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Dispositions and Assets Held for Sale
12 Months Ended
Dec. 31, 2018
Discontinued Operations and Disposal Groups [Abstract]  
Dispositions and Assets Held for Sale Dispositions and Assets Held for Sale
We periodically sell properties for various reasons, including favorable market conditions, the exercise of tenant purchase options or reduction of concentrations (e.g. property type, relationship or geography). At December 31, 2018, 13 seniors housing operating, 40 triple-net and two outpatient medical properties with an aggregate net real estate balance of $590,271,000 were classified as held for sale. Impairment of assets, as reflected in our Consolidated Statements of Comprehensive Income, primarily represents the charges necessary to adjust the carrying values of certain properties to estimated fair values less costs to sell. The following is a summary of our real property disposition activity for the periods presented (in thousands):
 
 
Year Ended
 
 
December 31, 2018
 
December 31, 2017
 
December 31, 2016
Real property dispositions:
 
 
 
 
 
 
Seniors Housing Operating
 
$
36,627

 
$
74,832

 
$

Triple-net
 
835,093

 
916,689

 
1,773,614

Outpatient Medical
 
253,397

 
19,697

 
78,786

Total dispositions
 
1,125,117

 
1,011,218

 
1,852,400

Gain (loss) on sales of real property, net
 
415,575

 
344,250

 
364,046

Net other assets (liabilities) disposed
 
1,178

 
22,546

 
133,622

Proceeds from real property sales
 
$
1,541,870

 
$
1,378,014

 
$
2,350,068



During the year ended December 31, 2016, we completed two portfolio dispositions of properties leased to Genesis HealthCare (“Genesis”) for which we received loans in the amount of $74,445,000 for termination fees relating to the properties sold under the master lease. The related termination fee income has been deferred and will be recognized as the principal balance of the loans are repaid. At December 31, 2018, $61,994,000 of principal is outstanding on the loans. 
Dispositions and Assets Held for Sale 
Pursuant to our adoption of ASU 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity” (ASU 2014-08”), operating results attributable to properties sold subsequent to or classified as held for sale after January 1, 2014 and which do not meet the definition of discontinued operations are no longer reclassified on our consolidated statements of comprehensive income. The following represents the activity related to these properties for the periods presented (in thousands):
 
 
Year Ended
December 31,
 
 
2018
 
2017
 
2016
Revenues:
 
 
 
 
 
 
Total revenues
 
$
148,725

 
$
275,087

 
$
565,450

Expenses:
 
 
 
 
 
 
Interest expense
 
294

 
6,655

 
52,675

Property operating expenses
 
81,698

 
81,182

 
89,666

Provision for depreciation
 
16,900

 
55,294

 
122,153

Total expenses
 
98,892

 
143,131

 
264,494

Income (loss) from real estate dispositions, net
 
$
49,833

 
$
131,956

 
$
300,956