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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash Flows from Operating Activities |  |
Net income (loss) | $ (118,057) | $ (97,900)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: |  |
Loss (gain) on debt modification and extinguishment, net | 2,267 | 0
Depreciation and amortization, net | 271,147 | 261,063
Asset impairment | 2,642 | 9,606
Equity in (earnings) loss of unconsolidated ventures | 0 | 3,156
Distributions from unconsolidated ventures from cumulative share of net earnings | 0 | 430
Amortization of entrance fees | 0 | (732)
Proceeds from deferred entrance fee revenue | 0 | 477
Deferred income tax (benefit) provision | (48) | (2,015)
Operating lease expense adjustment | (39,061) | (33,820)
Change in fair value of derivatives | 2,004 | (5,130)
Loss (gain) on sale of assets, net | (923) | (37,156)
Non-cash stock-based compensation expense | 10,651 | 8,966
Property and casualty insurance income | (6,281) | (14,047)
Other non-operating (income) loss | 0 | (2,542)
Changes in operating assets and liabilities: |  |
Accounts receivable, net | (4,610) | 8,250
Prepaid expenses and other assets, net | (6,414) | 9,347
Prepaid insurance premiums financed with notes payable | (7,930) | (6,530)
Trade accounts payable and accrued expenses | 5,071 | 21,444
Refundable fees and deferred revenue | 2,789 | 8,518
Operating lease assets and liabilities for lessor capital expenditure reimbursements | 7,732 | 2,244
Net cash provided by (used in) operating activities | 120,979 | 133,629
Cash Flows from Investing Activities |  |
Purchase of marketable securities | (39,191) | (159,811)
Sale and maturities of marketable securities | 40,000 | 145,100
Capital expenditures, net of related payables | (150,938) | (174,700)
Acquisition of assets, net of cash acquired | 0 | (574)
Investment in unconsolidated ventures | 0 | (7,589)
Proceeds from sale of assets, net | 7,017 | 43,181
Property and casualty insurance proceeds | 6,297 | 19,536
Change in lease acquisition deposits, net | (2,000) | 0
Purchase of interest rate cap instruments | (9,282) | (7,223)
Proceeds from interest rate cap instruments | 14,816 | 6,501
Other | (235) | (168)
Net cash provided by (used in) investing activities | (133,516) | (135,747)
Cash Flows from Financing Activities |  |
Proceeds from debt | 264,038 | 25,532
Repayment of debt and financing lease obligations | (259,390) | (91,866)
Payment of financing costs, net of related payables | (6,309) | (940)
Payments of employee taxes for withheld shares | (3,425) | (1,880)
Net cash provided by (used in) financing activities | (5,086) | (69,154)
Net increase (decrease) in cash, cash equivalents, and restricted cash | (17,623) | (71,272)
Cash, cash equivalents, and restricted cash at beginning of period | 349,668 | 474,548
Cash, cash equivalents, and restricted cash at end of period | $ 332,045 | $ 403,276

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