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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Cash flows from operating activities: |  |
Net loss | $ (86,259) | $ (52,658)
Adjustments to reconcile net loss to cash provided by operating activities: |  |
Depreciation and amortization | 70,133 | 64,800
Net amortization of debt discounts, premiums and issuance costs | 24,863 | 2,074
Straight line rental income | (291) | (2,448)
Amortization of acquired real estate leases and other intangible assets, net | 28 | (311)
Loss on modification or early extinguishment of debt | 0 | 1,075
Impairment of assets | 12,142 | 5,925
Loss (gain) on sale of properties | 5,874 | (1,233)
Gains and losses on equity securities, net | 0 | (8,126)
Other non-cash adjustments, net | (385) | (674)
Unconsolidated joint venture distributions | 1,231 | 1,411
Equity in net (earnings) losses of investees | (1,898) | 647
Change in assets and liabilities: |  |
Deferred leasing costs, net | (669) | (1,954)
Other assets | 10,102 | 15,499
Accrued interest | 904 | 2,540
Other liabilities | (7,173) | (20,525)
Net cash provided by operating activities | 28,602 | 6,042
Cash flows from investing activities: |  |
Real estate improvements | (46,723) | (60,292)
Proceeds from sale of properties, net | 3,343 | 3,548
Investment in AlerisLife Inc. | (15,459) | 0
Net cash used in investing activities | (58,839) | (56,744)
Cash flows from financing activities: |  |
Repayments of borrowings on credit facility | 0 | (250,000)
Repayment of other debt | (822) | (538)
Payment of debt issuance costs | (5,257) | (1,990)
Repurchase of common shares | (78) | (6)
Distributions to shareholders | (2,404) | (2,397)
Net cash used in financing activities | (8,561) | (254,931)
Decrease in cash and cash equivalents and restricted cash | (38,798) | (305,633)
Cash and cash equivalents and restricted cash at beginning of period | 246,961 | 688,302
Cash and cash equivalents and restricted cash at end of period | $ 208,163 | $ 382,669

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