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Segment Reporting
6 Months Ended
Jun. 30, 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 June 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$279,990$-$116,636$-$396,626
Resident fees and services-535,553--535,553
Interest income18,1891,0421,345-20,576
Other income9703,210195394,414
Total revenues299,149539,805118,17639957,169
Property operating expenses-360,56937,785-398,354
Net operating income from continuing operations299,149179,23680,39139558,815
Reconciling items:
Interest expense2,67938,7967,18470,202118,861
Depreciation and amortization72,40288,84447,556-208,802
General and administrative---38,47438,474
Transaction costs7,5793,937975-12,491
Loss (gain) on extinguishment of debt, net(102)--18,98918,887
Other expenses-- 10,583 (1)10,583
Income (loss) from continuing operations before income taxes and income from unconsolidated entities216,59147,65924,676(138,209)150,717
Income tax expense(3,121)(3,449)(161)(686)(7,417)
(Loss) income from unconsolidated entities1,453(6,083)1,678-(2,952)
Income (loss) from continuing operations214,92338,12726,193(138,895)140,348
Gain (loss) on real estate dispositions, net--190,111-190,111
Net income (loss)$214,923$38,127$216,304$(138,895)$330,459
Total assets$12,191,264$10,432,990$4,701,830$81,398$27,407,482
(1) Due to termination of our investment in a strategic medical office partnership and costs associated with the retirement of an executive officer.

Three Months Ended June 30, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$248,134$-$99,713$-$347,847
Resident fees and services-467,639--467,639
Interest income7,98011942-8,933
Other income3251,264362762,027
Total revenues256,439468,914101,01776826,446
Property operating expenses447310,02933,278-343,754
Net operating income from continuing operations255,992158,88567,73976482,692
Reconciling items:
Interest expense8,65528,8338,34675,231121,065
Loss (gain) on derivatives, net73278--351
Depreciation and amortization67,372109,64437,433-214,449
General and administrative---51,66051,660
Transaction costs4,0071,6601,373-7,040
Loss (gain) on extinguishment of debt, net-531--531
Income (loss) from continuing operations before income taxes and income from unconsolidated entities175,88517,93920,587(126,815)87,596
Income tax expense(438)(801)(330)-(1,569)
(Loss) income from unconsolidated entities1,423(15,496)2,557-(11,516)
Income (loss) from continuing operations176,8701,64222,814(126,815)74,511
Income (loss) from discontinued operations6,675---6,675
Gain (loss) on real estate dispositions, net5,762-906-6,668
Net income (loss)$189,307$1,642$23,720$(126,815)$87,854

Six Months Ended June 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$544,396$-$231,817$-$776,213
Resident fees and services-1,028,063--1,028,063
Interest income32,8882,0732,609-37,570
Other income4,8534,229356629,500
Total revenues582,1371,034,365234,782621,851,346
Property operating expenses-699,07675,739-774,815
Net operating income from continuing operations582,137335,289159,043621,076,531
Reconciling items:
Interest expense12,70673,25514,809139,172239,942
Loss (gain) on derivatives, net(58,427)---(58,427)
Depreciation and amortization142,434165,47989,718-397,631
General and administrative---73,61273,612
Transaction costs43,75015,9791,316-61,045
Loss (gain) on extinguishment of debt, net10,235--24,05334,288
Impairment of assets2,220---2,220
Other expenses---10,58310,583
Income (loss) from continuing operations before income taxes and income from unconsolidated entities429,21980,57653,200(247,358)315,637
Income tax expense(2,703)(3,982)305(733)(7,113)
(Loss) income from unconsolidated entities2,846(21,156)2,710-(15,600)
Income (loss) from continuing operations429,36255,43856,215(248,091)292,924
Gain (loss) on real estate dispositions, net54,097-192,859-246,956
Net income (loss)$483,459$55,438$249,074$(248,091)$539,880

Six Months Ended June 30, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$485,852$-$198,451$-$684,303
Resident fees and services-923,904--923,904
Interest income15,700111,816-17,527
Other income4681,318643912,520
Total revenues502,020925,233200,910911,628,254
Property operating expenses690618,21366,282-685,185
Net operating income from continuing operations501,330307,020134,62891943,069
Reconciling items:
Interest expense17,76956,31217,730150,087241,898
Loss (gain) on derivatives, net73278--351
Depreciation and amortization134,640238,80674,320-447,766
General and administrative---84,52484,524
Transaction costs4,2832,2901,420-7,993
Loss (gain) on extinguishment of debt, net-383--383
Income (loss) from continuing operations before income taxes and income from unconsolidated entities344,5658,95141,158(234,520)160,154
Income tax expense(793)(2,444)(593)-(3,830)
(Loss) income from unconsolidated entities2,804(23,457)3,580-(17,073)
Income (loss) from continuing operations346,576(16,950)44,145(234,520)139,251
Income (loss) from discontinued operations7,135---7,135
Gain (loss) on real estate dispositions, net5,762-906-6,668
Net income (loss)$359,473$(16,950)$45,051$(234,520)$153,054

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 EndedSix Months Ended
June 30, 2015June 30, 2014June 30, 2015June 30, 2014
Revenues:Amount%Amount%Amount%Amount%
United States$771,03180.6%$695,92284.2%$1,516,16881.9%$1,371,02184.2%
International186,13819.4%130,52415.8%335,17818.1%257,23315.8%
Total$957,169100.0%$826,446100.0%$1,851,346100.0%$1,628,254100.0%
As of
June 30, 2015December 31, 2014
Assets:Amount%Amount%
United States$22,273,46381.3%$20,728,47782.9%
International5,134,01918.7%4,285,81917.1%
Total$27,407,482100.0%$25,014,296100.0%