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Pay vs Performance Disclosure | 12 Months Ended
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Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Pay vs Performance Disclosure [Table] |  |  |
Pay vs Performance [Table Text Block] | PAY VERSUS PERFORMANCE As required by Section 953(a) of the Dodd-Frank Wall Street Reform and Consumer Protection Act, and Item 402(v) of Regulation S-K, we are providing the following information about the relationship between executive “compensation actually paid” and certain financial performance of the Company. For further information concerning the Company’s pay for performance philosophy and how the Company aligns executive compensation with the Company’s performance, refer to “Executive Compensation – Compensation Discussion and Analysis.” Our CEO is the principal executive officer (“PEO”). The following table sets forth information concerning the compensation of our PEOs and other NEOs for each of the fiscal years ending December 31, 2022, 2021, and 2020.
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Value of Initial Fixed $100 Investment Based On: |  |  |  |  |  |  |
Year 1 |  | Summary Compensation Table Total for PEO 1 (Shankh Mitra) ($) |  |  | Summary Compensation Table Total for PEO 1 (Thomas J. DeRosa) ($) |  |  | Compensation Actually Paid to PEO 1 (Shankh Mitra) ($) |  |  | Compensation Actually Paid to PEO 1 (Thomas J. DeRosa) ($) |  |  | Average Summary Compensation Table Total for Non-PEO NEOs 1 ($) |  |  | Average Compensation Actually Paid to Non-PEO NEOs 1 ($) |  |  | Total Shareholder Return ($) 2 |  |  | Peer Group Total Shareholder Return ($) 3 |  |  | Net Income Attributable to Common Stockholders (In thousands) ($) 4 |  |  | Normalized FFO per diluted share ($) 5 |
2022 |  |  | 14,266,935 |  |  |  | — |  |  |  | 4,594,060 |  |  |  | — |  |  |  | 4,121,683 |  |  |  | 2,332,916 |  |  |  | 89.10 |  |  |  | 99.68 |  |  |  | 141,214 |  |  |  | 3.35 |
2021 |  |  | 12,753,710 |  |  |  | — |  |  |  | 22,832,893 |  |  |  | — |  |  |  | 3,096,543 |  |  |  | 4,770,374 |  |  |  | 113.03 |  |  |  | 131.78 |  |  |  | 336,138 |  |  |  | 3.21 |
2020 |  |  | 9,557,434 |  |  |  | 14,589,584 |  |  |  | 5,302,157 |  |  |  | (9,291,262 | ) |  |  | 2,590,052 |  |  |  | 1,405,247 |  |  |  | 82.51 |  |  |  | 92.00 |  |  |  | 978,844 |  |  |  | 3.56 |
(1) | Amounts represent compensation actually paid to our PEO(s) and the average compensation actually paid to our remaining NEOs for the relevant fiscal year, as determined in accordance with SEC rules, which includes the individuals listed in the table below for each fiscal year.
Year |  | PEO |  | Non-PEO NEOS
2022 |  | Shankh Mitra |  | Timothy G. McHugh, John F. Burkart, Matthew G. McQueen, and Ayesha Menon
2021 |  | Shankh Mitra |  | Timothy G. McHugh, John F. Burkart, Matthew G. McQueen, and Ayesha Menon
2020 |  | Thomas J. DeRosa and Shankh Mitra |  | Timothy G. McHugh, Matthew G. McQueen, and Ayesha Menon
The dollar amounts reported as “compensation actually paid” are computed in accordance with the requirements of Item 402(v) of Regulation S-K and reflect “Total Compensation” as set forth in the Summary Compensation Table for each year, adjusted as shown below (with equity values calculated in accordance with FASB ASC Topic 718):
Shankh Mitra, CEO |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  | 14,266,935 |  |  |  | 12,753,710 |  |  |  | 9,557,434 |
