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Segment Information (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
USD ($)
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
segment
Jun. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
Segment Reporting Information [Line Items]          
Number of reportable segments | segment     3    
Revenue $ 777,541 $ 750,792 $ 1,560,372 $ 1,504,055  
Segment operating income 204,818 185,675 409,127 373,177  
General and administrative expense (including non-cash stock-based compensation expense) 46,664 45,326 92,396 93,945  
Facility lease expense 50,964 50,512 102,460 96,639  
Depreciation and amortization 88,028 84,448 174,155 169,382  
Asset impairment 0 520 1,708 520  
Loss (gain) on sale of communities, net 0 (36,296) 0 (36,296)  
Income (loss) from operations 19,162 41,165 38,408 48,987  
Total assets 5,450,886   5,450,886   $ 5,573,435
Goodwill 27,321   27,321   27,321
Independent Living          
Segment Reporting Information [Line Items]          
Goodwill 27,300   27,300   27,300
Operating Segments | Independent Living          
Segment Reporting Information [Line Items]          
Revenue 149,542 140,888 298,490 281,544  
Segment operating income 50,334 46,361 98,977 93,194  
Total assets 1,174,509   1,174,509   1,206,021
Operating Segments | Assisted Living and Memory Care          
Segment Reporting Information [Line Items]          
Revenue 507,191 490,286 1,018,063 979,090  
Segment operating income 136,155 124,616 273,613 249,209  
Total assets 3,227,652   3,227,652   3,315,921
Operating Segments | CCRCs          
Segment Reporting Information [Line Items]          
Revenue 82,976 83,109 167,397 169,381  
Segment operating income 15,713 12,188 31,303 25,687  
Total assets 598,719   598,719   612,521
Operating Segments | Corporate and All Other          
Segment Reporting Information [Line Items]          
Revenue 37,832 36,509 76,422 74,040  
Segment operating income 2,616 $ 2,510 5,234 $ 5,087  
Total assets $ 450,006   $ 450,006   $ 438,972