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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2021 | Sep. 30, 2020
Cash Flows From Operating Activities |  |
Net loss | $ (159,094) | $ (336,900)
Adjustments to reconcile net loss to net cash provided by operating activities: |  |
Depreciation and amortization | 392,513 | 176,200
Bad debt expense | 6,832 | 1,830
Deferred income tax benefit | (11,076) | (7,420)
Share-based compensation | 3,054 | 26,344
Gain (Loss) on Disposition of Business | 0 | (1,052)
Deferred finance charges | 9,050 | 3,140
Other operating activities | 3,565 | (3,902)
Changes in operating assets and liabilities: |  |
Accounts receivable | 114,038 | 129,398
Prepaid expenses | (887) | (13,335)
Other assets | 60,749 | 62,818
Accounts payable | 13,550 | (8,394)
Accrued expenses and other current liabilities | 90,439 | (65,062)
Deferred revenues | (116,312) | (93,926)
Operating lease right of use assets | 16,838 | 5,826
Operating lease liabilities | (37,362) | (6,611)
Other liabilities | 2,905 | 2,077
Net cash provided by operating activities | 305,515 | 128,022
Cash Flows From Investing Activities |  |
Capital expenditures | (86,197) | (78,597)
Acquisitions, net of cash acquired | (14,314) | (885,323)
Acquisition of intangible assets | 0 | (5,982)
Proceeds from sale of product line, net of restricted cash | 0 | 3,751
Net cash used in investing activities | (100,511) | (966,151)
Cash Flows From Financing Activities |  |
Proceeds from Issuance of Long-term Debt | 2,000,000 |
Principal payments on term loan | (21,450) | (9,450)
Repayments of revolving credit facility | 0 | (65,000)
Payment of debt issuance costs | (7,471) | (5,267)
Contingent purchase price payment | 0 | (4,115)
Proceeds from issuance of debt |  | 360,000
Extinguishment of debt | (157,424) |
Payments for Repurchase of Equity | (65,215) |
Payments of Dividends | (1) |
Proceeds from issuance of ordinary shares | 728,080 | 843,752
Proceeds from Issuance of Convertible Preferred Stock | 1,392,671 |
Proceeds from warrant exercises | 0 | 277,526
Proceeds from stock options exercised | 17,250 | 1,307
Payments related to tax withholding for stock-based compensation | (21,455) | (28,674)
Net cash provided by financing activities | 3,864,985 | 1,370,079
Effects of exchange rates | (4,860) | (6,447)
Net increase in cash and cash equivalents, and restricted cash | 4,065,129 | 525,503
Cash: |  |
Cash and cash equivalents | 2,479,880 | 601,075
Restricted cash | 1,857,657 | 567
Total cash and cash equivalents, and restricted cash | 4,337,537 | 601,642
Supplemental Cash Flow Information: |  |
Cash paid for interest | 97,401 | 61,796
Cash paid for income tax | 22,387 | 20,147
Capital expenditures included in accounts payable | 6,612 | 922
Stock Issued | 62,724 |
Noncash Financing Items [Abstract] |  |
Treasury Stock, Retired, Cost Method, Amount | (5,117,380) |
Gain (Loss) on Foreign Currency Forward Contracts | 4,026 | (2,903)
Mark to Market Loss on Contingent Shares | (25,085) | 30,839
Fair Value Adjustment of Warrants | (113,207) | 224,175
Noncash Impairment, Leases | 50,979 | $ 4,880
DRG |  |
Noncash Financing Items [Abstract] |  |
Value of stock issued | $ 61,619 |

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