| Supplemental Disclosure of Cash Flow Information |
11. Supplemental Disclosure of Cash Flow Information | | | | | | | | | | | | | Three Months Ended March 31, | | (in thousands) | 2026 | | 2025 | | Supplemental Disclosure of Cash Flow Information: | | | | | Interest paid | $ | 52,227 | | | $ | 53,173 | | | Income taxes paid, net of (refunds) | $ | 356 | | | $ | 7 | | | | | | | Capital expenditures, net of related payables: | | | | | Capital expenditures - non-development, net | $ | 48,380 | | | $ | 41,127 | | | Capital expenditures - development, net | — | | | 9 | | | Capital expenditures - non-development - reimbursable from lessor | 4,775 | | | 2,013 | | | Trade accounts payable | (6,679) | | | (1,332) | | | Net cash paid | $ | 46,476 | | | $ | 41,817 | | | 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 | $ | (941) | | | $ | — | | | | | | | Property, plant and equipment and leasehold intangibles, net | (17,422) | | | — | | | | | | | | | | | | | | | | | | | | | | | | | | | Other liabilities | 338 | | | — | | | | | | | Loss (gain) on sale of communities, net | (4,034) | | | — | | | Net cash received | $ | (22,059) | | | $ | — | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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) | March 31, 2026 | | December 31, 2025 | | Reconciliation of cash, cash equivalents, and restricted cash: | | | | | Cash and cash equivalents | $ | 265,204 | | | $ | 279,122 | | | Restricted cash - current | 31,075 | | | 33,227 | | | Restricted cash - non-current | 37,374 | | | 30,659 | | | Total cash, cash equivalents, and restricted cash | $ | 333,653 | | | $ | 343,008 | |
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