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Segment Reporting
9 Months Ended
Sep. 30, 2014
Segment Reporting [Abstract]  
Segment Reporting

17. Segment Reporting

We invest in seniors housing and health care real estate. We evaluate our business and make resource allocations on our five operating segments: seniors housing triple-net, seniors housing operating, medical office buildings, hospitals and life science. Our seniors housing triple-net properties include skilled nursing/post-acute facilities, assisted living facilities, independent living/continuing care retirement communities, care homes (United Kingdom), care homes with nursing (United Kingdom) and combinations thereof. Under the seniors housing triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our seniors housing operating properties include the seniors housing communities referenced above and independent supportive living facilities (Canada) that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

Our medical facility properties include medical office buildings, hospitals and life science buildings which are aggregated into our medical facilities reportable segment. Our medical office buildings are typically leased to multiple tenants and generally require a certain level of property management. Our hospital investments are leased and we are not involved in the management of the property. Our life science investment represents an investment in an unconsolidated entity (see Note 7).

The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013). The results of operations for all acquisitions described in Note 3 are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments. There are no intersegment sales or transfers.

We evaluate performance based upon net operating income from continuing operations (“NOI”) of each segment. We define NOI as total revenues, including tenant reimbursements, less property level operating expenses. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.

Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.

     Summary information for the reportable segments is as follows for the periods presented (in thousands):

Three Months Ended September 30, 2014:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 231,512 $ - $ 122,636 $ - $ 354,148
Resident fees and services - 482,412 - - 482,412
Interest income 5,852 1,054 2,438 - 9,344
Other income 836 325 352 106 1,619
Total revenues 238,200 483,791 125,426 106 847,523
Property operating expenses - 320,895 34,262 - 355,157
Net operating income from continuing operations 238,200 162,896 91,164 106 492,366
Reconciling items:
Interest expense 10,294 26,612 7,692 73,837 118,435
Loss (gain) on derivatives, net 52 (3) - - 49
Depreciation and amortization 63,223 95,819 41,928 - 200,970
General and administrative - - - 30,803 30,803
Transaction costs 1,619 10,572 1,363 - 13,554
Loss (gain) on extinguishment of debt, net (36) - - 2,728 2,692
Other expenses 8,825 1,437 - - 10,262
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 154,223 $ 28,459 $ 40,181 $ (107,262)$ 115,601
Total assets$ 10,354,397 $ 9,248,040 $ 4,886,894 $ 52,391 $ 24,541,722

Three Months Ended September 30, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 197,950 $ - $ 110,562 $ - $ 308,512
Resident fees and services - 466,127 - - 466,127
Interest income 5,035 - 2,594 - 7,629
Other income 778 167 466 32 1,443
Total revenues 203,763 466,294 113,622 32 783,711
Property operating expenses - 311,575 30,346 - 341,921
Net operating income from continuing operations 203,763 154,719 83,276 32 441,790
Reconciling items:
Interest expense 5,869 24,693 8,732 76,726 116,020
Loss (gain) on derivatives, net 4,872 - - - 4,872
Depreciation and amortization 57,214 144,578 39,235 - 241,027
General and administrative - - - 28,718 28,718
Transaction costs 4,026 18,882 683 - 23,591
Loss (gain) on extinguishment of debt, net - (5,252) - 1,184 (4,068)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 131,782 $ (28,182)$ 34,626 $ (106,596)$ 31,630

Nine Months Ended September 30, 2014:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 671,813 $ - $ 366,638 $ - $ 1,038,451
Resident fees and services - 1,406,316 - - 1,406,316
Interest income 16,958 1,065 8,848 - 26,871
Other income 1,281 1,643 1,017 198 4,139
Total revenues 690,052 1,409,024 376,503 198 2,475,777
Property operating expenses - 939,108 101,234 - 1,040,342
Net operating income from continuing operations 690,052 469,916 275,269 198 1,435,435
Reconciling items:
Interest expense 28,064 82,924 25,422 223,924 360,334
Loss (gain) on derivatives, net 125 275 - - 400
Depreciation and amortization 186,240 334,625 127,872 - 648,737
General and administrative - - - 115,327 115,327
Transaction costs 5,900 12,863 2,783 - 21,546
Loss (gain) on extinguishment of debt, net (36) 383 - 2,728 3,075
Other expenses 8,825 1,437 - - 10,262
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 460,934 $ 37,409 $ 119,192 $ (341,781)$ 275,754

Nine Months Ended September 30, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 568,764 $ - $ 331,264 $ - $ 900,028
Resident fees and services - 1,164,446 - - 1,164,446
Interest income 16,311 757 7,257 - 24,325
Other income 1,183 169 1,539 277 3,168
Total revenues 586,258 1,165,372 340,060 277 2,091,967
Property operating expenses - 785,050 87,651 - 872,701
Net operating income from continuing operations 586,258 380,322 252,409 277 1,219,266
Reconciling items:
Interest expense 14,921 63,175 27,097 229,128 334,321
Loss (gain) on derivatives, net 4,872 (407) - - 4,465
Depreciation and amortization 166,801 338,099 118,877 - 623,777
General and administrative - - - 79,799 79,799
Transaction costs 15,730 101,006 971 - 117,707
Loss (gain) on extinguishment of debt, net - (5,560) - 1,184 (4,376)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 383,934 $ (115,991)$ 105,464 $ (309,834)$ 63,573

Our portfolio of properties and other investments are located in the United States, the United Kingdom and Canada. Revenues and assets are attributed to the country in which the property is physically located. The following is a summary of geographic information for our operations for the periods presented (dollars in thousands):

Three Months EndedNine Months Ended
September 30, 2014September 30, 2013September 30, 2014September 30, 2013
Revenues:Amount%Amount%Amount%Amount%
United States$ 707,842 83.5%$ 662,922 84.6%$ 2,078,863 84.0%$ 1,827,470 87.4%
International 139,681 16.5% 120,789 15.4% 396,914 16.0% 264,497 12.6%
Total$ 847,523 100.0%$ 783,711 100.0%$ 2,475,777 100.0%$ 2,091,967 100.0%
As of
September 30, 2014December 31, 2013
Assets:Amount%Amount%
United States$ 21,199,728 86.4%$ 19,759,945 85.6%
International 3,341,994 13.6% 3,324,012 14.4%
Total$ 24,541,722 100.0%$ 23,083,957 100.0%