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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information
 
For the Three Months Ended September 30, 2025
 
SHOP
Medical Office and Life Science PortfolioTotal
Revenues:   
Rental income$— $48,201 $48,201 
Residents fees and services333,390 — 333,390 
Total segment revenues333,390 48,201 381,591 
Reconciliation of revenue:
Other revenue (1)
7,115 
Total revenues388,706 
Less:   
Senior living labor and benefits172,422 — 172,422 
Dietary21,362 — 21,362 
Utilities19,839 3,990 23,829 
Real estate taxes10,944 5,723 16,667 
Insurance9,385 739 10,124 
Other operating expenses (2)
69,818 11,074 80,892 
Interest expense6,943 2,290 9,233 
Depreciation and amortization47,113 15,840 62,953 
Other segment items (3)
36,130 55,538 91,668 
Segment loss(60,566)(46,993)(107,559)
Reconciliation of segment loss:
Other income (1)
4,653 
General and administrative(12,789)
Acquisition and certain other transaction related costs(1,158)
Gain on sale of properties1,554 
Interest income and other expenses(774)
Interest expense(39,653)
Loss on modification or early extinguishment of debt(11,191)
Income tax expense(337)
Equity in net earnings of an investee3,214 
Net loss$(164,040)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest income and other expenses and gain on insurance recoveries, as applicable.
 For the Nine Months Ended September 30, 2025
 
SHOP
Medical Office and Life Science PortfolioTotal
Revenues:   
Rental income$— $146,020 $146,020 
Residents fees and services989,241 — 989,241 
Total segment revenues989,241 146,020 1,135,261 
Reconciliation of revenue:
Other revenue (1)
23,021 
Total revenues1,158,282 
Less:  
Senior living labor and benefits500,086 — 500,086 
Dietary62,893 — 62,893 
Utilities56,777 10,380 67,157 
Real estate taxes34,988 17,529 52,517 
Insurance27,717 1,962 29,679 
Other operating expenses (2)
203,717 36,131 239,848 
Interest expense11,870 6,814 18,684 
Depreciation and amortization143,474 49,336 192,810 
Other segment items (3)
49,787 94,881 144,668 
Segment loss(102,068)(71,013)(173,081)
Reconciliation of segment loss:
Other income (1)
15,803 
General and administrative(32,966)
Acquisition and certain other transaction related costs(1,257)
Gain on sale of properties99,114 
Interest income and other expenses4,307 
Interest expense(138,959)
Loss on modification or early extinguishment of debt(40,388)
Income tax expense(1,229)
Equity in net earnings of an investee3,991 
Net loss$(264,665)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest income and other expenses and gain on insurance recoveries, as applicable.
 
For the Three Months Ended September 30, 2024
 SHOPMedical Office and Life Science PortfolioTotal
Revenues:   
Rental income$— $52,901 $52,901 
Residents fees and services312,005 — 312,005 
Total segment revenues312,005 52,901 364,906 
Reconciliation of revenue:
Other revenue (1)
8,734 
Total revenues373,640 
Less:   
Senior living labor and benefits157,756 — 157,756 
Dietary21,786 — 21,786 
Utilities18,917 4,240 23,157 
Real estate taxes8,851 6,767 15,618 
Insurance10,899 1,040 11,939 
Other operating expenses (2)
66,363 13,027 79,390 
Interest expense54 2,319 2,373 
Depreciation and amortization47,343 18,773 66,116 
Other segment items (3)
— 21,213 21,213 
Segment loss(19,964)(14,478)(34,442)
Reconciliation of segment loss:
Other income (1)
5,840 
General and administrative(13,933)
Acquisition and certain other transaction related costs(331)
Interest income and other expenses2,575 
Interest expense(57,070)
Income tax expense(148)
Equity in net earnings (losses) of an investee(1,180)
Net loss$(98,689)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest income and other expenses and gain on insurance recoveries, as applicable.
 For the Nine Months Ended September 30, 2024
 SHOPMedical Office and Life Science PortfolioTotal
Revenues:   
Rental income$— $161,605 $161,605 
Residents fees and services928,653 — 928,653 
Total segment revenues928,653 161,605 1,090,258 
Reconciliation of revenue:
Other revenue (1)
25,550 
Total revenues1,115,808 
Less:   
Senior living labor and benefits470,363 — 470,363 
Dietary63,282 — 63,282 
Utilities53,726 10,639 64,365 
Real estate taxes31,983 21,006 52,989 
Insurance33,446 2,820 36,266 
Other operating expenses (2)
194,726 38,788 233,514 
Interest expense183 3,435 3,618 
Depreciation and amortization141,176 58,488 199,664 
Other segment items (3)
— 78,867 78,867 
Segment loss(60,232)(52,438)(112,670)
Reconciliation of segment loss:
Other income (1)
17,178 
General and administrative(27,763)
Acquisition and certain other transaction related costs(2,243)
Interest income and other expenses7,215 
Interest expense(172,103)
Loss on modification or early extinguishment of debt(209)
Income tax expense(505)
Equity in net earnings of an investee8,291 
Net loss$(282,809)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest income and other expenses and gain on insurance recoveries, as applicable.
 As of September 30, 2025As of December 31, 2024
Assets (1)
SHOP$2,954,224 $3,084,101 
Medical Office and Life Science Portfolio1,340,558 1,688,034 
All Other389,192 364,870 
Total assets$4,683,974 $5,137,005 
(1)See Note 3 for further information regarding additions to long-lived assets.