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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 loss | $ (282,809) | $ (191,008)
Adjustments to reconcile net loss to cash provided by operating activities: |  |
Depreciation and amortization | 207,449 | 200,430
Net amortization of debt discounts, premiums and issuance costs | 76,642 | 6,616
Straight line rental income | (1,605) | 1,333
Amortization of acquired real estate leases and other intangible assets, net | 84 | (264)
Loss on modification or early extinguishment of debt | 209 | 1,075
Impairment of assets | 41,718 | 18,380
Loss (gain) on sale of properties | 18,976 | (1,233)
Gains on equity securities, net | 0 | (8,126)
Other non-cash adjustments, net | (405) | (1,328)
Unconsolidated joint venture distributions | 1,231 | 3,870
Equity in net losses (earnings) of investees | 9,882 | (2,137)
Change in assets and liabilities: |  |
Deferred leasing costs, net | (2,199) | (7,995)
Other assets | 2,828 | 4,315
Accrued interest | (258) | 2,628
Other liabilities | 22,285 | (8,864)
Net cash provided by operating activities | 94,028 | 17,692
Cash flows from investing activities: |  |
Real estate improvements | (134,966) | (168,400)
Proceeds from sale of properties, net | 27,845 | 3,548
Investment in AlerisLife Inc. | (15,459) | 0
Proceeds from insurance recoveries | 1,698 | 0
Proceeds from AlerisLife Inc. tender offer | 0 | 14,006
Net cash used in investing activities | (120,882) | (150,846)
Cash flows from financing activities: |  |
Proceeds from mortgage notes payable | 120,000 | 0
Repayments of borrowings on credit facility | 0 | (250,000)
Redemption of senior unsecured notes | (60,000) | 0
Repayment of other debt | (2,388) | (16,408)
Payment of debt issuance costs | (8,203) | (2,057)
Repurchase of common shares | (902) | (386)
Distributions to shareholders | (7,214) | (7,192)
Net cash provided by (used in) financing activities | 41,293 | (276,043)
Increase (decrease) in cash and cash equivalents and restricted cash | 14,439 | (409,197)
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 | $ 261,400 | $ 279,105

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