| Fiscal period | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|
| Period End Date | 12/31/2024 | 12/31/2023 | 12/31/2022 | 12/31/2021 | 12/31/2020 | 12/31/2019 | 12/31/2018 | 12/31/2017 | 12/31/2016 | 12/31/2015 |
|---|
| Rental income | 887.91 | 825.38 | 750.21 | 923.68 | 753.43 | 804.08 | 767.34 | 775.18 | 743.89 | 605.99 |
| Mortgage interest income | 157.21 | 119.89 | 123.92 | 91.66 | 89.42 | 76.54 | 70.31 | 66.20 | 69.81 | 68.91 |
| Income from direct financing leases | -- | 1.01 | 1.02 | 1.03 | 1.03 | 1.04 | 1.64 | 32.34 | 62.30 | 59.94 |
| Other investment income - net | -- | -- | -- | 44.72 | 44.86 | 43.40 | 40.23 | 29.23 | 21.85 | 8.78 |
| Miscellaneous | 6.27 | 3.46 | 3.09 | 1.72 | 3.64 | 3.78 | 2.17 | 5.45 | 2.98 | -- |
| Nursing home revenues of owned and operated assets | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Litigation settlement | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Total operating revenues | 1,051.39 | 949.74 | 878.24 | 1,062.81 | 892.38 | 928.83 | 881.68 | 908.39 | 900.83 | 743.62 |
| Nursing home revenues and expenses of owned and operated assets - net | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Depreciation and amortization | 304.65 | 319.68 | 332.41 | 342.01 | 329.92 | 301.68 | 281.28 | 287.59 | 267.06 | 210.70 |
| General and administrative | 88.00 | 81.50 | 69.40 | 64.63 | 59.89 | 57.87 | 63.51 | 47.68 | 45.87 | 38.57 |
| Acquisition costs | -- | 5.34 | -- | 1.81 | 2.02 | 5.12 | 0.38 | -- | 9.58 | 57.53 |
| Provision for impairment | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Provision for uncollectable accounts | 15.48 | (44.56) | (68.66) | (77.73) | -- | -- | (6.69) | (14.58) | -- | -- |
| State taxes | -- | -- | -- | -- | (12.32) | (14.93) | -- | -- | -- | -- |
| Restricted stock expense | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Leasehold expiration expense | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Provisions for uncollectible mortgages, notes and accounts receivable | -- | -- | -- | -- | (38.00) | -- | -- | -- | -- | (7.87) |
| Impairment loss on real estate properties | (23.83) | (91.94) | (38.45) | (44.66) | (72.49) | (45.26) | (29.84) | (99.07) | (58.73) | (17.68) |
| Impairment on direct financing leases | -- | -- | -- | 0.72 | 3.08 | (7.92) | (27.17) | (198.20) | -- | -- |
| Gain on assets sold - net | -- | -- | -- | -- | -- | 55.70 | 24.77 | -- | -- | -- |
| Real estate tax and ground lease expense | (14.56) | (15.03) | (15.50) | (12.26) | -- | -- | -- | -- | -- | -- |
| Acquisition, merger and transition related costs | (11.62) | -- | (42.01) | -- | -- | -- | -- | -- | -- | -- |
| Legal | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Total operating expenses | 648.89 | 793.58 | 799.67 | 776.99 | 734.95 | 432.78 | 408.87 | 647.12 | 391.08 | 332.35 |
| Operating income | -- | -- | -- | -- | -- | 551.75 | 497.59 | -- | -- | -- |
| Interest expense | 221.72 | 235.53 | 233.24 | 234.60 | 223.39 | 199.15 | 192.46 | 188.76 | 164.10 | 147.38 |
| Interest - amortization of deferred financing costs | -- | -- | -- | -- | -- | 9.56 | 8.96 | 9.52 | 9.35 | 6.99 |
| Interest - refinancing costs | -- | -- | -- | -- | -- | -- | -- | 21.97 | 2.11 | 28.84 |
| Provision for impairment on real estate properties | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Provisions for impairment on equity securities | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain from sale of real estate assets - net | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| (Loss) gain on assets sold - net | 13.17 | 79.67 | 359.95 | 161.61 | 19.11 | -- | -- | 53.91 | 50.21 | 6.35 |
| Gain on sale of equity securities | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain on investment restructuring | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Interest and other investment income | -- | -- | -- | -- | -- | 0.86 | 0.31 | 0.27 | 0.17 | 0.29 |
