CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Cash Flows from Operating Activities
Net income (loss)	$ (262,746)	$ (201,994)	$ (189,070)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Loss (gain) on debt modification and extinguishment, net	40,087	20,762	2,702
Depreciation and amortization, net	370,302	367,511	350,408
Asset impairment	71,349	8,557	40,572
Equity in (earnings) loss of unconsolidated ventures	0	0	3,996
Distributions from unconsolidated ventures from cumulative share of net earnings	0	0	430
Amortization of entrance fees	0	0	(732)
Proceeds from deferred entrance fee revenue	0	0	477
Deferred income tax (benefit) provision	(3,288)	3,617	7,590
Operating lease expense adjustment	(14,349)	(48,793)	(45,739)
Change in fair value of derivatives	1,180	(434)	(1,144)
Loss (gain) on sale of assets, net	(2,368)	(923)	(37,737)
Loss (gain) on facility operating lease termination, net	4,139	0	0
Non-cash stock-based compensation expense	11,937	14,184	11,985
Property and casualty insurance income	(3,875)	(8,532)	(18,920)
Other non-operating (income) loss	0	0	(2,542)
Changes in operating assets and liabilities:
Accounts receivable, net	(15,788)	(3,498)	7,380
Prepaid expenses and other assets, net	(15,481)	(21,560)	21,629
Trade accounts payable and accrued expenses	4,464	15,697	2,448
Refundable fees and deferred revenue	5,280	5,221	(654)
Operating lease assets and liabilities for lessor capital expenditure reimbursements	32,187	16,362	9,844
Operating lease assets and liabilities for lease termination	(5,000)	0	0
Net cash provided by operating activities	218,030	166,177	162,923
Cash Flows from Investing Activities
Purchase of marketable securities	0	(49,054)	(174,476)
Sale and maturities of marketable securities	20,000	60,000	197,100
Capital expenditures, net of related payables	(201,525)	(201,250)	(233,205)
Acquisition of assets, net of cash acquired	(311,028)	(108,411)	(574)
Investment in unconsolidated ventures	0	0	(7,589)
Proceeds from sale of assets, net	26,147	7,017	83,526
Property and casualty insurance proceeds	3,875	8,548	24,704
Change in lease acquisition deposits, net	5,000	(5,000)	0
Purchase of interest rate cap instruments	(3,825)	(10,149)	(12,454)
Proceeds from interest rate cap instruments	5,627	20,563	9,890
Other	(222)	(330)	(286)
Net cash provided by (used in) investing activities	(455,951)	(278,066)	(113,364)
Cash Flows from Financing Activities
Proceeds from debt	918,077	765,652	205,549
Repayment of debt and financing lease obligations	(692,366)	(594,997)	(367,242)
Payment of financing costs, net of related payables	(18,149)	(25,157)	(10,831)
Payments of employee taxes for withheld shares	(6,473)	(3,437)	(1,915)
Net cash provided by (used in) financing activities	201,089	142,061	(174,439)
Net increase (decrease) in cash, cash equivalents, and restricted cash	(36,832)	30,172	(124,880)
Cash, cash equivalents, and restricted cash at beginning of period	379,840	349,668	474,548
Cash, cash equivalents, and restricted cash at end of period	$ 343,008	$ 379,840	$ 349,668