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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure        
Pay vs Performance Disclosure, Table
Pay versus Performance Disclosure Table
 
Year
  
Summary
Compensation
Table
Total for
CEO
(1)
    
Compensation
Actually
Paid to CEO
(2)
    
Average
Summary
Compensation
Table
Total for
Non-CEO
NEOs
(1)
    
Average
Compensation
Actually
Paid to
Non-CEO
NEOs
(2)
    
 
Value of Initial Fixed $100
Investment Based On:
          
RevPAR
  
 
Total
Shareholder
Return
(3)
    
Peer Group
Total
Shareholder
Return
(3)
    
Net Income
(Loss)
(in ‘000s)
  
2023
   $ 5,451,007     $ 12,772,899     $ 1,259,057     $ 1,636,071     $ 80.06     $ 143.18     $ (189,070)     $ 4,577  
2022
   $ 6,645,889     $ 3,002,581     $ 1,451,986     $ 902,745     $ 37.55     $ 140.29     $ (238,340)     $ 4,113  
2021
   $ 5,300,248     $ 5,953,982     $ 1,249,993     $ 1,123,296     $ 70.98     $ 143.09     $ (99,364)     $ 3,734  
2020
   $ 7,087,470     $ 721     $ 2,009,592     $ 820,165     $ 60.93     $ 113.44     $ 81,945     $ 3,917  
 
(1)
The CEO for each year reported was Ms. Baier. The other named executive officers, or NEOs, for each year reported are as follows:
 
  •  
2023: Ms. Kussow and Messrs. White, Kaestner, Hicks, Swain and Bowman
 
  •  
2022: Ms. Kussow and Messrs. White, Kaestner, Swain and Bowman
 
  •  
2021: Messrs. Swain, Bowman, White and Kaestner and Cindy R. Kent
 
  •  
2020: Messrs. Swain and White, Ms. Kent and Mary Sue Patchett
 
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
      
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
    
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
    
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2023
   CEO   $ (3,193,334 )    $ 6,053,858     $ 4,218,296     $ 243,072     $ -     $ 7,321,892  
  Other NEOs   $ (363,221 )    $ 687,502     $ 256,567     $ 27,183     $ (231,017 )    $ 377,014  
2022
   CEO   $ (5,117,052 )    $ 2,602,447     $ (1,844,384)     $ 715,681     $ -     $ (3,643,308)  
  Other NEOs   $ (797,022 )    $ 405,143     $ (226,194)     $ 68,832     $ -     $ (549,241)  
2021
   CEO   $ (2,765,005 )    $ 2,803,031     $ 174,856     $ 440,852     $ -     $ 653,734  
  Other NEOs   $ (462,496 )    $ 338,623     $ 19,200     $ 50,293     $ (72,317 )    $ (126,697)  
2020
   CEO   $ (4,939,153 )    $ 1,848,813     $ (3,833,352)     $ (163,057)     $ -     $ (7,086,749)  
  Other NEOs   $ (1,083,293 )    $ 415,058     $ (491,102)     $ (30,090)     $ -     $ (1,189,427)  
 
(3)
TSR is determined based on the market value on December 31 of the year reported of an initial fixed investment of $100 on December 31, 2019. The peer group TSR represents the TSR of the S&P Health Care index.
     
Company Selected Measure Name RevPAR      
Named Executive Officers, Footnote
(1)
The CEO for each year reported was Ms. Baier. The other named executive officers, or NEOs, for each year reported are as follows:
 
  •  
2023: Ms. Kussow and Messrs. White, Kaestner, Hicks, Swain and Bowman
 
  •  
2022: Ms. Kussow and Messrs. White, Kaestner, Swain and Bowman
 
  •  
2021: Messrs. Swain, Bowman, White and Kaestner and Cindy R. Kent
 
  •  
2020: Messrs. Swain and White, Ms. Kent and Mary Sue Patchett
     
Peer Group Issuers, Footnote TSR is determined based on the market value on December 31 of the year reported of an initial fixed investment of $100 on December 31, 2019. The peer group TSR represents the TSR of the S&P Health Care index.      
PEO Total Compensation Amount $ 5,451,007 $ 6,645,889 $ 5,300,248 $ 7,087,470
PEO Actually Paid Compensation Amount $ 12,772,899 3,002,581 5,953,982 721
Adjustment To PEO Compensation, Footnote
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
      
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
    
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
    
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2023
   CEO   $ (3,193,334 )    $ 6,053,858     $ 4,218,296     $ 243,072     $ -     $ 7,321,892  
  Other NEOs   $ (363,221 )    $ 687,502     $ 256,567     $ 27,183     $ (231,017 )    $ 377,014  
2022
   CEO   $ (5,117,052 )    $ 2,602,447     $ (1,844,384)     $ 715,681     $ -     $ (3,643,308)  
  Other NEOs   $ (797,022 )    $ 405,143     $ (226,194)     $ 68,832     $ -     $ (549,241)  
2021
   CEO   $ (2,765,005 )    $ 2,803,031     $ 174,856     $ 440,852     $ -     $ 653,734  
  Other NEOs   $ (462,496 )    $ 338,623     $ 19,200     $ 50,293     $ (72,317 )    $ (126,697)  
2020
   CEO   $ (4,939,153 )    $ 1,848,813     $ (3,833,352)     $ (163,057)     $ -     $ (7,086,749)  
  Other NEOs   $ (1,083,293 )    $ 415,058     $ (491,102)     $ (30,090)     $ -     $ (1,189,427)  
      
