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Supplemental Disclosure of Cash Flow Information | 9 Months Ended
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Sep. 30, 2025
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) | 2025 |  | 2024
Supplemental Disclosure of Cash Flow Information: |  |  |
Interest paid | $ | 173,696 |  |  | $ | 178,106 |
Income taxes paid, net of (refunds) | $ | 1,415 |  |  | $ | 1,212 |
Capital expenditures, net of related payables: |  |  |
Capital expenditures - non-development, net | $ | 128,382 |  |  | $ | 144,634 |
Capital expenditures - development, net | 13 |  |  | 624 |
Capital expenditures - non-development - reimbursable from lessor | 20,078 |  |  | 8,014 |
Trade accounts payable | (10,601) |  |  | (2,334) |
Net cash paid | $ | 137,872 |  |  | $ | 150,938 |
Acquisition of assets: |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 1,028 |  |  | $ | — |
Financing lease obligations | 277,208 |  |  | — |
Loss on debt modification and extinguishment, net | 32,792 |  |  | — |
Net cash paid | $ | 311,028 |  |  | $ | — |
Proceeds from sale of assets, net: |  |  |
Prepaid expenses and other assets, net | $ | (195) |  |  | $ | (362) |
Property, plant and equipment and leasehold intangibles, net | (7,756) |  |  | (6,291) |
Other liabilities | — |  |  | 559 |
Non-operating loss (gain) on sale of assets, net | — |  |  | (923) |
Loss (gain) on sale of communities, net | (182) |  |  | — |
Net cash received | $ | (8,133) |  |  | $ | (7,017) |
Supplemental Schedule of Non-cash Operating, Investing, and Financing Activities: |  |  |
Non-cash lease transactions, net: |  |  |
Prepaid expenses and other assets, net | $ | (871) |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (171) |  |  | 427,444 |
Operating lease right-of-use assets | 1,925 |  |  | 170,867 |
Financing lease obligations | (57) |  |  | (452,897) |
Operating lease obligations | (306) |  |  | (145,414) |
Accrued expenses | (5,000) |  |  | — |
Loss (gain) on facility operating lease termination, net | 4,480 |  |  | — |
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 general and professional liability programs, property insurance programs, and workers' compensation 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, 2025 |  | December 31, 2024
Reconciliation of cash, cash equivalents, and restricted cash: |  |  |
Cash and cash equivalents | $ | 253,448 |  |  | $ | 308,925 |
Restricted cash - current | 41,815 |  |  | 39,871 |
Restricted cash - non-current | 36,064 |  |  | 31,044 |
Total cash, cash equivalents, and restricted cash | $ | 331,327 |  |  | $ | 379,840 |

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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 -Topic 230 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/230/tableOfContent + Details
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- References No definition available. + Details
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