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CONSOLIDATED STATEMENTS OF CASH FLOWS - Supplemental (Parenthetical) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
SUPPLEMENTAL CASH FLOW INFORMATION: |  |  |
Interest paid | $ 235,994 | $ 195,599 | $ 177,308
Income taxes paid | 2,798 | 399 | 452
Decrease in assets and liabilities resulting from the deconsolidation of an investment that was previously consolidated: |  |  |
Real estate, net | (686,320) | 0 | 0
Mortgage notes, net | 618,452 | 0 | 0
Real estate improvements accrued, not paid | 20,031 | 18,097 | 14,111
Capitalized interest | 1,297 | 1,833 | 1,124
Joint venture | ALR |  |  |
Decrease in assets and liabilities resulting from the deconsolidation of an investment that was previously consolidated: |  |  |
Restructuring transaction additional consideration | 0 | (75,000) | 0
ALR |  |  |
Decrease in assets and liabilities resulting from the deconsolidation of an investment that was previously consolidated: |  |  |
AlerisLife Inc. common stock | 0 | 97,896 | 0
NON-CASH FINANCING ACTIVITIES: |  |  |
Distribution to common shareholders of the right to receive AlerisLife Inc. common stock | $ 0 | $ (59,801) | $ 0

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