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Leases (Tables)
9 Months Ended
Sep. 30, 2022
Leases [Abstract]  
Lease Costs
A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and net cash outflows from leases is as follows.

Three Months Ended
September 30,
Nine Months Ended
September 30,
Operating Leases (in thousands)
2022202120222021
Facility operating expense$1,621 $1,634 $4,705 $10,996 
Facility lease expense41,317 43,226 124,419 131,508 
Operating lease expense42,938 44,860 129,124 142,504 
Operating lease expense adjustment (1)
8,714 6,273 25,329 16,263 
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements(4,367)(11,551)(9,224)(27,057)
Operating net cash outflows from operating leases$47,285 $39,582 $145,229 $131,710 

(1)Represents the difference between the amount of cash operating lease payments and the amount of operating lease expense.

Three Months Ended
September 30,
Nine Months Ended
September 30,
Financing Leases (in thousands)
2022202120222021
Depreciation and amortization$7,405 $7,677 $22,678 $22,901 
Interest expense: financing lease obligations11,916 11,674 35,968 34,549 
Financing lease expense$19,321 $19,351 $58,646 $57,450 
Operating cash outflows from financing leases$11,916 $11,674 $35,968 $34,549 
Financing cash outflows from financing leases5,506 5,039 16,606 14,692 
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement(2,727)(4,136)(9,704)(7,583)
Total net cash outflows from financing leases$14,695 $12,577 $42,870 $41,658 
Finance Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2022 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2022 (three months)$51,658 $17,168 
2023210,831 69,739 
2024196,311 70,957 
2025194,019 60,340 
202678,660 61,600 
Thereafter210,253 54,305 
Total lease payments941,732 334,109 
Purchase option liability and non-cash gain on future sale of property— 426,656 
Imputed interest and variable lease payments(202,874)(214,221)
Total lease obligations$738,858 $546,544 
Lessee, Operating Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2022 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2022 (three months)$51,658 $17,168 
2023210,831 69,739 
2024196,311 70,957 
2025194,019 60,340 
202678,660 61,600 
Thereafter210,253 54,305 
Total lease payments941,732 334,109 
Purchase option liability and non-cash gain on future sale of property— 426,656 
Imputed interest and variable lease payments(202,874)(214,221)
Total lease obligations$738,858 $546,544