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Segment Disclosures - Summary Information for the Reportable Segments (Details) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 USD ($) facility | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) facility
Segment reporting information, revenues |  |  |  |
Rental revenues | $ 434,441 |  |  | $ 472,832
Operating expenses | (168,927) |  |  | (172,552)
Segment NOI | 265,514 |  |  | 300,280
Adjustments to NOI | (2,338) |  |  | (9,686)
Adjusted NOI | 263,176 |  |  | 290,594
Addback adjustments | 2,338 |  |  | 9,686
Interest income | 1,713 |  |  | 6,365
Interest expense | (49,327) |  |  | (75,102)
Depreciation and amortization | (131,951) |  |  | (143,250)
General and administrative | (21,355) |  |  | (29,175)
Transaction costs | (4,518) |  |  | (2,195)
Recoveries (impairments), net | (8,858) |  |  | 0
Gain (loss) on sales of real estate, net | 8,044 | $ 95,000 | $ 25,000 | 20,815
Other income (expense), net | 3,133 |  |  | (40,407)
Income tax benefit (expense) | 3,458 |  |  | 5,336
Equity income (loss) from unconsolidated joint ventures | (863) |  |  | 570
Net income (loss) | 64,990 |  |  | 43,237
Corporate and other assets |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | 0 |  |  | 0
Operating expenses | 0 |  |  | 0
Segment NOI | 0 |  |  | 0
Adjustments to NOI | 0 |  |  | 0
Adjusted NOI | 0 |  |  | 0
Addback adjustments | 0 |  |  | 0
Interest income | 0 |  |  | 0
Interest expense | (47,891) |  |  | (72,583)
Depreciation and amortization | 0 |  |  | 0
General and administrative | (21,355) |  |  | (29,175)
Transaction costs | (4,518) |  |  | (2,195)
Recoveries (impairments), net | 0 |  |  |
Gain (loss) on sales of real estate, net | 0 |  |  | 0
Other income (expense), net | 3,133 |  |  | 160
Income tax benefit (expense) | 3,458 |  |  | 5,336
Equity income (loss) from unconsolidated joint ventures | 0 |  |  | 0
Net income (loss) | $ (67,173) |  |  | $ (98,457)
Senior housing triple-net |  |  |  |
Segment Disclosure |  |  |  |
Number of facilities transitioned | facility | 18 |  |  | 0
Senior housing triple-net | Operating segment |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | $ 58,892 |  |  | $ 74,289
Operating expenses | (993) |  |  | (1,045)
Segment NOI | 57,899 |  |  | 73,244
Adjustments to NOI | 564 |  |  | (1,865)
Adjusted NOI | 58,463 |  |  | 71,379
Addback adjustments | (564) |  |  | 1,865
Interest income | 0 |  |  | 0
Interest expense | (589) |  |  | (600)
Depreciation and amortization | (16,683) |  |  | (21,906)
General and administrative | 0 |  |  | 0
Transaction costs | 0 |  |  | 0
Recoveries (impairments), net | 0 |  |  |
Gain (loss) on sales of real estate, net | 3,557 |  |  | 0
Other income (expense), net | 0 |  |  | 0
Income tax benefit (expense) | 0 |  |  | 0
Equity income (loss) from unconsolidated joint ventures | 0 |  |  | 0
Net income (loss) | 44,184 |  |  | 50,738
SHOP |  |  |  |
Segment reporting information, revenues |  |  |  |
Gain (loss) on sales of real estate, net |  |  |  | 21,000
SHOP | Operating segment |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | 126,181 |  |  | 144,670
Operating expenses | (96,948) |  |  | (101,746)
Segment NOI | 29,233 |  |  | 42,924
Adjustments to NOI | 1,152 |  |  | (1,607)
Adjusted NOI | 30,385 |  |  | 41,317
Addback adjustments | (1,152) |  |  | 1,607
Interest income | 0 |  |  | 0
Interest expense | (663) |  |  | (988)
Depreciation and amortization | (24,086) |  |  | (27,628)
General and administrative | 0 |  |  | 0
Transaction costs | 0 |  |  | 0
Recoveries (impairments), net | 0 |  |  |
Gain (loss) on sales of real estate, net | 4,487 |  |  | 20,815
Other income (expense), net | 0 |  |  | 0
Income tax benefit (expense) | 0 |  |  | 0
Equity income (loss) from unconsolidated joint ventures | 0 |  |  | 0
Net income (loss) | 8,971 |  |  | 35,123
Life science | Operating segment |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | 94,473 |  |  | 99,622
Operating expenses | (21,992) |  |  | (21,809)
Segment NOI | 72,481 |  |  | 77,813
Adjustments to NOI | (2,478) |  |  | (3,751)
Adjusted NOI | 70,003 |  |  | 74,062
Addback adjustments | 2,478 |  |  | 3,751
Interest income | 0 |  |  | 0
Interest expense | (73) |  |  | (83)
Depreciation and amortization | (36,246) |  |  | (36,080)
General and administrative | 0 |  |  | 0
Transaction costs | 0 |  |  | 0
Recoveries (impairments), net | 0 |  |  |
Gain (loss) on sales of real estate, net | 0 |  |  | 0
Other income (expense), net | 0 |  |  | 0
