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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2013
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments

Summary information for the reportable segments (which excludes unconsolidated entities) during the years ended December 31, 2013, 2012 and 2011 is as follows (in thousands):

Year Ended December 31, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 780,785$ -$ 446,804$ -$ 1,227,589
Resident fees and services - 1,616,290 - - 1,616,290
Interest income 21,512 757 10,394 - 32,663
Other income 1,434 355 1,981 296 4,066
Total revenues 803,731 1,617,402 459,179 296 2,880,608
Property operating expenses - (1,089,239) (117,574) - (1,206,813)
Net operating income from continuing operations 803,731 528,163 341,605 296 1,673,795
Reconciling items:
Interest expense (23,322) (92,148) (36,823) (306,067) (458,360)
(Loss) gain on derivatives, net (4,877) 407 - - (4,470)
Depreciation and amortization (228,523) (478,007) (159,270) - (865,800)
General and administrative - - - (108,318) (108,318)
Transaction costs (24,350) (107,066) (1,985) - (133,401)
(Loss) gain on extinguishment of debt, net (40) 3,372 - (2,423) 909
Provision for loan losses (2,110) - - - (2,110)
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities$ 520,509$ (145,279)$ 143,527$ (416,512)$ 102,245
Total assets$ 9,232,833$ 8,984,316$ 4,718,527$ 148,281$ 23,083,957
Year Ended December 31, 2012:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 684,097$ -$ 379,117$ -$ 1,063,214
Resident fees and services - 697,494 - - 697,494
Interest income 24,380 6,208 8,477 - 39,065
Other income 2,412 - 1,947 912 5,271
Total revenues 710,889 703,702 389,541 912 1,805,044
Property operating expenses - (471,678) (96,311) - (567,989)
Net operating income from continuing operations 710,889 232,024 293,230 912 1,237,055
Reconciling items:
Interest expense (1,745) (67,524) (28,878) (263,418) (361,565)
(Loss) gain on derivatives, net (96) 1,921 - - 1,825
Depreciation and amortization (200,899) (165,798) (139,523) - (506,220)
General and administrative - - - (97,341) (97,341)
Transaction costs (35,705) (12,756) (13,148) - (61,609)
(Loss) gain on extinguishment of debt, net (2,405) 2,697 483 - 775
Provision for loan losses (27,008) - - - (27,008)
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities$ 443,031$ (9,436)$ 112,164$ (359,847)$ 185,912
Total assets$ 8,447,698$ 5,323,777$ 4,706,159$ 1,071,475$ 19,549,109
Year Ended December 31, 2011Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 537,581$ -$ 267,151$ -$ 804,732
Resident fees and services - 456,085 - - 456,085
Interest income 34,068 - 7,002 - 41,070
Other income 6,620 - 3,985 690 11,295
Total revenues 578,269 456,085 278,138 690 1,313,182
Property operating expenses - (314,142) (60,922) - (375,064)
Net operating income from continuing operations 578,269 141,943 217,216 690 938,118
Reconciling items:
Interest expense 2,802 (46,342) (18,557) (228,884) (290,981)
Depreciation and amortization (155,797) (138,192) (92,489) - (386,478)
General and administrative - - - (77,201) (77,201)
Transaction costs (27,993) (36,328) (5,903) - (70,224)
Loss (gain) on extinguishment of debt, net - 979 - - 979
Provision for loan losses - - (2,010) - (2,010)
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities$ 397,281$ (77,940)$ 98,257$ (305,395)$ 112,203
Year Ended
December 31, 2013December 31, 2012December 31, 2011
Revenues:Amount%Amount%Amount%
United States$ 2,489,19686.4%$ 1,778,50798.5%$ 1,313,182100.0%
International 391,41213.6% 26,5371.5% -0.0%
Total$ 2,880,608100.0%$ 1,805,044100.0%$ 1,313,182100.0%
As of
December 31, 2013December 31, 2012
Assets:Amount%Amount%
United States$ 19,759,94585.6%$ 18,692,21495.6%
International 3,324,01214.4% 856,8954.4%
Total$ 23,083,957100.0%$ 19,549,109100.0%