10-Q

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended June 30, 2014

or

o 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: 1-8923

HEALTH CARE REIT, INC.

(Exact name of registrant as specified in its charter) 

Delaware	34-1096634
(State or other jurisdiction of  incorporation or organization)	(I.R.S. Employer  Identification No.)
4500 Dorr Street, Toledo, Ohio	43615
(Address of principal executive office)	(Zip Code)

(419) 247-2800

(Registrant’s telephone number, including area code)

Not Applicable

(Former name, former address and former fiscal year, if changed since last report)

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  ☑  No  o

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 ☑  No  o

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 ☑ Accelerated filer o Non-accelerated filer   o  (Do not check if a smaller reporting company) Smaller reporting company o

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

As of July 25, 2014, the registrant had 308,544,842 shares of common stock outstanding.

TABLE OF CONTENTS

	Page
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements (Unaudited)
Consolidated Balance Sheets — June 30, 2014 and December 31, 2013	3
Consolidated Statements of Comprehensive Income — Three and six months ended June 30, 2014 and 2013	4
Consolidated Statements of Equity — Six months ended June 30, 2014 and 2013	6
Consolidated Statements of Cash Flows — Six months ended June 30, 2014 and 2013	7
Notes to Unaudited Consolidated Financial Statements	8
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations	28
Item 3. Quantitative and Qualitative Disclosures About Market Risk	55
Item 4. Controls and Procedures	56
PART II. OTHER INFORMATION
Item 1. Legal Proceedings Item 1A. Risk Factors	57 57
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	57
Item 5. Other Information	57
Item 6. Exhibits	58
Signatures	59

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

CONSOLIDATED BALANCE SHEETS

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

				June 30, 2014		December 31, 2013
				(Unaudited)		(Note)
Assets:
Real estate investments:
	Real property owned:
		Land and land improvements		$	1,916,820	$	1,878,877
		Buildings and improvements			21,151,624		20,625,515
		Acquired lease intangibles			1,084,703		1,070,754
		Real property held for sale, net of accumulated depreciation			77,436		18,502
		Construction in progress			124,073		141,085
			Gross real property owned		24,354,656		23,734,733
		Less accumulated depreciation and amortization			(2,809,530)		(2,386,658)
			Net real property owned		21,545,126		21,348,075
	Real estate loans receivable				367,186		332,146
	Net real estate investments				21,912,312		21,680,221
Other assets:
		Investments in unconsolidated entities			680,558		479,629
		Goodwill			68,321		68,321
		Deferred loan expenses			65,479		70,875
		Cash and cash equivalents			207,354		158,780
		Restricted cash			65,139		72,821
		Receivables and other assets			574,727		553,310
			Total other assets		1,661,578		1,403,736
Total assets				$	23,573,890	$	23,083,957
Liabilities and equity
Liabilities:
		Borrowings under unsecured line of credit arrangement		$	0	$	130,000
		Senior unsecured notes			7,411,243		7,379,308
		Secured debt			2,850,103		3,058,248
		Capital lease obligations			83,850		84,458
		Accrued expenses and other liabilities			678,400		640,573
Total liabilities					11,023,596		11,292,587
Redeemable noncontrolling interests					35,404		35,039
Equity:
		Preferred stock			1,006,250		1,017,361
		Common stock			308,355		289,461
		Capital in excess of par value			13,524,621		12,418,520
		Treasury stock			(32,289)		(21,263)
		Cumulative net income			2,484,425		2,329,869
		Cumulative dividends			(5,096,110)		(4,600,854)
		Accumulated other comprehensive income (loss)			(18,642)		(24,531)
		Other equity			6,159		6,020
			Total Health Care REIT, Inc. stockholders’ equity		12,182,769		11,414,583
		Noncontrolling interests			332,121		341,748
Total equity					12,514,890		11,756,331
Total liabilities and equity				$	23,573,890	$	23,083,957

NOTE: The consolidated balance sheet at December 31, 2013 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements.

See notes to unaudited consolidated financial statements

3

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands, except per share data)

			Three Months Ended				Six Months Ended
			June 30,				June 30,
			2014		2013		2014		2013
Revenues:
	Rental income		$	347,847	$	298,873	$	684,303	$	591,516
	Resident fees and services			467,639		370,995		923,904		698,319
	Interest income			8,933		7,640		17,527		16,696
	Other income			2,027		1,025		2,520		1,725
		Total revenues		826,446		678,533		1,628,254		1,308,256
Expenses:
	Interest expense			121,065		109,465		241,898		218,303
	Property operating expenses			343,754		277,958		685,185		530,780
	Depreciation and amortization			214,449		198,062		447,766		382,750
	General and administrative			51,660		23,902		84,524		51,081
	Transaction costs			7,040		28,136		7,993		94,116
	Loss (gain) on derivatives, net			351		(2,716)		351		(407)
	Loss (gain) on extinguishment of debt, net			531		-		383		(308)
		Total expenses		738,850		634,807		1,468,100		1,276,315
Income (loss) from continuing operations before income taxes
	and income from unconsolidated entities			87,596		43,726		160,154		31,941
Income tax (expense) benefit				(1,569)		(1,215)		(3,830)		(3,978)
Income (loss) from unconsolidated entities				(11,516)		(5,461)		(17,073)		(3,198)
Income (loss) from continuing operations				74,511		37,050		139,251		24,765
Discontinued operations:
	Gain (loss) on sales of discontinued properties, net			6,411		(29,997)		6,411		52,495
	Income (loss) from discontinued operations, net			264		128		724		1,720
		Discontinued operations, net		6,675		(29,869)		7,135		54,215
Gain (loss) on real estate dispositions, net				6,668		-		6,668		-
Net income				87,854		7,181		153,054		78,980
Less:		Preferred stock dividends		16,352		16,602		32,705		33,203
Less:		Net income (loss) attributable to noncontrolling interests(1)		(327)		(913)		(1,502)		(774)
Net income (loss) attributable to common stockholders			$	71,829	$	(8,508)	$	121,851	$	46,551
Average number of common shares outstanding:
	Basic			296,256		273,091		293,046		266,602
	Diluted			297,995		276,481		294,590		266,602
Earnings per share:
	Basic:
	Income (loss) from continuing operations attributable to common stockholders, including real estate dispositions		$	0.22	$	0.08	$	0.39	$	(0.03)
	Discontinued operations, net			0.02		(0.11)		0.02		0.20
	Net income (loss) attributable to common stockholders*		$	0.24	$	(0.03)	$	0.42	$	0.17
	Diluted:
	Income (loss) from continuing operations attributable to common stockholders, including real estate dispositions		$	0.22	$	0.08	$	0.39	$	(0.03)
	Discontinued operations, net			0.02		(0.11)		0.02		0.20
	Net income (loss) attributable to common stockholders*		$	0.24	$	(0.03)	$	0.41	$	0.17
Dividends declared and paid per common share			$	0.795	$	0.765	$	1.590	$	1.530

* Amounts may not sum due to rounding

(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

4

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

		Three Months Ended June 30,				Six Months Ended June 30,
		2014		2013		2014		2013
Net income		$	87,854	$	7,181	$	153,054	$	78,980
Other comprehensive income (loss):
	Unrecognized gain (loss) on equity investments		(160)		(258)		389		(86)
	Unrealized gains (losses) on cash flow hedges		432		472		872		943
	Foreign currency translation gain (loss)		13,109		(20,751)		3,220		(43,457)
Total other comprehensive income (loss)			13,381		(20,537)		4,481		(42,600)
Total comprehensive income (loss)			101,235		(13,356)		157,535		36,380
Less: Total comprehensive income (loss) attributable to noncontrolling interests(1)			6,277		(5,367)		(2,910)		(5,228)
Total comprehensive income (loss) attributable to common stockholders		$	94,958	$	(7,989)	$	160,445	$	41,608
(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

5

CONSOLIDATED STATEMENTS OF EQUITY (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

		Six Months Ended June 30, 2014
														Accumulated
						Capital in								Other
		Preferred		Common		Excess of		Treasury		Cumulative		Cumulative		Comprehensive		Other		Noncontrolling
		Stock		Stock		Par Value		Stock		Net Income		Dividends		Income (Loss)		Equity		Interests		Total
Balances at beginning of period		$	1,017,361	$	289,461	$	12,418,520	$	(21,263)	$	2,329,869	$	(4,600,854)	$	(24,531)	$	6,020	$	341,748	$	11,756,331
Comprehensive income:
	Net income (loss)										154,556								(1,351)		153,205
	Other comprehensive income														5,889				(1,408)		4,481
Total comprehensive income																					157,686
Net change in noncontrolling interests							(4,680)												(6,868)		(11,548)
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures					2,561		147,486		(11,026)								(320)				138,701
Proceeds from issuance of common stock					16,100		952,417														968,517
Conversion of preferred stock			(11,111)		233		10,878														-
Option compensation expense																	459				459
Cash dividends paid:
	Common stock cash dividends												(462,551)								(462,551)
	Preferred stock cash dividends												(32,705)								(32,705)
Balances at end of period		$	1,006,250	$	308,355	$	13,524,621	$	(32,289)	$	2,484,425	$	(5,096,110)	$	(18,642)	$	6,159	$	332,121	$	12,514,890
		Six Months Ended June 30, 2013
														Accumulated
						Capital in								Other
		Preferred		Common		Excess of		Treasury		Cumulative		Cumulative		Comprehensive		Other		Noncontrolling
		Stock		Stock		Par Value		Stock		Net Income		Dividends		Income (Loss)		Equity		Interests		Total
Balances at beginning of period		$	1,022,917		260,396		10,543,690		(17,875)		2,184,819		(3,694,579)		(11,028)		6,461		225,718	$	10,520,519
Comprehensive income:
	Net income (loss)										79,754								(8)		79,746
	Other comprehensive income														(38,146)				(4,454)		(42,600)
Total comprehensive income																					37,146
Net change in noncontrolling interests																			198,739		198,739
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures					1,689		112,601		(3,373)								(1,353)				109,564
Proceeds from issuance of common stock					23,000		1,607,636														1,630,636
Option compensation expense																	570				570
Cash dividends paid:
	Common stock cash dividends												(399,815)								(399,815)
	Preferred stock cash dividends												(33,203)								(33,203)
Balances at end of period		$	1,022,917	$	285,085	$	12,263,927	$	(21,248)	$	2,264,573	$	(4,127,597)	$	(49,174)	$	5,678	$	419,995	$	12,064,156

See notes to unaudited consolidated financial statements

6

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

			Six Months Ended
			June 30,
			2014		2013
Operating activities:
Net income			$	153,054	$	78,980
Adjustments to reconcile net income to
	net cash provided from (used in) operating activities:
		Depreciation and amortization		447,766		387,599
		Other amortization expenses		3,065		6,543
		Stock-based compensation expense		21,837		12,694
		Loss (gain) on derivatives, net		351		(407)
		Loss (gain) on extinguishment of debt, net		383		(308)
		Loss (income) from unconsolidated entities		17,073		3,198
		Rental income in excess of cash received		(26,414)		(18,463)
		Amortization related to above (below) market leases, net		365		245
		Loss (gain) on sales of properties, net		(13,079)		(52,495)
		Distributions by unconsolidated entities		7,155		-
		Increase (decrease) in accrued expenses and other liabilities		5,433		25,507
		Decrease (increase) in receivables and other assets		(21,455)		(36,356)
Net cash provided from (used in) operating activities				595,534		406,737
Investing activities:
	Cash disbursed for acquisitions			(488,066)		(2,432,376)
	Cash disbursed for capital improvements to existing properties			(54,688)		(48,480)
	Cash disbursed for construction in progress			(95,201)		(119,333)
	Capitalized interest			(3,305)		(2,992)
	Investment in real estate loans receivable			(54,877)		(53,072)
	Other investments, net of payments			(47,858)		8,051
	Principal collected on real estate loans receivable			20,941		55,547
	Contributions to unconsolidated entities			(246,794)		(361,107)
	Distributions by unconsolidated entities			22,925		14,786
	Proceeds from (payments on) derivatives			-		(2,604)
	Decrease (increase) in restricted cash			7,682		(82,292)
	Proceeds from sales of real property			140,819		321,303
Net cash provided from (used in) investing activities				(798,422)		(2,702,569)
Financing activities:
	Net increase (decrease) under unsecured lines of credit arrangements			(130,000)		-
	Proceeds from issuance of senior unsecured notes			-		497,862
	Payments to extinguish senior unsecured notes			(1)		(3)
	Net proceeds from the issuance of secured debt			10,690		71,340
	Payments on secured debt			(219,980)		(73,557)
	Net proceeds from the issuance of common stock			1,101,969		1,730,235
	Decrease (increase) in deferred loan expenses			(3,395)		(10,790)
	Contributions by noncontrolling interests(1)			4,485		3,730
	Distributions to noncontrolling interests(1)			(14,208)		(9,860)
	Acquisitions of noncontrolling interests			(1,175)		-
	Cash distributions to stockholders			(495,256)		(433,018)
	Other financing activities			(608)		(2,072)
Net cash provided from (used in) financing activities				252,521		1,773,867
Effect of foreign currency translation on cash and cash equivalents				(1,059)		673
Increase (decrease) in cash and cash equivalents				48,574		(521,292)
Cash and cash equivalents at beginning of period				158,780		1,033,764
Cash and cash equivalents at end of period			$	207,354	$	512,472
Supplemental cash flow information:
	Interest paid		$	224,544	$	196,980
	Income taxes paid			11,955		2,625
(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

7

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

1. Business

     Health Care REIT, Inc., an S&P 500 company with headquarters in Toledo, Ohio, is an equity real estate investment trust (“REIT”) that invests in seniors housing and health care real estate. Our full service platform offers property management and development services to our customers. As of June 30, 2014, our diversified portfolio consisted of 1,224 properties in 46 states, the United Kingdom, and Canada.  Founded in 1970, we were the first real estate investment trust to invest exclusively in health care facilities.

2. Accounting Policies and Related Matters

Basis of Presentation

The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with instructions to Quarterly Report on Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the six months ended June 30, 2014 are not necessarily an indication of the results that may be expected for the year ending December 31, 2014. For further information, refer to the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2013.

New Accounting Standards

     In April 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity” (“ASU 2014-08”), which amends U.S. GAAP to require reporting of discontinued operations only if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. This pronouncement will be effective for the first annual reporting period beginning after December 15, 2014 with early adoption permitted. We adopted ASU 2014-08 on January 1, 2014 on a prospective basis.  The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations.

     In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)” (“ASU 2014-09”). The standard is a comprehensive new revenue recognition model that requires revenue to be recognized in a manner to depict the transfer of goods or services to a customer at an amount that reflects the consideration expected to be received in exchange for those goods or services. ASU 2014-09 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2016, and early adoption is not permitted. Accordingly, the standard is effective for us on January 1, 2017. We are currently evaluating the impact that the standard will have on our consolidated financial statements and have not yet determined the method by which we will adopt the standard.

3. Real Property Acquisitions and Development

     The total purchase price for all properties acquired has been allocated to the tangible and identifiable intangible assets, liabilities and noncontrolling interests based upon their respective fair values in accordance with our accounting policies. The results of operations for these acquisitions have been included in our consolidated results of operations since the date of acquisition and are a component of the appropriate segments.  Transaction costs primarily represent costs incurred with property acquisitions, including due diligence costs, fees for legal and valuation services and termination of pre-existing relationships computed based on the fair value of the assets acquired, lease termination fees and other acquisition-related costs.

8

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

     Seniors Housing Triple-net Activity

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	18,530		$	8,533
Buildings and improvements				230,126			47,993
	Total assets acquired			248,656			56,526
Non-cash acquisition related activity				(1,839)			-
	Cash disbursed for acquisitions			246,817			56,526
Construction in progress additions				55,535			58,799
Less:	Capitalized interest			(2,332)			(2,208)
	Foreign currency translation			(116)			-
Cash disbursed for construction in progress				53,087			56,591
Capital improvements to existing properties				9,863			18,302
	Total cash invested in real property, net of cash acquired		$	309,767		$	131,419
(1) Includes acquisitions with an aggregate purchase price of $116,134,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

     Acquisitions of seniors housing operating properties are structured under RIDEA, which is described in Note 18.  This structure results in the inclusion of all resident revenues and related property operating expenses from the operation of these qualified health care properties in our Consolidated Statements of Comprehensive Income.  Certain of our subsidiaries’ functional currencies are the local currencies of their respective countries. See Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for information regarding our foreign currency policies.

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	3,546		$	337,066
Building and improvements				37,274			3,069,192
Acquired lease intangibles				5,569			263,740
Restricted cash				-			22,863
Receivables and other assets				33			76,286
	Total assets acquired(2)			46,422			3,769,147
Secured debt				(12,846)			(556,413)
Accrued expenses and other liabilities				(853)			(51,356)
	Total liabilities assumed			(13,699)			(607,769)
Noncontrolling interests				-			(229,966)
Non-cash acquisition related activity(3)				-			(555,562)
	Cash disbursed for acquisitions			32,723			2,375,850
Construction in progress additions				2,348			472
Less:	Capitalized interest			(75)			(6)
Cash disbursed for construction in progress				2,273			466
Capital improvements to existing properties				32,171			21,474
	Total cash invested in real property, net of cash acquired		$	67,167		$	2,397,790
(1) Includes acquisitions with an aggregate purchase price of $23,922,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $245,000 and $60,590,000 of cash acquired during the six months ended June 30, 2014 and 2013, respectively.
(3) Represents Sunrise loan and noncontrolling interests acquisitions.

9

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Medical Facilities Activity

		Six Months Ended
(In thousands)		June 30, 2014 (1)			June 30, 2013
Land and land improvements			$	1,655	$	-
Buildings and improvements				212,572		-
Acquired lease intangibles				1,525		-
Receivables and other assets				249		-
	Total assets acquired			216,001		-
Accrued expenses and other liabilities				(7,475)		-
	Total liabilities assumed			(7,475)		-
	Cash disbursed for acquisitions			208,526		-
Construction in progress additions				50,323		60,925
Less:	Capitalized interest			(898)		(778)
	Accruals(2)			(9,584)		2,129
Cash disbursed for construction in progress				39,841		62,276
Capital improvements to existing properties				12,654		8,704
	Total cash invested in real property		$	261,021	$	70,980
(1) Includes acquisitions with an aggregate purchase price of $200,295,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.

