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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2012
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments

Summary information for the reportable segments (which excludes unconsolidated entities) during the years ended December 31, 2012, 2011 and 2010 is as follows (in thousands):

Year Ended December 31, 2012:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 688,788$ -$ 385,779$ -$ 1,074,567
Resident fees and services - 697,494 - - 697,494
Interest income 24,380 6,208 8,477 - 39,065
Other income 2,412 - 1,947 912 5,271
Total revenues 715,580 703,702 396,203 912 1,816,397
Property operating expenses - (471,678) (99,183) - (570,861)
Net operating income from continuing operations 715,580 232,024 297,020 912 1,245,536
Reconciling items:
Interest expense (3,230) (67,524) (30,565) (263,418) (364,737)
(Loss) gain on derivatives, net (96) 1,921 - - 1,825
Depreciation and amortization (202,370) (165,798) (142,217) - (510,385)
General and administrative - - - (97,341) (97,341)
Transaction costs (35,705) (12,756) (13,148) - (61,609)
(Loss) gain on extinguishment of debt, net (2,405) 2,697 483 - 775
Provision for loan losses (27,008) - - - (27,008)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 444,766$ (9,436)$ 111,573$ (359,847)$ 187,056
Total assets$ 8,447,698$ 5,323,777$ 4,706,159$ 1,071,475$ 19,549,109
Year Ended December 31, 2011:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 542,561$ -$ 273,003$ -$ 815,564
Resident fees and services - 456,085 - - 456,085
Interest income 34,068 - 7,002 - 41,070
Other income 6,620 - 3,985 690 11,295
Total revenues 583,249 456,085 283,990 690 1,324,014
Property operating expenses - (314,142) (63,655) - (377,797)
Net operating income from continuing operations 583,249 141,943 220,335 690 946,217
Reconciling items:
Interest expense 1,338 (46,342) (20,217) (228,884) (294,105)
Depreciation and amortization (157,267) (138,192) (94,692) - (390,151)
General and administrative - - - (77,201) (77,201)
Transaction costs (27,993) (36,328) (5,903) - (70,224)
(Loss) gain on extinguishment of debt, net - 979 - - 979
Provision for loan losses - - (2,010) - (2,010)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 399,327$ (77,940)$ 97,513$ (305,395)$ 113,505
Total assets$ 7,823,953$ 3,041,238$ 3,795,940$ 263,475$ 14,924,606
Year Ended December 31, 2010:Seniors Housing Triple-netSeniors Housing OperatingMedical FacilitiesNon-segment / CorporateTotal
Rental income$ 280,634$ -$ 189,631$ -$ 470,265
Resident fees and services - 51,006 - - 51,006
Interest income 36,176 - 4,679 - 40,855
Other income 3,386 - 985 2,874 7,245
Total revenues 320,196 51,006 195,295 2,874 569,371
Property operating expenses - (32,621) (45,157) - (77,778)
Net operating income from continuing operations 320,196 18,385 150,138 2,874 491,593
Reconciling items:
Interest expense 6,094 (7,794) (15,959) (113,129) (130,788)
Depreciation and amortization (80,109) (15,504) (65,929) - (161,542)
General and administrative - - - (54,626) (54,626)
Transaction costs (20,612) (20,936) (5,112) - (46,660)
Loss (gain) on extinguishment of debt, net (7,791) - (1,308) (25,072) (34,171)
Provision for loan losses (29,684) - - - (29,684)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities$ 188,094$ (25,849)$ 61,830$ (189,953)$ 34,122