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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Mar. 31, 2020
Cash flows from operating activities:      
Net income (loss) $ (57,390) $ (112,210) $ (947,597)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:      
Depreciation and amortization 681,808 591,048 30,838
Amortization of capitalized software developed for sale 3,509 1,326  
Accretion and changes in estimate, net 25,276 11,644 15,823
Equity compensation 95,730 59,016 1,701
Deferred income tax expense (benefit) (49,060) (50,114) (143,822)
Amortization of debt discount and issuance costs 31,284 32,532 2,235
Loss on extinguishment of debt 3,885 8,924  
(Gain) loss on other investments     (15,881)
Non-cash lease expense 26,648 29,114  
Gain on sale of businesses   (59,143)  
Goodwill impairment charge     561,164
Loss from Equity Method Investment in the Joint Venture     380,713
Tax receivable agreement charges     164,633
Other, net 17,658 8,257 (1,110)
Changes in operating assets and liabilities:      
Accounts receivable, net 12,295 (6,064) (21,211)
Contract assets, net (26,114) 158  
Prepaid expenses and other assets (82,507) (87,540) (6,219)
Accounts payable 34,825 (21,407) 7,532
Accrued expenses and other liabilities (61,032) 14,178 (195,207)
Deferred revenue 40,063 166,477 11,304
Due to the Joint Venture, net     1,176
Net cash provided by (used in) operating activities 696,878 586,196 (153,928)
Cash flows from investing activities:      
Capitalized expenditures (276,276) (246,381) (13,002)
Acquisitions, net of cash acquired   (439,483) 330,667
Proceeds from sale of businesses   115,733  
Investment in the Joint Venture     (610,784)
Investment in debt and equity securities of the Joint Venture     (278,875)
Other, net (663) 2,099 7,332
Net cash provided by (used in) investing activities (276,939) (568,032) (564,662)
Cash flows from financing activities:      
Payments on Term Loan Facility (180,000) (315,000)  
Payments under tax receivable agreements (21,537) (20,691)  
Receipts (payments) on derivative instruments (22,709) (29,538) (890)
Employee tax withholding on vesting of equity compensation awards (37,751) (4,108)  
Payments on deferred financing obligations (10,991) (19,519)  
Payment of senior amortizing notes (16,384) (15,636) (11,094)
Proceeds from exercise of equity awards 8,933 17,514  
Payments on Revolving Facility   (250,000)  
Proceeds from Revolving Facility     250,000
Proceeds from issuance of Senior Notes   325,000  
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 (468) (6,800) (1,421)
Net cash provided by (used in) financing activities (280,907) (318,778) 1,125,570
Effect of exchange rate changes on cash and cash equivalents 165 3,310 16
Net increase (decrease) in cash and cash equivalents 139,197 (297,304) 406,996
Cash and cash equivalents at beginning of period 113,101 410,405 3,409
Cash and cash equivalents at end of period 252,298 113,101 410,405
Supplemental disclosures of cash flow information      
Cash paid for interest 223,658 240,232 265,633
Cash paid for income taxes 7,983 11,169 (714)
Cash paid for amounts included in the measurement of lease liabilities:      
Operating cash flows 36,729 41,262  
Financing cash flows 468 642  
Issuance of common stock upon exercise of equity awards:      
Investment in the Joint Venture     5,077
Dividend receivable     (5,077)
Change Healthcare Inc. portion of the Joint Venture equity transactions:      
Investment in the Joint Venture     13,902
Additional paid in capital     (11,133)
Accumulated other comprehensive income     (2,769)
Capitalized Expenditures:      
Property and equipment, net 9,130 2,662 5,295
Other noncurrent assets, net 30,756 25,338 14,169
Intangible assets, net 2,725 1,491 2,855
Accounts payable (24,533) (11,040) (9,843)
Accrued expenses (18,078) (18,452) $ (12,476)
Right-of-use assets obtained in exchange for lease liabilities      
Operating Leases [1] $ 3,325 16,185  
Finance Leases [1]   $ 363  
[1] Amounts exclude the impact of adopting ASC 842. See Note 2, Significant Accounting Policies.