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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Pay Versus Performance Disclosure
In accordance with SEC rules, we prepared the analysis set forth below of the relationship between the compensation actually paid to our CEO and other named executive officers, and certain financial performance measures over the last five fiscal years.
Pay versus Performance Disclosure Table
 
Year
  
Summary
Compensation
Table
Total for
CEO
(1)
    
Compensation
Actually
Paid to CEO
(2)
    
Average
Summary
Compensation
Table
Total for
Non-CEO
NEOs
(1)
    
Average
Compensation
Actually
Paid to
Non-CEO
NEOs
(2)
    
 
Value of Initial Fixed $100
Investment Based On:
          
RevPAR
  
 
Total
Shareholder
Return
(3)
    
Peer Group
Total
Shareholder
Return
(3)
    
Net Income
(Loss)
(in ‘000s)
  
2024
   $ 9,793,423     $ 6,395,973     $ 1,588,863     $ 1,120,402     $ 69.19     $ 146.87     $ (201,994)     $ 4,858  
2023
   $ 5,451,007     $ 12,772,899     $ 1,259,057     $ 1,636,071     $ 80.06     $ 143.18     $ (189,070)     $ 4,577  
2022
   $ 6,645,889     $ 3,002,581     $ 1,451,986     $ 902,745     $ 37.55     $ 140.29     $ (238,340)     $ 4,113  
2021
   $ 5,300,248     $ 5,953,982     $ 1,249,993     $ 1,123,296     $ 70.98     $ 143.09     $ (99,364)     $ 3,734  
2020
   $ 7,087,470     $ 721     $ 2,009,592     $ 820,165     $ 60.94     $ 113.45     $ 81,945     $ 3,917  
 
(1)
The CEO for each year reported was Ms. Baier. The other named executive officers, or NEOs, for each year reported are as follows:
 
  •  
2024: Ms. Kussow and Messrs. White, Kaestner, and Hicks
 
  •  
2023: Ms. Kussow and Messrs. White, Kaestner, and Hicks, and Steven E. Swain and Kevin W. Bowman
 
  •  
2022: Ms. Kussow and Messrs. White, Kaestner, Swain, and Bowman
 
  •  
2021: Messrs. Swain, Bowman, White, and Kaestner and Cindy R. Kent
 
  •  
2020: Messrs. Swain and White, Ms. Kent, and Mary Sue Patchett
 
 
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
        
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
     
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
     
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2024
    CEO    $ (5,107,316 )    $ 3,553,739      $ (1,893,221 )    $ 49,348      $ -     $ (3,397,450 ) 
   Other NEO    $ (634,586 )    $ 441,555      $ (279,779 )    $ 4,349      $ -     $ (468,461 ) 
2023
    CEO    $ (3,193,334 )    $ 6,053,858      $ 4,218,296     $ 243,072      $ -     $ 7,321,892  
   Other NEOs    $ (363,221 )    $ 687,502      $ 256,567     $ 27,183      $ (231,017 )    $ 377,014  
2022
    CEO    $ (5,117,052 )    $ 2,602,447      $ (1,844,384 )    $ 715,681      $ -     $ (3,643,308 ) 
   Other NEOs    $ (797,022 )    $ 405,143      $ (226,194)     $ 68,832      $ -     $ (549,241)  
2021
    CEO    $ (2,765,005 )    $ 2,803,031      $ 174,856     $ 440,852      $ -     $ 653,734  
   Other NEOs    $ (462,496 )    $ 338,623      $ 19,200     $ 50,293      $ (72,317 )    $ (126,697)  
2020
    CEO    $ (4,939,153 )    $ 1,848,813      $ (3,833,352)     $ (163,057)      $ -     $ (7,086,749)  
   Other NEOs    $ (1,083,293 )    $ 415,058      $ (491,102)     $ (30,090)      $ -     $ (1,189,427)  
 
(3)
TSR is determined based on the market value on December 31 of the year reported of an initial fixed investment of $100 on December 31, 2019. The peer group TSR represents the TSR of the S&P Health Care index.
       
Company Selected Measure Name RevPAR        
Named Executive Officers, Footnote
(1)
The CEO for each year reported was Ms. Baier. The other named executive officers, or NEOs, for each year reported are as follows:
 
  •  
2024: Ms. Kussow and Messrs. White, Kaestner, and Hicks
 
  •  
2023: Ms. Kussow and Messrs. White, Kaestner, and Hicks, and Steven E. Swain and Kevin W. Bowman
 
  •  
2022: Ms. Kussow and Messrs. White, Kaestner, Swain, and Bowman
 
  •  
2021: Messrs. Swain, Bowman, White, and Kaestner and Cindy R. Kent
 
  •  
2020: Messrs. Swain and White, Ms. Kent, and Mary Sue Patchett
       
Peer Group Issuers, Footnote TSR is determined based on the market value on December 31 of the year reported of an initial fixed investment of $100 on December 31, 2019. The peer group TSR represents the TSR of the S&P Health Care index.        
PEO Total Compensation Amount $ 9,793,423 $ 5,451,007 $ 6,645,889 $ 5,300,248 $ 7,087,470
PEO Actually Paid Compensation Amount $ 6,395,973 12,772,899 3,002,581 5,953,982 721
Adjustment To PEO Compensation, Footnote
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
        
