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v3.23.1

Segment Reporting - Summary Information for Reportable Segments (Details) - USD ($) $ in Thousands | 3 Months Ended |
--- | --- | ---
Mar. 31, 2023 | Mar. 31, 2022 | Dec. 31, 2022 | [1]
Segment Reporting Information [Line Items] |  |  |
Rental income | $ 384,059 | $ 356,390 |
Total revenues | 1,560,729 | 1,395,704 |
Property operating expenses | 957,753 | 853,669 |
Consolidated net operating income (loss) | 602,976 | 542,035 |
Depreciation and amortization | 339,112 | 304,088 |
Interest expense | 144,403 | 121,696 |
General and administrative expenses | 44,371 | 37,706 |
Loss (gain) on derivatives and financial instruments, net | 930 | 2,578 |
Loss (gain) on extinguishment of debt, net | 5 | (12) |
Provision for loan losses, net | 777 | (804) |
Impairment of assets | 12,629 | 0 |
Other expenses | 22,745 | 26,069 |
Income (loss) from continuing operations before income taxes and other items | 38,004 | 50,714 |
Income tax (expense) benefit | (3,045) | (5,013) |
Income (loss) from unconsolidated entities | (7,071) | (2,884) |
Gain (loss) on real estate dispositions, net | 747 | 22,934 |
Income (loss) from continuing operations | 28,635 | 65,751 |
Net income (loss) | 28,635 | 65,751 |
Total assets | 38,493,889 |  | $ 37,893,233
Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 1,131,685 | 994,335 |
Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 36,405 | 38,994 |
Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 8,580 | 5,985 |
Seniors Housing Operating |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 108,915 | 94,827 |
Operating Segments | Seniors Housing Operating |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 0 | 0 |
Total revenues | 1,136,681 | 996,612 |
Property operating expenses | 883,784 | 789,928 |
Consolidated net operating income (loss) | 252,897 | 206,684 |
Depreciation and amortization | 220,407 | 192,793 |
Interest expense | 11,487 | 7,650 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 0 | 0 |
Loss (gain) on extinguishment of debt, net | 0 | (15) |
Provision for loan losses, net | (73) | 267 |
Impairment of assets | 12,629 |  |
Other expenses | 17,579 | 8,191 |
Income (loss) from continuing operations before income taxes and other items | (9,132) | (2,202) |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | (15,589) | (17,782) |
Gain (loss) on real estate dispositions, net | 833 | 2,701 |
Income (loss) from continuing operations | (23,888) | (17,283) |
Net income (loss) | (23,888) | (17,283) |
Total assets | 22,201,219 |  |
Operating Segments | Seniors Housing Operating | Resident fees and services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 1,131,685 | 994,335 |
Operating Segments | Seniors Housing Operating | Interest income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 2,551 | 1,417 |
Operating Segments | Seniors Housing Operating | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 2,445 | 860 |
Operating Segments | Triple-net |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 202,419 | 196,001 |
Total revenues | 238,065 | 235,163 |
Property operating expenses | 11,723 | 11,211 |
Consolidated net operating income (loss) | 226,342 | 223,952 |
Depreciation and amortization | 54,528 | 53,504 |
Interest expense | (15) | 314 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 930 | 2,578 |
Loss (gain) on extinguishment of debt, net | 0 | 0 |
Provision for loan losses, net | 850 | (1,065) |
Impairment of assets | 0 |  |
Other expenses | 2,467 | 11,044 |
Income (loss) from continuing operations before income taxes and other items | 167,582 | 157,577 |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | 8,432 | 15,543 |
Gain (loss) on real estate dispositions, net | 520 | 20,449 |
Income (loss) from continuing operations | 176,534 | 193,569 |
Net income (loss) | 176,534 | 193,569 |
Total assets | 8,776,956 |  |
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 | 33,763 | 37,506 |
Operating Segments | Triple-net | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 1,883 | 1,656 |
Operating Segments | Outpatient Medical |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 181,640 | 160,389 |
Total revenues | 184,831 | 163,323 |
Property operating expenses | 58,365 | 49,915 |
Consolidated net operating income (loss) | 126,466 | 113,408 |
Depreciation and amortization | 64,177 | 57,791 |
Interest expense | 4,104 | 4,567 |
General and administrative expenses | 0 | 0 |
Loss (gain) on derivatives and financial instruments, net | 0 | 0 |
Loss (gain) on extinguishment of debt, net | 5 | 3 |
Provision for loan losses, net | 0 | (6) |
Impairment of assets | 0 |  |
Other expenses | 547 | 789 |
Income (loss) from continuing operations before income taxes and other items | 57,633 | 50,264 |
Income tax (expense) benefit | 0 | 0 |
Income (loss) from unconsolidated entities | 86 | (645) |
Gain (loss) on real estate dispositions, net | (606) | (216) |
Income (loss) from continuing operations | 57,113 | 49,403 |
Net income (loss) | 57,113 | 49,403 |
Total assets | 7,007,092 |  |
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 | 91 | 71 |
Operating Segments | Outpatient Medical | Other income |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenue from contract with customer | 3,100 | 2,863 |
Non-segment / Corporate |  |  |
Segment Reporting Information [Line Items] |  |  |
Rental income | 0 | 0 |
Total revenues | 1,152 | 606 |
Property operating expenses | 3,881 | 2,615 |
Consolidated net operating income (loss) | (2,729) | (2,009) |
Depreciation and amortization | 0 | 0 |
Interest expense | 128,827 | 109,165 |
General and administrative expenses | 44,371 | 37,706 |
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 | 2,152 | 6,045 |
Income (loss) from continuing operations before income taxes and other items | (178,079) | (154,925) |
Income tax (expense) benefit | (3,045) | (5,013) |
Income (loss) from unconsolidated entities | 0 | 0 |
Gain (loss) on real estate dispositions, net | 0 | 0 |
Income (loss) from continuing operations | (181,124) | (159,938) |
Net income (loss) | (181,124) | (159,938) |
Total assets | 508,622 |  |
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 | $ 1,152 | $ 606 |
[1] | The consolidated balance sheet at December 31, 2022 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements.

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