CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Cash Flows from Operating Activities
Net income (loss)	$ (67,323)	$ (49,089)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization, net	178,746	173,221
Asset impairment	1,708	520
Equity in (earnings) loss of unconsolidated ventures	0	1,730
Distributions from unconsolidated ventures from cumulative share of net earnings	0	430
Amortization of entrance fees	0	(732)
Proceeds from deferred entrance fee revenue	0	477
Deferred income tax (benefit) provision	(360)	188
Operating lease expense adjustment	(26,572)	(22,362)
Change in fair value of derivatives	(2,742)	(4,269)
Loss (gain) on sale of assets, net	(903)	(37,156)
Non-cash stock-based compensation expense	7,248	6,073
Property and casualty insurance income	(2,688)	(3,927)
Other non-operating (income) loss	0	(2,542)
Changes in operating assets and liabilities:
Accounts receivable, net	(1,390)	7,550
Prepaid expenses and other assets, net	(855)	11,711
Prepaid insurance premiums financed with notes payable	(15,702)	(13,004)
Trade accounts payable and accrued expenses	(14,380)	3,782
Refundable fees and deferred revenue	(1,563)	13,021
Operating lease assets and liabilities for lessor capital expenditure reimbursements	1,300	2,244
Net cash provided by (used in) operating activities	54,524	87,866
Cash Flows from Investing Activities
Purchase of marketable securities	(19,591)	(110,754)
Sale and maturities of marketable securities	30,000	65,100
Capital expenditures, net of related payables	(95,973)	(109,825)
Acquisition of assets, net of cash acquired	0	(574)
Proceeds from sale of assets, net	7,017	43,059
Property and casualty insurance proceeds	2,704	8,789
Purchase of interest rate cap instruments	(8,513)	(3,019)
Proceeds from interest rate cap instruments	9,129	3,423
Other	(176)	(109)
Net cash provided by (used in) investing activities	(75,403)	(103,910)
Cash Flows from Financing Activities
Proceeds from debt	81,271	25,532
Repayment of debt and financing lease obligations	(41,077)	(72,917)
Payment of financing costs, net of related payables	(3,074)	(676)
Payments of employee taxes for withheld shares	(3,405)	(1,861)
Net cash provided by (used in) financing activities	33,715	(49,922)
Net increase (decrease) in cash, cash equivalents, and restricted cash	12,836	(65,966)
Cash, cash equivalents, and restricted cash at beginning of period	349,668	474,548
Cash, cash equivalents, and restricted cash at end of period	$ 362,504	$ 408,582