SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2018

SEC Schedule III, Real Estate and Accumulated Depreciation Disclosure [Abstract]

REAL ESTATE AND ACCUMULATED DEPRECIATION

											Gross Amount at
	Initial Cost to				Cost Capitalized						Which Carried at										Life on Which
	Company				Subsequent to						Close of Period (2) (4)										Depreciation
					Acquisition												(3)				in Latest
			Buildings and				Carrying		(5)				Buildings and				Accumulated		Date of	Date	Income Statements
Description (1)	Land		Improvements		Improvements		Cost		Other		Land		Improvements		Total		Depreciation		Construction	Acquired	is Computed
Maplewood Real Estate Holdings, LLC:
Connecticut (AL)	$	25,063	$	216,538	$	28,040	$	643	$	—	$	25,063	$	245,221	$	270,284	$	27,505	1968-2015	2010-2017	33 years
Massachusetts (AL, SNF)		19,041		113,728		15,963		—		(680)		19,041		129,011		148,052		16,531	1988-2017	2014	30 years to 33 years
New York (AL)		118,606		—		93,146		13,835		—		118,606		106,981		225,587		—	N/A	2015	N/A
Ohio (AL)		3,683		27,628		35		—		—		3,683		27,663		31,346		3,454	1999-2016	2013-2014	30 years to 33 years
Total Maplewood Real Estate Holdings, LLC	$	166,393	$	357,894	$	137,184	$	14,478	$	(680)	$	166,393	$	508,876	$	675,269	$	47,490
Agemo Holdings  LLC:
Florida (SNF)	$	14,077	$	166,901	$	22,877	$	630	$	—	$	14,077	$	190,408	$	204,485	$	55,551	1940-1997	1996-2016	3 years to 39 years
Georgia (SNF)		3,833		10,847		3,949		—		—		3,833		14,796		18,629		10,200	1964-1970	2007	20 years
Kentucky (SNF)		13,153		84,321		3,422		—		—		13,153		87,743		100,896		25,436	1964-1980	1999-2016	20 years to 33 years
Maryland (SNF)		1,480		19,663		1,183		—		—		1,480		20,846		22,326		8,542	1959-1977	2010	29 years to 30 years
Tennessee (AL, SNF)		7,664		179,849		—		—		—		7,664		179,849		187,513		20,724	1966-2016	2014-2016	25 years to 30 years
Total Agemo Holdings  LLC	$	40,207	$	461,581	$	31,431	$	630	$	—	$	40,207	$	493,642	$	533,849	$	120,453
Saber Health Group:
Florida (SNF)	$	423	$	4,422	$	283	$	—	$	—	$	423	$	4,705	$	5,128	$	776	2009	2011	33 years
North Carolina (SNF)		10,077		108,680		25,230		736		—		10,077		134,646		144,723		18,865	1930-2018	2013-2016	3 years to 30 years
Ohio (SNF, AL)		3,028		82,070		5,392		—		(268)		3,028		87,194		90,222		12,436	1979-2000	2011-2016	30 years to 33 years
Pennsylvania (SNF)		7,134		124,476		5,036		—		—		7,134		129,512		136,646		18,345	1873-2002	2007-2011	33 years
Virginia (SNF)		12,175		106,336		3,359		—		—		12,175		109,695		121,870		12,341	1964-2013	2013-2016	30 years
Total Saber Health Group	$	32,837	$	425,984	$	39,300	$	736	$	(268)	$	32,837	$	465,752	$	498,589	$	62,763
CommuniCare Health Services, Inc.:
Indiana (SNF)	$	20,029	$	202,647	$	—	$	—	$	294	$	20,029	$	202,941	$	222,970	$	13,356	1963-2015	2013-2018	20 years to 30 years
Maryland (SNF)		7,190		74,029		4,660		—		—		7,190		78,689		85,879		21,124	1921-1985	2010-2011	25 years to 30 years
