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CONSOLIDATED STATEMENTS OF CASH FLOWS - Supplemental (Parenthetical) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
SUPPLEMENTAL CASH FLOW INFORMATION: |  |  |
Interest paid | $ 195,599 | $ 177,308 | $ 164,996
Income taxes paid | 399 | 452 | 474
NON-CASH INVESTING ACTIVITIES: |  |  |
Acquisitions funded by assumed debt | 0 | 0 | (44,386)
Capitalized interest | 1,833 | 1,124 | 124
Five Star |  |  |
NON-CASH INVESTING ACTIVITIES: |  |  |
Transaction Agreement additional consideration | (75,000) | 0 | 0
NON-CASH FINANCING ACTIVITIES: |  |  |
Assumption of mortgage notes payable | 0 | 0 | 44,386
Five Star |  |  |
NON-CASH INVESTING ACTIVITIES: |  |  |
Five Star Senior Living Inc. common stock | 97,896 | 0 | 0
NON-CASH FINANCING ACTIVITIES: |  |  |
Stock Issued During Period, Value, New Issues | $ (59,801) | $ 0 | $ 0

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