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SEGMENT INFORMATION - Income Statement (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Revenues        
Rental income $ 376,306 $ 386,138 $ 1,123,338 $ 1,109,043
Income from loans and investments 1,881 1,208 4,606 21,351
Interest and other income 8,204 2,754 19,809 5,529
Revenues 1,236,315 1,149,832 3,637,209 3,333,435
Less:        
Interest and other income 8,204 2,754 19,809 5,529
Property-level operating expenses 713,408 656,477 2,081,056 1,887,226
Third party capital management expenses     4,956 4,614
NOI 513,150 489,129 1,531,388 1,436,066
Interest and other income 8,204 2,754 19,809 5,529
Interest expense (150,437) (147,919) (449,629) (419,259)
Depreciation and amortization (304,268) (370,377) (944,371) (957,185)
General, administrative and professional fees (35,092) (33,297) (121,556) (112,494)
Loss on extinguishment of debt, net 0 (612) (672) 6,189
Transaction, transition and restructuring costs (8,580) (7,125) (16,143) (11,580)
Recovery of allowance on loans receivable and investments, net 56 66 166 20,195
Gain on foreclosure of real estate 0 0 0 29,127
Shareholder relations matters 0 0 (15,751) 0
Other expense (3,935) (9,432) (10,729) 765
Income from unconsolidated entities 4,629 (5,119) (5,406) 20,512
Gain on real estate dispositions 271 10,711 50,282 22,317
Income tax expense (3,002) 1,662 (7,764) 14,237
Net income 20,996 (69,559) 29,624 54,419
Net income attributable to noncontrolling interests 1,753 1,565 5,306 4,573
Net income attributable to common stockholders 19,243 (71,124) 24,318 49,846
Resident fees and services        
Revenues        
Other revenues 845,532 754,417 2,476,436 2,184,024
Third party capital management expenses        
Revenues        
Other revenues 4,392 5,315 13,020 13,488
Less:        
Third party capital management expenses 1,553 1,472 4,956 4,614
Third party capital management revenues        
Revenues        
Other revenues     13,020 13,488
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 845,532 754,417 2,476,436 2,184,024
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 631,550 573,715 1,844,730 1,658,047
Third party capital management expenses     0 0
NOI   180,702 631,706 525,977
Interest and other income 0 0 0 0
Operating Segments | SHOP | Resident fees and services        
Revenues        
Other revenues 845,532 754,417 2,476,436 2,184,024
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 | OM&R        
Revenues        
Rental income 220,957 226,326 658,687 645,137
Income from loans and investments 0 0 0 0
Interest and other income 0 0 0 0
Revenues 221,575 226,988 660,641 646,986
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 77,479 78,915 224,703 217,999
Third party capital management expenses     0 0
NOI 144,096 148,073 435,938 428,987
Interest and other income 0 0 0 0
Operating Segments | OM&R | Resident fees and services        
Revenues        
Other revenues 0 0 0 0
Operating Segments | OM&R | Third party capital management expenses        
Revenues        
Other revenues 618 662    
Less:        
Third party capital management expenses 0 0    
Operating Segments | OM&R | Third party capital management revenues        
Revenues        
Other revenues     1,954 1,849
Operating Segments | NNN        
Revenues        
Rental income 155,349 159,812 464,651 463,906
Income from loans and investments 0 0 0 0
Interest and other income 0 0 0 0
Revenues 155,349 159,812 464,651 463,906
Less:        
Interest and other income 0 0 0 0
Property-level operating expenses 4,379 3,847 11,623 11,180
Third party capital management expenses     0 0
NOI 150,970 155,965 453,028 452,726
Interest and other income 0 0 0 0
Operating Segments | NNN | Resident fees and services        
Revenues        
Other revenues 0 0 0 0
Operating Segments | NNN | Third party capital management expenses        
Revenues        
Other revenues 0 0    
Less:        
Third party capital management expenses 0 0    
Operating Segments | NNN | Third party capital management revenues        
Revenues        
Other revenues     0 0
Operating Segments | Senior Living Operations        
Less:        
NOI 213,982      
Non-Segment        
Revenues        
Rental income 0 0 0 0
Income from loans and investments 1,881 1,208 4,606 21,351
Interest and other income 8,204 2,754 19,809 5,529
Revenues 13,859 8,615 35,481 38,519
Less:        
Interest and other income 8,204 2,754 19,809 5,529
Property-level operating expenses 0 0 0 0
Third party capital management expenses     4,956 4,614
NOI 4,102 4,389 10,716 28,376
Interest and other income 8,204 2,754 19,809 5,529
Non-Segment | Resident fees and services        
Revenues        
Other revenues 0 0 0 0
Non-Segment | Third party capital management expenses        
Revenues        
Other revenues 3,774 4,653    
Less:        
Third party capital management expenses $ 1,553 $ 1,472    
Non-Segment | Third party capital management revenues        
Revenues        
Other revenues     $ 11,066 $ 11,639