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Pay vs Performance Disclosure
12 Months Ended
Dec. 31, 2024
USD ($)
item
Dec. 31, 2023
USD ($)
item
Dec. 31, 2022
USD ($)
item
Dec. 31, 2021
USD ($)
item
Dec. 31, 2020
USD ($)
item
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table

Average

Value of Initial Fixed $100

Company

Summary

Average

Investment Based On:

Selected

Summary

Compensation

"Compensation

    

Peer Group 

Measure:

Compensation

"Compensation

Table Total for

Actually Paid" to

Total

Total

Relative

 Table Total for

Actually" Paid

Non-PEO

Non-PEO

Shareholder

Shareholder

Net

FAD

Year

PEO

to PEO (1)

NEOs (2)

NEOs (1)(2)

Return (3)

Return (3)

Income (4)

per Share (5)

(a)

 

(b)

 

(c)

 

(d)

 

(e)

 

(f)

 

(g)

 

(h)

(i)

2024

 

13,551,267

 

41,819,500

 

4,795,299

 

14,943,811

 

136

 

115

 

417,804

2.73

2023

 

12,148,773

 

22,492,482

 

4,625,981

 

7,848,240

 

102

 

98

 

248,796

2.62

2022

 

11,001,108

 

21,789,017

 

4,211,903

 

7,525,681

 

85

 

85

 

438,841

2.77

2021

 

10,374,954

 

(5,361,058)

 

3,981,576

 

(2,175,687)

 

82

 

105

 

428,302

3.14

2020

 

10,453,238

 

9,435,746

 

4,104,077

 

3,190,857

 

93

 

90

 

163,545

3.06

(1)The dollar amounts reported in columns (c) and (e) represent the amount of “compensation actually paid” to our PEO and the average of our Non-PEO NEOs for each year, in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect actual compensation earned or paid during the respective year. In accordance with Item 402(v) of Regulation S-K, adjustments were made to total compensation for each year to determine the CAP, as provided in the “Adjustments to Pay Versus Performance Table” provided below.
(2)The dollar amounts reported in columns (d) and (e) include compensation for all Non-PEO NEOs disclosed in the Summary Compensation Table.  Steven Insoft, who was one of the Company’s NEOs in 2020, 2021 and 2022 and whose employment terminated effective January 1, 2022, is included with the Non-PEO NEO disclosures for 2020 and 2021 and excluded from the disclosures for 2022, 2023 and 2024.
(3)Represents the cumulative Absolute TSR of the Company and the FTSE NAREIT Equity Health Care Index for the year ended December 31, 2020, for the two years ended December 31, 2021, the three years ended December 31, 2022, the four years ended December 31, 2023 and the five years ended December 31, 2024, assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of all dividends.
(4)Net income as reported on the Company’s audited financial statements for the respective year.
(5)Funds Available for Distribution per dilutive share, or FAD, is a non-GAAP financial measure. See “Compensation Discussion and Analysis – Our Compensation Decisions and Results for 2024 – 2024 Annual Cash Incentive Performance Goals and Results” for definition of FAD.

Adjustments to Pay Versus Performance Table

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for PEO

PEO
($)

PEO
($)

PEO
($)

PEO
($)

PEO
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(10,815,000)

(9,972,490)

(9,151,997)

(8,635,010)

(8,117,974)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

17,642,495

11,620,884

11,600,647

4,587,972

8,511,118

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

18,254,827

7,762,727

6,487,397

(6,760,444)

(531,938)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

1,487,323

549,498

(63,322)

(1,350,094)

(2,932,005)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(1,096,197)

(357,799)

(6,120,944)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

1,698,587

1,479,287

2,272,983

2,542,508

2,053,307

Total Adjustments

28,268,232

10,343,709

10,787,909

(15,736,012)

(1,017,492)

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for Non-PEO NEOs

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(3,513,750)

(3,597,159)

(3,299,995)

(3,093,451)

(2,903,425)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

6,165,218

4,191,748

4,181,558

1,438,894

2,927,743

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

6,355,014

2,294,800

2,320,818

(2,296,404)

