SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2019

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

REAL ESTATE AND ACCUMULATED DEPRECIATION

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

(in thousands)

December 31, 2019

												Gross Amount at
		Initial Cost to				Cost Capitalized						Which Carried at										Life on Which
		Company				Subsequent to						Close of Period (3) (5)										Depreciation
						Acquisition												(4)			(7)	in Latest
				Buildings and				Carrying		(6)				Buildings and				Accumulated		Date of	Date	Income Statements
Description (1)	Encumbrances	Land		Improvements		Improvements		Cost		Other		Land		Improvements		Total		Depreciation		Construction	Acquired	is Computed
Consulate Health Care:
Florida (ALF, SNF)	(2)	$	57,250	$	558,594	$	2,607	$	—	$	—	$	57,250	$	561,201	$	618,451	$	35,609	1950 - 2000	1993 - 2019	25 years to 37 years
Kentucky (SNF)			209		6,860		—		—		—		209		6,860		7,069		62	1976	2019	25 years
Louisiana (SNF)	(2)		1,751		25,249		—		—		—		1,751		25,249		27,000		226	1962 - 1988	2019	25 years
Mississippi (SNF)	(2)		3,548		56,606		—		—		—		3,548		56,606		60,154		497	1965 - 1974	2019	25 years
Missouri (SNF)			204		4,380		—		—		—		204		4,380		4,584		53	1970	2019	25 years
North Carolina (SNF)	(2)		7,126		94,107		—		—		(711)		7,126		93,396		100,522		12,875	1969 - 1995	2010 - 2019	25 years to 36 years
Pennsylvania (ALF, ILF, SNF)			8,361		82,661		—		—		—		8,361		82,661		91,022		2,366	1964 - 1999	2019	25 years
Virginia (ALF, ILF, SNF)			1,588		39,215		—		—		—		1,588		39,215		40,803		1,149	1967 - 1975	2019	25 years
Total Consulate Health Care:		$	80,037	$	867,672	$	2,607	$	—	$	(711)	$	80,037	$	869,568	$	949,605	$	52,837
Maplewood Real Estate Holdings, LLC:
Connecticut (ALF)		$	25,063	$	254,085	$	6,761	$	—	$	—	$	25,063	$	260,846	$	285,909	$	35,990	1968 - 2015	2010 - 2017	30 years to 33 years
Massachusetts (ALF, SNF)			19,041		113,728		15,964		—		(680)		19,041		129,012		148,053		22,568	1988 - 2017	2014	30 years to 33 years
New Jersey (ALF)			10,673		—		1,059		56		—		10,673		1,115		11,788		—	N/A	2019	N/A
New York (ALF)			118,606		—		154,373		32,026		—		118,606		186,399		305,005		—	N/A	2015	N/A
Ohio (ALF)			3,683		27,628		35		—		—		3,683		27,663		31,346		4,633	1999 - 2016	2013 - 2014	30 years to 33 years
Total Maplewood Real Estate Holdings, LLC		$	177,066	$	395,441	$	178,192	$	32,082	$	(680)	$	177,066	$	605,035	$	782,101	$	63,191
Agemo Holdings, LLC:
Florida (SNF)		$	14,077	$	166,901	$	32,513	$	1,333	$	—	$	14,077	$	200,747	$	214,824	$	62,198	1940 - 1997	1996 - 2016	3 years to 39 years
Georgia (SNF)			3,833		10,847		3,949		—		—		3,833		14,796		18,629		10,762	1964 - 1970	2007	20 years
Kentucky (SNF)			13,153		84,321		3,422		—		—		13,153		87,743		100,896		29,174	1964 - 1980	1999 - 2016	20 years to 33 years
Maryland (SNF)			1,480		19,663		1,183		—		—		1,480		20,846		22,326		9,231	1959 - 1977	2010	29 years to 30 years
Tennessee (ALF, SNF)			7,664		179,849		—		—		—		7,664		179,849		187,513		29,434	1966 - 2016	2014 - 2016	25 years to 30 years
Total Agemo Holdings, LLC		$	40,207	$	461,581	$	41,067	$	1,333	$	—	$	40,207	$	503,981	$	544,188	$	140,799
Saber Health Group:
Florida (SNF)		$	423	$	4,422	$	283	$	—	$	—	$	423	$	4,705	$	5,128	$	1,022	2009	2011	33 years
North Carolina (SNF)			12,068		133,091		3,738		—		—		12,068		136,829		148,897		22,983	1930 - 2019	2013 - 2019	25 years to 30 years
Ohio (SNF)			4,128		92,898		5,422		—		(268)		4,128		98,052		102,180		16,602	1979 - 2013	2011 - 2016	30 years to 33 years
Pennsylvania (SNF)			7,134		124,476		5,070		—		—		7,134		129,546		136,680		23,620	1873 - 2002	2007 - 2011	33 years
Virginia (SNF)			14,285		121,320		6,510		—		(405)		14,285		127,425		141,710		19,002	1964 - 2013	2013 - 2019	30 years
Total Saber Health Group		$	38,038	$	476,207	$	21,023	$	—	$	(673)	$	38,038	$	496,557	$	534,595	$	83,229
CommuniCare Health Services, Inc.:
Indiana (SNF)		$	20,029	$	202,646	$	810	$	—	$	6,093	$	20,029	$	209,549	$	229,578	$	24,010	1963 - 2015	2013 - 2018	20 years to 30 years
Maryland (SNF)			7,190		74,029		4,690		—		—		7,190		78,719		85,909		24,450	1921 - 1985	2010 - 2011	25 years to 30 years
Ohio (SNF)			5,206		83,288		19,433		251		(3,004)		5,206		99,968		105,174		32,090	1962 - 1988	2005 - 2018	30 years to 39 years
Pennsylvania (SNF)			1,753		18,533		11,299		—		—		1,753		29,832		31,585		15,238	1950 - 1964	2005	39 years
Virginia (SNF)			2,408		10,757		1,038		—		—		2,408		11,795		14,203		1,011	1979	2018	30 years
West Virginia (SNF)			450		14,759		184		—		—		450		14,943		15,393		4,068	1963	2011	35 years
Total CommuniCare Health Services, Inc.		$	37,036	$	404,012	$	37,454	$	251	$	3,089	$	37,036	$	444,806	$	481,842	$	100,867
Ciena Healthcare:
Indiana (SNF)		$	321	$	7,703	$	—	$	—	$	—	$	321	$	7,703	$	8,024	$	1,556	1973	2014	33 years
Michigan (ALF, SNF)			4,087		115,547		548		—		—		4,087		116,095		120,182		21,179	1964 - 1997	2014	33 years
North Carolina (SNF)			4,097		60,275		663		—		—		4,097		60,938		65,035		11,395	1927 - 1992	2014	33 years
Ohio (ALF, SNF)			10,343		159,847		131		—		(80)		10,343		159,898		170,241		29,727	1960 - 2007	2010 - 2016	20 years to 33 years
Virginia (SNF)			6,300		87,772		113		—		(174)		6,126		87,885		94,011		13,760	1979 - 2007	2016	30 years
Total Ciena HealthCare		$	25,148	$	431,144	$	1,455	$	—	$	(254)	$	24,974	$	432,519	$	457,493	$	77,617