Construction Activity

     The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented (in thousands):

			Six Months Ended
			June 30, 2014			June 30, 2013
	Development projects:
		Seniors housing triple-net		$	71,570		$	67,317
		Medical facilities			42,799			70,227
		Total development projects			114,369			137,544
	Expansion projects				10,849			8,155
Total construction in progress conversions				$	125,218		$	145,699

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HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

4. Real Estate Intangibles

     The following is a summary of our real estate intangibles, excluding those classified as held for sale, as of the dates indicated (dollars in thousands):

		June 30, 2014		December 31, 2013
Assets:
	In place lease intangibles	$	947,616	$	937,357
	Above market tenant leases		58,735		55,939
	Below market ground leases		60,088		59,165
	Lease commissions		18,264		18,293
	Gross historical cost		1,084,703		1,070,754
	Accumulated amortization		(713,334)		(571,008)
	Net book value	$	371,369	$	499,746
	Weighted-average amortization period in years		17.9		16.7
Liabilities:
	Below market tenant leases	$	78,723	$	76,381
	Above market ground leases		6,646		9,490
	Gross historical cost		85,369		85,871
	Accumulated amortization		(37,425)		(34,434)
	Net book value	$	47,944	$	51,437
	Weighted-average amortization period in years		13.1		14.3

     The following is a summary of real estate intangible amortization for the periods presented (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2014		2013		2014		2013
Rental income related to above/below market tenant leases, net	$	290	$	213	$	245	$	361
Property operating expenses related to above/below market ground leases, net		(299)		(303)		(610)		(606)
Depreciation and amortization related to in place lease intangibles and lease commissions		(59,603)		(39,083)		(138,996)		(89,659)

     The future estimated aggregate amortization of intangible assets and liabilities is as follows for the periods presented (in thousands):

		Assets		Liabilities
2014	$	77,024	$	3,421
2015		64,525		5,994
2016		30,515		5,580
2017		22,266		5,115
2018		19,317		4,729
Thereafter		157,722		23,105
Totals	$	371,369	$	47,944

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

5. Dispositions, Assets Held for Sale and Discontinued Operations

We periodically sell properties for various reasons, including favorable market conditions or the exercise of tenant purchase options.  The following is a summary of our real property disposition activity for the periods presented (in thousands):

		Six Months Ended
		June 30, 2014			June 30, 2013
Real property dispositions:
	Seniors housing triple-net		$	41,124		$	133,024
	Medical facilities			86,616			135,784
	Total dispositions			127,740			268,808
Gain (loss) on sales of real property, net				13,079			52,495
Proceeds from real property sales			$	140,819		$	321,303

Discontinued Operations

As discussed in Note 2, we adopted ASU 2014-08 effective January 1, 2014. During the quarter ended June 30, 2014, we sold seniors housing triple-net properties previously held for sale with a balance of $18,502,000 for a gain of $6,411,000. We have reclassified the income and expenses attributable to all properties sold prior to or held for sale at January 1, 2014 to discontinued operations.  The following illustrates the reclassification impact as reported in our Consolidated Statements of Comprehensive Income as a result of classifying these properties as discontinued operations for the periods presented (in thousands):

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	298	$	4,789	$	881	$	11,575
Expenses:
	Interest expense		34		1,379		157		3,275
	Property operating expenses		-		867		-		1,731
	Provision for depreciation		-		2,415		-		4,849
	Total expenses		34		4,661		157		9,855
Income (loss) from discontinued operations, net		$	264	$	128	$	724	$	1,720

Dispositions and Assets Held for Sale

     Pursuant to our adoption of ASU 2014-08, operating results attributable to properties sold subsequent to or classified as held for sale after January 1, 2014 and which do not meet the definition of discontinued operations are no longer reclassified on our Consolidated Statements of Comprehensive Income.  The following represents the activity related to these properties for the periods presented (in thousands):

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	3,636	$	5,002	$	8,677	$	10,002
Expenses:
	Interest expense		549		1,403		1,947		2,797
	Property operating expenses		650		568		1,205		1,080
	Provision for depreciation		1,070		1,486		2,560		2,970
	Total expenses		2,269		3,457		5,712		6,847
Income (loss) from real estate dispositions, net		$	1,367	$	1,545	$	2,965	$	3,155

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HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

6. Real Estate Loans Receivable

     The following is a summary of our real estate loan activity for the periods presented (in thousands):

		Six Months Ended
		June 30, 2014						June 30, 2013
		Seniors						Seniors
		Housing		Medical				Housing		Medical
		Triple-net		Facilities		Totals		Triple-net		Facilities		Totals
Advances on real estate loans receivable:
	Investments in new loans	$	3,493	$	-	$	3,493	$	23,919	$	-	$	23,919
	Draws on existing loans		36,658		14,726		51,384		27,269		1,884		29,153
	Net cash advances on real estate loans		40,151		14,726		54,877		51,188		1,884		53,072
Receipts on real estate loans receivable:
	Loan payoffs		3,950		-		3,950		44,469		-		44,469
	Principal payments on loans		16,670		321		16,991		9,589		1,489		11,078
	Total receipts on real estate loans		20,620		321		20,941		54,058		1,489		55,547
Net cash advances (receipts) on real estate loans			19,531		14,405		33,936		(2,870)		395		(2,475)
Change in balance due to foreign currency translation			1,104		-		1,104		-		-		-
Net change in real estate loans receivable		$	20,635	$	14,405	$	35,040	$	(2,870)	$	395	$	(2,475)

We recorded no provision for loan losses during the six months ended June 30, 2014.  At June 30, 2014, there were no real estate loans with outstanding balances on non-accrual status and no allowances for loan losses were recorded.

7. Investments in Unconsolidated Entities

     During the year ended December 31, 2010, we entered into a joint venture investment with Forest City Enterprises Inc. (NYSE:FCE.A and FCE.B). We acquired a 49% interest in a seven-building life science campus located at University Park in Cambridge, Massachusetts, which is immediately adjacent to the campus of the Massachusetts Institute of Technology. This investment is recorded as an investment in unconsolidated entities on the balance sheet.

     During the three months ended June 30, 2012, we entered into a joint venture with Chartwell Retirement Residences (TSX:CSH.UN). The portfolio contains 42 properties in Canada, 39 of which are owned 50% by us and Chartwell, and three of which we wholly own. All properties are managed by Chartwell. Our investment in the 39 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $8,808,000 at June 30, 2014 is primarily attributable to transaction costs that will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

     In conjunction with the Sunrise merger (see Note 3 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013), we acquired joint venture interests in 54 properties and a 20% interest in a newly formed Sunrise management company, which manages the entire property portfolio. On July 1, 2013, we acquired the remaining interests in 49 of the properties.  In April 2014, we acquired an additional 4% ownership in the Sunrise management company.

During the three months ended March 31, 2014, we invested $214,832,000 for a 46.79% interest in a joint venture with Senior Resource Group (“SRG”) and the Public Sector Pension Investment Board.  The joint venture owns 10 properties located in major metropolitan markets in Arizona, California and Colorado.  The properties owned by the joint venture are operated by SRG. Our investment in the 10 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $173,563,000 at June 30, 2014 is primarily attributable to appreciation of the underlying properties as well as transaction costs, and will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

      The results of operations for those investments accounted for under the equity method have been included in our consolidated results of operations from the date of acquisition by the joint ventures and are reflected in our Consolidated Statements of Comprehensive Income as income or loss from unconsolidated entities.

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HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

8. Credit Concentration

     The following table summarizes certain information about our credit concentration as of June 30, 2014 (dollars in thousands):

		Number of	Total		Percent of
Concentration by investment:(1)		Properties(2)	Investment(2)		Investment(3)
	Sunrise Senior Living(4)	121	$	4,001,436	18%
	Genesis HealthCare	179		2,681,574	12%
	Revera(4)	48		1,158,028	5%
	Benchmark	39		929,443	4%
	Belmont Village	19		832,909	4%
	Remaining portfolio	751		12,308,922	57%
	Totals	1,157	$	21,912,312	100%

(1)Genesis is in our seniors housing triple-net segment.  Sunrise, Revera, and Belmont Village are in our seniors housing operating segment.  Benchmark is in both our seniors housing triple-net and seniors housing operating segments.

(2)Excludes our share of investments in unconsolidated entities.  Please see Note 7 for additional information.

(3)Investments with our top five relationships comprised 44% of total investments at December 31, 2013.

(4)Revera owns a controlling interest in Sunrise.

9. Borrowings Under Line of Credit Arrangements and Related Items

     Please see Note 19 regarding our new unsecured credit facility entered into subsequent to June 30, 2014.  At June 30, 2014, we had a $2,250,000,000 unsecured line of credit arrangement with a consortium of 30 banks.  We have an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature, allowing for the aggregate commitment of up to $3,250,000,000.  The arrangement also allows us to borrow up to $500,000,000 in alternate currencies (none outstanding at June 30, 2014).  The revolving credit facility is scheduled to expire March 31, 2017, but can be extended for an additional year at our option.  Borrowings under the revolver are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (1.32% at June 30, 2014). The applicable margin is based on certain of our debt ratings and was 1.175% at June 30, 2014.  In addition, we pay a facility fee annually to each bank based on the bank’s commitment amount.  The facility fee depends on certain of our debt ratings and was 0.225% at June 30, 2014.  Principal is due upon expiration of the agreement.

     The following information relates to aggregate borrowings under the unsecured line of credit arrangement for the periods presented (dollars in thousands):

		Three Months Ended June 30,				Six Months Ended June 30,
		2014		2013		2014		2013
Balance outstanding at quarter end		$	-	$	-	$	-	$	-
Maximum amount outstanding at any month end		$	637,000	$	600,000	$	637,000	$	780,000
Average amount outstanding (total of daily
	principal balances divided by days in period)	$	375,824	$	299,011	$	331,602	$	510,055
Weighted average interest rate (actual interest
	expense divided by average borrowings outstanding)		1.37%		1.38%		1.36%		1.38%

10. Senior Unsecured Notes and Secured Debt

     We may repurchase, redeem or refinance convertible and non-convertible senior unsecured notes from time to time, taking advantage of favorable market conditions when available. We may purchase senior notes for cash through open market purchases, privately negotiated transactions, a tender offer or, in some cases, through the early redemption of such securities pursuant to their terms.   The non-convertible senior unsecured notes are redeemable at our option, at any time in whole or from time to time in part, at a redemption price equal to the sum of (1) the principal amount of the notes (or portion of such notes) being redeemed plus accrued and unpaid interest thereon up to the redemption date and (2) any “make-whole” amount due under the terms of the notes in connection with early redemptions.   Redemptions and repurchases of debt, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors.At June 30, 2014, the annual principal payments due on these debt obligations were as follows (in thousands):

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

	Senior		Secured
	Unsecured Notes(1,2)		Debt (1,3)		Totals
2014	$	-	$	117,263	$	117,263
2015		484,170(4)		409,563		893,733
2016		1,200,000(5)		372,528		1,572,528
2017		450,000		327,347		777,347
2018		450,000		430,379		880,379
Thereafter		4,865,937(6)		1,155,146		6,021,083
Totals	$	7,450,107	$	2,812,226	$	10,262,333
(1) Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(2) Annual interest rates range from 1.5% to 6.5%.
(3) Annual interest rates range from 1.0% to 8.0%.  Carrying value of the properties securing the debt totaled $5,123,888,000 at June 30, 2014.
(4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $234,170,000 based on the Canadian/U.S. Dollar exchange rate in effect on June 30, 2014). The loan matures on July 27, 2015 (with an option to extend for an additional year at our discretion) and bears interest at the Canadian Dealer Offered Rate plus 145 basis points (2.7% at June 30, 2014). Please see Note 19 for subsequent activity.
(5) On January 8, 2013, we completed funding on a $500,000,000 unsecured term loan.  The loan matures on March 31, 2016 (with an option to extend for two additional years at our discretion) and bears interest at LIBOR plus 135 basis points (1.5% at June 30, 2014). Please see Note 19 for subsequent activity.
(6) On November 20, 2013, we completed the sale of £550,000,000 (approximately $940,830,000 based on the Sterling/U.S. Dollar exchange rate in effect on June 30, 2014) of 4.8% senior unsecured notes due 2028.

          The following is a summary of our senior unsecured notes principal activity during the periods presented (dollars in thousands):

	Six Months Ended
	June 30, 2014			June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	7,421,707	4.400%	$	5,894,403	4.675%
Debt issued		-	0.000%		500,000	1.552%
Debt redeemed		(1)	3.000%		(3)	3.000%
Foreign currency		28,401	4.865%		-	0.000%
Ending balance	$	7,450,107	4.402%	$	6,394,400	4.431%

         The following is a summary of our secured debt principal activity for the periods presented (dollars in thousands):

	Six Months Ended
		June 30, 2014		June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	3,010,711	5.10%	$	2,311,586	5.14%
Debt issued		10,690	3.54%		71,340	4.96%
Debt assumed		12,005	4.15%		536,856	4.22%
Debt extinguished		(188,722)	5.73%		(49,156)	4.20%
Principal payments		(31,258)	4.98%		(24,709)	5.39%
Foreign currency		(1,200)	3.94%		(6,892)	3.87%
Ending balance	$	2,812,226	5.04%	$	2,839,025	5.08%

     Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of June 30, 2014, we were in compliance with all of the covenants under our debt agreements.

11. Derivative Instruments

We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates.  We may elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to manage the

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HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates.  In addition, non-U.S. investments expose us to the potential losses associated with adverse changes in foreign currency to U.S. Dollar exchange rates.  We may elect to manage this risk through the use of forward contracts and issuing debt in foreign currencies.

I nterest Rate Swap Contracts and Foreign Currency Forward Contracts Designated as Cash Flow Hedges

     For instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of other comprehensive income (“OCI”), and reclassified into earnings in the same period, or periods, during which the hedged transaction affects earnings.  Gains and losses on the derivative representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness are recognized in earnings.  Approximately $1,946,000 of losses, which are included in accumulated other comprehensive income (“AOCI”), are expected to be reclassified into earnings in the next 12 months.

Foreign Currency Hedges

     For instruments that are designated and qualify as net investment hedges, the variability in the foreign currency to U.S. Dollar of the instrument is recorded as a cumulative translation adjustment component of OCI.  The balance of the cumulative translation adjustment will be reclassified to earnings when the hedged investment is sold or substantially liquidated. 

     The following presents the notional amount of derivatives and other financial instruments as of the dates indicated (in thousands):    

		June 30, 2014		December 31, 2013
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars	$	600,000	$	600,000
Denominated in Pounds Sterling	£	350,000	£	350,000
Financial instruments designated as net investment hedges:
Denominated in Canadian Dollars	$	250,000	$	250,000
Denominated in Pounds Sterling	£	550,000	£	550,000
Derivatives designated as cash flow hedges
Denominated in U.S. Dollars	$	57,000	$	57,000
Denominated in Canadian Dollars	$	12,000	$	-
Derivative instruments not designated:
Denominated in Canadian Dollars	$	24,000	$	-

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

     The following presents the impact of derivative instruments on the Consolidated Statements of Comprehensive Income for the periods presented (in thousands):

		Three Months Ended				Six Months Ended
		June 30,				June 30,
	Location		2014		2013		2014		2013
Gain (loss) on interest rate swap recognized in OCI (effective portion)	OCI	$	(4)	$	(4)	$	(7)	$	(8)
Gain (loss) on interest rate swaps reclassified from AOCI into income (effective portion)	Interest expense		(436)		(476)		(879)		(951)
Gain (loss) on forward exchange contracts recognized in income	Gain (loss) on derivatives, net		(351)		2,716		(351)		407
Gain (loss) on foreign exchange contracts and term loans designated as net investment hedge recognized in OCI	OCI		(67,899)		14,680		(49,410)		90,537

12. Commitments and Contingencies

     At June 30, 2014, we had six outstanding letter of credit obligations totaling $10,769,000 and expiring between 2014 and 2015.  At June 30, 2014, we had outstanding construction in process of $124,073,000 and were committed to providing additional funds of approximately $191,592,000 to complete construction. At June 30, 2014, we had contingent purchase obligations totaling $70,517,000. These contingent purchase obligations relate to unfunded capital improvement obligations and contingent obligations on acquisitions. Rents due from the tenant are increased to reflect the additional investment in the property.

     We evaluate our leases for operating versus capital lease treatment in accordance with Accounting Standards Codification (“ASC”) Topic 840 “Leases.”  A lease is classified as a capital lease if it provides for transfer of ownership of the leased asset at the end of the lease term, contains a bargain purchase option, has a lease term greater than 75% of the economic life of the leased asset, or if the net present value of the future minimum lease payments are in excess of 90% of the fair value of the leased asset. Certain leases contain bargain purchase options and have been classified as capital leases.  At June 30, 2014, we had operating lease obligations of $884,093,000 relating to certain ground leases and company office space and capital lease obligations of $114,423,000 relating to certain investment properties. Regarding ground leases, we have sublease agreements with certain of our operators that require the operators to reimburse us for our monthly operating lease obligations.  At June 30, 2014, aggregate future minimum rentals to be received under these noncancelable subleases totaled $42,322,000.

13. Stockholders’ Equity

     The following is a summary of our stockholders’ equity capital accounts as of the dates indicated:

	June 30, 2014	December 31, 2013
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	25,875,000	26,108,236
Outstanding shares	25,875,000	26,108,236
Common Stock, $1.00 par value:
Authorized shares	700,000,000	400,000,000
Issued shares	308,976,931	290,024,789
Outstanding shares	308,329,737	289,563,651

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Preferred Stock. The following is a summary of our preferred stock activity during the periods indicated:

	Six Months Ended
	June 30, 2014		June 30, 2013
		Weighted Avg.		Weighted Avg.
	Shares	Dividend Rate	Shares	Dividend Rate
Beginning balance	26,108,236	6.496%	26,224,854	6.493%
Shares converted	(233,236)	6.000%	-	0.000%
Ending balance	25,875,000	6.500%	26,224,854	6.493%

Common Stock. The following is a summary of our common stock issuances during the six months ended June 30, 2014 and 2013 (dollars in thousands, except per share amounts):

	Shares Issued		Average Price		Gross Proceeds		Net Proceeds
2013 Public issuances	23,000,000	$	73.50	$	1,690,500	$	1,630,636
2013 Dividend reinvestment plan issuances	1,370,661		66.87		91,651		91,651
2013 Option exercises	186,404		42.64		7,948		7,948
2013 Stock incentive plans, net of forfeitures	301,544				-		-
2013 Senior note conversions	18				-		-
2013 Totals	24,858,627			$	1,790,099	$	1,730,235
2014 Public issuances	16,100,000	$	62.35	$	1,003,835	$	968,517
2014 Dividend reinvestment plan issuances	2,132,427		58.73		125,232		125,232
2014 Option exercises	175,699		46.78		8,220		8,220
2014 Preferred stock conversions	233,236				-		-
2014 Stock incentive plans, net of forfeitures	124,723				-		-
2014 Senior note conversions	1				-		-
2014 Totals	18,766,086			$	1,137,287	$	1,101,969

Dividends.  The increase in dividends is primarily attributable to increases in our common shares outstanding as described above and an increase in common dividends per share.  The following is a summary of our dividend payments (in thousands, except per share amounts):

	Six Months Ended
	June 30, 2014				June 30, 2013
	Per Share		Amount		Per Share		Amount
Common Stock	$	1.5900	$	462,551	$	1.5300	$	399,815
Series H Preferred Stock		0.0079		1		1.4292		500
Series I Preferred Stock		1.6250		23,360		1.6250		23,359
Series J Preferred Stock		0.8126		9,344		0.8126		9,344
Totals			$	495,256			$	433,018

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

     Accumulated Other Comprehensive Income.  The following is a summary of accumulated other comprehensive income (loss) for the periods presented (in thousands):

		Unrecognized gains (losses) related to:
		Foreign Currency Translation		Equity Investments		Actuarial losses		Cash Flow Hedges		Total
Balance at December 31, 2013	$	(17,631)	$	(389)	$	(1,452)	$	(5,059)	$	(24,531)
Other comprehensive income before reclassification adjustments		4,628		389		-		(7)		5,010
Reclassification amount to net income		-		-		-		879(1)		879
Net current-period other comprehensive income		4,628		389		-		872		5,889
Balance at June 30, 2014	$	(13,003)	$	-	$	(1,452)	$	(4,187)	$	(18,642)
Balance at December 31, 2012	$	(881)	$	(216)	$	(2,974)	$	(6,957)	$	(11,028)
Other comprehensive income before reclassification adjustments		(39,003)		(86)		-		(8)		(39,097)
Reclassification amount to net income		-		-		-		951(1)		951
Net current-period other comprehensive income		(39,003)		(86)		-		943		(38,146)
Balance at June 30, 2013	$	(39,884)	$	(302)	$	(2,974)	$	(6,014)	$	(49,174)
(1) Please see Note 11 for additional information.

14. Stock Incentive Plans

     Our Amended and Restated 2005 Long-Term Incentive Plan (“2005 Plan”) authorizes up to 6,200,000 shares of common stock to be issued at the discretion of the Compensation Committee of the Board of Directors. The 2005 Plan replaced the 1995 Stock Incentive Plan (“1995 Plan”) and the Stock Plan for Non-Employee Directors. The options granted to officers and key employees under the 1995 Plan vested through 2010 and expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2005 Plan. The 2005 Plan allows for the issuance of, among other things, stock options, restricted stock, deferred stock units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted shares generally range from three to five years. Options expire ten years from the date of grant.  Stock-based compensation expense totaled $14,170,000 and $21,837,000 for the three and six months ended June 30, 2014, respectively, and $2,186,000 and $12,694,000 for the same periods in 2013. 