Ohio (SNF, SH, ALF)		5,206		83,288		5,567		—		(702)		5,206		88,153		93,359		31,675	1962-1988	2005-2018	30 years to 39 years
Pennsylvania (SNF)		1,753		18,533		11,281		—		—		1,753		29,814		31,567		13,817	1950-1964	2005	39 years
Virginia (SNF)		2,408		10,757		9		—		—		2,408		10,766		13,174		447	1979	2018	30 years
West Virginia (SNF)		450		14,759		184		—		—		450		14,943		15,393		3,568	1963	2011	35 years
Total CommuniCare Health Services, Inc.	$	37,036	$	404,013	$	21,701	$	—	$	(408)	$	37,036	$	425,306	$	462,342	$	83,987
Ciena Healthcare:
Indiana (SNF)	$	321	$	7,703	$	—	$	—	$	—	$	321	$	7,703	$	8,024	$	1,229	1973	2014	33 years
Michigan (SNF, AL)		4,087		115,547		107		—		—		4,087		115,654		119,741		16,711	1964-1997	2014	33 years
North Carolina (ILF, SNF)		4,097		60,275		1,112		—		—		4,097		61,387		65,484		8,945	1927-1992	2014	33 years
Ohio (SNF, AL)		10,343		159,847		72		—		(80)		10,343		159,839		170,182		23,287	1960-2007	2010-2016	20 years to 33 years
Virginia (SNF)		6,300		87,772		90		—		(174)		6,126		87,862		93,988		10,240	1979-2007	2016	30 years
Total Ciena Healthcare	$	25,148	$	431,144	$	1,381	$	—	$	(254)	$	24,974	$	432,445	$	457,419	$	60,412
Genesis HealthCare:
Alabama (SNF)	$	1,179	$	22,406	$	6,522	$	—	$	—	$	1,179	$	28,928	$	30,107	$	20,082	1964-1974	1997	33 years
Arizona (SNF, AL)		4,847		23,084		—		—		—		4,847		23,084		27,931		3,802	1973-1997	2005	33 years
California (SNF)		781		14,837		27		—		—		781		14,864		15,645		9,538	1927-1972	1997	33 years
Colorado (SNF, ILF)		5,331		33,011		5,444		—		—		5,331		38,455		43,786		16,189	1963-1975	2006	39 years
Idaho (SNF)		3,021		16,171		974		—		(2)		3,019		17,145		20,164		7,307	1920-1987	1997-2006	25 years to 39 years
Massachusetts (SNF)		5,389		35,826		2,160		—		—		5,389		37,986		43,375		21,025	1964-1993	1997-2010	20 years to 39 years
New Hampshire (SNF, AL)		1,782		19,837		1,463		—		—		1,782		21,300		23,082		9,674	1963-1999	1998-2006	33 years to 39 years
New Mexico (SNF)		6,008		45,285		—		—		—		6,008		45,285		51,293		6,297	1960-1985	2005	33 years
North Carolina (SNF)		1,460		21,193		3,550		—		—		1,460		24,743		26,203		19,411	1964-1986	1994-1997	30 years to 33 years
Ohio (SNF)		382		11,271		21		—		—		382		11,292		11,674		7,247	1968-1983	1997	33 years
Rhode Island (SNF)		3,658		35,083		4,793		—		—		3,658		39,876		43,534		19,172	1965-1981	2006	39 years
Tennessee (SNF)		453		7,452		2,538		—		—		453		9,990		10,443		7,767	1984-1985	1994	30 years
Vermont (SNF)		318		6,005		602		—		—		318		6,607		6,925		2,767	1971	2004	39 years
Washington (SNF)		500		9,500		1,799		—		—		500		11,299		11,799		11,114	1965	1995	20 years
West Virginia (SNF)		1,238		43,040		6,528		—		—		1,238		49,568		50,806		29,158	1961-1986	1997-2008	25 years to 33 years
Total Genesis HealthCare	$	36,347	$	344,001	$	36,421	$	—	$	(2)	$	36,345	$	380,422	$	416,767	$	190,550

