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Accounts Payable, Accrued Liabilities, and Other Liabilities (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
Dec. 31, 2022
Payables and Accruals [Abstract]    
Refundable entrance fees $ 264,065 $ 268,972
Accrued construction costs 161,774 178,626
Accrued interest 39,065 59,291
Other accounts payable and accrued liabilities 224,090 265,596
Accounts payable, accrued liabilities, and other liabilities 688,994 772,485
Severance-related charges $ 12,000 $ 15,000