Supplemental Disclosure of Cash Flow Information

9 Months Ended

Sep. 30, 2024

Supplemental Cash Flow Elements [Abstract]

Supplemental Disclosure of Cash Flow Information

12. Supplemental Disclosure of Cash Flow Information


	Nine Months Ended September 30,
(in thousands)	2024		2023
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	178,106	$	171,317
Income taxes paid, net of (refunds)	$	1,212	$	(1,233)

Capital expenditures, net of related payables:
Capital expenditures - non-development, net	$	144,634	$	174,975
Capital expenditures - development, net	624		1,309
Capital expenditures - non-development - reimbursable from lessor	8,014		2,244
Trade accounts payable	(2,334)		(3,828)
Net cash paid	$	150,938	$	174,700
Acquisition of assets, net of cash acquired:
Prepaid expenses and other assets, net	$	—	$	23

Property, plant and equipment and leasehold intangibles, net	—		6,872


Investment in unconsolidated ventures	—		(3,395)




Other liabilities	—		(384)



Other non-operating loss (income)	—		(2,542)
Net cash paid	$	—	$	574





Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(362)	$	(1,660)

Property, plant and equipment and leasehold intangibles, net	(6,291)		(23,733)




Refundable fees and deferred revenue	—		9,347

Other liabilities	559		10,021
Non-operating loss (gain) on sale of assets, net	(923)		(860)
Loss (gain) on sale of communities, net	—		(36,296)
Net cash received	$	(7,017)	$	(43,181)















Supplemental Schedule of Non-cash Operating, Investing, and Financing Activities:

































Non-cash lease transactions, net:

Property, plant and equipment and leasehold intangibles, net	$	427,444	$	(51,542)

Operating lease right-of-use assets	170,867		216,492
Financing lease obligations	(452,897)		88,844
Operating lease obligations	(145,414)		(253,794)




Net	$	—	$	—

Restricted cash consists principally of escrow deposits for interest rate caps, real estate taxes, property insurance, capital expenditures, and debt service reserves required by certain lenders under mortgage debt agreements, deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs, and regulatory reserves for certain CCRCs. The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.


(in thousands)	September 30, 2024		December 31, 2023
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	254,711	$	277,971
Restricted cash - current	49,067		41,341
Restricted cash - non-current	28,267		30,356
Total cash, cash equivalents, and restricted cash	$	332,045	$	349,668