     On April 13, 2014, George L. Chapman, the Chairman, Chief Executive Officer and President of the company, informed the Board of Directors that he wished to retire from the company, effective immediately.  As a result of Mr. Chapman’s retirement, general and administrative expenses for the three months ended June 30, 2014 included charges of $19,688,000 related to: (i) the acceleration of $9,223,000 of deferred compensation for restricted stock; and (ii) consulting, retirement payments and other costs of $10,465,000.

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HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

15. Earnings Per Share

     The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):

		Three Months Ended				Six Months Ended
		June 30,				June 30,
		2014		2013		2014		2013
Numerator for basic and diluted earnings
	per share - net income (loss) attributable
	to common stockholders	$	71,829	$	(8,508)	$	121,851	$	46,551
Denominator for basic earnings per
	share - weighted average shares		296,256		273,091		293,046		266,602
Effect of dilutive securities:
	Employee stock options		191		283		170		-
	Non-vested restricted shares		472		370		506		-
	Convertible senior unsecured notes		1,076		2,737		868		-
Dilutive potential common shares			1,739		3,390		1,544		-
Denominator for diluted earnings per
	share - adjusted weighted average shares		297,995		276,481		294,590		266,602
Basic earnings per share		$	0.24	$	(0.03)	$	0.42	$	0.17
Diluted earnings per share		$	0.24	$	(0.03)	$	0.41	$	0.17

The diluted earnings per share calculations exclude the dilutive effect of zero stock options for the three and six months ended June 30, 2014 and June 30, 2013 because the exercise prices were higher than the average share prices. The diluted earnings per share calculation for the six months ended June 30, 2013 excludes the dilutive effect all common stock equivalents as they are anti-dilutive due to the loss from continuing operations attributable to common stockholders.  The Series I Cumulative Convertible Perpetual Preferred Stock was not included in the calculations as the effect of conversions into common stock was anti-dilutive.

16. Disclosure about Fair Value of Financial Instruments

U.S. GAAP provides authoritative guidance for measuring and disclosing fair value measurements of assets and liabilities.  The guidance defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date.  The guidance also establishes a fair value hierarchy which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value.  The guidance describes three levels of inputs that may be used to measure fair value:

Level 1 - Quoted prices in active markets for identical assets or liabilities.

Level 2 - Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Please see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for additional information.

Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practicable to estimate that value.

Mortgage Loans and Other Real Estate Loans Receivable — The fair value of mortgage loans and other real estate loans receivable is generally estimated by using Level 2 and Level 3 inputs such as discounting the estimated future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities. 

Cash and Cash Equivalents — The carrying amount approximates fair value.

20

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Available-for-sale Equity Investments — Available-for-sale equity investments are recorded at their fair value based on Level 1 publicly available trading prices.

Borrowings Under Unsecured Line of Credit Arrangements — The carrying amount of the unsecured line of credit arrangements approximates fair value because the borrowings are interest rate adjustable.

Senior Unsecured Notes — The fair value of the fixed rate senior unsecured notes payable was estimated based on Level 1 publicly available trading prices. The carrying amount of variable rate senior unsecured notes payable approximates fair value because the borrowings are interest rate adjustable.

Secured Debt — The fair value of fixed rate secured debt is estimated using Level 2 inputs by discounting the estimated future cash flows using the current rates at which similar loans would be made with similar credit ratings and for the same remaining maturities.  The carrying amount of variable rate secured debt approximates fair value because the borrowings are interest rate adjustable.

Interest Rate Swap Agreements — Interest rate swap agreements are recorded in other assets or other liabilities on the balance sheet at fair market value.  Fair market value is estimated using Level 2 inputs by utilizing pricing models that consider forward yield curves and discount rates.

Foreign Currency Forward Contracts — Foreign currency forward contracts are recorded in other assets or other liabilities on the balance sheet at fair market value.  Fair market value is determined using Level 2 inputs by estimating the future value of the currency pair based on existing exchange rates, comprised of current spot and traded forward points, and calculating a present value of the net amount using a discount factor based on observable traded interest rates.

The carrying amounts and estimated fair values of our financial instruments are as follows (in thousands):

		June 30, 2014				December 31, 2013
		Carrying Amount		Fair Value		Carrying Amount		Fair Value
Financial assets:
	Mortgage loans receivable	$	164,837	$	167,847	$	146,987	$	148,088
	Other real estate loans receivable		202,349		204,665		185,159		188,920
	Available-for-sale equity investments		-		-		1,211		1,211
	Cash and cash equivalents		207,354		207,354		158,780		158,780
	Foreign currency forward contracts		44		44		-		-
	Interest rate swap agreements		3		3		38		38
Financial liabilities:
	Borrowings under unsecured line of credit arrangements	$	-	$	-	$	130,000	$	130,000
	Senior unsecured notes		7,411,243		8,164,689		7,379,308		7,743,730
	Secured debt		2,850,103		2,972,268		3,058,248		3,168,775
	Foreign currency forward contracts		19,909		19,909		11,637		11,637

Items Measured at Fair Value on a Recurring Basis

The market approach is utilized to measure fair value for our financial assets and liabilities reported at fair value on a recurring basis.  The market approach uses prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities. The following summarizes items measured at fair value on a recurring basis (in thousands):

21

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

	Fair Value Measurements as of June 30, 2014
	Total		Level 1		Level 2		Level 3
Interest rate swap agreements, net(1)	$	3	$	-	$	3	$	-
Foreign currency forward contracts, net(1)		(19,865)		-		(19,865)		-
Totals	$	(19,862)	$	-	$	(19,862)	$	-
(1) Please see Note 11 for additional information.

Items Measured at Fair Value on a Nonrecurring Basis

In addition to items that are measured at fair value on a recurring basis, we also have assets and liabilities in our balance sheet that are measured at fair value on a nonrecurring basis.  As these assets and liabilities are not measured at fair value on a recurring basis, they are not included in the tables above. Assets, liabilities and noncontrolling interests that are measured at fair value on a nonrecurring basis include those acquired/assumed in business combinations (see Note 3) and asset impairments (if applicable, see Note 5 for impairments of real property and Note 6 for impairments of loans receivable). We have determined that the fair value measurements included in each of these assets and liabilities rely primarily on company-specific inputs and our assumptions about the use of the assets and settlement of liabilities, as observable inputs are not available. As such, we have determined that each of these fair value measurements generally reside within Level 3 of the fair value hierarchy. We estimate the fair value of real estate and related intangibles using the income approach and unobservable data such as net operating income and estimated capitalization and discount rates.  We also consider local and national industry market data including comparable sales, and commonly engage an external real estate appraiser to assist us in our estimation of fair value.  We estimate the fair value of assets held for sale based on current sales price expectations or, in the absence of such price expectations, Level 3 inputs described above.  We estimate the fair value of secured debt assumed in business combinations using current interest rates at which similar borrowings could be obtained on the transaction date.

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, care homes (United Kingdom), care homes with nursing (United Kingdom) 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 the seniors housing communities referenced above and independent supportive living facilities (Canada) 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, 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.

22

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

     Summary information for the reportable segments is as follows for the periods presented (in thousands):

Three Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	225,472	$	-	$	122,375	$	-	$	347,847
Resident fees and services		-		467,639		-		-		467,639
Interest income		5,666		11		3,256		-		8,933
Other income		325		1,264		362		76		2,027
Total revenues		231,463		468,914		125,993		76		826,446
Property operating expenses		-		310,029		33,725		-		343,754
Net operating income from continuing operations		231,463		158,885		92,268		76		482,692
Reconciling items:
Interest expense		8,879		28,833		8,122		75,231		121,065
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		61,613		109,644		43,192		-		214,449
General and administrative		-		-		-		51,660		51,660
Transaction costs		4,007		1,660		1,373		-		7,040
(Loss) gain on extinguishment of debt, net		-		531		-		-		531
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	156,891	$	17,939	$	39,581	$	(126,815)	$	87,596
Total assets	$	9,460,260	$	9,156,333	$	4,906,320	$	50,977	$	23,573,890

Three Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	187,518	$	-	$	111,355	$	-	$	298,873
Resident fees and services		-		370,995		-		-		370,995
Interest income		5,433		-		2,207		-		7,640
Other income		199		-		662		164		1,025
Total revenues		193,150		370,995		114,224		164		678,533
Property operating expenses		-		248,972		28,986		-		277,958
Net operating income from continuing operations		193,150		122,023		85,238		164		400,575
Reconciling items:
Interest expense		3,247		19,412		9,506		77,300		109,465
(Loss) gain on derivatives, net		-		(2,716)		-		-		(2,716)
Depreciation and amortization		54,637		103,646		39,779		-		198,062
General and administrative		-		-		-		23,902		23,902
Transaction costs		11,211		16,799		126		-		28,136
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	124,055	$	(15,118)	$	35,827	$	(101,038)	$	43,726

23

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Six Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	440,302	$	-	$	244,001	$	-	$	684,303
Resident fees and services		-		923,904		-		-		923,904
Interest income		11,106		11		6,410		-		17,527
Other income		446		1,318		665		91		2,520
Total revenues		451,854		925,233		251,076		91		1,628,254
Property operating expenses		-		618,213		66,972		-		685,185
Net operating income from continuing operations		451,854		307,020		184,104		91		943,069
Reconciling items:
Interest expense		17,769		56,312		17,730		150,087		241,898
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		123,016		238,806		85,944		-		447,766
General and administrative		-		-		-		84,524		84,524
Transaction costs		4,283		2,290		1,420		-		7,993
(Loss) gain on extinguishment of debt, net		-		383		-		-		383
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	306,713	$	8,951	$	79,010	$	(234,520)	$	160,154

Six Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	370,814	$	-	$	220,702	$	-	$	591,516
Resident fees and services		-		698,319		-		-		698,319
Interest income		11,276		757		4,663		-		16,696
Other income		408		-		1,072		245		1,725
Total revenues		382,498		699,076		226,437		245		1,308,256
Property operating expenses		-		473,475		57,305		-		530,780
Net operating income from continuing operations		382,498		225,601		169,132		245		777,476
Reconciling items:
Interest expense		9,055		38,482		18,364		152,402		218,303
(Loss) gain on derivatives, net		-		(407)		-		-		(407)
Depreciation and amortization		109,587		193,521		79,642		-		382,750
General and administrative		-		-		-		51,081		51,081
Transaction costs		11,705		82,124		287		-		94,116
(Loss) gain on extinguishment of debt, net		-		(308)		-		-		(308)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	252,151	$	(87,811)	$	70,839	$	(203,238)	$	31,941

     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):

24

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

		Three Months Ended						Six Months Ended
		June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
Revenues:		Amount	%		Amount	%		Amount	%		Amount	%
United States	$	695,922	84.2%	$	591,509	87.2%	$	1,371,021	84.2%	$	1,160,688	88.7%
International		130,524	15.8%		87,024	12.8%		257,233	15.8%		147,568	11.3%
Total	$	826,446	100.0%	$	678,533	100.0%	$	1,628,254	100.0%	$	1,308,256	100.0%
		As of
		June 30, 2014			December 31, 2013
Assets:		Amount	%		Amount	%
United States	$	20,376,451	86.4%	$	19,759,945	85.6%
International		3,197,439	13.6%		3,324,012	14.4%
Total	$	23,573,890	100.0%	$	23,083,957	100.0%

18. Income Taxes and Distributions

     We elected to be taxed as a REIT commencing with our first taxable year.  To qualify as a REIT for federal income tax purposes, at least 90% of taxable income (excluding 100% of net capital gains) must be distributed to stockholders. REITs that do not distribute a certain amount of current year taxable income in the current year are also subject to a 4% federal excise tax. The main differences between undistributed net income for federal income tax purposes and financial statement purposes are the recognition of straight-line rent for reporting purposes, basis differences in acquisitions, recording of impairments, differing useful lives and depreciation and amortization methods for real property and the provision for loan losses for reporting purposes versus bad debt expense for tax purposes.

Under the provisions of the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”), for taxable years beginning after July 30, 2008, a REIT may lease “qualified health care properties” on an arm’s-length basis to a taxable REIT subsidiary (“TRS”) if the property is operated on behalf of such TRS by a person who qualifies as an “eligible independent contractor.” Generally, the rent received from the TRS will meet the related party rent exception and will be treated as “rents from real property.”  A “qualified health care property” includes real property and any personal property that is, or is necessary or incidental to the use of, a hospital, nursing facility, assisted living facility, congregate care facility, qualified continuing care facility, or other licensed facility which extends medical or nursing or ancillary services to patients. We have entered into various joint ventures that were structured under RIDEA. Resident level rents and related operating expenses for these facilities are reported in the unaudited consolidated financial statements and are subject to federal and state income taxes as the operations of such facilities are included in TRS entities. Certain net operating loss carryforwards could be utilized to offset taxable income in future years. 

     Income tax expense reflected in the financial statements primarily represents U.S. federal and state and local income taxes as well as non-U.S. income taxes on certain investments located in jurisdictions outside the U.S.  Net deferred tax liabilities with respect to our TRS entities totaled $21,215,000 and $19,748,000 as of June 30, 2014 and December 31, 2013, respectively, and related primarily to differences between the financial reporting and tax bases of fixed and intangible assets.

     Generally, given current statutes of limitations, we are subject to audit by the Internal Revenue Service (“IRS”) for the year ended December 31, 2010 and subsequent years and by state taxing authorities for the year ended December 31, 2009 and subsequent years.  We are also subject to audit by the Canada Revenue Agency and provincial authorities generally for periods subsequent to our Chartwell investment in May 2012 related to entities acquired or formed in connection with the investments, and by HM Revenue & Customs for periods subsequent to our Sunrise-related United Kingdom acquisitions beginning in August 2012 related to entities acquired or formed in connection with the acquisitions.

      We apply the rules under ASC 740-10 “Accounting for Uncertainty in Income Taxes” for uncertain tax positions using a “more likely than not” recognition threshold for tax positions. Pursuant to these rules, we will initially recognize the financial statement effects of a tax position when it is more likely than not, based on the technical merits of the tax position, that such a position will be sustained upon examination by the relevant tax authorities. If the tax benefit meets the “more likely than not” threshold, the measurement of the tax benefit will be based on our estimate of the ultimate tax benefit to be sustained if audited by the relevant taxing authority.

25

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

      The balance of our unrecognized tax benefits as of June 30, 2014 and December 31, 2013 was $6,413,000.  As of June 30, 2014, $5,896,000 (exclusive of accrued interest and penalties) relates to the April 1, 2011 Genesis HealthCare Corporation transaction (“Genesis Acquisition”) and is included in accrued expenses and other liabilities on the consolidated balance sheet.  As a part of the Genesis Acquisition, we received a full indemnification from FC-GEN Operations Investment, LLC covering income taxes or other taxes as well as  interest and penalties relating to tax positions taken by FC-GEN Operations Investment, LLC prior to the acquisition.  Accordingly, an offsetting indemnification asset is recorded in receivables and other assets on the consolidated balance sheet.  Such indemnification asset is reviewed for collectability periodically.  Unrecognized tax benefits, as currently accrued for, have an immaterial impact on the effective tax rate to the extent that they would be recognized.  The uncertain tax positions associated with the Genesis Acquisition are expected to expire given the current statute of limitations for those positions during 2014.  Interest and penalties for the three and six months ended June 30, 2014 totaled $140,000 and $287,000, respectively, and are included in income tax expense.

19. Subsequent Events

     Credit Facility Extension and Expansion.   On July 25, 2014, we closed on a new unsecured credit facility with a consortium of 28 banks that includes a $2,500,000,000 revolving line of credit, a $500,000,000 term loan and a $250,000,000 Canadian denominated term loan.  The revolver is priced at 1.05% over LIBOR with a 0.20% annual facility fee based on current credit ratings. We have an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature. The facility also allows us to borrow up to $500,000,000 in alternate currencies.  The term loans are priced at 1.15% over LIBOR for U.S. tranche and CDOR for Canadian tranche based on our current credit ratings.  Among other things, the new facility provides us with additional borrowing capacity and extends the agreement to October 31, 2018.  It can be extended for an additional year at our option. 

26

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

EXECUTIVE SUMMARY
Company Overview      Business Strategy      Capital Market Outlook      Key Transactions in 2014      Key Performance Indicators, Trends and Uncertainties      Corporate Governance	28 28 29 29 30 32
LIQUIDITY AND CAPITAL RESOURCES
Sources and Uses of Cash      Off-Balance Sheet Arrangements      Contractual Obligations      Capital Structure	33 33 34 34
RESULTS OF OPERATIONS
Summary      Seniors Housing Triple-net      Seniors Housing Operating      Medical Facilities      Non-Segment/Corporate	35 36 38 39 42
NON-GAAP FINANCIAL MEASURES & OTHER DISCLOSURES
FFO Reconciliations      EBITDA and Adjusted EBITDA Reconciliations      NOI and SSCNOI Reconciliations	44 45 47
Health Care Reimbursements and Other Related Laws	50
Critical Accounting Policies      Cautionary Statement Regarding Forward-Looking Statements	54 55

27

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

     The following discussion and analysis is based primarily on the unaudited consolidated financial statements of Health Care REIT, Inc. for the periods presented and should be read together with the notes thereto contained in this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K for the year ended December 31, 2013, including factors identified under the headings “Business,” “Risk Factors,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”  References herein to “we,” “us,” “our,” or the “company” refer to Health Care REIT, Inc. and its subsidiaries unless specifically noted otherwise.

Executive Summary

Company Overview

     Health Care REIT, Inc. is a real estate investment trust (“REIT”) that has been at the forefront of seniors housing and health care real estate since the company was founded in 1970.  We are an S&P 500 company headquartered in Toledo, Ohio. Our portfolio spans the full spectrum of seniors housing and health care real estate, including seniors housing communities, skilled nursing/post-acute facilities, medical office buildings, inpatient and outpatient medical centers and life science facilities. Our capital programs, when combined with comprehensive planning, development and property management services, make us a single-source solution for acquiring, planning, developing, managing, repositioning and monetizing real estate assets.  The following table summarizes our consolidated portfolio as of June 30, 2014 (dollars in thousands):

			Percentage of	Number of
Type of Property	Investments(1)		Investments	Properties
Seniors housing triple-net	$	9,097,004	41.5%	626
Seniors housing operating		8,346,303	38.1%	281
Medical facilities		4,469,005	20.4%	250
Totals	$	21,912,312	100.0%	1,157
(1) Excludes our share of investments in unconsolidated entities. Entities in which we have a joint venture with a minority partner are shown at 100% of the joint venture amount.

Business Strategy

     Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in net operating income and portfolio growth. To meet these objectives, we invest across the full spectrum of seniors housing and health care real estate and diversify our investment portfolio by property type, relationship and geographic location.

     Substantially all of our revenues are derived from operating lease rentals, resident fees and services, and interest earned on outstanding loans receivable. These items represent our primary sources of liquidity to fund distributions and depend upon the continued ability of our obligors to make contractual rent and interest payments to us and the profitability of our operating properties. To the extent that our customers/partners experience operating difficulties and become unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by the type of property. Our proactive and comprehensive asset management process for seniors housing properties generally includes review of monthly financial statements and other operating data for each property, review of obligor/partner creditworthiness, property inspections, and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. Our internal property management division actively manages and monitors the medical office building portfolio with a comprehensive process including tenant relations, lease expirations, the mix of health service providers, hospital/health system relationships, property performance, capital improvement needs, and market conditions among other things. In monitoring our portfolio, our personnel use a proprietary database to collect and analyze property-specific data. Additionally, we conduct extensive research to ascertain industry trends.  We evaluate the operating environment in each property’s market to determine the likely trend in operating performance of the facility.  When we identify unacceptable trends, we seek to mitigate, eliminate or transfer the risk. Through these efforts, we are generally able to intervene at an early stage to address any negative trends, and in so doing, support both the collectability of revenue and the value of our investment.

     In addition to our asset management and research efforts, we also structure our investments to help mitigate payment risk. Operating leases and loans are normally credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross-collateralized with other real estate loans, operating leases or agreements between us and the obligor and its affiliates.

     For the six months ended June 30, 2014, rental income and resident fees and services represented 42% and 57%, respectively, of total revenues (including discontinued operations).  Substantially all of our operating leases are designed with escalating rent

28

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

structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. Our yield on loans receivable depends upon a number of factors, including the stated interest rate, the average principal amount outstanding during the term of the loan and any interest rate adjustments.

