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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Cash Flows from Operating Activities |  |
Net income (loss) | $ (184,315) | $ (191,907)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Depreciation and amortization, net | 175,369 | 171,304
Asset impairment | 11,674 | 12,755
Equity in (earnings) loss of unconsolidated ventures | 7,333 | (13,415)
Distributions from unconsolidated ventures from cumulative share of net earnings | 561 | 5,355
Amortization of entrance fees | (1,267) | (876)
Proceeds from deferred entrance fee revenue | 1,959 | 2,298
Deferred income tax (benefit) provision | (1,438) | (704)
Operating lease expense adjustment | (16,615) | (9,990)
Change in fair value of derivatives | (4,376) | 191
Loss (gain) on sale of assets, net | (667) | (1,033)
Non-cash stock-based compensation expense | 7,504 | 9,310
Other | (181) | (4,007)
Changes in operating assets and liabilities: |  |
Accounts receivable, net | 1,592 | (1,267)
Prepaid expenses and other assets, net | (5,550) | 1,605
Prepaid insurance premiums financed with notes payable | (11,252) | (8,785)
Trade accounts payable and accrued expenses | (822) | 2,131
Refundable fees and deferred revenue | 3,956 | (8,918)
Operating lease assets and liabilities for lessor capital expenditure reimbursements | 4,857 | 15,506
Net cash provided by (used in) operating activities | (11,678) | (20,447)
Cash Flows from Investing Activities |  |
Change in lease security deposits and lease acquisition deposits, net | 155 | (75)
Purchase of marketable securities | (205,373) | (119,914)
Sale and maturities of marketable securities | 222,500 | 192,995
Capital expenditures, net of related payables | (96,851) | (79,538)
Acquisition of assets | (6,004) | 0
Investment in unconsolidated ventures | (167) | (5,359)
Proceeds from sale of assets, net | 5,739 | 9,646
Net cash provided by (used in) investing activities | (80,001) | (2,245)
Cash Flows from Financing Activities |  |
Proceeds from debt | 29,302 | 21,022
Repayment of debt and financing lease obligations | (43,084) | (72,970)
Payment of financing costs, net of related payables | (116) | (172)
Payments of employee taxes for withheld shares | (4,195) | (4,444)
Other | 0 | 10
Net cash provided by (used in) financing activities | (18,093) | (56,554)
Net increase (decrease) in cash, cash equivalents, and restricted cash | (109,772) | (79,246)
Cash, cash equivalents, and restricted cash at beginning of period | 438,314 | 465,148
Cash, cash equivalents, and restricted cash at end of period | $ 328,542 | $ 385,902

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