v3.26.1
Segment Information - Schedule of Segment Reporting Information (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Segment Reporting Information [Line Items]    
Total revenue $ 764,856 $ 813,864
Total facility operating expenses 511,470 556,987
Total segment operating income 216,359 223,087
General and administrative expense (including non-cash stock-based compensation expense) 45,057 47,874
Facility operating lease expense 43,981 52,874
Depreciation and amortization 73,463 90,976
Asset impairment 6,115 1,787
Loss (gain) on sale of communities, net (4,034) 0
Income (loss) from operations 51,777 29,576
Capital expenditures: 53,155 43,149
Operating Segments | Independent Living    
Segment Reporting Information [Line Items]    
Total revenue 120,330 157,117
Community labor expenses: 43,391 58,284
Other facility operating expenses 33,727 44,601
Total segment operating income 43,212 54,232
Capital expenditures: 12,419 10,270
Operating Segments | Assisted Living and Memory Care    
Segment Reporting Information [Line Items]    
Total revenue 523,188 533,379
Community labor expenses: 243,656 252,710
Other facility operating expenses 129,216 131,116
Total segment operating income 150,316 149,553
Capital expenditures: 31,696 26,526
Operating Segments | CCRCs    
Segment Reporting Information [Line Items]    
Total revenue 78,938 86,958
Community labor expenses: 40,460 46,293
Other facility operating expenses 21,020 23,983
Total segment operating income 17,458 16,682
Capital expenditures: 5,115 3,462
Operating Segments | All Other    
Segment Reporting Information [Line Items]    
Total revenue 42,400 36,410
Total segment operating income 5,373 2,620
Capital expenditures: $ 3,925 $ 2,891