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Leases (Tables)
12 Months Ended
Dec. 31, 2023
Leases [Abstract]  
Schedule of Lease Cost
A summary of operating and financing lease expense (including the respective presentation on the consolidated statements of operations) and net cash outflows from leases is as follows.

Years Ended December 31,
Operating Leases (in thousands)
202320222021
Facility operating expense$7,105 $6,329 $12,606 
Facility lease expense202,410 165,294 174,358 
Operating lease expense209,515 171,623 186,964 
Operating lease expense adjustment (1)
45,739 34,896 23,280 
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements(9,844)(13,718)(30,965)
Operating net cash outflows from operating leases$245,410 $192,801 $179,279 

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

Years Ended December 31,
Financing Leases (in thousands)
202320222021
Depreciation and amortization $16,444 $38,126 $37,921 
Interest expense: financing lease obligations21,950 48,061 46,282 
Financing lease expense$38,394 $86,187 $84,203 
Operating cash outflows from financing leases$21,950 $48,061 $46,282 
Financing cash outflows from financing leases8,473 22,221 19,874 
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement(475)(11,932)(11,135)
Total net cash outflows from financing leases$29,948 $58,350 $55,021 
Schedule of Lessee, Operating Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases, recognized on the consolidated balance sheet as of December 31, 2023 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2024$260,694 $20,266 
2025260,501 6,849 
2026145,832 6,833 
2027147,660 6,082 
202884,767 5,917 
Thereafter251,579 20,625 
Total lease payments1,151,033 66,572 
Purchase option liability and non-cash gain on future sale of property— 145,136 
Imputed interest and variable lease payments(274,526)(59,859)
Total lease obligations$876,507 $151,849 
Schedule of Finance Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases, recognized on the consolidated balance sheet as of December 31, 2023 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2024$260,694 $20,266 
2025260,501 6,849 
2026145,832 6,833 
2027147,660 6,082 
202884,767 5,917 
Thereafter251,579 20,625 
Total lease payments1,151,033 66,572 
Purchase option liability and non-cash gain on future sale of property— 145,136 
Imputed interest and variable lease payments(274,526)(59,859)
Total lease obligations$876,507 $151,849