											Gross Amount at
	Initial Cost to				Cost Capitalized						Which Carried at										Life on Which
	Company				Subsequent to						Close of Period (2) (4)										Depreciation
					Acquisition												(3)				in Latest
			Buildings and				Carrying		(5)				Buildings and				Accumulated		Date of	Date	Income Statements
Description (1)	Land		Improvements		Improvements		Cost		Other		Land		Improvements		Total		Depreciation		Construction	Acquired	is Computed
Other:
Alabama (SNF)	$	638	$	10,950	$	6,393	$	—	$	—	$	638	$	17,343	$	17,981	$	14,986	1960-1982	1992	31 years
Arizona (TBI, SNF, AL)		6,149		63,783		—		—		—		6,149		63,783		69,932		12,367	1949-1999	2012-2015	35 years to 40 years
Arkansas (SNF, AL)		2,893		59,094		8,516		—		(36)		2,893		67,574		70,467		33,435	1967-1988	1992-2014	25 years to 31 years
California (SNF, TBI)		72,685		393,364		5,103		—		(703)		72,685		397,764		470,449		74,708	1938-2013	1997-2014	5 years to 35 years
Colorado (SNF)		5,949		55,819		2,346		—		—		5,949		58,165		64,114		21,066	1925-1973	1998-2016	20 years to 33 years
Connecticut (land only)		879		4,446		980		—		(5,426)		879		—		879		—	N/A	1999	N/A
Florida (SNF, AL)		61,684		486,947		88,259		2,535		(9,737)		61,684		568,004		629,688		186,128	1933-2017	1992-2017	2 years to 40 years
Georgia (SNF, AL)		3,740		47,689		769		—		—		3,740		48,458		52,198		7,892	1967-1997	1998-2016	30 years to 40 years
Idaho (SNF, AL)		3,604		46,182		348		—		(14,690)		3,604		31,840		35,444		7,377	1911-2008	1999-2014	30 years to 33 years
Illinois (SNF)		382		8,228		—		—		—		382		8,228		8,610		1,216	1963	2005	33 years
Indiana (SNF, ILF, AL, MOB, SH)		25,781		335,737		435		—		(1,841)		25,760		334,352		360,112		94,223	1942-2008	1992-2013	20 years to 40 years
Iowa (SNF, AL)		2,485		60,406		—		—		—		2,485		60,406		62,891		11,957	1961-1998	2010-2014	12 years to 33 years
Kansas (SNF)		4,153		43,482		14,219		—		—		4,153		57,701		61,854		11,938	1957-1977	2005-2011	25 years to 33 years
Kentucky (SNF)		5,611		123,995		9,851		—		—		5,611		133,846		139,457		31,384	1917-2002	1994-2014	33 years
Louisiana (SNF)		4,925		52,869		4,878		—		(449)		4,925		57,298		62,223		21,598	1957-1983	1997-2018	22 years to 39 years
Michigan (SNF)		830		30,921		—		—		—		830		30,921		31,751		7,138	1964-1975	2005-2011	25 years to 33 years
Minnesota (SNF, AL, ILF)		10,502		52,585		5,971		—		—		10,502		58,556		69,058		9,236	1966-1983	2014	33 years
Mississippi (SNF)		7,925		177,825		827		—		—		7,925		178,652		186,577		21,137	1962-2008	2009-2013	20 years to 40 years
Missouri (SNF)		6,063		105,351		693		—		(30,351)		6,055		75,701		81,756		12,434	1955-1994	1999-2016	30 years to 33 years
Montana (SNF)		1,319		11,698		1		—		—		1,319		11,699		13,018		1,736	1963-1971	2005	33 years
Nebraska (SNF)		1,600		23,142		—		—		—		1,600		23,142		24,742		5,025	1963-1969	2012-2015	20 years to 33 years
Nevada (SNF, SH, TBI)		5,501		50,472		8,350		—		—		5,501		58,822		64,323		15,703	1972-2004	2009-2012	26 years to 33 years
New Mexico (SNF)		1,222		8,638		—		—		(9,660)		200		—		200		—	1984	2005	33 years
North Carolina (SNF)		2,338		39,399		—		—		(711)		2,338		38,688		41,026		11,940	1969-1987	2010-2017	25 years to 36 years
Ohio (SNF, SH)		12,348		161,815		2,880		—		—		12,348		164,695		177,043		31,910	1920-1998	1994-2013	22 years to 39 years
Oklahoma (SNF, AL)		4,650		36,247		—		—		—		4,650		36,247		40,897		11,525	1965-2013	2010-2013	20 years to 33 years
Oregon (AL, SNF)		3,641		45,218		4,009		—		—		3,641		49,227		52,868		7,553	1959-2004	2005-2014	25 years to 33 years
Pennsylvania (SNF, AL, ILF)		14,912		210,906		—		—		(5)		14,906		210,907		225,813		60,875	1942-2012	2004-2018	16 years to 39 years
South Carolina (SNF)		7,800		59,782		443		—		—		7,800		60,225		68,025		11,910	1959-2007	2014-2016	20 years to 33 years
Tennessee (SNF)		4,349		74,420		2,361		—		—		4,349		76,781		81,130		38,056	1974-2008	1992-2013	20 years to 31 years
Texas (AL, SNF)		68,515		732,374		27,814		162		(2,532)		68,515		757,818		826,333		152,877	1949-2016	1997-2018	20 years to 40 years
United Kingdom (AL)		84,119		353,800		1,791		—		(44,567)		77,529		317,614		395,143		32,691	1750-2012	2015-2018	30 years
Virginia (SNF, AL)		3,021		37,129		—		—		—		3,021		37,129		40,150		4,328	1989-1995	2010-2017	30 years to 40 years
Washington (SNF, AL)		11,219		128,555		937		—		(2)		11,218		129,491		140,709		21,333	1930-2004	1999-2015	30 years to 33 years
West Virginia (SNF)		285		9,148		348		—		—		285		9,496		9,781		5,465	1961-1996	1994-2004	33 years to 39 years
Wisconsin (SNF)		2,419		23,241		6,122		—		(6,249)		2,313		23,220		25,533		3,817	1974-1994	2005-2012	30 years to 33 years
Total Other	$	456,136	$	4,165,657	$	204,644	$	2,697	$	(126,959)	$	448,382	$	4,253,793	$	4,702,175	$	996,964
Total	$	794,104	$	6,590,274	$	472,062	$	18,541	$	(128,571)	$	786,174	$	6,960,236	$	7,746,410	$	1,562,619

