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Segment Reporting (Tables)
6 Months Ended
Jun. 30, 2015
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
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

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%