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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2014
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
Three Months Ended March 31, 2014:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 214,828$ -$ 121,627$ -$ 336,455
Resident fees and services - 456,265 - - 456,265
Interest income 5,439 - 3,155 - 8,594
Other income 121 54 303 15 493
Total revenues 220,388 456,319 125,085 15 801,807
Property operating expenses - (308,184) (33,247) - (341,431)
Net operating income from continuing operations 220,388 148,135 91,838 15 460,376
Reconciling items:
Interest expense (8,890) (27,479) (9,608) (74,856) (120,833)
Depreciation and amortization (61,404) (129,162) (42,752) - (233,318)
General and administrative - - - (32,865) (32,865)
Transaction costs (275) (630) (47) - (952)
(Loss) gain on extinguishment of debt, net - 148 - - 148
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 149,819$ (8,988)$ 39,431$ (107,706)$ 72,556
Total assets$ 9,407,112$ 9,081,864$ 4,670,775$ 51,291$ 23,211,042
Three Months Ended March 31, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 183,296$ -$ 109,347$ -$ 292,643
Resident fees and services - 327,324 - - 327,324
Interest income 5,844 757 2,456 - 9,057
Other income 209 - 410 81 700
Total revenues 189,349 328,081 112,213 81 629,724
Property operating expenses - (224,503) (28,320) - (252,823)
Net operating income from continuing operations 189,349 103,578 83,893 81 376,901
Reconciling items:
Interest expense (5,805) (19,070) (8,861) (75,102) (108,838)
(Loss) gain on derivatives, net - (2,309) - - (2,309)
Depreciation and amortization (54,950) (89,875) (39,863) - (184,688)
General and administrative - - - (27,179) (27,179)
Transaction costs (494) (65,325) (161) - (65,980)
(Loss) gain on extinguishment of debt, net - 308 - - 308
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 128,100$ (72,693)$ 35,008$ (102,200)$ (11,785)

The following is a summary of geographic information for our operations for the periods presented (dollars in thousands):

Three Months Ended
March 31, 2014March 31, 2013
Revenues:Amount%Amount%
United States$ 675,09984.2%$ 569,32190.4%
International 126,70815.8% 60,4039.6%
Total$ 801,807100.0%$ 629,724100.0%
As of
March 31, 2014December 31, 2013
Assets:Amount%Amount%
United States$ 20,113,34086.7%$ 19,759,94585.6%
International 3,097,70213.3% 3,324,01214.4%
Total$ 23,211,042100.0%$ 23,083,957100.0%