CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Cash Flows from Operating Activities
Net income (loss)	$ (201,994)	$ (189,070)	$ (238,340)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Loss (gain) on debt modification and extinguishment, net	20,762	2,702	1,357
Depreciation and amortization, net	367,511	350,408	353,890
Asset impairment	8,557	40,572	29,618
Equity in (earnings) loss of unconsolidated ventures	0	3,996	10,782
Distributions from unconsolidated ventures from cumulative share of net earnings	0	430	561
Amortization of entrance fees	0	(732)	(2,307)
Proceeds from deferred entrance fee revenue	0	477	4,222
Deferred income tax (benefit) provision	3,617	7,590	(1,324)
Operating lease expense adjustment	(48,793)	(45,739)	(34,896)
Change in fair value of derivatives	(434)	(1,144)	(7,659)
Loss (gain) on sale of assets, net	(923)	(37,737)	(74,445)
Non-cash stock-based compensation expense	14,184	11,985	14,466
Property and casualty insurance income	(8,532)	(18,920)	(11,379)
Other non-operating (income) loss	0	(2,542)	0
Changes in operating assets and liabilities:
Accounts receivable, net	(3,498)	7,380	(4,624)
Prepaid expenses and other assets, net	(21,560)	21,629	(21,240)
Trade accounts payable and accrued expenses	15,697	2,448	(27,185)
Refundable fees and deferred revenue	5,221	(654)	(1,934)
Operating lease assets and liabilities for lessor capital expenditure reimbursements	16,362	9,844	13,718
Net cash provided by (used in) operating activities	166,177	162,923	3,281
Cash Flows from Investing Activities
Purchase of marketable securities	(49,054)	(174,476)	(263,669)
Sale and maturities of marketable securities	60,000	197,100	398,752
Capital expenditures, net of related payables	(201,250)	(233,205)	(196,924)
Acquisition of assets, net of cash acquired	(108,411)	(574)	(6,004)
Investment in unconsolidated ventures	0	(7,589)	(218)
Distributions received from unconsolidated ventures	0	0	966
Proceeds from sale of assets, net	7,017	83,526	4,653
Property and casualty insurance proceeds	8,548	24,704	0
Change in lease acquisition deposits, net	(5,000)	0	0
Purchase of interest rate cap instruments	(10,149)	(12,454)	(1,632)
Proceeds from interest rate cap instruments	20,563	9,890	788
Other	(330)	(286)	(4,141)
Net cash provided by (used in) investing activities	(278,066)	(113,364)	(67,429)
Cash Flows from Financing Activities
Proceeds from debt	765,652	205,549	254,259
Repayment of debt and financing lease obligations	(594,997)	(367,242)	(281,185)
Proceeds from issuance of tangible equity units	0	0	139,438
Payment of financing costs, net of related payables	(25,157)	(10,831)	(7,077)
Payments of employee taxes for withheld shares	(3,437)	(1,915)	(4,293)
Other	0	0	(760)
Net cash provided by (used in) financing activities	142,061	(174,439)	100,382
Net increase (decrease) in cash, cash equivalents, and restricted cash	30,172	(124,880)	36,234
Cash, cash equivalents, and restricted cash at beginning of period	349,668	474,548	438,314
Cash, cash equivalents, and restricted cash at end of period	$ 379,840	$ 349,668	$ 474,548