Supplemental Disclosure of Cash Flow Information

6 Months Ended

Jun. 30, 2025

Supplemental Cash Flow Elements [Abstract]

Supplemental Disclosure of Cash Flow Information

12. Supplemental Disclosure of Cash Flow Information

	Six Months Ended June 30,
(in thousands)	2025		2024
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	117,100	$	117,143
Income taxes paid, net of (refunds)	$	1,256	$	1,213
Capital expenditures, net of related payables:
Capital expenditures - non-development, net	$	89,941	$	102,916
Capital expenditures - development, net	12		433
Capital expenditures - non-development - reimbursable from lessor	11,337		1,300
Trade accounts payable	(5,007)		(8,676)
Net cash paid	$	96,283	$	95,973
Acquisition of assets:
Property, plant and equipment and leasehold intangibles, net	$	1,028	$	—
Financing lease obligations	277,208		—
Loss on debt modification and extinguishment, net	32,792		—
Net cash paid	$	311,028	$	—
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	—	$	(362)
Property, plant and equipment and leasehold intangibles, net	(1,004)		(6,311)
Other liabilities	—		559
Non-operating loss (gain) on sale of assets, net	—		(903)
Loss (gain) on sale of communities, net	(43)		—
Net cash received	$	(1,047)	$	(7,017)

Restricted cash consists principally of escrow deposits for interest rate caps, real estate taxes, property insurance, capital expenditures, and debt service reserves required by certain lenders under mortgage debt agreements, deposits as security for self-insured retention risk under general and professional liability programs, property insurance programs, and workers' compensation programs, and regulatory reserves for certain CCRCs. The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.

(in thousands)	June 30, 2025		December 31, 2024
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	251,888	$	308,925
Restricted cash - current	37,268		39,871
Restricted cash - non-current	34,406		31,044
Total cash, cash equivalents, and restricted cash	$	323,562	$	379,840