Supplemental Disclosure of Cash Flow Information (Tables)

9 Months Ended

Sep. 30, 2025

Supplemental Cash Flow Elements [Abstract]

Schedule of Supplemental Cash Flow Information

	Nine Months Ended September 30,
(in thousands)	2025		2024
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	173,696	$	178,106
Income taxes paid, net of (refunds)	$	1,415	$	1,212
Capital expenditures, net of related payables:
Capital expenditures - non-development, net	$	128,382	$	144,634
Capital expenditures - development, net	13		624
Capital expenditures - non-development - reimbursable from lessor	20,078		8,014
Trade accounts payable	(10,601)		(2,334)
Net cash paid	$	137,872	$	150,938
Acquisition of assets:
Property, plant and equipment and leasehold intangibles, net	$	1,028	$	—
Financing lease obligations	277,208		—
Loss on debt modification and extinguishment, net	32,792		—
Net cash paid	$	311,028	$	—
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(195)	$	(362)
Property, plant and equipment and leasehold intangibles, net	(7,756)		(6,291)
Other liabilities	—		559
Non-operating loss (gain) on sale of assets, net	—		(923)
Loss (gain) on sale of communities, net	(182)		—
Net cash received	$	(8,133)	$	(7,017)
Supplemental Schedule of Non-cash Operating, Investing, and Financing Activities:
Non-cash lease transactions, net:
Prepaid expenses and other assets, net	$	(871)	$	—
Property, plant and equipment and leasehold intangibles, net	(171)		427,444
Operating lease right-of-use assets	1,925		170,867
Financing lease obligations	(57)		(452,897)
Operating lease obligations	(306)		(145,414)
Accrued expenses	(5,000)		—
Loss (gain) on facility operating lease termination, net	4,480		—
Net	$	—	$	—

Schedule of Cash, Cash Equivalents, and Restricted Cash

The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.

(in thousands)	September 30, 2025		December 31, 2024
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	253,448	$	308,925
Restricted cash - current	41,815		39,871
Restricted cash - non-current	36,064		31,044
Total cash, cash equivalents, and restricted cash	$	331,327	$	379,840