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Debt Debt (Tables)
12 Months Ended
Dec. 31, 2018
Schedule of Debt [Abstract]  
Convertible Debt [Table Text Block]
A roll-forward of our convertible note balances, including the effect of year-to-date amortization, net of issuance costs, is presented below:
 
December 31,
2017
Cash Paid
Amortization
December 31,
2018
Face Amount
$
147,575

$
(27,575
)
$

$
120,000

Discount
(2,637
)
$
458

$
788

(1,391
)
Issuance Costs
(1,752
)
$
297

$
545

(910
)
Carrying Value
$
143,186

 
 
$
117,699

Schedule of Long-term Debt Instruments [Table Text Block]
Debt consists of the following (in thousands):
 
December 31,
2018
 
December 31,
2017
Revolving credit facility - unsecured
$
84,000

 
$
221,000

Bank term loans - unsecured
550,000

 
250,000

Private placement term loans - unsecured
400,000

 
400,000

HUD mortgage loans (net of discount of $1,320 and $1,402)
42,906

 
43,645

Fannie Mae term loans - secured, non-recourse
96,044

 
96,367

Convertible senior notes - unsecured (net of discount of $1,391 and $2,637)
118,609

 
144,938

Unamortized loan costs
(9,884
)
 
(10,453
)
 
$
1,281,675

 
$
1,145,497

Schedule of Maturities of Long-term Debt [Table Text Block]
Aggregate principal maturities of debt as of December 31, 2018 for each of the next five years and thereafter are as follows (in thousands):
Twelve months ended December 31,
 
2019
$
1,187

2020
1,230

2021
121,279

2022
335,328

2023
476,379

Thereafter
358,867

 
1,294,270

Less: discounts
(2,711
)
Less: unamortized loan costs
(9,884
)
 
$
1,281,675

Schedule of Unsecured Term Loans [Table Text Block]
Our unsecured private placement term loans, payable interest-only, are summarized below (in thousands):
Amount
 
Inception
 
Maturity
 
Fixed Rate
 
 
 
 
 
 
 
$
125,000

 
January 2015
 
January 2023
 
3.99%
50,000

 
November 2015
 
November 2023
 
3.99%
75,000

 
September 2016
 
September 2024
 
3.93%
50,000

 
November 2015
 
November 2025
 
4.33%
100,000

 
January 2015
 
January 2027
 
4.51%
$
400,000

 
 
 
 
 
 
Schedule of Interest Expense [Table Text Block]
The following table summarizes interest expense (in thousands):
 
Year Ended December 31,
 
2018
 
2017
 
2016
Interest expense on debt at contractual rates
$
45,789

 
$
40,385

 
$
36,197

Losses reclassified from accumulated other
 
 
 
 
 
comprehensive income (loss) into interest expense
164

 
2,627

 
3,928

Ineffective portion of cash flow hedges

 
(353
)
 
18

Capitalized interest
(212
)
 
(510
)
 
(549
)
Charges taken on amending bank credit facility

 
583

 

Amortization of debt issuance costs and debt discount
3,314

 
3,592

 
3,514

Total interest expense
$
49,055

 
$
46,324

 
$
43,108

Schedule of Interest Rate Derivatives [Table Text Block]
As of December 31, 2018, we employ the following interest rate swap contracts to mitigate our interest rate risk on the $250,000,000 term loan (dollars in thousands):
Date Entered
 
Maturity Date
 
Fixed Rate
 
Rate Index
 
Notional Amount
 
Fair Value
May 2012
 
April 2019
 
2.84%
 
1-month LIBOR
 
$
40,000

 
$
130

June 2013
 
June 2020
 
3.41%
 
1-month LIBOR
 
$
80,000

 
$
480

March 2014
 
June 2020
 
3.46%
 
1-month LIBOR
 
$
130,000

 
$
687