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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |
Net (loss) income | $ (134,307) | $ (82,878) | $ 292,414
Adjustments to reconcile net (loss) income to cash provided by operating activities: |  |  |
Depreciation and amortization | 270,147 | 289,025 | 286,235
Net amortization of debt premiums, discounts and issuance costs | 8,022 | 6,032 | 6,221
Straight line rental income | (6,069) | (4,508) | (10,227)
Amortization of acquired real estate leases | (7,405) | (6,791) | (5,787)
Loss on early extinguishment of debt | 51 | 44 | 22
Gain on lease termination | (22,896) | 0 | 0
Impairment of assets | 106,972 | 115,201 | 66,346
Gain on sale of properties | (6,487) | (39,696) | (261,916)
Gains and losses on equity securities, net | (34,106) | 41,898 | 20,724
Other non-cash adjustments, net | (2,203) | (3,771) | (3,772)
Equity in earnings of an investee | 0 | (400) | (516)
Distribution of earnings from Affiliates Insurance Company | 0 | 2,574 | 0
Change in assets and liabilities: |  |  |
Other assets | (33,867) | 1,794 | (3,586)
Accrued interest | (305) | (2,105) | 8,195
Other liabilities | 20,997 | (50,574) | (1,513)
Net cash provided by operating activities | 158,544 | 265,845 | 392,840
CASH FLOWS FROM INVESTING ACTIVITIES: |  |  |
Real estate acquisitions and deposits | (2,526) | (50,636) | (129,494)
Real estate improvements | (185,585) | (222,417) | (103,804)
Proceeds from sale of properties, net | 147,388 | 254,241 | 332,389
Proceeds from sale of RMR Inc. common shares, net | 0 | 98,557 | 0
Distributions in excess of earnings from Affiliates Insurance Company | 287 | 6,426 | 0
Net cash (used in) provided by investing activities | (40,436) | 86,171 | 99,091
CASH FLOWS FROM FINANCING ACTIVITIES: |  |  |
Proceeds from issuance of senior unsecured notes, net | 985,000 | 0 | 491,560
Proceeds from borrowings on revolving credit facility | 430,500 | 994,500 | 727,000
Repayments of borrowings on revolving credit facility | (968,000) | (596,000) | (1,184,000)
Repayment of senior unsecured notes | (200,000) | (400,000) | 0
Repayment of term loan | (250,000) | (100,000) | 0
Repayment of other debt | (5,941) | (46,345) | (107,116)
Loss on early extinguishment of debt settled in cash | (376) | 0 | (150)
Payment of debt issuance costs | (5,378) | (417) | (4,296)
Repurchase of common shares | (171) | (299) | (411)
Distributions to noncontrolling interest | (22,292) | (21,583) | (21,022)
Distributions to shareholders | (42,825) | (199,719) | (370,746)
Net cash used in financing activities | (79,483) | (369,863) | (469,181)
Increase (decrease) in cash and cash equivalents and restricted cash | 38,625 | (17,847) | 22,750
Cash and cash equivalents and restricted cash at end of period | 90,849 | 52,224 | 70,071
Cash and cash equivalents and restricted cash at beginning of period | $ 52,224 | $ 70,071 | $ 47,321

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- Definition Amount of cash inflow from contractual arrangement with the lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3255-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690 + Details
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- Definition The cash inflow associated with the sale of 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 12 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3179-108585 + Details
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- Definition The cash inflow from sales of all investments, including securities and other assets, having ready marketability and intended by management to be liquidated, if necessary, beyond the current operating cycle. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3179-108585 + Details
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