CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023
Cash Flows from Operating Activities
Net income (loss)	$ (118,057)	$ (97,900)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Loss (gain) on debt modification and extinguishment, net	2,267	0
Depreciation and amortization, net	271,147	261,063
Asset impairment	2,642	9,606
Equity in (earnings) loss of unconsolidated ventures	0	3,156
Distributions from unconsolidated ventures from cumulative share of net earnings	0	430
Amortization of entrance fees	0	(732)
Proceeds from deferred entrance fee revenue	0	477
Deferred income tax (benefit) provision	(48)	(2,015)
Operating lease expense adjustment	(39,061)	(33,820)
Change in fair value of derivatives	2,004	(5,130)
Loss (gain) on sale of assets, net	(923)	(37,156)
Non-cash stock-based compensation expense	10,651	8,966
Property and casualty insurance income	(6,281)	(14,047)
Other non-operating (income) loss	0	(2,542)
Changes in operating assets and liabilities:
Accounts receivable, net	(4,610)	8,250
Prepaid expenses and other assets, net	(6,414)	9,347
Prepaid insurance premiums financed with notes payable	(7,930)	(6,530)
Trade accounts payable and accrued expenses	5,071	21,444
Refundable fees and deferred revenue	2,789	8,518
Operating lease assets and liabilities for lessor capital expenditure reimbursements	7,732	2,244
Net cash provided by (used in) operating activities	120,979	133,629
Cash Flows from Investing Activities
Purchase of marketable securities	(39,191)	(159,811)
Sale and maturities of marketable securities	40,000	145,100
Capital expenditures, net of related payables	(150,938)	(174,700)
Acquisition of assets, net of cash acquired	0	(574)
Investment in unconsolidated ventures	0	(7,589)
Proceeds from sale of assets, net	7,017	43,181
Property and casualty insurance proceeds	6,297	19,536
Change in lease acquisition deposits, net	(2,000)	0
Purchase of interest rate cap instruments	(9,282)	(7,223)
Proceeds from interest rate cap instruments	14,816	6,501
Other	(235)	(168)
Net cash provided by (used in) investing activities	(133,516)	(135,747)
Cash Flows from Financing Activities
Proceeds from debt	264,038	25,532
Repayment of debt and financing lease obligations	(259,390)	(91,866)
Payment of financing costs, net of related payables	(6,309)	(940)
Payments of employee taxes for withheld shares	(3,425)	(1,880)
Net cash provided by (used in) financing activities	(5,086)	(69,154)
Net increase (decrease) in cash, cash equivalents, and restricted cash	(17,623)	(71,272)
Cash, cash equivalents, and restricted cash at beginning of period	349,668	474,548
Cash, cash equivalents, and restricted cash at end of period	$ 332,045	$ 403,276