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v3.22.1

Segment Reporting - Summary Information for Reportable Segments (Details) $ in Thousands | 3 Months Ended |
--- | --- | ---
Mar. 31, 2022 USD ($) segment | Mar. 31, 2021 USD ($) | Dec. 31, 2021 USD ($)
Segment Reporting [Abstract] |  |  |
Number of operating segments | segment | 3 |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | $ 356,390 | $ 302,843 |
Total revenues | 1,395,704 | 1,052,062 |
Property operating expenses | 853,669 | 617,326 |
Consolidated net operating income (loss) | 542,035 | 434,736 |
Depreciation and amortization | 304,088 | 244,426 |
Interest expense | 121,696 | 123,142 |
General and administrative expenses | 37,706 | 29,926 |
Loss (gain) on derivatives and financial instruments, net | 2,578 | 1,934 |
Loss (gain) on extinguishment of debt, net | (12) | (4,643) |
Provision for loan losses, net | (804) | 1,383 |
Impairment of assets | 0 | 23,568 |
Other expenses | 26,069 | 10,994 |
Income (loss) from continuing operations before income taxes and other items | 50,714 | 4,006 |
Income tax (expense) benefit | (5,013) | (3,943) |
Income (loss) from unconsolidated entities | (2,884) | 13,049 |
Gain (loss) on real estate dispositions, net | 22,934 | 59,080 |
Income (loss) from continuing operations | 65,751 | 72,192 |
Net income (loss) | 65,751 | 72,192 |
Total assets | 35,472,453 |  | $ 34,910,325
Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 994,335 | 723,464 |
Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 38,994 | 19,579 |
Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 5,985 | 6,176 |
Seniors Housing Operating | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 94,827 | 15,771 |
Operating Segments | Seniors Housing Operating |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 0 | 0 |
Total revenues | 996,612 | 726,402 |
Property operating expenses | 789,928 | 555,968 |
Consolidated net operating income (loss) | 206,684 | 170,434 |
Depreciation and amortization | 192,793 | 132,586 |
Interest expense | 7,650 | 11,418 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 0 | 0 |
Loss (gain) on extinguishment of debt, net | (15) | (4,643) |
Provision for loan losses, net | 267 | 251 |
Impairment of assets |  | 4,604 |
Other expenses | 8,191 | 3,459 |
Income (loss) from continuing operations before income taxes and other items | (2,202) | 22,759 |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | (17,782) | 5,234 |
Gain (loss) on real estate dispositions, net | 2,701 | 5,195 |
Income (loss) from continuing operations | (17,283) | 33,188 |
Net income (loss) | (17,283) | 33,188 |
Total assets | 19,986,904 |  |
Operating Segments | Seniors Housing Operating | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 994,335 | 723,464 |
Operating Segments | Seniors Housing Operating | Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 1,417 | 1,119 |
Operating Segments | Seniors Housing Operating | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 860 | 1,819 |
Operating Segments | Triple-net |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 196,001 | 152,463 |
Total revenues | 235,163 | 168,482 |
Property operating expenses | 11,211 | 12,841 |
Consolidated net operating income (loss) | 223,952 | 155,641 |
Depreciation and amortization | 53,504 | 56,667 |
Interest expense | 314 | 1,882 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 2,578 | 1,934 |
Loss (gain) on extinguishment of debt, net | 0 | 0 |
Provision for loan losses, net | (1,065) | 853 |
Impairment of assets |  | 18,964 |
Other expenses | 11,044 | 4,983 |
Income (loss) from continuing operations before income taxes and other items | 157,577 | 70,358 |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | 15,543 | 4,907 |
Gain (loss) on real estate dispositions, net | 20,449 | 2,042 |
Income (loss) from continuing operations | 193,569 | 77,307 |
Net income (loss) | 193,569 | 77,307 |
Total assets | 8,986,422 |  |
Operating Segments | Triple-net | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 0 | 0 |
Operating Segments | Triple-net | Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 37,506 | 14,922 |
Operating Segments | Triple-net | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 1,656 | 1,097 |
Operating Segments | Outpatient Medical |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 160,389 | 150,380 |
Total revenues | 163,323 | 156,223 |
Property operating expenses | 49,915 | 46,863 |
Consolidated net operating income (loss) | 113,408 | 109,360 |
Depreciation and amortization | 57,791 | 55,173 |
Interest expense | 4,567 | 4,015 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 0 | 0 |
Loss (gain) on extinguishment of debt, net | 3 | 0 |
Provision for loan losses, net | (6) | 279 |
Impairment of assets |  | 0 |
Other expenses | 789 | 712 |
Income (loss) from continuing operations before income taxes and other items | 50,264 | 49,181 |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | (645) | 2,908 |
Gain (loss) on real estate dispositions, net | (216) | 51,843 |
Income (loss) from continuing operations | 49,403 | 103,932 |
Net income (loss) | 49,403 | 103,932 |
Total assets | 6,333,821 |  |
Operating Segments | Outpatient Medical | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 0 | 0 |
Operating Segments | Outpatient Medical | Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 71 | 3,538 |
Operating Segments | Outpatient Medical | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 2,863 | 2,305 |
Non-segment / Corporate |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 0 | 0 |
Total revenues | 606 | 955 |
Property operating expenses | 2,615 | 1,654 |
Consolidated net operating income (loss) | (2,009) | (699) |
Depreciation and amortization | 0 | 0 |
Interest expense | 109,165 | 105,827 |
General and administrative expenses | 37,706 | 29,926 |
Loss (gain) on derivatives and financial instruments, net | 0 | 0 |
Loss (gain) on extinguishment of debt, net | 0 | 0 |
Provision for loan losses, net | 0 | 0 |
Impairment of assets |  | 0 |
Other expenses | 6,045 | 1,840 |
Income (loss) from continuing operations before income taxes and other items | (154,925) | (138,292) |
Income tax (expense) benefit | (5,013) | (3,943) |
Income (loss) from unconsolidated entities | 0 | 0 |
Gain (loss) on real estate dispositions, net | 0 | 0 |
Income (loss) from continuing operations | (159,938) | (142,235) |
Net income (loss) | (159,938) | (142,235) |
Total assets | 165,306 |  |
Non-segment / Corporate | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 0 | 0 |
Non-segment / Corporate | Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 0 | 0 |
Non-segment / Corporate | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | $ 606 | $ 955 |

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