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Supplemental Disclosure of Cash Flow Information | 12 Months Ended
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Dec. 31, 2022
Supplemental Cash Flow Elements [Abstract] |
Supplemental Disclosure of Cash Flow Information | 20. Supplemental Disclosure of Cash Flow Information
(in thousands) | For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information: | 2022 |  | 2021 |  | 2020
Interest paid | $ | 200,308 |  |  | $ | 188,791 |  |  | $ | 204,696 |
Income taxes paid, net of refunds | $ | (330) |  |  | $ | 5,923 |  |  | $ | 8,878 |
Capital expenditures, net of related payables: |  |  |  |  |
Capital expenditures - non-development, net | $ | 168,166 |  |  | $ | 137,410 |  |  | $ | 139,592 |
Capital expenditures - development, net | 6,193 |  |  | 3,208 |  |  | 13,667 |
Capital expenditures - non-development - reimbursable | 25,650 |  |  | 42,100 |  |  | 27,846 |
Trade accounts payable | (3,085) |  |  | (6,061) |  |  | 4,766 |
Net cash paid | $ | 196,924 |  |  | $ | 176,657 |  |  | $ | 185,871 |
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 |
| For the Years Ended December 31,
(in thousands) | 2022 |  | 2021 |  | 2020
Acquisition of other assets: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 4 |  |  | $ | — |  |  | $ | 684 |
Financing lease obligations | 6,000 |  |  | — |  |  | 64,260 |
Net cash paid | $ | 6,004 |  |  | $ | — |  |  | $ | 64,944 |
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) |  |  | — |
Investment 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 |  |  | — |
Non-operating loss (gain) on sale of assets, net | — |  |  | (286,489) |  |  | — |
Net cash received | $ | — |  |  | $ | (312,558) |  |  | $ | — |
Proceeds from sale of CCRC Venture, net: |  |  |  |  |
Investment in unconsolidated ventures | $ | — |  |  | $ | — |  |  | $ | (14,848) |
Current portion of long-term debt | — |  |  | — |  |  | 34,706 |
Other liabilities | — |  |  | — |  |  | 60,748 |
Non-operating 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 | $ | (1,308) |  |  | $ | (1,983) |  |  | $ | (1,318) |
Assets held for sale | (3,668) |  |  | (16,166) |  |  | (34,348) |
Property, plant and equipment and leasehold intangibles, net | (107) |  |  | (878) |  |  | (938) |
Other liabilities | 1,025 |  |  | (75) |  |  | (786) |
Non-operating loss (gain) on sale of assets, net | (595) |  |  | (2,346) |  |  | (4,701) |
Net cash received | $ | (4,653) |  |  | $ | (21,448) |  |  | $ | (42,091) |
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 |
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
| For the Years Ended December 31,
(in thousands) | 2022 |  | 2021 |  | 2020
Assets designated as held for sale: |  |  |  |  |
Assets held for sale | $ | — |  |  | $ | 3,612 |  |  | $ | 7,935 |
Property, plant and equipment and leasehold intangibles, net | — |  |  | (3,612) |  |  | (7,935) |
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 | $ | — |  |  | $ | — |  |  | $ | — |
Gain on sale for master lease amendment: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | (220,477) |  |  | $ | — |  |  | $ | — |
Operating lease right-of-use assets | 91,641 |  |  | — |  |  | — |
Financing lease obligations | 294,327 |  |  | — |  |  | — |
Operating lease obligations | (91,641) |  |  | — |  |  | — |
Loss (gain) on sale of communities, net | (73,850) |  |  | — |  |  | — |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Other non-cash lease transactions, net: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | 11,098 |  |  | 4,056 |  |  | 10,707 |
Operating lease right-of-use assets | 11,419 |  |  | 17,197 |  |  | (7,941) |
Operating lease obligations | (16,179) |  |  | (17,197) |  |  | 15,126 |
Financing lease obligations | (6,338) |  |  | (4,056) |  |  | (15,483) |
Other liabilities | — |  |  | — |  |  | (77) |
Loss (gain) on facility operating lease termination, net | — |  |  | — |  |  | (2,332) |
Net | $ | — |  |  | $ | — |  |  | $ | — |
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, regulatory reserves for certain CCRCs, 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) | 2022 |  | 2021
Current: |  |  |
Real estate tax and property insurance escrows | $ | 15,722 |  |  | $ | 16,272 |
Replacement reserve escrows | 7,999 |  |  | 9,756 |
Interest rate cap escrows | 3,797 |  |  | 585 |
Other | 217 |  |  | 232 |
Subtotal | 27,735 |  |  | 26,845 |
Long term: |  |  |
Insurance deposits | 18,230 |  |  | 30,932 |
CCRCs escrows | 15,847 |  |  | 15,346 |
Debt service reserve | 13,779 |  |  | 18,053 |
Letters of credit collateral | 107 |  |  | 107 |
Subtotal | 47,963 |  |  | 64,438 |
Total | $ | 75,698 |  |  | $ | 91,283 |
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) | 2022 |  | 2021
Reconciliation of cash, cash equivalents, and restricted cash: |  |  |
Cash and cash equivalents | $ | 398,850 |  |  | $ | 347,031 |
Restricted cash | 27,735 |  |  | 26,845 |
Long-term restricted cash | 47,963 |  |  | 64,438 |
Total cash, cash equivalents, and restricted cash | $ | 474,548 |  |  | $ | 438,314 |

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- Definition The entire disclosure for supplemental cash flow activities, including cash, noncash, and part noncash transactions, for the period. Noncash is defined as information about all investing and financing activities of an enterprise during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -URI https://asc.fasb.org/topic&trid=2134446 + Details
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