10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

T QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2013

or

£ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from _____________ to _____________

Commission File Number: 001-32641

BROOKDALE SENIOR LIVING INC.

(Exact name of registrant as specified in its charter)

Delaware	20-3068069
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

111 Westwood Place, Suite 400, Brentwood, Tennessee	37027
(Address of principal executive offices)	(Zip Code)

(615) 221-2250

(Registrant's telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes  T  No  £

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes  T  No  £

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See the definitions of "large accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer   T	Accelerated filer                   £
Non-accelerated filer     £ (Do not check if a smaller reporting company)	Smaller reporting company  £

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes  £  No  T

As of May 3, 2013, 123,040,703 shares of the registrant's common stock, $0.01 par value, were outstanding (excluding unvested restricted shares).

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TABLE OF CONTENTS

BROOKDALE SENIOR LIVING INC.

FORM 10-Q

FOR THE QUARTER ENDED MARCH 31, 2013

		PAGE
PART I.	FINANCIAL INFORMATION
Item 1.	Financial Statements
	Condensed Consolidated Balance Sheets -
	As of March 31, 2013 (Unaudited) and December 31, 2012	4
	Condensed Consolidated Statements of Operations -
	Three months ended March 31, 2013 and 2012 (Unaudited)	5
	Condensed Consolidated Statements of Comprehensive Income -
	Three months ended March 31, 2013 and 2012 (Unaudited)	6
	Condensed Consolidated Statement of Stockholders' Equity -
	Three months ended March 31, 2013 (Unaudited)	7
	Condensed Consolidated Statements of Cash Flows -
	Three months ended March 31, 2013 and 2012 (Unaudited)	8
	Notes to Condensed Consolidated Financial Statements (Unaudited)	9
Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	21
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	39
Item 4.	Controls and Procedures	40
PART II.	OTHER INFORMATION
Item 1.	Legal Proceedings	40
Item 1A.	Risk Factors	40
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	40
Item 6.	Exhibits	41
Signatures		42

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PART I.   FINANCIAL INFORMATION

Item 1.   Financial Statements

BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except stock amounts)

	March 31, 2013			December 31, 2012
Assets	(Unaudited)
Current assets
Cash and cash equivalents	$	28,242		$	69,240
Cash and escrow deposits — restricted		42,666			43,096
Accounts receivable, net		109,178			100,401
Deferred tax asset		13,377			13,377
Prepaid expenses and other current assets, net		89,899			82,924
Total current assets		283,362			309,038
Property, plant and equipment and leasehold intangibles, net		3,853,423			3,879,977
Cash and escrow deposits — restricted		62,370			62,767
Investment in unconsolidated ventures		36,287			31,386
Goodwill		109,553			109,553
Other intangible assets, net		158,804			159,942
Other assets, net		117,109			113,315
Total assets	$	4,620,908		$	4,665,978
Liabilities and Stockholders' Equity
Current liabilities
Current portion of long-term debt	$	307,845		$	509,543
Trade accounts payable		45,920			43,184
Accrued expenses		187,466			200,895
Refundable entrance fees and deferred revenue		364,148			370,755
Tenant security deposits		5,966			6,521
Total current liabilities		911,345			1,130,898
Long-term debt, less current portion		2,286,085			2,089,826
Line of credit		45,000			80,000
Deferred entrance fee revenue		81,098			79,010
Deferred liabilities		150,444			150,788
Deferred tax liability		96,187			96,187
Other liabilities		42,880			42,283
Total liabilities		3,613,039			3,668,992
Stockholders' Equity
Preferred stock, $0.01 par value, 50,000,000 shares authorized at March 31, 2013 and December 31, 2012; no shares issued and outstanding		—			—
Common stock, $0.01 par value, 200,000,000 shares authorized at March 31, 2013 and December 31, 2012; 130,097,962 and 129,117,946 shares issued and 127,669,561 and 126,689,545 shares outstanding (including 4,629,150 and 3,951,950 unvested restricted shares), respectively		1,277			1,267
Additional paid-in-capital		2,005,261			1,997,946
Treasury stock, at cost; 2,428,401 shares at March 31, 2013 and December 31, 2012		(46,800	)		(46,800	)
Accumulated deficit		(951,869	)		(955,427	)
Total stockholders' equity		1,007,869			996,986
Total liabilities and stockholders' equity	$	4,620,908		$	4,665,978

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except per share data)

	Three Months Ended March 31,
	2013			2012
Revenue
Resident fees	$	624,370		$	596,549
Management fees		7,609			7,444
Reimbursed costs incurred on behalf of managed communities		80,287			78,715
Total revenue		712,266			682,708
Expense
Facility operating expense (excluding depreciation and amortization of $57,255 and $57,936, respectively)		413,003			398,769
General and administrative expense (including non-cash stock-based compensation expense of $6,894 and $6,435, respectively)		46,611			44,973
Facility lease expense		69,019			71,445
Depreciation and amortization		64,659			63,344
Asset impairment		—			1,083
Loss on acquisition		—			636
Gain on facility lease termination		—			(2,780	)
Costs incurred on behalf of managed communities		80,287			78,715
Total operating expense		673,579			656,185
Income from operations		38,687			26,523
Interest income		303			852
Interest expense:
Debt		(30,971	)		(32,050	)
Amortization of deferred financing costs and debt discount		(4,569	)		(4,473	)
Change in fair value of derivatives and amortization		135			(233	)
Loss on extinguishment of debt		—			(221	)
Equity in earnings of unconsolidated ventures		115			99
Other non-operating income (loss)		1,006			(111	)
Income (loss) before income taxes		4,706			(9,614	)
Provision for income taxes		(1,148	)		(930	)
Net income (loss)	$	3,558		$	(10,544	)
Basic earnings (loss) per share	$	0.03		$	(0.09	)
Weighted average shares used in computing basic earnings (loss) per share		122,823			121,145
Diluted earnings (loss) per share	$	0.03		$	(0.09	)
Weighted average shares used in computing diluted earnings (loss) per share		124,391			121,145

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited, in thousands)

	Three Months Ended March 31,
	2013		2012
Net income (loss)	$	3,558	$	(10,544	)
Other comprehensive income:
Unrealized gain on marketable securities - restricted		—		1,038
Other		—		9
Total other comprehensive income, net of tax		—		1,047
Comprehensive income (loss)	$	3,558	$	(9,497	)

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY

(Unaudited, in thousands)

	Common Stock
	Shares		Amount		Additional Paid-In- Capital		Treasury Stock			Accumulated Deficit			Total
Balances at January 1, 2013 as previously reported		126,689	$	1,267	$	1,997,946	$	(46,800	)	$	(949,696	)	$	1,002,717
Retrospective adjustment for adoption of accounting policy		―		―		―		―			(5,731	)		(5,731	)
Balances at January 1, 2013 as adjusted		126,689		1,267		1,997,946		(46,800	)		(955,427	)		996,986
Compensation expense related to restricted stock grants		―		―		6,894		―			―			6,894
Net income		―		―		―		―			3,558			3,558
Issuance of common stock under Associate Stock Purchase Plan		15		―		366		―			―			366
Restricted stock, net		966		10		―		―			―			10
Other		―		―		55		―			―			55
Balances at March 31, 2013		127,670	$	1,277	$	2,005,261	$	(46,800	)	$	(951,869	)	$	1,007,869

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

	Three Months Ended March 31,
	2013			2012
Cash Flows from Operating Activities
Net income (loss)	$	3,558		$	(10,544	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Loss on extinguishment of debt		―			221
Depreciation and amortization		69,228			67,817
Asset impairment		―			1,083
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Distributions from unconsolidated ventures from cumulative share of net earnings		668			206
Amortization of deferred gain		(1,093	)		(1,093	)
Amortization of entrance fees		(7,133	)		(6,066	)
Proceeds from deferred entrance fee revenue		9,237			7,000
Deferred income tax benefit		―			(135	)
Change in deferred lease liability		748			1,642
Change in fair value of derivatives and amortization		(135	)		233
(Gain) loss on sale of assets		(926	)		114
Loss  on acquisition		―			636
Gain on facility lease termination		―			(2,780	)
Non-cash stock-based compensation		6,894			6,435
Changes in operating assets and liabilities:
Accounts receivable, net		(9,064	)		(5,317	)
Prepaid expenses and other assets, net		9,140			(1,681	)
Accounts payable and accrued expenses		(10,871	)		(23,705	)
Tenant refundable fees and security deposits		(335	)		(442	)
Deferred revenue		(5,316	)		12,168
Net cash provided by operating activities		64,485			45,693
Cash Flows from Investing Activities
Increase in lease security deposits and lease acquisition deposits, net		(1,952	)		(2,217	)
Decrease in cash and escrow deposits — restricted		826			8,442
Purchase of marketable securities — restricted		―			(761	)
Additions to property, plant and equipment and leasehold intangibles, net of related payables		(51,614	)		(41,533	)
Acquisition of assets, net of related payables and cash received		(2	)		(104,984	)
Issuance of notes receivable, net		(17	)		(439	)
Investment in unconsolidated ventures		(5,843	)		―
Distributions received from unconsolidated ventures		―			100
Proceeds from sale of assets, net		440			―
Net cash used in investing activities		(58,162	)		(141,392	)
Cash Flows from Financing Activities
Proceeds from debt		8,955			175,838
Repayment of debt and capital lease obligations		(17,707	)		(86,068	)
Proceeds from line of credit		105,000			130,000
Repayment of line of credit		(140,000	)		(110,000	)
Payment of financing costs, net of related payables		(2,200	)		(2,378	)
Refundable entrance fees:
Proceeds from refundable entrance fees		7,636			7,989
Refunds of entrance fees		(9,320	)		(8,102	)
Cash portion of loss on extinguishment of debt		―			(118	)
Recouponing and payment of swap termination		―			(99	)
Other		315			(86	)
Net cash (used in) provided by financing activities		(47,321	)		106,976
Net (decrease) increase in cash and cash equivalents		(40,998	)		11,277
Cash and cash equivalents at beginning of period		69,240			30,836
Cash and cash equivalents at end of period	$	28,242		$	42,113

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1.  Description of Business

Brookdale Senior Living Inc. ("Brookdale" or the "Company") is a leading owner and operator of senior living communities throughout the United States.  The Company provides an exceptional living experience through properties that are designed, purpose-built and operated to provide the highest quality service, care and living accommodations for residents.  The Company owns, leases and operates retirement centers, assisted living and dementia-care communities and continuing care retirement centers ("CCRCs").  Through its Innovative Senior Care ("ISC") program, the Company also offers a range of outpatient therapy, home health and hospice services, primarily to residents of its communities.

2.  Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments necessary to present fairly the financial position, results of operations and cash flows of the Company as of March 31, 2013, and for all periods presented. The condensed consolidated financial statements are prepared on the accrual basis of accounting. All adjustments made have been of a normal and recurring nature. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. It is suggested that these interim financial statements be read in conjunction with the audited financial statements and the notes thereto, together with management's discussion and analysis of financial condition and results of operations, included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2012, as filed with the Securities and Exchange Commission.

Revenue Recognition

Resident Fees

Resident fee revenue is recorded when services are rendered and consists of fees for basic housing, support services and fees associated with additional services such as personalized health and assisted living care. Residency agreements are generally for a term of 30 days to one year, with resident fees billed monthly in advance. Revenue for certain skilled nursing services and ancillary charges is recognized as services are provided and is billed monthly in arrears.

Entrance Fees

Certain of the Company's communities have residency agreements which require the resident to pay an upfront entrance fee prior to occupying the community.  In addition, in connection with the Company's MyChoice program, new and existing residents are allowed to pay additional entrance fee amounts in return for a reduced monthly service fee.  The non-refundable portion of the entrance fee is recorded as deferred entrance fee revenue and amortized over the estimated stay of the resident based on an actuarial valuation.  The refundable portion of a resident's entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit, or in certain agreements, upon the resale of a comparable unit or 12 months after the resident vacates the unit.  In such instances the refundable portion of the fee is not amortized and included in refundable entrance fees and deferred revenue.  All refundable amounts due to residents at any time in the future are classified as current liabilities.

9

Management Fees

Management fee revenue is recorded as services are provided to the owners of the communities. Revenues are determined by an agreed upon percentage of gross revenues (as defined).

Reimbursed Costs Incurred on Behalf of Managed Communities

The Company manages certain communities under contracts which provide for payment to the Company of a monthly management fee plus reimbursement of certain operating expenses.  Where the Company is the primary obligor with respect to any such operating expenses, the Company recognizes revenue when the goods have been delivered or the service has been rendered and the Company is due reimbursement.  Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.  The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Fair Value of Financial Instruments

The Financial Accounting Standards Board ("FASB") issued Accounting Standards Codification ("ASC") 820 – Fair Value Measurements ("ASC 820"), which establishes a three-level valuation hierarchy for disclosure of fair value measurements.  The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date.  A financial instrument's categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.  The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and cash equivalents and cash and escrow deposits-restricted are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.  Management estimates the fair value of its long-term debt using a discounted cash flow analysis based upon the Company's current borrowing rate for debt with similar maturities and collateral securing the indebtedness.  The Company had outstanding debt with a carrying value and estimated fair value of approximately $2.6 billion and $2.7 billion as of March 31, 2013 and December 31, 2012, respectively. The Company's fair value of debt disclosure is classified within Level 2 of the valuation hierarchy.

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim.  As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts.  In addition, the Company maintains a large-deductible workers compensation program and a self-insured employee medical program. The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third party administrator estimates, consultants, advice from legal counsel and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored and estimates are updated as information is available.

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Cumulative Effect Adjustment

In July 2012, the FASB issued ASU 2012-01, Continuing Care Retirement Communities — Refundable Advance Fees ("ASU 2012-01").  ASU 2012-01 amends the situations in which recognition of deferred revenue for refundable advance fees is appropriate.  Under this amendment, refundable advance fees that are contingent upon reoccupancy by a subsequent resident but are not limited to the proceeds of reoccupancy should be accounted for and reported as a liability.  The guidance in ASU 2012-01 is effective for public companies for fiscal years, and interim periods within those years, beginning after December 15, 2012.  The Company adopted the provisions of this update as of January 1, 2013 and incorporated the provisions of this update to its consolidated financial statements through retrospective application to all periods presented and a cumulative effect adjustment to the Company's accumulated deficit as of January 1, 2013 in this Quarterly Report on Form 10-Q.

The effect of this change in accounting was not material to the consolidated results of operations or financial position for any period, including the first quarters of 2013 and 2012, and did not impact cash flows from operations in either period.  The Company increased its accumulated deficit by $5.7 million to reflect the net cumulative effect of the adoption of ASU 2012-01.

The related adjustments will be made to the applicable prior periods as such financial information is included in future filings with the SEC, but no later than the filing of the Company's Annual Report on Form 10-K for the year ending December 31, 2013.  The impact of all adjustments made to the prior annual consolidated financial statements is summarized as follows (dollars in thousands):

	As of and for the Year Ended December 31, 2012
	As Reported			Adjustment			As Adjusted
Consolidated Balance Sheets
Refundable entrance fees and deferred revenue	$	361,360		$	9,395		$	370,755
Deferred tax liability		99,851			(3,664	)		96,187
Accumulated deficit		(949,696	)		(5,731	)		(955,427	)
Consolidated Statements of Operations
Resident fees	$	2,414,283		$	(1,347	)	$	2,412,936
Total revenue		2,770,085			(1,347	)		2,768,738
Loss before income taxes		(63,601	)		(1,347	)		(64,948	)
Provision for income taxes		(2,044	)		525			(1,519	)
Net loss		(65,645	)		(822	)		(66,467	)
Basic and diluted net loss per share		(0.54	)		—			(0.54	)
Consolidated Statements of Cash Flows
Net loss	$	(65,645	)	$	(822	)	$	(66,467	)
Amortization of entrance fees		(26,709	)		1,347			(25,362	)
Deferred income tax benefit		—			(525	)		(525	)

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	Year Ended December 31, 2011
	As Reported			Adjustment			As Adjusted
Consolidated Statements of Operations
Resident fees	$	2,291,757		$	(1,435	)	$	2,290,322
Total revenue		2,457,918			(1,435	)		2,456,483
Loss before income taxes		(65,835	)		(1,435	)		(67,270	)
Provision for income taxes		(2,340	)		560			(1,780	)
Net loss		(68,175	)		(875	)		(69,050	)
Basic and diluted net loss per share		(0.56	)		(0.01	)		(0.57	)
Consolidated Statements of Cash Flows
Net loss	$	(68,175	)	$	(875	)	$	(69,050	)
Amortization of entrance fees		(25,401	)		1,435			(23,966	)
Deferred income tax provision		943			(560	)		383

The prior period financial statements included in this filing have been revised to reflect this change in accounting, the effects of which have been summarized below (dollars in thousands):

	Three Months Ended March 31, 2012
	As Reported			Adjustment			As Adjusted
Condensed Consolidated Statements of Operations
Resident fees	$	596,886		$	(337	)	$	596,549
Total revenue		683,045			(337	)		682,708
Loss before income taxes		(9,277	)		(337	)		(9,614	)
Provision for income taxes		(1,061	)		131			(930	)
Net loss		(10,338	)		(206	)		(10,544	)
Basic and diluted net loss per share		(0.09	)		-			(0.09	)
Condensed Consolidated Statements of Cash Flows
Net loss	$	(10,338	)	$	(206	)	$	(10,544	)
Amortization of entrance fees		(6,403	)		337			(6,066	)
Deferred income tax benefit		(4	)		(131	)		(135	)

Reclassifications

Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's consolidated financial position or results of operations.

3.  Earnings Per Share

Basic earnings per share ("EPS") is calculated by dividing net income by the weighted average number of shares of common stock outstanding.  Diluted EPS includes the components of basic EPS and also gives effect to dilutive common stock equivalents.  For purposes of calculating basic and diluted earnings per share, vested restricted stock awards are considered outstanding.  Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were exercised or could result in the issuance of common stock.  Potentially dilutive common stock equivalents include unvested restricted stock, restricted stock units and convertible debt instruments and warrants.

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The following table summarizes the computation of basic and diluted earnings (loss) per share amounts presented in the accompanying condensed consolidated statements of operations (in thousands, except per share data):

	Three Months Ended March 31,
	2013		2012
Income attributable to common shareholders:
Net income (loss)	$	3,558	$	(10,544	)
Weighted-average shares outstanding - basic		122,823		121,145
Effect of dilutive securities - Unvested restricted stock and restricted stock units		1,568		—
Weighted-average shares outstanding - diluted		124,391		121,145
Basic earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)
Diluted earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)

For the three months ended March 31, 2013, the calculation of diluted weighted average shares excludes the impact of conversion of the Company's $316.3 million of convertible senior notes, as the initial conversion price of approximately $29.325 per share was higher than the average trading price of the Company's common stock making the instruments anti-dilutive.  As of March 31, 2013, the maximum number of shares issuable upon conversion of the notes is approximately 13.8 million (after giving effect to additional make-whole shares issuable upon conversion in connection with the occurrence of certain events); however it is the Company's current intent and policy to settle the principal amount of the notes in cash upon conversion.  The maximum number of shares issuable upon conversion of the notes in excess of the amount of principal that would be settled in cash is approximately 3.0 million.  In addition, the calculation of diluted weighted average shares excludes the impact of the exercise of warrants to acquire the Company's common stock, as the initial strike price of $40.25 per share was also higher than the average trading price of the Company's common stock making the instruments anti-dilutive.  As of March 31, 2013, the number of shares issuable upon exercise of the warrants was approximately 10.8 million.  The calculation of diluted weighted average shares for the three months ended March 31, 2013 also excludes 0.5 million of performance-based restricted stock awards.

For the three months ended March 31, 2012, the Company recorded a consolidated net loss.  As a result of the net loss, unvested restricted stock and restricted stock unit awards and convertible debt instruments and warrants were anti-dilutive for the period and were not included in the computation of diluted weighted average shares.  The weighted average restricted stock and restricted stock unit awards excluded from the calculation of diluted weighted average shares for the three months ended March 31, 2012 was 5.0 million.

