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Leases (Tables)
9 Months Ended
Sep. 30, 2023
Leases [Abstract]  
Schedule of Lease Costs
A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and net cash outflows from leases is as follows.

Three Months Ended
September 30,
Nine Months Ended
September 30,
Operating Leases (in thousands)
2023202220232022
Facility operating expense$1,853 $1,621 $5,211 $4,705 
Facility lease expense53,145 41,317 149,784 124,419 
Operating lease expense54,998 42,938 154,995 129,124 
Operating lease expense adjustment (1)
11,458 8,714 33,820 25,329 
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements— (4,367)(2,244)(9,224)
Operating net cash outflows from operating leases$66,456 $47,285 $186,571 $145,229 

(1)Represents the difference between the amount of cash operating lease payments and the amount of operating lease expense.
Three Months Ended
September 30,
Nine Months Ended
September 30,
Financing Leases (in thousands)
2023202220232022
Depreciation and amortization$1,159 $7,405 $8,902 $22,678 
Interest expense: financing lease obligations4,950 11,916 16,955 35,968 
Financing lease expense$6,109 $19,321 $25,857 $58,646 
Operating cash outflows from financing leases$4,950 $11,916 $16,955 $35,968 
Financing cash outflows from financing leases244 5,506 8,222 16,606 
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement— (2,727)— (9,704)
Total net cash outflows from financing leases$5,194 $14,695 $25,177 $42,870 
Schedule of Lessee, Operating Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases, recognized on the condensed consolidated balance sheet as of September 30, 2023 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2023 (three months)$66,197 $5,026 
2024258,495 20,213 
2025258,356 6,798 
2026143,912 6,781 
2027145,751 6,029 
Thereafter330,095 26,302 
Total1,202,806 71,149 
Purchase option liability and non-cash gain on future sale of property— 145,136 
Imputed interest and variable lease payments(289,810)(64,491)
Total lease obligations$912,996 $151,794 
Schedule of Finance Lease, Liability, Maturity
The aggregate amounts of future minimum lease payments, including community, office, and equipment leases, recognized on the condensed consolidated balance sheet as of September 30, 2023 are as follows (in thousands).

Year Ending December 31,Operating LeasesFinancing Leases
2023 (three months)$66,197 $5,026 
2024258,495 20,213 
2025258,356 6,798 
2026143,912 6,781 
2027145,751 6,029 
Thereafter330,095 26,302 
Total1,202,806 71,149 
Purchase option liability and non-cash gain on future sale of property— 145,136 
Imputed interest and variable lease payments(289,810)(64,491)
Total lease obligations$912,996 $151,794