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CONSOLIDATED STATEMENTS OF CASH FLOWS - Supplemental (Parenthetical) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
SUPPLEMENTAL CASH FLOW INFORMATION: |  |  |
Interest paid | $ 201,153 | $ 235,994 | $ 195,599
Income taxes paid | 935 | 2,798 | 399
Decrease in assets and liabilities resulting from the deconsolidation of investments that were previously consolidated: |  |  |
Real estate, net | (355,669) | (686,320) | 0
Mortgage notes, net | 0 | 618,452 | 0
Real estate improvements accrued, not paid | 32,064 | 20,031 | 18,097
Capitalized interest | 0 | 1,297 | 1,833
Joint venture | AlerisLife Inc |  |  |
Decrease in assets and liabilities resulting from the deconsolidation of investments that were previously consolidated: |  |  |
Restructuring transaction additional consideration | 0 | 0 | (75,000)
AlerisLife Inc |  |  |
Decrease in assets and liabilities resulting from the deconsolidation of investments that were previously consolidated: |  |  |
AlerisLife Inc. common stock | 0 | 0 | 97,896
NON-CASH FINANCING ACTIVITIES: |  |  |
Distribution to common shareholders of the right to receive AlerisLife Inc. common stock | $ 0 | $ 0 | $ (59,801)

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