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Pay vs Performance Disclosure
2 Months Ended 10 Months Ended 12 Months Ended
Dec. 31, 2024
Nov. 10, 2024
Dec. 31, 2026
USD ($)
$ / shares
Dec. 31, 2025
USD ($)
$ / shares
Dec. 31, 2024
USD ($)
$ / shares
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Pay vs Performance Disclosure              
Pay vs Performance Disclosure, Table    
Value of Initial Fixed $100 Investment Based on:
Year
Summary
 Compen-
sation
Table Total for PEO
 Meredith
(1)(2)
Summary
 Compen-
sation
Table Total for PEO
Moore
Compen-sation
 Actually
Paid to PEO
Meredith(3)
Compen-sation
Actually
Paid to PEO Moore(3)
Average Summary
Compen-sation
Table Total for Non-
PEO NEOs(1)(2)
Average
Compen-
sation
Actually
Paid to
Non-PEO
NEOs(3)
Total Shareholder Return(4)
Peer
Group
Total
Share-
holder
Return(4)
Net Income (GAAP)(5)
Normalized FFO per
Share
2024$7,451,715 $2,061,333 $17,419,580 $1,877,506 $2,131,519 $3,109,360 $66.95 $121.23 ($663,904)$1.56 
2023$6,279,626 $— $4,729,346 $— $2,388,372 $1,830,641 $62.95 $95.15 ($282,083)$1.57 
2022$8,597,498 $— $162,377 $— $3,601,606 $952,277 $65.57 $82.75 $40,693 $1.69 
2021$3,243,826 $— $6,458,026 $— $1,594,637 $2,452,347 $102.50 $103.97 $66,659 $1.71 
2020$2,823,858 $— $1,330,171 $— $1,530,919 $1,126,944 $92.18 $90.14 $72,195 $1.65 
       
Named Executive Officers, Footnote     For each year shown, except as noted below, the principal executive officers were Todd J. Meredith through November 10, 2024 ("PEO Meredith") and Constance B. Moore beginning November 11, 2024 ("PEO Moore"), and the other NEOs were J. Christopher Douglas, Austen B. Helfrich, John M. Bryant, Jr., Robert E. Hull, and Julie F. Wilson. Ms. Wilson became a Named Executive Officer in 2021 and Mr. Helfrich became an NEO in 2024.        
Adjustment To PEO Compensation, Footnote     Compensation actually paid ("CAP") is defined by the SEC and is computed in accordance with SEC rules by subtracting the amounts in the "Stock Awards" column of the SCT for each year from the "Total" column in the SCT and then: (i) adding the fair value as of the end of the reported year of all awards granted during the reported year that are outstanding and unvested as of the end of the reported year; (ii) adding the amount equal to the change as of the end of the reported year (from the end of the prior year) in fair value (whether positive or negative) of any awards granted in any prior year that are outstanding and unvested as of the end of the reported year; (iii) adding, for awards that are granted and vest in the reported year, the fair value as of the vesting date; (iv) adding the amount equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value (whether positive or negative) of any awards granted in any prior year for which all applicable vesting conditions were satisfied at the end of or during the reported year; (v) subtracting, for any awards granted in any prior year that are forfeited during the reported year, the amount equal to the fair value at the end of the prior year; and (vi) adding the value of dividends (or dividend equivalents) paid in the reported year on unvested equity awards and the value of accrued dividends (or dividend equivalents) paid on performance awards that vested in the reported year. The tables following these footnotes reflect the adjustments made to SCT total compensation to compute CAP for our PEOs and average CAP for our other NEOs.
(4)     The peer group is comprised of the following companies: Community Healthcare Trust; CareTrust REIT; Global Medical REIT; Healthpeak Properties; LTC Properties Inc.; Medical Properties Trust Inc.; National Health Investors, Inc.; Omega Healthcare Investors; Sabra Health Care REIT; Diversified Healthcare Trust; Universal Health Realty Trust; Ventas, Inc.; and Welltower, Inc. Reflects the cumulative TSR of the Company and the health care REITs excluding the Company in the FTSE NAREIT All Equity REITs Index for the year ended December 31, 2020, the two years ended December 31, 2021, the three years ended December 31, 2022, the four years ending December 31, 2023, and the five years ended December 31, 2024 assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of dividends.
(5)     Amounts in thousands.
PEO Meredith Reconciliation20242023202220212020
Deduction for Change in Actuarial Present Values reported under Change in Pension Value and Non-qualified Deferred Compensation Earnings Column
of SCT
$— $— $— $— $— 
Increase for "Service Cost" for Pension Plans$— $— $— $— $— 
Increase for "Prior Service Cost" for Pension Plans$— $— $— $— $— 
Deduction for Amounts Reported under the "Stock Awards" Column in the SCT($5,436,778)($4,380,592)($6,324,463)($952,000)($816,719)
Deduction for Amounts Reported under the "Options Awards" Column in SCT$— $— $— $— $— 
Increase for Fair Value of Awards Granted during year that Remain Unvested as of the Year End$— $3,440,897 $3,700,178 $1,042,137 $758,641 
Increase for Fair Value of Awards Granted during year that Vest during year$7,765,627 $— $— $— $— 
Increase/Deduction for Change in Fair Value from prior Year-end to current Year-end of Awards Granted Prior to year that were Outstanding and Unvested as of Year-end$— ($1,114,566)($5,435,460)$2,268,601 ($1,961,227)
Increase/Deduction for Change in Fair Value from prior Year-end to Vesting Date of Awards Granted Prior to year that Vested during year$6,062,305 ($194,697)($1,036,781)$272,898 ($29,472)
Deduction of Fair Value of Awards Granted Prior to year that were Forfeited during year$— $— $— $— $— 
Increase based upon incremental Fair Value of Awards Modified during year$— $— $— $— $— 
Increase based on Dividends or Other Earnings Paid during year prior to Vesting Date of Award$1,576,711 $698,678 $661,405 $582,564 $555,090 
Total Adjustments$9,967,865 ($1,550,280)($8,435,121)$3,214,200 ($1,493,687)
       