4.  Dispositions

During the three months ended March, 31, 2013, the Company sold two communities for an aggregate selling price of $7.2 million.  The results of operations of the communities were previously reported in the Assisted Living segment.

5.  Stock-Based Compensation

The Company follows ASC 718 in accounting for its share-based payments. This guidance requires measurement of the cost of employee services received in exchange for stock compensation based on the grant-date fair value of the employee stock awards. This cost is recognized as compensation expense ratably over the employee's requisite

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service period.  Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized when incurred.

For all service awards, the Company records compensation expense for the entire award on a straight-line basis (or, if applicable, on the accelerated method) over the requisite service period.  For awards with performance-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement.  Performance goals are evaluated quarterly.  If such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed.

The Company's compensation expense recorded in connection with grants of restricted stock for the three months ended March 31, 2013 and 2012 reflects an initial estimated cumulative forfeiture rate from 0% to 10% over the requisite service period of the awards. That estimate is revised if subsequent information indicates that the actual number of awards expected to vest is likely to differ from previous estimates.

Current year grants of restricted shares under the Company's Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share):

	Shares Granted		Value Per Share		Total Value
Three months ended March 31, 2013		1,036		$25.32 − $27.36		$27,858

6.  Goodwill and Other Intangible Assets, Net

The following is a summary of changes in the carrying amount of goodwill for the three months ended March 31, 2013 and the year ended December 31, 2012 presented on an operating segment basis (dollars in thousands):

	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Impairment and Other Charges			Net		Gross Carrying Amount		Accumulated Impairment and Other Charges			Net
Retirement Centers	$	7,642	$	(521	)	$	7,121	$	7,642	$	(521	)	$	7,121
Assisted Living		102,680		(248	)		102,432		102,680		(248	)		102,432
CCRCs - Rental		56,281		(56,281	)		—		56,281		(56,281	)		—
CCRCs - Entry Fee		158,718		(158,718	)		—		158,718		(158,718	)		—
Total	$	325,321	$	(215,768	)	$	109,553	$	325,321	$	(215,768	)	$	109,553

Goodwill is tested for impairment annually with a test date of October 1 or sooner if indicators of impairment are present.  No indicators of impairment were present during the three months ended March 31, 2013.

Community purchase options are amortized over their estimated lives and are tested for impairment whenever indicators of impairment arise. No indicators of impairment were present during the three months ended March 31, 2013.  The following is a summary of other intangible assets at March 31, 2013 and December 31, 2012 (dollars in thousands):

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	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Amortization			Net		Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	147,610	$	(22,188	)	$	125,422	$	147,610	$	(21,263	)	$	126,347
Health care licenses		31,084		—			31,084		31,082		—			31,082
Other		2,585		(287	)		2,298		2,585		(72	)		2,513
Total	$	181,279	$	(22,475	)	$	158,804	$	181,277	$	(21,335	)	$	159,942

Amortization expense related to definite-lived intangible assets for the three months ended March 31, 2013 and 2012 was $1.1 million and $0.9 million, respectively.  Health care licenses were determined to be indefinite-lived intangible assets and are not subject to amortization.

7.  Property, Plant and Equipment and Leasehold Intangibles, Net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital leases, consist of the following (dollars in thousands):

	March 31, 2013			December 31, 2012
Land	$	295,513		$	296,314
Buildings and improvements		3,400,253			3,391,667
Leasehold improvements		61,183			60,186
Furniture and equipment		559,708			541,585
Resident and leasehold operating intangibles		441,547			441,603
Construction in progress		79,102			75,419
Assets under capital and financing leases		677,226			674,492
		5,514,532			5,481,266
Accumulated depreciation and amortization		(1,661,109	)		(1,601,289	)
Property, plant and equipment and leasehold intangibles, net	$	3,853,423		$	3,879,977

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise.  No indicators of impairment were present during the three months ended March 31, 2013.

8.  Debt

Long-Term Debt, Capital Leases and Financing Obligations

Long-term debt, capital leases and financing obligations consist of the following (dollars in thousands):

	March 31, 2013		December 31, 2012
Mortgage notes payable due 2013 through 2022; weighted average interest rate of 4.61% for the three months ended March 31, 2013, net of debt discount of $0.3 million (weighted average interest rate of 4.62% in 2012)	$	1,695,258	$	1,701,515
$150,000 Series A notes payable, secured by five communities and by a $3.0 million cash collateral deposit, bearing interest at LIBOR plus 0.88%, payable in monthly installments of principal and interest through maturity in August 2013		143,310		144,384

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Discount mortgage note payable due June 2013, weighted average interest rate of 2.46% for the three months ended March 31, 2013, net of debt discount of $0.5 million and $1.0 million in 2013 and 2012, respectively (weighted average interest rate of 2.56% in 2012)		80,687		80,533
Variable rate tax-exempt bonds credit-enhanced by Fannie Mae; weighted average interest rate of 1.42% for the three months ended March 31, 2013 (weighted average interest rate of 1.65% in 2012), due 2032, payable in monthly installments of principal and interest through maturity, secured by the underlying assets of the portfolio		99,646		99,847
Capital and financing lease obligations payable through 2026; weighted average interest rate of 8.16% for the three months ended March 31, 2013 (weighted average interest rate of 8.16% in 2012)		312,679		319,745
Convertible notes payable in aggregate principal amount of $316.3 million, less debt discount of $62.5 million and $65.0 million in 2013 and 2012, respectively, interest at 2.75% per annum, due June 2018		253,775		251,312
Construction financing due 2017 through 2024; weighted average interest rate of 8.0% for the three months ended March 31, 2013 (weighted average interest rate of 8.0% in 2012)		4,093		1,280
Notes payable issued to finance insurance premiums, weighted average interest rate of 2.81% for the three months ended March 31, 2013  (weighted average interest rate of 2.81% in 2012), due 2013		4,482		753
Total debt		2,593,930		2,599,369
Less current portion		307,845		509,543
Total long-term debt	$	2,286,085	$	2,089,826

As of March 31, 2013, the current portion of long-term debt within the Company's condensed consolidated financial statements reflects approximately $276.2 million of mortgage notes payable due within the next 12 months.  Although these debt obligations are scheduled to mature on or prior to March 31, 2014, the Company has the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $80.0 million of certain mortgages payable included in such debt until 2020, as the instruments associated with such mortgages payable provide that the Company can extend the respective maturity dates for terms of seven years from the existing maturity dates.  The Company presently anticipates that it will either satisfy the conditions precedent for extending these obligations and will exercise the extension options or it will refinance or repay the $276.2 million of mortgage notes payable at or prior to maturity.

Credit Facilities

On March 28, 2013, the Company entered into a second amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The amended credit agreement amended and restated in its entirety the Company's existing amended and restated credit agreement dated as of January 31, 2011, as previously amended.  The amended credit agreement extended the maturity date of the facility to March 31, 2018 and decreased the interest rate payable on advances and the fee payable on the unused portion of the facility.  The amended credit agreement also provides options to increase the committed amount initially from $230.0 million to $250.0 million and thereafter from $250.0 million to up to $350.0 million, subject to obtaining commitments for the amount of such increase from acceptable lenders.  The amended credit agreement now also permits reduction of the committed amount or termination of the facility during the last two years of the five year term without payment of a premium or penalty.

Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin.   The applicable margin varies with the percentage of the total commitment drawn, with a 3.25% margin at 25% or lower utilization, a 3.75% margin at utilization greater than 25% but less than or equal to 50%, and a 4.25% margin at greater than 50% utilization.  For purposes of determining the interest rate, in no event will LIBOR be less than 0.5% per annum.  The

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Company is also required to pay a quarterly commitment fee of 0.5% per annum on the unused portion of the facility.

The revolving line of credit can be used to finance acquisitions and fund working capital and capital expenditures and for other general corporate purposes.

The facility is secured by a first priority mortgage on certain of the Company's communities. The availability under the line will vary from time to time as it is based on borrowing base calculations related to the appraised value and performance of the communities securing the facility.

The amended credit agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. A violation of any of these covenants could result in a default under the amended credit agreement, which would result in termination of all commitments under the amended credit agreement and all amounts owing under the amended credit agreement and certain other loan agreements becoming immediately due and payable.

As of March 31, 2013, the Company had an available secured line of credit with a $230.0 million commitment and $198.6 million of availability (of which $45.0 million had been drawn as of such date).  The Company also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of March 31, 2013.  Letters of credit totaling $78.0 million had been issued under these facilities as of that date.

Financings

On April 3, 2013, the Company obtained a $25.0 million first mortgage loan, secured by the underlying community.  The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points and matures in April 2018.  In connection with the transaction, the Company repaid $29.0 million of existing variable rate debt.

On April 12, 2013, the Company obtained $259.0 million in loans secured by first mortgages on 23 communities.  The loans bear interest at a variable rate equal to 30-day LIBOR plus a margin of 246 basis points.  The loans mature in May 2023 and require amortization of principal over a 30 year period.  Proceeds of the loans, together with cash on hand, were used to refinance or prepay a total of $275.2 million of mortgage debt which was scheduled to mature in May and July 2013 and variable rate tax-exempt bonds scheduled to mature in 2032.

On April 22, 2013, the Company obtained a $28.0 million first mortgage loan, secured by two communities.  The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points and matures in April 2018.  In connection with the transaction, the Company repaid $35.1 million of existing variable rate debt.

As of March 31, 2013, the Company is in compliance with the financial covenants of its outstanding debt and lease agreements.

9.  Litigation

The Company has been and is currently involved in litigation and claims incidental to the conduct of its business which are comparable to other companies in the senior living industry. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. Similarly, the senior living industry is continuously subject to scrutiny by governmental regulators, which could result in litigation related to regulatory compliance matters. As a result, the Company maintains general liability and professional liability insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry standards.  The Company's current policies provide for deductibles for each claim.  Accordingly, the Company is, in effect, self-insured for claims that are less than the deductible amounts.

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10.  Supplemental Disclosure of Cash Flow Information

(dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	29,027	$	30,049
Income taxes paid	$	341	$	207
Write-off of deferred costs	$	—	$	744
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Acquisition of assets, net of related payables and cash received:
Cash and escrow deposits-restricted	$	—	$	3,313
Prepaid expenses and other current assets		—		(2,817	)
Property, plant and equipment and leasehold intangibles, net		—		121,250
Other intangible assets, net		—		3,672
Other assets, net		—		(7,327	)
Accrued expenses		—		(392	)
Other liabilities		—		4,429
Long-term debt, less current portion		—		(15,000	)
Accumulated earnings		—		(2,144	)
Net	$	—	$	104,984

11.  Facility Operating Leases

The following table provides a summary of facility lease expense and the impact of straight-line adjustment and amortization of deferred gains (dollars in thousands):

	Three Months Ended March 31,
	2013			2012
Cash basis payment	$	69,364		$	70,896
Straight-line expense		748			1,642
Amortization of deferred gain		(1,093	)		(1,093	)
Facility lease expense	$	69,019		$	71,445

12.  Income Taxes

The Company's effective tax rates for the three months ended March 31, 2013 and 2012 were 24.4% and (9.7%), respectively.  The difference in the effective rates for the three months ended March 31, 2013 and 2012 was primarily due to the impact of the Company's improved financial results under generally accepted accounting principles.

The Company recorded additional interest charges related to its tax contingency reserve for the three months ended March 31, 2013.  Tax returns for years 2008 through 2011 are subject to future examination by tax authorities.  In addition, certain tax returns are open from 2000 through 2007 to the extent of the net operating losses generated during those periods.

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13.  Segment Information

The Company currently has six reportable segments: retirement centers; assisted living; CCRCs - rental; CCRCs - entry fee; ISC; and management services. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment.

Retirement Centers.  The Company's Retirement Centers segment includes owned or leased communities that are primarily designed for middle to upper income senior citizens age 75 and older who desire an upscale residential environment providing the highest quality of service.  The majority of the Company's retirement center communities consist of both independent living and assisted living units in a single community, which allows residents to "age-in-place" by providing them with a continuum of senior independent and assisted living services.

Assisted Living.  The Company's Assisted Living segment includes owned or leased communities that offer housing and 24-hour assistance with activities of daily life to mid-acuity frail and elderly residents.  Assisted living communities include both freestanding, multi-story communities and freestanding single story communities.  The Company also operates memory care communities, which are freestanding assisted living communities specially designed for residents with Alzheimer's disease and other dementias.

CCRCs - Rental.  The Company's CCRCs - Rental segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health.  Most of the Company's CCRCs have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and some also include memory care/Alzheimer's units.

CCRCs - Entry Fee.  The communities in the Company's CCRCs - Entry Fee segment are similar to those in the Company's CCRCs - Rental segment but allow for residents in the independent living apartment units to pay a one-time upfront entrance fee, which is partially refundable in certain circumstances.  The amount of the entrance fee varies depending upon the type and size of the dwelling unit, the type of contract plan selected, whether the contract contains a lifecare benefit for the resident, the amount and timing of refund, and other variables.  In addition to the initial entrance fee, residents under all entrance fee agreements also pay a monthly service fee, which entitles them to the use of certain amenities and services.  Since entrance fees are received upon initial occupancy, the monthly fees are generally less than fees at a comparable rental community.

ISC.  The Company's ISC segment includes the outpatient therapy, home health and hospice services provided to residents of many of the Company's communities, to other senior living communities that the Company does not own or operate and to seniors living outside of the Company's communities.  The ISC segment does not include the therapy services provided in the Company's skilled nursing units, which are included in the Company's CCRCs - Rental and CCRCs - Entry Fee segments.

Management Services.  The Company's management services segment includes communities operated by the Company pursuant to management agreements.  In some of the cases, the controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a joint venture structure in which the Company has an ownership interest.  Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of expenses it incurs on behalf of the owners.

The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies.

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The following table sets forth certain segment financial and operating data (dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Revenue(1)
Retirement Centers	$	128,922	$	124,512
Assisted Living		260,615		251,352
CCRCs - Rental		100,327		95,112
CCRCs - Entry Fee		74,308		71,719
ISC		60,198		53,854
Management Services(2)		87,896		86,159
	$	712,266	$	682,708
Segmentoperating income(3)
Retirement Centers	$	53,334	$	50,991
Assisted Living		96,285		90,563
CCRCs - Rental		29,077		28,019
CCRCs - Entry Fee		19,571		16,805
ISC		13,100		11,402
Management Services		7,609		7,444
		218,976		205,224
Generaland administrative (including non-cash stock-based compensation expense)		46,611		44,973
Facility lease expense		69,019		71,445
Depreciation and amortization		64,659		63,344
Asset impairment		—		1,083
Loss on acquisition		—		636
Gain on facility lease termination		—		(2,780	)
Income from operations	$	38,687	$	26,523

	As of
	March 31, 2013		December 31, 2012
Total assets
Retirement Centers	$	1,255,802	$	1,256,497
Assisted Living		1,427,052		1,438,934
CCRCs - Rental		531,131		534,220
CCRCs - Entry Fee		943,038		951,584
ISC		91,974		90,357
Corporate and Management Services		371,911		394,386
Total assets	$	4,620,908	$	4,665,978

(1) All revenue is earned from external third parties in the United States.

(2) Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.

(3) Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization).

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Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995

Certain statements in this Quarterly Report on Form 10-Q and other information we provide from time to time may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations, including, but not limited to, statements relating to the consummation of the restructuring of the management agreements with Chartwell Seniors Housing Real Estate Investment Trust; statements relating to our operational initiatives and our expectations regarding their effect on our results; our expectations regarding the economy, occupancy, revenue, cash flow, expenses, capital expenditures, Program Max opportunities, cost savings, the demand for senior housing, the home resale market, expansion and development activity, acquisition opportunities, asset dispositions, our share repurchase program, capital deployment, returns on invested capital and taxes; our expectations regarding returns to shareholders and our growth prospects; our expectations concerning the future performance of recently acquired communities and the effects of acquisitions on our financial results; our ability to secure financing or repay, replace or extend existing debt at or prior to maturity; our ability to remain in compliance with all of our debt and lease agreements (including the financial covenants contained therein); our expectations regarding liquidity and leverage; our expectations regarding financings and refinancings of assets (including the timing thereof) and their effect on our results; our expectations regarding changes in government reimbursement programs and their effect on our results; our plans to generate growth organically through occupancy improvements, increases in annual rental rates and the achievement of operating efficiencies and cost savings; our plans to expand our offering of ancillary services (therapy, home health and hospice); our plans to expand, redevelop and reposition existing communities; our plans to acquire additional communities, asset portfolios, operating companies and home health agencies; the expected project costs for our expansion, redevelopment and repositioning program; our expected levels of expenditures and reimbursements (and the timing thereof); our expectations regarding our sales, marketing and branding initiatives and their impact on our results; our expectations for the performance of our entrance fee communities; our ability to anticipate, manage and address industry trends and their effect on our business; our expectations regarding the payment of dividends; and our ability to increase revenues, earnings, Adjusted EBITDA, Cash From Facility Operations, and/or Facility Operating Income (as such terms are defined herein). Words such as "anticipate(s)", "expect(s)", "intend(s)", "plan(s)", "target(s)", "project(s)", "predict(s)", "believe(s)", "may", "will", "would", "could", "should", "seek(s)", "estimate(s)" and similar expressions are intended to identify such forward-looking statements. These statements are based on management's current expectations and beliefs and are subject to a number of risks and uncertainties that could lead to actual results differing materially from those projected, forecasted or expected. Although we believe that the assumptions underlying the forward-looking statements are reasonable, we can give no assurance that our expectations will be attained. Factors which could have a material adverse effect on our operations and future prospects or which could cause actual results to differ materially from our expectations include, but are not limited to, the risk that we may not be able to satisfy the conditions and successfully complete the Chartwell management agreement restructuring; the risk associated with the current global economic situation and its impact upon capital markets and liquidity; changes in governmental reimbursement programs; our inability to extend (or refinance) debt (including our credit and letter of credit facilities) as it matures; the risk that we may not be able to satisfy the conditions precedent to exercising the extension options associated with certain of our debt agreements; events which adversely affect the ability of seniors to afford our monthly resident fees or entrance fees; the conditions of housing markets in certain geographic areas; our ability to generate sufficient cash flow to cover required interest and long-term operating lease payments; the effect of our indebtedness and long-term operating leases on our liquidity; the risk of loss of property pursuant to our mortgage debt and long-term lease obligations; the possibilities that changes in the capital markets, including changes in interest rates and/or credit spreads, or other factors could make financing more expensive or unavailable to us; our determination from time to time to purchase any shares under the repurchase program; our ability to fund any repurchases; our ability to effectively manage our growth; our ability to maintain consistent quality control; delays in obtaining regulatory approvals; the risk that we may not be able to expand, redevelop and reposition our communities in accordance with our plans; our ability to complete acquisitions and integrate them into our operations; competition for the acquisition of assets; our ability to obtain additional capital on terms acceptable to us; a decrease in the overall demand for senior housing; our vulnerability to economic downturns; acts of nature in certain geographic areas; terminations of our resident agreements and vacancies in the living spaces we lease; early terminations or non-renewal of management agreements; increased

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competition for skilled personnel; increased union activity; departure of our key officers; increases in market interest rates; environmental contamination at any of our facilities; failure to comply with existing environmental laws; an adverse determination or resolution of complaints filed against us; the cost and difficulty of complying with increasing and evolving regulation; and other risks detailed from time to time in our filings with the Securities and Exchange Commission, press releases and other communications, including those set forth under "Risk Factors" included in our Annual Report on Form 10-K for the year ended December 31, 2012 and in this Quarterly Report.  Such forward-looking statements speak only as of the date of this Quarterly Report. We expressly disclaim any obligation to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which any statement is based.

Executive Overview

Our primary long-term growth objectives are to grow our revenues, Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income primarily through a combination of: (i) organic growth in our core business, including expense control and the realization of economies of scale; (ii) expansion, redevelopment and repositioning of existing communities; (iii) acquisition and consolidation of asset portfolios and other senior living companies; and (iv) continued expansion of our ancillary services programs (including therapy, home health and hospice services).

The table below presents a summary of our operating results and certain other financial metrics for the three months ended March 31, 2013 and 2012 and the amount and percentage of increase of each applicable item (dollars in millions).

