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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2018
Segment Reporting [Abstract]  
Schedule of segment reporting information
 
 
For the Three Months Ended September 30, 2018
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 

 
 

 
 

 
 

 
 

Rental income
 
$
104,492

 
$
64,538

 
$

 
$
4,618

 
$
173,648

Residents fees and services
 

 

 
105,321

 

 
105,321

Total revenues
 
104,492

 
64,538

 
105,321

 
4,618

 
278,969

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

 
 

Property operating expenses
 
32,652

 

 
83,335

 

 
115,987

Depreciation and amortization
 
35,223

 
20,148

 
15,341

 
949

 
71,661

General and administrative
 

 

 

 
31,032

 
31,032

Acquisition and certain other transaction related costs
 

 

 

 
51

 
51

Impairment of assets
 

 
4,525

 

 

 
4,525

Total expenses
 
67,875

 
24,673

 
98,676

 
32,032

 
223,256

 
 
 
 
 
 
 
 
 
 
 
Dividend income
 

 

 

 
660

 
660

Unrealized gains and losses on equity securities, net
 

 

 

 
35,137

 
35,137

Interest and other income
 

 

 

 
248

 
248

Interest expense
 
(6,172
)
 
(327
)
 
(997
)
 
(37,920
)
 
(45,416
)
Gain on early extinguishment of debt
 

 
76

 
32

 

 
108

Income (loss) from continuing operations before income tax expense and equity in earnings of an investee
 
30,445

 
39,614

 
5,680

 
(29,289
)
 
46,450

Income tax expense
 

 

 

 
(79
)
 
(79
)
Equity in earnings of an investee
 

 

 

 
831

 
831

Net income (loss)
 
30,445

 
39,614

 
5,680

 
(28,537
)
 
47,202

Net income attributable to noncontrolling interest
 
(1,397
)
 

 

 

 
(1,397
)
Net income (loss) attributable to common shareholders
 
$
29,048

 
$
39,614

 
$
5,680

 
$
(28,537
)
 
$
45,805

 
 
For the Nine Months Ended September 30, 2018
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 

 
 

 
 

 
 

 
 

Rental income
 
$
309,497

 
$
198,626

 
$

 
$
13,838

 
$
521,961

Residents fees and services
 

 

 
309,981

 

 
309,981

Total revenues
 
309,497

 
198,626

 
309,981

 
13,838

 
831,942

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

 
 

Property operating expenses
 
94,773

 

 
239,368

 

 
334,141

Depreciation and amortization
 
105,934

 
60,529

 
44,993

 
2,844

 
214,300

General and administrative
 

 

 

 
85,228

 
85,228

Acquisition and certain other transaction related costs
 

 

 

 
138

 
138

Impairment of assets
 

 
5,073

 

 

 
5,073

Total expenses
 
200,707

 
65,602

 
284,361

 
88,210

 
638,880

 
 
 
 
 
 
 
 
 
 
 
Gain on sale of properties
 

 
261,916

 

 

 
261,916

Dividend income
 

 

 

 
1,978

 
1,978

Unrealized gains and losses on equity securities, net
 

 

 

 
85,643

 
85,643

Interest and other income
 

 

 

 
362

 
362

Interest expense
 
(18,194
)
 
(1,463
)
 
(3,580
)
 
(110,544
)
 
(133,781
)
Gain (loss) on early extinguishment of debt
 

 
76

 
(98
)
 

 
(22
)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee
 
90,596

 
393,553

 
21,942

 
(96,933
)
 
409,158

Income tax expense
 

 

 

 
(444
)
 
(444
)
Equity in earnings of an investee
 

 

 

 
882

 
882

Net income (loss)
 
90,596

 
393,553

 
21,942

 
(96,495
)
 
409,596

Net income attributable to noncontrolling interest
 
(4,181
)
 

 

 

 
(4,181
)
Net income (loss) attributable to common shareholders
 
$
86,415

 
$
393,553

 
$
21,942

 
$
(96,495
)
 
