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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Schedule of segment reporting information
 
 
For the Year Ended December 31, 2018
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 
 
 
 
 
 
 
 
 
Rental income
 
$
412,813

 
$
269,512

 
$

 
$
18,316

 
$
700,641

Residents fees and services
 

 

 
416,523

 

 
416,523

Total revenues
 
412,813

 
269,512

 
416,523

 
18,316

 
1,117,164

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 
 
 
 
 
 
 
 
 
Property operating expenses
 
127,732

 

 
323,849

 

 
451,581

Depreciation and amortization
 
141,477

 
80,277

 
60,689

 
3,792

 
286,235

General and administrative
 

 

 

 
85,885

 
85,885

Acquisition and certain other transaction related costs
 

 

 

 
194

 
194

Impairment of assets
 
46,797

 
19,549

 

 

 
66,346

Total expenses
 
316,006

 
99,826

 
384,538

 
89,871

 
890,241

 
 
 
 
 
 
 
 
 
 
 
Gain on sale of properties
 

 
261,916

 

 

 
261,916

Dividend income
 

 

 

 
2,901

 
2,901

Unrealized losses on equity securities
 

 

 

 
(20,724
)
 
(20,724
)
Interest and other income
 

 

 

 
667

 
667

Interest expense
 
(24,360
)
 
(1,641
)
 
(4,477
)
 
(148,809
)
 
(179,287
)
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
 
72,447

 
430,037

 
27,410

 
(237,520
)
 
292,374

Income tax expense
 

 

 

 
(476
)
 
(476
)
Equity in earnings of an investee
 

 

 

 
516

 
516

Net income (loss)
 
72,447

 
430,037

 
27,410

 
(237,480
)
 
292,414

Net income attributable to noncontrolling interest
 
(5,542
)
 

 

 

 
(5,542
)
Net income (loss) attributable to common shareholders
 
$
66,905

 
$
430,037

 
$
27,410

 
$
(237,480
)
 
$
286,872

 
 
 
 
 
 
 
 
 
 
 
 
 
As of December 31, 2018
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Total assets
 
$
3,344,581

 
$
2,044,939

 
$
1,395,657

 
$
375,249

 
$
7,160,426


 
 
For the Year Ended December 31, 2017
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 
 
 
 
 
 
 
 
 
Rental income
 
$
382,127

 
$
280,641

 
$

 
$
18,254

 
$
681,022

Residents fees and services
 

 

 
393,707

 

 
393,707

Total revenues
 
382,127

 
280,641

 
393,707

 
18,254

 
1,074,729

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 
 
 
 
 
 
 
 
 
Property operating expenses
 
112,930

 

 
300,562

 

 
413,492

Depreciation and amortization
 
128,827

 
81,976

 
62,266

 
3,792

 
276,861

General and administrative
 

 

 

 
103,694

 
103,694

Acquisition and certain other transaction related costs
 

 

 

 
403

 
403

Impairment of assets
 

 

 

 
5,082

 
5,082

Total expenses
 
241,757

 
81,976

 
362,828

 
112,971

 
799,532

 
 
 
 
 
 
 
 
 
 
 
Gain on sale of properties
 

 
45,901

 

 
154

 
46,055

Dividend income
 

 

 

 
2,637

 
2,637

Interest and other income
 

 

 

 
406

 
406

Interest expense
 
(24,919
)
 
(8,855
)
 
(4,685
)
 
(126,560
)
 
(165,019
)
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
 
115,392

 
228,417

 
26,194

 
(218,354
)
 
151,649

Income tax expense
 

 

 

 
(454
)
 
(454
)
Equity in earnings of an investee
 

 

 

 
608

 
608

Net income (loss)
 
115,392

 
228,417

 
26,194

 
(218,200
)
 
151,803

Net income attributable to noncontrolling interest
 
(4,193
)
 

 

 

 
(4,193
)
Net income (loss) attributable to common shareholders
 
$
111,199

 
$
228,417

 
$
26,194

 
$
(218,200
)
 
$
147,610

 
 
 
 
 
 
 
 
 
 
 
 
 
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

 
 
For the Year Ended December 31, 2016
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Revenues:
 
 
 
 
 
 
 
 
 
 
Rental income
 
$
372,233

 
$
275,697

 
$

 
$
18,270

 
$
666,200

Residents fees and services
 

 

 
391,822

 

 
391,822

Total revenues
 
372,233

 
275,697

 
391,822

 
18,270

 
1,058,022

 
 
 
 
 
 
 
 
 
 
 
Expenses:
 
 
 
 
 
 
 
 
 
 
Property operating expenses
 
105,762

 
833

 
293,195

 

 
399,790

Depreciation and amortization
 
124,196

 
78,361

 
81,482

 
3,792

 
287,831

General and administrative
 

 

 

 
46,559

 
46,559

Acquisition and certain other transaction related costs
 

 

 

 
2,085

 
2,085

Impairment of assets
 
7,122

 
6,583

 
2,174

 
2,795

 
18,674

Total expenses
 
237,080

 
85,777

 
376,851

 
55,231

 
754,939

 
 
 
 
 
 
 
 
 
 
 
Gain on sale of properties
 

 
4,061

 

 

 
4,061

Dividend income
 

 

 

 
2,108

 
2,108

Interest and other income
 

 

 

 
430

 
430

Interest expense
 
(13,852
)
 
(24,795
)
 
(8,540
)
 
(120,387
)
 
(167,574
)
Loss on early extinguishment of debt
 

 
(467
)
 
(59
)
 

 
(526
)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee
 
121,301

 
168,719

 
6,372

 
(154,810
)
 
141,582

Income tax expense
 

 

 

 
(424
)
 
(424
)
Equity in earnings of an investee
 

 

 

 
137

 
137

Net income (loss)
 
$
121,301

 
$
168,719

 
$
6,372

 
$
(155,097
)
 
$
141,295

 
 
 
 
 
 
 
 
 
 
 
 
 
As of December 31, 2016
 
 
MOBs
 
Triple Net Leased Senior Living Communities
 
Managed Senior Living Communities
 
All Other Operations
 
Consolidated
Total assets
 
$
3,333,141

 
$
2,289,045

 
$
1,260,032

 
$
345,536

 
$
7,227,754