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION — continued

(in thousands)

December 31, 2019

											Gross Amount at
	Initial Cost to				Cost Capitalized						Which Carried at										Life on Which
	Company				Subsequent to						Close of Period (3) (5)										Depreciation
					Acquisition												(6)			(7)	in Latest
			Buildings and				Carrying		(6)				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)	$	1,817	$	33,356	$	12,916	$	—	$	—	$	1,817	$	46,272	$	48,089	$	36,969	1960 - 1982	1992 - 1997	31 years to 33 years
Arizona (ALF, SNF)		10,737		86,537		340		—		—		10,737		86,877		97,614		19,218	1949 - 1999	2005 - 2014	33 years to 40 years
Arkansas (ALF, SNF)		2,893		59,094		8,516		—		(36)		2,893		67,574		70,467		35,854	1967 - 1988	1992 - 2014	25 years to 31 years
California (ALF, SH, SNF, TBI)		90,514		504,011		5,122		—		(599)		90,514		508,534		599,048		101,579	1927 - 2013	1997 - 2015	5 years to 35 years
Colorado (ILF, SNF)		11,279		88,830		7,791		—		—		11,279		96,621		107,900		41,148	1925 - 1975	1998 - 2016	20 years to 39 years
Connecticut (SNF)		1,600		8,196		—		—		—		1,600		8,196		9,796		257	1991	2017	25 years
Florida (ALF, SNF)		53,783		528,036		14,136		—		(13,938)		52,843		529,174		582,017		175,542	1933 - 2019	1992 - 2017	2 years to 40 years
Georgia (ALF, SNF)		3,740		47,689		769		—		—		3,740		48,458		52,198		10,006	1967 - 1997	1998 - 2016	30 years to 40 years
Idaho (SNF)		6,824		72,249		1,763		—		(13,922)		6,824		60,090		66,914		16,518	1920 - 2008	1997 - 2019	25 years to 39 years
Indiana (ALF, ILF, IRF, MOB, SH, SNF)		27,581		371,308		435		—		(1,841)		27,560		369,923		397,483		107,818	1942 - 2008	1992 - 2018	20 years to 40 years
Iowa (ALF, SNF)		2,343		59,310		—		—		—		2,343		59,310		61,653		13,956	1961 - 1998	2010 - 2014	23 years to 33 years
Kansas (SNF)		4,153		43,482		14,218		—		(4,850)		4,092		52,911		57,003		14,557	1957 - 1977	2005 - 2011	25 years
Kentucky (ALF, SNF)		3,193		55,267		3,502		—		—		3,193		58,769		61,962		12,174	1969 - 2002	2014	33 years
Louisiana (SNF)		4,925		52,869		9,711		56		(709)		4,925		61,927		66,852		23,919	1957 - 1983	1997 - 2018	22 years to 39 years
Massachusetts (SNF)		4,580		29,444		1,784		—		—		4,580		31,228		35,808		19,731	1964 - 1992	1997 - 2010	20 years to 33 years
Michigan (SNF)		830		30,921		—		—		—		830		30,921		31,751		8,355	1964 - 1975	2005 - 2011	25 years to 33 years
Minnesota (ALF, ILF, SNF)		10,502		52,585		5,971		—		—		10,502		58,556		69,058		12,128	1966 - 1983	2014	33 years
Mississippi (SNF)		7,925		177,825		827		—		—		7,925		178,652		186,577		29,510	1962 - 2008	2009 - 2013	20 years to 40 years
Missouri (SNF)		6,063		105,351		693		—		(30,351)		6,055		75,701		81,756		15,240	1955 - 1994	1999 - 2016	30 years to 33 years