	Three Months Ended March 31,					Increase
	2013		2012			Amount		Percent
Total revenues	$	712.3	$	682.7		$	29.6		4.3	%
Net income (loss)	$	3.6	$	(10.5	)	$	14.1		133.7	%
Adjusted EBITDA	$	110.3	$	96.6		$	13.7		14.2	%
Cash From Facility Operations	$	67.8	$	54.6		$	13.3		24.3	%
Facility Operating Income	$	204.2	$	191.7		$	12.5		6.5	%

Adjusted EBITDA and Facility Operating Income are non-GAAP financial measures we use in evaluating our operating performance. Cash From Facility Operations is a non-GAAP financial measure we use in evaluating our liquidity. See "Non-GAAP Financial Measures" below for an explanation of how we define each of these measures, a detailed description of why we believe such measures are useful and the limitations of each measure, a reconciliation of net income (loss) to each of Adjusted EBITDA and Facility Operating Income and a reconciliation of net cash provided by operating activities to Cash From Facility Operations.

During the three months ended March 31, 2013, we experienced an increase in our total revenues, primarily due to increases in occupancy and average monthly revenue per unit, including an increase in our ancillary services revenue.  Total revenues for the three months ended March 31, 2013 increased to $712.3 million, an increase of $29.6 million, or 4.3%, over our total revenues for the three months ended March 31, 2012.  Resident fees for the three months ended March 31, 2013 increased $27.8 million, or 4.7%, from the prior year period. Management fees increased $0.2 million, or 2.2%, from the first quarter of 2012, and reimbursed costs incurred on behalf of managed communities increased $1.6 million, or 2.0%.

The increase in resident fees during the three months ended March 31, 2013 was primarily a result of a 2.8% increase in senior housing average monthly revenue per unit compared to the prior year period, a 70 basis points increase in average occupancy and growing revenues from our ancillary services programs.  Our weighted average occupancy rate for the three months ended March 31, 2013 and 2012 was 88.5% and 87.8%, respectively.  The increases in occupancy rates were a result of improving fundamentals, execution by our field organization and sales and marketing team and the benefit of the capital we have invested and continue to spend on our communities.

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During the three months ended March 31, 2013, we also made progress in controlling our cost growth.  Facility operating expenses for the first quarter of 2013 were $413.0 million, an increase of $14.2 million, or 3.6%, from the first quarter of 2012.  

Net income for the three months ended March 31, 2013 was $3.6 million, or $0.03 per basic and diluted common share, compared to a net loss of $10.5 million, or $(0.09) per basic and diluted common share, for the first quarter of 2012.

During the three months ended March 31, 2013, our Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income increased by 14.2%, 24.3% and 6.5%, respectively, when compared to the three months ended March 31, 2012.

During the three months ended March 31, 2013, we continued to expand our ancillary services offerings.  As of March 31, 2013, we offered therapy services to approximately 52,000 of our units and home health services to approximately 46,000 of our units (approximately 38,000 and 32,000 of these units, respectively, are in our consolidated portfolio).   We expect to continue to expand our ancillary services programs to additional units and to open or acquire additional home health agencies.

During the first quarter of 2013, we entered into a second amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The amended credit agreement amended and restated in its entirety our existing amended and restated credit agreement dated as of January 31, 2011, as previously amended.  The amended credit agreement extended the maturity date of the facility to March 31, 2018 and decreased the interest rate payable on advances and the fee payable on the unused portion of the facility.  The amended credit agreement also provides options to increase the committed amount initially from $230.0 million to $250.0 million and thereafter from $250.0 million to up to $350.0 million, subject to obtaining commitments for the amount of such increase from acceptable lenders.  The amended credit agreement now also permits reduction of the committed amount or termination of the facility during the last two years of the five year term without payment of a premium or penalty.

Consolidated Results of Operations

Three Months Ended March 31, 2013 and 2012

The following table sets forth, for the periods indicated, statement of operations items and the amount and percentage of increase or decrease of these items. The results of operations for any particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our condensed consolidated financial statements and the related notes, which are included in Part I, Item 1 of this Quarterly Report on Form 10-Q.

Certain prior period amounts have been reclassified to conform to the current year presentation.

(dollars in thousands, except average monthly revenue per unit)	Three Months Ended March 31,
	2013		2012		Increase (Decrease)		% Increase (Decrease)
Statement of Operations Data:
Revenue
Resident fees
Retirement Centers	$	128,922	$	124,512	$	4,410		3.5	%
Assisted Living		260,615		251,352		9,263		3.7	%
CCRCs - Rental		100,327		95,112		5,215		5.5	%
CCRCs - Entry Fee		74,308		71,719		2,589		3.6	%
ISC		60,198		53,854		6,344		11.8	%
Total resident fees		624,370		596,549		27,821		4.7	%
Management services(1)		87,896		86,159		1,737		2.0	%
Total revenue		712,266		682,708		29,558		4.3	%

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	Three Months Ended March 31,
	2013			2012			Increase (Decrease)			% Increase (Decrease)
Expense
Facility operating expense
Retirement Centers		75,588			73,521			2,067			2.8	%
Assisted Living		164,330			160,789			3,541			2.2	%
CCRCs - Rental		71,250			67,093			4,157			6.2	%
CCRCs - Entry Fee		54,737			54,914			(177	)		(0.3	%)
ISC		47,098			42,452			4,646			10.9	%
Total facility operating expense		413,003			398,769			14,234			3.6	%
General and administrative expense		46,611			44,973			1,638			3.6	%
Facility lease expense		69,019			71,445			(2,426	)		(3.4	%)
Depreciation and amortization		64,659			63,344			1,315			2.1	%
Asset impairment		—			1,083			(1,083	)		(100.0	%)
Loss on acquisition		—			636			(636	)		(100.0	%)
Gain on facility lease termination		—			(2,780	)		(2,780	)		(100.0	%)
Costs incurred on behalf of managed communities		80,287			78,715			1,572			2.0	%
Total operating expense		673,579			656,185			17,394			2.7	%
Income from operations		38,687			26,523			12,164			45.9	%
Interest income		303			852			(549	)		(64.4	%)
Interest expense
Debt		(30,971	)		(32,050	)		(1,079	)		(3.4	%)
Amortization of deferred financing costs and debt discount		(4,569	)		(4,473	)		96			2.1	%
Change in fair value of derivatives and amortization		135			(233	)		368			157.9	%
Loss on extinguishment of debt		—			(221	)		(221	)		(100.0	%)
Equity in earnings of unconsolidated ventures		115			99			16			16.2	%
Other non-operating income (loss)		1,006			(111	)		1,117		NM

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	Three Months Ended March 31,
		2013			2012		Increase (Decrease)			% Increase (Decrease)
Income (loss) before income taxes		4,706			(9,614	)		14,320			148.9	%
Provision for income taxes		(1,148	)		(930	)		218			23.4	%
Net income (loss)	$	3,558		$	(10,544	)	$	14,102			133.7	%
Selected Operating and Other Data:
Total number of communities (period end)		649			646			3			0.5	%
Total units operated(2)
Period end		66,127			66,093			34			0.1	%
Weighted average		66,067			66,137			(70	)		(0.1	%)
Owned/leased communities units(2)
Period end		47,850			47,904			(54	)		(0.1	%)
Weighted average		47,953			47,884			69			0.1	%
Owned/leased communities occupancy rate (weighted average)		88.5	%		87.8	%		0.7	%		0.8	%
Senior Housing average monthly revenue per unit(3)	$	4,375		$	4,257		$	118			2.8	%
Selected Segment Operating and Other Data:
Retirement Centers
Number of communities (period end)		76			76			—			—
Total units(2)
Period end		14,429			14,452			(23	)		(0.2	%)
Weighted average		14,429			14,452			(23	)		(0.2	%)
Occupancy rate (weighted average)		89.5	%		88.8	%		0.7	%		0.8	%
Senior Housing average monthly revenue per unit(3)	$	3,328		$	3,235		$	93			2.9	%
Assisted Living
Number of communities (period end)		431			434			(3	)		(0.7	%)
Total units(2)
Period end		21,446			21,635			(189	)		(0.9	%)
Weighted average		21,556			21,635			(79	)		(0.4	%)
Occupancy rate (weighted average)		89.1	%		88.5	%		0.6	%		0.7	%
Senior Housing average monthly revenue per unit(3)	$	4,523		$	4,379		$	144			3.3	%
CCRCs - Rental
Number of communities (period end)		27			26			1			3.8	%
Total units(2)
Period end		6,688			6,627			61			0.9	%
Weighted average		6,687			6,626			61			0.9	%
Occupancy rate (weighted average)		87.6	%		86.5	%		1.1	%		1.3	%
Senior Housing average monthly revenue per unit(3)	$	5,709		$	5,536		$	173			3.1	%
CCRCs - Entry Fee
Number of communities (period end)		14			14			—			—
Total units(2)
Period end		5,287			5,190			97			1.9	%
Weighted average		5,281			5,171			110			2.1	%
Occupancy rate (weighted average)		84.6	%		83.7	%		0.9	%		1.1	%
Senior Housing average monthly revenue per unit(3)	$	5,011		$	5,055		$	(44	)		(0.9	%)

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	Three Months Ended March 31,
	2013			2012			Increase (Decrease)			% Increase (Decrease)
Other Entry Fee Data
Non-refundable entrance fees sales	$	9,237		$	7,000		$	2,237			32.0	%
Refundable entrance fees sales(4)		7,636			7,989			(353	)		(4.4	%)
Total entrance fee receipts		16,873			14,989			1,884			12.6	%
Refunds		(9,320	)		(8,102	)		1,218			15.0	%
Net entrance fees	$	7,553		$	6,887		$	666			9.7	%
Management Services
Number of communities (period end)		101			96			5			5.2	%
Total units(2)
Period end		18,277			18,189			88			0.5	%
Weighted average		18,114			18,253			(139	)		(0.8	%)
Occupancy rate (weighted average)		84.9	%		84.3	%		0.6	%		0.7	%
ISC
Outpatient Therapy treatment codes		821,308			907,816			(86,508	)		(9.5	%)
Home Health average census		4,289			3,448			841			24.4	%

__________

(1) Management services segment revenue includes reimbursements for which we are the primary obligor of costs incurred on behalf of managed communities.

(2) Period end units operated excludes equity homes.  Weighted average units operated represents the average units operated during the period, excluding equity homes.

(3) Senior Housing average monthly revenue per unit represents the average of the total monthly resident fee revenues, excluding amortization of entrance fees and ISC segment revenue, divided by average occupied units.

(4) Refundable entrance fee sales for the three months ended March 31, 2013 and 2012 include amounts received from residents participating in the MyChoice program, which allows new and existing residents the option to pay additional refundable entrance fee amounts in return for a reduced monthly service fee.  MyChoice amounts received from residents totaled $1.8 million and $2.4 million for the three months ended March 31, 2013 and 2012, respectively.

As of March 31, 2013, our total operations included 649 communities with a capacity to serve 66,908 residents.

Resident Fees

Resident fees increased over the prior year period primarily as a result of an increase in the average monthly revenue per unit compared to the prior year period, including growing revenues from our ancillary services programs, and an increase in occupancy.  During the current period, revenues grew 3.6% at the 545 communities we operated during both periods with a 2.6% increase in the average monthly revenue per unit (excluding amortization of entrance fees in both instances).  Occupancy increased 0.9% in these communities period over period.

Retirement Centers revenue increased $4.4 million, or 3.5%, primarily due to increases in average monthly revenue per unit and occupancy at the communities we operated during both periods.

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Assisted Living revenue increased $9.3 million, or 3.7%, primarily due to increases in average monthly revenue per unit and occupancy at the communities we operated during both periods.  The increase was partially offset by the disposition of communities subsequent to the prior year period.

CCRCs - Rental revenue increased $5.2 million, or 5.5%, primarily due to increases in average monthly revenue per unit and occupancy at the communities we operated during both periods and the inclusion of revenue from a community acquired subsequent to the prior year period.

CCRCs - Entry Fee revenue increased $2.6 million, or 3.6%, primarily due to an increase in occupancy at the communities we operated during both periods and an increase in the total number of units.  The increase was partially offset by a decrease in the average monthly revenue per unit at the communities we operated during both periods.

ISC revenue increased $6.3 million, or 11.8%, primarily due to the roll-out of our ancillary services programs to additional units subsequent to the prior year period.  The increase was partially offset by a decrease in therapy service volume.

Management Services

Management services revenue, including reimbursed costs incurred on behalf of managed communities, increased $1.7 million, or 2.0%, primarily due to additional costs incurred on behalf of managed communities.

Facility Operating Expense

Facility operating expense increased over the prior-year period primarily due to increased marketing and advertising expenses, as well as increases in salaries and wages and additional expenses incurred in connection with the expansion of our ancillary services programs. These increases were partially offset by a decrease in bonus expense.

Retirement Centers operating expenses increased $2.1 million, or 2.8%, primarily due to an increase in marketing and advertising expense and an increase in salaries and wages due to wage rate increases and an increase in hours worked period over period.  These increases were partially offset by decreases in bonus expense and repairs and maintenance expense in the current year period.

Assisted Living operating expenses increased $3.5 million, or 2.2%, primarily due to increases in marketing and advertising expense and insurance expense.  There was also an increase in salaries and wages due to wage rate increases and an increase in hours worked period over period. These increases were partially offset by decreases in bonus expense and employee benefits expense.

CCRCs - Rental operating expenses increased $4.2 million, or 6.2%, primarily driven by an increase in salaries and wages due to wage rate increases and an increase in healthcare supplies expense due to an increase in occupancy and residents with higher acuity needs. These increases were partially offset by a decrease in real estate tax expense in the current year period.

CCRCs - Entry Fee operating expenses decreased $0.2 million, or 0.3%, primarily driven by a decrease in skilled therapy service expense due to a decrease in hours worked in the current year period.

ISC operating expenses increased $4.6 million, or 10.9%, primarily due to an increase in expenses incurred in connection with the continued expansion of our ancillary services programs, an increase in therapy labor expense and an increase in bad debt expense.

General and Administrative Expense

General and administrative expense increased $1.6 million, or 3.6%, primarily as a result of increases in salaries and wage expense and an increase in employee benefits expense.  These increases were partially offset by decreases in integration, transaction-related and electronic medical records ("EMR") roll-out costs compared to the prior period. General and administrative expense as a percentage of total revenue, including revenue generated by the

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communities we manage and excluding non-cash stock-based compensation expense and integration, transaction-related and EMR roll-out costs, was 4.8% and 4.6% for the three months ended March 31, 2013 and 2012, respectively, calculated as follows (dollars in thousands):

	Three Months Ended March 31,
	2013				2012
Resident fee revenues	$	624,370	79.2	%	$	596,549	79.0	%
Resident fee revenues under management		163,507	20.8	%		158,695	21.0	%
Total	$	787,877	100.0	%	$	755,244	100.0	%
General and administrative expenses (excluding non-cash stock-based compensation expense and integration, transaction-related and EMR roll-out costs)	$	37,612	4.8	%	$	34,634	4.6	%
Non-cash stock-based compensation expense		6,894	0.9	%		6,435	0.9	%
Integration, transaction-related and EMR roll-out costs		2,105	0.2	%		3,904	0.5	%
General and administrative expenses (including non-cash stock-based compensation expense and integration, transaction-related and EMR roll-out costs)	$	46,611	5.9	%	$	44,973	6.0	%

Facility Lease Expense

Facility lease expense decreased $2.4 million, or 3.4%, primarily as a result of the purchase of 12 previously leased communities in the prior year.

Depreciation and Amortization

Depreciation and amortization expense increased $1.3 million, or 2.1%, primarily as a result of the purchase of 12 previously leased communities in the prior year.

Asset Impairment

During the three months ended March 31, 2012, we recognized $1.1 million of impairment charges related to asset impairments, primarily as a result of fire damage at one of our communities.

Loss on Acquisition

The loss on acquisition recognized during the three months ended March 31, 2012 relates to the reduction of a prior-year gain for adjustments to pre-acquisition self-insurance reserves and the related tax impact.

Gain on Facility Lease Termination

During the three months ended March 31, 2012, we recognized a $2.8 million net gain on facility lease termination from the reversal of deferred lease liabilities associated with nine previously-leased communities that were acquired during the prior year period, partially offset by the write-off of deferred lease costs.

Interest Expense

Interest expense decreased $1.4 million, or 3.7%, primarily due to decreased interest expense related to our mortgage debt, which had lower interest rates period over period.

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Income Taxes

Our effective tax rates for the three months ended March 31, 2013 and 2012 were 24.4% and (9.7%), respectively.   The difference in the effective rates for the three months ended March 31, 2013 and 2012 was primarily due to the impact of the Company's improved financial results under generally accepted accounting principles.

An additional interest charge related to our tax contingency reserve was recorded during the three months ended March 31, 2013.  Tax returns for years 2008 through 2011 are subject to future examination by tax authorities.  In addition, certain tax returns are open from 2000 through 2007 to the extent of the net operating losses generated during those periods.

Liquidity and Capital Resources

The following is a summary of cash flows from operating, investing and financing activities, as reflected in the condensed consolidated statements of cash flows (dollars in thousands):

	Three Months Ended March 31,
	2013			2012
Cash provided by operating activities	$	64,485		$	45,693
Cash used in investing activities		(58,162	)		(141,392	)
Cash (used in) provided by financing activities		(47,321	)		106,976
Net (decrease) increase in cash and cash equivalents		(40,998	)		11,277
Cash and cash equivalents at beginning of period		69,240			30,836
Cash and cash equivalents at end of period	$	28,242		$	42,113

The increase in cash provided by operating activities was attributable primarily to improved operating results.

The decrease in cash used in investing activities was primarily attributable to a decrease in cash paid for acquisitions.  The decrease was partially offset by an increase in spending on property, plant, equipment, and leasehold intangibles and by additional investments in unconsolidated ventures.

The change in cash related to financing activities period over period was primarily attributable to an increase in repayments on our line of credit in the current year period and a decrease in the proceeds from debt related to the financing of a prior period acquisition.

Our principal sources of liquidity have historically been from:

· cash balances on hand;

· cash flows from operations;

· proceeds from our credit facilities;

· proceeds from mortgage financing or refinancing of various assets;

· funds generated through joint venture arrangements or sale-leaseback transactions; and

· with somewhat lesser frequency, funds raised in the debt or equity markets and proceeds from the selective disposition of underperforming and/or non-core assets.

Over the longer-term, we expect to continue to fund our business through these principal sources of liquidity.

Our liquidity requirements have historically arisen from:

· working capital;

· operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;

· debt service and lease payments;

· acquisition consideration and transaction costs;

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· cash collateral required to be posted in connection with our interest rate swaps and related financial instruments;

· capital expenditures and improvements, including the expansion of our current communities and the development of new communities;

· dividend payments;

· purchases of common stock under our share repurchase authorizations; and

· other corporate initiatives (including integration and branding).

Over the near-term, we expect that our liquidity requirements will primarily arise from:

· working capital;

· operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;

· debt service and lease payments;

· capital expenditures and improvements, including the expansion, redevelopment and repositioning of our current communities and the development of new communities;

· other corporate initiatives (including information systems and branding);

· acquisition consideration and transaction costs; and

· purchases of common stock under our share repurchase authorization.

We are highly leveraged and have significant debt and lease obligations.  As of March 31, 2013, we have three principal corporate-level debt obligations:  our $230.0 million revolving credit facility, our $316.3 million convertible senior notes due 2018 and separate secured and unsecured letter of credit facilities providing for up to $92.5 million of letters of credit in the aggregate.  The remainder of our indebtedness is generally comprised of non-recourse property-level mortgage financings.

At March 31, 2013, we had $2.3 billion of debt outstanding, excluding capital lease obligations and our line of credit, at a weighted-average interest rate of 4.50% (calculated using an imputed interest rate of 7.5% for our $316.3 million convertible senior notes due 2018).  At March 31, 2013, we had $312.7 million of capital and financing lease obligations, $45.0 million was drawn on our revolving loan facility, and $78.0 million of letters of credit had been issued under our letter of credit facilities.  Approximately $307.8 million of our debt and capital lease obligations are due on or before March 31, 2014.  We also have substantial operating lease obligations and capital expenditure requirements.  For the year ending March 31, 2014, we will be required to make approximately $279.1 million of payments in connection with our existing operating leases.

