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PROPERTY AND EQUIPMENT - NET
 9 Months Ended
Sep. 30, 2026
Property, Plant, and Equipment [Abstract]  
PROPERTY AND EQUIPMENT - NET PROPERTY AND EQUIPMENT - NET
Property and equipment, net consists of the following:
September 30, 2026December 31, 2025
Land$268,960 $219,857 
Buildings and improvements1,764,771 1,231,704 
Leasehold improvements291,777 254,309 
Equipment550,128 478,729 
Furniture and fixtures5,253 4,588 
Construction in progress35,376 58,615 
$2,916,265 $2,247,802 
Less: accumulated depreciation(638,034)(550,939)
PROPERTY AND EQUIPMENT, NET$2,278,231 $1,696,863 
Real Estate Acquisitions
A majority of the real estate properties were acquired by subsidiaries of Standard Bearer, as detailed in Note 6. Standard Bearer. The aggregate purchase price for the real estate purchases during the nine months ended September 30, 2026 was $543,746, which primarily consists of building and improvements of $480,344 and land of $51,759. The aggregate purchase price for the real estate purchases during the nine months ended September 30, 2025 was $240,300, which primarily consists of building and improvements of $192,550 and land of $42,122.
Subsequent to September 30, 2026, the Company, through Standard Bearer, added approximately $19,500 of real estate assets associated with one stand-alone skilled nursing operation that is operated by one of the Company's independent subsidiaries.