Montana (SNF)		1,631		19,486		—		—		—		1,631		19,486		21,117		2,267	1963 - 1971	2005 - 2019	25 years to 33 years
Nebraska (SNF)		750		14,892		—		—		—		750		14,892		15,642		3,591	1966 - 1969	2012 - 2015	20 years to 33 years
Nevada (BHS, SH, SNF, TBI)		12,901		112,553		9,413		—		—		12,901		121,966		134,867		20,127	1972 - 2015	2009 - 2017	25 years to 33 years
New Hampshire (ALF, SNF)		1,782		19,837		1,463		—		—		1,782		21,300		23,082		10,267	1963 - 1999	1998 - 2006	33 years to 39 years
New Mexico (SNF)		6,330		45,285		1,218		—		—		6,330		46,503		52,833		8,019	1960 - 1985	2005	10 years to 33 years
North Carolina (SNF)		2,188		29,108		3,696		—		—		2,188		32,804		34,992		21,522	1964 - 1987	1994 - 2017	30 years to 33 years
Ohio (SH, SNF)		12,348		161,815		2,880		—		—		12,348		164,695		177,043		38,453	1920 - 1998	1994 - 2013	22 years to 39 years
Oklahoma (SNF)		4,148		29,749		—		—		—		4,148		29,749		33,897		11,894	1965 - 2013	2010 - 2013	20 years to 33 years
Oregon (ALF, SNF)		3,641		45,218		4,009		—		—		3,641		49,227		52,868		9,757	1959 - 2004	2005 - 2014	25 years to 33 years
Pennsylvania (ALF, ILF, SNF)		14,762		209,887		366		—		(5)		14,756		210,254		225,010		68,089	1942 - 2012	2004 - 2018	20 years to 39 years
Rhode Island (SNF)		3,658		35,083		4,792		—		—		3,658		39,875		43,533		20,646	1965 - 1981	2006	39 years
South Carolina (SNF)		8,500		78,312		1,800		—		—		8,500		80,112		88,612		15,633	1959 - 2007	2014 - 2016	20 years to 33 years
Tennessee (BHP, SNF)		5,793		87,413		5,594		—		—		5,793		93,007		98,800		49,519	1974 - 2018	1992 - 2017	20 years to 31 years
Texas (SH, ALF, BHS, IRF, MOB, SNF)		74,306		810,944		24,889		3		(39,578)		74,055		796,509		870,564		163,507	1949 - 2016	1997 - 2019	20 years to 40 years
United Kingdom (ALF)		84,119		353,800		4,684		—		(30,597)		80,242		331,764		412,006		46,210	1750 - 2012	2015 - 2018	30 years
Vermont (SNF)		318		6,005		602		—		—		318		6,607		6,925		2,937	1971	2004	39 years
Virginia (ALF, SNF)		3,021		37,129		—		—		—		3,021		37,129		40,150		5,714	1989 - 1995	2010 - 2017	30 years to 40 years
Washington (ALF, SNF)		11,719		138,055		2,855		—		(68)		11,652		140,909		152,561		37,535	1930 - 2004	1995 - 2015	20 years to 33 years
West Virginia (SNF)		1,523		52,187		6,878		—		—		1,523		59,065		60,588		36,850	1961 - 1996	1994 - 2008	25 years to 39 years
Wisconsin (SNF)		399		4,581		2,154		—		—		399		6,735		7,134		1,869	1974	2005	33 years
Total Other	$	509,119	$	4,697,699	$	165,787	$	59	$	(136,494)	$	503,888	$	4,732,282	$	5,236,170	$	1,268,885
Total	$	906,651	$	7,733,756	$	447,585	$	33,725	$	(135,723)	$	901,246	$	8,084,748	$	8,985,994	$	1,787,425

