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Segment Information
12 Months Ended
Dec. 31, 2013
Segment Reporting [Abstract]  
Segment Information
Segment Information
As of December 31, 2013, we operated through three reportable business segments: triple-net leased properties; senior living operations and MOB operations. In our triple-net leased properties segment, we acquire and own seniors housing and healthcare properties throughout the United States and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. In our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage independent operators, such as Atria and Sunrise, to manage those communities. In our MOB operations segment, we primarily acquire, own, develop, lease, and manage MOBs. Information provided for “all other” includes income from loans and investments and other miscellaneous income and various corporate-level expenses not directly attributable to our three reportable business segments. Assets included in “all other” consist primarily of corporate assets, including cash, restricted cash, deferred financing costs, loans receivable and investments, and miscellaneous accounts receivable.
We evaluate performance of the combined properties in each reportable business segment based on segment profit, which we define as NOI adjusted for income/loss from unconsolidated entities. We define NOI as total revenues, less interest and other income, property-level operating expenses and medical office building services costs. Although we believe that net income, as defined by GAAP, is the most appropriate earnings measurement, we consider segment profit a useful supplement to net income because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. Segment profit should not be considered as an alternative to net income (determined in accordance with GAAP) as an indicator of our financial performance. In order to facilitate a clear understanding of our historical consolidated historical operating results, segment profit should be examined in conjunction with net income as presented in our Consolidated Financial Statements and other financial data included elsewhere in this Annual Report on Form 10-K/A.
Interest expense, depreciation and amortization, general, administrative and professional fees, income tax expense, discontinued operations and other non-property specific revenues and expenses are not allocated to individual reportable business segments for purposes of assessing segment performance. There are no intersegment sales or transfers.
Summary information by reportable business segment is as follows:
For the year ended December 31, 2013:
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
875,877

 
$

 
$
450,107

 
$

 
$
1,325,984

Resident fees and services

 
1,406,005

 

 

 
1,406,005

Medical office building and other services revenue
4,469

 

 
12,077

 
1,263

 
17,809

Income from loans and investments

 

 

 
58,208

 
58,208

Interest and other income

 

 

 
2,047

 
2,047

Total revenues
$
880,346

 
$
1,406,005

 
$
462,184

 
$
61,518

 
$
2,810,053

Total revenues
$
880,346

 
$
1,406,005

 
$
462,184

 
$
61,518

 
$
2,810,053

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
2,047

 
2,047

Property-level operating expenses

 
956,684

 
152,948

 

 
1,109,632

Medical office building services costs

 

 
8,315

 

 
8,315

Segment NOI
880,346

 
449,321

 
300,921

 
59,471

 
1,690,059

Income (loss) from unconsolidated entities
475

 
(1,980
)
 
1,451

 
(454
)
 
(508
)
Segment profit
$
880,821

 
$
447,341

 
$
302,372

 
$
59,017

 
1,689,551

Interest and other income
 

 
 

 
 

 
 
 
2,047

Interest expense
 

 
 

 
 

 
 

 
(334,484
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(721,959
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(115,106
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(1,201
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(21,634
)
Other
 

 
 

 
 

 
 

 
(18,732
)
Income tax benefit
 

 
 

 
 

 
 

 
11,828

Discontinued operations
 

 
 

 
 

 
 

 
(35,421
)
Net income
 

 
 

 
 

 
 

 
$
454,889

For the year ended December 31, 2012:
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
818,000

 
$

 
$
360,849

 
$

 
$
1,178,849

Resident fees and services

 
1,227,124

 

 

 
1,227,124

Medical office building and other services revenue
4,438

 

 
16,303

 

 
20,741

Income from loans and investments

 

 

 
39,913

 
39,913

Interest and other income

 

 

 
1,106

 
1,106

Total revenues
$
822,438

 
$
1,227,124

 
$
377,152

 
$
41,019

 
$
2,467,733

Total revenues
$
822,438

 
$
1,227,124

 
$
377,152

 
$
41,019

 
$
2,467,733

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
1,106

 
1,106

Property-level operating expenses

 
841,022

 
125,400

 

 
966,422

Medical office building services costs

 

 
9,883

 

 
9,883

Segment NOI
822,438

 
386,102

 
241,869

 
39,913

 
1,490,322

Income (loss) from unconsolidated entities
1,313

 
(48
)
 
16,889

 