During April 2013, the Company completed refinancings of several mortgage loans totaling $339.3 million, which primarily had maturities in 2013.  In their place, the Company obtained mortgage loans totaling $312.0 million to repay the loans, with the remainder paid in cash.  Additionally, four communities became unencumbered and were added to the Company's line of credit borrowing capacity, increasing it by $25.7 million.

We had $28.2 million of cash and cash equivalents at March 31, 2013, excluding cash and escrow deposits-restricted and lease security deposits of $145.5 million in the aggregate.  As of that date, we also had $198.6 million of availability on our revolving credit facility (of which $45.0 million had been drawn as of March 31, 2013).

At March 31, 2013, we had $628.0 million of negative working capital, which includes the classification of $276.2 million of mortgage notes payable and $261.4 million of refundable entrance fees as current liabilities.  Although the mortgage notes payable are scheduled to mature on or prior to March 31, 2014, we have the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $80.0 million of certain mortgages payable included in such debt until 2020, as the instruments associated with such mortgages payable provide that we can extend the respective maturity dates for terms of seven years from the existing maturity dates. We presently anticipate that we will either satisfy the conditions precedent for extending these obligations and will exercise the extension options or we will refinance or repay the $276.2 million of mortgage notes payable at or prior to maturity.  Based upon our historical operating experience, we anticipate that only 9.0% to 12.0% of the refundable entrance fee liabilities will actually come due, and be required to be settled in cash, during the next 12 months. We expect that any entrance fee liabilities due within the next 12

30

months will be fully offset by the proceeds generated by subsequent entrance fee sales.  Entrance fee sales, net of refunds paid, provided $7.6 million of cash for the three months ended March 31, 2013.

For the year ending December 31, 2013, we anticipate that we will make investments of approximately $150.0 million to $165.0 million for net capital expenditures (excluding expenditures related to our Program Max initiative discussed below), comprised of approximately $40.0 million to $45.0 million of net recurring capital expenditures and approximately $110.0 million to $120.0 million of expenditures relating to other major projects (including corporate initiatives).  These major projects include unusual or non-recurring capital projects, projects which create new or enhanced economics, such as major renovations or repositioning projects at our communities, integration related expenditures (including the cost of developing information systems), and expenditures supporting the expansion of our ancillary services programs.  For the three months ended March 31, 2013, we spent approximately $9.3 million for net recurring capital expenditures and approximately $25.2 million for expenditures relating to other major projects and corporate initiatives.

In addition, we have increased our efforts with respect to the expansion, redevelopment and repositioning of our communities through our Program Max initiative.  We anticipate making net investments of approximately $75.0 million to $85.0 million during 2013 in connection with recently initiated or currently planned projects.  For the three months ended March 31, 2013, we spent approximately $11.1 million in connection with our Program Max initiative.

During 2013, we anticipate that our capital expenditures will be funded from cash on hand, cash flows from operations, lessor reimbursement and amounts drawn on our credit facility.

As opportunities arise, we plan to continue to take advantage of the fragmented senior housing and care sectors by selectively purchasing existing operating companies, asset portfolios, home health agencies and communities. We may also seek to acquire the fee interest in communities that we currently lease or manage.

We expect to continue to assess our financing alternatives periodically and access the capital markets opportunistically.  If our existing resources are insufficient to satisfy our liquidity requirements, or if we enter into an acquisition or strategic arrangement with another company, we may need to sell additional equity or debt securities. Any such sale of additional equity securities will dilute the interests of our existing stockholders, and we cannot be certain that additional public or private financing will be available in amounts or on terms acceptable to us, if at all. If we are unable to obtain this additional financing, we may be required to delay, reduce the scope of, or eliminate one or more aspects of our business development activities, any of which could reduce the growth of our business.

We currently estimate that our existing cash flows from operations, together with existing working capital, amounts available under our credit facility and, to a lesser extent, proceeds from anticipated financings and refinancings of various assets, will be sufficient to fund our liquidity needs for at least the next 12 months, assuming that the overall economy does not substantially deteriorate.

Our actual liquidity and capital funding requirements depend on numerous factors, including our operating results, the actual level of capital expenditures, our expansion, development and acquisition activity, general economic conditions and the cost of capital.  Shortfalls in cash flows from operating results or other principal sources of liquidity may have an adverse impact on our ability to execute our business and growth strategies.  Volatility in the credit and financial markets may also have an adverse impact on our liquidity by making it more difficult for us to obtain financing or refinancing.  As a result, this may impact our ability to grow our business, maintain capital spending levels, expand certain communities, or execute other aspects of our business strategy.  In order to continue some of these activities at historical or planned levels, we may incur additional indebtedness or lease financing to provide additional funding.  There can be no assurance that any such additional financing will be available or on terms that are acceptable to us.

As of March 31, 2013, we are in compliance with the financial covenants of our outstanding debt and lease agreements.

31

Credit Facilities

On March 28, 2013, we entered into a second amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The amended credit agreement amended and restated in its entirety our existing amended and restated credit agreement dated as of January 31, 2011, as previously amended.  The amended credit agreement extended the maturity date of the facility to March 31, 2018 and decreased the interest rate payable on advances and the fee payable on the unused portion of the facility.  The amended credit agreement also provides options to increase the committed amount initially from $230.0 million to $250.0 million and thereafter from $250.0 million to up to $350.0 million, subject to obtaining commitments for the amount of such increase from acceptable lenders.  The amended credit agreement now also permits reduction of the committed amount or termination of the facility during the last two years of the five year term without payment of a premium or penalty.

Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin.   The applicable margin varies with the percentage of the total commitment drawn, with a 3.25% margin at 25% or lower utilization, a 3.75% margin at utilization greater than 25% but less than or equal to 50%, and a 4.25% margin at greater than 50% utilization.  For purposes of determining the interest rate, in no event will LIBOR be less than 0.5% per annum.  We are also required to pay a quarterly commitment fee of 0.5% per annum on the unused portion of the facility.

The revolving line of credit can be used to finance acquisitions and fund working capital and capital expenditures and for other general corporate purposes.

The facility is secured by a first priority mortgage on certain of our communities. The availability under the line will vary from time to time as it is based on borrowing base calculations related to the appraised value and performance of the communities securing the facility.

The amended credit agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. A violation of any of these covenants could result in a default under the amended credit agreement, which would result in termination of all commitments under the amended credit agreement and all amounts owing under the amended credit agreement and certain other loan agreements becoming immediately due and payable.

As of March 31, 2013, we had an available secured line of credit with a $230.0 million commitment and $198.6 million of availability (of which $45.0 million had been drawn as of such date).  We also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of March 31, 2013.  Letters of credit totaling $78.0 million had been issued under these facilities as of that date.

Contractual Commitments

Significant ongoing commitments consist primarily of leases, debt, purchase commitments and certain other long-term liabilities. For a summary and complete presentation and description of our ongoing commitments and contractual obligations, see the "Contractual Commitments" section of Management's Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the fiscal year ended December 31, 2012.

There have been no material changes outside the ordinary course of business in our contractual commitments during the three months ended March 31, 2013.

Off-Balance Sheet Arrangements

The equity method of accounting has been applied in the accompanying financial statements with respect to our investment in unconsolidated ventures that are not considered variable interest entities as we do not possess a controlling financial interest.  We do not believe these off-balance sheet arrangements have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

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Non-GAAP Financial Measures

A non-GAAP financial measure is generally defined as one that purports to measure historical or future financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable GAAP measure. In this report, we define and use the non-GAAP financial measures Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income, as set forth below.

Adjusted EBITDA

Definition of Adjusted EBITDA

We define Adjusted EBITDA as follows:

Net income (loss) before:

· provision (benefit) for income taxes;

· non-operating (income) expense items;

· (gain) loss on sale or acquisition of communities (including gain (loss) on facility lease termination);

· depreciation and amortization (including non-cash impairment charges);

· straight-line lease expense (income);

· amortization of deferred gain;

· amortization of deferred entrance fees;

· non-cash stock-based compensation expense; and

· change in future service obligation;

and including:

· entrance fee receipts and refunds (excluding (i) first generation entrance fee receipts from the sale of units at a recently opened entrance fee CCRC prior to stabilization and (ii) first generation entrance fee refunds not replaced by second generation entrance fee receipts at the recently opened community prior to stabilization).

Management's Use of Adjusted EBITDA

We use Adjusted EBITDA to assess our overall financial and operating performance.  We believe this non-GAAP measure, as we have defined it, is helpful in identifying trends in our day-to-day performance because the items excluded have little or no significance on our day-to-day operations.  This measure provides an assessment of controllable expenses and affords management the ability to make decisions which are expected to facilitate meeting current financial goals as well as achieve optimal financial performance.  It provides an indicator for management to determine if adjustments to current spending decisions are needed.

Adjusted EBITDA provides us with a measure of financial performance, independent of items that are beyond the control of management in the short-term, such as the change in the liability for the obligation to provide future services under existing lifecare contracts, depreciation and amortization (including non-cash impairment charges), straight-line lease expense (income), taxation and interest expense associated with our capital structure.  This metric measures our financial performance based on operational factors that management can impact in the short-term, namely the cost structure or expenses of the organization.  Adjusted EBITDA is one of the metrics used by senior

33

management and the board of directors to review the financial performance of the business on a monthly basis.  Adjusted EBITDA is also used by research analysts and investors to evaluate the performance of and value companies in our industry.

Limitations of Adjusted EBITDA

Adjusted EBITDA has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of earnings.  Material limitations in making the adjustments to our earnings to calculate Adjusted EBITDA, and using this non-GAAP financial measure as compared to GAAP net income (loss), include:

· the cash portion of interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt activities generally represent charges (gains), which may significantly affect our financial results; and

· depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which affects the services we provide to our residents and may be indicative of future needs for capital expenditures.

An investor or potential investor may find this item important in evaluating our performance, results of operations and financial position.  We use non-GAAP financial measures to supplement our GAAP results in order to provide a more complete understanding of the factors and trends affecting our business.

Adjusted EBITDA is not an alternative to net income, income from operations or cash flows provided by or used in operations as calculated and presented in accordance with GAAP.  You should not rely on Adjusted EBITDA as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of Adjusted EBITDA to GAAP net income (loss), along with our condensed consolidated financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate our business.  In addition, because Adjusted EBITDA is not a measure of financial performance under GAAP and is susceptible to varying calculations, the Adjusted EBITDA measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies.

The table below shows the reconciliation of net income (loss) to Adjusted EBITDA for the three months ended March 31, 2013 and 2012 (dollars in thousands):

34

	Three Months Ended March 31,
	2013(1)			2012(1)
Net income (loss)	$	3,558		$	(10,544	)
Provision for income taxes		1,148			930
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Loss on extinguishment of debt		—			221
Other non-operating (income) loss		(1,006	)		111
Interest expense:
Debt		24,448			24,340
Capitalized lease obligation		6,523			7,710
Amortization of deferred financing costs and debt discount		4,569			4,473
Change in fair value of derivatives and amortization		(135	)		233
Interest income		(303	)		(852	)
Income from operations		38,687			26,523
Gain on facility lease termination		—			(2,780	)
Loss on acquisition		—			636
Depreciation and amortization		64,659			63,344
Asset impairment		—			1,083
Straight-line lease expense		748			1,642
Amortization of deferred gain		(1,093	)		(1,093	)
Amortization of entrance fees		(7,133	)		(6,066	)
Non-cash stock-based compensation expense		6,894			6,435
Entrance fee receipts(2)		16,873			14,989
Entrance fee disbursements		(9,320	)		(8,102	)
Adjusted EBITDA	$	110,315		$	96,611

(1) The calculation of Adjusted EBITDA includes integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million for the three months ended March 31, 2013 and 2012, respectively.

(2) Includes the receipt of refundable and non-refundable entrance fees.

Cash From Facility Operations

Definition of Cash From Facility Operations

We define Cash From Facility Operations (CFFO) as follows:

Net cash provided by (used in) operating activities adjusted for:

· changes in operating assets and liabilities;

· deferred interest and fees added to principal;

· refundable entrance fees received;

· first generation entrance fee receipts at a recently opened entrance fee CCRC prior to stabilization;

· entrance fee refunds disbursed adjusted for first generation entrance fee refunds not replaced by second generation entrance fee receipts at the recently opened community prior to stabilization;

· lease financing debt amortization with fair market value or no purchase options;

· gain (loss) on facility lease termination;

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· recurring capital expenditures, net;

· distributions from unconsolidated ventures from cumulative share of net earnings;

· CFFO from unconsolidated ventures; and

· other.

Recurring capital expenditures include routine expenditures capitalized in accordance with GAAP that are funded from current operations. Amounts excluded from recurring capital expenditures consist primarily of major projects, renovations, community repositionings, expansions, systems projects or other non-recurring or unusual capital items (including integration capital expenditures) or community purchases that are funded using lease or financing proceeds, available cash and/or proceeds from the sale of communities that are held for sale.

Management's Use of Cash From Facility Operations

We use CFFO to assess our overall liquidity.  This measure provides an assessment of controllable expenses and affords management the ability to make decisions which are expected to facilitate meeting current financial and liquidity goals as well as to achieve optimal financial performance.  It provides an indicator for management to determine if adjustments to current spending decisions are needed.

This metric measures our liquidity based on operational factors that management can impact in the short-term, namely the cost structure or expenses of the organization.  CFFO is one of the metrics used by our senior management and board of directors (i) to review our ability to service our outstanding indebtedness (including our credit facilities and long-term leases), (ii) to review our ability to pay dividends to stockholders, (iii) to review our ability to make regular recurring capital expenditures to maintain and improve our communities on a period-to-period basis, (iv) for planning purposes, including preparation of our annual budget, (v) in making compensation determinations for certain of our associates (including our named executive officers) and (vi) in setting various covenants in our credit agreements.  These agreements generally require us to escrow or spend a minimum of between $250 and $450 per unit per year.  Historically, we have spent in excess of these per unit amounts; however, there is no assurance that we will have funds available to escrow or spend these per unit amounts in the future.  If we do not escrow or spend the required minimum annual amounts, we would be in default of the applicable debt or lease agreement which could trigger cross default provisions in our outstanding indebtedness and lease arrangements.

Limitations of Cash From Facility Operations

CFFO has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of cash flow from operations.  CFFO does not represent cash available for dividends or discretionary expenditures, since we may have mandatory debt service requirements or other non-discretionary expenditures not reflected in the measure.  Material limitations in making the adjustment to our cash flow from operations to calculate CFFO, and using this non-GAAP financial measure as compared to GAAP operating cash flows, include:

· the cash portion of interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt activities generally represent charges (gains), which may significantly affect our financial results; and

· depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which affects the services we provide to our residents and may be indicative of future needs for capital expenditures.

We believe CFFO is useful to investors because it assists their ability to meaningfully evaluate (1) our ability to service our outstanding indebtedness, including our credit facilities and capital and financing leases, (2) our ability to pay dividends to stockholders and (3) our ability to make regular recurring capital expenditures to maintain and improve our communities.

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CFFO is not an alternative to cash flows provided by or used in operations as calculated and presented in accordance with GAAP.  You should not rely on CFFO as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of CFFO to GAAP net cash provided by (used in) operating activities, along with our condensed consolidated financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate our business.  In addition, because CFFO is not a measure of financial performance under GAAP and is susceptible to varying calculations, the CFFO measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies.

The table below shows the reconciliation of net cash provided by operating activities to CFFO for the three months ended March 31, 2013 and 2012 (dollars in thousands):

	Three Months Ended March 31,
	2013(1)			2012(1)
Net cash provided by operating activities	$	64,485		$	45,693
Changes in operating assets and liabilities		16,446			18,977
Refundable entrance fees received(2)(3)		7,636			7,989
Entrance fee refunds disbursed		(9,320	)		(8,102	)
Recurring capital expenditures, net		(9,324	)		(8,064	)
Lease financing debt amortization with fair market value or no purchase options		(3,371	)		(2,929	)
Distributions from unconsolidated ventures from cumulative share of net earnings		(668	)		(206	)
CFFO from unconsolidated ventures		1,958			1,228
Cash From Facility Operations	$	67,842		$	54,586

(1) The calculation of Cash From Facility Operations includes integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million for the three months ended March 31, 2013 and 2012, respectively.

(2) Entrance fee receipts include promissory notes issued to the Company by the resident in lieu of a portion of the entrance fees due.  Collections, net of new issuances for the three months ended March 31, 2013 and 2012 were $2.2 million and $0.6 million, respectively.

(3) Total entrance fee receipts for the three months ended March 31, 2013 and 2012 were $16.9 million and $15.0 million, respectively, including $9.2 million and $7.0 million, respectively, of non-refundable entrance fee receipts included in net cash provided by operating activities.

Facility Operating Income

Definition of Facility Operating Income

We define Facility Operating Income as follows:

Net income (loss) before:

· provision (benefit) for income taxes;

· non-operating (income) expense items;

· (gain) loss on sale or acquisition of communities (including gain (loss) on facility lease termination);

· depreciation and amortization (including non-cash impairment charges);

· facility lease expense;

· general and administrative expense, including non-cash stock-based compensation expense;

37

· change in future service obligation;

· amortization of deferred entrance fee revenue; and

· management fees.

Management's Use of Facility Operating Income

We use Facility Operating Income to assess our facility operating performance.  We believe this non-GAAP measure, as we have defined it, is helpful in identifying trends in our day-to-day facility performance because the items excluded have little or no significance on our day-to-day facility operations.  This measure provides an assessment of revenue generation and expense management and affords management the ability to make decisions which are expected to facilitate meeting current financial goals as well as to achieve optimal facility financial performance.  It provides an indicator for management to determine if adjustments to current spending decisions are needed.

Facility Operating Income provides us with a measure of facility financial performance, independent of items that are beyond the control of management in the short-term, such as the change in the liability for the obligation to provide future services under existing lifecare contracts, depreciation and amortization (including non-cash impairment charges), straight-line lease expense (income), taxation and interest expense associated with our capital structure.  This metric measures our facility financial performance based on operational factors that management can impact in the short-term, namely the cost structure or expenses of the organization.  Facility Operating Income is one of the metrics used by our senior management and board of directors to review the financial performance of the business on a monthly basis.  Facility Operating Income is also used by research analysts and investors to evaluate the performance of and value companies in our industry by investors, lenders and lessors.  In addition, Facility Operating Income is a common measure used in the industry to value the acquisition or sales price of communities and is used as a measure of the returns expected to be generated by a community.

A number of our debt and lease agreements contain covenants measuring Facility Operating Income to gauge debt or lease coverages.  The debt or lease coverage covenants are generally calculated as facility net operating income (defined as total operating revenue less operating expenses, all as determined on an accrual basis in accordance with GAAP).  For purposes of the coverage calculation, the lender or lessor will further require a pro forma adjustment to facility operating income to include a management fee (generally 4% to 5% of operating revenue) and an annual capital reserve (generally $250 to $450 per unit).  An investor or potential investor may find this item important in evaluating our performance, results of operations and financial position, particularly on a facility-by-facility basis.

Limitations of Facility Operating Income

Facility Operating Income has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of earnings.  Material limitations in making the adjustments to our earnings to calculate Facility Operating Income, and using this non-GAAP financial measure as compared to GAAP net income (loss), include:

· interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt activities generally represent charges (gains), which may significantly affect our financial results; and

· depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which affects the services we provide to our residents and may be indicative of future needs for capital expenditures.

An investor or potential investor may find this item important in evaluating our performance, results of operations and financial position on a facility-by-facility basis.  We use non-GAAP financial measures to supplement our GAAP results in order to provide a more complete understanding of the factors and trends affecting our business.

Facility Operating Income is not an alternative to net income, income from operations or cash flows provided by or used in operations as calculated and presented in accordance with GAAP.  You should not rely on Facility Operating

38

Income as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of Facility Operating Income to GAAP net income (loss), along with our condensed consolidated financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate our business.  In addition, because Facility Operating Income is not a measure of financial performance under GAAP and is susceptible to varying calculations, the Facility Operating Income measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies.

