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SEGMENT INFORMATION - Income Statement (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Revenues        
Rental income $ 372,787 $ 370,162 $ 747,032 $ 722,905
Income from loans and investments 1,436 6,554 2,725 20,143
Interest and other income 4,825 1,032 11,605 2,775
Revenues 1,200,980 1,106,358 2,400,894 2,183,603
Less:        
Interest and other income 4,825 1,032 11,605 2,775
Property-level operating expenses 680,151 622,818 1,367,648 1,230,749
Third party capital management expenses     3,403 3,142
NOI 514,354 481,072 1,018,238 946,937
Interest and other income 4,825 1,032 11,605 2,775
Interest expense (149,259) (143,265) (299,192) (271,340)
Depreciation and amortization (339,848) (304,689) (640,103) (586,808)
General, administrative and professional fees (37,727) (34,399) (86,464) (79,197)
Loss on extinguishment of debt, net (420) 6,801 (672) 6,801
Transaction, transition and restructuring costs (2,886) (3,069) (7,563) (4,455)
Allowance on loans receivable and investments, net 42 12,065 110 20,129
Gain on foreclosure of real estate 0 29,127 0 29,127
Shareholder relations matters (37) 0 (15,751) 0
Other expense (8,128) 17,959 (6,794) 10,197
Loss from unconsolidated entities (1,652) 31,254 (10,035) 25,631
Gain on real estate dispositions 49,670 1,405 50,011 11,606
Income tax expense (7,766) 9,773 (4,762) 12,575
Income from continuing operations 21,168 105,066 8,628 123,978
Net income 21,168 105,066 8,628 123,978
Net income attributable to noncontrolling interests 1,781 1,613 3,553 3,008
Net income attributable to common stockholders 19,387 103,453 5,075 120,970
Resident fees and services        
Revenues        
Other revenues 817,600 724,614 1,630,904 1,429,607
Third party capital management expenses        
Revenues        
Other revenues 4,332 3,996 8,628 8,173
Less:        
Third party capital management expenses 1,650 1,436 3,403 3,142
Third party capital management revenues        
Revenues        
Other revenues     8,628 8,173
Operating Segments | SHOP        
Revenues        
Rental income 0 0 0 0
Income from loans and investments 0 0 0 0
Interest and other income 0 0 0 0
Revenues 817,600 724,614 1,630,904 1,429,607
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 603,359 547,110 1,213,180 1,084,332
Third party capital management expenses     0 0
NOI   177,504 417,724 345,275
Interest and other income 0 0 0 0
Operating Segments | SHOP | Resident fees and services        
Revenues        
Other revenues 817,600 724,614 1,630,904 1,429,607
Operating Segments | SHOP | Third party capital management expenses        
Revenues        
Other revenues 0 0    
Less:        
Third party capital management expenses 0 0    
Operating Segments | SHOP | Third party capital management revenues        
Revenues        
Other revenues     0 0
Operating Segments | Outpatient Medical and Research Portfolio        
Revenues        
Rental income 218,853 215,807 437,730 418,811
Income from loans and investments 0 0 0 0
Interest and other income 0 0 0 0
Revenues 219,559 216,366 439,066 419,998
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 73,286 72,171 147,224 139,084
Third party capital management expenses     0 0
NOI 146,273 144,195 291,842 280,914
Interest and other income 0 0 0 0
Operating Segments | Outpatient Medical and Research Portfolio | Resident fees and services        
Revenues        
Other revenues 0 0 0 0
Operating Segments | Outpatient Medical and Research Portfolio | Third party capital management expenses        
Revenues        
Other revenues 706 559    
Less:        
Third party capital management expenses 0 0    
Operating Segments | Outpatient Medical and Research Portfolio | Third party capital management revenues        
Revenues        
Other revenues     1,336 1,187
Operating Segments | Triple-Net Leased Properties        
Revenues        
Rental income 153,934 154,355 309,302 304,094
Income from loans and investments 0 0 0 0
Interest and other income 0 0 0 0
Revenues 153,934 154,355 309,302 304,094
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 3,506 3,537 7,244 7,333
Third party capital management expenses     0 0
NOI 150,428 150,818 302,058 296,761
Interest and other income 0 0 0 0
Operating Segments | Triple-Net Leased Properties | Resident fees and services        
Revenues        
Other revenues 0 0 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 | Triple-Net Leased Properties | Third party capital management revenues        
Revenues        
Other revenues     0 0
Operating Segments | Senior Living Operations        
Less:        
NOI 214,241      
Non-Segment        
Revenues        
Rental income 0 0 0 0
Income from loans and investments 1,436 6,554 2,725 20,143
Interest and other income 4,825 1,032 11,605 2,775
Revenues 9,887 11,023 21,622 29,904
Less:        
Interest and other income 4,825 1,032 11,605 2,775
Property-level operating expenses 0 0 0 0
Third party capital management expenses     3,403 3,142
NOI 3,412 8,555 6,614 23,987
Interest and other income 4,825 1,032 11,605 2,775
Non-Segment | Resident fees and services        
Revenues        
Other revenues 0 0 0 0
Non-Segment | Third party capital management expenses        
Revenues        
Other revenues 3,626 3,437    
Less:        
Third party capital management expenses $ 1,650 $ 1,436    
Non-Segment | Third party capital management revenues        
Revenues        
Other revenues     $ 7,292 $ 6,986