(178,264)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

533,518

196,507

(22,578)

(498,646)

(1,099,545)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(392,706)

(127,970)

(2,133,004)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

608,511

529,069

261,945

425,348

340,271

Total Adjustments

10,148,511

3,222,259

3,313,778

(6,157,263)

(913,220)

       
Company Selected Measure Name Relative FAD per Share        
Named Executive Officers, Footnote
(2)The dollar amounts reported in columns (d) and (e) include compensation for all Non-PEO NEOs disclosed in the Summary Compensation Table.  Steven Insoft, who was one of the Company’s NEOs in 2020, 2021 and 2022 and whose employment terminated effective January 1, 2022, is included with the Non-PEO NEO disclosures for 2020 and 2021 and excluded from the disclosures for 2022, 2023 and 2024.
       
Peer Group Issuers, Footnote
(3)Represents the cumulative Absolute TSR of the Company and the FTSE NAREIT Equity Health Care Index for the year ended December 31, 2020, for the two years ended December 31, 2021, the three years ended December 31, 2022, the four years ended December 31, 2023 and the five years ended December 31, 2024, assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of all dividends.
       
PEO Total Compensation Amount $ 13,551,267 $ 12,148,773 $ 11,001,108 $ 10,374,954 $ 10,453,238
PEO Actually Paid Compensation Amount $ 41,819,500 22,492,482 21,789,017 (5,361,058) 9,435,746
Adjustment To PEO Compensation, Footnote

Adjustments to Pay Versus Performance Table

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for PEO

PEO
($)

PEO
($)

PEO
($)

PEO
($)

PEO
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(10,815,000)

(9,972,490)

(9,151,997)

(8,635,010)

(8,117,974)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

17,642,495

11,620,884

11,600,647

4,587,972

8,511,118

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

18,254,827

7,762,727

6,487,397

(6,760,444)

(531,938)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

1,487,323

549,498

(63,322)

(1,350,094)

(2,932,005)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(1,096,197)

(357,799)

(6,120,944)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

1,698,587

1,479,287

2,272,983

2,542,508

2,053,307

Total Adjustments

28,268,232

10,343,709

10,787,909

(15,736,012)

(1,017,492)

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for Non-PEO NEOs

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(3,513,750)

(3,597,159)

(3,299,995)

(3,093,451)

(2,903,425)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

6,165,218

4,191,748

4,181,558

1,438,894

2,927,743

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

6,355,014

2,294,800

2,320,818

(2,296,404)

(178,264)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

533,518

196,507

(22,578)

(498,646)

(1,099,545)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(392,706)

(127,970)

(2,133,004)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

608,511

529,069

261,945

425,348

340,271

Total Adjustments

10,148,511

3,222,259

3,313,778

(6,157,263)

(913,220)

       
Non-PEO NEO Average Total Compensation Amount $ 4,795,299 4,625,981 4,211,903 3,981,576 4,104,077
Non-PEO NEO Average Compensation Actually Paid Amount $ 14,943,811 7,848,240 7,525,681 (2,175,687) 3,190,857
Adjustment to Non-PEO NEO Compensation Footnote

Adjustments to Pay Versus Performance Table

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for PEO

PEO
($)

PEO
($)

PEO
($)

PEO
($)

PEO
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(10,815,000)

(9,972,490)

(9,151,997)

(8,635,010)

(8,117,974)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

17,642,495

11,620,884

11,600,647

4,587,972

8,511,118

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

18,254,827

7,762,727

6,487,397

(6,760,444)

(531,938)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

1,487,323

549,498

(63,322)

(1,350,094)

(2,932,005)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(1,096,197)

(357,799)

(6,120,944)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

1,698,587

1,479,287

2,272,983

2,542,508

2,053,307

Total Adjustments

28,268,232

10,343,709

10,787,909

(15,736,012)

(1,017,492)

2024

2023

2022

2021

2020

Adjustments to Determine Compensation "Actually Paid" for Non-PEO NEOs

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Non-PEOs
($)

Subtract values reported in the Stock Awards and Option Awards columns of the Summary Comp Table

(3,513,750)

(3,597,159)

