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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Cash flows from operating activities: |  |  |
Net income (loss) | $ 428,253 | $ 60,061 | $ 1,073,474
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |
Depreciation and amortization of real estate, in-place lease, and other intangibles | 697,143 | 659,989 | 549,499
Amortization of deferred compensation | 17,368 | 18,162 | 16,563
Amortization of deferred financing costs | 10,157 | 10,863 | 12,612
Straight-line rents | (24,532) | (22,479) | (23,138)
Amortization of nonrefundable entrance fees and above/below market lease intangibles | (81,914) | 0 | 0
Equity loss (income) from unconsolidated joint ventures | 67,787 | 8,625 | 2,594
Distributions of earnings from unconsolidated joint ventures | 12,294 | 20,114 | 22,467
Loss (gain) on sale of real estate under direct financing leases | (41,670) | 0 | 0
Deferred income tax expense (benefit) | (14,573) | (18,253) | (18,525)
Impairments and loan loss reserves (recoveries), net | 244,253 | 225,937 | 55,260
Loss on debt extinguishments | 42,912 | 58,364 | 44,162
Loss (gain) on sales of real estate, net | (550,494) | (22,900) | (925,985)
Loss (gain) upon change of control, net | (159,973) | (168,023) | (9,154)
Casualty-related loss (recoveries), net | 469 | (3,706) | 0
Other non-cash items | 2,175 | (2,569) | 2,569
Decrease (increase) in accounts receivable and other assets, net | 15,281 | (49,771) | 5,686
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue | 93,495 | 71,659 | 40,625
Net cash provided by (used in) operating activities | 758,431 | 846,073 | 848,709
Cash flows from investing activities: |  |  |
Acquisitions of real estate | (1,170,651) | (1,604,285) | (426,080)
Development, redevelopment, and other major improvements of real estate | (791,566) | (626,904) | (503,643)
Leasing costs, tenant improvements, and recurring capital expenditures | (94,121) | (108,844) | (106,193)
Proceeds from sales of real estate, net | 1,304,375 | 230,455 | 2,044,477
Acquisition of CCRC Portfolio | (394,177) | 0 | 0
Contributions to unconsolidated joint ventures | (39,118) | (14,956) | (12,203)
Distributions in excess of earnings from unconsolidated joint ventures | 18,555 | 27,072 | 26,472
Proceeds from insurance recovery | 1,802 | 9,359 | 0
Proceeds from the RIDEA II transaction, net | 0 | 0 | 335,709
Proceeds from the U.K. JV transaction, net | 0 | 89,868 | 393,997
Proceeds from the Sovereign Wealth Fund Senior Housing JV transaction, net | 0 | 354,774 | 0
Proceeds from sales/principal repayments on debt investments and direct financing leases | 202,763 | 274,150 | 148,024
Investments in loans receivable, direct financing leases, and other | (45,562) | (79,467) | (71,281)
Net cash provided by (used in) investing activities | (1,007,700) | (1,448,778) | 1,829,279
Cash flows from financing activities: |  |  |
Borrowings under bank line of credit and commercial paper | 4,742,600 | 7,607,788 | 1,823,000
Repayments under bank line of credit and commercial paper | (4,706,010) | (7,597,047) | (2,755,668)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper | 594,750 | 2,047,069 | 223,587
Repayments and repurchase of debt, excluding bank line of credit and commercial paper | (568,343) | (1,654,142) | (1,604,026)
Borrowings under term loan | 0 | 250,000 | 0
Payments for debt extinguishment and deferred financing costs | (47,210) | (80,616) | (41,552)
Issuance of common stock and exercise of options | 1,068,877 | 795,586 | 217,656
Repurchase of common stock | (10,529) | (5,043) | (3,432)
Dividends paid on common stock | (787,072) | (720,123) | (696,913)
Issuance of noncontrolling interests | 0 | 33,318 | 299,666
Distributions to and purchase of noncontrolling interests | (40,613) | (29,519) | (82,854)
Net cash provided by (used in) financing activities | 246,450 | 647,271 | (2,620,536)
Effect of foreign exchanges on cash, cash equivalents and restricted cash | (153) | 245 | 191
Net increase (decrease) in cash, cash equivalents and restricted cash | (2,972) | 44,811 | 57,643
Cash, cash equivalents and restricted cash, beginning of year | 184,657 | 139,846 | 82,203
Cash, cash equivalents and restricted cash, end of year | 181,685 | 184,657 | 139,846
Less: cash, cash equivalents and restricted cash of discontinued operations | (70,253) | (90,874) | (78,701)
Cash, cash equivalents and restricted cash of continuing operations, end of year | $ 111,432 | $ 93,783 | $ 61,145

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- Definition Cash outflow in the form of capital distributions and dividends to common shareholders, preferred shareholders and noncontrolling interests. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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