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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash flows from operating activities: |  |
Net income | $ 901,492 | $ 726,406
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 549,758 | 550,166
Loss on extinguishment of debt | 12,527 | 7,132
Stock-based compensation expense | 75,392 | 82,313
Deferred income taxes | (53,713) | (17,767)
Equity investment loss, net | 91,100 | 40,121
Gain on changes in ownership interest | (35,147) | 0
Other non-cash losses, net | 24,159 | 1,633
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: |  |
Accounts receivable | (175,643) | 118,148
Increase (Decrease) in Inventories | 20,495 | 290
Other current assets | 72,477 | 31,842
Other long-term assets | (12,858) | 1,101
Accounts payable | (43,414) | (33,837)
Accrued compensation and benefits | 27,314 | 65,279
Other current liabilities | 35,646 | 10,822
Income taxes | (7,528) | (1,878)
Other long-term liabilities | (7,646) | (7,945)
Net cash provided by operating activities | 1,474,411 | 1,573,826
Cash flows from investing activities: |  |
Additions of property and equipment | (384,786) | (409,011)
Acquisitions | (161,210) | (7,990)
Proceeds from asset and business sales | 17,937 | 24,907
Purchase of debt investments held-to-maturity | (15,319) | (30,419)
Purchase of other debt and equity investments | (8,784) | (6,693)
Proceeds from debt investments held-to-maturity | 22,092 | 94,414
Proceeds from sale of other debt and equity investments | 4,558 | 3,930
Purchase of equity method investments | (4,497) | (276,006)
Distributions from equity method investments | 6,554 | 3,364
Net cash used in investing activities | (523,455) | (603,504)
Cash flows from financing activities: |  |
Borrowings | 6,623,634 | 2,468,335
Payments on long-term debt | (5,437,907) | (2,992,248)
Deferred and debt related financing costs | (46,011) | (53,466)
Purchase of treasury stock | (1,020,550) | 0
Distributions to noncontrolling interests | (229,236) | (203,381)
Net payments related to stock purchases and awards | (112,496) | (41,155)
Contributions from noncontrolling interests | 10,623 | 11,579
Proceeds from sales of additional noncontrolling interests | 860 | 50,962
Purchases of noncontrolling interests | (40,751) | (7,875)
Net cash used in financing activities | (251,834) | (767,249)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (5,112) | 3,063
Net increase in cash, cash equivalents and restricted cash | 694,010 | 206,136
Cash, cash equivalents and restricted cash at beginning of the year | 464,634 | 338,989
Cash, cash equivalents and restricted cash at end of the period | $ 1,158,644 | $ 545,125

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