Segment Reporting (Tables)

3 Months Ended

Mar. 31, 2019

Segment Reporting [Abstract]

Summary Information for Reportable Segments

Summary information for the reportable segments (which excludes unconsolidated entities) is as follows (in thousands): 

Three Months Ended March 31, 2019:	Seniors Housing Operating			Triple-net			Outpatient Medical			Non-segment / Corporate			Total
Resident fees and services	$	868,285		$	—		$	—		$	—		$	868,285
Rental income	—			232,032			149,052			—			381,084
Interest income	—			14,946			173			—			15,119
Other income	4,101			1,263			236			2,157			7,757
Total revenues	872,386			248,241			149,461			2,157			1,272,245
Property operating expenses	607,686			14,955			48,166			—			670,807
Consolidated net operating income	264,700			233,286			101,295			2,157			601,438
Depreciation and amortization	131,575			61,348			51,009			—			243,932
Interest expense	18,251			3,440			3,348			120,193			145,232
General and administrative expenses	—			—			—			35,282			35,282
Loss (gain) on derivatives and financial instruments, net	—			(2,487		)	—			—			(2,487		)
Loss (gain) on extinguishment of debt, net	—			—			—			15,719			15,719
Provision for loan losses	—			18,690			—			—			18,690
Other expenses	2,946			3,029			754			2,027			8,756
Income (loss) from continuing operations before income taxes and other items	111,928			149,266			46,184			(171,064		)	136,314
Income tax (expense) benefit	(619		)	(951		)	(365		)	(287		)	(2,222		)
(Loss) income from unconsolidated entities	(16,580		)	5,658			1,723			—			(9,199		)
Gain (loss) on real estate dispositions, net	(160		)	167,574			(5		)	—			167,409
Income (loss) from continuing operations	94,569			321,547			47,537			(171,351		)	292,302
Net income (loss)	$	94,569		$	321,547		$	47,537		$	(171,351	)	$	292,302
Total assets	$	15,237,260		$	9,494,799		$	5,729,959		$	175,318		$	30,637,336

Three Months Ended March 31, 2018:	Seniors Housing Operating			Triple-net			Outpatient Medical			Non-segment/Corporate			Total
Resident fees and services	$	735,934		$	—		$	—		$	—		$	735,934
Rental income	—			206,831			136,538			—			343,369
Interest income	85			14,551			12			—			14,648
Other income	1,148			1,377			121			368			3,014
Total revenues	737,167			222,759			136,671			368			1,096,965
Property operating expenses	511,941			21			44,503			—			556,465
Consolidated net operating income	225,226			222,738			92,168			368			540,500
Depreciation and amortization	125,769			56,032			46,400			—			228,201
Interest expense	16,935			3,442			1,676			100,722			122,775
General and administrative expenses	—			—			—			33,705			33,705
Loss (gain) on derivatives and financial instruments, net	—			(7,173		)	—			—			(7,173		)
Loss (gain) on extinguishment of debt, net	(189		)	(32		)	11,928			—			11,707
Impairment of assets	2,301			25,884			—			—			28,185
Other expenses	(188		)	1,120			598			2,182			3,712
Income (loss) from continuing operations before income taxes and other items	80,598			143,465			31,566			(136,241		)	119,388
Income tax (expense) benefit	162			(1,136		)	(428		)	(186		)	(1,588		)
(Loss) income from unconsolidated entities	(9,480		)	5,821			1,230			—			(2,429		)
Gain (loss) on real estate dispositions, net	5			123,397			214,782			—			338,184
Income (loss) from continuing operations	71,285			271,547			247,150			(136,427		)	453,555
Net income (loss)	$	71,285		$	271,547		$	247,150		$	(136,427	)	$	453,555

Summary of Geographic Information

The following is a summary of geographic information for the periods presented (dollars in thousands): 

	Three Months Ended
	March 31, 2019				March 31, 2018
Revenues:	Amount		%		Amount		%
United States	$	1,043,667	82.1	%	$	863,789	78.8	%
United Kingdom	112,418		8.8	%	116,525		10.6	%
Canada	116,160		9.1	%	116,651		10.6	%
Total	$	1,272,245	100.0	%	$	1,096,965	100.0	%
	As of
	March 31, 2019				December 31, 2018
Assets:	Amount		%		Amount		%
United States	$	24,984,680	81.6	%	$	24,884,292	82.0	%
United Kingdom	3,230,152		10.5	%	3,078,994		10.2	%
Canada	2,422,504		7.9	%	2,378,786		7.8	%
Total	$	30,637,336	100.0	%	$	30,342,072	100.0	%