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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Cash Flows from Operating Activities |  |  |
Net income (loss) | $ (238,340) | $ (99,364) | $ 81,945
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |  |
Loss (gain) on debt modification and extinguishment, net | 1,357 | 1,932 | (10,896)
Depreciation and amortization, net | 353,890 | 344,910 | 365,429
Asset impairment | 29,618 | 23,003 | 107,308
Equity in (earnings) loss of unconsolidated ventures | 10,782 | (10,394) | 2,107
Distributions from unconsolidated ventures from cumulative share of net earnings | 561 | 6,191 | 766
Amortization of entrance fees | (2,307) | (1,758) | (2,122)
Proceeds from deferred entrance fee revenue | 4,222 | 3,562 | 734
Deferred income tax (benefit) provision | (1,324) | (9,837) | (5,840)
Operating lease expense adjustment | (34,896) | (23,280) | (136,276)
Change in fair value of derivatives | (7,659) | 152 | 225
Loss (gain) on sale of assets, net | (74,445) | (288,835) | (374,532)
Loss (gain) on facility operating lease termination, net | 0 | (2,003) | (2,303)
Non-cash stock-based compensation expense | 14,466 | 16,270 | 20,747
Property and casualty insurance income | (11,379) | (4,689) | (2,777)
Changes in operating assets and liabilities: |  |  |
Accounts receivable, net | (4,624) | 502 | 24,277
Prepaid expenses and other assets, net | (21,240) | (15,483) | 24,707
Trade accounts payable and accrued expenses | (27,185) | (54,032) | 27,294
Refundable fees and deferred revenue | (1,934) | (10,066) | 62,614
Operating lease assets and liabilities for lessor capital expenditure reimbursements | 13,718 | 30,965 | 22,242
Operating lease assets and liabilities for lease termination | 0 | (2,380) | 0
Net cash provided by (used in) operating activities | 3,281 | (94,634) | 205,649
Cash Flows from Investing Activities |  |  |
Change in lease security deposits and lease acquisition deposits, net | 355 | (100) | 3,569
Purchase of marketable securities | (263,669) | (362,257) | (378,269)
Sale and maturities of marketable securities | 398,752 | 352,988 | 275,000
Capital expenditures, net of related payables | (196,924) | (176,657) | (185,871)
Acquisition of assets | (6,004) | 0 | (472,193)
Investment in unconsolidated ventures | (218) | (5,436) | (4,082)
Distributions received from unconsolidated ventures | 966 | 37,113 | 0
Proceeds from sale of assets, net | 4,653 | 334,006 | 331,316
Proceeds from notes receivable | 0 | 1,800 | 5,419
Other | (5,340) | 0 | 0
Net cash provided by (used in) investing activities | (67,429) | 181,457 | (425,111)
Cash Flows from Financing Activities |  |  |
Proceeds from debt | 254,259 | 352,962 | 963,099
Repayment of debt and financing lease obligations | (281,185) | (441,571) | (538,859)
Proceeds from line of credit | 0 | 0 | 166,381
Repayment of line of credit | 0 | 0 | (166,381)
Proceeds from issuance of tangible equity units | 139,438 | 0 | 0
Purchase of treasury stock, net of related payables | 0 | 0 | (18,123)
Purchase of capped call transactions | 0 | (15,916) | 0
Payment of financing costs, net of related payables | (7,077) | (3,904) | (19,649)
Payments of employee taxes for withheld shares | (4,293) | (4,820) | (4,037)
Other | (760) | (408) | 482
Net cash provided by (used in) financing activities | 100,382 | (113,657) | 382,913
Net increase (decrease) in cash, cash equivalents, and restricted cash | 36,234 | (26,834) | 163,451
Cash, cash equivalents, and restricted cash at beginning of period | 438,314 | 465,148 | 301,697
Cash, cash equivalents, and restricted cash at end of period | $ 474,548 | $ 438,314 | $ 465,148

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