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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2014
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
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

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%