The table below shows the reconciliation of net income (loss) to Facility Operating Income for the three months ended March 31, 2013 and 2012 (dollars in thousands):

	Three Months Ended March 31,
	2013			2012
Net income (loss)	$	3,558		$	(10,544	)
Provision for income taxes		1,148			930
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Loss on extinguishment of debt		—			221
Other non-operating (income) loss		(1,006	)		111
Interest expense:
Debt		24,448			24,340
Capitalized lease obligation		6,523			7,710
Amortization of deferred financing costs and debt discount		4,569			4,473
Change in fair value of derivatives and amortization		(135	)		233
Interest income		(303	)		(852	)
Income from operations		38,687			26,523
Gain on facility lease termination		—			(2,780	)
Depreciation and amortization		64,659			63,344
Asset impairment		—			1,083
Loss on acquisition		—			636
Facility lease expense		69,019			71,445
General and administrative (including non-cash stock-based compensation expense)		46,611			44,973
Amortization of entrance fees		(7,133	)		(6,066	)
Management fees		(7,609	)		(7,444	)
Facility Operating Income	$	204,234		$	191,714

Item 3.  Quantitative and Qualitative Disclosures About Market Risk

We are subject to market risks from changes in interest rates charged on our credit facilities, other floating-rate indebtedness and lease payments subject to floating rates. The impact on earnings and the value of our long-term debt and lease payments are subject to change as a result of movements in market rates and prices. As of March 31, 2013, we had approximately $1.4 billion of long-term fixed rate debt, $0.8 billion of long-term variable rate debt, excluding our line of credit, and $312.7 million of capital and financing lease obligations. As of March 31, 2013, our total fixed-rate debt and variable-rate debt outstanding had a weighted-average interest rate of 4.50% (calculated using an imputed interest rate of 7.50% for our $316.3 million convertible senior notes due 2018).

We enter into certain interest rate swap agreements with major financial institutions to manage our risk on variable rate debt.  Additionally, we have entered into certain cap agreements to effectively manage our risk above certain interest rates.  As of March 31, 2013, $1.5 billion, or 64.5%, of our debt, excluding our line of credit and capital and financing lease obligations, either has fixed rates or variable rates that are subject to swap agreements.  As of March 31, 2013, $575.6 million, or 25.2%, of our debt, excluding our line of credit and capital and financing lease obligations, is subject to cap agreements.   The remaining $235.4 million, or 10.3%, of our debt is variable rate debt,

39

not subject to any cap or swap agreements.   A change in interest rates would have impacted our interest rate expense related to all outstanding variable rate debt, excluding our line of credit and capital and financing lease obligations, as follows: a one, five and ten percent change in interest rates would have an impact of $7.9 million, $40.5 million and $54.2 million, respectively.

Item 4.  Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) as of the end of the period covered by this report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer each concluded that, as of March 31, 2013, our disclosure controls and procedures were effective.

Changes in Internal Control over Financial Reporting

There has not been any change in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter ended March 31, 2013 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II.  OTHER INFORMATION

Item 1.  Legal Proceedings

The information contained in Note 9 to the Condensed Consolidated Financial Statements contained in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated herein by this reference.

Item 1A.  Risk Factors

There have been no material changes to the risk factors set forth in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2012.

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds

(a) Not applicable.

(b) Not applicable.

(c) The following table contains information regarding purchases of our common stock made during the quarter ended March 31, 2013 by or on behalf of the Company or any ''affiliated purchaser,'' as defined by Rule 10b-18(a)(3) of the Exchange Act:

Period	Total Number of Shares Purchased (1)		Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs		Maximum Number of Shares that May Yet Be Purchased Under the Plans or Programs (2)
01/01/13 - 01/31/13		-	$	-		-		-
02/01/13 - 02/28/13		630		27.84		-		-
03/01/13 - 03/31/13		-		-		-		-
Total		630	$	27.84		-		-

(1) Consists entirely of shares withheld to satisfy tax liabilities due upon the vesting of restricted stock.

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(2) See Note 17 to the consolidated financial statements contained in Part II, Item 8 of our Annual Report on Form 10-K for the year ended December 31, 2012, filed with the SEC on February 19, 2013, which is incorporated herein by reference, for information regarding our share repurchase program.  No shares were purchased pursuant to this authorization during the three months ended March 31, 2013.  As of March 31, 2013, approximately $82.4 million remains available under this share repurchase authorization.

Item 6.  Exhibits

See Exhibit Index immediately following the signature page hereto, which Exhibit Index is incorporated by reference as if fully set forth herein.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

BROOKDALE SENIOR LIVING INC.
(Registrant)
By:	/s/ Mark W. Ohlendorf
Name:		Mark W. Ohlendorf
Title:		Co-President and Chief Financial Officer
		(Principal Financial and Accounting Officer)
Date:		May 9, 2013

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EXHIBIT INDEX

Exhibit No.	Description
3.1	Amended and Restated Certificate of Incorporation of the Company (incorporated by reference to Exhibit 3.1 to the Company's Annual Report on Form 10-K filed on February 26, 2010).
3.2	Amended and Restated Bylaws of the Company (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K filed on July 3, 2012).
4.1	Form of Certificate for common stock (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-1 (Amendment No. 3) (No. 333-127372) filed on November 7, 2005).
4.2	Stockholders Agreement, dated as of November 28, 2005, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Brookdale Acquisition LLC, Fortress Investment Trust II and Health Partners (incorporated by reference to Exhibit 4.2 to the Company's Annual Report on Form 10-K filed on March 31, 2006).
4.3	Amendment No. 1 to Stockholders Agreement, dated as of July 25, 2006, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Registered Investment Trust, Fortress Brookdale Investment Fund LLC, FRIT Holdings LLC, and FIT Holdings LLC (incorporated by reference to Exhibit 4.3 to the Company's Quarterly Report on Form 10-Q filed on August 14, 2006).
4.4	Amendment Number Two to Stockholders Agreement, dated as of November 4, 2009 (incorporated by reference to Exhibit 4.4 to the Company's Quarterly Report on Form 10-Q filed on November 4, 2009).
4.5	Indenture, dated as of June 14, 2011, between the Company and American Stock Transfer & Trust Company, LLC, as Trustee (incorporated by reference to Exhibit 4.1 to the Company's Current Report on Form 8-K filed on June 14, 2011).
4.6	Supplemental Indenture, dated as of June 14, 2011, between the Company and American Stock Transfer & Trust Company, LLC, as Trustee (incorporated by reference to Exhibit 4.2 to the Company's Current Report on Form 8-K filed on June 14, 2011).
4.7	Form of 2.75% Convertible Senior Note due 2018 (included as part of Exhibit 4.6).
10.1	Employment Agreement, dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on February 12, 2013).
10.2	Restricted Share Agreement (Time-Vesting), dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith (incorporated by reference to Exhibit 10.2 to the Company's Current Report on Form 8-K filed on February 12, 2013).
10.3	Restricted Share Agreement (Performance-Vesting), dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith (incorporated by reference to Exhibit 10.3 to the Company's Current Report on Form 8-K filed on February 12, 2013).
10.4	Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Time-Vesting Form for Executive Committee Members) (incorporated by reference to Exhibit 10.39 to the Company's Annual Report on Form 10-K filed on February 19, 2013).
10.5	Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Time-Vesting Form for Executive Vice Presidents) (incorporated by reference to Exhibit 10.40 to the Company's Annual Report on Form 10-K filed on February 19, 2013).
10.6	Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Performance-Vesting Form for Executive Committee Members) (incorporated by reference to Exhibit 10.41 to the Company's Annual Report on Form 10-K filed on February 19, 2013).
10.7	Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Performance-Vesting Form for Executive Vice Presidents) (incorporated by reference to Exhibit 10.42 to the Company's Annual Report on Form 10-K filed on February 19, 2013).
10.8	Second Amended and Restated Credit Agreement, dated as of March 28, 2013, among certain

43

	subsidiaries of Brookdale Senior Living Inc., General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on April 3, 2013).
31.1	Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32	Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS	XBRL Instance Document.
101.SCH	XBRL Taxonomy Extension Schema Document.
101.CAL	XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF	XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB	XBRL Taxonomy Extension Label Linkbase Document.
101.PRE	XBRL Taxonomy Extension Presentation Linkbase Document.

44

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, T. Andrew Smith, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Brookdale Senior Living Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date:  May 9, 2013	/s/ T. Andrew Smith
	T. Andrew Smith
	Chief Executive Officer

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Mark W. Ohlendorf, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Brookdale Senior Living Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date:  May 9, 2013	/s/ Mark W. Ohlendorf
	Mark W. Ohlendorf
	Chief Financial Officer

EX-32

EXHIBIT 32

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL

OFFICER PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED

PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Brookdale Senior Living Inc. (the "Company") for the period ended March 31, 2013, as filed with the Securities and Exchange Commission on the date hereof (the "Report"), T. Andrew Smith, as Chief Executive Officer of the Company, and Mark W. Ohlendorf, as Chief Financial Officer of the Company, each hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ T. Andrew Smith
Name:	T. Andrew Smith
Title:	Chief Executive Officer
Date:	May 9, 2013

/s/ Mark W. Ohlendorf
Name:	Mark W. Ohlendorf
Title:	Chief Financial Officer
Date:	May 9, 2013

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Supplemental Disclosure of Cash Flow Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Supplemental Cash Flow Information [Abstract]
Interest paid	$ 29,027	$ 30,049
Income taxes paid	341	207
Write-off of deferred costs	0	744
Acquisition of assets, net of related payables and cash received [Line Items]
Cash and escrow deposits - restricted	0	3,313
Prepaid expenses and other current assets	0	(2,817)
Property, plant and equipment and leasehold intangibles, net	0	121,250
Other intangible assets, net	0	3,672
Other assets, net	0	(7,327)
Accrued expenses	0	(392)
Other liabilities	0	4,429
Long-term debt, less current portion	0	(15,000)
Accumulated earnings	0	(2,144)
Net	$ 0	$ 104,984

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Earnings Per Share (Details) (USD $)	3 Months Ended		12 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Dec. 31, 2012	Dec. 31, 2011
Income attributable to common shareholders:
Net income (loss)	$ 3,558,000	$ (10,544,000)	$ (66,467,000)	$ (69,050,000)
Weighted-average shares outstanding - basic	122,823,000	121,145,000
Effect of dilutive securities - Unvested restricted stock and restricted stock units	1,568,000	0
Weighted-average shares outstanding - diluted	124,391,000	121,145,000
Basic earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$ 0.03	$ (0.09)
Diluted earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$ 0.03	$ (0.09)
Restricted Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share	500,000	5,000,000
Convertible Debt Securities [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share	13,800,000
Debt Instrument, Face Amount	$ 316,300,000
Convertible Debt Conversion Price	$ 29.325
Debt Instrument Convertible Maximum Number Of Equity Instrument	3,000,000
Warrant [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share	10,800,000
Exercise Price of Warrants	$ 40.25

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Stock-Based Compensation (Tables)

3 Months Ended

Mar. 31, 2013

Stock-Based Compensation [Abstract]

Current year grants of restricted shares

Current year grants of restricted shares under the Company's Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share):

	Shares Granted		Value Per Share		Total Value
Three months ended March 31, 2013		1,036		$25.32 − $27.36		$27,858

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Segment Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended				12 Months Ended
	Mar. 31, 2013		Mar. 31, 2012		Dec. 31, 2012	Dec. 31, 2011
Segment Information [Abstract]
Number of reportable segments	6
Segment Reporting Information [Line Items]
Revenue	$ 712,266		$ 682,708		$ 2,768,738	$ 2,456,483
Segment operating income	218,976		205,224
General and administrative (including non-cash stock-based compensation expense)	46,611		44,973
Facility lease expense	69,019		71,445
Depreciation and amortization	64,659		63,344
Asset impairment	0		1,083
Loss on acquisition	0		636
Gain on facility lease termination	0		(2,780)
Income from operations	38,687		26,523
Total assets	4,620,908				4,665,978
Retirement Centers [Member]
Segment Reporting Information [Line Items]
Revenue	128,922	[1]	124,512	[1]
Segment operating income	53,334	[2]	50,991	[2]
Total assets	1,255,802				1,256,497
Assisted Living [Member]
Segment Reporting Information [Line Items]
Revenue	260,615	[1]	251,352	[1]
Segment operating income	96,285	[2]	90,563	[2]
Total assets	1,427,052				1,438,934
CCRCs - Rental [Member]
Segment Reporting Information [Line Items]
Revenue	100,327	[1]	95,112	[1]
Segment operating income	29,077	[2]	28,019	[2]
Total assets	531,131				534,220
CCRCs - Entry Fee [Member]
Segment Reporting Information [Line Items]
Revenue	74,308	[1]	71,719	[1]
Segment operating income	19,571	[2]	16,805	[2]
Total assets	943,038				951,584
ISC [Member]
Segment Reporting Information [Line Items]
Revenue	60,198	[1]	53,854	[1]
Segment operating income	13,100	[2]	11,402	[2]
Total assets	91,974				90,357
Management Services [Member]
Segment Reporting Information [Line Items]
Revenue	87,896	[1],[3]	86,159	[1],[3]
Segment operating income	7,609	[2]	7,444	[2]
Total assets	$ 371,911				$ 394,386

[1] All revenue is earned from external third parties in the United States.

[2] Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization).

[3] Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.

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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013	Dec. 31, 2012
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	$ 5,514,532	$ 5,481,266
Accumulated depreciation and amortization	1,661,109	1,601,289
Property, plant and equipment and leasehold intangibles, net	3,853,423	3,879,977
Land [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	295,513	296,314
Buildings and improvements [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	3,400,253	3,391,667
Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	61,183	60,186
Furniture and equipment [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	559,708	541,585
Resident and leasehold operating intangibles [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	441,547	441,603
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	79,102	75,419
Assets under capital and financing leases [Member]
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	$ 677,226	$ 674,492

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Description of Business

3 Months Ended

Mar. 31, 2013

Description of Business [Abstract]

Description of Business

1.  Description of Business

Brookdale Senior Living Inc. ("Brookdale" or the "Company") is a leading owner and operator of senior living communities throughout the United States.  The Company provides an exceptional living experience through properties that are designed, purpose-built and operated to provide the highest quality service, care and living accommodations for residents.  The Company owns, leases and operates retirement centers, assisted living and dementia-care communities and continuing care retirement centers ("CCRCs").  Through its Innovative Senior Care ("ISC") program, the Company also offers a range of outpatient therapy, home health and hospice services, primarily to residents of its communities.

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Supplemental Disclosure of Cash Flow Information (Tables)

3 Months Ended

Mar. 31, 2013

Supplemental Disclosure of Cash Flow Information [Abstract]

Supplemental cash flow information

10.  Supplemental Disclosure of Cash Flow Information

(dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	29,027	$	30,049
Income taxes paid	$	341	$	207
Write-off of deferred costs	$	—	$	744
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Acquisition of assets, net of related payables and cash received:
Cash and escrow deposits-restricted	$	—	$	3,313
Prepaid expenses and other current assets		—		(2,817	)
Property, plant and equipment and leasehold intangibles, net		—		121,250
Other intangible assets, net		—		3,672
Other assets, net		—		(7,327	)
Accrued expenses		—		(392	)
Other liabilities		—		4,429
Long-term debt, less current portion		—		(15,000	)
Accumulated earnings		—		(2,144	)
Net	$	—	$	104,984

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Debt (Tables)

3 Months Ended

Mar. 31, 2013

Debt [Abstract]

Schedule of debt

Long-term debt, capital leases and financing obligations consist of the following (dollars in thousands):

	March 31, 2013		December 31, 2012
Mortgage notes payable due 2013 through 2022; weighted average interest rate of 4.61% for the three months ended March 31, 2013, net of debt discount of $0.3 million (weighted average interest rate of 4.62% in 2012)	$	1,695,258	$	1,701,515
$150,000 Series A notes payable, secured by five communities and by a $3.0 million cash collateral deposit, bearing interest at LIBOR plus 0.88%, payable in monthly installments of principal and interest through maturity in August 2013		143,310		144,384

Discount mortgage note payable due June 2013, weighted average interest rate of 2.46% for the three months ended March 31, 2013, net of debt discount of $0.5 million and $1.0 million in 2013 and 2012, respectively (weighted average interest rate of 2.56% in 2012)		80,687		80,533
Variable rate tax-exempt bonds credit-enhanced by Fannie Mae; weighted average interest rate of 1.42% for the three months ended March 31, 2013 (weighted average interest rate of 1.65% in 2012), due 2032, payable in monthly installments of principal and interest through maturity, secured by the underlying assets of the portfolio		99,646		99,847
Capital and financing lease obligations payable through 2026; weighted average interest rate of 8.16% for the three months ended March 31, 2013 (weighted average interest rate of 8.16% in 2012)		312,679		319,745
Convertible notes payable in aggregate principal amount of $316.3 million, less debt discount of $62.5 million and $65.0 million in 2013 and 2012, respectively, interest at 2.75% per annum, due June 2018		253,775		251,312
Construction financing due 2017 through 2024; weighted average interest rate of 8.0% for the three months ended March 31, 2013 (weighted average interest rate of 8.0% in 2012)		4,093		1,280
Notes payable issued to finance insurance premiums, weighted average interest rate of 2.81% for the three months ended March 31, 2013  (weighted average interest rate of 2.81% in 2012), due 2013		4,482		753
Total debt		2,593,930		2,599,369
Less current portion		307,845		509,543
Total long-term debt	$	2,286,085	$	2,089,826

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Facility Operating Leases (Tables)

3 Months Ended

Mar. 31, 2013

Facility Operating Leases [Abstract]

Summary of facility operating leases

The following table provides a summary of facility lease expense and the impact of straight-line adjustment and amortization of deferred gains (dollars in thousands):

	Three Months Ended March 31,
	2013			2012
Cash basis payment	$	69,364		$	70,896
Straight-line expense		748			1,642
Amortization of deferred gain		(1,093	)		(1,093	)
Facility lease expense	$	69,019		$	71,445

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Segment Information (Tables)

3 Months Ended

Mar. 31, 2013

Segment Information [Abstract]

Schedule of segment reporting information

The following table sets forth certain segment financial and operating data (dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Revenue(1)
Retirement Centers	$	128,922	$	124,512
Assisted Living		260,615		251,352
CCRCs - Rental		100,327		95,112
CCRCs - Entry Fee		74,308		71,719
ISC		60,198		53,854
Management Services(2)		87,896		86,159
	$	712,266	$	682,708
Segmentoperating income(3)
Retirement Centers	$	53,334	$	50,991
Assisted Living		96,285		90,563
CCRCs - Rental		29,077		28,019
CCRCs - Entry Fee		19,571		16,805
ISC		13,100		11,402
Management Services		7,609		7,444
		218,976		205,224
Generaland administrative (including non-cash stock-based compensation expense)		46,611		44,973
Facility lease expense		69,019		71,445
Depreciation and amortization		64,659		63,344
Asset impairment		—		1,083
Loss on acquisition		—		636
Gain on facility lease termination		—		(2,780	)
Income from operations	$	38,687	$	26,523

	As of
	March 31, 2013		December 31, 2012
Total assets
Retirement Centers	$	1,255,802	$	1,256,497
Assisted Living		1,427,052		1,438,934
CCRCs - Rental		531,131		534,220
CCRCs - Entry Fee		943,038		951,584
ISC		91,974		90,357
Corporate and Management Services		371,911		394,386
Total assets	$	4,620,908	$	4,665,978

(1) All revenue is earned from external third parties in the United States.

(2) Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.

(3) Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization).

