to pik interest . the company must elect prior to the third business day prior to any interest payment date to pay cash interest or pik interest for such interest period ; provided that prior to any such election , the company is deemed to have selected cash interest . on october 8 , 2020 , we redeemed the senior pik notes in full at a redemption price of 102.000 % of the principal amount plus accrued and unpaid interest for a total redemption price of $ 1,237.6 million . on october 29 , 2020 , mph issued $ 1,300.0 million in aggregate principal amount of its 5.750 % notes and redeemed the 7.125 % notes in full at a redemption price of 103.563 % of the principal amount plus accrued and unpaid interest for a total redemption price of $ 1,661.3 million . the company also entered into an amendment to increase the commitments under its senior secured revolving credit facility from $ 100.0 million to $ 450.0 million . stock-based compensation prior to the consummation of the transactions , we were a wholly owned subsidiary of holdings and our stock-based compensation was granted to employees in the form of units via a class b unit award agreement . see note 15 stock-based compensation of the notes to consolidated financial statements for additional information . the consummation of the transactions constituted a definitive liquidity event under the agreements governing the unit awards and as a result all unvested units vested on october 7 , 2020 and the fair value of the outstanding units were adjusted to the cumulative exit value of the class b units of $ 475.5 million , which reflects the transaction value plus prior distributions . the company removed the discount for lack of marketability . therefore , the company recorded a stock-based compensation expense for class b units of $ 405.8 million during the year ended december 31 , 2020. the company recorded these awards 50 within shareholders ' equity as an equity contribution from holdings based on the fair value of the outstanding units at each reporting period . the settlement of these awards was made in a combination of cash and shares of class a common stock and was included in the aggregate consideration paid to the company 's owners . after the consummation of the transactions , the company operates under the 2020 omnibus incentive plan effective october 8 , 2020. to date , awards granted under the 2020 omnibus incentive plan have been in the form of employee rs and director rsus . the company granted 1,500,000 shares of employee rs and 42,847 shares of director rsus during the year ended december 31 , 2020. the company recorded stock-based compensation expense under the 2020 omnibus incentive plan of $ 0.2 million in general and administrative expenses in the accompanying consolidated statements of ( loss ) income and comprehensive ( loss ) income during the year ended december 31 , 2020. there was $ 13.4 million of unrecognized compensation cost as of december 31 , 2020 related to the outstanding shares of employee rs and director rsus , which is expected to be recognized over a weighted average period of 3 years , 9 months . 51 results of operations for the years ended december 31 , 2020 and december 31 , 2019 the following table provides the results of operations for the periods indicated : replace_table_token_4_th nm = not meaningful revenues revenues

