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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - Supplemental (Parenthetical) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2023 | Mar. 31, 2022
Supplemental cash flow information: |  |
Interest paid | $ 43,166 | $ 38,925
Income taxes paid | 0 | 50
Non-cash investing activities: |  |
Receivable from AlerisLife Inc. tender offer | 14,006 | 0
Real estate, net | 0 | (355,669)
Real estate improvements accrued, not paid | $ 20,195 | $ 20,645

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