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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