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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Cash Flows from Operating Activities
Net income (loss)	$ 3,558	$ (10,544)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Loss on extinguishment of debt	0	221
Depreciation and amortization	69,228	67,817
Asset impairment	0	1,083
Equity in earnings of unconsolidated ventures	(115)	(99)
Distributions from unconsolidated ventures from cumulative share of net earnings	668	206
Amortization of deferred gain	(1,093)	(1,093)
Amortization of entrance fees	(7,133)	(6,066)
Proceeds from deferred entrance fee revenue	9,237	7,000
Deferred income tax benefit	0	(135)
Change in deferred lease liability	748	1,642
Change in fair value of derivatives and amortization	(135)	233
(Gain) loss on sale of assets	(926)	114
Loss on acquisition	0	636
Noncash gain on facility lease termination	0	(2,780)
Non-cash stock-based compensation	6,894	6,435
Changes in operating assets and liabilities:
Accounts receivable, net	(9,064)	(5,317)
Prepaid expenses and other assets, net	9,140	(1,681)
Accounts payable and accrued expenses	(10,871)	(23,705)
Tenant refundable fees and security deposits	(335)	(442)
Deferred revenue	(5,316)	12,168
Net cash provided by operating activities	64,485	45,693
Cash Flows from Investing Activities
Increase in lease security deposits and lease acquisition deposits, net	(1,952)	(2,217)
Decrease in cash and escrow deposits - restricted	826	8,442
Purchase of marketable securities - restricted	0	(761)
Additions to property, plant and equipment, and leasehold intangibles, net of related payables	(51,614)	(41,533)
Acquisition of assets, net of related payables and cash received	(2)	(104,984)
Issuance of notes receivable, net	(17)	(439)
Investment in unconsolidated ventures	(5,843)	0
Distributions received from unconsolidated ventures	0	100
Proceeds from sale of assets, net	440	0
Net cash used in investing activities	(58,162)	(141,392)
Cash Flows from Financing Activities
Proceeds from debt	8,955	175,838
Repayment of debt and capital lease obligations	(17,707)	(86,068)
Proceeds from line of credit	105,000	130,000
Repayment of line of credit	(140,000)	(110,000)
Payment of financing costs, net of related payables	(2,200)	(2,378)
Refundable entrance fees:
Proceeds from refundable entrance fees	7,636	7,989
Refunds of entrance fees	(9,320)	(8,102)
Cash portion of loss on extinguishment of debt	0	(118)
Recouponing and payment of swap termination	0	(99)
Other	315	(86)
Net cash (used in) provided by financing activities	(47,321)	106,976
Net (decrease) increase in cash and cash equivalents	(40,998)	11,277
Cash and cash equivalents at beginning of period	69,240	30,836
Cash and cash equivalents at end of period	$ 28,242	$ 42,113

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Summary of Significant Accounting Policies (Details) (USD $)	3 Months Ended		12 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Dec. 31, 2012	Dec. 31, 2011
Revenue Recognition [Abstract]
Term of residency agreements- minimum (in days)	30
Term of residency agreements - maximum (in years)	1
Refund of resident's entrance fee under certain conditions (in months)	12
Consolidated Balance Sheets [Abstract]
Refundable entrance fees and deferred revenue	$ 364,148,000		$ 370,755,000
Deferred tax liability	96,187,000		96,187,000
Accumulated deficit	(951,869,000)		(955,427,000)
Consolidated Statements of Operations [Abstract]
Resident fees	624,370,000	596,549,000	2,412,936,000	2,290,322,000
Total revenue	712,266,000	682,708,000	2,768,738,000	2,456,483,000
Loss before income taxes	4,706,000	(9,614,000)	(64,948,000)	(67,270,000)
Provision for income taxes	(1,148,000)	(930,000)	(1,519,000)	(1,780,000)
Net loss	3,558,000	(10,544,000)	(66,467,000)	(69,050,000)
Basic and diluted net loss per share		$ (0.09)	$ (0.54)	$ (0.57)
Consolidated Statements of Cash Flows [Abstract]
Net loss	3,558,000	(10,544,000)	(66,467,000)	(69,050,000)
Amortization of entrance fees	(7,133,000)	(6,066,000)	(25,362,000)	(23,966,000)
Deferred income tax (benefit) provision	0	(135,000)	(525,000)	383,000
As Reported [Member]
Consolidated Balance Sheets [Abstract]
Refundable entrance fees and deferred revenue			361,360,000
Deferred tax liability			99,851,000
Accumulated deficit			(949,696,000)
Consolidated Statements of Operations [Abstract]
Resident fees		596,886,000	2,414,283,000	2,291,757,000
Total revenue		683,045,000	2,770,085,000	2,457,918,000
Loss before income taxes		(9,277,000)	(63,601,000)	(65,835,000)
Provision for income taxes		(1,061,000)	(2,044,000)	(2,340,000)
Net loss		(10,338,000)	(65,645,000)	(68,175,000)
Basic and diluted net loss per share		$ (0.09)	$ (0.54)	$ (0.56)
Consolidated Statements of Cash Flows [Abstract]
Net loss		(10,338,000)	(65,645,000)	(68,175,000)
Amortization of entrance fees		(6,403,000)	(26,709,000)	(25,401,000)
Deferred income tax (benefit) provision		(4,000)	0	943,000
Adjustment [Member]
Consolidated Balance Sheets [Abstract]
Refundable entrance fees and deferred revenue			9,395,000
Deferred tax liability			(3,664,000)
Accumulated deficit			(5,731,000)
Consolidated Statements of Operations [Abstract]
Resident fees		(337,000)	(1,347,000)	(1,435,000)
Total revenue		(337,000)	(1,347,000)	(1,435,000)
Loss before income taxes		(337,000)	(1,347,000)	(1,435,000)
Provision for income taxes		131,000	525,000	560,000
Net loss		(206,000)	(822,000)	(875,000)
Basic and diluted net loss per share		$ 0	$ 0	$ (0.01)
Consolidated Statements of Cash Flows [Abstract]
Net loss		(206,000)	(822,000)	(875,000)
Amortization of entrance fees		337,000	1,347,000	1,435,000
Deferred income tax (benefit) provision		(131,000)	(525,000)	(560,000)
Carrying Value, Fair Value Disclosure [Member]
Fair Value of Financial Instruments [Line Items]
Long-term Debt, Fair Value	2,600,000,000		2,700,000,000
Estimate of Fair Value, Fair Value Disclosure [Member]
Fair Value of Financial Instruments [Line Items]
Long-term Debt, Fair Value	$ 2,600,000,000		$ 2,700,000,000

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Facility Operating Leases (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Schedule of facility operating lease expense [Abstract]
Cash basis payment	$ 69,364	$ 70,896
Straight-line expense	748	1,642
Amortization of deferred gain	(1,093)	(1,093)
Facility lease expense	$ 69,019	$ 71,445

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CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013	Dec. 31, 2012
Current assets
Cash and cash equivalents	$ 28,242	$ 69,240
Cash and escrow deposits - restricted	42,666	43,096
Accounts receivable, net	109,178	100,401
Deferred tax asset	13,377	13,377
Prepaid expenses and other current assets, net	89,899	82,924
Total current assets	283,362	309,038
Property, plant and equipment and leasehold intangibles, net	3,853,423	3,879,977
Cash and escrow deposits - restricted	62,370	62,767
Investment in unconsolidated ventures	36,287	31,386
Goodwill	109,553	109,553
Other intangible assets, net	158,804	159,942
Other assets, net	117,109	113,315
Total assets	4,620,908	4,665,978
Current liabilities
Current portion of long-term debt	307,845	509,543
Trade accounts payable	45,920	43,184
Accrued expenses	187,466	200,895
Refundable entrance fees and deferred revenue	364,148	370,755
Tenant security deposits	5,966	6,521
Total current liabilities	911,345	1,130,898
Long-term debt, less current portion	2,286,085	2,089,826
Line of credit	45,000	80,000
Deferred entrance fee revenue	81,098	79,010
Deferred liabilities	150,444	150,788
Deferred tax liability	96,187	96,187
Other liabilities	42,880	42,283
Total liabilities	3,613,039	3,668,992
Stockholders' Equity
Preferred stock, $0.01 par value, 50,000,000 shares authorized at March 31, 2013 and December 31, 2012; no shares issued and outstanding	0	0
Common stock, $0.01 par value, 200,000,000 shares authorized at March 31, 2013 and December 31, 2012; 130,097,962 and 129,117,946 shares issued and 127,669,561 and 126,689,545 shares outstanding (including 4,629,150 and 3,951,950 unvested restricted shares), respectively	1,277	1,267
Additional paid-in-capital	2,005,261	1,997,946
Treasury stock, at cost; 2,428,401 shares at March 31, 2013 and December 31, 2012	(46,800)	(46,800)
Accumulated deficit	(951,869)	(955,427)
Total stockholders' equity	1,007,869	996,986
Total liabilities and stockholders' equity	$ 4,620,908	$ 4,665,978

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CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited) [Abstract]
Net income (loss)	$ 3,558	$ (10,544)
Other comprehensive income:
Unrealized gain on marketable securities - restricted	0	1,038
Other	0	9
Total other comprehensive income, net of tax	0	1,047
Comprehensive income (loss)	$ 3,558	$ (9,497)

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Stock-Based Compensation (Details) (Restricted Stock [Member], USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013
Grants of Restricted Stock [Line Items]
Restricted Shares Granted (in shares)	1,036
Total value of restricted shares granted	$ 27,858
Minimum [Member]
Grants of Restricted Stock [Line Items]
Percentage of estimated forfeitures	0.00%
Value Per Share (in dollars per share)	$ 25.32
Maximum [Member]
Grants of Restricted Stock [Line Items]
Percentage of estimated forfeitures	10.00%
Value Per Share (in dollars per share)	$ 27.36

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Summary of Significant Accounting Policies (Policies)

3 Months Ended

Mar. 31, 2013

Summary of Significant Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation

The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments necessary to present fairly the financial position, results of operations and cash flows of the Company as of March 31, 2013, and for all periods presented. The condensed consolidated financial statements are prepared on the accrual basis of accounting. All adjustments made have been of a normal and recurring nature. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. It is suggested that these interim financial statements be read in conjunction with the audited financial statements and the notes thereto, together with management's discussion and analysis of financial condition and results of operations, included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2012, as filed with the Securities and Exchange Commission.

Revenue Recognition

Revenue Recognition

Resident Fees

Resident fee revenue is recorded when services are rendered and consists of fees for basic housing, support services and fees associated with additional services such as personalized health and assisted living care. Residency agreements are generally for a term of 30 days to one year, with resident fees billed monthly in advance. Revenue for certain skilled nursing services and ancillary charges is recognized as services are provided and is billed monthly in arrears.

Entrance Fees

Certain of the Company's communities have residency agreements which require the resident to pay an upfront entrance fee prior to occupying the community.  In addition, in connection with the Company's MyChoice program, new and existing residents are allowed to pay additional entrance fee amounts in return for a reduced monthly service fee.  The non-refundable portion of the entrance fee is recorded as deferred entrance fee revenue and amortized over the estimated stay of the resident based on an actuarial valuation.  The refundable portion of a resident's entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit, or in certain agreements, upon the resale of a comparable unit or 12 months after the resident vacates the unit.  In such instances the refundable portion of the fee is not amortized and included in refundable entrance fees and deferred revenue.  All refundable amounts due to residents at any time in the future are classified as current liabilities.

Management Fees

Management fee revenue is recorded as services are provided to the owners of the communities. Revenues are determined by an agreed upon percentage of gross revenues (as defined).

Reimbursed Costs Incurred on Behalf of Managed Communities

The Company manages certain communities under contracts which provide for payment to the Company of a monthly management fee plus reimbursement of certain operating expenses.  Where the Company is the primary obligor with respect to any such operating expenses, the Company recognizes revenue when the goods have been delivered or the service has been rendered and the Company is due reimbursement.  Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.  The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The Financial Accounting Standards Board ("FASB") issued Accounting Standards Codification ("ASC") 820 – Fair Value Measurements ("ASC 820"), which establishes a three-level valuation hierarchy for disclosure of fair value measurements.  The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date.  A financial instrument's categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.  The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and cash equivalents and cash and escrow deposits-restricted are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.  Management estimates the fair value of its long-term debt using a discounted cash flow analysis based upon the Company's current borrowing rate for debt with similar maturities and collateral securing the indebtedness.  The Company had outstanding debt with a carrying value and estimated fair value of approximately $2.6 billion and $2.7 billion as of March 31, 2013 and December 31, 2012, respectively. The Company's fair value of debt disclosure is classified within Level 2 of the valuation hierarchy.

Self-Insurance Liability Accruals

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim.  As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts.  In addition, the Company maintains a large-deductible workers compensation program and a self-insured employee medical program. The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third party administrator estimates, consultants, advice from legal counsel and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored and estimates are updated as information is available.

Cumulative Effect Adjustment

Cumulative Effect Adjustment

In July 2012, the FASB issued ASU 2012-01, Continuing Care Retirement Communities — Refundable Advance Fees ("ASU 2012-01").  ASU 2012-01 amends the situations in which recognition of deferred revenue for refundable advance fees is appropriate.  Under this amendment, refundable advance fees that are contingent upon reoccupancy by a subsequent resident but are not limited to the proceeds of reoccupancy should be accounted for and reported as a liability.  The guidance in ASU 2012-01 is effective for public companies for fiscal years, and interim periods within those years, beginning after December 15, 2012.  The Company adopted the provisions of this update as of January 1, 2013 and incorporated the provisions of this update to its consolidated financial statements through retrospective application to all periods presented and a cumulative effect adjustment to the Company's accumulated deficit as of January 1, 2013 in this Quarterly Report on Form 10-Q.

The effect of this change in accounting was not material to the consolidated results of operations or financial position for any period, including the first quarters of 2013 and 2012, and did not impact cash flows from operations in either period.  The Company increased its accumulated deficit by $5.7 million to reflect the net cumulative effect of the adoption of ASU 2012-01.

The related adjustments will be made to the applicable prior periods as such financial information is included in future filings with the SEC, but no later than the filing of the Company's Annual Report on Form 10-K for the year ending December 31, 2013.  The impact of all adjustments made to the prior annual consolidated financial statements is summarized as follows (dollars in thousands):

	As of and for the Year Ended December 31, 2012
	As Reported			Adjustment			As Adjusted
Consolidated Balance Sheets
Refundable entrance fees and deferred revenue	$	361,360		$	9,395		$	370,755
Deferred tax liability		99,851			(3,664	)		96,187
Accumulated deficit		(949,696	)		(5,731	)		(955,427	)
Consolidated Statements of Operations
Resident fees	$	2,414,283		$	(1,347	)	$	2,412,936
Total revenue		2,770,085			(1,347	)		2,768,738
Loss before income taxes		(63,601	)		(1,347	)		(64,948	)
Provision for income taxes		(2,044	)		525			(1,519	)
Net loss		(65,645	)		(822	)		(66,467	)
Basic and diluted net loss per share		(0.54	)		—			(0.54	)
Consolidated Statements of Cash Flows
Net loss	$	(65,645	)	$	(822	)	$	(66,467	)
Amortization of entrance fees		(26,709	)		1,347			(25,362	)
Deferred income tax benefit		—			(525	)		(525	)

	Year Ended December 31, 2011
	As Reported			Adjustment			As Adjusted
Consolidated Statements of Operations
Resident fees	$	2,291,757		$	(1,435	)	$	2,290,322
Total revenue		2,457,918			(1,435	)		2,456,483
Loss before income taxes		(65,835	)		(1,435	)		(67,270	)
Provision for income taxes		(2,340	)		560			(1,780	)
Net loss		(68,175	)		(875	)		(69,050	)
Basic and diluted net loss per share		(0.56	)		(0.01	)		(0.57	)
Consolidated Statements of Cash Flows
Net loss	$	(68,175	)	$	(875	)	$	(69,050	)
Amortization of entrance fees		(25,401	)		1,435			(23,966	)
Deferred income tax provision		943			(560	)		383

The prior period financial statements included in this filing have been revised to reflect this change in accounting, the effects of which have been summarized below (dollars in thousands):

	Three Months Ended March 31, 2012
	As Reported			Adjustment			As Adjusted
Condensed Consolidated Statements of Operations
Resident fees	$	596,886		$	(337	)	$	596,549
Total revenue		683,045			(337	)		682,708
Loss before income taxes		(9,277	)		(337	)		(9,614	)
Provision for income taxes		(1,061	)		131			(930	)
Net loss		(10,338	)		(206	)		(10,544	)
Basic and diluted net loss per share		(0.09	)		-			(0.09	)
Condensed Consolidated Statements of Cash Flows
Net loss	$	(10,338	)	$	(206	)	$	(10,544	)
Amortization of entrance fees		(6,403	)		337			(6,066	)
Deferred income tax benefit		(4	)		(131	)		(135	)

Reclassifications

Reclassifications

Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's consolidated financial position or results of operations.

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Goodwill and Other Intangible Assets, Net (Details) (USD $)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Dec. 31, 2012
Goodwill [Line Items]
Gross Carrying Amount	$ 325,321,000		$ 325,321,000
Accumulated Impairment and Other Charges	215,768,000		215,768,000
Net	109,553,000		109,553,000
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	181,279,000		181,277,000
Accumulated Amortization	22,475,000		21,335,000
Net	158,804,000		159,942,000
Amortization expense related to definite-lived intangible assets	1,100,000	900,000
Community Purchase Options [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	147,610,000		147,610,000
Accumulated Amortization	22,188,000		21,263,000
Net	125,422,000		126,347,000
Health care licenses [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	31,084,000		31,082,000
Accumulated Amortization	0		0
Net	31,084,000		31,082,000
Other [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	2,585,000		2,585,000
Accumulated Amortization	287,000		72,000
Net	2,298,000		2,513,000
Retirement Centers [Member]
Goodwill [Line Items]
Gross Carrying Amount	7,642,000		7,642,000
Accumulated Impairment and Other Charges	521,000		521,000
Net	7,121,000		7,121,000
Assisted Living [Member]
Goodwill [Line Items]
Gross Carrying Amount	102,680,000		102,680,000
Accumulated Impairment and Other Charges	248,000		248,000
Net	102,432,000		102,432,000
CCRCs - Rental [Member]
Goodwill [Line Items]
Gross Carrying Amount	56,281,000		56,281,000
Accumulated Impairment and Other Charges	56,281,000		56,281,000
Net	0		0
CCRCs - Entry Fee [Member]
Goodwill [Line Items]
Gross Carrying Amount	158,718,000		158,718,000
Accumulated Impairment and Other Charges	158,718,000		158,718,000
Net	$ 0		$ 0

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Earnings Per Share (Tables)

3 Months Ended

Mar. 31, 2013

Earnings Per Share [Abstract]

Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]

The following table summarizes the computation of basic and diluted earnings (loss) per share amounts presented in the accompanying condensed consolidated statements of operations (in thousands, except per share data):

	Three Months Ended March 31,
	2013		2012
Income attributable to common shareholders:
Net income (loss)	$	3,558	$	(10,544	)
Weighted-average shares outstanding - basic		122,823		121,145
Effect of dilutive securities - Unvested restricted stock and restricted stock units		1,568		—
Weighted-average shares outstanding - diluted		124,391		121,145
Basic earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)
Diluted earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)

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CONDENSED CONSOLIDATED STATEMENT OF EQUITY (Unaudited) (USD $) In Thousands, except Share data	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Treasury Stock [Member]	Accumulated Deficit [Member]
Balances at beginning of period at Dec. 31, 2011
Retrospective adjustment for adoption of accounting policy	$ (5,731)	$ 0	$ 0	$ 0	$ (5,731)
Net income	(66,467)
Net income at Jan. 01, 2012 (as previously reported [Member])	(65,645)
Balances at end of period at Dec. 31, 2012 (as previously reported [Member])	1,002,717	1,267	1,997,946	(46,800)	(949,696)
Balances at end of period at Dec. 31, 2012	996,986	1,267	1,997,946	(46,800)	(955,427)
Balances at end of period - shares (in shares) at Dec. 31, 2012	126,689,545
Compensation expense related to restricted stock grants	6,894	0	6,894	0	0
Net income	3,558	0	0	0	3,558
Issuance of common stock under Associate Stock Purchase Plan	366	0	366	0	0
Issuance of common stock under Associate Stock Purchase Plan - shares (in shares)	15,000
Restricted stock, net	10	10	0	0	0
Restricted stock, net - shares (in shares)	966,000
Other	55	0	55	0	0
Balances at end of period at Mar. 31, 2013	$ 1,007,869	$ 1,277	$ 2,005,261	$ (46,800)	$ (951,869)
Balances at end of period - shares (in shares) at Mar. 31, 2013	127,669,561

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CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) (USD $)	Mar. 31, 2013	Dec. 31, 2012
CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) [Abstract]
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	50,000,000	50,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	200,000,000	200,000,000
Common stock, shares issued (in shares)	130,097,962	129,117,946
Common stock, shares outstanding (in shares)	127,669,561	126,689,545
Common stock, unvested restricted shares (in shares)	4,629,150	3,951,950
Treasury stock, shares (in shares)	2,428,401	2,428,401

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Self-Insurance

3 Months Ended

Mar. 31, 2013

Self-Insurance [Abstract]

Self-Insurance

9.  Litigation

The Company has been and is currently involved in litigation and claims incidental to the conduct of its business which are comparable to other companies in the senior living industry. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. Similarly, the senior living industry is continuously subject to scrutiny by governmental regulators, which could result in litigation related to regulatory compliance matters. As a result, the Company maintains general liability and professional liability insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry standards.  The Company's current policies provide for deductibles for each claim.  Accordingly, the Company is, in effect, self-insured for claims that are less than the deductible amounts.

