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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.