v3.25.3
Segment Information (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2025
USD ($)
segment
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Segment Reporting Information [Line Items]          
Number of reportable segments | segment     3    
Total revenue $ 813,165 $ 784,167 $ 2,439,973 $ 2,344,539  
Total facility operating expenses 566,985 548,282 1,686,289 1,628,339  
Total segment operating income 210,853 198,123 649,860 607,250  
General and administrative expense (including non-cash stock-based compensation expense) 50,866 44,929 153,713 137,325  
Facility operating lease expense: 51,993 51,937 157,520 154,397  
Depreciation and amortization: 94,792 90,064 278,621 264,219  
Asset impairment: 62,696 934 65,060 2,642  
Loss (gain) on sale of communities, net (139) 0 (182) 0  
Loss (gain) on facility operating lease termination, net 4,480 0 4,480 0  
Income (loss) from operations (53,835) 10,259 (9,352) 48,667  
Interest expense: 63,574 66,316 191,686 185,570  
Capital expenditures: 47,183 48,623 148,473 153,272  
Total assets 6,012,708   6,012,708   $ 6,335,562
Goodwill 27,321   27,321   27,321
Independent Living          
Segment Reporting Information [Line Items]          
Goodwill 27,300   27,300   27,300
Operating Segments | Independent Living          
Segment Reporting Information [Line Items]          
Total revenue 156,996 150,380 472,248 448,870  
Community labor expenses: 60,261 57,706 178,659 171,473  
Other facility operating expenses 45,232 43,927 134,256 129,673  
Total segment operating income 51,503 48,747 159,333 147,724  
Facility operating lease expense: 9,649 9,815 29,072 28,592  
Depreciation and amortization: 28,097 23,526 80,427 68,430  
Asset impairment: 14,624 233 14,624 233  
Interest expense: 15,750 16,301 46,952 48,666  
Capital expenditures: 10,599 10,853 33,441 35,824  
Total assets 1,165,714   1,165,714   1,252,736
Operating Segments | Assisted Living and Memory Care          
Segment Reporting Information [Line Items]          
Total revenue 531,941 510,084 1,596,638 1,528,147  
Community labor expenses: 260,274 249,091 772,218 740,764  
Other facility operating expenses 130,982 129,225 391,475 382,002  
Total segment operating income 140,685 131,768 432,945 405,381  
Facility operating lease expense: 38,827 38,543 117,834 114,238  
Depreciation and amortization: 53,004 51,110 157,500 150,089  
Asset impairment: 47,883 701 49,647 2,409  
Interest expense: 37,438 36,617 112,290 108,995  
Capital expenditures: 28,547 29,158 87,207 93,398  
Total assets 3,810,548   3,810,548   3,983,311
Operating Segments | CCRCs          
Segment Reporting Information [Line Items]          
Total revenue 86,203 83,265 259,322 250,662  
Community labor expenses: 46,913 45,639 139,437 137,222  
Other facility operating expenses 23,323 22,694 70,244 67,205  
Total segment operating income 15,967 14,932 49,641 46,235  
Facility operating lease expense: 3,227 3,369 9,748 9,584  
Depreciation and amortization: 9,147 8,843 26,710 26,569  
Asset impairment: 189 0 789 0  
Interest expense: 5,056 5,997 15,425 17,756  
Capital expenditures: 3,690 4,402 11,995 13,750  
Total assets 631,390   631,390   640,720
Operating Segments | Corporate and All Other          
Segment Reporting Information [Line Items]          
Total revenue 38,025 40,438 111,765 116,860  
Total segment operating income 2,698 2,676 7,941 7,910  
Facility operating lease expense: 290 210 866 1,983  
Depreciation and amortization: 4,544 6,585 13,984 19,131  
Interest expense: 5,330 7,401 17,019 10,153  
Capital expenditures: 4,347 $ 4,210 15,830 $ 10,300  
Total assets $ 405,056   $ 405,056   $ 458,795