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Supplemental Disclosure of Cash Flow Information
 12 Months Ended
Dec. 31, 2021
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:202120202019
Interest paid$188,791 $204,696 $244,469 
Income taxes paid, net of refunds$5,923 $8,878 $1,534 
Capital expenditures, net of related payables:
Capital expenditures - non-development, net$137,410 $139,592 $235,797 
Capital expenditures - development, net3,208 13,667 24,595 
Capital expenditures - non-development - reimbursable42,100 27,846 34,809 
Trade accounts payable(6,061)4,766 8,891 
Net cash paid$176,657 $185,871 $304,092 
Acquisition of communities from Healthpeak:
Property, plant and equipment and leasehold intangibles, net$— $286,734 $— 
Operating lease right-of-use assets— (63,285)— 
Financing lease obligations— 129,196 — 
Operating lease obligations— 74,335 — 
Loss (gain) on debt modification and extinguishment, net— (19,731)— 
Net cash paid$— $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 debt— 34,053 — 
Financing lease obligations— 7,077 — 
Operating lease obligations— 362,944 — 
Additional paid-in-capital— (22,883)— 
Net cash paid$— $119,180 $— 
Proceeds from HCS Sale, net:
Accounts receivable, net$(57,582)$— $— 
Property, plant and equipment and leasehold intangibles, net(1,806)— — 
Operating lease right-of-use assets(8,145)— — 
Investments in unconsolidated ventures100,000 — — 
Goodwill(126,810)— — 
Prepaid expenses and other assets, net(32,963)— — 
Trade accounts payable1,387 — — 
Accrued expenses25,226 — — 
Refundable fees and deferred revenue57,314 — — 
Operating lease obligations8,145 — — 
Other liabilities9,165 — — 
Loss (gain) on sale of assets, net(286,489)— — 
Net cash received$(312,558)$— $— 
Acquisition of other assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net$— $684 $44 
Other intangible assets, net— — 453 
Financing lease obligations— 64,260 — 
Net cash paid$— $64,944 $497 
Proceeds from sale of CCRC Venture, net:
Investments in unconsolidated ventures$— $(14,848)$— 
Current portion of long-term debt— 34,706 — 
Other liabilities— 60,748 — 
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$(1,983)$(1,318)$(4,422)
Assets held for sale(16,166)(34,348)(79,054)
Property, plant and equipment and leasehold intangibles, net(878)(938)(379)
Investments in unconsolidated ventures— — (156)
Other liabilities(75)(786)(1,479)
Loss (gain) on sale of assets, net(2,346)(4,701)(7,245)
Net cash received$(21,448)$(42,091)$(92,735)
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
For the Years Ended December 31,
2021
2020
2019
Assets designated as held for sale:
Assets held for sale$3,612 $7,935 $28,608 
Property, plant and equipment and leasehold intangibles, net(3,612)(7,935)(28,608)
Net$— $— $— 
Healthpeak master lease modification:
Property, plant and equipment and leasehold intangibles, net$— $(57,462)$— 
Operating lease right-of-use assets— 88,044 — 
Financing lease obligations— 70,874 — 
Operating lease obligations— (101,456)— 
Net$— $— $— 
Other non-cash lease transactions, net:
Prepaid expenses and other assets, net$— $— $(636)
Property, plant and equipment and leasehold intangibles, net4,056 10,707 (1,963)
Operating lease right-of-use assets17,197 (7,941)18,148 
Operating lease obligations(17,197)15,126 (18,206)
Financing lease obligations(4,056)(15,483)— 
Other liabilities— (77)(731)
Loss (gain) on facility operating lease termination, net — (2,332)3,388 
Net$— $— $— 

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, 2021. 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 deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs, escrow deposits for real estate taxes, property insurance, and capital expenditures, and debt service reserve accounts required by certain lenders under mortgage debt agreements. The components of restricted cash are as follows.
 December 31,
(in thousands)20212020
Current:  
Real estate tax and property insurance escrows$16,272 $17,465 
Replacement reserve escrows9,756 9,465 
Resident deposits93 253 
Other724 876 
Subtotal26,845 28,059 
Long term:  
Insurance deposits30,932 21,903 
Debt service reserve18,053 17,784 
CCRCs escrows15,346 15,329 
Letters of credit collateral107 1,653 
Subtotal64,438 56,669 
Total$91,283 $84,728 

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)20212020
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents$347,031 $380,420 
Restricted cash26,845 28,059 
Long-term restricted cash64,438 56,669 
Total cash, cash equivalents, and restricted cash$438,314 $465,148