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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Cash flows from operating activities: |  |  |
Net income (loss) | $ 525,930 | $ 428,253 | $ 60,061
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 | 684,286 | 697,143 | 659,989
Amortization of stock-based compensation | 18,202 | 17,368 | 18,162
Amortization of deferred financing costs | 9,216 | 10,157 | 10,863
Straight-line rents | (31,188) | (24,532) | (22,479)
Amortization of nonrefundable entrance fees and above/below market lease intangibles | (94,362) | (81,914) | 0
Equity loss (income) from unconsolidated joint ventures | (11,235) | 67,787 | 8,625
Distributions of earnings from unconsolidated joint ventures | 4,976 | 12,294 | 20,114
Loss (gain) on sale of real estate under direct financing leases | 0 | (41,670) | 0
Deferred income tax expense (benefit) | (5,792) | (14,573) | (18,253)
Impairments and loan loss reserves (recoveries), net | 55,896 | 244,253 | 225,937
Loss (gain) on debt extinguishments | 225,824 | 42,912 | 58,364
Loss (gain) on sales of real estate, net | (605,311) | (550,494) | (22,900)
Loss (gain) upon change of control, net | (1,042) | (159,973) | (168,023)
Casualty-related loss (recoveries), net | 1,632 | 469 | (3,706)
Other non-cash items | (8,178) | 2,175 | (2,569)
Changes in: |  |  |
Decrease (increase) in accounts receivable and other assets, net | 18,626 | 15,281 | (49,771)
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue | 7,768 | 93,495 | 71,659
Net cash provided by (used in) operating activities | 795,248 | 758,431 | 846,073
Cash flows from investing activities: |  |  |
Acquisitions of real estate | (1,483,026) | (1,170,651) | (1,604,285)
Development, redevelopment, and other major improvements of real estate | (610,555) | (791,566) | (626,904)
Leasing costs, tenant improvements, and recurring capital expenditures | (111,480) | (94,121) | (108,844)
Proceeds from sales of real estate, net | 2,399,120 | 1,304,375 | 230,455
Acquisition of CCRC Portfolio | 0 | (394,177) | 0
Contributions to unconsolidated joint ventures | (25,260) | (39,118) | (14,956)
Distributions in excess of earnings from unconsolidated joint ventures | 37,640 | 18,555 | 27,072
Proceeds from insurance recovery | 0 | 1,802 | 9,359
Proceeds from the U.K. JV transaction, net | 0 | 0 | 89,868
Proceeds from the Sovereign Wealth Fund Senior Housing JV transaction, net | 0 | 0 | 354,774
Proceeds from sales/principal repayments on loans receivable and direct financing leases | 342,420 | 202,763 | 274,150
Investments in loans receivable and other | (17,827) | (45,562) | (79,467)
Net cash provided by (used in) investing activities | 531,032 | (1,007,700) | (1,448,778)
Cash flows from financing activities: |  |  |
Borrowings under bank line of credit and commercial paper | 16,821,450 | 4,742,600 | 7,607,788
Repayments under bank line of credit and commercial paper | (15,785,065) | (4,706,010) | (7,597,047)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper | 1,088,537 | 594,750 | 2,047,069
Repayments and repurchase of debt, excluding bank line of credit and commercial paper | (2,425,936) | (568,343) | (1,654,142)
Borrowings under term loan | 0 | 0 | 250,000
Payments for debt extinguishment and deferred financing costs | (236,942) | (47,210) | (80,616)
Issuance of common stock and exercise of options | 5,036 | 1,068,877 | 795,586
Repurchase of common stock | (12,841) | (10,529) | (5,043)
Dividends paid on common stock | (650,082) | (787,072) | (720,123)
Contributions from and issuance of noncontrolling interests | 640 | 0 | 33,318
Distributions to and purchase of noncontrolling interests | (93,314) | (40,613) | (29,519)
Net cash provided by (used in) financing activities | (1,288,517) | 246,450 | 647,271
Effect of foreign exchanges on cash, cash equivalents and restricted cash | 0 | (153) | 245
Net increase (decrease) in cash, cash equivalents and restricted cash | 37,763 | (2,972) | 44,811
Cash, cash equivalents and restricted cash, beginning of year | 181,685 | 184,657 | 139,846
Cash, cash equivalents and restricted cash, end of year | $ 219,448 | $ 181,685 | $ 184,657

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