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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Cash flows from operating activities: |  |
Net income | $ 24.3 | $ 1.2
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 33.7 | 33.7
Non-cash lease expense | 9.0 | 9.0
Non-cash interest expense, net | 1.5 | 6.5
Equity-based compensation expense | 4.9 | 4.2
Net loss on disposals, consolidations and deconsolidations | 1.5 | 10.5
Deferred income taxes | 2.5 | (1.8)
Equity in earnings of unconsolidated affiliates, net of distributions received | 1.0 | (0.2)
Changes in operating assets and liabilities, net of acquisitions and divestitures: |  |
Accounts receivable | 5.4 | 8.8
Other operating assets and liabilities | (43.1) | 2.6
Net cash provided by operating activities | 40.7 | 74.5
Cash flows from investing activities: |  |
Purchases of property and equipment | (21.0) | (24.3)
Payments for acquisitions, net of cash acquired | (54.6) | (40.7)
Proceeds from disposals of facilities and other assets | 1.5 | 8.0
Purchases of equity investments | (2.0) | (9.6)
Other investing activities | (7.0) | (4.1)
Net cash used in investing activities | (83.1) | (70.7)
Cash flows from financing activities: |  |
Principal payments on long-term debt | (120.2) | (15.9)
Borrowings of long-term debt | 192.5 | 15.9
Payments of debt issuance costs | 0.0 | (1.3)
Distributions to non-controlling interest holders | (40.5) | (41.9)
Proceeds related to ownership transactions with non-controlling interest holders | 1.4 | 5.1
Other financing activities | (1.5) | (3.1)
Net cash provided by (used in) financing activities | 31.7 | (41.2)
Net decrease in cash and cash equivalents | (10.7) | (37.4)
Cash and cash equivalents at beginning of period | 195.9 | 282.9
Cash and cash equivalents at end of period | $ 185.2 | $ 245.5

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