     Our primary sources of cash include rent and interest receipts, resident fees and services, borrowings under our primary unsecured line of credit arrangement, public issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures, construction advances and transaction costs), loan advances, property operating expenses and general and administrative expenses.  Depending upon the availability and cost of external capital, we believe our liquidity is sufficient to fund these uses of cash.

     We also continuously evaluate opportunities to finance future investments.  New investments are generally funded from temporary borrowings under our primary unsecured line of credit arrangement, internally generated cash and the proceeds from investment dispositions. Our investments generate cash from net operating income and principal payments on loans receivable. Permanent financing for future investments, which replaces funds drawn under our primary unsecured line of credit arrangement, has historically been provided through a combination of the issuance of public debt and equity securities and the incurrence or assumption of secured debt.

     Depending upon market conditions, we believe that new investments will be available in the future with spreads over our cost of capital that will generate appropriate returns to our stockholders. It is also possible that investment dispositions may occur in the future. To the extent that investment dispositions exceed new investments, our revenues and cash flows from operations could be adversely affected. We expect to reinvest the proceeds from any investment dispositions in new investments. To the extent that new investment requirements exceed our available cash on-hand, we expect to borrow under our primary unsecured line of credit arrangement. At June 30, 2014, we had $207,354,000 of cash and cash equivalents, $65,139,000 of restricted cash and $2,250,000,000 of available borrowing capacity under our primary unsecured line of credit arrangement.

Capital Market Outlook

     We believe the capital markets remain supportive of our investment strategy.  In July 2014, we closed on a new unsecured credit facility that further enhances our access to efficient capital and financial flexibility.  For the 18 months ended June 30, 2014, we raised over $4.8 billion in aggregate gross proceeds through the issuance of common stock and unsecured debt. The capital raised, in combination with available cash and borrowing capacity under our line of credit, supported $5.7 billion in gross new investments during 2013 and $1.1 billion during the six months ended June 30, 2014.  We expect attractive investment opportunities to remain available in the future as we continue to leverage the benefits of our relationship investment strategy.

Key Transactions in 2014

Capital.  In May 2014, we completed the public issuance of 16,100,000 shares of common stock for approximate gross proceeds of $1,003,835,000. Also, during the six months ended June 30, 2014, we raised $125,232,000 through our dividend reinvestment program. In July 2014, we closed on a new unsecured credit facility that includes a $2,500,000,000 revolving line of credit, a $500,000,000 term loan and a $250,000,000 Canadian denominated term loan plus an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature. The facility also allows us to borrow up to $500,000,000 in alternate currencies.  Based on our current credit ratings, the revolver is priced at 1.05% over LIBOR with a 0.20% annual facility fee and the term loans are priced at 1.15% over LIBOR for U.S. tranche and CDOR for Canadian tranche.  Among other things, the new facility provides us with additional borrowing capacity and extends the agreement to October 31, 2018.  It can be extended for an additional year at our option.

Investments.  The following summarizes our acquisitions and joint venture investments completed during the six months ended June 30, 2014 (dollars in thousands):

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

	Properties		Investment Amount(1)	Capitalization Rates(2)		Book Amount(3)
Seniors housing triple-net	10	$	250,975	6.9%	$	248,656
Seniors housing operating	12		431,113	6.0%		261,254
Medical facilities	10		215,943	6.3%		216,001
Totals	32	$	898,031	6.3%	$	725,911
(1) Represents stated purchase price including cash and any assumed debt but excludes fair value adjustments pursuant to U.S. GAAP.
(2) Represents annualized contractual or projected income to be received in cash divided by investment amounts.
(3) Represents amounts recorded on our books including fair value adjustments pursuant to U.S. GAAP.  See Notes 3, 6 and 7 to our unaudited consolidated financial statements for additional information.

Dispositions.  The following summarizes our property dispositions completed during the six months ended June 30, 2014 (dollars in thousands):

	Properties		Proceeds(1)	Capitalization Rates(2)		Book Amount(3)
Seniors housing triple-net	4	$	49,463	9.8%	$	41,124
Medical facilities	3		91,356	9.8%		86,616
Totals	7	$	140,819	9.8%	$	127,740
(1) Represents proceeds received upon disposition including any seller financing. See Notes 5 and 6 to our unaudited consolidated financial statements for additional information.
(2) Represents annualized contractual income that was being received in cash at date of disposition divided by disposition proceeds.
(3) Represents carrying value of assets at time of disposition.

Dividends. Our Board of Directors increased the annual cash dividend to $3.18 per common share ($0.795 per share quarterly), as compared to $3.06 per common share for 2013, beginning in February 2014.  The dividend declared for the quarter ended June 30, 2014 represents the 173^rd consecutive quarterly dividend payment.

Key Performance Indicators, Trends and Uncertainties

     We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to operating performance, concentration risk and credit strength. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results, in making operating decisions and for budget planning purposes.

Operating Performance. We believe that net income attributable to common stockholders (“NICS”) is the most appropriate earnings measure. Other useful supplemental measures of our operating performance include funds from operations (“FFO”), net operating income from continuing operations (“NOI”) and same store cash NOI (“SSCNOI”); however, these supplemental measures are not defined by U.S. generally accepted accounting principles (“U.S. GAAP”). Please refer to the section entitled “Non-GAAP Financial Measures” for further discussion and reconciliations of FFO, NOI and SSCNOI. These earnings measures and their relative per share amounts are widely used by investors and analysts in the valuation, comparison and investment recommendations of companies. The following table reflects the recent historical trends of our operating performance measures for the periods presented (in thousands, except per share amounts):

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

		Three Months Ended
		March 31,		June 30,		September 30,		December 31,		March 31,		June 30,
		2013		2013		2013		2013			2014	2014
Net income (loss) attributable to common stockholders		$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022	$	71,829
Funds from operations			170,878		230,666		258,263		265,077		288,803		284,245
Net operating income from continuing operations			376,901		400,575		441,792		454,468		460,376		482,692
Same store cash net operating income			304,724		310,945		312,982		316,270		319,432		323,692
Per share data (fully diluted):
	Net income (loss) attributable to common stockholders	$	0.21	$	(0.03)	$	0.07	$	0.04	$	0.17	$	0.24
	Funds from operations		0.65		0.83		0.90		0.92		0.99		0.95

Concentration Risk. We evaluate our concentration risk in terms of investment mix, relationship mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our investments could be at risk if certain sectors were to experience downturns.  Investment mix measures the portion of our investments that relate to our various property types. Relationship mix measures the portion of our investments that relate to our top five relationships. Geographic mix measures the portion of our investments that relate to our top five states (or international equivalents). The following table reflects our recent historical trends of concentration risk by investment balance for the periods presented:

		March 31,	June 30,	September 30,	December 31,	March 31,	June 30,
		2013	2013	2013	2013	2014	2014
Investment mix:(1)
	Seniors housing triple-net	43%	40%	41%	41%	41%	42%
	Seniors housing operating	35%	39%	39%	39%	39%	38%
	Medical facilities	22%	21%	20%	20%	20%	20%
Relationship mix:(1)
	Sunrise Senior Living(2)	14%	13%	19%	19%	19%	18%
	Genesis HealthCare	14%	13%	12%	12%	12%	12%
	Revera(2)		6%	6%	5%	5%	5%
	Benchmark Senior Living	4%		4%	4%	4%	4%
	Belmont Village	5%	4%	4%	4%	4%	4%
	Merrill Gardens	6%	5%
	Remaining relationships	57%	59%	55%	56%	56%	57%
Geographic mix:(1)
	California	9%	8%	10%	10%	10%	10%
	New Jersey	8%	8%	8%	8%	8%	8%
	England	8%	7%	8%	8%	8%	8%
	Texas	8%	8%	7%	7%	7%	8%
	Florida	6%	5%	5%	5%	5%	5%
	Remaining geographic areas	61%	64%	62%	62%	62%	61%
(1) Excludes our share of investments in unconsolidated entities.  Entities in which the company has a joint venture with a minority partner are shown at 100% of the joint venture amount.
(2) Revera owns a controlling interest in Sunrise.

     Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. The leverage ratios indicate how much of our balance sheet capitalization is related to long-term debt. The coverage ratios indicate our ability to service interest and fixed charges (interest, secured debt principal amortization and preferred dividends). We expect to maintain capitalization ratios

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

and coverage ratios sufficient to maintain compliance with our debt covenants. The coverage ratios are based on earnings before interest, taxes, depreciation and amortization (“EBITDA”) which is discussed in further detail, and reconciled to net income, below in “Non-GAAP Financial Measures.” Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, investment recommendations and rating of companies. The following table reflects the recent historical trends for our credit strength measures for the periods presented:

		Three Months Ended
		March 31,	June 30,	September 30,	December 31,	March 31,	June 30,
		2013	2013	2013	2013	2014	2014
Debt to book capitalization ratio		49%	44%	47%	48%	48%	45%
Debt to undepreciated book
	capitalization ratio	45%	41%	43%	43%	43%	40%
Debt to market capitalization ratio		34%	32%	35%	39%	37%	33%
Interest coverage ratio		3.42x	2.88x	3.32x	3.12x	3.45x	3.51x
Fixed charge coverage ratio		2.72x	2.27x	2.62x	2.54x	2.74x	2.77x

     Lease Expirations. The following table sets forth information regarding lease expirations for certain portions of our portfolio as of June 30, 2014 (dollars in thousands):

			Expiration Year
			2014		2015		2016		2017		2018		2019		2020		2021		2022		2023		Thereafter
Seniors housing triple-net:
	Properties		7		-		-		34		51		-		10		23		42		2		438
	Base rent(1)	$	6,261	$	-	$	-	$	15,700	$	37,398	$	-	$	13,356	$	35,376	$	40,802	$	5,760	$	764,180
	% of base rent		0.7%		0.0%		0.0%		1.7%		4.1%		0.0%		1.5%		3.9%		4.4%		0.6%		83.2%
	Units		727		-		-		1,603		3,151		-		912		3,565		5,463		383		50,358
	% of Units		1.1%		0.0%		0.0%		2.4%		4.8%		0.0%		1.4%		5.4%		8.3%		0.6%		76.1%
Hospitals:
	Properties		3		-		-		-		-		-		-		-		-		-		27
	Base rent(1)	$	5,845	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	80,495
	% of base rent		6.8%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		93.2%
	Beds		-		-		-		-		-		-		-		-		-		0		1,789
	% of Beds		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		100.0%
Medical office buildings:
	Square feet		356,964		621,371		789,892		1,111,124		858,156		975,694		864,473		1,027,500		1,976,232		964,258		3,438,328
	Base rent(1)	$	6,842	$	13,916	$	16,896	$	26,340	$	20,013	$	22,726	$	20,614	$	23,458	$	40,006	$	22,829	$	85,917
	% of base rent		2.3%		4.6%		5.6%		8.8%		6.7%		7.6%		6.9%		7.8%		13.4%		7.6%		28.7%
	Leases		114		184		179		222		174		158		90		104		119		69		121
	% of Leases		7.4%		12.0%		11.7%		14.5%		11.3%		10.3%		5.9%		6.8%		7.8%		4.5%		7.9%
(1) The most recent monthly base rent including straight line for leases with fixed escalators or annual cash rents for leases with contingent escalators.  Base rent does not include tenant recoveries or amortization of above and below market lease intangibles.

     We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ materially from our expectations. Factors that may cause actual results to differ from expected results are described in more detail in “Cautionary Statement Regarding Forward-Looking Statements” and other sections of this Quarterly Report on Form 10-Q. Management regularly monitors economic and other factors to develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends. Please refer to our Annual Report on Form 10-K for the year ended December 31, 2013, under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” for further discussion of these risk factors.

Corporate Governance

     Maintaining investor confidence and trust is important in today’s business environment. Our Board of Directors and management are strongly committed to policies and procedures that reflect the highest level of ethical business practices. Our corporate governance guidelines provide the framework for our business operations and emphasize our commitment to increase stockholder value while meeting all applicable legal requirements. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on the Internet at www.hcreit.com/investor-relations/governance.  The information on our website is not incorporated by reference in this Quarterly Report on Form 10-Q, and our web address is included as an inactive textual reference only.

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

Liquidity and Capital Resources

Sources and Uses of Cash

     Our primary sources of cash include rent and interest receipts, resident fees and services, borrowings under our primary unsecured line of credit arrangement, public issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures, construction advances and transaction costs), loan advances, property operating expenses, and general and administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows and are discussed in further detail below.  The following is a summary of our sources and uses of cash flows (dollars in thousands):

		Six Months Ended				Change
		June 30, 2014		June 30, 2013		$		%
Cash and cash equivalents at beginning of period		$	158,780	$	1,033,764	$	(874,984)	-85%
Cash provided from (used in):
Operating activities			595,534		406,737		188,797	46%
Investing activities			(798,422)		(2,702,569)		1,904,147	-70%
Financing activities			252,521		1,773,867		(1,521,346)	-86%
Effect of foreign currency translation on cash and cash equivalents			(1,059)		673		(1,732)	n/a
	Cash and cash equivalents at end of period	$	207,354	$	512,472	$	(305,118)	-60%

Operating Activities. The change in net cash provided from operating activities is primarily attributable to increases in NOI, which is primarily due to acquisitions.  Please see “Results of Operations” for further discussion. For the six months ended June 30, 2014, cash flow provided from operations exceeded cash distributions to stockholders.  For the six months ended June 30, 2013, cash distributions to stockholders exceeded cash flow provided from operations.  The source of funds for these excess distributions was available cash on-hand, which was $1,033,764,000 at December 31, 2012 and $512,472,000 at June 30, 2013.

Investing Activities.  The changes in net cash used in investing activities are primarily attributable to net changes in real property investments, real estate loans receivable and investments in unconsolidated entities, which are summarized above in “Key Transactions in 2014” and Notes 3, 6 and 7 of our unaudited consolidated financial statements.The following is a summary of cash used in non-acquisition capital improvement activities (dollars in thousands):

	Six Months Ended				Change
	June 30,		June 30,
	2014		2013		$		%
New development	$	95,201	$	119,333	$	(24,132)	-20%
Recurring capital expenditures, tenant improvements and lease commissions		26,188		24,059		2,129	9%
Renovations, redevelopments and other capital improvements		28,500		24,421		4,079	17%
Total	$	149,889	$	167,813	$	(17,924)	-11%

    The change in new development is primarily due to the number and size of construction projects on-going during the relevant periods.  Renovations, redevelopments and other capital improvements include expenditures to maximize property value, increase net operating income, maintain a market-competitive position and/or achieve property stabilization.  Generally, these expenditures have increased as a result of acquisitions, primarily in our seniors housing operating segment.

      Financing Activities.  The changes in net cash provided from financing activities are primarily attributable to changes related to our long-term debt arrangements, the issuance/conversion of common and preferred stock and dividend payments. Please refer to Notes 9, 10 and 13 of our unaudited consolidated financial statements for additional information.

Off-Balance Sheet Arrangements

     At June 30, 2014, we had investments in unconsolidated entities with our ownership ranging from 10% to 50%. Please see Note 7 to our unaudited consolidated financial statements for additional information.  We use financial derivative instruments to hedge interest rate and foreign currency exchange rate exposure. Please see Note 11 to our unaudited consolidated financial statements for

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

additional information.  At June 30, 2014, we had six outstanding letter of credit obligations. Please see Note 12 to our unaudited consolidated financial statements for additional information.

Contractual Obligations

     The following table summarizes our payment requirements under contractual obligations as of June 30, 2014 (in thousands):

	Payments Due by Period
Contractual Obligations	Total		2014		2015-2016		2017-2018		Thereafter
Unsecured line of credit arrangements(1)	$	-	$	-	$	-	$	-	$	-
Senior unsecured notes and term loans:(2)
U.S. Dollar senior unsecured notes		5,775,107		-		950,000		900,000		3,925,107
Pounds Sterling senior unsecured notes(3)		940,830		-		-		-		940,830
U.S. Dollar term loan		500,000		-		500,000		-		-
Canadian Dollar term loan(3)		234,170		-		234,170		-		-
Secured debt:(2,3)
Consolidated		2,812,226		117,263		782,091		757,726		1,155,146
Unconsolidated		590,894		21,415		317,591		96,179		155,709
Contractual interest obligations:(4)
Unsecured line of credit arrangements		-		-		-		-		-
Senior unsecured notes and term loans(3)		3,148,024		191,509		605,477		506,506		1,844,532
Consolidated secured debt(3)		777,026		70,454		241,997		155,144		309,431
Unconsolidated secured debt(3)		90,187		13,939		39,786		16,617		19,845
Capital lease obligations(5)		114,423		2,697		17,889		9,411		84,426
Operating lease obligations(5)		884,093		7,169		28,456		28,872		819,596
Purchase obligations(5)		262,109		19,278		242,831		-		-
Other long-term liabilities(6)		7,375		246		2,950		2,950		1,229
Total contractual obligations	$	16,136,464	$	443,970	$	3,963,238	$	2,473,405	$	9,255,851
(1) Relates to line of credit with an aggregate commitment of $2,250,000,000. See Notes 9 and 19 to our unaudited consolidated financial statements for additional information.
(2) Amounts represent principal amounts due and do not reflect unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(3) Based on foreign currency exchange rates in effect as of balance sheet date.
(4) Based on variable interest rates in effect as of balance sheet date.
(5) See Note 12 to our unaudited consolidated financial statements for additional information.
(6) Relates to our Supplemental Executive Retirement Plan, which is discussed in Note 19 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013. Reflects payments to be made due to Mr. Chapman's retirement discussed in Note 14 to our unaudited consolidated financial statements.

Capital Structure

          Please refer to “Credit Strength” above for a discussion of our leverage and coverage ratio trends.  Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of June 30, 2014, we were in compliance with all of the covenants under our debt agreements. Please refer to the section entitled “Non-GAAP Financial Measures” for further discussion. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings. However, under our primary unsecured line of credit arrangement, the ratings on our senior unsecured notes are used to determine the fees and interest charged.  A summary of certain covenants and our results as of June 30, 2014 is as follows:

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

	Per Agreement
	Unsecured Line of Credit(1)	Senior Unsecured Notes	Actual at
Covenant			June 30, 2014
Total Indebtedness to Book Capitalization Ratio maximum	60%	n/a	45%
Secured Indebtedness to Total Assets Ratio maximum	30%	40%	12%
Total Indebtedness to Total Assets maximum	n/a	60%	44%
Unsecured Debt to Unencumbered Assets maximum	60%	n/a	39%
Adjusted Interest Coverage Ratio minimum	n/a	1.50x	3.41x
Adjusted Fixed Charge Coverage minimum	1.50x	n/a	2.70x
(1) Canadian denominated term loan covenants are the same as those contained in our primary unsecured line of credit agreement.

     We plan to manage the company to maintain compliance with our debt covenants and with a capital structure consistent with our current profile. Any downgrades in terms of ratings or outlook by any or all of the rating agencies could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition.

     On May 4, 2012, we filed an open-ended automatic or “universal” shelf registration statement with the Securities and Exchange Commission covering an indeterminate amount of future offerings of debt securities, common stock, preferred stock, depositary shares, warrants and units. As of July 25, 2014, we had an effective registration statement on file in connection with our enhanced dividend reinvestment plan under which we may issue up to 10,000,000 shares of common stock. As of July 25, 2014, 4,967,238 shares of common stock remained available for issuance under this registration statement. We have entered into separate Equity Distribution Agreements with each of UBS Securities LLC, RBS Securities Inc., KeyBanc Capital Markets Inc. and Credit Agricole Securities (USA) Inc. relating to the offer and sale from time to time of up to $630,015,000 aggregate amount of our common stock (“Equity Shelf Program”). As of July 25, 2014, we had $457,112,000 of remaining capacity under the Equity Shelf Program. Depending upon market conditions, we anticipate issuing securities under our registration statements to invest in additional properties and to repay borrowings under our unsecured line of credit arrangements.

