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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) | $ (51,896) | $ 55,338 | $ 188,886
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 134,738 | 150,861 | 144,572
Asset impairments | 11,378 | 60,628 | 4,706
Amortization of debt issuance costs and other non-cash interest | 7,345 | 5,519 | 3,351
Expenses associated with debt repayments and refinancing transactions | 56,279 | 7,141 | 602
Deferred income taxes | 99,270 | 4,945 | (1,162)
Loss (gain) on sale of real estate | (38,766) | 13,023 | (287)
Other expenses and non-cash items | 5,830 | 13,616 | 13,320
Non-cash revenue and other income | (718) | (7,301) | (11,292)
Non-cash equity compensation | 18,733 | 17,264 | 17,267
Changes in assets and liabilities, net: |  |  |
Accounts receivable, prepaid expenses and other assets | (10,628) | 16,769 | (16,938)
Accounts payable, accrued expenses and other liabilities | 31,666 | 17,727 | 11,359
Net cash provided by operating activities | 263,231 | 355,530 | 354,384
CASH FLOWS FROM INVESTING ACTIVITIES: |  |  |
Expenditures for facility development and expansions | (18,612) | (27,591) | (136,128)
Expenditures for other capital improvements | (62,272) | (56,196) | (57,192)
Acquisitions, net of cash acquired |  | (8,849) | (48,396)
Net proceeds from sale of assets | 320,754 | 113,602 | 4,295
Increase in other assets | (1,447) | (7,998) | (7,168)
Net cash provided by (used in) investing activities | 238,423 | 12,968 | (244,589)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |  |
Proceeds from issuance of debt and borrowings from credit facility | 740,563 | 374,000 | 1,146,691
Scheduled principal repayments | (35,305) | (32,254) | (14,121)
Principal repayments of credit facility | (284,000) | (520,000) | (648,000)
Repayment of non-recourse mortgage notes | (161,930) | (51,311) |
Repayment of senior notes and Term Loan B | (516,350) |  | (325,000)
Payment of debt defeasance, issuance and other refinancing and related costs | (64,987) | (11,162) | (4,296)
Payment of lease obligations for financing leases | (559) | (543) | (538)
Contingent consideration for acquisition of businesses | (1,000) |  | (7,398)
Proceeds from exercise of stock options |  |  | 876
Purchase and retirement of common stock | (1,639) | (3,575) | (3,531)
Dividends paid | (2,508) | (105,978) | (209,522)
Net cash used in financing activities | (327,715) | (350,823) | (64,839)
NET INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH | 173,939 | 17,675 | 44,956
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, beginning of period | 136,768 | 119,093 | 74,137
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, end of period | 310,707 | 136,768 | 119,093
NON-CASH INVESTING AND FINANCING ACTIVITIES: |  |  |
Debt assumed on acquisition of property |  | 52,217 |
Establishment of right of use assets and lease liabilities | 1,483 | 116,263 | 137,946
Distributions to non-controlling interest | 5,897 |  |
Cash paid during the period for: |  |  |
Interest (net of amounts capitalized of $0.4 million, $0.5 million, and $6.0 million in 2021, 2020, and 2019, respectively) | 80,587 | 88,132 | 85,698
Income taxes paid | $ 36,477 | $ 1,322 | $ 16,437

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