Segment Reporting (Tables)

12 Months Ended

Dec. 31, 2017

Segment Reporting (Tables) [Abstract]

Summary of information for reportable segments

Summary information for the reportable segments (which excludes unconsolidated entities) during the years ended December 31, 2017, 2016 and 2015 is as follows (in thousands):

Year Ended December 31, 2017:		Triple-net		Seniors Housing Operating		Outpatient Medical		Non-segment / Corporate		Total
Rental income	$	885,811	$	-	$	560,060	$	-	$	1,445,871
Resident fees and services		-		2,779,423		-		-		2,779,423
Interest income		73,742		69		-		-		73,811
Other income		7,531		5,127		3,340		1,538		17,536
Total revenues		967,084		2,784,619		563,400		1,538		4,316,641
Property operating expenses		-		1,904,593		179,332		-		2,083,925
Consolidated net operating income		967,084		880,026		384,068		1,538		2,232,716
Interest expense		15,194		63,265		10,015		396,148		484,622
Loss (gain) on derivatives, net		2,284		-		-		-		2,284
Depreciation and amortization		243,830		484,796		193,094		-		921,720
General and administrative		-		-		-		122,008		122,008
Loss (gain) on extinguishment of debt, net		29,083		3,785		4,373		-		37,241
Provision for loan losses		62,966		-		-		-		62,966
Impairment of assets		96,909		21,949		5,625		-		124,483
Other expenses		116,689 (1)		8,347		1,911		50,829 (2)		177,776
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities		400,129		297,884		169,050		(567,447)		299,616
Income tax benefit (expense)		(4,291)		(16,430)		(1,477)		2,070		(20,128)
(Loss) income from unconsolidated entities		19,428		(105,236)		2,683		-		(83,125)
Income (loss) from continuing operations		415,266		176,218		170,256		(565,377)		196,363
Gain (loss) on real estate dispositions, net		286,325		56,295		1,630		-		344,250
Net income (loss)	$	701,591	$	232,513	$	171,886	$	(565,377)	$	540,613
Total assets	$	9,325,344	$	13,432,001	$	5,082,145	$	104,955	$	27,944,445
(1) Primarily represents non-capitalizable transaction costs, including $88,316,000 due to a joint venture transaction with an existing seniors housing operator which converted a portfolio of properties from triple-net to seniors housing operating, an exchange of PropCo/OpCo interests, and termination/restructuring of pre-existing relationships. In addition, includes $18,294,000 other than temporary impairment charge on the Genesis available-for-sale equity investment (see also Notes 11 and 16).
(2) Primarily related to $40,730,000 recognized for the donation of the corporate headquarters. See also Note 12.

Year Ended December 31, 2016:		Triple-net		Seniors Housing Operating		Outpatient Medical		Non-segment / Corporate		Total
Rental income	$	1,112,325	$	-	$	536,490	$	-	$	1,648,815
Resident fees and services		-		2,504,731		-		-		2,504,731
Interest income		90,476		4,180		3,307		-		97,963
Other income		6,059		17,085		5,568		939		29,651
Total revenues		1,208,860		2,525,996		545,365		939		4,281,160
Property operating expenses		-		1,711,882		165,101		-		1,876,983
Consolidated net operating income		1,208,860		814,114		380,264		939		2,404,177
Interest expense		21,370		81,853		19,087		399,035		521,345
Loss (gain) on derivatives, net		68		-		-		(2,516)		(2,448)
Depreciation and amortization		297,197		415,429		188,616		-		901,242
General and administrative		-		-		-		155,241		155,241
Transaction costs		10,016		29,207		3,687		-		42,910
Loss (gain) on extinguishment of debt, net		863		(88)		-		16,439		17,214
Provision for loan losses		6,935		-		3,280		-		10,215
Impairment of assets		20,169		12,403		4,635		-		37,207
Other expenses		-		-		-		11,998		11,998
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities		852,242		275,310		160,959		(579,258)		709,253
Income tax benefit (expense)		(1,087)		(3,762)		(511)		24,488		19,128
(Loss) income from unconsolidated entities		9,767		(20,442)		318		-		(10,357)
Income (loss) from continuing operations		860,922		251,106		160,766		(554,770)		718,024
Gain (loss) on real estate dispositions, net		355,394		9,880		(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-net		Seniors Housing Operating		Outpatient Medical		Non-segment / Corporate		Total
Rental income	$	1,094,827	$	-	$	504,121	$	-	$	1,598,948
Resident fees and services		-		2,158,031		-		-		2,158,031
Interest income		74,108		4,180		5,853		-		84,141
Other income		6,871		6,060		4,684		1,091		18,706
Total revenues		1,175,806		2,168,271		514,658		1,091		3,859,826
Property operating expenses		-		1,467,009		155,248		-		1,622,257
Consolidated net operating income		1,175,806		701,262		359,410		1,091		2,237,569
Interest expense		28,384		70,388		27,542		365,855		492,169
Loss (gain) on derivatives, net		(58,427)		-		-		-		(58,427)
Depreciation and amortization		288,242		351,733		186,265		-		826,240
General and administrative		-		-		-		147,416		147,416
Transaction costs		53,195		54,966		2,765		-		110,926
Loss (gain) on extinguishment of debt, net		10,095		(195)		-		24,777		34,677
Impairment of assets		2,220		-		-		-		2,220
Other expenses		35,648		-		-		10,583		46,231
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities		816,449		224,370		142,838		(547,540)		636,117
Income tax benefit (expense)		(4,244)		986		245		(3,438)		(6,451)
(Loss) income from unconsolidated entities		8,260		(32,672)		2,908		-		(21,504)
Income from continuing operations		820,465		192,684		145,991		(550,978)		608,162
Gain (loss) on real estate dispositions, net		86,261		-		194,126		-		280,387
Net income (loss)	$	906,726	$	192,684	$	340,117	$	(550,978)	$	888,549

		Year Ended
		December 31, 2017			December 31, 2016			December 31, 2015
Revenues:		Amount	%		Amount	%		Amount	%
United States	$	3,464,527	80.3%	$	3,453,485	80.6%	$	3,133,327	81.1%
United Kingdom		407,351	9.4%		388,383	9.1%		407,745	10.6%
Canada		444,763	10.3%		439,292	10.3%		318,754	8.3%
Total	$	4,316,641	100.0%	$	4,281,160	100.0%	$	3,859,826	100.0%
		As of
		December 31, 2017			December 31, 2016
Assets:		Amount	%		Amount	%
United States	$	22,274,443	79.7%	$	23,572,459	81.7%
United Kingdom		3,239,039	11.6%		2,782,489	9.6%
Canada		2,430,963	8.7%		2,510,236	8.7%
Total	$	27,944,445	100.0%	$	28,865,184	100.0%