Results of Operations

Summary

Our primary sources of revenue include rent and resident fees and services. Our primary expenses include interest expense, depreciation and amortization, property operating expenses, transaction costs and general and administrative expenses. We evaluate our business and make resource allocations on our three business segments: seniors housing triple-net, seniors housing operating and medical facilities. The primary performance measures for our properties are NOI and SSCNOI, which are discussed below.  Please see Note 17 to our unaudited consolidated financial statements for additional information. The following is a summary of our results of operations (dollars in thousands, except per share amounts):

	Three Months Ended				Change			Six Months Ended				Change
	June 30,		June 30,					June 30,		June 30,
	2014		2013		Amount		%	2014		2013		Amount		%
Net income (loss) attributable to common stockholders	$	71,829	$	(8,508)	$	80,337	n/a	$	121,851	$	46,551	$	75,300	162%
Funds from operations		284,244		230,666		53,578	23%		573,049		401,545		171,504	43%
EBITDA		424,971		319,717		105,254	33%		846,705		692,135		154,570	22%
Net operating income from continuing operations (NOI)		482,692		400,575		82,117	20%		943,069		777,476		165,593	21%
Same store cash NOI		323,692		310,945		12,747	4%		643,124		615,668		27,456	4%
Per share data (fully diluted):
Net income (loss) attributable to common stockholders	$	0.24	$	(0.03)	$	0.27	n/a	$	0.41	$	0.17	$	0.24	141%
Funds from operations	$	0.95	$	0.83	$	0.12	14%	$	1.95	$	1.49	$	0.46	31%
Interest coverage ratio		3.51x		2.88x		0.63x	22%		3.48x		3.15x		0.33x	10%
Fixed charge coverage ratio		2.77x		2.27x		0.50x	22%		2.76x		2.49x		0.27x	11%

35

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

Seniors Housing Triple-net

     The following is a summary of our NOI for the seniors housing triple-net segment (dollars in thousands):

	Three Months Ended					Change			Six Months Ended					Change
		June 30,		June 30,						June 30,		June 30,
		2014		2013		$		%		2014		2013		$		%
SSCNOI(1)		$	180,196		174,168	$	6,028	3%		$	359,264		344,880	$	14,384	4%
Non-cash NOI attributable to same store properties(1)			15,828		9,748		6,080	62%			25,332		20,497		4,835	24%
NOI attributable to non same store properties(2)			35,439		9,234		26,205	284%			67,258		17,121		50,137	293%
NOI		$	231,463	$	193,150	$	38,313	20%		$	451,854	$	382,498	$	69,356	18%
(1) Change is due to increases in cash and non-cash NOI (described below) related to 526 same store properties.
(2) Change is primarily due to the acquisition of 43 properties, the conversion of 13 construction projects into revenue-generating properties subsequent to January 1, 2013 and the transition of 38 properties from our seniors housing operating segment on September 1, 2013.

     The following is a summary of our results of operations for the seniors housing triple-net segment (dollars in thousands):

			Three Months Ended				Change			Six Months Ended				Change
			June 30,		June 30,					June 30,		June 30,
			2014		2013		$		%	2014		2013		$		%
Revenues:
	Rental income		$	225,472	$	187,518	$	37,954	20%	$	440,302	$	370,814	$	69,488	19%
	Interest income			5,666		5,433		233	4%		11,106		11,276		(170)	-2%
	Other income			325		199		126	63%		446		408		38	9%
		Net operating income from continuing operations (NOI)		231,463		193,150		38,313	20%		451,854		382,498		69,356	18%
Expenses:
	Interest expense			8,879		3,247		5,632	173%		17,769		9,055		8,714	96%
	Loss (gain) on derivatives, net			73		-		73	n/a		73		-		73	n/a
	Depreciation and amortization			61,613		54,637		6,976	13%		123,016		109,587		13,429	12%
	Transaction costs			4,007		11,211		(7,204)	-64%		4,283		11,705		(7,422)	-63%
				74,572		69,095		5,477	8%		145,141		130,347		14,794	11%
Income from continuing operations before income taxes and income (loss) from unconsolidated entities				156,891		124,055		32,836	26%		306,713		252,151		54,562	22%
Income tax benefit (expense)				(436)		231		(667)	n/a		(792)		(531)		(261)	49%
Income (loss) from unconsolidated entities				1,423		1,189		234	20%		2,804		2,481		323	13%
Income from continuing operations				157,878		125,475		32,403	26%		308,725		254,101		54,624	21%
Discontinued operations:(1)
	Gain (loss) on sales of discontinued properties, net			6,411		(29,997)		36,408	n/a		6,411		50,704		(44,293)	-87%
	Income (loss) from discontinued operations, net			264		729		(465)	-64%		724		1,264		(540)	-43%
	Discontinued operations, net			6,675		(29,268)		35,943	n/a		7,135		51,968		(44,833)	-86%
Gain (loss) on real estate dispositions, net(1)				1,928		-		1,928	n/a		1,928		-		1,928	n/a
Net income				166,481		96,207		70,274	73%		317,788		306,069		11,719	4%
Less: Net income (loss) attributable to noncontrolling interests				457		370		87	24%		946		739		207	28%
Net income attributable to common stockholders			$	166,024	$	95,837	$	70,187	73%	$	316,842	$	305,330	$	11,512	4%
(1) See Note 5 to our unaudited consolidated financial statements.

36

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

     The increase in rental income is primarily attributable to the acquisitions of new properties, 38 properties transitioned from the seniors housing operating segment and the conversion of newly constructed seniors housing triple-net properties from which we receive rent and the modification of our lease with Genesis HealthCare to replace the CPI-based component of an annual increaser with a fixed annual increaser effective April 1, 2014. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the tenant’s properties.  These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period.  If gross operating revenues at our facilities and/or the Consumer Price Index do not increase, a portion of our revenues may not continue to increase.  Sales of real property would offset revenue increases and, to the extent that they exceed new acquisitions, could result in decreased revenues.  Our leases could renew above or below current rent rates, resulting in an increase or decrease in rental income.  For the three months ended June 30, 2014, we had no lease renewals but we had 12 leases with rental rate increasers ranging from 0.10% to 0.30% in our seniors housing triple-net portfolio. 

    During the six months ended June 30, 2014, we completed four seniors housing triple-net construction projects representing $71,570,000 or $185,896 per bed/unit plus expansion projects totaling $2,561,000.  The following is a summary of our seniors housing triple-net construction projects, excluding expansions, pending as of June 30, 2014 (dollars in thousands):

Location	Units/Beds		Commitment		Balance	Est. Completion
Upper Providence, PA	96	$	29,030	$	12,745	1Q15
Mahwah, NJ	96		29,045		8,114	2Q15
Haddonfield, NJ	52		18,815		6,499	2Q15
Frederick, MD	130		19,000		10,138	2Q15
Piscataway, NJ	124		30,600		13,895	2Q15
Derby, England	74		12,486		3,788	3Q15
Total	572	$	138,976	$	55,179

     Interest expense for the six months ended June 30, 2014 and 2013 represents secured debt interest expense offset by interest allocated to discontinued operations.  The change in secured debt interest expense is due to the net effect and timing of assumptions, segment transitions, extinguishments and principal amortizations. The following is a summary of our seniors housing triple-net property secured debt principal activity (dollars in thousands):

	Three Months Ended						Six Months Ended
	June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
			Wtd. Avg.			Wtd. Avg.			Wtd. Avg.			Wtd. Avg.
	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	584,363	5.391%	$	217,592	5.392%	$	587,136	5.394%	$	218,741	5.393%
Principal payments		(2,623)	5.843%		(1,171)	5.604%		(5,396)	5.871%		(2,320)	5.571%
Ending balance	$	581,740	5.389%	$	216,421	5.390%	$	581,740	5.389%	$	216,421	5.390%
Monthly averages	$	582,625	5.391%	$	216,840	5.391%	$	583,990	5.391%	$	217,417	5.391%

     Depreciation and amortization increased primarily as a result of new property acquisitions, the conversions of newly constructed investment properties and the transition of 38 properties from the seniors housing operating segment on September 1, 2013. To the extent that we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly. 

     Transaction costs represent costs incurred with property acquisitions including due diligence costs, fees for legal and valuation services, the termination of pre-existing relationships and lease termination expenses and other similar costs.  The change in transaction costs is primarily due to lower transaction volume.

37

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

Seniors Housing Operating

     The following is a summary of our NOI for the seniors housing operating segment (dollars in thousands):

	Three Months Ended					Change			Six Months Ended					Change
		June 30,		June 30,						June 30,		June 30,
		2014		2013		$		%		2014		2013		$		%
SSCNOI(1)		$	69,051	$	62,978	$	6,073	10%		$	134,909	$	123,043	$	11,866	10%
NOI attributable to non same store properties(2)			89,834		59,045		30,789	52%			172,111		102,558		69,553	68%
NOI		$	158,885	$	122,023	$	36,862	30%		$	307,020	$	225,601	$	81,419	36%
(1) Change is due to increases in NOI (described below) related to 116 same store properties.
(2) Change is primarily due to the acquisition of 165 properties subsequent to January 1, 2013 and the transition of 38 properties to our seniors housing triple-net segment on September 1, 2013.

The following is a summary of our seniors housing operating results of operations (dollars in thousands):

		Three Months Ended				Change			Six Months Ended				Change
		June 30,		June 30,					June 30,		June 30,
		2014		2013		$		%	2014		2013		$		%
Revenues:
	Resident fees and services	$	467,639	$	370,995	$	96,644	26%	$	923,904	$	698,319	$	225,585	32%
	Interest income		11		-		11	n/a		11		757		(746)	n/a
	Other income		1,264		-		1,264	n/a		1,318		-		1,318	n/a
			468,914		370,995		97,919	26%		925,233		699,076		226,157	32%
Property operating expenses			310,029		248,972		61,057	25%		618,213		473,475		144,738	31%
	Net operating income from continuing operations (NOI)		158,885		122,023		36,862	30%		307,020		225,601		81,419	36%
Other expenses:
	Interest expense		28,833		19,412		9,421	49%		56,312		38,482		17,830	46%
	Loss (gain) on derivatives, net		278		(2,716)		2,994	-110%		278		(407)		685	-168%
	Depreciation and amortization		109,644		103,646		5,998	6%		238,806		193,521		45,285	23%
	Transaction costs		1,660		16,799		(15,139)	-90%		2,290		82,124		(79,834)	-97%
	Loss (gain) on extinguishment of debt, net		531		-		531	n/a		383		(308)		691	-224%
			140,946		137,141		3,805	3%		298,069		313,412		(15,343)	-5%
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities			17,939		(15,118)		33,057	-219%		8,951		(87,811)		96,762	-110%
Income tax expense			(801)		(2,416)		1,615	-67%		(2,444)		(4,145)		1,701	-41%
Income (loss) from unconsolidated entities			(15,496)		(8,008)		(7,488)	94%		(23,457)		(9,556)		(13,901)	145%
Net income (loss)			1,642		(25,542)		27,184	-106%		(16,950)		(101,512)		84,562	-83%
Less: Net income (loss) attributable to noncontrolling interests			(892)		(1,389)		497	-36%		(2,713)		(1,663)		(1,050)	63%
Net income (loss) attributable to common stockholders		$	2,534	$	(24,153)	$	26,687	-110%	$	(14,237)	$	(99,849)	$	85,612	-86%

     Fluctuations in revenues and property operating expenses are primarily a result of acquisitions subsequent to June 30, 2013, offset by the transition of 38 properties to seniors housing triple-net on September 1, 2013. The fluctuations in depreciation and amortization are due to acquisitions and variations in amortization of short-lived intangible assets. To the extent that we acquire or dispose of additional properties in the future, these amounts will change accordingly. Interest income in the six month period ended June 30, 2013 relates to our Sunrise loans that were acquired upon merger consummation on January 9, 2013.  The increase in other income

38

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

relates primarily to a guarantee fee received during the three month period ended June 30, 2014 in exchange for our guarantee of a third party loan.

      Interest expense represents secured debt interest expense as well as interest expense related to our $250,000,000 Canadian-denominated unsecured term loan and our £550,000,000 Sterling-denominated senior unsecured notes.  Please refer to Note 10 to our unaudited consolidated financial statements for additional information. The following is a summary of our seniors housing operating property secured debt principal activity (dollars in thousands):

	Three Months Ended						Six Months Ended
	June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
			Weighted Avg.			Weighted Avg.			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	1,627,768	4.529%		1,488,419	4.925%	$	1,714,714	4.622%		1,369,526	4.874%
Debt issued		-	0.000%		71,340	4.961%		10,690	3.544%		71,340	4.961%
Debt assumed		12,005	4.147%		404,176	3.801%		12,005	4.147%		536,856	4.219%
Debt extinguished		(8,444)	5.934%		(41,349)	3.587%		(81,662)	5.888%		(49,156)	4.197%
Foreign currency		14,705	3.896%		(6,898)	3.868%		(1,200)	3.936%		(6,892)	3.867%
Principal payments		(8,526)	4.253%		(7,438)	4.709%		(17,039)	4.365%		(13,424)	4.852%
Ending balance	$	1,637,508	4.530%	$	1,908,250	4.738%	$	1,637,508	4.530%	$	1,908,250	4.738%
Monthly averages	$	1,626,739	4.538%		1,501,263	4.866%	$	1,657,156	4.567%		1,481,319	4.893%

The change in net derivative gains is due to foreign currency hedges relating to our international investments which are described in Note 11 to our unaudited consolidated financial statements. The decrease in transaction costs is primarily due to costs associated with the Sunrise merger transaction in the prior year. The majority of our seniors housing operating properties are formed through partnership interests. The increased loss from unconsolidated entities is primarily due to depreciation and amortization of short-lived intangible assets and costs associated with the recapitalization of the Sunrise management company. Net income attributable to noncontrolling interests for the three month periods ended June 30, 2014 and 2013 represents our partners’ share of net income (loss) related to joint ventures.

Medical Facilities

     The following is a summary of our NOI for the medical facilities segment (dollars in thousands):

	Three Months Ended					Change			Six Months Ended					Change
		June 30,		June 30,						June 30,		June 30,
		2014		2013		$		%		2014		2013		$		%
SSCNOI(1)		$	74,445		73,799	$	646	1%		$	148,951		147,745	$	1,206	1%
Non-cash NOI attributable to same store properties(1)			1,196		1,928		(732)	-38%			2,557		4,319		(1,762)	-41%
NOI attributable to non same store properties(2)			16,627		9,511		7,116	75%			32,596		17,068		15,528	91%
NOI		$	92,268	$	85,238	$	7,030	8%		$	184,104	$	169,132	$	14,972	9%
(1) Change is due to increases in cash NOI and decreases in non-cash NOI (described below) related to 198 same store properties.
(2) Change is primarily due to acquisitions of 25 properties and conversions of construction projects into nine revenue-generating properties subsequent to January 1, 2013.

     The following is a summary of our results of operations for the medical facilities segment (dollars in thousands):

39

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

		Three Months Ended				Change			Six Months Ended				Change
		June 30,		June 30,					June 30,		June 30,
		2014		2013		$		%	2014		2013		$		%
Revenues:
	Rental income	$	122,375	$	111,355	$	11,020	10%	$	244,001	$	220,702	$	23,299	11%
	Interest income		3,256		2,207		1,049	48%		6,410		4,663		1,747	37%
	Other income		362		662		(300)	-45%		665		1,072		(407)	-38%
			125,993		114,224		11,769	10%		251,076		226,437		24,639	11%
Property operating expenses			33,725		28,986		4,739	16%		66,972		57,305		9,667	17%
	Net operating income from continuing operations (NOI)		92,268		85,238		7,030	8%		184,104		169,132		14,972	9%
Other expenses:
	Interest expense		8,122		9,506		(1,384)	-15%		17,730		18,364		(634)	-3%
	Depreciation and amortization		43,192		39,779		3,413	9%		85,944		79,642		6,302	8%
	Transaction costs		1,373		126		1,247	990%		1,420		287		1,133	395%
			52,687		49,411		3,276	7%		105,094		98,293		6,801	7%
Income from continuing operations before income taxes and income from unconsolidated entities			39,581		35,827		3,754	10%		79,010		70,839		8,171	12%
Income tax (expense) benefit			(332)		987		(1,319)	n/a		(594)		715		(1,309)	n/a
Income from unconsolidated entities			2,557		1,358		1,199	88%		3,580		3,877		(297)	-8%
Income from continuing operations			41,806		38,172		3,634	10%		81,996		75,431		6,565	9%
Discontinued operations:(1)
	Gain (loss) on sales of discontinued properties, net		-		-		-	n/a		-		1,791		(1,791)	-100%
	Income (loss) from discontinued operations, net		-		(601)		601	-100%		-		456		(456)	-100%
	Discontinued operations, net		-		(601)		601	-100%		-		2,247		(2,247)	-100%
Gain (loss) on real estate dispositions, net(1)			4,740		-		4,740	n/a		4,740		-		4,740	n/a
Net income (loss)			46,546		37,571		8,975	24%		86,736		77,678		9,058	12%
Less: Net income (loss) attributable to noncontrolling interests			108		106		2	2%		265		150		115	77%
Net income (loss) attributable to common stockholders		$	46,438	$	37,465	$	8,973	24%	$	86,471	$	77,528	$	8,943	12%
(1) See Note 5 to our unaudited consilidated financial statements.

     The increase in rental income is primarily attributable to the acquisitions of new properties and the construction conversions of medical facilities from which we receive rent. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index.  These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period.  If the Consumer Price Index does not increase, a portion of our revenues may not continue to increase.  Sales of real property would offset revenue increases and, to the extent that they exceed new acquisitions, could result in decreased revenues.  Our leases could renew above or below current rent rates, resulting in an increase or decrease in rental income.  For the three months ended June 30, 2014, our consolidated medical office building portfolio signed 55,748 square feet of new leases and 129,118 square feet of renewals.  The weighted-average term of these leases was five years, with a rate of $22.11 per square foot and tenant improvement and lease commission costs of $13.34 per square foot.  Substantially all of these leases during the referenced quarter contain an annual fixed or contingent escalation rent structure ranging from the change in CPI to 4%.  For the three months ended June 30, 2014, we had three leases with rental rate increasers ranging from 0.17% to 0.81% in our hospital portfolio. The increase in interest income is attributable to higher outstanding loans receivable.

    During the six months ended June 30, 2014, we completed two medical office building construction projects representing $42,799,000 or $220 per square foot plus one hospital expansion project totaling $4,951,000.  The following is a summary of the medical facilities construction projects, excluding expansions, pending as of June 30, 2014 (dollars in thousands):

40

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

Location	Square Feet		Commitment		Balance	Est. Completion
Burnsville, MN	123,857	$	36,087	$	19,853	3Q14
Clear Lake, TX	54,713		14,750		10,387	3Q14
Humble, TX	36,475		10,885		4,746	3Q14
Bettendorf, IA	40,493		7,561		2,814	4Q14
Houston, TX	51,057		17,600		3,494	1Q15
Shenandoah, TX	80,085		24,558		8,834	1Q15
Total	386,680	$	111,441	$	50,128

     The change in secured debt interest expense is primarily due to the net effect and timing of assumptions, extinguishments and principal amortizations. The following is a summary of our medical facility secured debt principal activity (dollars in thousands):

	Three Months Ended						Six Months Ended
	June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
			Weighted Avg.			Weighted Avg.			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	655,696	6.036%	$	709,823	5.950%	$	700,427	5.999%	$	713,720	5.950%
Debt extinguished		(66,194)	5.736%		-	0.000%		(107,060)	5.604%		-	0.000%
Principal payments		(4,341)	5.953%		(4,501)	6.312%		(8,206)	5.647%		(8,398)	6.178%
Ending balance	$	585,161	6.067%	$	705,322	5.947%	$	585,161	6.067%	$	705,322	5.947%
Monthly averages	$	627,455	6.045%	$	707,413	5.948%	$	653,158	5.954%	$	709,591	5.949%

     The increase in property operating expenses and depreciation and amortization is primarily attributable to acquisitions and construction conversions of new medical facilities for which we incur certain property operating expenses offset by property operating expenses associated with discontinued operations.  The change in transaction costs is due primarily to higher transaction volume in the current year.  Income from unconsolidated entities includes our share of net income related to our joint venture investment with Forest City Enterprises and certain unconsolidated property investments related to our strategic joint venture relationship with a national medical office building company.  The increase is primarily attributable to costs related to debt extinguishment in the prior year.