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Document and Entity Information (USD $) In Billions, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	May 03, 2013	Jun. 30, 2012
Document and Entity Information [Abstract]
Entity Registrant Name	Brookdale Senior Living Inc.
Entity Central Index Key	0001332349
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Public Float			$ 1.5
Entity Common Stock, Shares Outstanding		123,040,703
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q1
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2013

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Supplemental Disclosure of Cash Flow Information

3 Months Ended

Mar. 31, 2013

Supplemental Disclosure of Cash Flow Information [Abstract]

Supplemental Disclosure of Cash Flow Information

10.  Supplemental Disclosure of Cash Flow Information

(dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	29,027	$	30,049
Income taxes paid	$	341	$	207
Write-off of deferred costs	$	—	$	744
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Acquisition of assets, net of related payables and cash received:
Cash and escrow deposits-restricted	$	—	$	3,313
Prepaid expenses and other current assets		—		(2,817	)
Property, plant and equipment and leasehold intangibles, net		—		121,250
Other intangible assets, net		—		3,672
Other assets, net		—		(7,327	)
Accrued expenses		—		(392	)
Other liabilities		—		4,429
Long-term debt, less current portion		—		(15,000	)
Accumulated earnings		—		(2,144	)
Net	$	—	$	104,984

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CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Revenue
Resident fees	$ 624,370	$ 596,549
Management fees	7,609	7,444
Reimbursed costs incurred on behalf of managed communities	80,287	78,715
Total revenue	712,266	682,708
Expense
Facility operating expense (excluding depreciation and amortization of $57,255 and $57,936, respectively)	413,003	398,769
General and administrative expense (including non-cash stock-based compensation expense of $6,894 and $6,435, respectively)	46,611	44,973
Facility lease expense	69,019	71,445
Depreciation and amortization	64,659	63,344
Asset impairment	0	1,083
Loss on acquisition	0	636
Gain on facility lease termination	0	(2,780)
Costs incurred on behalf of managed communities	80,287	78,715
Total operating expense	673,579	656,185
Income from operations	38,687	26,523
Interest income	303	852
Interest expense:
Debt	(30,971)	(32,050)
Amortization of deferred financing costs and debt discount	(4,569)	(4,473)
Change in fair value of derivatives and amortization	135	(233)
Loss on extinguishment of debt	0	(221)
Equity in earnings of unconsolidated ventures	115	99
Other non-operating income (loss)	1,006	(111)
Income (loss) before income taxes	4,706	(9,614)
Provision for income taxes	(1,148)	(930)
Net income (loss)	$ 3,558	$ (10,544)
Basic earnings (loss) per share	$ 0.03	$ (0.09)
Weighted average shares used in computing basic earnings (loss) per share	122,823	121,145
Diluted earnings (loss) per share	$ 0.03	$ (0.09)
Weighted average shares used in computing diluted earnings (loss) per share	124,391	121,145

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Dispositions

3 Months Ended

Mar. 31, 2013

Dispositions [Abstract]

Dispositions

4.  Dispositions

During the three months ended March, 31, 2013, the Company sold two communities for an aggregate selling price of $7.2 million.  The results of operations of the communities were previously reported in the Assisted Living segment.

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Earnings Per Share

3 Months Ended

Mar. 31, 2013

Earnings Per Share [Abstract]

Earnings Per Share

3.  Earnings Per Share

Basic earnings per share ("EPS") is calculated by dividing net income by the weighted average number of shares of common stock outstanding.  Diluted EPS includes the components of basic EPS and also gives effect to dilutive common stock equivalents.  For purposes of calculating basic and diluted earnings per share, vested restricted stock awards are considered outstanding.  Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were exercised or could result in the issuance of common stock.  Potentially dilutive common stock equivalents include unvested restricted stock, restricted stock units and convertible debt instruments and warrants.

The following table summarizes the computation of basic and diluted earnings (loss) per share amounts presented in the accompanying condensed consolidated statements of operations (in thousands, except per share data):

	Three Months Ended March 31,
	2013		2012
Income attributable to common shareholders:
Net income (loss)	$	3,558	$	(10,544	)
Weighted-average shares outstanding - basic		122,823		121,145
Effect of dilutive securities - Unvested restricted stock and restricted stock units		1,568		—
Weighted-average shares outstanding - diluted		124,391		121,145
Basic earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)
Diluted earnings (loss) per common share:
Net income (loss) per share attributable to common shareholders	$	0.03	$	(0.09	)

For the three months ended March 31, 2013, the calculation of diluted weighted average shares excludes the impact of conversion of the Company's $316.3 million of convertible senior notes, as the initial conversion price of approximately $29.325 per share was higher than the average trading price of the Company's common stock making the instruments anti-dilutive.  As of March 31, 2013, the maximum number of shares issuable upon conversion of the notes is approximately 13.8 million (after giving effect to additional make-whole shares issuable upon conversion in connection with the occurrence of certain events); however it is the Company's current intent and policy to settle the principal amount of the notes in cash upon conversion.  The maximum number of shares issuable upon conversion of the notes in excess of the amount of principal that would be settled in cash is approximately 3.0 million.  In addition, the calculation of diluted weighted average shares excludes the impact of the exercise of warrants to acquire the Company's common stock, as the initial strike price of $40.25 per share was also higher than the average trading price of the Company's common stock making the instruments anti-dilutive.  As of March 31, 2013, the number of shares issuable upon exercise of the warrants was approximately 10.8 million.  The calculation of diluted weighted average shares for the three months ended March 31, 2013 also excludes 0.5 million of performance-based restricted stock awards.

For the three months ended March 31, 2012, the Company recorded a consolidated net loss.  As a result of the net loss, unvested restricted stock and restricted stock unit awards and convertible debt instruments and warrants were anti-dilutive for the period and were not included in the computation of diluted weighted average shares.  The weighted average restricted stock and restricted stock unit awards excluded from the calculation of diluted weighted average shares for the three months ended March 31, 2012 was 5.0 million.

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Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2013

Summary of Significant Accounting Policies [Abstract]

Cumulative Effect Adjustment [Table Text Block]

The related adjustments will be made to the applicable prior periods as such financial information is included in future filings with the SEC, but no later than the filing of the Company's Annual Report on Form 10-K for the year ending December 31, 2013.  The impact of all adjustments made to the prior annual consolidated financial statements is summarized as follows (dollars in thousands):

	As of and for the Year Ended December 31, 2012
	As Reported			Adjustment			As Adjusted
Consolidated Balance Sheets
Refundable entrance fees and deferred revenue	$	361,360		$	9,395		$	370,755
Deferred tax liability		99,851			(3,664	)		96,187
Accumulated deficit		(949,696	)		(5,731	)		(955,427	)
Consolidated Statements of Operations
Resident fees	$	2,414,283		$	(1,347	)	$	2,412,936
Total revenue		2,770,085			(1,347	)		2,768,738
Loss before income taxes		(63,601	)		(1,347	)		(64,948	)
Provision for income taxes		(2,044	)		525			(1,519	)
Net loss		(65,645	)		(822	)		(66,467	)
Basic and diluted net loss per share		(0.54	)		—			(0.54	)
Consolidated Statements of Cash Flows
Net loss	$	(65,645	)	$	(822	)	$	(66,467	)
Amortization of entrance fees		(26,709	)		1,347			(25,362	)
Deferred income tax benefit		—			(525	)		(525	)

	Year Ended December 31, 2011
	As Reported			Adjustment			As Adjusted
Consolidated Statements of Operations
Resident fees	$	2,291,757		$	(1,435	)	$	2,290,322
Total revenue		2,457,918			(1,435	)		2,456,483
Loss before income taxes		(65,835	)		(1,435	)		(67,270	)
Provision for income taxes		(2,340	)		560			(1,780	)
Net loss		(68,175	)		(875	)		(69,050	)
Basic and diluted net loss per share		(0.56	)		(0.01	)		(0.57	)
Consolidated Statements of Cash Flows
Net loss	$	(68,175	)	$	(875	)	$	(69,050	)
Amortization of entrance fees		(25,401	)		1,435			(23,966	)
Deferred income tax provision		943			(560	)		383

The prior period financial statements included in this filing have been revised to reflect this change in accounting, the effects of which have been summarized below (dollars in thousands):

	Three Months Ended March 31, 2012
	As Reported			Adjustment			As Adjusted
Condensed Consolidated Statements of Operations
Resident fees	$	596,886		$	(337	)	$	596,549
Total revenue		683,045			(337	)		682,708
Loss before income taxes		(9,277	)		(337	)		(9,614	)
Provision for income taxes		(1,061	)		131			(930	)
Net loss		(10,338	)		(206	)		(10,544	)
Basic and diluted net loss per share		(0.09	)		-			(0.09	)
Condensed Consolidated Statements of Cash Flows
Net loss	$	(10,338	)	$	(206	)	$	(10,544	)
Amortization of entrance fees		(6,403	)		337			(6,066	)
Deferred income tax benefit		(4	)		(131	)		(135	)

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Facility Operating Leases

3 Months Ended

Mar. 31, 2013

Facility Operating Leases [Abstract]

Facility Operating Leases

11.  Facility Operating Leases

The following table provides a summary of facility lease expense and the impact of straight-line adjustment and amortization of deferred gains (dollars in thousands):

	Three Months Ended March 31,
	2013			2012
Cash basis payment	$	69,364		$	70,896
Straight-line expense		748			1,642
Amortization of deferred gain		(1,093	)		(1,093	)
Facility lease expense	$	69,019		$	71,445

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Property, Plant and Equipment and Leasehold Intangibles, Net

3 Months Ended

Mar. 31, 2013

Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]

Property, Plant and Equipment and Leasehold Intangibles, Net

7.  Property, Plant and Equipment and Leasehold Intangibles, Net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital leases, consist of the following (dollars in thousands):

	March 31, 2013			December 31, 2012
Land	$	295,513		$	296,314
Buildings and improvements		3,400,253			3,391,667
Leasehold improvements		61,183			60,186
Furniture and equipment		559,708			541,585
Resident and leasehold operating intangibles		441,547			441,603
Construction in progress		79,102			75,419
Assets under capital and financing leases		677,226			674,492
		5,514,532			5,481,266
Accumulated depreciation and amortization		(1,661,109	)		(1,601,289	)
Property, plant and equipment and leasehold intangibles, net	$	3,853,423		$	3,879,977

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise.  No indicators of impairment were present during the three months ended March 31, 2013.

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Stock-Based Compensation

3 Months Ended

Mar. 31, 2013

Stock-Based Compensation [Abstract]

Stock-Based Compensation

5.  Stock-Based Compensation

The Company follows ASC 718 in accounting for its share-based payments. This guidance requires measurement of the cost of employee services received in exchange for stock compensation based on the grant-date fair value of the employee stock awards. This cost is recognized as compensation expense ratably over the employee's requisite

service period.  Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized when incurred.

For all service awards, the Company records compensation expense for the entire award on a straight-line basis (or, if applicable, on the accelerated method) over the requisite service period.  For awards with performance-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement.  Performance goals are evaluated quarterly.  If such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed.

The Company's compensation expense recorded in connection with grants of restricted stock for the three months ended March 31, 2013 and 2012 reflects an initial estimated cumulative forfeiture rate from 0% to 10% over the requisite service period of the awards. That estimate is revised if subsequent information indicates that the actual number of awards expected to vest is likely to differ from previous estimates.

Current year grants of restricted shares under the Company's Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share):

	Shares Granted		Value Per Share		Total Value
Three months ended March 31, 2013		1,036		$25.32 − $27.36		$27,858

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Goodwill and Other Intangible Assets, Net

3 Months Ended

Mar. 31, 2013

Goodwill and Other Intangible Assets, Net [Abstract]

Goodwill and Other Intangible Assets, Net

6.  Goodwill and Other Intangible Assets, Net

The following is a summary of changes in the carrying amount of goodwill for the three months ended March 31, 2013 and the year ended December 31, 2012 presented on an operating segment basis (dollars in thousands):

	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Impairment and Other Charges			Net		Gross Carrying Amount		Accumulated Impairment and Other Charges			Net
Retirement Centers	$	7,642	$	(521	)	$	7,121	$	7,642	$	(521	)	$	7,121
Assisted Living		102,680		(248	)		102,432		102,680		(248	)		102,432
CCRCs - Rental		56,281		(56,281	)		—		56,281		(56,281	)		—
CCRCs - Entry Fee		158,718		(158,718	)		—		158,718		(158,718	)		—
Total	$	325,321	$	(215,768	)	$	109,553	$	325,321	$	(215,768	)	$	109,553

Goodwill is tested for impairment annually with a test date of October 1 or sooner if indicators of impairment are present.  No indicators of impairment were present during the three months ended March 31, 2013.

Community purchase options are amortized over their estimated lives and are tested for impairment whenever indicators of impairment arise. No indicators of impairment were present during the three months ended March 31, 2013.  The following is a summary of other intangible assets at March 31, 2013 and December 31, 2012 (dollars in thousands):

	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Amortization			Net		Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	147,610	$	(22,188	)	$	125,422	$	147,610	$	(21,263	)	$	126,347
Health care licenses		31,084		—			31,084		31,082		—			31,082
Other		2,585		(287	)		2,298		2,585		(72	)		2,513
Total	$	181,279	$	(22,475	)	$	158,804	$	181,277	$	(21,335	)	$	159,942

Amortization expense related to definite-lived intangible assets for the three months ended March 31, 2013 and 2012 was $1.1 million and $0.9 million, respectively.  Health care licenses were determined to be indefinite-lived intangible assets and are not subject to amortization.

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Debt

3 Months Ended

Mar. 31, 2013

Debt [Abstract]

Debt

8.  Debt

Long-Term Debt, Capital Leases and Financing Obligations

Long-term debt, capital leases and financing obligations consist of the following (dollars in thousands):

	March 31, 2013		December 31, 2012
Mortgage notes payable due 2013 through 2022; weighted average interest rate of 4.61% for the three months ended March 31, 2013, net of debt discount of $0.3 million (weighted average interest rate of 4.62% in 2012)	$	1,695,258	$	1,701,515
$150,000 Series A notes payable, secured by five communities and by a $3.0 million cash collateral deposit, bearing interest at LIBOR plus 0.88%, payable in monthly installments of principal and interest through maturity in August 2013		143,310		144,384

Discount mortgage note payable due June 2013, weighted average interest rate of 2.46% for the three months ended March 31, 2013, net of debt discount of $0.5 million and $1.0 million in 2013 and 2012, respectively (weighted average interest rate of 2.56% in 2012)		80,687		80,533
Variable rate tax-exempt bonds credit-enhanced by Fannie Mae; weighted average interest rate of 1.42% for the three months ended March 31, 2013 (weighted average interest rate of 1.65% in 2012), due 2032, payable in monthly installments of principal and interest through maturity, secured by the underlying assets of the portfolio		99,646		99,847
Capital and financing lease obligations payable through 2026; weighted average interest rate of 8.16% for the three months ended March 31, 2013 (weighted average interest rate of 8.16% in 2012)		312,679		319,745
Convertible notes payable in aggregate principal amount of $316.3 million, less debt discount of $62.5 million and $65.0 million in 2013 and 2012, respectively, interest at 2.75% per annum, due June 2018		253,775		251,312
Construction financing due 2017 through 2024; weighted average interest rate of 8.0% for the three months ended March 31, 2013 (weighted average interest rate of 8.0% in 2012)		4,093		1,280
Notes payable issued to finance insurance premiums, weighted average interest rate of 2.81% for the three months ended March 31, 2013  (weighted average interest rate of 2.81% in 2012), due 2013		4,482		753
Total debt		2,593,930		2,599,369
Less current portion		307,845		509,543
Total long-term debt	$	2,286,085	$	2,089,826

As of March 31, 2013, the current portion of long-term debt within the Company's condensed consolidated financial statements reflects approximately $276.2 million of mortgage notes payable due within the next 12 months.  Although these debt obligations are scheduled to mature on or prior to March 31, 2014, the Company has the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $80.0 million of certain mortgages payable included in such debt until 2020, as the instruments associated with such mortgages payable provide that the Company can extend the respective maturity dates for terms of seven years from the existing maturity dates.  The Company presently anticipates that it will either satisfy the conditions precedent for extending these obligations and will exercise the extension options or it will refinance or repay the $276.2 million of mortgage notes payable at or prior to maturity.

Credit Facilities

On March 28, 2013, the Company entered into a second amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The amended credit agreement amended and restated in its entirety the Company's existing amended and restated credit agreement dated as of January 31, 2011, as previously amended.  The amended credit agreement extended the maturity date of the facility to March 31, 2018 and decreased the interest rate payable on advances and the fee payable on the unused portion of the facility.  The amended credit agreement also provides options to increase the committed amount initially from $230.0 million to $250.0 million and thereafter from $250.0 million to up to $350.0 million, subject to obtaining commitments for the amount of such increase from acceptable lenders.  The amended credit agreement now also permits reduction of the committed amount or termination of the facility during the last two years of the five year term without payment of a premium or penalty.

Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin.   The applicable margin varies with the percentage of the total commitment drawn, with a 3.25% margin at 25% or lower utilization, a 3.75% margin at utilization greater than 25% but less than or equal to 50%, and a 4.25% margin at greater than 50% utilization.  For purposes of determining the interest rate, in no event will LIBOR be less than 0.5% per annum.  The

Company is also required to pay a quarterly commitment fee of 0.5% per annum on the unused portion of the facility.

The revolving line of credit can be used to finance acquisitions and fund working capital and capital expenditures and for other general corporate purposes.

The facility is secured by a first priority mortgage on certain of the Company's communities. The availability under the line will vary from time to time as it is based on borrowing base calculations related to the appraised value and performance of the communities securing the facility.

The amended credit agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. A violation of any of these covenants could result in a default under the amended credit agreement, which would result in termination of all commitments under the amended credit agreement and all amounts owing under the amended credit agreement and certain other loan agreements becoming immediately due and payable.

As of March 31, 2013, the Company had an available secured line of credit with a $230.0 million commitment and $198.6 million of availability (of which $45.0 million had been drawn as of such date).  The Company also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of March 31, 2013.  Letters of credit totaling $78.0 million had been issued under these facilities as of that date.

Financings

On April 3, 2013, the Company obtained a $25.0 million first mortgage loan, secured by the underlying community.  The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points and matures in April 2018.  In connection with the transaction, the Company repaid $29.0 million of existing variable rate debt.

On April 12, 2013, the Company obtained $259.0 million in loans secured by first mortgages on 23 communities.  The loans bear interest at a variable rate equal to 30-day LIBOR plus a margin of 246 basis points.  The loans mature in May 2023 and require amortization of principal over a 30 year period.  Proceeds of the loans, together with cash on hand, were used to refinance or prepay a total of $275.2 million of mortgage debt which was scheduled to mature in May and July 2013 and variable rate tax-exempt bonds scheduled to mature in 2032.

