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Leases (Tables) | 9 Months Ended
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Sep. 30, 2025
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) | 2025 |  | 2024 |  | 2025 |  | 2024
Facility operating expense | $ | 1,971 |  |  | $ | 1,999 |  |  | $ | 6,105 |  |  | $ | 6,095 |
Facility lease expense | 51,993 |  |  | 51,937 |  |  | 157,520 |  |  | 154,397 |
Operating lease expense | 53,964 |  |  | 53,936 |  |  | 163,625 |  |  | 160,492 |
Operating lease expense adjustment (1) | 4,685 |  |  | 12,489 |  |  | 13,384 |  |  | 39,061 |
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (8,706) |  |  | (6,432) |  |  | (20,038) |  |  | (7,732) |
Operating net cash outflows from operating leases | $ | 49,943 |  |  | $ | 59,993 |  |  | $ | 156,971 |  |  | $ | 191,821 |
(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) | 2025 |  | 2024 |  | 2025 |  | 2024
Depreciation and amortization | $ | 715 |  |  | $ | 2,651 |  |  | $ | 3,949 |  |  | $ | 8,421 |
Interest expense: financing lease obligations | 1,764 |  |  | 5,062 |  |  | 9,114 |  |  | 15,233 |
Financing lease expense | $ | 2,479 |  |  | $ | 7,713 |  |  | $ | 13,063 |  |  | $ | 23,654 |
Operating cash outflows from financing leases | $ | 1,764 |  |  | $ | 5,062 |  |  | $ | 9,114 |  |  | $ | 15,233 |
Financing cash outflows from financing leases | 304 |  |  | 273 |  |  | 890 |  |  | 800 |
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement | (35) |  |  | — |  |  | (40) |  |  | — |
Total net cash outflows from financing leases | $ | 2,033 |  |  | $ | 5,335 |  |  | $ | 9,964 |  |  | $ | 16,033 |
Schedule of Operating Lease, Liability, Maturity | The aggregate amounts of future minimum lease payments (without giving effect to the early termination by Ventas, Inc. ("Ventas") of certain of the Company's community leases with maturity dates of December 31, 2025), including community, office, and equipment leases, recognized on the condensed consolidated balance sheet as of September 30, 2025 are as follows (in millions).
Year Ending December 31, | Operating Leases |  | Financing Leases
2025 (three months) | $ | 57.1 |  |  | $ | 1.8 |
2026 | 183.5 |  |  | 7.2 |
2027 | 186.4 |  |  | 6.4 |
2028 | 183.9 |  |  | 6.3 |
2029 | 186.4 |  |  | 6.3 |
Thereafter | 1,096.1 |  |  | 15.6 |
Total lease payments | 1,893.4 |  |  | 43.6 |
Imputed interest and variable lease payments | (685.2) |  |  | (38.4) |
Non-cash gain on future sale of property | — |  |  | 20.7 |
Total lease obligations | $ | 1,208.2 |  |  | $ | 25.9 |
Schedule of Financing Lease, Liability, Maturity | The aggregate amounts of future minimum lease payments (without giving effect to the early termination by Ventas, Inc. ("Ventas") of certain of the Company's community leases with maturity dates of December 31, 2025), including community, office, and equipment leases, recognized on the condensed consolidated balance sheet as of September 30, 2025 are as follows (in millions).
Year Ending December 31, | Operating Leases |  | Financing Leases
2025 (three months) | $ | 57.1 |  |  | $ | 1.8 |
2026 | 183.5 |  |  | 7.2 |
2027 | 186.4 |  |  | 6.4 |
2028 | 183.9 |  |  | 6.3 |
2029 | 186.4 |  |  | 6.3 |
Thereafter | 1,096.1 |  |  | 15.6 |
Total lease payments | 1,893.4 |  |  | 43.6 |
Imputed interest and variable lease payments | (685.2) |  |  | (38.4) |
Non-cash gain on future sale of property | — |  |  | 20.7 |
Total lease obligations | $ | 1,208.2 |  |  | $ | 25.9 |

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- Definition Tabular disclosure of undiscounted cash flows of finance lease liability. Includes, but is not limited to, reconciliation of undiscounted cash flows to finance lease liability recognized in statement of financial position. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 6 -Publisher FASB -URI https://asc.fasb.org/1943274/2147478964/842-20-50-6 + Details
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- Definition Tabular disclosure of lessee's lease cost. Includes, but is not limited to, interest expense for finance lease, amortization of right-of-use asset for finance lease, operating lease cost, short-term lease cost, variable lease cost and sublease income. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Publisher FASB -URI https://asc.fasb.org/1943274/2147478964/842-20-50-4 + Details
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- Definition Tabular disclosure of undiscounted cash flows of lessee's operating lease liability. Includes, but is not limited to, reconciliation of undiscounted cash flows to operating lease liability recognized in statement of financial position. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 6 -Publisher FASB -URI https://asc.fasb.org/1943274/2147478964/842-20-50-6 + Details
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