41

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

     Non-Segment/Corporate

     The following is a summary of our results of operations for the non-segment/corporate activities (dollars in thousands):

		Three Months Ended				Change			Six Months Ended				Change
		June 30,		June 30,					June 30,		June 30,
		2014		2013		$		%	2014		2013		$		%
Revenues:
	Other income	$	76	$	164	$	(88)	-54%	$	91	$	245	$	(154)	-63%
Expenses:
	Interest expense		75,231		77,300		(2,069)	-3%		150,087		152,402		(2,315)	-2%
	General and administrative		51,660		23,902		27,758	116%		84,524		51,081		33,443	65%
			126,891		101,202		25,689	25%		234,611		203,483		31,128	15%
Loss from continuing operations before income taxes			(126,815)		(101,038)		(25,777)	26%		(234,520)		(203,238)		(31,282)	15%
Income tax (expense) benefit			-		(17)		17	-100%		-		(17)		17	-100%
Loss from continuing operations			(126,815)		(101,055)		(25,760)	25%		(234,520)		(203,255)		(31,265)	15%
Less: Preferred stock dividends			16,352		16,602		(250)	-2%		32,705		33,203		(498)	-1%
Net loss attributable to common stockholders		$	(143,167)	$	(117,657)	$	(25,510)	22%	$	(267,225)	$	(236,458)	$	(30,767)	13%

     Other income primarily represents income from non-real estate activities such as interest earned on temporary investments of cash reserves.  The following is a summary of our non-segment/corporate interest expense (dollars in thousands):

	Three Months Ended				Change			Six Months Ended				Change
	June 30,		June 30,					June 30,		June 30,
	2014		2013		$		%	2014		2013		$		%
Senior unsecured notes	$	70,579	$	72,975	$	(2,396)	-3%	$	141,280	$	145,155	$	(3,875)	-3%
Secured debt		118		126		(8)	-6%		222		236		(14)	-6%
Unsecured lines of credit		2,823		3,002		(179)	-6%		5,124		7,522		(2,398)	-32%
Capitalized interest		(1,664)		(1,386)		(278)	20%		(3,217)		(2,992)		(225)	8%
Swap loss (savings)		(4)		(4)		-	0%		(7)		(7)		0	0%
Loan expense		3,379		2,587		792	31%		6,685		2,488		4,197	169%
Totals	$	75,231	$	77,300	$	(2,069)	-3%	$	150,087	$	152,402	$	(2,315)	-2%

The change in interest expense on senior unsecured notes is due to the net effect of issuances and extinguishments, excluding our $250,000,000 Canadian-denominated unsecured term loan and our £550,000,000 Sterling-denominated senior unsecured notes, both of which are in our seniors housing operating segment.  Please refer to Note 10 to our unaudited consolidated financial statements for additional information.  We capitalize certain interest costs associated with funds used for the construction of properties owned directly by us. The amount capitalized is based upon the balances outstanding during the construction period using the rate of interest that approximates our cost of financing. Our interest expense is reduced by the amount capitalized.  Please see Note 11 to our unaudited consolidated financial statements for a discussion of our interest rate swap agreements and their impact on interest expense.  Loan expense represents the amortization of deferred loan costs incurred in connection with the issuance and amendments of debt. Loan expense changes are due to amortization of charges for costs incurred in connection with senior unsecured note issuances.  The change in interest expense on the unsecured line of credit arrangements is due primarily to the net effect and timing of draws, paydowns and variable interest rate changes.  Please refer to Notes 9 and 10 of our unaudited consolidated financial statements for additional information regarding our long-term debt arrangements.

     The increase in general and administrative expenses is primarily related to $19,688,000 of CEO transition costs (see Note 14 to our unaudited consolidated financial statements for additional information).  Excluding those costs, general and administrative expenses as a percentage of consolidated revenues (including revenues from discontinued operations) for the three months ended June 30, 2014 and 2013 were 3.87% and 3.44%, respectively.  The increase is primarily related to costs associated with our initiatives to attract and retain appropriate personnel to achieve our business objectives.  The changes in preferred stock dividends are primarily attributable to the effect of conversions (see Note 13 to our unaudited consolidated financial statements for additional information).

42

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

Non-GAAP Financial Measures

     We believe that net income, as defined by U.S. GAAP, is the most appropriate earnings measurement. However, we consider FFO, NOI and EBITDA to be useful supplemental measures of our operating performance. Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts (“NAREIT”) created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO, as defined by NAREIT, means net income attributable to common stockholders, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate and impairment of depreciable assets, plus depreciation and amortization, and after adjustments for unconsolidated entities and noncontrolling interests.

     Net operating income from continuing operations (“NOI”) is used to evaluate the operating performance of our properties. We define NOI as total revenues, including tenant reimbursements, less property operating expenses. Property operating expenses represent costs associated with managing, maintaining and servicing tenants for our seniors housing operating and medical facility properties.  These expenses include, but are not limited to, property-related payroll and benefits, property management fees, marketing, housekeeping, food service, maintenance, utilities, property taxes and insurance.  General and administrative expenses represent costs unrelated to property operations or transaction costs.  These expenses include, but are not limited to, payroll and benefits, professional services, office expenses and depreciation of corporate fixed assets.  Same store cash NOI (“SSCNOI”) is used to evaluate the cash-based operating performance of our properties under a consistent population which eliminates changes in the composition of our portfolio.  As used herein, same store is generally defined as those revenue-generating properties in the portfolio for the reporting period subsequent to January 1, 2013.  Any properties acquired, developed, transitioned, sold or classified as held for sale during that period are excluded from the same store amounts.  We believe NOI and SSCNOI provide investors relevant and useful information because they measure the operating performance of our properties at the property level on an unleveraged basis. We use NOI and SSCNOI to make decisions about resource allocations and to assess the property level performance of our properties.

     EBITDA stands for earnings before interest, taxes, depreciation and amortization. We believe that EBITDA, along with net income and cash flow provided from operating activities, is an important supplemental measure because it provides additional information to assess and evaluate the performance of our operations. We primarily utilize EBITDA to measure our interest coverage ratio, which represents EBITDA divided by total interest, and our fixed charge coverage ratio, which represents EBITDA divided by fixed charges. Fixed charges include total interest, secured debt principal amortization and preferred dividends. 

     A covenant in our primary unsecured line of credit arrangement and Canadian denominated term loan contains a financial ratio based on a definition of EBITDA that is specific to that agreement. Failure to satisfy these covenants could result in an event of default that could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. Due to the materiality of these debt agreements and the financial covenants, we have disclosed Adjusted EBITDA, which represents EBITDA as defined above and adjusted for stock-based compensation expense, provision for loan losses and gain/loss on extinguishment of debt. We use Adjusted EBITDA to measure our adjusted fixed charge coverage ratio, which represents Adjusted EBITDA divided by fixed charges on a trailing twelve months basis. Fixed charges include total interest (excluding capitalized interest and non-cash interest expenses), secured debt principal amortization and preferred dividends. Our covenant requires an adjusted fixed charge coverage ratio of at least 1.50 times.

     Other than Adjusted EBITDA, our supplemental reporting measures and similarly entitled financial measures are widely used by investors, equity and debt analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. Management uses these financial measures to facilitate internal and external comparisons to our historical operating results and in making operating decisions. Additionally, these measures are utilized by the Board of Directors to evaluate management. Adjusted EBITDA is used solely to determine our compliance with a financial covenant in our primary line of credit arrangement and Canadian denominated term loan and is not being presented for use by investors for any other purpose. None of our supplemental measures represent net income or cash flow provided from operating activities as determined in accordance with U.S. GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the supplemental measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies.

43

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

     The table below reflects the reconciliation of FFO to net income attributable to common stockholders, the most directly comparable U.S. GAAP measure, for the periods presented. The provisions for depreciation and amortization include provisions for depreciation and amortization from discontinued operations. Noncontrolling interest and unconsolidated entity amounts represent adjustments to reflect our share of depreciation and amortization.  Amounts are in thousands except for per share data.

		Three Months Ended
		March 31,		June 30,		September 30,		December 31,		March 31,		June 30,
FFO Reconciliations:		2013		2013		2013		2013		2014		2014
Net income (loss) attributable to common stockholders		$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022	$	71,829
Depreciation and amortization			187,122		200,477		242,981		243,380		233,318		214,449
Loss (gain) on sales of properties, net			(82,492)		29,997		(4,707)		8,064		0		(13,079)
Noncontrolling interests			(5,793)		(7,821)		(12,328)		(10,362)		(10,520)		(9,741)
Unconsolidated entities			16,983		16,521		11,626		12,522		15,983		20,787
Funds from operations		$	170,878	$	230,666	$	258,263	$	265,077	$	288,803	$	284,245
Average common shares outstanding:
	Basic		260,036		273,091		286,020		288,133		289,606		296,256
	Diluted		262,525		276,481		288,029		289,677		290,917		297,995
Per share data:
Net income attributable to
	common stockholders
	Basic	$	0.21	$	(0.03)	$	0.07	$	0.04	$	0.17	$	0.24
	Diluted		0.21		(0.03)		0.07		0.04		0.17		0.24
Funds from operations
	Basic	$	0.66	$	0.84	$	0.90	$	0.92	$	1.00	$	0.96
	Diluted		0.65		0.83		0.90		0.92		0.99		0.95

		Six Months Ended
		June 30,		June 30,
FFO Reconciliations:		2013		2014
Net income attributable to common stockholders		$	46,551	$	121,851
Depreciation and amortization			387,599		447,766
Loss (gain) on sales of properties, net			(52,495)		(13,079)
Noncontrolling interests			(13,614)		(20,259)
Unconsolidated entities			33,504		36,770
Funds from operations		$	401,545	$	573,049
Average common shares outstanding:
	Basic		266,602		293,046
	Diluted		269,580		294,590
Per share data:
Net income attributable to
	common stockholders
	Basic	$	0.17	$	0.42
	Diluted		0.17		0.41
Funds from operations
	Basic	$	1.51	$	1.96
	Diluted		1.49		1.95

44

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

     The table below reflects the reconciliation of EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented. Interest expense and the provisions for depreciation and amortization include discontinued operations. Dollars are in thousands.

		Three Months Ended
		March 31,		June 30,		September 30,		December 31,		March 31,			June 30,
EBITDA Reconciliations:		2013		2013		2013		2013		2014			2014
Net income		$	71,799	$	7,181	$	33,605	$	25,696	$	65,200	$	87,854
Interest expense			110,734		110,844		116,542		124,485		120,956		121,099
Income tax expense (benefit)			2,763		1,215		3,077		435		2,260		1,569
Depreciation and amortization			187,122		200,477		242,981		243,380		233,318		214,449
EBITDA		$	372,418	$	319,717	$	396,205	$	393,996	$	421,734	$	424,971
Interest Coverage Ratio:
Interest expense		$	110,734	$	110,844	$	116,542	$	124,485	$	120,956	$	121,099
Non-cash interest expense			(3,494)		(1,237)		951		(264)		(330)		(1,649)
Capitalized interest			1,606		1,386		1,706		2,003		1,605		1,700
	Total interest		108,846		110,993		119,199		126,224		122,231		121,150
EBITDA		$	372,418	$	319,717	$	396,205	$	393,996	$	421,734	$	424,971
	Interest coverage ratio		3.42x		2.88x		3.32x		3.12x		3.45x		3.51x
Fixed Charge Coverage Ratio:
Total interest		$	108,846	$	110,993	$	119,199	$	126,224	$	122,231	$	121,150
Secured debt principal payments			11,432		13,277		15,297		16,132		15,455		15,803
Preferred dividends			16,602		16,602		16,602		16,531		16,353		16,352
	Total fixed charges		136,880		140,872		151,098		158,887		154,039		153,305
EBITDA		$	372,418	$	319,717	$	396,205	$	393,996	$	421,734	$	424,971
	Fixed charge coverage ratio		2.72x		2.27x		2.62x		2.54x		2.74x		2.77x

		Six Months Ended
		June 30,		June 30,
EBITDA Reconciliations:		2013			2014
Net income		$	78,980	$	153,054
Interest expense			221,578		242,055
Income tax expense (benefit)			3,978		3,830
Depreciation and amortization			387,599		447,766
EBITDA		$	692,135	$	846,705
Interest Coverage Ratio:
Interest expense		$	221,578	$	242,055
Non-cash interest expense			(4,731)		(1,980)
Capitalized interest			2,992		3,305
	Total interest		219,839		243,380
EBITDA		$	692,135	$	846,705
	Interest coverage ratio		3.15x		3.48x
Fixed Charge Coverage Ratio:
Total interest		$	219,839	$	243,380
Secured debt principal payments			24,596		31,258
Preferred dividends			33,203		32,705
	Total fixed charges		277,638		307,343
EBITDA		$	692,135	$	846,705
	Fixed charge coverage ratio		2.49x		2.76x

45

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

     The table below reflects the reconciliation of Adjusted EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented. Interest expense and the provisions for depreciation and amortization include discontinued operations. Dollars are in thousands.

		Twelve Months Ended
Adjusted EBITDA		March 31,		June 30,		September 30,		December 31,		March 31,		June 30,
Reconciliations:		2013		2013		2013		2013		2014		2014
Net income		$	309,183	$	239,491	$	219,590	$	138,280	$	131,682	$	212,355
Interest expense			400,312		414,394		434,693		462,606		472,827		483,082
Income tax expense (benefit)			8,904		8,672		10,913		7,491		6,987		7,341
Depreciation and amortization			593,285		660,799		770,922		873,960		920,156		934,128
Stock-based compensation expense			17,728		17,607		18,971		20,177		17,336		29,320
Provision for loan losses			27,008		27,008		2,110		2,110		2,110		2,110
Loss (gain) on extinguishment of debt, net			(1,083)		(1,659)		(5,942)		(909)		(749)		(218)
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,451,257	$	1,503,715	$	1,550,349	$	1,668,118
Adjusted Fixed Charge Coverage Ratio:
Interest expense		$	400,312	$	414,394	$	434,693	$	462,606	$	472,827	$	483,082
Capitalized interest			8,964		8,211		7,362		6,700		6,700		7,014
Non-cash interest expense			(11,196)		(9,584)		(6,392)		(4,044)		(880)		(1,292)
	Total interest		398,080		413,021		435,663		465,262		478,647		488,804
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,451,257	$	1,503,715	$	1,550,349	$	1,668,118
	Adjusted interest coverage ratio		3.40x		3.31x		3.33x		3.23x		3.24x		3.41x
Total interest		$	398,080	$	413,021	$	435,663	$	465,262	$	478,647	$	488,804
Secured debt principal payments			41,457		45,167		50,323		56,318		60,341		62,867
Preferred dividends			66,525		66,408		66,408		66,336		66,088		65,838
	Total fixed charges		506,062		524,596		552,394		587,916		605,076		617,509
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,451,257	$	1,503,715	$	1,550,349	$	1,668,118
	Adjusted fixed charge coverage ratio		2.68x		2.60x		2.63x		2.56x		2.56x		2.70x

46

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

     The following tables reflect the reconciliation of NOI and SSCNOI to net income attributable to common stockholders, the most directly comparable U.S. GAAP measure, for the periods presented.  Dollars are in thousands.

			Three Months Ended
			March 31,		June 30,		September 30,		December 31,		March 31,		June 30,
NOI Reconciliations:			2013		2013		2013		2013		2014		2014
Total revenues:
	Seniors housing triple-net		$	189,349	$	193,150	$	203,764	$	217,410	$	220,388	$	231,463
	Seniors housing operating			328,081		370,995		466,294		452,030		456,319		468,914
	Medical facilities			112,213		114,224		113,622		119,119		125,085		125,993
	Non-segment/corporate			81		164		32		20		15		76
		Total revenues		629,724		678,533		783,712		788,579		801,807		826,446
Property operating expenses:
	Seniors housing operating			224,503		248,972		311,575		304,189		308,184		310,029
	Medical facilities			28,320		28,986		30,345		29,922		33,247		33,725
		Total property operating expenses		252,823		277,958		341,920		334,111		341,431		343,754
Net operating income:
	Seniors housing triple-net			189,349		193,150		203,764		217,410		220,388		231,463
	Seniors housing operating			103,578		122,023		154,719		147,841		148,135		158,885
	Medical facilities			83,893		85,238		83,277		89,197		91,838		92,268
	Non-segment/corporate			81		164		32		20		15		76
		NOI		376,901		400,575		441,792		454,468		460,376		482,692
Reconciling items:
	Interest expense			(108,838)		(109,465)		(115,792)		(124,265)		(120,833)		(121,065)
	Gain (loss) on derivatives, net			(2,309)		2,716		(4,872)		(6)		-		(351)
	Depreciation and amortization			(184,688)		(198,062)		(241,027)		(242,022)		(233,318)		(214,449)
	General and administrative			(27,179)		(23,902)		(28,718)		(28,519)		(32,865)		(51,660)
	Transaction costs			(65,980)		(28,136)		(23,591)		(15,693)		(952)		(7,040)
	Gain (loss) on extinguishment of debt, net			308		-		4,068		(3,467)		148		(531)
	Provision for loan losses			-		-		-		(2,110)		-		-
	Income tax benefit (expense)			(2,763)		(1,215)		(3,077)		(435)		(2,260)		(1,569)
	Income (loss) from unconsolidated entities			2,262		(5,461)		(331)		(4,659)		(5,556)		(11,516)
	Income (loss) from discontinued operations, net			84,085		(29,869)		5,153		(7,596)		460		6,675
	Gain (loss) on real estate dispositions, net			-		-		-		-		-		6,668
	Preferred dividends			(16,602)		(16,602)		(16,602)		(16,531)		(16,353)		(16,352)
	Loss (income) attributable to noncontrolling interests			(139)		913		3,688		2,308		1,175		327
				(321,843)		(409,083)		(421,101)		(442,995)		(410,354)		(410,863)
Net income (loss) attributable to common stockholders			$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022	$	71,829

47

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

			Six Months Ended
			June 30,		June 30,
NOI Reconciliations:			2013		2014
Total revenues:
	Seniors housing triple-net		$	382,498	$	451,854
	Seniors housing operating			699,076		925,233
	Medical facilities			226,437		251,076
	Non-segment/corporate			245		91
		Total revenues		1,308,256		1,628,254
Property operating expenses:
	Seniors housing operating			473,475		618,213
	Medical facilities			57,305		66,972
		Total property operating expenses		530,780		685,185
Net operating income:
	Seniors housing triple-net			382,498		451,854
	Seniors housing operating			225,601		307,020
	Medical facilities			169,132		184,104
	Non-segment/corporate			245		91
		NOI		777,476		943,069
Reconciling items:
	Interest expense			(218,303)		(241,898)
	Gain (loss) on derivatives, net			407		(351)
	Depreciation and amortization			(382,750)		(447,766)
	General and administrative			(51,081)		(84,524)
	Transaction costs			(94,116)		(7,993)
	Gain (loss) on extinguishment of debt, net			308		(383)
	Income tax benefit (expense)			(3,978)		(3,830)
	Income (loss) from unconsolidated entities			(3,198)		(17,073)
	Income (loss) from discontinued operations, net			54,215		7,135
	Gain (loss) on real estate dispositions, net			-		6,668
	Preferred dividends			(33,203)		(32,705)
	Loss (income) attributable to noncontrolling interests			774		1,502
				(730,925)		(821,218)
Net income (loss) attributable to common stockholders			$	46,551	$	121,851

48

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

					Three Months Ended
					March 31,		June 30,		September 30,		December 31,		March 31,		June 30,
Same Store Cash NOI Reconciliations:					2013		2013		2013		2013		2014		2014
Net operating income from continuing operations:
	Seniors housing triple-net				$	189,348	$	193,150	$	203,764	$	217,410	$	220,388	$	231,463
	Seniors housing operating					103,578		122,023		154,721		147,840		148,135		158,885
	Medical facilities					83,894		85,238		83,277		89,198		91,838		92,268
			Total			376,820		400,411		441,762		454,448		460,361		482,616
Adjustments:
	Seniors housing triple-net:
		Non-cash NOI on same store properties				(10,749)		(9,748)		(9,664)		(9,515)		(9,504)		(15,828)
		NOI attributable to non same store properties				(7,887)		(9,234)		(17,827)		(30,710)		(31,816)		(35,439)
			Subtotal			(18,636)		(18,982)		(27,491)		(40,225)		(41,320)		(51,267)
	Seniors housing operating:
		NOI attributable to non same store properties				(43,513)		(59,045)		(90,094)		(82,710)		(82,277)		(89,834)
			Subtotal			(43,513)		(59,045)		(90,094)		(82,710)		(82,277)		(89,834)
	Medical facilities:
		Non-cash NOI on same store properties				(2,392)		(1,928)		(2,195)		(1,530)		(1,361)		(1,196)
		NOI attributable to non same store properties				(7,555)		(9,511)		(9,000)		(13,713)		(15,971)		(16,627)
			Subtotal			(9,947)		(11,439)		(11,195)		(15,243)		(17,332)		(17,823)
Same store cash net operating income:				Properties
	Seniors housing triple-net			526		170,712		174,168		176,273		177,185		179,068		180,196
	Seniors housing operating			116		60,065		62,978		64,627		65,130		65,858		69,051
	Medical facilities			198		73,947		73,799		72,082		73,955		74,506		74,445
			Total	840	$	304,724	$	310,945	$	312,982	$	316,270	$	319,432	$	323,692
Same Store Cash NOI Property Reconciliation:
	Total Properties			1,157
	Acquisitions			(233)
	Developments			(27)
	Held-for-sale			(5)
	Segment transitions			(38)
	Other(1)			(14)
		Same store properties		840
(1) Includes nine land parcels and five loans.

