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Segment Reporting
3 Months Ended
Mar. 31, 2018
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. 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, 2017). 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 March 31, 2018:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$206,831$-$136,538$-$343,369
Resident fees and services-735,934--735,934
Interest income14,5518512-14,648
Other income1,3771,1481213683,014
Total revenues222,759737,167136,6713681,096,965
Property operating expenses21511,94144,503-556,465
Consolidated net operating income222,738225,22692,168368540,500
Interest expense3,44216,9351,676100,722122,775
Loss (gain) on derivatives and financial instruments, net(7,173)---(7,173)
Depreciation and amortization56,032125,76946,400-228,201
General and administrative---33,70533,705
Loss (gain) on extinguishment of debt, net(32)(189)11,928-11,707
Impairment of assets25,8842,301--28,185
Other expenses1,120(188)5982,1823,712
Income (loss) from continuing operations before income taxes and income from unconsolidated entities143,46580,59831,566(136,241)119,388
Income tax (expense) benefit(1,136)162(428)(186)(1,588)
Income (loss) from unconsolidated entities5,821(9,480)1,230-(2,429)
Income (loss) from continuing operations148,15071,28032,368(136,427)115,371
Gain (loss) on real estate dispositions, net123,3975214,782-338,184
Net income (loss)$271,547$71,285$247,150$(136,427)$453,555
Total assets$8,937,964$13,769,265$4,911,566$127,864$27,746,659

Three Months Ended March 31, 2017:Triple-netSeniors Housing OperatingOutpatient MedicalNon-segment / CorporateTotal
Rental income$227,290$-$139,851$-$367,141
Resident fees and services-670,337--670,337
Interest income20,67969--20,748
Other income1,7661,4616122334,072
Total revenues249,735671,867140,4632331,062,298
Property operating expenses-462,42547,744-510,169
Consolidated net operating income249,735209,44292,719233552,129
Interest expense5,51115,8162,29194,979118,597
Loss (gain) on derivatives and financial instruments, net1,224---1,224
Depreciation and amortization59,608119,73748,931-228,276
General and administrative---31,10131,101
Loss (gain) on extinguishment of debt, net29,0848901,382-31,356
Impairment of assets-5,4065,625-11,031
Other expenses5,0101,7783604,52711,675
Income (loss) from continuing operations before income taxes and income from unconsolidated entities149,29865,81534,130(130,374)118,869
Income tax (expense) benefit(800)(1,087)(335)(23)(2,245)
Income (loss) from unconsolidated entities5,638(29,191)(1)447-(23,106)
Income (loss) from continuing operations154,13635,53734,242(130,397)93,518
Gain (loss) on real estate dispositions, net231,08113,011--244,092
Net income (loss)$385,217$48,548$34,242$(130,397)$337,610
(1) Primarily due to the recognition of goodwill and intangible asset impairments on unconsolidated joint ventures, as well as non-recurring income tax expense.

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 Ended
March 31, 2018March 31, 2017
Revenues:Amount%Amount%
United States$863,78978.8%$858,66880.9%
United Kingdom116,52510.6%93,8438.8%
Canada116,65110.6%109,78710.3%
Total$1,096,965100.0%$1,062,298100.0%
As of
March 31, 2018December 31, 2017
Assets:Amount%Amount%
United States$21,847,42078.7%$22,274,44379.7%
United Kingdom3,397,90412.3%3,239,03911.6%
Canada2,501,3359.0%2,430,9638.7%
Total$27,746,659100.0%$27,944,445100.0%