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Segment Reporting
9 Months Ended
Sep. 30, 2017
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 three months ended December 31, 2016, 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 Note 18). Our outpatient medical properties are typically leased to multiple tenants and generally require a certain level of property management.

We evaluate performance based upon consolidated net operating income (“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 as 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 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2016). 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) is as follows (in thousands):

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

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):

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%