Income tax benefit (expense) | 0 |  |  | 0
Equity income (loss) from unconsolidated joint ventures | 0 |  |  | 0
Net income (loss) | $ 36,162 |  |  | 41,650
Medical office |  |  |  |
Segment Disclosure |  |  |  |
Number of facilities transitioned | facility | 2 |  |  |
Medical office | Operating segment |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | $ 142,195 |  |  | 133,220
Operating expenses | (48,987) |  |  | (47,878)
Segment NOI | 93,208 |  |  | 85,342
Adjustments to NOI | (1,771) |  |  | (1,932)
Adjusted NOI | 91,437 |  |  | 83,410
Addback adjustments | 1,771 |  |  | 1,932
Interest income | 0 |  |  | 0
Interest expense | (111) |  |  | (120)
Depreciation and amortization | (53,101) |  |  | (47,198)
General and administrative | 0 |  |  | 0
Transaction costs | 0 |  |  | 0
Recoveries (impairments), net | (8,858) |  |  |
Gain (loss) on sales of real estate, net | 0 |  |  | 0
Other income (expense), net | 0 |  |  | 0
Income tax benefit (expense) | 0 |  |  | 0
Equity income (loss) from unconsolidated joint ventures | 0 |  |  | 0
Net income (loss) | 31,138 |  |  | 38,024
Other non-reportable segments | Operating segment |  |  |  |
Segment reporting information, revenues |  |  |  |
Rental revenues | 12,700 |  |  | 21,031
Operating expenses | (7) |  |  | (74)
Segment NOI | 12,693 |  |  | 20,957
Adjustments to NOI | 195 |  |  | (531)
Adjusted NOI | 12,888 |  |  | 20,426
Addback adjustments | (195) |  |  | 531
Interest income | 1,713 |  |  | 6,365
Interest expense | 0 |  |  | (728)
Depreciation and amortization | (1,835) |  |  | (10,438)
General and administrative | 0 |  |  | 0
Transaction costs | 0 |  |  | 0
Recoveries (impairments), net | 0 |  |  |
Gain (loss) on sales of real estate, net | 0 |  |  | 0
Other income (expense), net | 0 |  |  | (40,567)
Income tax benefit (expense) | 0 |  |  | 0
Equity income (loss) from unconsolidated joint ventures | (863) |  |  | 570
Net income (loss) | $ 11,708 |  |  | $ (23,841)

X
- Definition Adjusted NOI is a non-GAAP supplemental financial measure used to evaluate the operating performance of real estate. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles and lease termination fees (?non cash adjustments?). Adjusted NOI is oftentimes referred to as ?cash NOI.? The Company uses adjusted NOI to make decisions about resource allocations, and to assess and compare property level performance. The Company believes that net income (loss) is the most directly comparable U.S. GAAP measure to adjusted NOI. Adjusted NOI should not be viewed as an alternative measure of operating performance to net income (loss) as defined by GAAP since it does not reflect various excluded items. Further, the Company?s definition of Adjusted NOI may not be comparable to the definition used by other REITs or real estate companies, as they may use different methodologies for calculating Adjusted NOI. + References No definition available. + Details
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- Definition NOI is a non-GAAP supplemental financial measure used to evaluate the operating performance of real estate. NOI is defined as rental and related revenues, including tenant recoveries, resident fees and services, and income from DFLs, less property level operating expenses; NOI excludes interest income, investment management fee income, depreciation and amortization, interest expense, general and administrative expenses, impairments, impairment recoveries, other income, net, income taxes, and equity income from and impairments of investments in unconsolidated joint ventures. Management believes NOI provides relevant and useful information because it reflects only income and operating expense items that are incurred at the property level and presents them on an unleveraged basis. The Company uses NOI and adjusted NOI to make decisions about resource allocations and to assess and compare property level performance. The Company believes that net income (loss) is the most directly comparable U.S. GAAP measure to NOI. NOI should not be viewed as an alternative measure of operating performance to net income (loss) as defined by GAAP since it does not reflect various excluded items. Further, the Company?s definition of NOI may not be comparable to the definition used by other REITs or real estate companies, as they may use different methodologies for calculating NOI. + References No definition available. + Details
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