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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2021 | Sep. 30, 2020
Cash flows from operating activities: |  |
Net income (loss) | $ 493,354 | $ 278,008
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 | 506,172 | 541,394
Amortization of stock-based compensation | 13,895 | 13,392
Amortization of deferred financing costs | 6,677 | 7,670
Straight-line rents | (23,627) | (24,086)
Amortization of nonrefundable entrance fees and above/below market lease intangibles | (68,854) | (58,849)
Equity loss (income) from unconsolidated joint ventures | (9,508) | 48,545
Distributions of earnings from unconsolidated joint ventures | 4,731 | 11,928
Loss (gain) on sale of real estate under direct financing leases | 0 | (41,670)
Deferred income tax expense (benefit) | (3,999) | (8,245)
Impairments and loan loss reserves (recoveries), net | 37,194 | 97,723
Loss (gain) on debt extinguishments | 225,824 | 42,912
Loss (gain) on sales of real estate, net | (598,531) | (247,881)
Loss (gain) upon change of control, net | (1,042) | (173,222)
Casualty-related loss (recoveries), net | 1,632 | 469
Other non-cash items | (8,640) | 653
Changes in: |  |
Decrease (increase) in accounts receivable and other assets, net | 27,576 | 22,503
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue | (31,519) | 28,480
Net cash provided by (used in) operating activities | 571,335 | 539,724
Cash flows from investing activities: |  |
Acquisitions of real estate | (978,473) | (340,405)
Development, redevelopment, and other major improvements of real estate | (430,510) | (577,524)
Leasing costs, tenant improvements, and recurring capital expenditures | (72,112) | (61,329)
Proceeds from sales of real estate, net | 2,383,017 | 568,828
Acquisition of CCRC Portfolio | 0 | (394,177)
Contributions to unconsolidated joint ventures | (12,828) | (9,792)
Distributions in excess of earnings from unconsolidated joint ventures | 37,139 | 6,200
Proceeds from sales/principal repayments on loans receivable and direct financing leases | 291,223 | 125,372
Investments in loans receivable and other | (13,781) | (83,651)
Net cash provided by (used in) investing activities | 1,203,675 | (766,478)
Cash flows from financing activities: |  |
Borrowings under bank line of credit and commercial paper | 12,931,450 | 2,025,600
Repayments under bank line of credit and commercial paper | (12,037,040) | (2,118,600)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper | 591,546 | 594,750
Repayments and repurchase of debt, excluding bank line of credit and commercial paper | (2,421,598) | (559,725)
Payments for debt extinguishment and deferred financing costs | (232,306) | (47,149)
Issuance of common stock and exercise of options | 4,713 | 1,067,706
Repurchase of common stock | (12,553) | (10,273)
Dividends paid on common stock | (488,084) | (587,596)
Distributions to and purchase of noncontrolling interests | (24,443) | (22,925)
Contributions from and issuance of noncontrolling interests | 426 | 0
Net cash provided by (used in) financing activities | (1,687,889) | 341,788
Effect of foreign exchanges on cash, cash equivalents and restricted cash | 0 | (153)
Net increase (decrease) in cash, cash equivalents and restricted cash | 87,121 | 114,881
Cash, cash equivalents and restricted cash, beginning of period | 181,685 | 184,657
Cash, cash equivalents and restricted cash, end of period | $ 268,806 | $ 299,538

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- Definition The cash outflow associated with the purchase of other real estate investments held by the entity for investment purposes not otherwise defined in the taxonomy. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow to a noncontrolling interest. Includes, but not limited to, reduction of noncontrolling interest ownership. Excludes dividends paid to the noncontrolling interest. + 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 -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3291-108585 + Details
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- Definition The cash inflow from bank borrowing during the year. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3255-108585 + Details
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- Definition The cash inflow from the issuance of common stock, preferred stock, treasury stock, stock options, and other types of equity. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3255-108585 + Details
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- Definition The cash inflow associated with the sale or collection of receivables arising from the financing of goods and services. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3179-108585 + Details
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