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INVESTMENT IN REAL ESTATE PROPERTIES
9 Months Ended
Sep. 30, 2025
Real Estate [Abstract]  
INVESTMENT IN REAL ESTATE PROPERTIES INVESTMENT IN REAL ESTATE PROPERTIES
The Company’s real estate properties held for investment consisted of the following (dollars in thousands):
As of September 30, 2025
Property TypeNumber of
Properties
Number of
Beds/Units
Total
Real Estate
at Cost
Accumulated
Depreciation
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care217 24,518 $2,874,678 $(635,062)$2,239,616 
Senior Housing - Leased32 2,668 377,287 (88,351)288,936 
Senior Housing - Managed83 8,282 1,888,163 (343,656)1,544,507 
Behavioral Health16 1,138 476,355 (89,853)386,502 
Specialty Hospitals and Other15 392 225,498 (56,936)168,562 
363 36,998 5,841,981 (1,213,858)4,628,123 
Corporate Level2,799 (1,080)1,719 
$5,844,780 $(1,214,938)$4,629,842 
As of December 31, 2024
Property TypeNumber of
Properties
Number of
Beds/Units
Total
Real Estate
at Cost
Accumulated
Depreciation
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care224 25,492 $2,926,349 $(588,107)$2,338,242 
Senior Housing - Leased39 3,319 508,586 (102,111)406,475 
Senior Housing - Managed69 6,680 1,474,267 (278,328)1,195,939 
Behavioral Health17 1,164 478,318 (79,819)398,499 
Specialty Hospitals and Other15 392 225,498 (52,872)172,626 
364 37,047 5,613,018 (1,101,237)4,511,781 
Corporate Level2,746 (793)1,953 
$5,615,764 $(1,102,030)$4,513,734 
September 30, 2025December 31, 2024
Building and improvements$5,049,667 $4,853,151 
Furniture and equipment217,990 207,265 
Land improvements12,174 11,813 
Land564,949 543,535 
Total real estate at cost5,844,780 5,615,764 
Accumulated depreciation(1,214,938)(1,102,030)
Total real estate investments, net$4,629,842 $4,513,734 
Capital and Other Expenditures
As of September 30, 2025, the Company’s aggregate commitment for future capital and other expenditures associated with facilities leased under triple-net operating leases was approximately $18 million. These commitments are principally for improvements to its facilities.
Senior Housing - Managed Communities
The Company’s Senior Housing - Managed communities offer residents certain ancillary services that are not contemplated in the lease with each resident (i.e., housekeeping, laundry, guest meals, etc.). These services are provided and paid for in addition to the standard services included in each resident lease (i.e., room and board, standard meals, etc.). The Company bills residents for ancillary services one month in arrears and recognizes revenue as the services are provided, as the Company has no continuing performance obligation related to those services. Resident fees and services include ancillary service revenue of $1.2 million and $3.5 million for the three and nine months ended September 30, 2025, respectively, and $1.1 million and $2.7 million for the three and nine months ended September 30, 2024, respectively.
The Company received property insurance proceeds related to a fire that occurred at one of the Company’s Senior Housing - Managed communities in 2022 and recorded a $0.2 million gain and a $1.3 million gain related to the property damage which is included in other (expense) income on the accompanying consolidated statements of income during the three and nine months ended September 30, 2025, respectively. Additionally, the Company received business interruption insurance proceeds of $0.4 million during each of the three and nine months ended September 30, 2025, and $0.1 million and $1.4 million during the three and nine months ended September 30, 2024, respectively. The Company recorded business interruption income, which is included in other (expense) income on the accompanying consolidated statements of income, of $0.4 million during each of the three and nine months ended September 30, 2025, and $0.9 million during the nine months ended September 30, 2024, and the remaining proceeds were recorded as expense reimbursements in Senior Housing - Managed portfolio operating expenses on the accompanying consolidated statements of income. No business interruption income was recognized during the three months ended September 30, 2024.
Investment in Unconsolidated Joint Ventures
The following is a summary of the Company’s investment in unconsolidated joint ventures (dollars in thousands):
Property Type
Number of
Properties as of
September 30, 2025
Ownership as of
September 30, 2025 (1)
Book Value
September 30, 2025December 31, 2024
Sienna Joint VentureSenior Housing - Managed12 50 %$108,983 $107,732 
Marlin Spring Joint VentureSenior Housing - Managed85 %8,873 14,071 
$117,856 $121,803 
(1)    These investments are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.