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Segment Reporting (Tables)
6 Months Ended
Jun. 30, 2017
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
Three Months Ended June 30, 2017:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$217,889$-$137,710$-$355,599
Resident fees and services-677,040--677,040
Interest income20,901---20,901
Other income2,5571,0491,2172395,062
Total revenues241,347678,089138,9272391,058,602
Property operating expenses-459,11142,744-501,855
Consolidated net operating income241,347218,97896,183239556,747
Interest expense2,51515,4032,12296,191116,231
Loss (gain) on derivatives, net736---736
Depreciation and amortization60,171117,19847,478-224,847
General and administrative---32,63232,632
Transaction costs
Loss (gain) on extinguishment of debt, net-2,5242,991-5,515
Impairment of assets4,8468,785--13,631
Other expenses2,1811,1651,3101,6836,339
Income (loss) from continuing operations before income taxes and income from unconsolidated entities170,89873,90342,282(130,267)156,816
Income tax (expense) benefit(1,471)10,247(351)238,448
Income (loss) from unconsolidated entities3,867(8,449)604-(3,978)
Income (loss) from continuing operations173,29475,70142,535(130,244)161,286
Gain (loss) on real estate dispositions, net42,155---42,155
Net income (loss)$215,449$75,701$42,535$(130,244)$203,441
Total assets$9,990,063$12,753,128$5,008,067$224,528$27,975,786

Three Months Ended June 30, 2016:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$287,134$-$135,494$-$422,628
Resident fees and services-615,220--615,220
Interest income21,9711,042994-24,007
Other income1,2068,9894,15345414,802
Total revenues310,311625,251140,6414541,076,657
Property operating expenses-417,99640,836-458,832
Consolidated net operating income310,311207,25599,805454617,825
Interest expense5,75420,2745,402100,896132,326
Depreciation and amortization75,809102,31248,448-226,569
General and administrative---39,91439,914
Transaction costs1,2913,247619-5,157
Loss (gain) on extinguishment of debt, net121(88)--33
Other expenses---3,1613,161
Income (loss) from continuing operations before income taxes and income from unconsolidated entities227,33681,51045,336(143,517)210,665
Income tax (expense) benefit(213)2,023(248)(1,049)513
Income (loss) from unconsolidated entities3,018(4,887)(90)-(1,959)
Income (loss) from continuing operations230,14178,64644,998(144,566)209,219
Gain (loss) on real estate dispositions, net1,530---1,530
Net income (loss)$231,671$78,646$44,998$(144,566)$210,749

Six Months Ended June 30, 2017:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$445,180$-$277,561$-$722,741
Resident fees and services-1,347,377--1,347,377
Interest income41,58069--41,649
Other income4,3212,5101,8304729,133
Total revenues491,0811,349,956279,3914722,120,900
Property operating expenses-921,53690,488-1,012,024
Consolidated net operating income491,081428,420188,9034721,108,876
Interest expense8,02531,2194,413191,170234,827
Loss (gain) on derivatives, net1,960---1,960
Depreciation and amortization119,781236,93596,408-453,124
General and administrative---63,73363,733
Loss (gain) on extinguishment of debt, net29,0833,4144,373-36,870
Impairment of assets4,84614,1915,625-24,662
Other expenses7,1902,9431,6716,21018,014
Income (loss) from continuing operations before income taxes and income from unconsolidated entities320,196139,71876,413(260,641)275,686
Income tax (expense) benefit(2,271)9,160(686)-6,203
Income (loss) from unconsolidated entities9,505(37,640)1,051-(27,084)
Income (loss) from continuing operations327,430111,23876,778(260,641)254,805
Gain (loss) on real estate dispositions, net273,23613,011--286,247
Net income (loss)$600,666$124,249$76,778$(260,641)$541,052

Six Months Ended June 30, 2016:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$570,958$-$267,332$-$838,290
Resident fees and services-1,217,369--1,217,369
Interest income44,8242,0732,298-49,195
Other income2,69511,1784,46651218,851
Total revenues618,4771,230,620274,0965122,123,705
Property operating expenses-826,89081,578-908,468
Consolidated net operating income618,477403,730192,5185121,215,237
Interest expense12,11740,79711,146201,225265,285
Depreciation and amortization155,609204,14495,512-455,265
General and administrative---85,60685,606
Transaction costs4,1437,1802,042-13,365
Loss (gain) on extinguishment of debt, net97(88)--9
Impairment of assets14,314---14,314
Other expenses---3,1613,161
Income (loss) from continuing operations before income taxes and income from unconsolidated entities432,197151,69783,818(289,480)378,232
Income tax expense(528)4,789(476)(1,546)2,239
(Loss) income from unconsolidated entities6,100(11,822)(56)-(5,778)
Income (loss) from continuing operations437,769144,66483,286(291,026)374,693
Gain (loss) on real estate dispositions, net1,530---1,530
Net income (loss)$439,299$144,664$83,286$(291,026)$376,223

Three Months EndedSix Months Ended
June 30, 2017June 30, 2016June 30, 2017June 30, 2016
Revenues:Amount%Amount%Amount%Amount%
United States$851,94380.5%$862,11580.1%$1,710,61180.7%$1,704,47080.3%
United Kingdom99,7479.4%102,5939.5%193,5909.1%203,1489.5%
Canada106,91210.1%111,94910.4%216,69910.2%216,08710.2%
Total$1,058,602100.0%$1,076,657100.0%$2,120,900100.0%$2,123,705100.0%
As of
June 30, 2017December 31, 2016
Assets:Amount%Amount%
United States$22,323,97379.8%$23,572,45981.7%
United Kingdom3,064,19611.0%2,782,4899.6%
Canada2,587,6179.2%2,510,2368.7%
Total$27,975,786100.0%$28,865,184100.0%