$
405,415

 
 
As of September 30, 2018
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Total assets
 
$
3,408,381

 
$
2,121,134

 
$
1,351,382

 
$
572,547

 
$
7,453,444

 
 
For the Three Months Ended September 30, 2017
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 

 
 

 
 

 
 

 
 

Rental income
 
$
96,116

 
$
67,662

 
$

 
$
4,570

 
$
168,348

Residents fees and services
 

 

 
98,325

 

 
98,325

Total revenues
 
96,116

 
67,662

 
98,325

 
4,570

 
266,673

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

 
 

Property operating expenses
 
29,158

 

 
75,531

 

 
104,689

Depreciation and amortization
 
32,351

 
20,629

 
12,691

 
948

 
66,619

General and administrative
 

 

 

 
19,883

 
19,883

Acquisition and certain other transaction related costs
 

 

 

 
19

 
19

Total expenses
 
61,509

 
20,629

 
88,222

 
20,850

 
191,210

 
 
 
 
 
 
 
 
 
 
 
Dividend income
 

 

 

 
659

 
659

Interest and other income
 

 

 

 
128

 
128

Interest expense
 
(6,172
)
 
(655
)
 
(1,172
)
 
(32,106
)
 
(40,105
)
Loss on early extinguishment of debt
 

 

 

 
(274
)
 
(274
)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee
 
28,435

 
46,378

 
8,931

 
(47,873
)
 
35,871

Income tax expense
 

 

 

 
(109
)
 
(109
)
Equity in earnings of an investee
 

 

 

 
31

 
31

Net income (loss)
 
28,435

 
46,378

 
8,931

 
(47,951
)
 
35,793

Net income attributable to noncontrolling interest
 
(1,379
)
 

 

 

 
(1,379
)
Net income (loss) attributable to common shareholders
 
$
27,056

 
$
46,378

 
$
8,931

 
$
(47,951
)
 
$
34,414

 
 
For the Nine Months Ended September 30, 2017
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 

 
 

 
 

 
 

 
 

Rental income
 
$
285,413

 
$
202,340

 
$

 
$
13,684

 
$
501,437

Residents fees and services
 

 

 
294,748

 

 
294,748

Total revenues
 
285,413

 
202,340

 
294,748

 
13,684

 
796,185

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

 
 

Property operating expenses
 
83,980

 

 
224,670

 

 
308,650

Depreciation and amortization
 
95,890

 
61,434

 
49,295

 
2,844

 
209,463

General and administrative
 

 

 

 
57,880

 
57,880

Acquisition and certain other transaction related costs
 

 

 

 
148

 
148

Impairment of assets
 

 

 

 
5,082

 
5,082

Total expenses
 
179,870

 
61,434

 
273,965

 
65,954

 
581,223

 
 
 
 
 
 
 
 
 
 
 
Dividend income
 

 

 

 
1,978

 
1,978

Interest and other income
 

 

 

 
323

 
323

Interest expense
 
(18,742
)
 
(8,205
)
 
(3,523
)
 
(93,924
)
 
(124,394
)
Loss on early extinguishment of debt
 
(59
)
 
(7,294
)
 

 
(274
)
 
(7,627
)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee
 
86,742

 
125,407

 
17,260

 
(144,167
)
 
85,242

Income tax expense
 

 

 

 
(300
)
 
(300
)
Equity in earnings of an investee
 

 

 

 
533

 
533

Net income (loss)
 
86,742

 
125,407

 
17,260

 
(143,934
)
 
85,475

Net income attributable to noncontrolling interest
 
(2,865
)
 

 

 

 
(2,865
)
Net income (loss) attributable to common shareholders
 
$
83,877

 
$
125,407

 
$
17,260

 
$
(143,934
)
 
$
82,610

 
As of December 31, 2017
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Total assets
$
3,367,485

 
$
2,251,756

 
$
1,273,757

 
$
401,021

 
$
7,294,019