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Pay vs Performance Disclosure - USD ($) | 12 Months Ended
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Dec. 31, 2024 | 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 In accordance with SEC rules, we prepared the analysis set forth below of the relationship between the compensation actually paid to our CEO and other named executive officers, and certain financial performance measures over the last five fiscal years. 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) |
2024 |  | $ | 9,793,423 |  |  | $ | 6,395,973 |  |  | $ | 1,588,863 |  |  | $ | 1,120,402 |  |  | $ | 69.19 |  |  | $ | 146.87 |  |  | $ | (201,994) |  |  | $ | 4,858 |
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 |  |  | $ | 60.94 |  |  | $ | 113.45 |  |  | $ | 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:
| • |  | 2024: Ms. Kussow and Messrs. White, Kaestner, and Hicks
| • |  | 2023: Ms. Kussow and Messrs. White, Kaestner, and Hicks, and Steven E. Swain and Kevin W. 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 |
2024 |  | CEO |  | $ | (5,107,316 | ) |  | $ | 3,553,739 |  |  | $ | (1,893,221 | ) |  | $ | 49,348 |  |  | $ | - |  |  | $ | (3,397,450 | )
| Other NEO |  | $ | (634,586 | ) |  | $ | 441,555 |  |  | $ | (279,779 | ) |  | $ | 4,349 |  |  | $ | - |  |  | $ | (468,461 | )
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:
| • |  | 2024: Ms. Kussow and Messrs. White, Kaestner, and Hicks
| • |  | 2023: Ms. Kussow and Messrs. White, Kaestner, and Hicks, and Steven E. Swain and Kevin W. 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 | $ 9,793,423 | $ 5,451,007 | $ 6,645,889 | $ 5,300,248 | $ 7,087,470
PEO Actually Paid Compensation Amount | $ 6,395,973 | 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 |
2024 |  | CEO |  | $ | (5,107,316 | ) |  | $ | 3,553,739 |  |  | $ | (1,893,221 | ) |  | $ | 49,348 |  |  | $ | - |  |  | $ | (3,397,450 | )
| Other NEO |  | $ | (634,586 | ) |  | $ | 441,555 |  |  | $ | (279,779 | ) |  | $ | 4,349 |  |  | $ | - |  |  | $ | (468,461 | )
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 | $ 1,588,863 | 1,259,057 | 1,451,986 | 1,249,993 | 2,009,592
Non-PEO NEO Average Compensation Actually Paid Amount | $ 1,120,402 | 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 |
2024 |  | CEO |  | $ | (5,107,316 | ) |  | $ | 3,553,739 |  |  | $ | (1,893,221 | ) |  | $ | 49,348 |  |  | $ | - |  |  | $ | (3,397,450 | )
| Other NEO |  | $ | (634,586 | ) |  | $ | 441,555 |  |  | $ | (279,779 | ) |  | $ | 4,349 |  |  | $ | - |  |  | $ | (468,461 | )
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 |  |  |  |  |
Compensation Actually Paid vs. Net Income |  |  |  |  |
Compensation Actually Paid vs. Company Selected Measure |  |  |  |  |
Total Shareholder Return Vs Peer Group |  |  |  |  |
Tabular List, Table | Most Important Performance Measures For 2024, 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, 2024 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 | $ 69.19 | 80.06 | 37.55 | 70.98 | 60.94
Peer Group Total Shareholder Return Amount | 146.87 | 143.18 | 140.29 | 143.09 | 113.45
Net Income (Loss) | $ (201,994,000) | $ (189,070,000) | $ (238,340,000) | $ (99,364,000) | $ 81,945,000
Company Selected Measure Amount | 4,858 | 4,577 | 4,113 | 3,734 | 3,917
PEO Name | Ms. Baier |  |  |  |
Measure:: 1 |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Name | Consolidated Portfolio Revenue per Available 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 |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | $ (3,397,450) | $ 7,321,892 | $ (3,643,308) | $ 653,734 | $ (7,086,749)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 3,553,739 | 6,053,858 | 2,602,447 | 2,803,031 | 1,848,813
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | (1,893,221) | 4,218,296 | (1,844,384) | 174,856 | (3,833,352)
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 49,348 | 243,072 | 715,681 | 440,852 | (163,057)
PEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 0 | 0 | 0 | 0 | 0
PEO | Amount of Stock Awards from Summary Compensation [Member] |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | (5,107,316) | (3,193,334) | (5,117,052) | (2,765,005) | (4,939,153)
Non-PEO NEO |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | (468,461) | 377,014 | (549,241) | (126,697) | (1,189,427)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 441,555 | 687,502 | 405,143 | 338,623 | 415,058
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | (279,779) | 256,567 | (226,194) | 19,200 | (491,102)
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 4,349 | 27,183 | 68,832 | 50,293 | (30,090)
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | 0 | (231,017) | 0 | (72,317) | 0
Non-PEO NEO | Amount of Stock Awards from Summary Compensation [Member] |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |
Adjustment to Compensation, Amount | $ (634,586) | $ (363,221) | $ (797,022) | $ (462,496) | $ (1,083,293)

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