On April 22, 2013, the Company obtained a $28.0 million first mortgage loan, secured by two communities.  The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points and matures in April 2018.  In connection with the transaction, the Company repaid $35.1 million of existing variable rate debt.

As of March 31, 2013, the Company is in compliance with the financial covenants of its outstanding debt and lease agreements.

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Dispositions (Details) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2013
Dispositions [Abstract]
Number of communities purchased or sold	2
Aggregate selling price	$ 7.2

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Segment Information

3 Months Ended

Mar. 31, 2013

Segment Information [Abstract]

Segment Information

13.  Segment Information

The Company currently has six reportable segments: retirement centers; assisted living; CCRCs - rental; CCRCs - entry fee; ISC; and management services. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment.

Retirement Centers.  The Company's Retirement Centers segment includes owned or leased communities that are primarily designed for middle to upper income senior citizens age 75 and older who desire an upscale residential environment providing the highest quality of service.  The majority of the Company's retirement center communities consist of both independent living and assisted living units in a single community, which allows residents to "age-in-place" by providing them with a continuum of senior independent and assisted living services.

Assisted Living.  The Company's Assisted Living segment includes owned or leased communities that offer housing and 24-hour assistance with activities of daily life to mid-acuity frail and elderly residents.  Assisted living communities include both freestanding, multi-story communities and freestanding single story communities.  The Company also operates memory care communities, which are freestanding assisted living communities specially designed for residents with Alzheimer's disease and other dementias.

CCRCs - Rental.  The Company's CCRCs - Rental segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health.  Most of the Company's CCRCs have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and some also include memory care/Alzheimer's units.

CCRCs - Entry Fee.  The communities in the Company's CCRCs - Entry Fee segment are similar to those in the Company's CCRCs - Rental segment but allow for residents in the independent living apartment units to pay a one-time upfront entrance fee, which is partially refundable in certain circumstances.  The amount of the entrance fee varies depending upon the type and size of the dwelling unit, the type of contract plan selected, whether the contract contains a lifecare benefit for the resident, the amount and timing of refund, and other variables.  In addition to the initial entrance fee, residents under all entrance fee agreements also pay a monthly service fee, which entitles them to the use of certain amenities and services.  Since entrance fees are received upon initial occupancy, the monthly fees are generally less than fees at a comparable rental community.

ISC.  The Company's ISC segment includes the outpatient therapy, home health and hospice services provided to residents of many of the Company's communities, to other senior living communities that the Company does not own or operate and to seniors living outside of the Company's communities.  The ISC segment does not include the therapy services provided in the Company's skilled nursing units, which are included in the Company's CCRCs - Rental and CCRCs - Entry Fee segments.

Management Services.  The Company's management services segment includes communities operated by the Company pursuant to management agreements.  In some of the cases, the controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a joint venture structure in which the Company has an ownership interest.  Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of expenses it incurs on behalf of the owners.

The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies.

The following table sets forth certain segment financial and operating data (dollars in thousands):

	Three Months Ended March 31,
	2013		2012
Revenue(1)
Retirement Centers	$	128,922	$	124,512
Assisted Living		260,615		251,352
CCRCs - Rental		100,327		95,112
CCRCs - Entry Fee		74,308		71,719
ISC		60,198		53,854
Management Services(2)		87,896		86,159
	$	712,266	$	682,708
Segmentoperating income(3)
Retirement Centers	$	53,334	$	50,991
Assisted Living		96,285		90,563
CCRCs - Rental		29,077		28,019
CCRCs - Entry Fee		19,571		16,805
ISC		13,100		11,402
Management Services		7,609		7,444
		218,976		205,224
Generaland administrative (including non-cash stock-based compensation expense)		46,611		44,973
Facility lease expense		69,019		71,445
Depreciation and amortization		64,659		63,344
Asset impairment		—		1,083
Loss on acquisition		—		636
Gain on facility lease termination		—		(2,780	)
Income from operations	$	38,687	$	26,523

	As of
	March 31, 2013		December 31, 2012
Total assets
Retirement Centers	$	1,255,802	$	1,256,497
Assisted Living		1,427,052		1,438,934
CCRCs - Rental		531,131		534,220
CCRCs - Entry Fee		943,038		951,584
ISC		91,974		90,357
Corporate and Management Services		371,911		394,386
Total assets	$	4,620,908	$	4,665,978

(1) All revenue is earned from external third parties in the United States.

(2) Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.

(3) Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization).

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Goodwill and Other Intangible Assets, Net (Tables)

3 Months Ended

Mar. 31, 2013

Goodwill and Other Intangible Assets, Net [Abstract]

Summary of changes in the carrying amount of goodwill

The following is a summary of changes in the carrying amount of goodwill for the three months ended March 31, 2013 and the year ended December 31, 2012 presented on an operating segment basis (dollars in thousands):

	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Impairment and Other Charges			Net		Gross Carrying Amount		Accumulated Impairment and Other Charges			Net
Retirement Centers	$	7,642	$	(521	)	$	7,121	$	7,642	$	(521	)	$	7,121
Assisted Living		102,680		(248	)		102,432		102,680		(248	)		102,432
CCRCs - Rental		56,281		(56,281	)		—		56,281		(56,281	)		—
CCRCs - Entry Fee		158,718		(158,718	)		—		158,718		(158,718	)		—
Total	$	325,321	$	(215,768	)	$	109,553	$	325,321	$	(215,768	)	$	109,553

Other intangible assets

Community purchase options are amortized over their estimated lives and are tested for impairment whenever indicators of impairment arise. No indicators of impairment were present during the three months ended March 31, 2013.  The following is a summary of other intangible assets at March 31, 2013 and December 31, 2012 (dollars in thousands):

	March 31, 2013							December 31, 2012
	Gross Carrying Amount		Accumulated Amortization			Net		Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	147,610	$	(22,188	)	$	125,422	$	147,610	$	(21,263	)	$	126,347
Health care licenses		31,084		—			31,084		31,082		—			31,082
Other		2,585		(287	)		2,298		2,585		(72	)		2,513
Total	$	181,279	$	(22,475	)	$	158,804	$	181,277	$	(21,335	)	$	159,942

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Income Taxes (Details)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Income Taxes [Abstract]
Effective tax rate	24.40%	9.70%

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CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) (Parenthetical) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Parenthetical) [Abstract]
Depreciation and amortization	$ 57,255	$ 57,936
Non-cash stock-based compensation expense	$ 6,894	$ 6,435

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Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2013

Summary of Significant Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2.  Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments necessary to present fairly the financial position, results of operations and cash flows of the Company as of March 31, 2013, and for all periods presented. The condensed consolidated financial statements are prepared on the accrual basis of accounting. All adjustments made have been of a normal and recurring nature. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. It is suggested that these interim financial statements be read in conjunction with the audited financial statements and the notes thereto, together with management's discussion and analysis of financial condition and results of operations, included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2012, as filed with the Securities and Exchange Commission.

Revenue Recognition

Resident Fees

Resident fee revenue is recorded when services are rendered and consists of fees for basic housing, support services and fees associated with additional services such as personalized health and assisted living care. Residency agreements are generally for a term of 30 days to one year, with resident fees billed monthly in advance. Revenue for certain skilled nursing services and ancillary charges is recognized as services are provided and is billed monthly in arrears.

Entrance Fees

Certain of the Company's communities have residency agreements which require the resident to pay an upfront entrance fee prior to occupying the community.  In addition, in connection with the Company's MyChoice program, new and existing residents are allowed to pay additional entrance fee amounts in return for a reduced monthly service fee.  The non-refundable portion of the entrance fee is recorded as deferred entrance fee revenue and amortized over the estimated stay of the resident based on an actuarial valuation.  The refundable portion of a resident's entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit, or in certain agreements, upon the resale of a comparable unit or 12 months after the resident vacates the unit.  In such instances the refundable portion of the fee is not amortized and included in refundable entrance fees and deferred revenue.  All refundable amounts due to residents at any time in the future are classified as current liabilities.

Management Fees

Management fee revenue is recorded as services are provided to the owners of the communities. Revenues are determined by an agreed upon percentage of gross revenues (as defined).

Reimbursed Costs Incurred on Behalf of Managed Communities

The Company manages certain communities under contracts which provide for payment to the Company of a monthly management fee plus reimbursement of certain operating expenses.  Where the Company is the primary obligor with respect to any such operating expenses, the Company recognizes revenue when the goods have been delivered or the service has been rendered and the Company is due reimbursement.  Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.  The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Fair Value of Financial Instruments

The Financial Accounting Standards Board ("FASB") issued Accounting Standards Codification ("ASC") 820 – Fair Value Measurements ("ASC 820"), which establishes a three-level valuation hierarchy for disclosure of fair value measurements.  The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date.  A financial instrument's categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.  The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and cash equivalents and cash and escrow deposits-restricted are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.  Management estimates the fair value of its long-term debt using a discounted cash flow analysis based upon the Company's current borrowing rate for debt with similar maturities and collateral securing the indebtedness.  The Company had outstanding debt with a carrying value and estimated fair value of approximately $2.6 billion and $2.7 billion as of March 31, 2013 and December 31, 2012, respectively. The Company's fair value of debt disclosure is classified within Level 2 of the valuation hierarchy.

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim.  As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts.  In addition, the Company maintains a large-deductible workers compensation program and a self-insured employee medical program. The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third party administrator estimates, consultants, advice from legal counsel and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored and estimates are updated as information is available.

Cumulative Effect Adjustment

In July 2012, the FASB issued ASU 2012-01, Continuing Care Retirement Communities — Refundable Advance Fees ("ASU 2012-01").  ASU 2012-01 amends the situations in which recognition of deferred revenue for refundable advance fees is appropriate.  Under this amendment, refundable advance fees that are contingent upon reoccupancy by a subsequent resident but are not limited to the proceeds of reoccupancy should be accounted for and reported as a liability.  The guidance in ASU 2012-01 is effective for public companies for fiscal years, and interim periods within those years, beginning after December 15, 2012.  The Company adopted the provisions of this update as of January 1, 2013 and incorporated the provisions of this update to its consolidated financial statements through retrospective application to all periods presented and a cumulative effect adjustment to the Company's accumulated deficit as of January 1, 2013 in this Quarterly Report on Form 10-Q.

The effect of this change in accounting was not material to the consolidated results of operations or financial position for any period, including the first quarters of 2013 and 2012, and did not impact cash flows from operations in either period.  The Company increased its accumulated deficit by $5.7 million to reflect the net cumulative effect of the adoption of ASU 2012-01.

The related adjustments will be made to the applicable prior periods as such financial information is included in future filings with the SEC, but no later than the filing of the Company's Annual Report on Form 10-K for the year ending December 31, 2013.  The impact of all adjustments made to the prior annual consolidated financial statements is summarized as follows (dollars in thousands):

	As of and for the Year Ended December 31, 2012
	As Reported			Adjustment			As Adjusted
Consolidated Balance Sheets
Refundable entrance fees and deferred revenue	$	361,360		$	9,395		$	370,755
Deferred tax liability		99,851			(3,664	)		96,187
Accumulated deficit		(949,696	)		(5,731	)		(955,427	)
Consolidated Statements of Operations
Resident fees	$	2,414,283		$	(1,347	)	$	2,412,936
Total revenue		2,770,085			(1,347	)		2,768,738
Loss before income taxes		(63,601	)		(1,347	)		(64,948	)
Provision for income taxes		(2,044	)		525			(1,519	)
Net loss		(65,645	)		(822	)		(66,467	)
Basic and diluted net loss per share		(0.54	)		—			(0.54	)
Consolidated Statements of Cash Flows
Net loss	$	(65,645	)	$	(822	)	$	(66,467	)
Amortization of entrance fees		(26,709	)		1,347			(25,362	)
Deferred income tax benefit		—			(525	)		(525	)

	Year Ended December 31, 2011
	As Reported			Adjustment			As Adjusted
Consolidated Statements of Operations
Resident fees	$	2,291,757		$	(1,435	)	$	2,290,322
Total revenue		2,457,918			(1,435	)		2,456,483
Loss before income taxes		(65,835	)		(1,435	)		(67,270	)
Provision for income taxes		(2,340	)		560			(1,780	)
Net loss		(68,175	)		(875	)		(69,050	)
Basic and diluted net loss per share		(0.56	)		(0.01	)		(0.57	)
Consolidated Statements of Cash Flows
Net loss	$	(68,175	)	$	(875	)	$	(69,050	)
Amortization of entrance fees		(25,401	)		1,435			(23,966	)
Deferred income tax provision		943			(560	)		383

The prior period financial statements included in this filing have been revised to reflect this change in accounting, the effects of which have been summarized below (dollars in thousands):

	Three Months Ended March 31, 2012
	As Reported			Adjustment			As Adjusted
Condensed Consolidated Statements of Operations
Resident fees	$	596,886		$	(337	)	$	596,549
Total revenue		683,045			(337	)		682,708
Loss before income taxes		(9,277	)		(337	)		(9,614	)
Provision for income taxes		(1,061	)		131			(930	)
Net loss		(10,338	)		(206	)		(10,544	)
Basic and diluted net loss per share		(0.09	)		-			(0.09	)
Condensed Consolidated Statements of Cash Flows
Net loss	$	(10,338	)	$	(206	)	$	(10,544	)
Amortization of entrance fees		(6,403	)		337			(6,066	)
Deferred income tax benefit		(4	)		(131	)		(135	)

Reclassifications

Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's consolidated financial position or results of operations.

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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)

3 Months Ended

Mar. 31, 2013

Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]

Property, plant and equipment and leasehold intangibles, net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital leases, consist of the following (dollars in thousands):

	March 31, 2013			December 31, 2012
Land	$	295,513		$	296,314
Buildings and improvements		3,400,253			3,391,667
Leasehold improvements		61,183			60,186
Furniture and equipment		559,708			541,585
Resident and leasehold operating intangibles		441,547			441,603
Construction in progress		79,102			75,419
Assets under capital and financing leases		677,226			674,492
		5,514,532			5,481,266
Accumulated depreciation and amortization		(1,661,109	)		(1,601,289	)
Property, plant and equipment and leasehold intangibles, net	$	3,853,423		$	3,879,977

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Debt (Details) (USD $)			1 Months Ended			3 Months Ended				3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012	Apr. 30, 2013 First mortgage loan issued on April 3, 2013 [Member]	Apr. 30, 2013 First mortgage loan issued on April 12, 2013 [Member]	Apr. 30, 2013 First mortgage loan issued on April 22, 2013 [Member]	Mar. 31, 2013 Line of Credit [Member]	Mar. 31, 2013 Line of Credit [Member] Optional Amount [Member]	Mar. 31, 2013 Line of Credit [Member] Maximum [Member]	Mar. 31, 2013 Secured and unsecured letter of credit facilities	Mar. 31, 2013 Mortgage Notes Payable [Member]	Dec. 31, 2012 Mortgage Notes Payable [Member]	Mar. 31, 2013 $150 Million Series A Notes Payable [Member]	Dec. 31, 2012 $150 Million Series A Notes Payable [Member]	Mar. 31, 2013 Discount Mortgage Note payable due June 2013 [Member]	Dec. 31, 2012 Discount Mortgage Note payable due June 2013 [Member]	Mar. 31, 2013 Variable rate tax exempt bonds [Member]	Dec. 31, 2012 Variable rate tax exempt bonds [Member]	Mar. 31, 2013 Capital Lease Obligations [Member]	Dec. 31, 2012 Capital Lease Obligations [Member]	Mar. 31, 2013 Convertible Debt [Member]	Dec. 31, 2012 Convertible Debt [Member]	Mar. 31, 2013 Construction Financing [Member]	Dec. 31, 2012 Construction Financing [Member]	Mar. 31, 2013 Notes Payable, Insurance Premiums Due 2013 [Member]	Dec. 31, 2012 Notes Payable, Insurance Premiums Due 2013 [Member]	Mar. 31, 2013 Mortgage Loans with Extension Options [Member]
Long-Term Debt, Capital Leases and Financing Obligations [Line Items]
Debt	$ 2,593,930,000	$ 2,599,369,000								$ 1,695,258,000	$ 1,701,515,000	$ 143,310,000	$ 144,384,000	$ 80,687,000	$ 80,533,000	$ 99,646,000	$ 99,847,000	$ 312,679,000	$ 319,745,000	$ 253,775,000	$ 251,312,000	$ 4,093,000	$ 1,280,000	$ 4,482,000	$ 753,000	$ 80,000,000
Less current portion	307,845,000	509,543,000								276,200,000
Long-term debt	2,286,085,000	2,089,826,000
Maturity date			Apr. 30, 2018	May 31, 2023	Apr. 30, 2018	Mar. 31, 2018						Aug. 31, 2013		Jun. 30, 2013		Dec. 31, 2032		Dec. 31, 2026		Jun. 30, 2018				Dec. 31, 2013		Dec. 31, 2020
Maturity date, start										Dec. 31, 2013												Dec. 31, 2017
Maturity date, end										Dec. 31, 2022												Dec. 31, 2024
Weighted average interest rate										4.61%	4.62%			2.46%	2.56%	1.42%	1.65%	8.16%	8.16%	2.75%	2.75%	8.00%	8.00%	2.81%	2.81%
Unamortized debt discount										300,000				500,000	1,000,000					62,500,000	65,000,000
Number of communities securing debt (in number of communities)			1	23	2							5
Amount of cash collateral securing debt												3,000,000
Description of variable rate basis			bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points	bear interest at a variable rate equal to 30-day LIBOR plus a margin of 246 basis points	bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points							LIBOR plus 0.88%
Basis spread on variable rate basis			2.75%	2.46%	2.75%							0.88%
Principal																				316,300,000
Term of Debt Extension (in years)																										7
Credit Facilities [Line Items]
Credit facility borrowing capacity						230,000,000	250,000,000	350,000,000	92,500,000
Maturity date			Apr. 30, 2018	May 31, 2023	Apr. 30, 2018	Mar. 31, 2018						Aug. 31, 2013		Jun. 30, 2013		Dec. 31, 2032		Dec. 31, 2026		Jun. 30, 2018				Dec. 31, 2013		Dec. 31, 2020
Description of applicable margin calculation based on utilization percentage						Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin. The applicable margin varies with the percentage of the total commitment drawn, with a 3.25% margin at 25% or lower utilization, a 3.75% margin at utilization greater than 25% but less than or equal to 50%, and a 4.25% margin at greater than 50% utilization. For purposes of determining the interest rate, in no event will LIBOR be less than 0.5% per annum. The Company is also required to pay a quarterly commitment fee of 0.5% per annum on the unused portion of the facility.
Quarterly commitment fee						0.50%
Line of credit availability						198,600,000
Credit facility borrowings outstanding						45,000,000			78,000,000
Financings [Line Items]
Proceeds from debt financing			25,000,000	259,000,000	28,000,000
Repayment of debt			$ 29,000,000	$ 275,200,000	$ 35,100,000
Description of Variable Rate Basis			bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points	bear interest at a variable rate equal to 30-day LIBOR plus a margin of 246 basis points	bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points							LIBOR plus 0.88%
Basis Spread on Variable Rate			2.75%	2.46%	2.75%							0.88%
Maturity date			Apr. 30, 2018	May 31, 2023	Apr. 30, 2018	Mar. 31, 2018						Aug. 31, 2013		Jun. 30, 2013		Dec. 31, 2032		Dec. 31, 2026		Jun. 30, 2018				Dec. 31, 2013		Dec. 31, 2020
Amortization period				30
Number of communities securing mortgage notes			1	23	2							5

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Income Taxes

3 Months Ended

Mar. 31, 2013

Income Taxes [Abstract]

Income Taxes

12.  Income Taxes

The Company's effective tax rates for the three months ended March 31, 2013 and 2012 were 24.4% and (9.7%), respectively.  The difference in the effective rates for the three months ended March 31, 2013 and 2012 was primarily due to the impact of the Company's improved financial results under generally accepted accounting principles.

The Company recorded additional interest charges related to its tax contingency reserve for the three months ended March 31, 2013.  Tax returns for years 2008 through 2011 are subject to future examination by tax authorities.  In addition, certain tax returns are open from 2000 through 2007 to the extent of the net operating losses generated during those periods.