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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2022
Mar. 31, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Dec. 31, 2021
Operating activities:            
Net loss $ (73,476)   $ (84,340) $ (9,849,460) $ (417,808)  
Adjustments to reconcile net loss to net cash provided by operating activities:            
Goodwill impairment 0 $ 6,600,000 0 9,630,000 0 $ 0
Depreciation and amortization       180,312 151,907  
Depreciation of rental equipment       2,185 2,500  
Amortization of right-of-use assets       9,266 8,185  
Provision for allowances       8,867 11,353  
Stock-based compensation       167,098 240,971  
Deferred income taxes       (5,942) 91,414  
Accretion of interest       2,496 46,843  
Loss on extinguishment of debt       0 40,631  
Gain on sale of investment       0 (5,901)  
Other, net       3,677 38  
Changes in operating assets and liabilities:            
Accounts receivable       (45,267) (19,407)  
Prepaid expenses and other current assets       (39,177) (34,566)  
Inventory       13,709 (2,661)  
Other assets       (22,854) (3,432)  
Accounts payable       24,067 (11,115)  
Accrued expenses and other current liabilities       70,046 15,880  
Accrued compensation       (32,028) (17,352)  
Deferred revenue       12,311 20,002  
Operating lease liabilities       (8,111) (8,202)  
Other liabilities       2,548 1,502  
Net cash provided by operating activities       123,743 110,782  
Investing activities:            
Capital expenditures       (10,285) (5,611)  
Capitalized software       (108,588) (35,402)  
Proceeds from marketable securities       2,507 50,000  
Proceeds from the sale of investment       0 10,901  
Acquisitions of businesses, net of cash acquired       0 (75,944)  
Other, net       2,514 3,150  
Net cash used in investing activities       (113,852) (52,906)  
Financing activities:            
Net proceeds from the exercise of stock options       5,646 22,956  
Repurchase of 2022 Notes       0 (139)  
Proceeds from advances from financing companies       6,807 10,677  
Payment against advances from financing companies       (11,470) (12,053)  
Proceeds from employee stock purchase plan       3,386 13,996  
Cash received for withholding taxes on stock-based compensation, net       594 3,109  
Other, net       (2,847) (4,224)  
Net cash provided by financing activities       2,116 34,322  
Net (decrease) increase in cash and cash equivalents       12,007 92,198  
Foreign exchange difference       (5,856) (1,694)  
Cash and cash equivalents at beginning of the period   $ 893,480   893,480 733,324 733,324
Cash and cash equivalents at end of the period $ 899,631   $ 823,828 899,631 823,828 $ 893,480
Income taxes paid       901 3,114  
Interest paid       $ 8,688 $ 10,380