Less: Fair Value of Awards Reported in the SCT |  |  | (10,454,249 | ) |  |  | (7,500,079 | ) |  |  | (6,528,380 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  | 16,794,351 |  |  |  | 14,018,154 |  |  |  | 4,703,812 |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  | (14,034,634 | ) |  |  | 2,494,943 |  |  |  | (1,752,508 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  | (1,978,343 | ) |  |  | 1,066,165 |  |  |  | (678,202 | )
Compensation Actually Paid |  |  | 4,594,060 |  |  |  | 22,832,893 |  |  |  | 5,302,157 |
Thomas J. DeRosa, Former CEO |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  |  |  |  |  |  |  |  |  | 14,589,584 |
Less: Fair Value of Awards Reported in the SCT |  |  |  |  |  |  |  |  |  |  | (10,501,379 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  |  |  |  |  |  |  |  |  | — |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  |  |  |  |  |  |  |  |  | (5,792,299 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  |  |  |  |  |  |  |  |  | (7,587,168 | )
Compensation Actually Paid |  |  |  |  |  |  |  |  |  |  | (9,291,262 | )
Average of Other NEOs |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  | 4,121,683 |  |  |  | 3,096,543 |  |  |  | 2,590,052 |
\ |  |  |
Less: Fair Value of Awards Reported in the SCT |  |  | (2,634,005 | ) |  |  | (1,475,967 | ) |  |  | (1,365,328 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  | 3,623,751 |  |  |  | 2,563,124 |  |  |  | 846,041 |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  | (2,531,789 | ) |  |  | 294,861 |  |  |  | (566,973 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  | (246,724 | ) |  |  | 291,813 |  |  |  | (98,546 | )
Compensation Actually Paid |  |  | 2,332,916 |  |  |  | 4,770,374 |  |  |  | 1,405,247 |
(2) | TSR is calculated by dividing (a) the sum of (i) the cumulative amount of dividends for the measurement period, assuming dividend reinvestment, and (ii) the difference between the Company’s share price at the end of each fiscal year shown and the beginning of the measurement period, and the beginning of the measurement period by (b) the Company’s share price at the beginning of the measurement period. The beginning of the measurement period for each year in the table is December 31, 2019.
(3) | Peer group TSR is based on the FTSE Nareit Equity Health Care Index to which we compare our performance in our Form 10-K Stockholder Return Performance Presentation in Item 5.
(4) | The dollar amounts reported represent the amount of net income (or loss) attributable to common stockholders reflected in the Company’s audited financial statements for the applicable year.
(5) | FFO means net income attributable to common stockholders, computed in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”), excluding gains (or losses) from the sale of real estate and impairments of depreciable assets, plus real estate depreciation and amortization, and after adjustments for unconsolidated entities and non-controlling interests. Normalized FFO attributable to common stockholders represents FFO adjusted for net gains (or losses) on derivatives and financial instruments, losses on extinguishment of debt, provision for loan losses, income tax benefits, casualty losses, net of recoveries, certain other expenses or income, and normalizing items relating to unconsolidated entities/noncontrolling interests. See Appendix A for a discussion and reconciliation of non-GAAP measures.
Company Selected Measure Name | Normalized FFO |  |
Named Executive Officers, Footnote [Text Block] |
(1) | Amounts represent compensation actually paid to our PEO(s) and the average compensation actually paid to our remaining NEOs for the relevant fiscal year, as determined in accordance with SEC rules, which includes the individuals listed in the table below for each fiscal year.
