Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2023

Segment Reporting [Abstract]

Summary Information for Reportable Segments

Summary information for the reportable segments (which excludes unconsolidated entities) is as follows (in thousands): 

Three Months Ended March 31, 2023:	Seniors Housing Operating		Triple-net		Outpatient Medical		Non-segment / Corporate		Total
Resident fees and services	$	1,131,685	$	—	$	—	$	—	$	1,131,685
Rental income	—		202,419		181,640		—		384,059
Interest income	2,551		33,763		91		—		36,405
Other income	2,445		1,883		3,100		1,152		8,580
Total revenues	1,136,681		238,065		184,831		1,152		1,560,729
Property operating expenses	883,784		11,723		58,365		3,881		957,753
Consolidated net operating income (loss)	252,897		226,342		126,466		(2,729)		602,976
Depreciation and amortization	220,407		54,528		64,177		—		339,112
Interest expense	11,487		(15)		4,104		128,827		144,403
General and administrative expenses	—		—		—		44,371		44,371
Loss (gain) on derivatives and financial instruments, net	—		930		—		—		930
Loss (gain) on extinguishment of debt, net	—		—		5		—		5
Provision for loan losses, net	(73)		850		—		—		777
Impairment of assets	12,629		—		—		—		12,629
Other expenses	17,579		2,467		547		2,152		22,745
Income (loss) from continuing operations before income taxes and other items	(9,132)		167,582		57,633		(178,079)		38,004
Income tax (expense) benefit	—		—		—		(3,045)		(3,045)
Income (loss) from unconsolidated entities	(15,589)		8,432		86		—		(7,071)
Gain (loss) on real estate dispositions, net	833		520		(606)		—		747
Income (loss) from continuing operations	(23,888)		176,534		57,113		(181,124)		28,635
Net income (loss)	$	(23,888)	$	176,534	$	57,113	$	(181,124)	$	28,635
Total assets	$	22,201,219	$	8,776,956	$	7,007,092	$	508,622	$	38,493,889

Three Months Ended March 31, 2022:	Seniors Housing Operating		Triple-net		Outpatient Medical		Non-segment / Corporate		Total
Resident fees and services	$	994,335	$	—	$	—	$	—	$	994,335
Rental income	—		196,001		160,389		—		356,390
Interest income	1,417		37,506		71		—		38,994
Other income	860		1,656		2,863		606		5,985
Total revenues	996,612		235,163		163,323		606		1,395,704
Property operating expenses	789,928		11,211		49,915		2,615		853,669
Consolidated net operating income (loss)	206,684		223,952		113,408		(2,009)		542,035
Depreciation and amortization	192,793		53,504		57,791		—		304,088
Interest expense	7,650		314		4,567		109,165		121,696
General and administrative expenses	—		—		—		37,706		37,706
Loss (gain) on derivatives and financial instruments, net	—		2,578		—		—		2,578
Loss (gain) on extinguishment of debt, net	(15)		—		3		—		(12)
Provision for loan losses, net	267		(1,065)		(6)		—		(804)
Other expenses	8,191		11,044		789		6,045		26,069
Income (loss) from continuing operations before income taxes and other items	(2,202)		157,577		50,264		(154,925)		50,714
Income tax (expense) benefit	—		—		—		(5,013)		(5,013)
Income (loss) from unconsolidated entities	(17,782)		15,543		(645)		—		(2,884)
Gain (loss) on real estate dispositions, net	2,701		20,449		(216)		—		22,934
Income (loss) from continuing operations	(17,283)		193,569		49,403		(159,938)		65,751
Net income (loss)	$	(17,283)	$	193,569	$	49,403	$	(159,938)	$	65,751

Summary of Geographic Information

The following is a summary of geographic information for the periods presented (dollars in thousands): 

	Three Months Ended
	March 31, 2023				March 31, 2022
Revenues:	Amount		%		Amount		%
United States	$	1,296,022	83.0	%	$	1,139,016	81.6	%
United Kingdom	147,876		9.5	%	144,491		10.4	%
Canada	116,831		7.5	%	112,197		8.0	%
Total	$	1,560,729	100.0	%	$	1,395,704	100.0	%
	Three Months Ended
	March 31, 2023				March 31, 2022
Resident Fees and Services:	Amount		%		Amount		%
United States	$	908,944	80.4	%	$	784,097	78.8	%
United Kingdom	109,012		9.6	%	101,090		10.2	%
Canada	113,729		10.0	%	109,148		11.0	%
Total	$	1,131,685	100.0	%	$	994,335	100.0	%
	As of
	March 31, 2023				December 31, 2022
Assets:	Amount		%		Amount		%
United States	$	32,325,218	84.0	%	$	31,740,907	83.8	%
United Kingdom	3,518,034		9.1	%	3,476,793		9.2	%
Canada	2,650,637		6.9	%	2,675,533		7.0	%
Total	$	38,493,889	100.0	%	$	37,893,233	100.0	%