49

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

					Six Months Ended
						June 30,		June 30,
Same Store Cash NOI Reconciliations:						2013		2014
Net operating income from continuing operations:
	Seniors housing triple-net					$	382,498	$	451,854
	Seniors housing operating						225,601		307,020
	Medical facilities						169,132		184,104
			Total				777,231		942,978
Adjustments:
	Seniors housing triple-net:
		Non-cash NOI on same store properties					(20,497)		(25,332)
		NOI attributable to non same store properties					(17,121)		(67,258)
			Subtotal				(37,618)		(92,590)
	Seniors housing operating:
		Non-cash NOI on same store properties					-		-
		NOI attributable to non same store properties					(102,558)		(172,111)
			Subtotal				(102,558)		(172,111)
	Medical facilities:
		Non-cash NOI on same store properties					(4,319)		(2,557)
		NOI attributable to non same store properties					(17,068)		(32,596)
			Subtotal				(21,387)		(35,153)
Same store cash net operating income:				Properties
	Seniors housing triple-net			526			344,880		359,264
	Seniors housing operating			116			123,043		134,909
	Medical facilities			198			147,745		148,951
			Total	840		$	615,668	$	643,124

Other Disclosures

Health Care Reimbursements

Policy and legislative changes that increase or decrease government reimbursement impact our operators and tenants that participate in Medicare, Medicaid or other government programs. To the extent that policy or legislative changes decrease government reimbursement to our operators and tenants, our revenue and operations may be indirectly adversely affected.

Recent attention on skilled nursing facility (“SNF”) billing practices and payments and ongoing government pressure to reduce spending by government health care programs could also result in lower payments to our operators.  The Department of Health and Human Services (“HHS”), Office of Inspector General (“OIG”) has released several reports focusing on SNFs’ billing practices.  In the OIG’s March 2014 Compendium of Priority Recommendations, a report that highlights OIG’s previous recommendations for which corrective action has not been completed, the OIG cited its prior December 2010 and November 2012 reports addressing questionable billing practices by SNFs.  The OIG continues to recommend, among other things, monitoring overall Medicare payments to SNFs and adjusting rates as necessary, including monitoring of compliance with new therapy assessments, and following up on SNFs that billed in error or who have known questionable billing practices.

Additionally, on June 4, 2014, the OIG released a report finding that the Centers for Medicare and Medicaid Services (“CMS”) inappropriately paid $4.3 million to long-term care hospitals (“LTCHs”) in 2010 and 2011, as a result of certain readmissions practices.  The OIG recommended that CMS review program safeguards.

Additionally, OIG’s Work Plan for Fiscal Year 2014 includes several new agenda items that may impact our operators and tenants.  For example, OIG will (i) determine the impact of new inpatient admission criteria on hospital billing, Medicare payments, and beneficiary payments; (ii) describe SNF billing practices in select years and describe variation in billing among SNFs in those years; and (iii) review the extent to which hospices serve Medicare beneficiaries who reside in assisted living facilities.  The audits and investigations identified in the Work Plan provide insight into the OIG’s objectives for the coming year.

On December 26, 2013, the Bipartisan Budget Act of 2013 (“Budget Act”) was enacted.  The Budget Act replaced scheduled cuts to the calendar year 2014 Medicare Physician Fee Schedule with a 0.5% increase for services provided through March 31, 2014. 

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

The Budget Act also extended the 2% sequestration cuts for Medicare through 2023, and a bill signed by the President on February 15, 2014, further extended these cuts for an additional year, through fiscal year 2024.  The Budget Act included the Pathway for SGR Reform Act of 2013 (“SGR Reform”).  SGR Reform implemented several changes to the Medicare payment rules for LTCHs.  For a discharge in cost reporting periods beginning on or after October 1, 2015, specified cases in LTCHs will receive the “applicable” site‐neutral payment rate. Specifically, payment rates will be blended for discharges in cost reporting periods beginning in fiscal year 2016 and fiscal year 2017, consisting of half of the site neutral payment rate and half of the payment rate that would otherwise apply, and then shift to all site‐neutral payments in fiscal year 2018.  Patients with a three‐day stay in an intensive care unit (“ICU”) prior to LTCH admission or ventilator patients with at least 96 hours are exempted from the lower site‐neutral payments if the discharge does not have a principal diagnosis relating to a psychiatric diagnosis or to rehabilitation.  Beginning in fiscal year 2020, LTCHs are to maintain at least 50% of patients that are excluded from the site-neutral payments.   SGR Reform also requires MedPAC to conduct a study and submit a report to Congress by June 30, 2019 that includes recommendations that address these changes to the LTCH payment policies.  Additionally, beginning in fiscal year 2016, calculation of length of stay requirements for LTCHs will exclude any patients for whom payment is made (i)  at the site-neutral payment rate and (ii) under  any Medicare Advantage plan.  SGR Reform also delayed implementation of the 25% rule for another three years, and the Secretary of HHS must issue a report in two years on the need for any further extension or modifications to the 25% rule.  Finally, SGR Reform reinstituted a moratorium on new LTCHs or any increase in LTCH beds from January 1, 2015 through September 30, 2017.

On April 1, 2014, the Protecting Access to Medicare Act of 2014 (“Access to Medicare Act”) was enacted.  The Access to Medicare Act extends the 0.5% update to the calendar year 2014 Medicare Physician Fee Schedule through December 31, 2014 and replaces it with a 0% update from January 1 through March 31, 2015.  The Access to Medicare Act also realigns the fiscal year 2024 Medicare sequestration amounts so that there will be a 4% sequester for the first six months and a 0% sequester for the second six months, instead of a 2% sequester for the full twelve-month period.  Additionally, the Access to Medicare Act extends the historical therapy cap waiver and exceptions process through March 31, 2015 and implements value-based purchasing for skilled nursing services.  Beginning in fiscal year 2019, 2% of skilled nursing payments will be withheld and approximately 50% to 70% of the amount withheld will be paid to skilled nursing facilities through value-based payments.  SNFs will begin reporting a readmissions rate measure by October 1, 2015 and a resource use measure by October 1, 2016.  Both measures will be publicly available by October 1, 2017.

On March 4, 2014, the President released his proposed fiscal year 2015 budget, which includes legislative proposals that, taken together, are expected to reduce health care spending by an estimated $355.6 billion over ten years.  The proposals include, among others, proposals to reduce payments to inpatient rehabilitation facilities, long-term care hospitals, and SNFs.  Compared to the fiscal year 2014 budget, the fiscal year 2015 proposed budget estimates a net increase of $54.3 billion above the fiscal year 2014 level in mandatory and discretionary outlays for CMS.

On April 30, 2014, CMS released a proposed rule for the Medicare Inpatient Prospective Payment System (“IPPS”), which sets forth proposed acute care and long-term care hospital payment rate changes for the 2015 fiscal year.  Under the proposed rule, Medicare rates for acute care hospitals would increase by 1.3%, accounting for adjustments, such as the multifactor productivity adjustment.  If a hospital fails to submit quality data as required by the Hospital Inpatient Quality Reporting Program, it will be subject to a reduction of one-quarter of the market basket update.  Hospitals that are not meaningful electronic health record (“EHR”) users will be subject to an additional reduction of one-quarter of the market basket update in fiscal year 2015.  In combination with other proposed payment policies, such as an increase to 3% of the maximum reduction applicable under the Hospital Readmissions Reduction Program, CMS estimates that total Medicare spending on inpatient hospital services will decrease by approximately $241 million in fiscal year 2015.  CMS anticipates a net payment rate increase of 0.8%, from fiscal year 2014 rates, or $44 million, for LTCHs, accounting for adjustments.

On May 1, 2014, CMS released its proposed rule for the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for fiscal year 2015.  As part of this rule, CMS proposes to apply a net 2.0% increase to Medicare payment rates, which takes into account a 0.4% productivity adjustment, and results in an aggregate increase of $750 million in payments to SNFs from fiscal year 2014.

On May 1, 2014, CMS issued a proposed rule outlining payment policies and rates for inpatient rehabilitation facilities for fiscal year 2015.  As part of this rule, CMS proposes to apply a net 2.1% increase to Medicare payment rates, accounting for adjustments, such as the multifactor productivity adjustment. CMS estimates that total Medicare spending on IRF services will increase by $160 million or approximately 2.2%.

On July 3, 2014, CMS issued a proposed rule outlining payment policies and rates for the Medicare Physician Fee Schedule (“PFS”) for calendar year 2015.  While the proposed rule does not include proposals or announcements on the PFS update or SGR, as

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

these calculations are determined under a prescribed statutory formula that cannot be changed by CMS, the proposed rule does state that CMS expects payments for chronic care management services to have a positive effect on family practice, internal medicine, and geriatrics. 

Also on July 3, 2014, CMS issued a proposed rule outlining payment policies and rates for hospital outpatient departments (“HOPD”) and ambulatory surgery centers (“ASC”) for calendar year 2015.  As part of this rule, CMS proposes to apply a net 2.1% HOPD payment increase and a net 1.2% ASC payment increase. 

Other Related Laws

United Kingdom

Service Standards and Notification Obligations

Failure to comply with the notification provisions under the Care Quality Commission (Registration) Regulations 2009 is an offense and a person guilty of an offense is liable on summary conviction to a fine of up to £2,500.  There is a proposal under discussion to increase this penalty to £10,000. 

Regulatory Oversight and Inspections

The Care Act 2014 sets out certain provisions which are not yet in force concerning (among others):

·The duty of a local authority to meet the needs of an adult for care and support and a carer’s needs where the registered care provider is unable to carry on a regulated activity because of business failure;

·The duty of the Care Quality Commission (“CQC”) to assess the financial sustainability of providers subject to its regulatory regime with a view to identifying any threats that such providers may face to their financial sustainability. Where the CQC identifies a significant risk to financial sustainability it can require the provider to develop a sustainability plan setting out the provider’s plan to mitigate or eliminate risk or require the provider to organize an independent review of the business with the costs being recovered from the provider; and

·A new offence where certain registered care providers supply, publish or make available information that is false or misleading in a material respect. 

Privacy

In the European Union (“EU”), data protection is governed by the EU Data Protection Directive 95/46/EC (the “Data Protection Directive”). The Data Protection Directive has been implemented in the UK by the Data Protection Act 1998 (the “Act”) which entered into force on March 2000 and is enforced by the Information Commissioner’s Office (“ICO”).

The Act applies to a data controller that processes personal data in the context of an establishment in the UK, or where not established in the UK, or any other State of the European Economic Area (“EEA”), processes personal data through equipment located in the UK other than for the purposes of transit through the UK. Under the Act, a data controller is the person who (either alone or jointly or in common with other persons) determines the purposes for which and the manner in which any personal data are, or are to be, processed. Personal data is widely defined as data which relates to a living individual who can be identified from those data, or from those data and other information which is in the possession of, or is likely to come into the possession of, the data controller. Sensitive personal data is personal data consisting of information as to the racial or ethnic origin of the data subject, his/her political opinions, religious beliefs or other beliefs of a similar nature, whether he/she is a member of a trade union, his/her physical or mental health or condition, his/her sexual life, the commission or alleged commission by him/her of an offense and any proceedings for any offense committed or alleged to have been committed by him/her, the disposal of such proceedings or the sentence of any court in such proceedings.

     The Act imposes a number of obligations on the data controller contained in eight Data Protection Principles: (i) personal data must be processed fairly and lawfully, (ii) personal data must be processed for specified and lawful purposes, (iii) personal data must be adequate, relevant and not excessive, (iv) personal data must be accurate and up to date, (v) personal data must not be kept for longer than necessary, (vi) personal data must be processed in accordance with the rights of data subjects, (vii) appropriate technical and organizational measures shall be taken against unauthorized or unlawful processing of personal data and against accidental loss or destruction of, or damage to, personal data; and (viii) there is a prohibition on transfers of personal data to countries outside the EEA

52

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

that are not deemed by the European Commission to provide an adequate level of protection, which includes the U.S., unless certain exemptions under the Act apply.

     The ICO has a number of enforcement powers available which includes, in certain limited cases, criminal prosecution and non-criminal enforcement and audits.  In case of a breach of the Act, the ICO may: (i) provide practical advice to organizations on how they should handle data protection matters; (ii) issue undertakings committing an organization to a particular course of action in order to improve its compliance; (iii) serve enforcement notices where there has been a breach, requiring organizations to take (or refrain from taking) specified steps in order to ensure they comply with the law; (iv) conduct consensual assessments (audits) to determine if organizations are complying; (v) serve assessment notices to conduct compulsory audits to assess whether organizations processing of personal data follows good data protection practice; (vi) issue monetary penalty notices requiring organizations to pay up to £500,000 for serious breaches of the Act occurring on or after April 6, 2010 or serious breaches of the Privacy and Electronic Communications Regulations occurring after May 26, 2011; and (vii) prosecute those who commit criminal offences under the Act.  Under the Act, individuals also have the right to claim compensation from an organization in respect of damage caused by a breach of any of the requirements of the Act.

There is a proposal for an EU Data Protection Regulation which would replace the Data Protection Directive and impose a significant number of new obligations including, among others, a requirement to appoint data protection officers, having detailed documentation on the processing of personal data, carrying out privacy impact assessments in certain circumstances, providing standardised data protection notices, reporting security breaches without undue delay, and providing certain rights to individuals such as a right of erasure of personal data. The EU Data Protection Regulation is to have significant enforcement powers with fines proposed by the European Commission of up 2% of annual worldwide turnover and with fines proposed by the European Parliament of up to 5% of annual worldwide turnover or €100 million whichever is the greater. The EU Data Protection Regulation may be adopted sometime in 2015 with EU Member States possibly having two years to implement the Regulation.

Canada

     Retirement homes and long-term care facilities are subject to regulation, and long-term care facilities may receive funding, under provincial law.  There is no federal regulation in this area.  Set out below are summaries of the principal regulatory requirements in the provinces where we have a material number of facilities.

Licensing and Regulation

     British Columbia

                The Community Care and Assisted Living Act, the Residential Care Regulation, and the Community Care and Assisted Living Regulation (together, the “B.C. Act”) regulate “community care facilities” (long-term care facilities) in substantially the same manner as retirement homes are regulated under the Ontario Act. The B.C. Act defines such a facility as premises used for the purpose of supervising vulnerable persons who require three or more prescribed services.

                The B.C. Act also creates a separate regime for regulating “assisted living residences,” which are facilities providing at least one but not more than two prescribed care services. Assisted living residences are designed for those who can live independently, but who require assistance with certain activities.  There are designated assisted living suites in four REIT properties. Unlike community care facilities, assisted living residences must be registered with the registrar of assisted living residences, but do not require a license. Nevertheless, assisted living residences must be operated in a manner that does not jeopardize the health or safety of its residents. If the registrar has reason to believe a residence is not being operated in accordance with this standard, the registrar may inspect the assisted living residence and may suspend or cancel a registration.

                Some assisted living residences receive government funding to provide in whole or in part subsidized units, while other residences are entirely private-pay facilities.  Subsidized programs are presently offered through Independent Living BC projects, through the BC Housing program, with local health authorities awarding contracts to providers through advertised requests for proposals for the development and/or delivery of assisted living services to limited numbers of publicly-subsidized residents.  To the extent that policy or legislative changes may decrease government reimbursement to our operators and tenants, our revenue and operations may be adversely affected.  Further, the failure to obtain these contracts, or the loss of these contracts, could adversely affect operations and revenue.

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

                Independent living residences offer housing and hospitality services for retired adults who are functionally independent and able to direct their own care.  Services available for residents can include, for example, meals, housekeeping, monitoring and emergency support, social and recreational opportunities, and transportation.

                In British Columbia, private Independent Living Facilities (the majority of the facilities subject to the REIT) do not generally receive government funding and are not regulated beyond landlord-tenant law.

Other Related Laws

     Privacy

     All but three provinces of Canada have passed privacy laws specific to personal health information and regulating the collection, use and disclosure of such information. There are privacy laws governing activities involving personal information in the three provinces without health information specific legislation (British Columbia, Quebec and Prince Edward Island) as well as in the other provinces. Whether any particular privacy law applies to a seniors housing facility depends on the type of its licensure, which complicates the application of privacy law and the assessment of risk related to privacy breaches by such facilities.  Another complicating factor is the identification of the “custodian” responsible for privacy law compliance, which as between the owner and operator of a facility may be a matter of contract rather than legislation. In some provinces, health care services are provided by or through public bodies, which are subject to different privacy laws than those applicable in the private sector.  Providing services on behalf of a public body may impact the privacy law requirements of seniors housing facilities and their ability to process and store personal health information outside of Canada.

Although the obligations of custodians of personal health information in the various provinces differ to some extent, they all include the obligation to protect the information. Privacy laws in Canada are consent-based and require the implementation of a privacy program involving policies, procedures and the designation of an individual or team with primary responsibility for a custodian’s privacy law compliance.  Mandatory breach notification is a requirement under some laws.  Some laws require notification where personal health information/personal information is processed or stored outside of Canada.  One provincial law (in Quebec) provides for fines where an organization fails to perform required due diligence before outsourcing activities involving personal information to a service provider outside of the province.

Some privacy regulators in Canada have order-making authority and others are ombudspersons who make recommendations which may only be enforced by a court. Under a number of privacy laws, a finding by a regulator that a custodian has breached the law creates a right to apply to a court for money damages.  In some provinces there is a statutory civil cause of action for breach of privacy. In other provinces, the courts have recognized a limited common law cause of action for breach of privacy.

The powers of privacy regulators and penalties for violations of privacy law vary according to the applicable law or are left to the courts.  Speaking generally, penalties do not include imprisonment or at least to date, the significant fines and damages that have been ordered or awarded in some other jurisdictions. Class actions have been certified in cases involving a breach of privacy law by a health care organization, however it is too early to identify the range of damages such organizations may anticipate where the action is successful. In one such action that was settled,  no one in the class has yet demonstrated the harm required to collect damages.  There has yet to be a determination in other class actions based on a privacy breach by employees of a health information custodian.  Privacy regulators have the authority to make public the identity of organizations that have been found to have committed a breach, so that there is a reputational risk associated with privacy law violations, even where there are no monetary damages incurred. The notification of affected individuals (mandatory under some privacy laws) and other activities required to manage a privacy breach can give rise to significant costs including for: retaining contract staff or diverting staff from their regular duties; forensic information technology and other third party professional services (public relations, legal counsel); disciplining staff and managing union or other responses; the cost of any required upgrade of information technology assets and the implementation of new policies and procedures to prevent a reoccurrence of the breach.