Non-PEO NEO Average Total Compensation Amount     $ 2,131,519 $ 2,388,372 $ 3,601,606 $ 1,594,637 $ 1,530,919
Non-PEO NEO Average Compensation Actually Paid Amount     $ 3,109,360 1,830,641 $ 952,277 2,452,347 1,126,944
Adjustment to Non-PEO NEO Compensation Footnote     Compensation actually paid ("CAP") is defined by the SEC and is computed in accordance with SEC rules by subtracting the amounts in the "Stock Awards" column of the SCT for each year from the "Total" column in the SCT and then: (i) adding the fair value as of the end of the reported year of all awards granted during the reported year that are outstanding and unvested as of the end of the reported year; (ii) adding the amount equal to the change as of the end of the reported year (from the end of the prior year) in fair value (whether positive or negative) of any awards granted in any prior year that are outstanding and unvested as of the end of the reported year; (iii) adding, for awards that are granted and vest in the reported year, the fair value as of the vesting date; (iv) adding the amount equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value (whether positive or negative) of any awards granted in any prior year for which all applicable vesting conditions were satisfied at the end of or during the reported year; (v) subtracting, for any awards granted in any prior year that are forfeited during the reported year, the amount equal to the fair value at the end of the prior year; and (vi) adding the value of dividends (or dividend equivalents) paid in the reported year on unvested equity awards and the value of accrued dividends (or dividend equivalents) paid on performance awards that vested in the reported year. The tables following these footnotes reflect the adjustments made to SCT total compensation to compute CAP for our PEOs and average CAP for our other NEOs.
(4)     The peer group is comprised of the following companies: Community Healthcare Trust; CareTrust REIT; Global Medical REIT; Healthpeak Properties; LTC Properties Inc.; Medical Properties Trust Inc.; National Health Investors, Inc.; Omega Healthcare Investors; Sabra Health Care REIT; Diversified Healthcare Trust; Universal Health Realty Trust; Ventas, Inc.; and Welltower, Inc. Reflects the cumulative TSR of the Company and the health care REITs excluding the Company in the FTSE NAREIT All Equity REITs Index for the year ended December 31, 2020, the two years ended December 31, 2021, the three years ended December 31, 2022, the four years ending December 31, 2023, and the five years ended December 31, 2024 assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of dividends.
(5)     Amounts in thousands.
Average Non-PEO NEO Reconciliation20242023202220212020
Deduction for Change in Actuarial Present Values reported under Change in Pension Value and Non-qualified Deferred Compensation Earnings Column
of SCT
$— $— $— $— $— 
Increase for "Service Cost" for Pension Plans$— $— $— $— $— 
Increase for "Prior Service Cost" for Pension Plans$— $— $— $— $— 
Deduction for Amounts Reported under the "Stock Awards" Column in the SCT($1,073,092)($1,384,974)($2,420,249)($500,972)($510,743)
Deduction for Amounts Reported under the "Options Awards" Column in SCT$— $— $— $— $— 
Increase for Fair Value of Awards Granted during year
that Remain Unvested as of the Year End
$1,058,163 $1,068,249 $1,476,823 $548,423 $347,450 
Increase for Fair Value of Awards Granted during year that Vest during year$1,102,241 $— $— $— $— 
Increase/Deduction for 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($49,190)($301,323)($1,322,857)$493,688 ($374,602)
Increase/Deduction for Change in Fair Value from prior Year-end to Vesting Date of Awards Granted Prior to year that Vested during year$454,267 ($108,092)($544,489)$172,861 ($21,561)
Deduction of Fair Value of Awards Granted Prior to year that were Forfeited during year($712,544)$— $— $— $— 
Increase based upon incremental Fair Value of Awards Modified during year$— $— $— $— $— 
Increase based on Dividends or Other Earnings Paid
during year prior to Vesting Date of Award
$197,996 $168,409 $161,443 $143,710 $155,481 
Total Adjustments$977,841 ($557,731)($2,649,329)$857,710 ($403,975)
       
