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Debt (Narrative) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2022
USD ($)
extensionOption
Jan. 31, 2023
USD ($)
Mar. 31, 2022
USD ($)
Apr. 30, 2021
USD ($)
Jan. 31, 2021
USD ($)
Mar. 31, 2015
Dec. 31, 2020
USD ($)
numberOfProperty
Dec. 31, 2022
USD ($)
loan
facility
property
Dec. 31, 2021
USD ($)
property
Dec. 31, 2020
USD ($)
May 31, 2022
property
Mar. 30, 2022
USD ($)
Apr. 01, 2021
Jan. 01, 2021
Debt Instrument [Line Items]                            
Credit facility, current revolving borrowing capacity                       $ 550,000    
Prepayment fee for early retirement of debt               $ 0 $ (1,462) $ (1,619)        
Proceeds from issuance of senior notes               $ 0 $ 396,784 0        
Debt leverage limit, coupon change, trigger               50.00%            
Properties | property               160            
HUD mortgage loans, balance               $ 1,158,649            
Less: discount               $ 2,600            
Repayments of convertible debt       $ (67,100)                    
Debt instrument, convertible, liquidation preference, value       6,100                    
January 2023                            
Debt Instrument [Line Items]                            
Fixed Rate               3.99%            
January 2023 | Subsequent Event                            
Debt Instrument [Line Items]                            
Repayments of debt   $ 125,000                        
Secured Overnight Financing Rate (SOFR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               1.00%            
Fed Funds Effective Rate Overnight Index Swap Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               0.50%            
Unsecured Debt | Revolving Credit Facility                            
Debt Instrument [Line Items]                            
Line of credit facility, maximum borrowing capacity $ 700,000   $ 700,000                      
Debt instrument, number of extension options | extensionOption 2                          
Debt instrument, extension period 6 months                          
Debt issuance costs, gross               $ 4,500            
Basis point floor 0.10%   0.10%           0.10%          
Revolving facility fee percentage               0.25%            
Unsecured Debt | Revolving Credit Facility | Secured Overnight Financing Rate (SOFR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               1.05%            
Adjusts basis spread on variable rate               1.25%            
Line of credit facility, interest rate at period end               4.36%            
$300M Term Loan                            
Debt Instrument [Line Items]                            
Long-term debt $ 300,000   $ 300,000                      
Repayments of debt               $ 60,000            
$75M Term Loan                            
Debt Instrument [Line Items]                            
Repayments of debt     $ 75,000                      
$100M Term Loan                            
Debt Instrument [Line Items]                            
Term loans, outstanding balance         $ 100,000                  
Basis spread on variable rate         1.85%                  
Basis point floor 1.35%   1.35%                     0.50%
Prepayment fee for early retirement of debt               (200) $ (1,900)          
Deferred debt issuance cost                 500          
Debt Instrument, Name, Revolving Credit Facility                            
Debt Instrument [Line Items]                            
Unused balance of the unsecured revolving credit facility               658,000            
Senior notes - unsecured, net of discount of $2,600 and $2,921                            
Debt Instrument [Line Items]                            
Less: discount               2,600 $ 2,921          
Senior notes - unsecured, net of discount of $2,600 and $2,921 | Senior Notes                            
Debt Instrument [Line Items]                            
Aggregate principal amount, senior notes         $ 400,000                  
Fixed Rate         3.00%                  
Percentage of issue price on face value         0.99196%                  
Proceeds from issuance of senior notes         $ 392,300                  
Fannie Mae Term Loans                            
Debt Instrument [Line Items]                            
Long-term debt               60,100            
Fannie Mae term loans - secured, non-recourse                            
Debt Instrument [Line Items]                            
Prepayment fee for early retirement of debt               $ (1,500)            
Fixed Rate           3.79%                
Debt instrument, term           10 years                
Number of Fannie Mae term loans | loan               2            
Fannie Mae term loans, balance               $ 17,900            
Fannie Mae term loans, accrued interest               100            
Net book value of real estate pledged toward mortgage               $ 104,300            
FNMA Berkadia Note                            
Debt Instrument [Line Items]                            
Fixed Rate               4.60%            
Fannie Mae financing               $ 16,500            
Debt Instrument, Name, HUD Mortgages                            
Debt Instrument [Line Items]                            
Prepayment fee for early retirement of debt             $ (1,600)              
Fannie Mae term loans, accrued interest             $ 200              
Number of mortgage loans | numberOfProperty             10              
HUD mortgage loans, balance             $ 42,600     42,600        
Less: discount             1,200     1,200        
Deferred financing costs             $ 1,100     $ 1,100        
Debt Instrument, Name, Convertible Senior Notes                            
Debt Instrument [Line Items]                            
Fixed Rate                         3.25%  
Fannie Mae term loans, accrued interest       $ 1,000                    
Bickford Senior Living                            
Debt Instrument [Line Items]                            
Properties               36     3      
Bickford Senior Living | Fannie Mae term loans - secured, non-recourse                            
Debt Instrument [Line Items]                            
Properties | property                 11          
Minimum                            
Debt Instrument [Line Items]                            
Line of credit facility, commitment fee percentage               0.125%            
Minimum | Revolving Credit Facility | Secured Overnight Financing Rate (SOFR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               0.725%            
Minimum | Revolving Credit Facility | Base Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               0.00%            
Maximum                            
Debt Instrument [Line Items]                            
Line of credit facility, commitment fee percentage               0.30%            
Maximum | Revolving Credit Facility | Secured Overnight Financing Rate (SOFR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               1.40%            
Maximum | Revolving Credit Facility | Base Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate               0.40%            
Interest Rate Swaps, Maturity Date, After June 2020                            
Debt Instrument [Line Items]                            
Derivative, notional amount                 $ 400,000          
Fixed Rate                 1.92%