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v3.22.1

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Cash flows from operating activities: |  |
Net income | $ 42.8 | $ 10.8
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 27.4 | 25.7
Non-cash interest expense, net | 6.1 | 1.6
Equity-based compensation expense | 3.7 | 5.2
Gain on disposals and deconsolidations, net | (0.1) | (0.9)
Deferred income taxes | 1.0 | (0.1)
Equity in earnings of unconsolidated affiliates, net of distributions received | (0.9) | (0.2)
Non-cash lease expense | 8.6 | 9.8
Changes in operating assets and liabilities, net of acquisitions and divestitures: |  |
Accounts receivable | 2.0 | 3.9
Medicare accelerated payments and deferred governmental grants | (18.0) | (7.2)
Other operating assets and liabilities | 7.2 | 1.6
Net cash provided by operating activities | 79.8 | 50.2
Cash flows from investing activities: |  |
Purchases of property and equipment | (18.2) | (14.5)
Payments for acquisitions, net of cash acquired | (31.1) | (2.1)
Proceeds from disposals of facilities and other assets | 0.0 | 2.3
Proceeds from sales of equity investments | 11.5 | 0.0
Other investing activities | (9.3) | 0.0
Net cash used in investing activities | (47.1) | (14.3)
Cash flows from financing activities: |  |
Principal payments on long-term debt | (17.0) | (16.6)
Borrowings of long-term debt | 11.9 | 0.6
Payments of debt issuance costs | 0.0 | (1.1)
Proceeds from equity offering | 0.0 | 260.9
Payments of equity offering costs | 0.0 | (12.6)
Payment of preferred dividends | 0.0 | (5.1)
Distributions to non-controlling interest holders | (36.2) | (31.3)
(Payments) receipts related to ownership transactions with non-controlling interest holders | (3.1) |
(Payments) receipts related to ownership transactions with non-controlling interest holders |  | 1.0
Other financing activities | 0.7 | (8.0)
Net cash (used in) provided by financing activities | (43.7) | 187.8
Net (decrease) increase in cash and cash equivalents | (11.0) | 223.7
Cash and cash equivalents at beginning of period | 389.9 | 318.2
Cash and cash equivalents at end of period | $ 378.9 | $ 541.9

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