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Segment Reporting
3 Months Ended
Mar. 31, 2015
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 four operating segments: triple-net, seniors housing operating, outpatient medical and life science. During the quarter ended March 31, 2015, we changed the names of our seniors housing triple-net segment to triple-net and our medical facilities segment to outpatient medical.

Our triple-net properties include long-term/post-acute care facilities, hospitals, assisted living facilities, independent living/continuing care retirement communities, care homes (United Kingdom), independent support living facilities (Canada), care homes with nursing (United Kingdom) and combinations thereof. Under the 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 that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

Our outpatient medical properties include medical office buildings and life science buildings which are aggregated into our outpatient medical reportable segment. Our medical office buildings are typically leased to multiple tenants and generally require a certain level of property management. Our life science investment represents an investment in an unconsolidated entity (see Note 7).

We evaluate performance based upon NOI by 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.

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, 2014). 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.

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

Three Months Ended March 31, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$264,406$-$115,181$-$379,587
Resident fees and services-492,510--492,510
Interest income14,6991,0311,264-16,994
Other income3,8831,020161225,086
Total revenues282,988494,561116,60622894,177
Property operating expenses-338,50737,954-376,461
Net operating income from continuing operations282,988156,05478,65222517,716
Reconciling items:
Interest expense10,02734,4587,62568,970121,080
Loss (gain) on derivatives, net(58,427)---(58,427)
Depreciation and amortization70,03176,63642,162-188,829
General and administrative---35,13835,138
Transaction costs36,17212,042341-48,555
Loss (gain) on extinguishment of debt, net10,336--5,06415,400
Impairment of assets2,220---2,220
Income (loss) from continuing operations before income taxes and income from unconsolidated entities212,62932,91828,524(109,150)164,921
Income tax expense418(533)466(48)303
(Loss) income from unconsolidated entities1,393(15,073)1,032-(12,648)
Income (loss) from continuing operations214,44017,31230,022(109,198)152,576
Gain (loss) on real estate dispositions, net54,097-2,749-56,846
Net income (loss)$268,537$17,312$32,771$(109,198)$209,422
Total assets$11,916,636$10,208,763$4,444,058$59,938$26,629,395

Three Months Ended March 31, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$237,716$-$98,739$-$336,455
Resident fees and services-456,265--456,265
Interest income7,720-874-8,594
Other income1445428015493
Total revenues245,580456,31999,89315801,807
Property operating expenses243308,18433,004-341,431
Net operating income from continuing operations245,337148,13566,88915460,376
Reconciling items:
Interest expense9,11527,4799,38374,856120,833
Depreciation and amortization67,269129,16236,887-233,318
General and administrative---32,86532,865
Transaction costs27563047-952
Loss (gain) on extinguishment of debt, net-(148)--(148)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities168,678(8,988)20,572(107,706)72,556
Income tax expense(355)(1,643)(262)-(2,260)
(Loss) income from unconsolidated entities1,382(7,961)1,023-(5,556)
Income (loss) from continuing operations169,705(18,592)21,333(107,706)64,740
Income (loss) from discontinued operations460---460
Net income (loss)$170,165$(18,592)$21,333$(107,706)$65,200

Three Months Ended
March 31, 2015March 31, 2014
Revenues:Amount%Amount%
United States$745,13683.3%$675,09984.2%
International149,04116.7%126,70815.8%
Total$894,177100.0%$801,807100.0%
As of
March 31, 2015December 31, 2014
Assets:Amount%Amount%
United States$21,880,93182.2%$20,728,47782.9%
International4,748,46417.8%4,285,81917.1%
Total$26,629,395100.0%$25,014,296100.0%