Year |  | PEO |  | Non-PEO NEOS
2022 |  | Shankh Mitra |  | Timothy G. McHugh, John F. Burkart, Matthew G. McQueen, and Ayesha Menon
2021 |  | Shankh Mitra |  | Timothy G. McHugh, John F. Burkart, Matthew G. McQueen, and Ayesha Menon
2020 |  | Thomas J. DeRosa and Shankh Mitra |  | Timothy G. McHugh, Matthew G. McQueen, and Ayesha Menon
Peer Group Issuers, Footnote [Text Block] | Peer group TSR is based on the FTSE Nareit Equity Health Care Index to which we compare our performance in our Form 10-K Stockholder Return Performance Presentation in Item 5. |  |
Adjustment To PEO Compensation, Footnote [Text Block] | The dollar amounts reported as “compensation actually paid” are computed in accordance with the requirements of Item 402(v) of Regulation S-K and reflect “Total Compensation” as set forth in the Summary Compensation Table for each year, adjusted as shown below (with equity values calculated in accordance with FASB ASC Topic 718):
Shankh Mitra, CEO |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  | 14,266,935 |  |  |  | 12,753,710 |  |  |  | 9,557,434 |
Less: Fair Value of Awards Reported in the SCT |  |  | (10,454,249 | ) |  |  | (7,500,079 | ) |  |  | (6,528,380 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  | 16,794,351 |  |  |  | 14,018,154 |  |  |  | 4,703,812 |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  | (14,034,634 | ) |  |  | 2,494,943 |  |  |  | (1,752,508 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  | (1,978,343 | ) |  |  | 1,066,165 |  |  |  | (678,202 | )
Compensation Actually Paid |  |  | 4,594,060 |  |  |  | 22,832,893 |  |  |  | 5,302,157 |
Thomas J. DeRosa, Former CEO |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  |  |  |  |  |  |  |  |  | 14,589,584 |
Less: Fair Value of Awards Reported in the SCT |  |  |  |  |  |  |  |  |  |  | (10,501,379 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  |  |  |  |  |  |  |  |  | — |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  |  |  |  |  |  |  |  |  | (5,792,299 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  |  |  |  |  |  |  |  |  | (7,587,168 | )
Compensation Actually Paid |  |  |  |  |  |  |  |  |  |  | (9,291,262 | )
Non-PEO NEO Average Total Compensation Amount | $ 4,121,683 | $ 3,096,543 | $ 2,590,052
Non-PEO NEO Average Compensation Actually Paid Amount | $ 2,332,916 | 4,770,374 | 1,405,247
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] |
Average of Other NEOs |  | 2022($) |  |  | 2021($) |  |  | 2020($) |
Summary Compensation Table Total |  |  | 4,121,683 |  |  |  | 3,096,543 |  |  |  | 2,590,052 |
\ |  |  |
Less: Fair Value of Awards Reported in the SCT |  |  | (2,634,005 | ) |  |  | (1,475,967 | ) |  |  | (1,365,328 | )
Change in Fair Value of Awards Granted in Year and Unvested at Year-End |  |  | 3,623,751 |  |  |  | 2,563,124 |  |  |  | 846,041 |
Change in Fair Value from Prior Year-End to Current Year-End of Awards Granted Prior to Year that were Outstanding and Unvested as of Year-End |  |  | (2,531,789 | ) |  |  | 294,861 |  |  |  | (566,973 | )
Change in Fair Value from Prior Year-End to Vesting Date of Awards Granted Prior to Year that Vested During Year |  |  | (246,724 | ) |  |  | 291,813 |  |  |  | (98,546 | )
Compensation Actually Paid |  |  | 2,332,916 |  |  |  | 4,770,374 |  |  |  | 1,405,247 |
Compensation Actually Paid vs. Total Shareholder Return [Text Block] | The NEOs’ pay, particularly the PEO’s, closely tracks with our TSR since, in any year, more than 70 percent of the NEOs’ compensation is comprised of equity awards. The table below shows our PEO’s (for 2020, Mr. DeRosa, and for 2021 and 2022, Mr. Mitra) and the average of our other NEOs’ pay compared to our annual TSR performance and the Peer Group’s TSR performance. |  |
Compensation Actually Paid vs. Net Income [Text Block] | The table below shows our PEO’s and the average of our other NEOs’ pay compared to our net income attributable to common stockholders. |  |
Compensation Actually Paid vs. Company Selected Measure [Text Block] | The table below shows our PEO’s and the average of our other NEOs’ pay compared to our normalized FFO per diluted share performance. |  |
Total Shareholder Return Vs Peer Group [Text Block] | The NEOs’ pay, particularly the PEO’s, closely tracks with our TSR since, in any year, more than 70 percent of the NEOs’ compensation is comprised of equity awards. The table below shows our PEO’s (for 2020, Mr. DeRosa, and for 2021 and 2022, Mr. Mitra) and the average of our other NEOs’ pay compared to our annual TSR performance and the Peer Group’s TSR performance. |  |
Tabular List [Table Text Block] | The following table lists the most important financial performance measures used to link compensation actually paid to our NEOs to company performance.