Compensation Actually Paid vs. Total Shareholder Return    
Proxy - Graphs - Q4 2024_Cap and TSR.jpg
       
Compensation Actually Paid vs. Net Income    
Proxy - Graphs - Q4 2024_Cap and GAAP.jpg
     
Compensation Actually Paid vs. Company Selected Measure    
Proxy - Graphs - Q4 2024_Cap and FFO.jpg
       
Total Shareholder Return Amount     $ 66.95 62.95 $ 65.57 102.50 92.18
Peer Group Total Shareholder Return Amount     121.23 95.15 82.75 103.97 90.14
Net Income (Loss)     $ (663,904,000) $ (282,083,000) $ 40,693,000 $ 66,659,000 $ 72,195,000
Company Selected Measure Amount | $ / shares     1.56 1.57 1.69 1.71 1.65
PEO Name Constance B. Moore Todd J. Meredith   Todd J. Meredith Todd J. Meredith Todd J. Meredith Todd J. Meredith
Additional 402(v) Disclosure    
The disclosure included in this section is prescribed by SEC rules in Item 402(v) of Regulation S-K. For a detailed discussion of the Company's executive compensation program, including how compensation is aligned with Company performance, see “Compensation Discussion and Analysis” beginning on page 26. The Compensation and Human Capital Committee did not consider the pay versus performance data presented below in making compensation decisions for any of the years shown.
The following table sets forth information concerning the compensation of our CEO and our other Named Executive Officers compared to Company performance for the years ended December 31, 2024, 2023, 2022,
2021 and 2020.
The values reflected in this column represent the "Total" compensation set forth in the Summary Compensation Table ("SCT") on page 43. See footnotes to the SCT for further detail regarding the amounts in this column.
The following graphs illustrate the relationship during 2020 through 2024 of the CAP to our PEO, of which
there were two in 2024, and the average CAP to our other Named Executive Officers to (i) our cumulative
TSR and the cumulative TSR of the companies in the peer group; (ii) our GAAP net income;
and (iii) our Normalized FFO per share.
The most important financial performance measures used by the Company in setting pay-for-performance compensation for the most recently completed fiscal year are described in the table below, in unranked fashion. The manner in which these measures, together with certain non-financial performance metrics, determine the amounts of incentive compensation paid to the Named Executive Officers is described above in Compensation Discussion and Analysis.
       
