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Supplemental Disclosure of Cash Flow Information (Tables) | 12 Months Ended
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Dec. 31, 2021
Supplemental Cash Flow Elements [Abstract] |
Supplemental Disclosure of Cash Flow Information |
(in thousands) | For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information: | 2021 |  | 2020 |  | 2019
Interest paid | $ | 188,791 |  |  | $ | 204,696 |  |  | $ | 244,469 |
Income taxes paid, net of refunds | $ | 5,923 |  |  | $ | 8,878 |  |  | $ | 1,534 |
Capital expenditures, net of related payables: |  |  |  |  |
Capital expenditures - non-development, net | $ | 137,410 |  |  | $ | 139,592 |  |  | $ | 235,797 |
Capital expenditures - development, net | 3,208 |  |  | 13,667 |  |  | 24,595 |
Capital expenditures - non-development - reimbursable | 42,100 |  |  | 27,846 |  |  | 34,809 |
Trade accounts payable | (6,061) |  |  | 4,766 |  |  | 8,891 |
Net cash paid | $ | 176,657 |  |  | $ | 185,871 |  |  | $ | 304,092 |
Acquisition of communities from Healthpeak: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | — |  |  | $ | 286,734 |  |  | $ | — |
Operating lease right-of-use assets | — |  |  | (63,285) |  |  | — |
Financing lease obligations | — |  |  | 129,196 |  |  | — |
Operating lease obligations | — |  |  | 74,335 |  |  | — |
Loss (gain) on debt modification and extinguishment, net | — |  |  | (19,731) |  |  | — |
Net cash paid | $ | — |  |  | $ | 407,249 |  |  | $ | — |
Master Agreement with Ventas: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | — |  |  | $ | (66,444) |  |  | $ | — |
Operating lease right-of-use assets | — |  |  | (153,213) |  |  | — |
Other assets, net | — |  |  | (42,354) |  |  | — |
Long-term debt | — |  |  | 34,053 |  |  | — |
Financing lease obligations | — |  |  | 7,077 |  |  | — |
Operating lease obligations | — |  |  | 362,944 |  |  | — |
Additional paid-in-capital | — |  |  | (22,883) |  |  | — |
Net cash paid | $ | — |  |  | $ | 119,180 |  |  | $ | — |
Proceeds from HCS Sale, net: |  |  |  |  |
Accounts receivable, net | $ | (57,582) |  |  | $ | — |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (1,806) |  |  | — |  |  | — |
Operating lease right-of-use assets | (8,145) |  |  | — |  |  | — |
Investments in unconsolidated ventures | 100,000 |  |  | — |  |  | — |
Goodwill | (126,810) |  |  | — |  |  | — |
Prepaid expenses and other assets, net | (32,963) |  |  | — |  |  | — |
Trade accounts payable | 1,387 |  |  | — |  |  | — |
Accrued expenses | 25,226 |  |  | — |  |  | — |
Refundable fees and deferred revenue | 57,314 |  |  | — |  |  | — |
Operating lease obligations | 8,145 |  |  | — |  |  | — |
Other liabilities | 9,165 |  |  | — |  |  | — |
Loss (gain) on sale of assets, net | (286,489) |  |  | — |  |  | — |
Net cash received | $ | (312,558) |  |  | $ | — |  |  | $ | — |
Acquisition of other assets, net of related payables and cash received: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | — |  |  | $ | 684 |  |  | $ | 44 |
Other intangible assets, net | — |  |  | — |  |  | 453 |
Financing lease obligations | — |  |  | 64,260 |  |  | — |
Net cash paid | $ | — |  |  | $ | 64,944 |  |  | $ | 497 |
Proceeds from sale of CCRC Venture, net: |  |  |  |  |
Investments in unconsolidated ventures | $ | — |  |  | $ | (14,848) |  |  | $ | — |
Current portion of long-term debt | — |  |  | 34,706 |  |  | — |
Other liabilities | — |  |  | 60,748 |  |  | — |
Loss (gain) on sale of assets, net | — |  |  | (369,831) |  |  | — |
Net cash received | $ | — |  |  | $ | (289,225) |  |  | $ | — |