(3,299,995)

(3,093,451)

(2,903,425)

For any equity awards granted in the covered fiscal year that are outstanding and unvested as of the end of the fiscal year, add the year end fair value

6,165,218

4,191,748

4,181,558

1,438,894

2,927,743

For any awards granted in prior years that are outstanding and unvested as of the end of the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value at the end of the fiscal year with the fair value at the end of the prior fiscal year

6,355,014

2,294,800

2,320,818

(2,296,404)

(178,264)

For awards that are granted and vest in the same covered fiscal year, add the fair values as of the vesting date

N/A

N/A

N/A

N/A

N/A

For awards granted in prior years that vest in the covered fiscal year, add the increase (or subtract the decrease) in fair value by comparing the fair value on the vesting date with the fair value at the end of the prior fiscal period

533,518

196,507

(22,578)

(498,646)

(1,099,545)

For awards granted in prior years that are deemed to fail to meet the applicable vesting conditions during the covered fiscal year, subtract the fair value at the end of the prior fiscal period

N/A

(392,706)

(127,970)

(2,133,004)

N/A

For any dividends or other earnings paid on stock or option awards in the covered fiscal year before the vesting date, add such amount if it is not otherwise reflected in the fair value of such award or included in any other component of total compensation for the covered fiscal year

608,511

529,069

261,945

425,348

340,271

Total Adjustments

10,148,511

3,222,259

3,313,778

(6,157,263)

(913,220)

       
Compensation Actually Paid vs. Total Shareholder Return

Graphic

       
Compensation Actually Paid vs. Net Income

Graphic

       
Compensation Actually Paid vs. Company Selected Measure

Graphic

       
Tabular List, Table

FAD per share

Absolute TSR

Tenant Quality

Leverage

Relative TSR

       
Total Shareholder Return Amount $ 136 102 85 82 93
Peer Group Total Shareholder Return Amount 115 98 85 105 90
Net Income (Loss) $ 417,804 $ 248,796 $ 438,841 $ 428,302 $ 163,545
Company Selected Measure Amount | item 2.73 2.62 2.77 3.14 3.06
PEO Name C. Taylor Pickett        
Measure:: 1          
Pay vs Performance Disclosure          
Name FAD per share        
Measure:: 2          
Pay vs Performance Disclosure          
Name Leverage        
Measure:: 3          
Pay vs Performance Disclosure          
Name Tenant Quality        
Measure:: 4          
Pay vs Performance Disclosure          
Name Absolute TSR        
Measure:: 5          
Pay vs Performance Disclosure          
Name Relative TSR        
Non-GAAP Measure Description Funds Available for Distribution per dilutive share, or FAD, is a non-GAAP financial measure. See “Compensation Discussion and Analysis – Our Compensation Decisions and Results for 2024 – 2024 Annual Cash Incentive Performance Goals and Results” for definition of FAD.        
PEO | Equity Awards Adjustments          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 28,268,232 $ 10,343,709 $ 10,787,909 $ (15,736,012) $ (1,017,492)
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (10,815,000) (9,972,490) (9,151,997) (8,635,010) (8,117,974)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 17,642,495 11,620,884 11,600,647 4,587,972 8,511,118
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 18,254,827 7,762,727 6,487,397 (6,760,444) (531,938)
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,487,323 549,498 (63,322) (1,350,094) (2,932,005)
PEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (1,096,197) (357,799) (6,120,944)  
PEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,698,587 1,479,287 2,272,983 2,542,508 2,053,307
Non-PEO NEO | Equity Awards Adjustments          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 10,148,511 3,222,259 3,313,778 (6,157,263) (913,220)
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (3,513,750) (3,597,159) (3,299,995) (3,093,451) (2,903,425)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 6,165,218 4,191,748 4,181,558 1,438,894 2,927,743
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 6,355,014 2,294,800 2,320,818 (2,296,404) (178,264)
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 533,518 196,507 (22,578) (498,646) (1,099,545)
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount   (392,706) (127,970) (2,133,004)  
Non-PEO NEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 608,511 $ 529,069 $ 261,945 $ 425,348 $ 340,271