XML 55 R40.htm IDEA: XBRL DOCUMENT v3.24.1.u1
Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2024
Segment Reporting [Abstract]  
Summary Information for Reportable Segments
Summary information for the reportable segments (which excludes unconsolidated entities) is as follows (in thousands): 
Three Months Ended March 31, 2024Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment/CorporateTotal
Resident fees and services$1,360,274 $— $— $— $1,360,274 
Rental income— 221,744 195,908 — 417,652 
Interest income5,023 46,789 852 — 52,664 
Other income1,463 1,199 2,402 24,087 29,151 
Total revenues1,366,760 269,732 199,162 24,087 1,859,741 
Property operating expenses1,019,347 10,817 62,463 4,286 1,096,913 
Consolidated net operating income (loss)347,413 258,915 136,699 19,801 762,828 
Depreciation and amortization236,796 62,535 66,532 — 365,863 
Interest expense11,186 358 1,718 134,056 147,318 
General and administrative expenses— — — 53,318 53,318 
Loss (gain) on derivatives and financial instruments, net— (3,054)— — (3,054)
Loss (gain) on extinguishment of debt, net— — — 
Provision for loan losses, net1,568 (567)13 — 1,014 
Impairment of assets43,331 — — — 43,331 
Other expenses8,757 1,205 609 3,560 14,131 
Income (loss) from continuing operations before income taxes and other items45,769 198,438 67,827 (171,133)140,901 
Income tax (expense) benefit— — — (6,191)(6,191)
Income (loss) from unconsolidated entities(4,267)(3,153)(363)— (7,783)
Gain (loss) on real estate dispositions, net4,602 26 79 — 4,707 
Income (loss) from continuing operations46,104 195,311 67,543 (177,324)131,634 
Net income (loss)$46,104 $195,311 $67,543 $(177,324)$131,634 
Total assets$25,009,470 $9,883,758 $7,414,657 $2,245,700 $44,553,585 
Three Months Ended March 31, 2023Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment/CorporateTotal
Resident fees and services$1,131,685 $— $— $— $1,131,685 
Rental income— 202,419 181,640 — 384,059 
Interest income2,551 33,763 91 — 36,405 
Other income2,445 1,883 3,100 1,152 8,580 
Total revenues1,136,681 238,065 184,831 1,152 1,560,729 
Property operating expenses883,784 11,723 58,365 3,881 957,753 
Consolidated net operating income (loss)252,897 226,342 126,466 (2,729)602,976 
Depreciation and amortization220,407 54,528 64,177 — 339,112 
Interest expense11,487 (15)4,104 128,827 144,403 
General and administrative expenses— — — 44,371 44,371 
Loss (gain) on derivatives and financial instruments, net— 930 — — 930 
Loss (gain) on extinguishment of debt, net— — — 
Provision for loan losses, net(73)850 — — 777 
Impairment of assets12,629 — — — 12,629 
Other expenses17,579 2,467 

547 2,152 22,745 
Income (loss) from continuing operations before income taxes and other items(9,132)167,582 57,633 (178,079)38,004 
Income tax (expense) benefit— — — (3,045)(3,045)
Income (loss) from unconsolidated entities(15,589)8,432 86 — (7,071)
Gain (loss) on real estate dispositions, net833 520 (606)— 747 
Income (loss) from continuing operations(23,888)176,534 57,113 (181,124)28,635 
Net income (loss)$(23,888)$176,534 $57,113 $(181,124)$28,635 
Summary of Geographic Information The following is a summary of geographic information for the periods presented (dollars in thousands): 
 Three Months Ended
 March 31, 2024March 31, 2023
Revenues:Amount%Amount%
United States$1,546,896 83.2 %$1,296,022 83.0 %
United Kingdom161,508 8.7 %147,876 9.5 %
Canada151,337 8.1 %116,831 7.5 %
Total$1,859,741 100.0 %$1,560,729 100.0 %
Three Months Ended
March 31, 2024March 31, 2023
Resident Fees and Services:Amount%Amount%
United States$1,097,339 80.7 %$908,944 80.4 %
United Kingdom116,879 8.6 %109,012 9.6 %
Canada146,056 10.7 %113,729 10.0 %
Total$1,360,274 100.0 %$1,131,685 100.0 %
 As of
 March 31, 2024December 31, 2023
Assets:Amount%Amount%
United States$37,428,967 84.0 %$36,929,186 83.9 %
United Kingdom3,526,025 7.9 %3,587,230 8.2 %
Canada3,598,593 8.1 %3,495,750 7.9 %
Total$44,553,585 100.0 %$44,012,166 100.0 %