Proceeds from sale of other assets, net: |  |  |  |  |
Prepaid expenses and other assets, net | $ | (1,983) |  |  | $ | (1,318) |  |  | $ | (4,422) |
Assets held for sale | (16,166) |  |  | (34,348) |  |  | (79,054) |
Property, plant and equipment and leasehold intangibles, net | (878) |  |  | (938) |  |  | (379) |
Investments in unconsolidated ventures | — |  |  | — |  |  | (156) |
Other liabilities | (75) |  |  | (786) |  |  | (1,479) |
Loss (gain) on sale of assets, net | (2,346) |  |  | (4,701) |  |  | (7,245) |
Net cash received | $ | (21,448) |  |  | $ | (42,091) |  |  | $ | (92,735) |
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
| For the Years Ended December 31,
| 2021 |  | 2020 |  | 2019
Assets designated as held for sale: |  |  |  |  |
Assets held for sale | $ | 3,612 |  |  | $ | 7,935 |  |  | $ | 28,608 |
Property, plant and equipment and leasehold intangibles, net | (3,612) |  |  | (7,935) |  |  | (28,608) |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Healthpeak master lease modification: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | — |  |  | $ | (57,462) |  |  | $ | — |
Operating lease right-of-use assets | — |  |  | 88,044 |  |  | — |
Financing lease obligations | — |  |  | 70,874 |  |  | — |
Operating lease obligations | — |  |  | (101,456) |  |  | — |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Other non-cash lease transactions, net: |  |  |  |  |
Prepaid expenses and other assets, net | $ | — |  |  | $ | — |  |  | $ | (636) |
Property, plant and equipment and leasehold intangibles, net | 4,056 |  |  | 10,707 |  |  | (1,963) |
Operating lease right-of-use assets | 17,197 |  |  | (7,941) |  |  | 18,148 |
Operating lease obligations | (17,197) |  |  | 15,126 |  |  | (18,206) |
Financing lease obligations | (4,056) |  |  | (15,483) |  |  | — |
Other liabilities | — |  |  | (77) |  |  | (731) |
Loss (gain) on facility operating lease termination, net | — |  |  | (2,332) |  |  | 3,388 |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Schedule of Cash and Restricted Cash | Restricted cash consists principally of deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs, escrow deposits for real estate taxes, property insurance, and capital expenditures, and debt service reserve accounts required by certain lenders under mortgage debt agreements. The components of restricted cash are as follows.
| December 31,
(in thousands) | 2021 |  | 2020
Current: |  |  |
Real estate tax and property insurance escrows | $ | 16,272 |  |  | $ | 17,465 |
Replacement reserve escrows | 9,756 |  |  | 9,465 |
Resident deposits | 93 |  |  | 253 |
Other | 724 |  |  | 876 |
Subtotal | 26,845 |  |  | 28,059 |
Long term: |  |  |
Insurance deposits | 30,932 |  |  | 21,903 |
Debt service reserve | 18,053 |  |  | 17,784 |
CCRCs escrows | 15,346 |  |  | 15,329 |
Letters of credit collateral | 107 |  |  | 1,653 |
Subtotal | 64,438 |  |  | 56,669 |
Total | $ | 91,283 |  |  | $ | 84,728 |
The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the consolidated balance sheets that sums to the total of the same such amounts shown in the consolidated statements of cash flows.
| December 31,
(in thousands) | 2021 |  | 2020
Reconciliation of cash, cash equivalents, and restricted cash: |  |  |
Cash and cash equivalents | $ | 347,031 |  |  | $ | 380,420 |
Restricted cash | 26,845 |  |  | 28,059 |
Long-term restricted cash | 64,438 |  |  | 56,669 |
Total cash, cash equivalents, and restricted cash | $ | 438,314 |  |  | $ | 465,148 |

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