Supplemental Disclosure of Cash Flow Information



(in thousands)	For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information:	2018			2017			2016
Interest paid	$	260,706		$	294,758		$	349,535
Income taxes paid, net of refunds	$	2,058		$	1,038		$	2,047

Additions to property, plant and equipment and leasehold intangibles, net:
Property, plant and equipment and leasehold intangibles, net	$	220,810		$	221,476		$	300,113
Trade accounts payable	4,663			(7,589		)	33,534
Net cash paid	$	225,473		$	213,887		$	333,647
Acquisition of assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net	$	237,563		$	—		$	19,457
Other intangible assets, net	(4,345		)	5,196			(7,300		)
Capital and financing lease obligations	36,120			—			—
Other liabilities	2,433			—			—
Net cash paid	$	271,771		$	5,196		$	12,157
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(4,950	)	$	(17,072	)	$	(4,543	)
Assets held for sale	(197,111		)	(20,952		)	(289,452		)
Property, plant and equipment and leasehold intangibles, net	(93,098		)	(155,723		)	—
Investments in unconsolidated ventures	(58,179		)	(52,548		)	—
Other liabilities	1,139			(1,058		)	3,281
Long-term debt	—			8,547			—
Capital and financing lease obligations	93,514			157,963			—
Refundable entrance fees and deferred revenue	8,632			30,771			—
(Gain) loss on sale of assets, net	(249,754		)	(19,273		)	(7,218		)
Loss on facility lease termination and modification, net	—			(1,162		)	—
Net cash received	$	(499,807	)	$	(70,507	)	$	(297,932	)
Lease termination and modification, net:
Prepaid expenses and other assets, net	$	(2,804	)	$	—		$	—
Property, plant and equipment and leasehold intangibles, net	(87,464		)	—			—
Capital and financing lease obligations	58,099			—			—
Deferred liabilities	70,835			—			—
Gain on sale of assets, net	(5,761		)	—			—
Loss on facility lease termination and modification, net	34,283			—			—
Net cash paid ⁽¹⁾	$	67,188		$	—		$	—
Formation of the Blackstone Venture:
Prepaid expenses and other assets	$	—		$	(8,173	)	$	—
Property, plant and equipment and leasehold intangibles, net	—			(768,897		)	—
Investments in unconsolidated ventures	—			66,816			—
Capital and financing lease obligations	—			879,959			—
Deferred liabilities	—			7,504			—
Other liabilities	—			1,998			—
Net cash paid	$	—		$	179,207		$	—



Supplemental Schedule of Non-Cash Operating, Investing and Financing Activities:
Purchase of treasury stock:
Treasury stock	$	4,244		$	—		$	—
Accounts payable	(4,244		)	—			—
Net	$	—		$	—		$	—
Assets designated as held for sale:
Prepaid expenses and other assets, net	$	(517	)	$	199		$	(3,195	)
Assets held for sale	198,445			(29,544		)	278,675
Property, plant and equipment and leasehold intangibles, net	(197,928		)	29,345			(262,711		)
Goodwill	—			—			(28,568		)
Asset impairment	—			—			15,799
Net	$	—		$	—		$	—
Lease termination and modification, net:
Prepaid expenses and other assets, net	$	(248	)	$	—		$	—
Property, plant and equipment and leasehold intangibles, net	(132,733		)	(145,645		)	—
Capital and financing lease obligations	165,918			147,886			—
Deferred liabilities	(122,304		)	7,447			—
Other liabilities	(620		)	(9,688		)	—
Gain on sale of assets, net	(37,731		)	—			—
Loss on facility lease termination and modification, net	127,718			—			—
Net	$	—		$	—		$	—

(1)

The net cash paid to terminate community leases is presented within the consolidated statement of cash flows based upon the lease classification of the terminated leases. Net cash paid of $54.6 million for the termination of operating leases is presented within net cash provided by operating activities and net cash paid of $12.5 million for the termination of capital and financing leases is presented within net cash used in financing activities for the year ended December 31, 2018.

The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the consolidated statement of cash flows that sums to the total of the same such amounts shown in the consolidated statement of cash flows.



(in millions)	December 31, 2018		December 31, 2017
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents	$	398,267	$	222,647
Restricted cash	27,683		37,189
Long-term restricted cash	24,268		22,710
Total cash, cash equivalents and restricted cash shown in the consolidated statement of cash flows	$	450,218	$	282,546