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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2016
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
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
Net operating income from continuing operations310,864199,49594,905189605,453
Interest expense98539,9273,98684,801129,699
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 entities228,90044,27539,583(118,924)193,834
Income tax expense(896)515417269305
(Loss) income from unconsolidated entities1,998(3,891)144-(1,749)
Income (loss) from continuing operations230,00240,89940,144(118,655)192,390
Gain (loss) on real estate dispositions, net163,579-(1,228)-162,351
Net income (loss)$393,581$40,899$38,916$(118,655)$354,741
Total assets$11,988,519$12,580,092$4,899,012$388,716$29,856,339

Three Months Ended September 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$277,614$-$131,676$-$409,290
Resident fees and services-545,255--545,255
Interest income19,4541,0541,872-22,380
Other income969772309222,072
Total revenues298,037547,081133,85722978,997
Property operating expenses-368,05040,653-408,703
Net operating income from continuing operations298,037179,03193,20422570,294
Interest expense11,34730,9906,81171,982121,130
Depreciation and amortization72,58987,30645,904-205,799
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 entities212,37553,10540,651(109,633)196,498
Income tax expense873,237154(134)3,344
(Loss) income from unconsolidated entities2,851(5,629)147-(2,631)
Income (loss) from continuing operations215,31350,71340,952(109,767)197,211
Gain (loss) on real estate dispositions, net2,155-(109)-2,046
Net income (loss)$217,468$50,713$40,843$(109,767)$199,257

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
Net operating income from continuing operations929,343603,219287,4237051,820,690
Interest expense8,608123,44515,132247,800394,985
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 entities665,588153,249123,402(370,174)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 operations672,260142,840123,431(371,451)567,080
Gain (loss) on real estate dispositions, net165,109-(1,228)-163,881
Net income (loss)$837,369$142,840$122,203$(371,451)$730,961

Nine Months Ended September 30, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$812,179$-$373,323$-$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 revenues870,3451,581,445378,469832,830,342
Property operating expenses-1,067,127116,392-1,183,519
Net operating income from continuing operations870,345514,318262,077831,646,823
Interest expense21,083104,28321,192214,513361,071
Loss (gain) on derivatives, net(58,427)---(58,427)
Depreciation and amortization212,537252,785138,109-603,431
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 entities637,221133,640101,622(360,351)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 operations640,301106,110104,939(361,218)490,132
Gain (loss) on real estate dispositions, net56,251-192,751-249,002
Net income (loss)$696,552$106,110$297,690$(361,218)$739,134

Three Months EndedNine Months Ended
September 30, 2016September 30, 2015September 30, 2016September 30, 2015
Revenues:Amount%Amount%Amount%Amount%
United States$874,05081.0%$793,42981.0%$2,581,53380.7%$2,309,59681.6%
United Kingdom95,0688.8%106,37210.9%295,2039.1%301,71810.7%
Canada110,01510.2%79,1968.1%326,10210.2%219,0287.7%
Total$1,079,133100.0%$978,997100.0%$3,202,838100.0%$2,830,342100.0%
As of
September 30, 2016December 31, 2015
Assets:Amount%Amount%
United States$24,600,43682.4%$25,995,79389.6%
United Kingdom2,715,8179.1%1,741,9736.0%
Canada2,540,0868.5%1,286,0794.4%
Total$29,856,339100.0%$29,023,845100.0%