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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2020
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, 2020:

Seniors Housing Operating

Triple-net
 
Outpatient Medical

Non-segment / Corporate

Total
Resident fees and services

$
849,972


$

 
$


$


$
849,972

Rental income



191,385

(1) 
198,575




389,960

Interest income

104


14,671

 
466




15,241

Other income

1,052


1,673

 
288


416


3,429

Total revenues

851,128

 
207,729

 
199,329

 
416


1,258,602

 
 
 
 
 
 
 
 
 
 


Property operating expenses

607,871


13,302

 
60,608




681,781

Consolidated net operating income

243,257

 
194,427

 
138,721

 
416


576,821

 
 
 
 
 
 
 
 
 
 


Depreciation and amortization

146,774


57,694

 
70,333




274,801

Interest expense

16,434


2,852

 
4,808


117,913


142,007

General and administrative expenses




 


35,481


35,481

Loss (gain) on derivatives and financial instruments, net



7,651

 




7,651

Provision for loan losses
 

 
7,072

 

 

 
7,072

Impairment of assets

3,495


24,332

 




27,827

Other expenses

2,989


513

 
1,007


1,783


6,292

Income (loss) from continuing operations before income taxes and other items

73,565

 
94,313

 
62,573

 
(154,761
)

75,690

Income tax (expense) benefit


 

 

 
(5,442
)

(5,442
)
Income (loss) from unconsolidated entities

(11,024
)

5,796

 
1,536




(3,692
)
Gain (loss) on real estate dispositions, net

(149
)

49,637

 
213,336




262,824

Income (loss) from continuing operations

62,392

 
149,746

 
277,445

 
(160,203
)

329,380

Net income (loss)

$
62,392

 
$
149,746

 
$
277,445

 
$
(160,203
)

$
329,380

 
 
 
 
 
 
 
 
 
 


Total assets

$
15,691,090


$
9,200,458

 
$
7,722,679


$
308,801


$
32,923,028

(1) During the three months ended March 31, 2020, we wrote off straight-line rent receivables of $32,268,000 recorded in rental income in conjunction with an amended lease.
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
 

 

 

 
(2,222
)
 
(2,222
)
Income (loss) 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
 
95,188

 
322,498

 
47,902

 
(173,286
)
 
292,302

Net income (loss)
 
$
95,188

 
$
322,498

 
$
47,902

 
$
(173,286
)
 
$
292,302


Summary of Geographic Information The following is a summary of geographic information for the periods presented (dollars in thousands): 
 
 
Three Months Ended
 
 
 
March 31, 2020
 
March 31, 2019
 
Revenues:
 
Amount(1)
 
%
 
Amount
 
%
 
United States
 
$
1,027,781

 
81.6
%
 
$
1,043,667

 
82.1
%
 
United Kingdom
 
117,882

 
9.4
%
 
112,418

 
8.8
%
 
Canada
 
112,939

 
9.0
%
 
116,160

 
9.1
%
 
Total
 
$
1,258,602

 
100.0
%
 
$
1,272,245

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
As of
 
 
 
March 31, 2020
 
December 31, 2019
 
Assets:
 
Amount
 
%
 
Amount
 
%
 
United States
 
$
27,431,135

 
83.3
%
 
$
27,513,911

 
82.4
%
 
United Kingdom
 
3,216,727

 
9.8
%
 
3,405,388

 
10.2
%
 
Canada
 
2,275,166

 
6.9
%
 
2,461,452

 
7.4
%
 
Total
 
$
32,923,028

 
100.0
%
 
$
33,380,751

 
100.0
%
 

(1) The United States, United Kingdom and Canada represent 77%, 10% and 13%, respectively, of our resident fees and services revenue stream for the three months ended March 31, 2020.