Non-PEO NEO Average Total Compensation Amount $ 1,259,057 1,451,986 1,249,993 2,009,592
Non-PEO NEO Average Compensation Actually Paid Amount $ 1,636,071 902,745 1,123,296 820,165
Adjustment to Non-PEO NEO Compensation Footnote
(2)
SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine compensation actually paid as reported in the Pay versus Performance Disclosure Table above. The following table details the applicable adjustments that were made to determine compensation actually paid (all amounts are averages for the NEOs other than the CEO):
 
Year
      
Deduct Amount of
“Stock Awards”
from Summary
Compensation
Table
    
Increase for
Fair Value at
Year-End
of
Unvested
Awards
Granted During
the Year
    
Change in
Fair Value at
Year-End

from Prior
Year-End
of
Unvested
Awards
Granted in
Prior Years
    
Change in Fair
Value as of Vesting
Date from Prior
Year-End of Awards

Granted in Prior
Years that Vested
During the Year
    
Decrease for
Prior Year-End

Fair Value of
Awards
Granted in Prior
Years that
Forfeited
During the Year
    
Total
Adjustments
  
2023
   CEO   $ (3,193,334 )    $ 6,053,858     $ 4,218,296     $ 243,072     $ -     $ 7,321,892  
  Other NEOs   $ (363,221 )    $ 687,502     $ 256,567     $ 27,183     $ (231,017 )    $ 377,014  
2022
   CEO   $ (5,117,052 )    $ 2,602,447     $ (1,844,384)     $ 715,681     $ -     $ (3,643,308)  
  Other NEOs   $ (797,022 )    $ 405,143     $ (226,194)     $ 68,832     $ -     $ (549,241)  
2021
   CEO   $ (2,765,005 )    $ 2,803,031     $ 174,856     $ 440,852     $ -     $ 653,734  
  Other NEOs   $ (462,496 )    $ 338,623     $ 19,200     $ 50,293     $ (72,317 )    $ (126,697)  
2020
   CEO   $ (4,939,153 )    $ 1,848,813     $ (3,833,352)     $ (163,057)     $ -     $ (7,086,749)  
  Other NEOs   $ (1,083,293 )    $ 415,058     $ (491,102)     $ (30,090)     $ -     $ (1,189,427)  
      
Compensation Actually Paid vs. Total Shareholder Return
 
 
LOGO
     
Compensation Actually Paid vs. Net Income
LOGO
     
Compensation Actually Paid vs. Company Selected Measure
 
LOGO
     
Total Shareholder Return Vs Peer Group
LOGO
     
Tabular List, Table
Most Important Performance Measures
For 2023, our Compensation Committee identified the performance measures listed below as the most important performance measures used by us to link compensation actually paid to our named executive officers for the year ended December 31, 2023 to company performance.
 
Performance Measures
    
Consolidated Portfolio Revenue per
Available Unit (“RevPAR”)
  
 
Adjusted EBITDA
  
 
Same-Community RevPAR
  
 
Relative TSR
  
 
Key 3 Retention
  
 
Net Promoter Score
  
 
      
Total Shareholder Return Amount $ 80.06 37.55 70.98 60.93
Peer Group Total Shareholder Return Amount 143.18 140.29 143.09 113.44
Net Income (Loss) $ (189,070,000) $ (238,340,000) $ (99,364,000) $ 81,945,000
Company Selected Measure Amount 4,577 4,113 3,734 3,917
PEO Name Ms. Baier      
Measure:: 1        
Pay vs Performance Disclosure        
Name Consolidated Portfolio Revenue perAvailable Unit (“RevPAR”)      
Measure:: 2        
Pay vs Performance Disclosure        
Name Adjusted EBITDA      
Measure:: 3        
Pay vs Performance Disclosure        
Name Same-Community RevPAR      
Measure:: 4        
Pay vs Performance Disclosure        
Name Relative TSR      
Measure:: 5        
Pay vs Performance Disclosure        
Name Key 3 Retention      
Measure:: 6        
Pay vs Performance Disclosure        
Name Net Promoter Score      
PEO | Amount of Stock Awards from Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (3,193,334) $ (5,117,052) $ (2,765,005) $ (4,939,153)
PEO | Fair Value at Year End of Unvested Awards Granted During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 6,053,858 2,602,447 2,803,031 1,848,813
PEO | Change in Fair Value at Year End from Prior Year End of Unvested Awards Granted in Prior Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 4,218,296 (1,844,384) 174,856 (3,833,352)
PEO | Change in Fair Value as of Vesting Date from Prior YearEnd of Awards Granted in Prior Years that Vested During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 243,072 715,681 440,852 (163,057)
PEO | For Prior Year End Fair Value of Awards Granted in Prior Years that Forfeited During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
PEO | Total Adjustments [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 7,321,892 (3,643,308) 653,734 (7,086,749)
Non-PEO NEO | Amount of Stock Awards from Summary Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (363,221) (797,022) (462,496) (1,083,293)
Non-PEO NEO | Fair Value at Year End of Unvested Awards Granted During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 687,502 405,143 338,623 415,058
Non-PEO NEO | Change in Fair Value at Year End from Prior Year End of Unvested Awards Granted in Prior Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 256,567 (226,194) 19,200 (491,102)
Non-PEO NEO | Change in Fair Value as of Vesting Date from Prior YearEnd of Awards Granted in Prior Years that Vested During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 27,183 68,832 50,293 (30,090)
Non-PEO NEO | For Prior Year End Fair Value of Awards Granted in Prior Years that Forfeited During the Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (231,017) 0 (72,317) 0
Non-PEO NEO | Total Adjustments [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ 377,014 $ (549,241) $ (126,697) $ (1,189,427)