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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash Flows from Operating Activities    
Net income (loss) $ (49,089) $ (184,315)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Depreciation and amortization, net 173,221 175,369
Asset impairment 520 11,674
Equity in (earnings) loss of unconsolidated ventures 1,730 7,333
Distributions from unconsolidated ventures from cumulative share of net earnings 430 561
Amortization of entrance fees (732) (1,267)
Proceeds from deferred entrance fee revenue 477 1,959
Deferred income tax (benefit) provision 188 (1,438)
Operating lease expense adjustment (22,362) (16,615)
Change in fair value of derivatives (4,269) (4,376)
Loss (gain) on sale of assets, net (37,156) (667)
Non-cash stock-based compensation expense 6,073 7,504
Property and casualty insurance income (3,927) (181)
Other non-operating (income) loss (2,542) 0
Changes in operating assets and liabilities:    
Accounts receivable, net 7,550 1,592
Prepaid expenses and other assets, net 11,711 (5,550)
Prepaid insurance premiums financed with notes payable (13,004) (11,252)
Trade accounts payable and accrued expenses 3,782 (822)
Refundable fees and deferred revenue 13,021 3,956
Operating lease assets and liabilities for lessor capital expenditure reimbursements 2,244 4,857
Net cash provided by (used in) operating activities 87,866 (11,678)
Cash Flows from Investing Activities    
Purchase of marketable securities (110,754) (205,373)
Sale and maturities of marketable securities 65,100 222,500
Capital expenditures, net of related payables (109,825) (96,851)
Acquisition of assets, net of cash acquired (574) (6,004)
Investment in unconsolidated ventures 0 (167)
Proceeds from sale of assets, net 43,059 5,739
Property and casualty insurance proceeds 8,789 0
Other 295 155
Net cash provided by (used in) investing activities (103,910) (80,001)
Cash Flows from Financing Activities    
Proceeds from debt 25,532 29,302
Repayment of debt and financing lease obligations (72,917) (43,084)
Payment of financing costs, net of related payables (676) (116)
Payments of employee taxes for withheld shares (1,861) (4,195)
Net cash provided by (used in) financing activities (49,922) (18,093)
Net increase (decrease) in cash, cash equivalents, and restricted cash (65,966) (109,772)
Cash, cash equivalents, and restricted cash at beginning of period 474,548 438,314
Cash, cash equivalents, and restricted cash at end of period $ 408,582 $ 328,542