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CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Real estate properties:    
Land $ 683,979us-gaap_Land $ 623,756us-gaap_Land
Buildings and improvements 5,554,632snh_InvestmentBuildingImprovementsCIPAndInvestments 4,639,869snh_InvestmentBuildingImprovementsCIPAndInvestments
Total real estate properties, gross 6,238,611us-gaap_RealEstateInvestmentPropertyAtCost 5,263,625us-gaap_RealEstateInvestmentPropertyAtCost
Less accumulated depreciation 983,850us-gaap_RealEstateInvestmentPropertyAccumulatedDepreciation 840,760us-gaap_RealEstateInvestmentPropertyAccumulatedDepreciation
Total real estate properties, net 5,254,761us-gaap_RealEstateInvestmentPropertyNet 4,422,865us-gaap_RealEstateInvestmentPropertyNet
Cash and cash equivalents 27,594us-gaap_CashAndCashEquivalentsAtCarryingValue 39,233us-gaap_CashAndCashEquivalentsAtCarryingValue
Restricted cash 10,544us-gaap_ReplacementReserveEscrow 12,514us-gaap_ReplacementReserveEscrow
Investments in available for sale securities 23,993us-gaap_AvailableForSaleSecurities 29,078us-gaap_AvailableForSaleSecurities
Deferred financing fees, net 30,549us-gaap_DeferredFinanceCostsNet 27,975us-gaap_DeferredFinanceCostsNet
Due from affiliate 18,296us-gaap_DueFromRelatedParties 19,618us-gaap_DueFromRelatedParties
Acquired real estate leases and other intangible assets, net 472,788us-gaap_FiniteLivedIntangibleAssetsNet 103,494us-gaap_FiniteLivedIntangibleAssetsNet
Other assets 129,744us-gaap_OtherAssets 109,889us-gaap_OtherAssets
Total assets 5,968,269us-gaap_Assets 4,764,666us-gaap_Assets
LIABILITIES AND SHAREHOLDERS' EQUITY    
Unsecured revolving credit facility 80,000us-gaap_LineOfCredit 100,000us-gaap_LineOfCredit
Unsecured term loan 350,000us-gaap_UnsecuredLongTermDebt  
Senior unsecured notes, net of discount 1,743,628us-gaap_SeniorNotes 1,093,337us-gaap_SeniorNotes
Secured debt and capital leases 627,076snh_SecuredDebtAndCapitalLeaseObligations 699,427snh_SecuredDebtAndCapitalLeaseObligations
Accrued interest 20,046us-gaap_InterestPayableCurrentAndNoncurrent 15,839us-gaap_InterestPayableCurrentAndNoncurrent
Due to affiliate 11,675us-gaap_DueToAffiliateCurrentAndNoncurrent 11,876us-gaap_DueToAffiliateCurrentAndNoncurrent
Assumed real estate lease obligations, net 122,826snh_OffMarketLeaseUnfavorableNet 12,528snh_OffMarketLeaseUnfavorableNet
Other liabilities 60,611us-gaap_OtherLiabilities 54,670us-gaap_OtherLiabilities
Total liabilities 3,015,862us-gaap_Liabilities 1,987,677us-gaap_Liabilities
Shareholders' equity:    
Common shares of beneficial interest, $.01 par value: 220,000,000 shares authorized, 203,910,305 and 188,167,643 shares issued and outstanding at December 31, 2014 and 2013, respectively 2,039us-gaap_CommonStockValue 1,881us-gaap_CommonStockValue
Additional paid in capital 3,825,063us-gaap_AdditionalPaidInCapitalCommonStock 3,497,590us-gaap_AdditionalPaidInCapitalCommonStock
Cumulative net income 1,353,622us-gaap_RetainedEarningsAccumulatedDeficit 1,194,985us-gaap_RetainedEarningsAccumulatedDeficit
Cumulative other comprehensive income 3,329us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax 8,412us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax
Cumulative distributions (2,231,646)snh_CumulativeCommonStockDividends (1,925,879)snh_CumulativeCommonStockDividends
Total shareholders' equity 2,952,407us-gaap_StockholdersEquity 2,776,989us-gaap_StockholdersEquity
Total liabilities and shareholders' equity $ 5,968,269us-gaap_LiabilitiesAndStockholdersEquity $ 4,764,666us-gaap_LiabilitiesAndStockholdersEquity