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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - Supplemental (Parenthetical) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Supplemental cash flow information:    
Interest paid $ 29,071 $ 35,280
Non-cash investing activities:    
Capitalized interest 827 306
Five Star    
Non-cash investing activities:    
Restructuring Transaction additional consideration 0 (75,000)
Five Star    
Non-cash investing activities:    
Five Star Senior Living Inc. common stock 0 97,896
Non-cash financing activities:    
Distribution to common shareholders of the right to receive Five Star Senior Living Inc. common stock $ 0 $ (59,801)