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LEASES - Lessee Narrative (Details) $ in Thousands | 1 Months Ended | 12 Months Ended
--- | --- | ---
Feb. 01, 2024 USD ($) operation bed | Dec. 31, 2023 USD ($) lease operation renewal bed facility agreement | Dec. 31, 2022 USD ($) lease operation bed | Dec. 31, 2021 USD ($) bed lease operation
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 10 years |  |
Right-of-use assets obtained in exchange for new and modified operating lease obligations | $ |  | $ 376,550 | $ 370,753 | $ 198,593
Operating lease, weighted average remaining lease term |  | 14 years 10 months 24 days | 15 years |
Operating lease, weighted average discount rate, percent |  | 6.50% | 6.70% |
Operational skilled nursing beds | bed |  | 30,600 |  |
Skilled Nursing Operations |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of businesses acquired | operation |  | 25 | 23 | 17
Operational skilled nursing beds | bed |  | 2,483 | 3,058 | 1,832
Skilled Nursing Operations | Subsequent Event |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of businesses acquired | operation | 2 |  |  |
Cost of Sales and General and Administrative Expense |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Rent expense | $ |  | $ 197,856 | $ 153,174 | $ 139,458
Minimum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, renewal term |  | 10 years |  |
Maximum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, renewal term |  | 15 years |  |
Amended Master Lease Agreement |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Amended of separate master leases | agreement |  | 3 |  |
Amended Master Lease Agreement | Skilled Nursing Operations | Subsequent Event |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of businesses acquired | operation | 2 |  |  |
Right-of-use assets obtained in exchange for new and modified operating lease obligations | $ | $ 30,980 |  |  |
Term of operating lease | 20 years |  |  |
Operational skilled nursing beds | bed | 241 |  |  |
New Master Lease Agreeement |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Right-of-use assets obtained in exchange for new and modified operating lease obligations | $ |  | $ 346,789 |  |
New Master Lease Agreeement | Skilled Nursing Operations |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of businesses acquired | operation |  | 22 |  |
Amended Master Lease | Skilled Nursing Operations |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of businesses acquired | operation |  | 19 |  |
Leases To Third Party Operators | Minimum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Term of operating lease |  | 14 years |  |
Leases To Third Party Operators | Maximum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Term of operating lease |  | 16 years |  |
Sublease Of Stand Along Skilled Nursing Operations |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of leases | lease |  | 3 |  |
Term of operating lease |  | 18 years | 20 years | 20 years
Lease Of Campus Operation |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of leases | lease |  | 1 |  |
Term of operating lease |  | 15 years |  |
CareTrust REIT |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Skilled nursing, assisted living and independent living facilities | facility |  | 97 |  |
Consumer price index |  | 0.00% |  |
Operating leases of lessee, contingent rentals, basis spread on variable rate |  | 2.50% |  |
Number of stand-alone leases | lease |  | 1 |  |
Rent expense | $ |  | $ 66,439 | $ 64,178 | $ 59,571
CareTrust REIT | Triple Net Lease Arrangements |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Skilled nursing, assisted living and independent living facilities | facility |  | 96 |  |
Master lease agreements | agreement |  | 9 |  |
Lessee, operating lease, renewal term |  | 5 years |  |
CareTrust REIT | Triple Net Lease Arrangements | Minimum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 13 years |  |
Lessee leasing arrangements, operating leases, number of renewal terms | renewal |  | 2 |  |
CareTrust REIT | Triple Net Lease Arrangements | Maximum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 20 years |  |
Lessee leasing arrangements, operating leases, number of renewal terms | renewal |  | 3 |  |
CareTrust REIT | Purchase Option |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Skilled nursing, assisted living and independent living facilities | facility |  | 4 |  |
Various Landlords |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Master lease agreements | agreement |  | 13 |  |
Facilities under master lease arrangement | facility |  | 80 |  |
Various Landlords | Minimum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 5 years |  |
Various Landlords | Minimum | Equipment |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 3 years |  |
Various Landlords | Maximum |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 20 years |  |
Various Landlords | Maximum | Equipment |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Lessee, operating lease, term of contract |  | 5 years |  |
The Pennant Group, Inc. | Leases To Third Party Operators |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Number of leases | lease |  | 29 | 29 | 32

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- Definition Facilities operated under two separate three-facility master lease arrangements. Under these master leases, a breach at a single facility could subject one or more of the other facilities covered by the same master lease to the same default risk. + References No definition available. + Details
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- Definition Discount rate used by lessee to determine present value of operating lease payments. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Subparagraph (c)(3) -Publisher FASB -URI https://asc.fasb.org//1943274/2147478964/842-20-50-3 + Details
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- Definition Amount of operating lease expense. Excludes sublease income. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 45 -Paragraph 4 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479041/842-20-45-4 + Details
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- Definition Weighted average remaining lease term for operating lease, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 53 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479589/842-20-55-53 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (g)(3) -Publisher FASB -URI https://asc.fasb.org//1943274/2147478964/842-20-50-4 + Details
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