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SEGMENT INFORMATION - Income Statement (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenues    
Rental income $ 374,245 $ 352,743
Income from loans and investments 1,289 13,589
Interest and other income 6,780 1,743
Revenues 1,199,914 1,077,245
Less:    
Interest and other income 6,780 1,743
Property-level operating expenses 687,497 607,931
NOI 503,884 465,865
Interest and other income 6,780 1,743
Interest expense (149,933) (128,075)
Depreciation and amortization (300,255) (282,119)
General, administrative and professional fees (48,737) (44,798)
Loss on extinguishment of debt, net (252) 0
Transaction, transition and restructuring costs (4,677) (1,386)
Allowance on loans receivable and investments 68 8,064
Shareholder relations matters (15,714) 0
Other income 1,334 (7,762)
Loss from unconsolidated entities (8,383) (5,623)
Gain on real estate dispositions 341 10,201
Income tax benefit 3,004 2,802
Loss from continuing operations (12,540) 18,912
Net (loss) income (12,540) 18,912
Net income attributable to noncontrolling interests 1,772 1,395
Net loss attributable to common stockholders (14,312) 17,517
Resident fees and services    
Revenues    
Other revenues 813,304 704,993
Third party capital management expenses    
Revenues    
Other revenues 4,296 4,177
Less:    
Third party capital management expenses 1,753 1,706
Operating Segments | SHOP    
Revenues    
Rental income 0 0
Income from loans and investments 0 0
Interest and other income 0 0
Revenues 813,304 704,993
Less:    
Interest and other income 0 0
Property-level operating expenses 609,821 537,222
NOI   167,771
Interest and other income 0 0
Operating Segments | SHOP | Resident fees and services    
Revenues    
Other revenues 813,304 704,993
Operating Segments | SHOP | Third party capital management expenses    
Revenues    
Other revenues 0 0
Less:    
Third party capital management expenses 0 0
Operating Segments | Outpatient Medical and Research Portfolio    
Revenues    
Rental income 218,877 203,004
Income from loans and investments 0 0
Interest and other income 0 0
Revenues 219,508 203,632
Less:    
Interest and other income 0 0
Property-level operating expenses 73,938 66,913
NOI 145,570 136,719
Interest and other income 0 0
Operating Segments | Outpatient Medical and Research Portfolio | Resident fees and services    
Revenues    
Other revenues 0 0
Operating Segments | Outpatient Medical and Research Portfolio | Third party capital management expenses    
Revenues    
Other revenues 631 628
Less:    
Third party capital management expenses 0 0
Operating Segments | Triple-Net Leased Properties    
Revenues    
Rental income 155,368 149,739
Income from loans and investments 0 0
Interest and other income 0 0
Revenues 155,368 149,739
Less:    
Interest and other income 0 0
Property-level operating expenses 3,738 3,796
NOI 151,630 145,943
Interest and other income 0 0
Operating Segments | Triple-Net Leased Properties | Resident fees and services    
Revenues    
Other revenues 0 0
Operating Segments | Triple-Net Leased Properties | Third party capital management expenses    
Revenues    
Other revenues 0 0
Less:    
Third party capital management expenses 0 0
Operating Segments | Senior Living Operations    
Less:    
NOI 203,483  
Non-Segment    
Revenues    
Rental income 0 0
Income from loans and investments 1,289 13,589
Interest and other income 6,780 1,743
Revenues 11,734 18,881
Less:    
Interest and other income 6,780 1,743
Property-level operating expenses 0 0
NOI 3,201 15,432
Interest and other income 6,780 1,743
Non-Segment | Resident fees and services    
Revenues    
Other revenues 0 0
Non-Segment | Third party capital management expenses    
Revenues    
Other revenues 3,665 3,549
Less:    
Third party capital management expenses $ 1,753 $ 1,706