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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash flows from operating activities:    
Net income $ 605,732 $ 417,045
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 362,744 361,743
Loss on extinguishment of debt 2,445 7,132
Stock-based compensation expense 48,832 55,197
Deferred income taxes (28,643) (16,178)
Equity investment loss, net 54,748 14,571
Gain on changes in ownership interest (35,147) 0
Other non-cash losses and (gains), net 16,570 (5,160)
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable (193,093) 141,503
Increase (Decrease) in Inventories 22,422 (116)
Other current assets (13,898) 33,182
Other long-term assets (3,367) (607)
Accounts payable (38,998) (40,615)
Accrued compensation and benefits (122,817) (68,800)
Other current liabilities 1,219 17,242
Income taxes (8,097) 5,200
Other long-term liabilities (6,642) (8,675)
Net cash provided by operating activities 664,010 912,664 Close
Cash flows from investing activities:    
Additions of property and equipment (245,740) (272,204)
Acquisitions (157,783) (2,575)
Proceeds from asset and business sales 12,779 21,198
Purchase of debt investments held-to-maturity (309) (30,419)
Purchase of other debt and equity investments (3,411) (6,366)
Proceeds from debt investments held-to-maturity 7,082 94,414
Proceeds from sale of other debt and equity investments 4,564 3,873
Purchase of equity method investments (700) (273,336)
Distributions from equity method investments 6,554 1,758
Net cash used in investing activities (376,964) (463,657) Close
Cash flows from financing activities:    
Borrowings 3,275,533 2,136,873
Payments on long-term debt (2,661,145) (2,347,120)
Deferred and debt related financing costs (19,993) (45,009)
Purchase of treasury stock (612,614) 0
Distributions to noncontrolling interests (107,210) (124,178)
Net payments related to stock purchases and awards (86,277) (43,612)
Contributions from noncontrolling interests 7,621 6,946
Proceeds from sales of additional noncontrolling interests 860 50,962
Purchases of noncontrolling interests (40,751) (7,610)
Net cash used in financing activities (243,976) (372,748) Close
Effect of exchange rate changes on cash, cash equivalents and restricted cash (4,458) 6,922 Close
Net increase in cash, cash equivalents and restricted cash 38,612 83,181 Close
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 $ 503,246 $ 422,170