Segment Information (Tables)

12 Months Ended

Dec. 31, 2012

Segment Reporting [Abstract]

Summary information by reportable business segment

Summary information by reportable business segment is as follows:

For the year ended December 31, 2012:

	Triple-Net Leased Properties		Senior Living Operations			MOB Operations		All Other		Total
	(In thousands)
Revenues:
Rental income	$	831,221	$	—		$	362,839	$	—	$	1,194,060
Resident fees and services	—		1,229,479			—		—		1,229,479
Medical office building and other services revenue	4,438		—			16,303		—		20,741
Income from loans and investments	—		—			—		39,913		39,913
Interest and other income	—		—			—		1,106		1,106
Total revenues	$	835,659	$	1,229,479		$	379,142	$	41,019	$	2,485,299
Total revenues	$	835,659	$	1,229,479		$	379,142	$	41,019	$	2,485,299
Less:
Interest and other income	—		—			—		1,106		1,106
Property-level operating expenses	—		843,190			126,152		—		969,342
Medical office building services costs	—		—			9,883		—		9,883
Segment NOI	835,659		386,289			243,107		39,913		1,504,968
Income (loss) from unconsolidated entities	1,313		(48		)	16,889		—		18,154
Segment profit	$	836,972	$	386,241		$	259,996	$	39,913	1,523,122
Interest and other income										1,106
Interest expense										(293,401		)
Depreciation and amortization										(725,981		)
General, administrative and professional fees										(98,801		)
Loss on extinguishment of debt, net										(37,640		)
Merger-related expenses and deal costs										(63,183		)
Other										(6,956		)
Income tax benefit										6,282
Discontinued operations										57,227
Net income										$	361,775

For the year ended December 31, 2011:

	Triple-Net Leased Properties		Senior Living Operations		MOB Operations			All Other		Total
	(In thousands)
Revenues:
Rental income	$	637,294	$	—	$	166,161		$	—	$	803,455
Resident fees and services	—		868,095		—			—		868,095
Medical office building and other services revenue	2,217		—		34,254			—		36,471
Income from loans and investments	—		—		—			34,415		34,415
Interest and other income	—		—		—			1,217		1,217
Total revenues	$	639,511	$	868,095	$	200,415		$	35,632	$	1,743,653
Total revenues	$	639,511	$	868,095	$	200,415		$	35,632	$	1,743,653
Less:
Interest and other income	—		—		—			1,217		1,217
Property-level operating expenses	—		590,151		57,042			—		647,193
Medical office building services costs	—		—		27,082			—		27,082
Segment NOI	639,511		277,944		116,291			34,415		1,068,161
Income (loss) from unconsolidated entities	295		—		(347		)	—		(52		)
Segment profit	$	639,806	$	277,944	$	115,944		$	34,415	1,068,109
Interest and other income										1,217
Interest expense										(229,346		)
Depreciation and amortization										(447,664		)
General, administrative and professional fees										(74,537		)
Loss on extinguishment of debt, net										(27,604		)
Litigation proceeds, net										202,259
Merger-related expenses and deal costs										(153,923		)
Other										(7,270		)
Income tax benefit										30,660
Discontinued operations										1,360
Net income										$	363,261

For the year ended December 31, 2010:

	Triple-Net Leased Properties		Senior Living Operations		MOB Operations			All Other		Total
	(In thousands)
Revenues:
Rental income	$	453,592	$	—	$	69,747		$	—	$	523,339
Resident fees and services	—		446,301		—			—		446,301
Medical office building and other services revenue	—		—		14,098			—		14,098
Income from loans and investments	—		—		—			16,412		16,412
Interest and other income	—		—		—			484		484
Total revenues	$	453,592	$	446,301	$	83,845		$	16,896	$	1,000,634
Total revenues	$	453,592	$	446,301	$	83,845		$	16,896	$	1,000,634
Less:
Interest and other income	—		—		—			484		484
Property-level operating expenses	—		291,831		24,122			—		315,953
Medical office building services costs	—		—		9,518			—		9,518
Segment NOI	453,592		154,470		50,205			16,412		674,679
Loss from unconsolidated entities	—		—		(664		)	—		(664		)
Segment profit	$	453,592	$	154,470	$	49,541		$	16,412	674,015
Interest and other income										484
Interest expense										(172,474		)
Depreciation and amortization										(200,682		)
General, administrative and professional fees										(49,830		)
Loss on extinguishment of debt, net										(9,791		)
Merger-related expenses and deal costs										(19,243		)
Other										(272		)
Income tax expense										(5,201		)
Discontinued operations										32,723
Net income										$	249,729

Assets by reportable business segment

	Triple-Net Leased Properties		Senior Living Operations		MOB Operations			All Other		Total
	(In thousands)
Revenues:
Rental income	$	453,592	$	—	$	69,747		$	—	$	523,339
Resident fees and services	—		446,301		—			—		446,301
Medical office building and other services revenue	—		—		14,098			—		14,098
Income from loans and investments	—		—		—			16,412		16,412
Interest and other income	—		—		—			484		484
Total revenues	$	453,592	$	446,301	$	83,845		$	16,896	$	1,000,634
Total revenues	$	453,592	$	446,301	$	83,845		$	16,896	$	1,000,634
Less:
Interest and other income	—		—		—			484		484
Property-level operating expenses	—		291,831		24,122			—		315,953
Medical office building services costs	—		—		9,518			—		9,518
Segment NOI	453,592		154,470		50,205			16,412		674,679
Loss from unconsolidated entities	—		—		(664		)	—		(664		)
Segment profit	$	453,592	$	154,470	$	49,541		$	16,412	674,015
Interest and other income										484
Interest expense										(172,474		)
Depreciation and amortization										(200,682		)
General, administrative and professional fees										(49,830		)
Loss on extinguishment of debt, net										(9,791		)
Merger-related expenses and deal costs										(19,243		)
Other										(272		)
Income tax expense										(5,201		)
Discontinued operations										32,723
Net income										$	249,729

Assets by reportable business segment are as follows:

	As of December 31,
	2012				2011
	(Dollars in thousands)
Assets:
Triple-net leased properties	$	8,368,186	44.1	%	$	8,704,061	50.4	%
Senior living operations	6,274,207		33.1		5,758,497		33.3
MOB operations	3,703,453		19.5		2,433,160		14.1
All other assets	634,154		3.3		376,192		2.2
Total assets	$	18,980,000	100.0	%	$	17,271,910	100.0	%

Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment

Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment are as follows:

	For the Year Ended December 31,
	2012		2011		2010
	(In thousands)
Capital expenditures:
Triple-net leased (1)	$	139,680	$	133,761	$	12,884
Senior living (2)	758,371		370,455		10,268
MOB (3)	1,003,865		125,453		271,144
Total capital expenditures	$	1,901,916	$	629,669	$	294,296

(1) 2012 includes $58.1 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.

(2) 2012 includes $64.7 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.

(3) 2012 includes $11.2 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.

Revenues from external customers by geographic area

Geographic information regarding our operations is as follows:

	For the Year Ended December 31,
	2012		2011		2010
	(In thousands)
Revenues:
United States	$	2,389,330	$	1,651,614	$	916,104
Canada	95,969		92,039		84,530
Total revenues	$	2,485,299	$	1,743,653	$	1,000,634

Net real estate property by geographic area

	As of December 31,
	2012		2011
	(In thousands)
Net real estate property:
United States	$	16,711,508	$	15,510,824
Canada	400,024		402,908
Total net real estate property	$	17,111,532	$	15,913,732