Measure:: 1              
Pay vs Performance Disclosure              
Name     Same Store Revenue Growth        
Measure:: 2              
Pay vs Performance Disclosure              
Name     Same Store NOI Growth        
Measure:: 3              
Pay vs Performance Disclosure              
Name     Multi-tenant occupancy        
Measure:: 4              
Pay vs Performance Disclosure              
Name     Normalized FFO per share        
Measure:: 5              
Pay vs Performance Disclosure              
Name     FAD per share        
Measure:: 6              
Pay vs Performance Disclosure              
Name     Relative three-year TSR        
Measure:: 7              
Pay vs Performance Disclosure              
Name     Dividend Payout Ratio        
Meredith [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount     $ 7,451,715 $ 6,279,626 $ 8,597,498 $ 3,243,826 $ 2,823,858
PEO Actually Paid Compensation Amount     17,419,580 4,729,346 162,377 6,458,026 1,330,171
Moore [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount     2,061,333        
PEO Actually Paid Compensation Amount     1,877,506        
PEO | Meredith [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     9,967,865 (1,550,280) (8,435,121) 3,214,200 (1,493,687)
PEO | Meredith [Member] | Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Meredith [Member] | Pension Adjustments Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Meredith [Member] | Pension Adjustments Prior Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Meredith [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (5,436,778) (4,380,592) (6,324,463) (952,000) (816,719)
PEO | Meredith [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 3,440,897 3,700,178 1,042,137 758,641
PEO | Meredith [Member] | 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     0 (1,114,566) (5,435,460) 2,268,601 (1,961,227)
PEO | Meredith [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     7,765,627 0 0 0 0
PEO | Meredith [Member] | 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     6,062,305 (194,697) (1,036,781) 272,898 (29,472)
PEO | Meredith [Member] | 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 | Meredith [Member] | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,576,711 698,678 661,405 582,564 555,090
PEO | Meredith [Member] | Option Awards Adjustments [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Meredith [Member] | Equity Awards Modified in Current Year [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (183,827) 0 0 0 0
PEO | Moore [Member] | Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member] | Pension Adjustments Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member] | Pension Adjustments Prior Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (1,384,992) 0 0 0 0
PEO | Moore [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,313,032 0 0 0 0
PEO | Moore [Member] | 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     (817) 0 0 0 0
PEO | Moore [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member] | 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     (122,815) 0 0 0 0
PEO | Moore [Member] | 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 | Moore [Member] | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     11,765 0 0 0 0
PEO | Moore [Member] | Option Awards Adjustments [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
PEO | Moore [Member] | Equity Awards Modified in Current Year [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
Non-PEO NEO              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     977,841 (557,731) (2,649,329) 857,710 (403,975)
Non-PEO NEO | Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
Non-PEO NEO | Pension Adjustments Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
Non-PEO NEO | Pension Adjustments Prior Service Cost              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (1,073,092) (1,384,974) (2,420,249) (500,972) (510,743)
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     1,058,163 1,068,249 1,476,823 548,423 347,450
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     (49,190) (301,323) (1,322,857) 493,688 (374,602)
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,102,241 0 0 0 0
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     454,267 (108,092) (544,489) 172,861 (21,561)
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     (712,544) 0 0 0 0
Non-PEO NEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     197,996 168,409 161,443 143,710 155,481
Non-PEO NEO | Option Awards Adjustments [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 0
Non-PEO NEO | Equity Awards Modified in Current Year [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     $ 0 $ 0 $ 0 $ 0 $ 0