| Litigation settlements and professional liability claims | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Change in fair value of derivatives | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Provision for loss on mortgages and notes receivable | -- | -- | -- | -- | -- | -- | -- | -- | (9.85) | -- |
| Severance, moving and consulting agreement costs | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Refinancing expenses | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Owned and operated professional liability claims | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Litigation settlement expense | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain (loss) on early extinguishment of debt | (1.75) | (0.49) | (0.39) | (30.76) | (13.34) | -- | -- | -- | -- | -- |
| Adjustment of derivative to fair value | -- | -- | -- | -- | (0.88) | -- | -- | -- | -- | -- |
| Realized loss on foreign exchange | -- | -- | -- | -- | -- | (0.04) | 0.03 | 0.31 | (0.23) | (0.17) |
| Contractual settlement | -- | -- | -- | -- | -- | -- | -- | 10.41 | -- | -- |
| Other income (expense) - net | 6.83 | 20.30 | (2.00) | (0.58) | -- | -- | -- | -- | -- | -- |
| Total other expense | 18.25 | 99.47 | 357.57 | 130.27 | 4.89 | (207.90) | (201.08) | (209.25) | (175.62) | (183.10) |
| Income from continuing operations before income taxes | 420.75 | 255.63 | 436.14 | 416.08 | 162.33 | 343.84 | 296.51 | 105.92 | 384.33 | 234.53 |
| Provision for Income Taxes - Total | 10.86 | 6.26 | 4.56 | 3.84 | 4.93 | 2.84 | 3.01 | 3.25 | 1.41 | 1.21 |
| Income from unconsolidated joint venture | 7.92 | (0.58) | 7.26 | 16.06 | 6.14 | 10.95 | 0.38 | 2.24 | 0.44 | -- |
| Income from continuing operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| (Loss) income from discontinued operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Earnings (loss) before gain on early extinguishment of debt | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain on early extinguishment of debt | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Net income (loss) | 417.80 | 248.80 | 438.84 | 428.30 | 163.55 | 351.95 | 293.88 | 104.91 | 383.37 | 233.32 |
| Net income attributable tononcontrolling interest | 11.48 | 6.62 | 11.91 | 11.56 | 4.22 | 10.82 | 12.31 | 4.49 | 16.95 | 8.79 |
| Less: Preferred stock dividends | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Preferred stock conversion and redemption charges | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain on assets sold - net | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Preferred stock repurchase gain | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Add: net income attributable to OP Units | (12.06) | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Net income (loss) available to common | 418.39 | 242.18 | 426.93 | 416.74 | 159.33 | 341.12 | 281.58 | 100.42 | 366.42 | 224.52 |
| Basic: Income (loss) from continuing operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Earnings (loss) per common share before gain on early extinguishment of debt--Basic | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Basic: Net income (loss) | 1.57 | 1.01 | 1.81 | 1.76 | 0.70 | 1.60 | 1.41 | 0.51 | 1.91 | 1.30 |
| Diluted: Income (loss) from continuing operations | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Earnings (loss) per common share before gain on early extinguishment of debt--Diluted | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Diluted: Net income (loss) | 1.55 | 1.00 | 1.80 | 1.75 | 0.70 | 1.58 | 1.40 | 0.51 | 1.90 | 1.29 |
| Weighted-average shares outstanding, basic | 258.12 | 240.49 | 236.26 | 236.93 | 227.74 | 213.40 | 200.28 | 197.74 | 191.78 | 172.24 |
| Weighted-average shares outstanding, diluted | 270.45 | 250.45 | 244.29 | 244.34 | 235.10 | 222.13 | 209.71 | 206.79 | 201.64 | 180.51 |
| Funds From operations | 733.91 | 591.18 | 460.54 | 655.24 | 555.94 | 639.96 | 587.38 | 444.29 | 660.05 | 455.35 |