 
18,154

Segment profit
$
823,751

 
$
386,054

 
$
258,758

 
$
39,913

 
1,508,476

Interest and other income
 

 
 

 
 

 
 
 
1,106

Interest expense
 

 
 

 
 

 
 

 
(288,276
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(714,505
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(98,510
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(37,640
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(63,183
)
Other
 

 
 

 
 

 
 

 
(6,940
)
Income tax benefit
 

 
 

 
 

 
 

 
6,282

Discontinued operations
 

 
 

 
 

 
 

 
54,965

Net income
 

 
 

 
 

 
 

 
$
361,775

For the year ended December 31, 2011:
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
627,723

 
$

 
$
166,079

 
$

 
$
793,802

Resident fees and services

 
865,800

 

 

 
865,800

Medical office building and other services revenue
2,217

 

 
34,254

 

 
36,471

Income from loans and investments

 

 

 
34,415

 
34,415

Interest and other income

 

 

 
1,216

 
1,216

Total revenues
$
629,940

 
$
865,800

 
$
200,333

 
$
35,631

 
$
1,731,704

Total revenues
$
629,940

 
$
865,800

 
$
200,333

 
$
35,631

 
$
1,731,704

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
1,216

 
1,216

Property-level operating expenses

 
588,095

 
56,987

 

 
645,082

Medical office building services costs

 

 
27,082

 

 
27,082

Segment NOI
629,940

 
277,705

 
116,264

 
34,415

 
1,058,324

Income (loss) from unconsolidated entities
295

 

 
(347
)
 

 
(52
)
Segment profit
$
630,235

 
$
277,705

 
$
115,917

 
$
34,415

 
1,058,272

Interest and other income
 

 
 

 
 

 
 
 
1,216

Interest expense
 

 
 

 
 

 
 

 
(223,804
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(444,193
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(74,537
)
Loss on extinguishment of debt, net
 
 
 
 
 
 
 
 
(27,604
)
Litigation proceeds, net
 

 
 

 
 

 
 

 
202,259

Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(153,923
)
Other
 

 
 

 
 

 
 

 
(7,270
)
Income tax benefit
 

 
 

 
 

 
 

 
30,660

Discontinued operations
 

 
 

 
 

 
 

 
2,185

Net income
 

 
 

 
 

 
 

 
$
363,261


Assets by reportable business segment are as follows:
 
As of December 31,
 
2013
 
2012
 
(Dollars in thousands)
Assets:
 
 
 
 
 
 
 
Triple-net leased properties
$
8,919,360

 
45.2
%
 
$
8,368,186

 
44.1
%
Senior living operations
6,648,754

 
33.7

 
6,274,207

 
33.1

MOB operations
3,701,344

 
18.8

 
3,703,453

 
19.5

All other assets
462,036

 
2.3

 
634,154

 
3.3

Total assets
$
19,731,494

 
100.0
%
 
$
18,980,000

 
100.0
%

Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment are as follows:
 
For the Year Ended December 31,
 
2013
 
2012 (1)
 
2011
 
(In thousands)
Capital expenditures:
 
 
 
 
 
Triple-net leased properties
$
847,945

 
$
139,680

 
$
133,761

Senior living operations
576,459

 
758,371

 
370,455

MOB operations
189,953

 
1,003,865

 
125,453

Total capital expenditures
$
1,614,357

 
$
1,901,916

 
$
629,669

    
(1)
Includes funds held in a Code Section 1031 exchange escrow account with a qualified intermediary as follows: triple-net leased – $58.1 million; senior living – $64.7 million; and MOB – $11.2 million.
Our portfolio of properties and mortgage loan and other investments are located in the United States and Canada. Revenues are attributed to an individual country based on the location of each property.
Geographic information regarding our operations is as follows:
 
For the Year Ended December 31,
 
2013
 
2012
 
2011
 
(In thousands)
Revenues:
 
 
 
 
 
United States
$
2,716,835

 
$
2,371,764

 
$
1,639,665

Canada
93,218

 
95,969

 
92,039

Total revenues
$
2,810,053

 
$
2,467,733

 
$
1,731,704



 
As of December 31,
 
2013
 
2012
 
(In thousands)
Net real estate property:
 
 
 
United States
$
17,705,962

 
$
16,711,508

Canada
369,624

 
400,024

Total net real estate property
$
18,075,586

 
$
17,111,532