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Segment Reporting
12 Months Ended
Dec. 31, 2016
Segment Reporting [Abstract]  
Segment Reporting

17. Segment Reporting

     We invest in seniors housing and health care real estate. We evaluate our business and make resource allocations on our three operating segments: triple-net, seniors housing operating and outpatient medical. During the year ended December 31, 2016, we reclassified four properties previously classified in the triple-net segment to the outpatient medical segment. In addition, we reclassified interest expense on our foreign-denominated senior notes from the seniors housing operating segment to non-segment. Accordingly, the segment information provided in this Note has been reclassified to conform to the current presentation for all periods presented.

Our triple-net properties include long-term/post-acute care facilities, assisted living facilities, independent living/continuing care retirement communities, care homes (United Kingdom), independent support living facilities (Canada), care homes with nursing (United Kingdom) and combinations thereof. Under the triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our seniors housing operating properties include the seniors housing communities referenced above that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

Our outpatient medical properties include outpatient medical buildings and, during past years, life science buildings which are aggregated into our outpatient medical reportable segment. Our outpatient medical buildings are typically leased to multiple tenants and generally require a certain level of property management. During the year ended December 31, 2015, we disposed of our life science investments.

We evaluate performance based upon NOI of each segment. We define NOI as total revenues, including tenant reimbursements, less property operating expenses. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.

Non-segment revenue consists mainly of interest income on certain non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.

The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 2). The results of operations for all acquisitions described in Note 3 are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments. There are no intersegment sales or transfers.

     Summary information for the reportable segments (which excludes unconsolidated entities) during the years ended December 31, 2016, 2015 and 2014 is as follows (in thousands):

Year Ended December 31, 2016:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$1,112,325$-$536,490$-$1,648,815
Resident fees and services-2,504,731--2,504,731
Interest income90,4764,1803,307-97,963
Other income6,05917,0855,56893929,651
Total revenues1,208,8602,525,996545,3659394,281,160
Property operating expenses-1,711,882165,101-1,876,983
Net operating income from continuing operations1,208,860814,114380,2649392,404,177
Interest expense21,37081,85319,087399,035521,345
Loss (gain) on derivatives, net68--(2,516)(2,448)
Depreciation and amortization297,197415,429188,616-901,242
General and administrative---155,241155,241
Transaction costs10,01629,2073,687-42,910
Loss (gain) on extinguishment of debt, net863(88)-16,43917,214
Provision for loan losses6,935-3,280-10,215
Impairment of assets20,16912,4034,635-37,207
Other expenses---11,99811,998
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities852,242275,310160,959(579,258)709,253
Income tax expense(1,087)(3,762)(511)24,48819,128
(Loss) income from unconsolidated entities9,767(20,442)318-(10,357)
Income (loss) from continuing operations 860,922251,106160,766(554,770)718,024
Gain (loss) on real estate dispositions, net355,3949,880(1,228)-364,046
Net income (loss)$1,216,316$260,986$159,538$(554,770)$1,082,070
Total assets$10,713,032$12,851,414$4,951,538$349,200$28,865,184

Year Ended December 31, 2015:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$1,094,827$-$504,121$-$1,598,948
Resident fees and services-2,158,031--2,158,031
Interest income74,1084,1805,853-84,141
Other income6,8716,0604,6841,09118,706
Total revenues1,175,8062,168,271514,6581,0913,859,826
Property operating expenses-1,467,009155,248-1,622,257
Net operating income from continuing operations1,175,806701,262359,4101,0912,237,569
Interest expense28,38470,38827,542365,855492,169
Loss (gain) on derivatives, net(58,427)---(58,427)
Depreciation and amortization288,242351,733186,265-826,240
General and administrative---147,416147,416
Transaction costs53,19554,9662,765-110,926
Loss (gain) on extinguishment of debt, net10,095(195)-24,77734,677
Impairment of Assets2,220---2,220
Other expenses35,648--10,58346,231
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities816,449224,370142,838(547,540)636,117
Income tax expense(4,244)986245(3,438)(6,451)
(Loss) income from unconsolidated entities8,260(32,672)2,908-(21,504)
Income (loss) from continuing operations 820,465192,684145,991(550,978)608,162
Gain (loss) on real estate dispositions, net86,261-194,126-280,387
Net income (loss)$906,726$192,684$340,117$(550,978)$888,549
Total assets$12,358,605$11,519,902$5,060,676$84,662$29,023,845

Year Ended December 31, 2014:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$992,638$-$413,129$-$1,405,767
Resident fees and services-1,892,237--1,892,237
Interest income32,2552,1193,293-37,667
Other income2,9733,2151,0106777,875
Total revenues1,027,8661,897,571417,4326773,343,546
Property operating expenses7321,266,308136,318-1,403,358
Net operating income from continuing operations1,027,134631,263281,1146771,940,188
Interest expense32,13564,13031,050353,724481,039
Loss (gain) on derivatives, net(1,770)275--(1,495)
Depreciation and amortization273,296418,199152,635-844,130
General and administrative---142,943142,943
Transaction costs45,14616,8807,512-69,538
Loss (gain) on extinguishment of debt, net983834058,6729,558
Other expenses8,8251,437--10,262
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities669,404129,95989,512(504,662)384,213
Income tax expense6,141(3,047)(1,827)-1,267
(Loss) income from unconsolidated entities5,423(38,204)5,355-(27,426)
Income from continuing operations680,96888,70893,040(504,662)358,054
Income (loss) from discontinued operations7,135---7,135
Gain (loss) on real estate dispositions, net146,205-906-147,111
Net income (loss)$834,308$88,708$93,946$(504,662)$512,300

Our portfolio of properties and other investments are located in the United States, the United Kingdom and Canada. Revenues and assets are attributed to the country in which the property is physically located. The following is a summary of geographic information for the periods presented (dollars in thousands):

Year Ended
December 31, 2016December 31, 2015December 31, 2014
Revenues:Amount%Amount%Amount%
United States$3,453,48580.6%$3,133,32781.2%$2,801,47483.8%
United Kingdom388,3839.1%407,74510.6%305,2759.1%
Canada439,29210.3%318,7548.3%236,7977.1%
Total$4,281,160100.0%$3,859,826100.0%$3,343,546100.0%
As of
December 31, 2016December 31, 2015
Assets:Amount%Amount%
United States$23,572,45981.7%$23,513,49881.0%
United Kingdom2,782,4899.6%2,958,50910.2%
Canada2,510,2368.7%2,551,8388.8%
Total$28,865,184100.0%$29,023,845100.0%