(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 buildings (“MOB”) or specialty hospitals (“SH”) located in the states or country indicated.

(2)Certain of the real estate indicated are security for the HUD loan borrowings totaling $387.4 million at December 31, 2019.

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION — continued

(in thousands)

December 31, 2019

(3)

	Year Ended December 31,
	2017		2018		2019
Balance at beginning of period	$	7,566,358	$	7,655,960	$	7,746,410
Acquisitions through foreclosure		—		—		143,753
Acquisitions (a)		419,333		294,202		1,201,924
Impairment		(98,672)		(35,014)		(48,939)
Improvements		116,786		187,408		170,997
Disposals/other		(347,845)		(356,146)		(228,151)
Balance at close of period	$	7,655,960	$	7,746,410	$	8,985,994

(a)Includes approximately $27.2 million, $185.6 million and $750.6 million of non-cash consideration exchanged during the years ended December 31, 2017, 2018 and 2019, respectively.

(4)

	Year Ended December 31,
	2017		2018		2019
Balance at beginning of period	$	1,240,336	$	1,376,828	$	1,562,619
Provisions for depreciation		287,189		280,871		301,177
Dispositions/other		(150,697)		(95,080)		(76,371)
Balance at close of period	$	1,376,828	$	1,562,619	$	1,787,425

(5) The reported amount of our real estate at December 31, 2019 is greater than the tax basis of the real estate by approximately $0.4 billion.

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

(7) To the extent that we acquired an entity previously owning the underlying facility, the acquisition date reflects the date that the entity acquired the facility.