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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
Cash Flows from Operating Activities |  |
Net income (loss) | $ (42,606) | $ (457,234)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Debt modification and extinguishment costs | 67 | 35
Depreciation and amortization, net | 97,719 | 118,211
Goodwill and asset impairment | 391 | 430,363
Equity in loss of unconsolidated ventures | 526 | 4,243
Distributions from unconsolidated ventures from cumulative share of net earnings | 749 | 408
Amortization of deferred gain | 0 | (1,090)
Amortization of entrance fees | (398) | (501)
Proceeds from deferred entrance fee revenue | 436 | 1,109
Deferred income tax (benefit) provision | 170 | 15,037
Operating lease expense adjustment | (4,383) | (8,103)
Change in fair value of derivatives | 148 | (74)
Loss (gain) on sale of assets, net | 702 | (43,431)
Loss on facility lease termination and modification, net | 209 | 0
Non-cash stock-based compensation expense | 6,356 | 8,406
Non-cash interest expense on financing lease obligations | 0 | 3,383
Non-cash management contract termination gain | (353) | (2,242)
Other | (2,495) | (156)
Changes in operating assets and liabilities: |  |
Accounts receivable, net | (4,550) | 3,488
Prepaid expenses and other assets, net | 12,358 | (6,174)
Prepaid insurance premiums financed with notes payable | (18,842) | (18,633)
Trade accounts payable and accrued expenses | (41,358) | (21,370)
Refundable fees and deferred revenue | (9,855) | 12,289
Net cash provided by (used in) operating activities | (5,009) | 37,964
Cash Flows from Investing Activities |  |
Change in lease security deposits and lease acquisition deposits, net | (320) | (2,015)
Purchase of marketable securities | (68,348) | 0
Sale of marketable securities | 0 | 118,273
Capital expenditures, net of related payables | (60,055) | (66,592)
Acquisition of assets, net of related payables and cash received | 0 | (27,330)
Investment in unconsolidated ventures | (3,986) | (8,434)
Distributions received from unconsolidated ventures | 3,178 | 2,037
Proceeds from sale of assets, net | 29,458 | 75,060
Property insurance proceeds | 0 | 156
Net cash provided by (used in) investing activities | (100,073) | 91,155
Cash Flows from Financing Activities |  |
Proceeds from debt | 25,178 | 30,168
Repayment of debt and financing lease obligations | (28,400) | (44,001)
Purchase of treasury stock, net of related payables | (9,956) | 0
Payment of financing costs, net of related payables | (759) | (248)
Proceeds from refundable entrance fees, net of refunds | 0 | 223
Payments of employee taxes for withheld shares | (2,997) | (2,618)
Other | 298 | 372
Net cash provided by (used in) financing activities | (16,636) | (16,104)
Net increase (decrease) in cash, cash equivalents and restricted cash | (121,718) | 113,015
Cash, cash equivalents and restricted cash at beginning of period | 450,218 | 282,546
Cash, cash equivalents and restricted cash at end of period | $ 328,500 | $ 395,561

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- Definition Amount of income (expense) included in net income that results in no cash inflow (outflow), classified as other. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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- Definition The cash outflow to reacquire common stock during the period. + 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=109223946&loc=d3e3291-108585 + Details
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- Definition The cash outflow paid to third parties in connection with debt origination, which will be amortized over the remaining maturity period of the associated long-term debt. + 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 (e) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Definition Amount of cash outflow to satisfy an employee's income tax withholding obligation as part of a net-share settlement of a share-based award. + 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=109223946&loc=d3e3291-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 25 -Paragraph 19A -URI http://asc.fasb.org/extlink&oid=107668666&loc=SL79513924-113897 + Details
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- Definition The cash outflow associated with the purchase of or advances to an equity method investments, which are investments in joint ventures and entities in which the entity has an equity ownership interest normally of 20 to 50 percent and exercises significant influence. + 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 (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow from the acquisition of or improvements to long-lived, physical assets used to produce goods and services and not intended for resale, classified as other. + 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=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + 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=109223946&loc=d3e3213-108585 + Details
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- Definition Amount of cash inflow for proceeds from settlement of insurance claim, classified as investing activities. Excludes insurance settlement classified as operating activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 21B -URI http://asc.fasb.org/extlink&oid=109223946&loc=SL94080549-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3179-108585 + Details
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