(1)   The real estate included in this schedule is being used in either the operation of skilled nursing facilities (“SNF”), assisted living facilities (“ALF”), independent living facilities (“ILF”), traumatic brain injury (“TBI”), medical office building (“MOB”) or specialty hospitals (“SH”) located in the states or country indicated.

	Year Ended December 31,
(2)	2016		2017		2018
Balance at beginning of period	$	6,743,958	$	7,566,358	$	7,655,960
Acquisitions through foreclosure		25,000		—		—
Acquisitions (a)		1,017,761		419,333		294,202
Impairment		(53,717)		(98,672)		(35,014)
Improvements		95,807		116,786		187,408
Disposals/other		(262,451)		(347,845)		(356,146)
Balance at close of period	$	7,566,358	$	7,655,960	$	7,746,410

(a)   Includes approximately $35.1 million, $27.2 million and $185.6 million of noncash consideration exchanged during the years ended December 31, 2016, 2017 and 2018, respectively.

	Year Ended December 31,
(3)	2016		2017		2018
Balance at beginning of period	$	1,019,150	$	1,240,336	$	1,376,828
Provisions for depreciation		266,904		287,189		280,871
Dispositions/other		(45,718)		(150,697)		(95,080)
Balance at close of period	$	1,240,336	$	1,376,828	$	1,562,619

(4)  The reported amount of our real estate at December 31, 2018 is greater than the tax basis of the real estate by approximately $0.6 billion.

(5)  Reflects bed sales, impairments (including the write-off of accumulated depreciation), land easements and impacts from foreign currency exchange rates.

(6)   None of the facilities in the table above are encumbered.