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
     
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
     
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2024
    CEO    $ (5,107,316 )    $ 3,553,739      $ (1,893,221 )    $ 49,348      $ -     $ (3,397,450 ) 
   Other NEO    $ (634,586 )    $ 441,555      $ (279,779 )    $ 4,349      $ -     $ (468,461 ) 
2023
    CEO    $ (3,193,334 )    $ 6,053,858      $ 4,218,296     $ 243,072      $ -     $ 7,321,892  
   Other NEOs    $ (363,221 )    $ 687,502      $ 256,567     $ 27,183      $ (231,017 )    $ 377,014  
2022
    CEO    $ (5,117,052 )    $ 2,602,447      $ (1,844,384 )    $ 715,681      $ -     $ (3,643,308 ) 
   Other NEOs    $ (797,022 )    $ 405,143      $ (226,194)     $ 68,832      $ -     $ (549,241)  
2021
    CEO    $ (2,765,005 )    $ 2,803,031      $ 174,856     $ 440,852      $ -     $ 653,734  
   Other NEOs    $ (462,496 )    $ 338,623      $ 19,200     $ 50,293      $ (72,317 )    $ (126,697)  
2020
    CEO    $ (4,939,153 )    $ 1,848,813      $ (3,833,352)     $ (163,057)      $ -     $ (7,086,749)  
   Other NEOs    $ (1,083,293 )    $ 415,058      $ (491,102)     $ (30,090)      $ -     $ (1,189,427)  
        
Non-PEO NEO Average Total Compensation Amount $ 1,588,863 1,259,057 1,451,986 1,249,993 2,009,592
Non-PEO NEO Average Compensation Actually Paid Amount $ 1,120,402 1,636,071 902,745 1,123,296 820,165
Adjustment to Non-PEO NEO Compensation Footnote
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
        
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
     
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
     
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2024
    CEO    $ (5,107,316 )    $ 3,553,739      $ (1,893,221 )    $ 49,348      $ -     $ (3,397,450 ) 
   Other NEO    $ (634,586 )    $ 441,555      $ (279,779 )    $ 4,349      $ -     $ (468,461 ) 
2023
    CEO    $ (3,193,334 )    $ 6,053,858      $ 4,218,296     $ 243,072      $ -     $ 7,321,892  
   Other NEOs    $ (363,221 )    $ 687,502      $ 256,567     $ 27,183      $ (231,017 )    $ 377,014  
2022
    CEO    $ (5,117,052 )    $ 2,602,447      $ (1,844,384 )    $ 715,681      $ -     $ (3,643,308 ) 
   Other NEOs    $ (797,022 )    $ 405,143      $ (226,194)     $ 68,832      $ -     $ (549,241)  
2021
    CEO    $ (2,765,005 )    $ 2,803,031      $ 174,856     $ 440,852      $ -     $ 653,734  
   Other NEOs    $ (462,496 )    $ 338,623      $ 19,200     $ 50,293      $ (72,317 )    $ (126,697)  
2020
    CEO    $ (4,939,153 )    $ 1,848,813      $ (3,833,352)     $ (163,057)      $ -     $ (7,086,749)  
   Other NEOs    $ (1,083,293 )    $ 415,058      $ (491,102)     $ (30,090)      $ -     $ (1,189,427)  
        
Compensation Actually Paid vs. Total Shareholder Return
LOGO
       
Compensation Actually Paid vs. Net Income
LOGO
       
Compensation Actually Paid vs. Company Selected Measure
LOGO
       
Total Shareholder Return Vs Peer Group
LOGO
       
Tabular List, Table
Most Important
Performance Measures
For 2024, our Compensation Committee identified the performance measures listed below as the most important performance measures used by us to link compensation actually paid to our named executive officers for the year ended December 31, 2024 to company performance.
 
Performance Measures
    
Consolidated Portfolio Revenue per
Available Unit (“RevPAR”)
  
 
Adjusted EBITDA
  
 
Same-Community RevPAR
  
 
Relative TSR
  
 
Key 3 Retention
  
 
Net Promoter Score
  
 
        
Total Shareholder Return Amount $ 69.19 80.06 37.55 70.98 60.94
Peer Group Total Shareholder Return Amount 146.87 143.18 140.29 143.09 113.45
Net Income (Loss) $ (201,994,000) $ (189,070,000) $ (238,340,000) $ (99,364,000) $ 81,945,000
Company Selected Measure Amount 4,858 4,577 4,113 3,734 3,917
PEO Name Ms. Baier        
Measure:: 1          
Pay vs Performance Disclosure          
Name Consolidated Portfolio Revenue per Available Unit (“RevPAR”)        
Measure:: 2          
Pay vs Performance Disclosure          
Name Adjusted EBITDA        
Measure:: 3          
Pay vs Performance Disclosure          
Name Same-Community RevPAR        
Measure:: 4          
Pay vs Performance Disclosure          
Name Relative TSR        
Measure:: 5          
Pay vs Performance Disclosure          
Name Key 3 Retention        
Measure:: 6          
Pay vs Performance Disclosure          
Name Net Promoter Score        
PEO          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (3,397,450) $ 7,321,892 $ (3,643,308) $ 653,734 $ (7,086,749)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 3,553,739 6,053,858 2,602,447 2,803,031 1,848,813
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (1,893,221) 4,218,296 (1,844,384) 174,856 (3,833,352)
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 49,348 243,072 715,681 440,852 (163,057)
PEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
PEO | Amount of Stock Awards from Summary Compensation [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (5,107,316) (3,193,334) (5,117,052) (2,765,005) (4,939,153)
Non-PEO NEO          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (468,461) 377,014 (549,241) (126,697) (1,189,427)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 441,555 687,502 405,143 338,623 415,058
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (279,779) 256,567 (226,194) 19,200 (491,102)
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 4,349 27,183 68,832 50,293 (30,090)
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 (231,017) 0 (72,317) 0
Non-PEO NEO | Amount of Stock Awards from Summary Compensation [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (634,586) $ (363,221) $ (797,022) $ (462,496) $ (1,083,293)