Leases (Tables)

9 Months Ended

Sep. 30, 2024

Leases [Abstract]

Schedule of 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)	2024		2023		2024		2023
Facility operating expense	$	1,999	$	1,853	$	6,095	$	5,211
Facility lease expense	51,937		53,145		154,397		149,784
Operating lease expense	53,936		54,998		160,492		154,995
Operating lease expense adjustment (1)	12,489		11,458		39,061		33,820
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(6,432)		—		(7,732)		(2,244)
Operating net cash outflows from operating leases	$	59,993	$	66,456	$	191,821	$	186,571

(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)	2024		2023		2024		2023
Depreciation and amortization	$	2,651	$	2,843	$	8,421	$	13,589
Interest expense: financing lease obligations	5,062		4,950		15,233		16,955
Financing lease expense	$	7,713	$	7,793	$	23,654	$	30,544
Operating cash outflows from financing leases	$	5,062	$	4,950	$	15,233	$	16,955
Financing cash outflows from financing leases	273		244		800		8,222
Total net cash outflows from financing leases	$	5,335	$	5,194	$	16,033	$	25,177

(in millions)
Property, plant and equipment and leasehold intangibles, net	$	281.0
Operating lease right-of-use assets	(52.0)
Total assets	$	229.0
Financing lease obligations	$	300.0
Operating lease obligations	(71.0)
Total liabilities	$	229.0

(in millions)
Property, plant and equipment and leasehold intangibles, net	$	128.6
Operating lease right-of-use assets	(40.4)
Total assets	$	88.2
Financing lease obligations	$	135.0
Operating lease obligations	(46.8)
Total liabilities	$	88.2

Schedule of 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, 2024 are as follows (in millions).

Year Ending December 31,	Operating Leases		Financing Leases
2024 (three months)	$	56.9	$	12.8
2025	232.4		7.0
2026	117.4		7.0
2027	118.3		6.3
2028	113.9		6.1
Thereafter	736.1		21.2
Total lease payments	1,375.0		60.4
Purchase price for communities subject to acquisition agreements	—		610.0
Reacquisition price in excess of sale-leaseback proceeds	—		(32.8)
Imputed interest and variable lease payments	(493.8)		(54.4)
Other financing obligations	—		20.7
Total lease obligations	$	881.2	$	603.9

Schedule of 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, 2024 are as follows (in millions).

Year Ending December 31,	Operating Leases		Financing Leases
2024 (three months)	$	56.9	$	12.8
2025	232.4		7.0
2026	117.4		7.0
2027	118.3		6.3
2028	113.9		6.1
Thereafter	736.1		21.2
Total lease payments	1,375.0		60.4
Purchase price for communities subject to acquisition agreements	—		610.0
Reacquisition price in excess of sale-leaseback proceeds	—		(32.8)
Imputed interest and variable lease payments	(493.8)		(54.4)
Other financing obligations	—		20.7
Total lease obligations	$	881.2	$	603.9