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Segment Reporting
9 Months Ended
Sep. 30, 2013
Segment Reporting [Abstract]  
Segment Reporting

17. Segment Reporting

We invest in seniors housing and health care real estate. We evaluate our business and make resource allocations on our five operating segments: seniors housing triple-net, seniors housing operating, medical office buildings, hospitals and life science. Our seniors housing triple-net properties include skilled nursing/post-acute facilities, assisted living facilities, independent living/continuing care retirement communities and combinations thereof. Under the seniors housing triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our seniors housing operating properties include seniors housing communities that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

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

The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2012, as updated by our Current Report on Form 8-K filed on August 6, 2013). The results of operations for all acquisitions described in Note 3 are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments. There are no intersegment sales or transfers.

We evaluate performance based upon net operating income from continuing operations (“NOI”) of each segment. We define NOI as total revenues, including tenant reimbursements, less property level operating expenses. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.

Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.

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

Three Months Ended September 30, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 199,408$ -$ 112,323$ -$ 311,731
Resident fees and services - 466,127 - - 466,127
Interest income 5,035 - 2,594 - 7,629
Other income 778 167 466 32 1,443
Total revenues 205,221 466,294 115,383 32 786,930
Property operating expenses - (311,575) (31,155) - (342,730)
Net operating income from continuing operations 205,221 154,719 84,228 32 444,200
Reconciling items:
Interest expense (5,968) (24,693) (9,143) (76,726) (116,530)
(Loss) gain on derivatives, net (4,872) - - - (4,872)
Depreciation and amortization (58,148) (144,578) (39,942) - (242,668)
General and administrative - - - (28,718) (28,718)
Transaction costs (4,026) (18,882) (683) - (23,591)
(Loss) gain on extinguishment of debt, net - 5,252 - (1,184) 4,068
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 132,207$ (28,182)$ 34,460$ (106,596)$ 31,889
Total assets$ 9,222,731$ 9,031,224$ 4,645,540$ 150,310$ 23,049,805
Three Months Ended September 30, 2012:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 178,193$ -$ 99,726$ -$ 277,919
Resident fees and services - 174,464 - - 174,464
Interest income 6,116 - 1,995 - 8,111
Other income 662 - 400 277 1,339
Total revenues 184,971 174,464 102,121 277 461,833
Property operating expenses - (118,369) (26,048) - (144,417)
Net operating income from continuing operations 184,971 56,095 76,073 277 317,416
Reconciling items:
Interest expense (347) (17,474) (7,940) (66,154) (91,915)
(Loss) gain on derivatives, net - (409) - - (409)
Depreciation and amortization (52,294) (39,591) (35,959) - (127,844)
General and administrative - - - (23,679) (23,679)
Transaction costs (5,590) (1,966) (708) - (8,264)
(Loss) gain on extinguishment of debt, net (126) (89) - - (215)
Provision for loan losses (27,008) - - - (27,008)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 99,606$ (3,434)$ 31,466$ (89,556)$ 38,082
Nine Months Ended September 30, 2013:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 573,112$ -$ 336,547$ -$ 909,659
Resident fees and services - 1,164,446 - - 1,164,446
Interest income 16,311 757 7,257 - 24,325
Other income 1,183 169 1,539 277 3,168
Total revenues 590,606 1,165,372 345,343 277 2,101,598
Property operating expenses - (785,050) (89,910) - (874,960)
Net operating income from continuing operations 590,606 380,322 255,433 277 1,226,638
Reconciling items:
Interest expense (15,841) (63,175) (28,441) (229,128) (336,585)
(Loss) gain on derivatives, net (4,872) 407 - - (4,465)
Depreciation and amortization (169,603) (338,099) (120,998) - (628,700)
General and administrative - - - (79,799) (79,799)
Transaction costs (15,730) (101,006) (971) - (117,707)
(Loss) gain on extinguishment of debt, net - 5,560 - (1,184) 4,376
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 384,560$ (115,991)$ 105,023$ (309,834)$ 63,758
Nine Months Ended September 30, 2012:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 508,004$ -$ 281,744$ -$ 789,748
Resident fees and services - 498,295 - - 498,295
Interest income 17,977 - 6,154 - 24,131
Other income 2,268 - 1,482 755 4,505
Total revenues 528,249 498,295 289,380 755 1,316,679
Property operating expenses - (336,952) (72,284) - (409,236)
Net operating income from continuing operations 528,249 161,343 217,096 755 907,443
Reconciling items:
Interest expense (602) (49,537) (22,338) (198,746) (271,223)
(Loss) gain on derivatives, net (96) 1,808 - - 1,712
Depreciation and amortization (147,074) (123,820) (102,450) - (373,344)
General and administrative - - - (77,302) (77,302)
Transaction costs (30,796) (6,365) (5,374) - (42,535)
(Loss) gain on extinguishment of debt, net (2,363) 1,089 483 - (791)
Provision for loan losses (27,008) - - - (27,008)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 320,310$ (15,482)$ 87,417$ (275,293)$ 116,952

Our portfolio of properties and other investments are located in the United States, the United Kingdom and Canada. Revenues and assets are attributed to the country in which the property is physically located. The following is a summary of geographic information for our operations for the periods presented (dollars in thousands):

Three Months EndedNine Months Ended
September 30, 2013September 30, 2012September 30, 2013September 30, 2012
Revenues:Amount%Amount%Amount%Amount%
United States$ 669,96885.1%$ 454,74298.5%$ 1,837,06887.4%$ 1,307,53399.3%
International 116,96214.9% 7,0911.5% 264,53012.6% 9,1460.7%
Total$ 786,930100.0%$ 461,833100.0%$ 2,101,598100.0%$ 1,316,679100.0%
As of
September 30, 2013December 31, 2012
Assets:Amount%Amount%
United States$ 19,622,57685.1%$ 18,692,21495.6%
International 3,427,22914.9% 856,8954.4%
Total$ 23,049,805100.0%$ 19,549,109100.0%