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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 | $ 55,338 | $ 188,886 | $ 159,207
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 150,861 | 144,572 | 156,501
Asset impairments | 60,628 | 4,706 | 1,580
Amortization of debt issuance costs and other non-cash interest | 5,519 | 3,351 | 3,419
Expenses associated with debt repayments and refinancing transactions | 7,141 | 602 | 1,016
Deferred income taxes | 4,945 | (1,162) | (4,436)
Loss (gain) on sale of real estate assets | 13,023 | (287) |
Other expenses and non-cash items | 13,616 | 13,320 | 7,909
Non-cash revenue and other income | (7,301) | (11,292) | (14,509)
Non-cash equity compensation | 17,264 | 17,267 | 13,132
Changes in assets and liabilities, net: |  |  |
Accounts receivable, prepaid expenses and other assets | 16,769 | (16,938) | (19,470)
Accounts payable, accrued expenses and other liabilities | 17,727 | 11,359 | 18,531
Net cash provided by operating activities | 355,530 | 354,384 | 322,880
CASH FLOWS FROM INVESTING ACTIVITIES: |  |  |
Expenditures for facility development and expansions | (27,591) | (136,128) | (58,239)
Expenditures for other capital improvements | (56,196) | (57,192) | (63,438)
Acquisitions, net of cash acquired | (8,849) | (48,396) | (175,588)
Net proceeds from sale of assets | 113,602 | 4,295 | 12,911
Increase in other assets | (7,998) | (7,168) | (6,703)
Net cash provided by (used in) investing activities | 12,968 | (244,589) | (291,057)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |  |
Proceeds from issuance of debt and borrowings from credit facility | 374,000 | 1,146,691 | 809,831
Scheduled principal repayments | (32,254) | (14,121) | (7,816)
Principal repayments of credit facility | (520,000) | (648,000) | (603,500)
Defeasance of non-recourse mortgage notes | (51,311) |  |
Satisfaction and discharge of senior notes |  | (325,000) |
Payment of debt defeasance, issuance and other refinancing and related costs | (11,162) | (4,296) | (6,087)
Payment of lease obligations for financing leases | (543) | (538) | (3,744)
Contingent consideration for acquisition of businesses |  | (7,398) | (1,500)
Proceeds from exercise of stock options |  | 876 | 2,367
Proceeds from sale/leaseback |  |  | 7,783
Purchase and retirement of common stock | (3,575) | (3,531) | (3,005)
Dividends paid | (105,978) | (209,522) | (204,198)
Net cash used in financing activities | (350,823) | (64,839) | (9,869)
NET INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH | 17,675 | 44,956 | 21,954
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, beginning of period | 119,093 | 74,137 | 52,183
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, end of period | 136,768 | 119,093 | 74,137
NON-CASH INVESTING AND FINANCING ACTIVITIES: |  |  |
Debt assumed on acquisition of property | 52,217 |  | 157,280
Establishment of right of use assets and lease liabilities | 116,263 | 137,946 |
Cash paid during the period for: |  |  |
Interest (net of amounts capitalized of $0.5 million, $6.0 million, and $1.0 million in 2020, 2019, and 2018, respectively) | 88,132 | 85,698 | 71,787
Income taxes paid | $ 1,322 | $ 16,437 | $ 13,303

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