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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2017
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
Three Months Ended September 30, 2017:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$221,555$-$141,325$-$362,880
Resident fees and services-702,380--702,380
Interest income20,187---20,187
Other income3,1741,4976676986,036
Total revenues244,916703,877141,9926981,091,483
Property operating expenses-478,77745,220-523,997
Consolidated net operating income244,916225,10096,772698567,486
Interest expense3,62216,3692,92999,658122,578
Loss (gain) on derivatives, net324---324
Depreciation and amortization62,891119,08948,158-230,138
General and administrative---29,91329,913
Other expenses 89,236 (1)5,1575304,67299,595
Income (loss) from continuing operations before income taxes and income from unconsolidated entities88,84384,48545,155(133,545)84,938
Income tax (expense) benefit(816)(1,519)(366)2,032(669)
Income (loss) from unconsolidated entities5,478(2,886)816-3,408
Income (loss) from continuing operations93,50580,08045,605(131,513)87,677
Gain (loss) on real estate dispositions, net(185)(197)2,004-1,622
Net income (loss)$93,320$79,883$47,609$(131,513)$89,299
Total assets$9,463,910$13,538,090$4,992,534$185,845$28,180,379
(1) Represents non-capitalizable transaction costs primarily related to a joint venture transaction with an existing seniors housing operator including the conversion of properties from triple-net to seniors housing operating, an exchange of PropCo/OpCo interests, and termination/restructuring of pre-existing relationships.

Three Months Ended September 30, 2016:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$286,226$-$134,926$-$421,152
Resident fees and services-630,017--630,017
Interest income23,0171,0541,009-25,080
Other income1,6217163581892,884
Total revenues310,864631,787136,2931891,079,133
Property operating expenses-432,29241,388-473,680
Consolidated net operating income310,864199,49594,905189605,453
Interest expense4,71420,3603,986100,639129,699
Loss (gain) on derivatives, net---(2,516)(2,516)
Depreciation and amortization74,29697,21046,555-218,061
General and administrative---36,82836,828
Transaction costs1,61318,083146-19,842
Impairment of assets5,070-4,635-9,705
Income (loss) from continuing operations before income taxes and income from unconsolidated entities225,17163,84239,583(134,762)193,834
Income tax (expense) benefit(896)515417269305
Income (loss) from unconsolidated entities1,998(3,891)144-(1,749)
Income (loss) from continuing operations226,27360,46640,144(134,493)192,390
Gain (loss) on real estate dispositions, net163,579-(1,228)-162,351
Net income (loss)$389,852$60,466$38,916$(134,493)$354,741

Nine Months Ended September 30, 2017:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$666,735$-$418,886$-$1,085,621
Resident fees and services-2,049,757--2,049,757
Interest income61,76769--61,836
Other income7,4964,0052,4971,17115,169
Total revenues735,9982,053,831421,3831,1713,212,383
Property operating expenses-1,400,313135,708-1,536,021
Consolidated net operating income735,998653,518285,6751,1711,676,362
Interest expense11,64747,5877,342290,829357,405
Loss (gain) on derivatives, net2,284---2,284
Depreciation and amortization182,672356,023144,567-683,262
General and administrative---93,64393,643
Loss (gain) on extinguishment of debt, net29,0833,4144,373-36,870
Impairment of assets4,84614,1915,625-24,662
Other expenses96,4258,1002,20110,882117,608
Income (loss) from continuing operations before income taxes and income from unconsolidated entities409,041224,203121,567(394,183)360,628
Income tax (expense) benefit(2,070)9,133(655)(873)5,535
Income (loss) from unconsolidated entities14,983(40,527)1,868-(23,676)
Income (loss) from continuing operations421,954192,809122,780(395,056)342,487
Gain (loss) on real estate dispositions, net273,05112,8142,004-287,869
Net income (loss)$695,005$205,623$124,784$(395,056)$630,356

Nine Months Ended September 30, 2016:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$857,184$-$402,258$-$1,259,442
Resident fees and services-1,847,386--1,847,386
Interest income67,8423,1263,307-74,275
Other income4,31711,8894,82470521,735
Total revenues929,3431,862,401410,3897053,202,838
Property operating expenses-1,259,182122,966-1,382,148
Consolidated net operating income929,343603,219287,4237051,820,690
Interest expense16,83261,15715,132301,864394,985
Loss (gain) on derivatives, net---(2,516)(2,516)
Depreciation and amortization229,906301,354142,066-673,326
General and administrative---122,434122,434
Transaction costs5,76025,2592,188-33,207
Loss (gain) on extinguishment of debt, net97(88)--9
Impairment of assets19,384-4,635-24,019
Other expenses---3,1613,161
Income (loss) from continuing operations before income taxes and income from unconsolidated entities657,364215,537123,402(424,238)572,065
Income tax expense(1,425)5,304(59)(1,277)2,543
(Loss) income from unconsolidated entities8,097(15,713)88-(7,528)
Income (loss) from continuing operations664,036205,128123,431(425,515)567,080
Gain (loss) on real estate dispositions, net165,109-(1,228)-163,881
Net income (loss)$829,145$205,128$122,203$(425,515)$730,961

Three Months EndedNine Months Ended
September 30, 2017September 30, 2016September 30, 2017September 30, 2016
Revenues:Amount%Amount%Amount%Amount%
United States$871,43179.9%$874,05081.0%$2,582,04280.4%$2,581,53380.6%
United Kingdom105,0289.6%95,0688.8%298,6189.3%295,2039.2%
Canada115,02410.5%110,01510.2%331,72310.3%326,10210.2%
Total$1,091,483100.0%$1,079,133100.0%$3,212,383100.0%$3,202,838100.0%
As of
September 30, 2017December 31, 2016
Assets:Amount%Amount%
United States$22,535,20980.0%$23,572,45981.7%
United Kingdom3,202,18011.3%2,782,4899.6%
Canada2,442,9908.7%2,510,2368.7%
Total$28,180,379100.0%$28,865,184100.0%