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Segment Reporting
3 Months Ended
Jun. 30, 2013
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 five operating segments: seniors housing triple-net, seniors housing operating, medical office buildings, hospitals and life science. Our seniors housing triple-net properties include skilled nursing/post-acute facilities, assisted living facilities, independent living/continuing care retirement communities and combinations thereof. Under the seniors housing 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 seniors housing communities that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

Our medical facility properties include medical office buildings, hospitals and life science buildings which are aggregated into our medical facilities reportable segment. Our medical office buildings are typically leased to multiple tenants and generally require a certain level of property management. Our hospital investments are leased and we are not involved in the management of the property. Our life science investment represents an investment in an unconsolidated entity (see Note 7).

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, 2012, as updated by our Current Report on Form 8-K filed on May 7, 2013). 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.

We evaluate performance based upon net operating income from continuing operations (“NOI”) of each segment. We define NOI as total revenues, including tenant reimbursements, less property level operating expenses, which exclude depreciation and amortization, general and administrative expenses, transaction costs, provision for loan losses and interest expense. We believe NOI provides investors relevant and useful information because 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 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.

     Summary information for the reportable segments for the three and six months ended June 30, 2013 and 2012 is as follows (in thousands):

Three Months Ended June 30, 2013:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 188,941 $ - $ 113,524 $ - $ 302,465
Resident fees and services   -   370,995   -   -   370,995
Interest income   5,433   -   2,207   -   7,640
Other income   199   -   662   164   1,025
Total revenues   194,573   370,995   116,393   164   682,125
                
Property operating expenses   -   (248,972)   (29,615)   -   (278,587)
Net operating income from continuing operations   194,573   122,023   86,778   164   403,538
                
Reconciling items:               
Interest expense   (3,661)   (19,412)   (10,256)   (77,300)   (110,629)
(Loss) gain on derivatives, net   -   2,716   -   -   2,716
Depreciation and amortization   (55,571)   (103,646)   (40,891)   -   (200,108)
General and administrative   -   -   -   (23,902)   (23,902)
Transaction costs   (11,211)   (16,799)   (126)   -   (28,136)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 124,130 $ (15,118) $ 35,505 $ (101,038) $ 43,479
                
Total assets $ 8,527,476 $ 8,647,125 $ 4,544,110 $ 477,682 $ 22,196,393

Three Months Ended June 30, 2012:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 168,911 $ - $ 94,793 $ - $ 263,704
Resident fees and services   -   165,654   -   -   165,654
Interest income   5,984   -   1,895   -   7,879
Other income   761   -   478   243   1,482
Total revenues   175,656   165,654   97,166   243   438,719
                
Property operating expenses   -   (111,340)   (24,499)   -   (135,839)
Net operating income from continuing operations   175,656   54,314   72,667   243   302,880
                
Reconciling items:               
Interest expense   -   (16,227)   (6,596)   (68,476)   (91,299)
(Loss) gain on derivatives, net   (96)   2,772   -   -   2,676
Depreciation and amortization   (52,416)   (37,745)   (37,438)   -   (127,599)
General and administrative   -   -   -   (25,870)   (25,870)
Transaction costs   (23,683)   (2,821)   (2,187)   -   (28,691)
(Loss) gain on extinguishment of debt, net   (2,238)   1,179   483   -   (576)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 97,223 $ 1,472 $ 26,929 $ (94,103) $ 31,521

Six Months Ended June 30, 2013:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 373,703 $ - $ 225,050 $ - $ 598,753
Resident fees and services   -   698,319   -   -   698,319
Interest income   11,276   757   4,663   -   16,696
Other income   408   -   1,072   245   1,725
Total revenues   385,387   699,076   230,785   245   1,315,493
                
Property operating expenses   -   (473,475)   (58,466)   -   (531,941)
Net operating income from continuing operations   385,387   225,601   172,319   245   783,552
                
Reconciling items:               
Interest expense   (9,873)   (38,482)   (19,828)   (152,402)   (220,585)
(Loss) gain on derivatives, net   -   407   -   -   407
Depreciation and amortization   (111,456)   (193,521)   (81,860)   -   (386,837)
General and administrative   -   -   -   (51,081)   (51,081)
Transaction costs   (11,705)   (82,124)   (287)   -   (94,116)
(Loss) gain on extinguishment of debt, net   -   308   -   -   308
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 252,353 $ (87,811) $ 70,344 $ (203,238) $ 31,648
                

Six Months Ended June 30, 2012:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 329,810 $ - $ 182,852 $ - $ 512,662
Resident fees and services   -   323,828   -   -   323,828
Interest income   11,861   -   4,159   -   16,020
Other income   1,606   -   1,082   478   3,166
Total revenues   343,277   323,828   188,093   478   855,676
                
Property operating expenses   -   (218,583)   (46,058)   -   (264,641)
Net operating income from continuing operations   343,277   105,245   142,035   478   591,035
                
Reconciling items:               
Interest expense   (252)   (32,062)   (14,871)   (132,595)   (179,780)
(Loss) gain on derivatives, net   (96)   2,217   -   -   2,121
Depreciation and amortization   (101,492)   (77,518)   (69,126)   -   (248,136)
General and administrative   -   -   -   (53,621)   (53,621)
Transaction costs   (25,205)   (4,399)   (4,666)   -   (34,270)
(Loss) gain on extinguishment of debt, net   (2,238)   1,179   483   -   (576)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 213,994 $ (5,338) $ 53,855 $ (185,738) $ 76,773

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 our operations for the periods presented (dollars in thousands):

  Three Months Ended  Six Months Ended
  June 30, 2013  June 30, 2012  June 30, 2013  June 30, 2012
Revenues: Amount%  Amount%  Amount%  Amount%
United States$ 595,10187.2% $ 436,66499.5% $ 1,167,92588.8% $ 853,62199.8%
International  87,02412.8%   2,0550.5%   147,56811.2%   2,0550.2%
Total$ 682,125100.0% $ 438,719100.0% $ 1,315,493100.0% $ 855,676100.0%
                
                
  As of        
  June 30, 2013  December 31, 2012        
Assets: Amount%  Amount%        
United States$ 19,059,15685.9% $ 18,692,21495.6%        
International  3,137,23714.1%   856,8954.4%        
Total$ 22,196,393100.0% $ 19,549,109100.0%