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Supplemental Disclosure of Cash Flow Information (Tables) | 9 Months Ended
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Sep. 30, 2025
Supplemental Cash Flow Elements [Abstract] |
Schedule of Supplemental Cash Flow Information |
| Nine Months Ended September 30,
(in thousands) | 2025 |  | 2024
Supplemental Disclosure of Cash Flow Information: |  |  |
Interest paid | $ | 173,696 |  |  | $ | 178,106 |
Income taxes paid, net of (refunds) | $ | 1,415 |  |  | $ | 1,212 |
Capital expenditures, net of related payables: |  |  |
Capital expenditures - non-development, net | $ | 128,382 |  |  | $ | 144,634 |
Capital expenditures - development, net | 13 |  |  | 624 |
Capital expenditures - non-development - reimbursable from lessor | 20,078 |  |  | 8,014 |
Trade accounts payable | (10,601) |  |  | (2,334) |
Net cash paid | $ | 137,872 |  |  | $ | 150,938 |
Acquisition of assets: |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 1,028 |  |  | $ | — |
Financing lease obligations | 277,208 |  |  | — |
Loss on debt modification and extinguishment, net | 32,792 |  |  | — |
Net cash paid | $ | 311,028 |  |  | $ | — |
Proceeds from sale of assets, net: |  |  |
Prepaid expenses and other assets, net | $ | (195) |  |  | $ | (362) |
Property, plant and equipment and leasehold intangibles, net | (7,756) |  |  | (6,291) |
Other liabilities | — |  |  | 559 |
Non-operating loss (gain) on sale of assets, net | — |  |  | (923) |
Loss (gain) on sale of communities, net | (182) |  |  | — |
Net cash received | $ | (8,133) |  |  | $ | (7,017) |
Supplemental Schedule of Non-cash Operating, Investing, and Financing Activities: |  |  |
Non-cash lease transactions, net: |  |  |
Prepaid expenses and other assets, net | $ | (871) |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (171) |  |  | 427,444 |
Operating lease right-of-use assets | 1,925 |  |  | 170,867 |
Financing lease obligations | (57) |  |  | (452,897) |
Operating lease obligations | (306) |  |  | (145,414) |
Accrued expenses | (5,000) |  |  | — |
Loss (gain) on facility operating lease termination, net | 4,480 |  |  | — |
Net | $ | — |  |  | $ | — |
Schedule of Cash, Cash Equivalents, and Restricted Cash | The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.
(in thousands) | September 30, 2025 |  | December 31, 2024
Reconciliation of cash, cash equivalents, and restricted cash: |  |  |
Cash and cash equivalents | $ | 253,448 |  |  | $ | 308,925 |
Restricted cash - current | 41,815 |  |  | 39,871 |
Restricted cash - non-current | 36,064 |  |  | 31,044 |
Total cash, cash equivalents, and restricted cash | $ | 331,327 |  |  | $ | 379,840 |

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