Important Financial Performance Measures
Relative Total Shareholder Return
Normalized FFO per Diluted Share
Adjusted Fixed Charge Coverage
General and Administrative Expense Controls
(Net Debt + Preferred) / Annualized Adjusted EBITDA
Total Shareholder Return Amount | $ 89.1 | 113.03 | 82.51
Peer Group Total Shareholder Return Amount | 99.68 | 131.78 | 92
Net Income (Loss) | $ 141,214,000 | $ 336,138,000 | $ 978,844,000
Company Selected Measure Amount | 3.35 | 3.21 | 3.56
Measure [Axis]: 1 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Relative Total Shareholder Return |  |
Measure [Axis]: 2 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Normalized FFO per Diluted Share |  |
Non-GAAP Measure Description [Text Block] | FFO means net income attributable to common stockholders, computed in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”), excluding gains (or losses) from the sale of real estate and impairments of depreciable assets, plus real estate depreciation and amortization, and after adjustments for unconsolidated entities and non-controlling interests. Normalized FFO attributable to common stockholders represents FFO adjusted for net gains (or losses) on derivatives and financial instruments, losses on extinguishment of debt, provision for loan losses, income tax benefits, casualty losses, net of recoveries, certain other expenses or income, and normalizing items relating to unconsolidated entities/noncontrolling interests. See Appendix A for a discussion and reconciliation of non-GAAP measures. |  |
Measure [Axis]: 3 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Adjusted Fixed Charge Coverage |  |
Measure [Axis]: 4 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | General and Administrative Expense Controls |  |
Measure [Axis]: 5 |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Measure Name | Annualized Adjusted EBITDA |  |
Shankh Mitra [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
PEO Total Compensation Amount | $ 14,266,935 | $ 12,753,710 | $ 9,557,434
PEO Actually Paid Compensation Amount | $ 4,594,060 | $ 22,832,893 | $ 5,302,157
PEO Name | Shankh Mitra | Shankh Mitra | Shankh Mitra
Thomas J. DeRosa [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
PEO Total Compensation Amount |  |  | $ 14,589,584
PEO Actually Paid Compensation Amount |  |  | $ (9,291,262)
PEO Name |  |  | Thomas J. DeRosa
PEO [Member] | Shankh Mitra [Member] | Less Fair Value of Awards Reported in the SCT [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | $ (10,454,249) | $ (7,500,079) | $ (6,528,380)
PEO [Member] | Shankh Mitra [Member] | Change in Fair Value of Awards Granted in year and Unvested at YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 16,794,351 | 14,018,154 | 4,703,812
PEO [Member] | Shankh Mitra [Member] | Change in Fair Value from Prior Year End to Current Year End of Awards Granted Prior to Year that were Outstanding and Unvested as of YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (14,034,634) | 2,494,943 | (1,752,508)
PEO [Member] | Shankh Mitra [Member] | Change in Fair Value from Prior YearEnd to Vesting Date of Awards Granted Prior to Year that Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (1,978,343) | 1,066,165 | (678,202)
PEO [Member] | Thomas J. DeRosa [Member] | Less Fair Value of Awards Reported in the SCT [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  |  | (10,501,379)
PEO [Member] | Thomas J. DeRosa [Member] | Change in Fair Value of Awards Granted in year and Unvested at YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  |  | 0
PEO [Member] | Thomas J. DeRosa [Member] | Change in Fair Value from Prior Year End to Current Year End of Awards Granted Prior to Year that were Outstanding and Unvested as of YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  |  | (5,792,299)
PEO [Member] | Thomas J. DeRosa [Member] | Change in Fair Value from Prior YearEnd to Vesting Date of Awards Granted Prior to Year that Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount |  |  | (7,587,168)
Non-PEO NEO [Member] | Less Fair Value of Awards Reported in the SCT [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (2,634,005) | (1,475,967) | (1,365,328)
Non-PEO NEO [Member] | Change in Fair Value of Awards Granted in year and Unvested at YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | 3,623,751 | 2,563,124 | 846,041
Non-PEO NEO [Member] | Change in Fair Value from Prior Year End to Current Year End of Awards Granted Prior to Year that were Outstanding and Unvested as of YearEnd [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | (2,531,789) | 294,861 | (566,973)
Non-PEO NEO [Member] | Change in Fair Value from Prior YearEnd to Vesting Date of Awards Granted Prior to Year that Vested During Year [Member] |  |  |
Pay vs Performance Disclosure [Table] |  |  |
Adjustment to Compensation Amount | $ (246,724) | $ 291,813 | $ (98,546)

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