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Supplemental Disclosure of Cash Flow Information
 12 Months Ended
Dec. 31, 2020
Supplemental Cash Flow Elements [Abstract]  
Supplemental Disclosure of Cash Flow Information Supplemental Disclosure of Cash Flow Information
(in thousands)For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information:202020192018
Interest paid$204,696 $244,469 $260,706 
Income taxes paid, net of refunds$8,878 $1,534 $2,058 
Capital expenditures, net of related payables:
Capital expenditures - non-development, net$139,592 $235,797 $182,249 
Capital expenditures - development, net13,667 24,595 24,687 
Capital expenditures - non-development - reimbursable27,846 34,809 12,165 
Capital expenditures - development - reimbursable— — 1,709 
Trade accounts payable4,766 8,891 4,663 
Net cash paid$185,871 $304,092 $225,473 
Acquisition of communities from Healthpeak:
Property, plant and equipment and leasehold intangibles, net$286,734 $— $— 
Operating lease right-of-use assets(63,285)— — 
Financing lease obligations129,196 — — 
Operating lease obligations74,335 — — 
Loss (gain) on debt modification and extinguishment, net(19,731)— — 
Net cash paid$407,249 $— $— 
Master Agreement with Ventas:
Property, plant and equipment and leasehold intangibles, net$(66,444)$— $— 
Operating lease right-of-use assets(153,213)— — 
Other assets, net(42,354)— — 
Long-term debt34,053 — — 
Financing lease obligations7,077 — — 
Operating lease obligations362,944 — — 
Additional paid-in-capital(22,883)— — 
Net cash paid$119,180 $— $— 
For the Years Ended December 31,
202020192018
Acquisition of other assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net$684 $44 $237,563 
Other intangible assets, net— 453 (4,345)
Financing lease obligations64,260 — 36,120 
Other liabilities— — 2,433 
Net cash paid$64,944 $497 $271,771 
Proceeds from sale of CCRC Venture, net:
Investments in unconsolidated ventures$(14,848)$— $— 
Current portion of long-term debt34,706 — — 
Other liabilities60,748 — — 
Loss (gain) on sale of assets, net(369,831)— — 
Net cash received$(289,225)$— $— 
Proceeds from sale of other assets, net:
Prepaid expenses and other assets, net$(1,318)$(4,422)$(4,950)
Assets held for sale(34,348)(79,054)(197,111)
Property, plant and equipment and leasehold intangibles, net(938)(379)(93,098)
Investments in unconsolidated ventures— (156)(58,179)
Financing lease obligations— — 93,514 
Refundable fees and deferred revenue— — 8,632 
Other liabilities(786)(1,479)1,139 
Loss (gain) on sale of assets, net(4,701)(7,245)(249,754)
Net cash received$(42,091)$(92,735)$(499,807)
Lease termination and modification, net:
Prepaid expenses and other assets, net$— $— $(2,804)
Property, plant and equipment and leasehold intangibles, net— — (87,464)
Financing lease obligations— — 58,099 
Deferred liabilities— — 70,835 
Loss (gain) on sale of assets, net— — (5,761)
Loss (gain) on facility lease termination and modification, net— — 34,283 
Net cash paid (1)
$— $— $67,188 
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Purchase of treasury stock:
Treasury stock$— $— $4,244 
Accounts payable— — (4,244)
Net$— $— $— 
Assets designated as held for sale:
Prepaid expenses and other assets, net$— $— $(517)
Assets held for sale7,935 28,608 198,445 
Property, plant and equipment and leasehold intangibles, net(7,935)(28,608)(197,928)
Net$— $— $— 
Healthpeak master lease modification:
Property, plant and equipment and leasehold intangibles, net$(57,462)$— $— 
Operating lease right-of-use assets88,044 — — 
Financing lease obligations70,874 — — 
Operating lease obligations(101,456)— — 
Net$— $— $— 
Other non-cash lease transactions, net:
Prepaid expenses and other assets, net$— $(636)$(248)
Property, plant and equipment and leasehold intangibles, net10,707 (1,963)(132,733)
Operating lease right-of-use assets(7,941)18,148 — 
Operating lease obligations15,126 (18,206)— 
Financing lease obligations(15,483)— 165,918 
Deferred liabilities— — (122,304)
Other liabilities(77)(731)(620)
Loss (gain) on sale of assets, net— — (37,731)
Loss (gain) on facility lease termination and modification, net(2,332)3,388 127,718 
Net$— $— $— 

(1)    The net cash paid to terminate community leases is presented within the consolidated statements 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 financing leases is presented within net cash used in financing activities for the year ended December 31, 2018.

During 2019, the Company and its venture partner contributed cash in an aggregate amount of $13.3 million to a consolidated venture which owns two senior housing communities as of December 31, 2020. The Company obtained a $6.6 million promissory note receivable from its venture partner secured by a 50% equity interest in the venture in a non-cash exchange for the Company funding the $13.3 million aggregate contribution in cash. At the closing of the sale of a senior housing community during 2019 by the consolidated venture, the consolidated venture distributed $6.3 million to the partners with the Company receiving a $3.1 million repayment on the promissory note in a non-cash exchange.

Refer to Note 2 for a schedule of the non-cash adjustments to the Company's consolidated balance sheet as of January 1, 2019 as a result of the adoption of new accounting standards.
Restricted cash consists principally of escrow deposits for real estate taxes, property insurance, and capital expenditures, debt service reserve accounts required by certain lenders under mortgage debt agreements, and deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs. The components of restricted cash are as follows:
 December 31,
(in thousands)20202019
Current:  
Real estate tax and property insurance escrows$17,465 $16,299 
Replacement reserve escrows9,465 9,071 
Resident deposits253 475 
Other876 1,011 
Subtotal28,059 26,856 
Long term:  
Insurance deposits21,903 23,692 
Debt service reserve17,784 281 
CCRCs escrows15,329 10,641 
Letters of credit collateral1,653 — 
Subtotal56,669 34,614 
Total$84,728 $61,470 

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the consolidated balance sheets that sums to the total of the same such amounts shown in the consolidated statements of cash flows.
December 31,
(in thousands)20202019
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents$380,420 $240,227 
Restricted cash28,059 26,856 
Long-term restricted cash56,669 34,614 
Total cash, cash equivalents, and restricted cash$465,148 $301,697