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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2015
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
Three Months Ended September 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$285,027$-$124,263$-$409,290
Resident fees and services-545,255--545,255
Interest income19,4541,0541,872-22,380
Other income969772309222,072
Total revenues305,450547,081126,44422978,997
Property operating expenses-368,05040,653-408,703
Net operating income from continuing operations305,450179,03185,79122570,294
Reconciling items:
Interest expense12,35930,9907,12070,661121,130
Depreciation and amortization74,48687,30644,007-205,799
General and administrative---36,95036,950
Transaction costs1,8657,630(162)-9,333
Loss (gain) on extinguishment of debt, net(139)--723584
Income (loss) from continuing operations before income taxes and income from unconsolidated entities216,87953,10534,826(108,312)196,498
Income tax expense873,237154(134)3,344
(Loss) income from unconsolidated entities2,851(5,629)147-(2,631)
Income (loss) from continuing operations219,81750,71335,127(108,446)197,211
Gain (loss) on real estate dispositions, net2,155-(109)-2,046
Net income (loss)$221,972$50,713$35,018$(108,446)$199,257
Total assets$12,346,157$10,325,540$4,699,643$85,026$27,456,366

Three Months Ended September 30, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$250,748$-$103,400$-$354,148
Resident fees and services-482,412--482,412
Interest income7,5201,054770-9,344
Other income9813252071061,619
Total revenues259,249483,791104,377106847,523
Property operating expenses41320,89534,221-355,157
Net operating income from continuing operations259,208162,89670,156106492,366
Reconciling items:
Interest expense10,29426,6127,69273,837118,435
Loss (gain) on derivatives, net52(3)--49
Depreciation and amortization68,02795,81937,124-200,970
General and administrative---30,80330,803
Transaction costs1,61910,5721,363-13,554
Loss (gain) on extinguishment of debt, net(36)--2,7282,692
Other Expenses8,8251,437--10,262
Income (loss) from continuing operations before income taxes and income from unconsolidated entities170,42728,45923,977(107,262)115,601
Income tax expense5,9863,746466-10,198
(Loss) income from unconsolidated entities1,353(5,550)1,565-(2,632)
Income (loss) from continuing operations177,76626,65526,008(107,262)123,167
Gain (loss) on real estate dispositions, net29,604---29,604
Net income (loss)$207,370$26,655$26,008$(107,262)$152,771

Nine Months Ended September 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$829,422$-$356,080$-$1,185,502
Resident fees and services-1,573,318--1,573,318
Interest income52,3433,1264,481-59,950
Other income5,8235,0016658311,572
Total revenues887,5881,581,445361,226832,830,342
Property operating expenses-1,067,127116,392-1,183,519
Net operating income from continuing operations887,588514,318244,834831,646,823
Reconciling items:
Interest expense25,064104,24521,929209,833361,071
Loss (gain) on derivatives, net(58,427)---(58,427)
Depreciation and amortization216,921252,785133,725-603,431
General and administrative---110,562110,562
Transaction costs45,61523,6101,154-70,379
Loss (gain) on extinguishment of debt, net10,096--24,77634,872
Impairment of assets2,220---2,220
Other expenses---10,58310,583
Income (loss) from continuing operations before income taxes and income from unconsolidated entities646,099133,67888,026(355,671)512,132
Income tax expense(2,617)(745)460(867)(3,769)
(Loss) income from unconsolidated entities5,697(26,785)2,857-(18,231)
Income (loss) from continuing operations649,179106,14891,343(356,538)490,132
Gain (loss) on real estate dispositions, net56,251-192,751-249,002
Net income (loss)$705,430$106,148$284,094$(356,538)$739,134

Nine Months Ended September 30, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$736,599$-$301,852$-$1,038,451
Resident fees and services-1,406,316--1,406,316
Interest income23,2201,0652,586-26,871
Other income1,4481,6438501984,139
Total revenues761,2671,409,024305,2881982,475,777
Property operating expenses732939,108100,502-1,040,342
Net operating income from continuing operations760,535469,916204,7861981,435,435
Reconciling items:
Interest expense28,06382,92425,423223,924360,334
Loss (gain) on derivatives, net125275--400
Depreciation and amortization202,668334,625111,444-648,737
General and administrative---115,327115,327
Transaction costs5,90012,8632,783-21,546
Loss (gain) on extinguishment of debt, net(36)383-2,7283,075
Other expenses8,8251,437--10,262
Income (loss) from continuing operations before income taxes and income from unconsolidated entities514,99037,40965,136(341,781)275,754
Income tax expense5,1941,302(127)-6,369
(Loss) income from unconsolidated entities4,157(29,007)5,145-(19,705)
Income (loss) from continuing operations524,3419,70470,154(341,781)262,418
Income (loss) from discontinued operations7,135---7,135
Gain (loss) on real estate dispositions, net35,366-906-36,272
Net income (loss)$566,842$9,704$71,060$(341,781)$305,825

Three Months EndedNine Months Ended
September 30, 2015September 30, 2014September 30, 2015September 30, 2014
Revenues:Amount%Amount%Amount%Amount%
United States$793,42981.0%$707,84283.5%$2,309,59681.6%$2,078,86384.0%
International185,56819.0%139,68116.5%520,74618.4%396,91416.0%
Total$978,997100.0%$847,523100.0%$2,830,342100.0%$2,475,777100.0%
As of
September 30, 2015December 31, 2014
Assets:Amount%Amount%
United States$22,508,23482.0%$20,728,47782.9%
International4,948,13218.0%4,285,81917.1%
Total$27,456,366100.0%$25,014,296100.0%