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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Mar. 31, 2019
Cash flows from operating activities:      
Net income (loss) $ (112,210) $ (947,597) $ (52,012)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:      
Depreciation and amortization 591,048 30,838  
Amortization of capitalized software developed for sale 1,326    
Accretion and changes in estimate, net 11,644 15,823  
Equity compensation 59,016 1,701  
Deferred income tax expense (benefit) (50,114) (143,822) (18,595)
Amortization of debt discount and issuance costs 32,532 2,235  
Contingent consideration (3,000)    
Gain on sale of businesses (59,143)    
Loss on extinguishment of debt 8,924    
(Gain) loss on other investments   (15,881)  
Non-cash lease expense 29,114    
Goodwill impairment charge   561,164  
Loss from Equity Method Investment in the Joint Venture   380,713 70,487
Tax receivable agreement charges   164,633  
Other, net 11,257 (1,110) (661)
Changes in operating assets and liabilities:      
Accounts receivable, net (6,064) (21,211)  
Contract assets, net 158    
Prepaid expenses and other assets (87,540) (6,219) 14,047
Accounts payable (21,407) 7,532  
Accrued expenses and other liabilities 14,178 (195,207) (125)
Deferred revenue 166,477 11,304  
Due to the Joint Venture, net   1,176 (9,733)
Net cash provided by (used in) operating activities 586,196 (153,928) 3,408
Cash flows from investing activities:      
Capitalized expenditures (246,381) (13,002)  
Acquisitions, net of cash acquired (439,483) 330,667  
Proceeds from sale of businesses 115,733    
Investments in businesses
Investment in the Joint Venture   (610,784)  
Investment in debt and equity securities of the Joint Venture   (278,875)  
Other, net 2,099 7,332 6,503
Net cash provided by (used in) investing activities (568,032) (564,662) 6,503
Cash flows from financing activities:      
Payments on Revolving Facility (250,000)    
Proceeds from Revolving Facility   250,000  
Payments on Term Loan Facility (315,000)    
Proceeds from issuance of Senior Notes 325,000    
Payments under tax receivable agreements (20,691)    
Receipts (payments) on derivative instruments (29,538) (890)  
Employee tax withholding on vesting of equity compensation awards (4,108)    
Payments on deferred financing obligations (19,519)    
Payment of senior amortizing notes (15,636) (11,094)  
Proceeds from exercise of equity awards 17,514    
Proceeds from initial public offering, net of issuance costs   608,679  
Proceeds from issuance of equity component of tangible equity units, net of issuance costs   232,929  
Proceeds from issuance of debt component of tangible equity units   47,367  
Other, net (6,800) (1,421) (6,502)
Net cash provided by (used in) financing activities (318,778) 1,125,570 (6,502)
Effect of exchange rate changes on cash and cash equivalents 3,310 16  
Net increase (decrease) in cash and cash equivalents (297,304) 406,996 3,409
Cash and cash equivalents at beginning of period 410,405 3,409  
Cash and cash equivalents at end of period 113,101 410,405 3,409
Supplemental disclosures of cash flow information      
Cash paid for interest 240,232 265,633  
Cash paid for income taxes 11,169 (714)  
Cash paid for amounts included in the measurement of lease liabilities:      
Operating cash flows 41,262    
Financing cash flows 642    
Issuance of common stock upon exercise of equity awards:      
Investment in the Joint Venture   5,077 1,297
Dividend receivable   (5,077) 1,297
Change Healthcare Inc. portion of the Joint Venture equity transactions:      
Investment in the Joint Venture   13,902 (2,377)
Additional paid in capital   (11,133) (6,043)
Accumulated other comprehensive income   (2,769) $ (8,420)
Capitalized Expenditures:      
Property and equipment, net 2,662 5,295  
Other noncurrent assets, net 25,338 14,169  
Intangible assets, net 1,491 2,855  
Accounts payable (11,040) (9,843)  
Accrued expenses (18,452) $ (12,476)  
Right-of-use assets obtained in exchange for lease liabilities      
Operating Leases [1] 16,185    
Finance Leases [1] $ 363    
[1] Amounts exclude the impact of adopting ASC 842. See Note 2, Significant Accounting Policies.