Critical Accounting Policies

Our unaudited consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make estimates and assumptions.  Management considers an accounting estimate or assumption critical if:

·the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and

·the impact of the estimates and assumptions on financial condition or operating performance is material.

Management has discussed the development and selection of its critical accounting policies with the Audit Committee of the

54

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

Board of Directors.  Management believes the current assumptions and other considerations used to estimate amounts reflected in our unaudited consolidated financial statements are appropriate and are not reasonably likely to change in the future.  However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change.  If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our unaudited consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition.  Please refer to Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for further information regarding significant accounting policies that impact us.  There have been no material changes to these policies in 2014.

Cautionary Statement Regarding Forward-Looking Statements

    This Quarterly Report on Form 10-Q may contain “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. When the company uses words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions that do not relate solely to historical matters, it is making forward-looking statements. In particular, these forward-looking statements include, but are not limited to, those relating to the company’s opportunities to acquire, develop or sell properties; the company’s ability to close its anticipated acquisitions, investments or dispositions on currently anticipated terms, or within currently anticipated timeframes; the expected performance of the company’s operators/tenants and properties; the company’s expected occupancy rates; the company’s ability to declare and to make distributions to shareholders; the company’s investment and financing opportunities and plans; the company’s continued qualification as a real estate investment trust (“REIT”); the company’s ability to access capital markets or other sources of funds; and the company’s ability to meet its earnings guidance. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties that may cause the company’s actual results to differ materially from the company’s expectations discussed in the forward-looking statements. This may be a result of various factors, including, but not limited to: the status of the economy; the status of capital markets, including availability and cost of capital; issues facing the health care industry, including compliance with, and changes to, regulations and payment policies, responding to government investigations and punitive settlements and operators’/tenants’ difficulty in cost-effectively obtaining and maintaining adequate liability and other insurance; changes in financing terms; competition within the health care, seniors housing and life science industries; negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; the company’s ability to transition or sell properties with profitable results; the failure to make new investments or acquisitions as and when anticipated; natural disasters and other acts of God affecting the company’s properties; the company’s ability to re-lease space at similar rates as vacancies occur; the company’s ability to timely reinvest sale proceeds at similar rates to assets sold; operator/tenant or joint venture partner bankruptcies or insolvencies; the cooperation of joint venture partners; government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; liability or contract claims by or against operators/tenants; unanticipated difficulties and/or expenditures relating to future investments or acquisitions; environmental laws affecting the company’s properties; changes in rules or practices governing the company’s financial reporting; the movement of U.S. and foreign currency exchange rates; the company’s ability to maintain its qualification as a REIT; and key management personnel recruitment and retention.  Other important factors are identified in the company’s Annual Report on Form 10-K for the year ended December 31, 2013, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” Finally, the company undertakes no obligation to update or revise publicly any forward-looking statements, whether because of new information, future events or otherwise, or to update the reasons why actual results could differ from those projected in any forward-looking statements.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

     We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign currency exchange rates. We seek to mitigate the underlying foreign currency exposures with gains and losses on derivative contracts hedging these exposures.  We seek to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with new long-term fixed rate borrowings to the extent possible. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. This section is presented to provide a discussion of the risks associated with potential fluctuations in interest rates and foreign currency exchange rates.

      We historically borrow on our primary unsecured line of credit arrangement to acquire, construct or make loans relating to health care and seniors housing properties. Then, as market conditions dictate, we will issue equity or long-term fixed rate debt to repay the borrowings under our unsecured line of credit arrangements.  We are subject to risks associated with debt financing, including the risk that existing indebtedness may not be refinanced or that the terms of refinancing may not be as favorable as the terms of current indebtedness. The majority of our borrowings were completed under indentures or contractual agreements that limit the amount of

55

indebtedness we may incur. Accordingly, in the event that we are unable to raise additional equity or borrow money because of these limitations, our ability to acquire additional properties may be limited.

      A change in interest rates will not affect the interest expense associated with our fixed rate debt. Interest rate changes, however, will affect the fair value of our fixed rate debt. Changes in the interest rate environment upon maturity of this fixed rate debt could have an effect on our future cash flows and earnings, depending on whether the debt is replaced with other fixed rate debt, variable rate debt or equity or repaid by the sale of assets. To illustrate the impact of changes in the interest rate markets, we performed a sensitivity analysis on our fixed rate debt instruments whereby we modeled the change in net present values arising from a hypothetical 1% increase in interest rates to determine the instruments’ change in fair value. The following table summarizes the analysis performed as of the dates indicated (in thousands):

	June 30, 2014				December 31, 2013
	Principal		Change in		Principal		Change in
	balance		fair value		balance		fair value
Senior unsecured notes	$	7,450,107	$	(469,536)	$	7,421,707	$	(408,790)
Secured debt		2,589,447		(93,214)		2,787,236		(102,211)
Totals	$	10,039,554	$	(562,750)	$	10,208,943	$	(511,001)

     Our variable rate debt, including our unsecured line of credit arrangements, is reflected at fair value. At June 30, 2014, we had $956,949,000 outstanding under our variable rate debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $9,569,000. At December 31, 2013, we had $1,089,362,000 outstanding under our variable rate debt.  Assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $10,894,000.

     We are subject to currency fluctuations that may, from time to time, affect our financial condition and results of operations. Increases or decreases in the value of the Canadian Dollar or Pounds Sterling relative to the U.S. Dollar impacts the amount of net income we earn from our investments in Canada and the United Kingdom. Based solely on our results for the three months ended June 30, 2014, if these exchange rates were to increase or decrease by 100 basis points, our net income from these investments would decrease or increase, as applicable, by less than $1,000,000 annualized.  We seek to mitigate these underlying foreign currency exposures with non-U.S. denominated borrowings and gains and losses on derivative contracts hedging these exposures.  If we increase our international presence through investments in, or acquisitions or development of, seniors housing and health care properties outside the U.S., we may also decide to transact additional business or borrow funds in currencies other than the U.S. Dollars, Canadian Dollars or Pounds Sterling. To illustrate the impact of changes in foreign currency markets, we performed a sensitivity analysis on our derivative portfolio whereby we modeled the change in net present values arising from a hypothetical 1% increase in foreign currency exchange rates to determine the instruments’ change in fair value.  The following table summarizes the results of the analysis performed (dollars in thousands):

	June 30, 2014				December 31, 2013
	Carrying		Change in		Carrying		Change in
	Value		fair value		Value		fair value
Foreign currency forward contracts(1)	$	(5,686)	$	2,884	$	4,006	$	(2,964)
Debt designated as hedges		1,175,000		8,000		1,146,596		8,002
Totals	$	1,169,314	$	10,884	$	1,150,602	$	5,038
(1) Amounts exclude cross currency hedge activity.

     For additional information regarding fair values of financial instruments, see “Item 2 — Management’s Discussion and Analysis of Financial Condition and Results of Operations — Critical Accounting Policies” and Notes 11 and 16 to our unaudited consolidated financial statements.

Item 4. Controls and Procedures

     Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that

56

evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective in providing reasonable assurance that information required to be disclosed by us in the reports we file with or submit to the Securities and Exchange Commission (“SEC”) under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. No changes in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) occurred during the fiscal quarter covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1.  Legal Proceedings

     From time to time, there are various legal proceedings pending to which we are a party or to which some of our properties are subject arising in the normal course of business. We do not believe that the ultimate resolution of these proceedings will have a material adverse effect on our consolidated financial position or results of operations.

Item 1A. Risk Factors

     There have been no material changes from the risk factors identified under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2013.

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

     On June 9, 2014, we issued 8,016 shares of our common stock to a national medical office partner pursuant to the terms of our strategic partnership.  The shares were issued without registration in reliance upon the federal statutory exemption of Section 4(2) of the Securities Act of 1933, as amended, upon such partnership earning acquisition fees in connection with the acquisition of medical office buildings.

Issuer Purchases of Equity Securities
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(2)	Maximum Number of Shares that May Yet Be Purchased Under the Plans or Programs
April 1, 2014 through April 30, 2014	-	$	-
May 1, 2014 through May 31, 2014	-		-
June 1, 2014 through June 30, 2014	93,117		62.67
Totals	93,117	$	62.67
(1) During the three months ended June 30, 2014, the company acquired shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.
(2) No shares were purchased as part of publicly announced plans or programs.

Item 5. Other Information

None.

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Item 6. Exhibits

3.1              Certificate of Amendment of Second Restated Certificate of Incorporation of the company (filed with the Securities and Exchange Commission as Exhibit 3.1 to the company’s Form 8-K filed May 6, 2014 (File No. 001-08923), and incorporated herein by reference thereto).

10.1            Credit Agreement dated as of July 25, 2014 by and among the company; the lenders listed therein; KeyBank National Association, as administrative agent, L/C issuer and a swingline lender; Bank of America, N.A. and JPMorgan Chase Bank, N.A, as co-syndication agents; Deutsche Bank Securities Inc., as documentation agent; Merrill Lynch, Pierce, Fenner & Smith Incorporated, J.P. Morgan Securities LLC, KeyBanc Capital Markets Inc. and Deutsche Bank Securities Inc., as U.S. joint lead arrangers; Merrill Lynch, Pierce, Fenner & Smith Incorporated, J.P. Morgan Securities LLC and RBC Capital Markets, as Canadian joint lead arrangers; and Merrill Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities LLC, as joint book runners (filed with the Securities and Exchange Commission as Exhibit 10.1 to the company’s Form 8-K filed July 31, 2014 (File No. 001-08923), and incorporated herein by reference thereto).

12               Statement Regarding Computation of Ratio of Earnings to Fixed Charges and Ratio of Earnings to Combined Fixed Charges and Preferred Stock Dividends (Unaudited)

31.1            Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.

31.2            Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.

32.1            Certification pursuant to 18 U.S.C. Section 1350 by Chief Executive Officer.

32.2            Certification pursuant to 18 U.S.C. Section 1350 by Chief Financial Officer.

101.INS     XBRL Instance Document*

101.SCH   XBRL Taxonomy Extension Schema Document*

101.CAL   XBRL Taxonomy Extension Calculation Linkbase Document*

101.LAB   XBRL Taxonomy Extension Label Linkbase Document*

101.PRE    XBRL Taxonomy Extension Presentation Linkbase Document*

101.DEF    XBRL Taxonomy Extension Definition Linkbase Document*

* Attached as Exhibit 101 to this Quarterly Report on Form 10-Q are the following materials, formatted in XBRL (eXtensible Business Reporting Language): (i) the Consolidated Balance Sheets at June 30, 2014 and December 31, 2013, (ii) the Consolidated Statements of Comprehensive Income for the three and six months ended June 30, 2014 and 2013, (iii) the Consolidated Statements of Equity for the six months ended June 30, 2014 and 2013, (iv) the Consolidated Statements of Cash Flows for the six months ended June 30, 2014 and 2013 and (v) the Notes to Unaudited Consolidated Financial Statements.

58

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.

	HEALTH CARE REIT, INC.
Date: August 1, 2014	By:	/s/ THOMAS J. DEROSA
	Thomas J. DeRosa,
	Chief Executive Officer  (Principal Executive Officer)
Date: August 1, 2014	By:	/s/ SCOTT A. ESTES
	Scott A. Estes,
	Executive Vice President and Chief Financial Officer  (Principal Financial Officer)
Date: August 1, 2014	By:	/s/ PAUL D. NUNGESTER, JR.
	Paul D. Nungester, Jr.,
	Senior Vice President and Controller  (Principal Accounting Officer)

59

EX-12

 

EXHIBIT 12
STATEMENT REGARDING COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES AND RATIO OF EARNINGS TO COMBINED FIXED CHARGES AND PREFERRED STOCK DIVIDENDS (UNAUDITED)
	Year Ended December 31,										Six Months Ended June 30,
(dollars in thousands)	2009		2010		2011		2012		2013		2013		2014
Earnings:
Pretax income from continuing operations before adjustment for income or loss from equity investees(1)	$	102,612	$	32,976	$	112,203	$	185,912	$	102,245	$	31,941	$	160,154
Fixed charges		104,824		134,905		290,240		359,947		460,918		216,564		243,223
Capitalized interest		(41,170)		(20,792)		(13,164)		(9,777)		(6,700)		(2,992)		(3,305)
Amortized premiums, discounts and capitalized expenses related to indebtedness		11,898		13,945		13,905		11,395		4,142		4,731		1,980
Noncontrolling interest in pre-tax income of subsidiaries that have not incurred fixed charges		342		(357)		4,894		2,415		6,770		774		1,502
Earnings	$	178,506	$	160,677	$	408,078	$	549,892	$	567,375	$	251,018	$	403,554
Fixed charges:
Interest expense(1)	$	75,552	$	128,058	$	290,981	$	361,565	$	458,360	$	218,303	$	241,898
Capitalized interest		41,170		20,792		13,164		9,777		6,700		2,992		3,305
Amortized premiums, discounts and capitalized expenses related to indebtedness		(11,898)		(13,945)		(13,905)		(11,395)		(4,142)		(4,731)		(1,980)
Fixed charges	$	104,824	$	134,905	$	290,240	$	359,947	$	460,918	$	216,564	$	243,223
Consolidated ratio of earnings to fixed charges		1.70		1.19		1.41		1.53		1.23		1.16		1.66
Earnings:
Pretax income from continuing operations before adjustment for income or loss from equity investees(1)	$	102,612	$	32,976	$	112,203	$	185,912	$	102,245	$	31,941	$	160,154
Fixed charges		104,824		134,905		290,240		359,947		460,918		216,564		243,223
Capitalized interest		(41,170)		(20,792)		(13,164)		(9,777)		(6,700)		(2,992)		(3,305)
Amortized premiums, discounts and capitalized expenses related to indebtedness		11,898		13,945		13,905		11,395		4,142		4,731		1,980
Noncontrolling interest in pre-tax income of subsidiaries that have not incurred fixed charges		342		(357)		4,894		2,415		6,770		774		1,502
Earnings	$	178,506	$	160,677	$	408,078	$	549,892	$	567,375	$	251,018	$	403,554
Fixed charges:
Interest expense(1)	$	75,552	$	128,058	$	290,981	$	361,565	$	458,360	$	218,303	$	241,898
Capitalized interest		41,170		20,792		13,164		9,777		6,700		2,992		3,305
Amortized premiums, discounts and capitalized expenses related to indebtedness		(11,898)		(13,945)		(13,905)		(11,395)		(4,142)		(4,731)		(1,980)
Fixed charges		104,824		134,905		290,240		359,947		460,918		216,564		243,223
Preferred stock dividends		22,079		21,645		60,502		69,129		66,336		33,203		32,705
Combined fixed charges and preferred stock dividends	$	126,903	$	156,550	$	350,742	$	429,076	$	527,254	$	249,767	$	275,928
Consolidated ratio of earnings to combined fixed charges and preferred stock dividends		1.41		1.03		1.16		1.28		1.08		1.01		1.46
(1) We have reclassified the income and expenses attributable to the properties sold prior to or held for sale at January 1, 2014 to discontinued operations.

EX-31.1

 

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

I, Thomas J. DeRosa, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Health Care REIT, 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 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 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: August 1, 2014

/s/ THOMAS J. DEROSA

Thomas J. DeRosa, 

Chief Executive Officer 

EX-31.2

 

EXHIBIT 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

I, Scott A. Estes, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Health Care REIT, 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 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 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: August 1, 2014

/s/ SCOTT A. ESTES

Scott A. Estes, 

Chief Financial Officer 

EX-32.1

 

EXHIBIT 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350

          I, Thomas J. DeRosa, the Chief Executive Officer of Health Care REIT, Inc. (the “Company”), certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. Section 1350), that (i) the Quarterly Report on Form 10-Q for the Company for the quarter ended June 30, 2014 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and (ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ THOMAS J. DEROSA

Thomas J. DeRosa, 

Chief Executive Officer

 Date: August 1, 2014

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

EX-32.2

 

EXHIBIT 32.2

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350

          I, Scott A. Estes, the Chief Financial Officer of Health Care REIT, Inc. (the “Company”), certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. Section 1350), that (i) the Quarterly Report on Form 10-Q for the Company for the quarter ended June 30, 2014 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and (ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ SCOTT A. ESTES

Scott A. Estes, 

Chief Financial Officer

 Date: August 1, 2014 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Business (Details)	Jun. 30, 2014 Number properties
Business [Line Items]
Number of properties in diversified portfolio	1,157
Number of states in diversified portfolio	46
Controlling [Member]
Business [Line Items]
Number of properties in diversified portfolio	1,224

XML

Senior Unsecured Notes and Secured Debt (Details 2) (USD $)	6 Months Ended		12 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013	Dec. 31, 2012
Secured debt principal activity
Secured debt issued	$ 10,690,000	$ 71,340,000
Secured debt extinguished	219,980,000	73,557,000
Excluding Fair Value Adjustments [Member]
Secured debt principal activity
Secured debt principal balance	2,812,226,000	2,839,025,000	3,010,711,000	2,311,586,000
Secured debt issued	10,690,000	71,340,000
Secured debt assumed	12,005,000	536,856,000
Secured debt extinguished	(188,722,000)	(49,156,000)
Secured debt principal payments	(31,258,000)	(24,709,000)
Secured debt foreign currency	$ (1,200,000)	$ (6,892,000)
Secured debt principal balance average rate	0.0504	0.0508	0.051	0.0514
Secured debt principal issued average rate	0.0354	0.0496
Secured debt principal assumed average rate	0.0415	0.0422
Secured debt principal extinguished average rate	0.0573	0.042
Secured debt principal payment average rate	0.0498	0.0539
Secured debt principal foreign currency average rate	0.0394	0.0387

XML

Investments in Unconsolidated Entities (Details) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Schedule of Equity Method Investments [Line Items]
Income (loss) from unconsolidated entities	$ (11,516,000)	$ (5,461,000)	$ (17,073,000)	$ (3,198,000)
Equity Investments	680,558,000		680,558,000		479,629,000
Chartwell [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	42		42
Unamortized basis difference	8,808,000		8,808,000
Chartwell [Member] | Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	3		3
Chartwell [Member] | Non Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	39		39
Percentage of partnership owned	50.00%		50.00%
Forest City [Member] | Non Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	7		7
Percentage of partnership owned	49.00%		49.00%
Sunrise [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	54		54
Sunrise [Member] | Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	49		49
Sunrise [Member] | Non Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	5		5
Percentage of partnership owned	20.00%		20.00%
Additional ownership acquired			4%
Senior Resource Group [Member]
Schedule of Equity Method Investments [Line Items]
Equity Investments	214,832,000		214,832,000
Unamortized basis difference	$ 173,563,000		$ 173,563,000
Senior Resource Group [Member] | Non Controlling [Member]
Schedule of Equity Method Investments [Line Items]
Number of properties in portfolio	10		10
Percentage of partnership owned	46.79%		46.79%

XML

Derivative Instruments (Details)	Jun. 30, 2014 Derivative [Member] CAD	Jun. 30, 2014 Derivative [Member] GBP (£)	Dec. 31, 2013 Derivative [Member] CAD	Dec. 31, 2013 Derivative [Member] GBP (£)	Jun. 30, 2014 Financial Instruments [Member] CAD	Jun. 30, 2014 Financial Instruments [Member] GBP (£)	Dec. 31, 2013 Financial Instruments [Member] CAD	Dec. 31, 2013 Financial Instruments [Member] GBP (£)	Jun. 30, 2014 Cash Flow Hedging [Member] USD ($)	Jun. 30, 2014 Cash Flow Hedging [Member] CAD	Dec. 31, 2013 Cash Flow Hedging [Member] USD ($)	Dec. 31, 2013 Cash Flow Hedging [Member] CAD	Jun. 30, 2014 Non Designated [Member] CAD	Dec. 31, 2013 Non Designated [Member] CAD
Derivative [Line Items]
Derivative notional amount	600,000,000	£ 350,000,000	600,000,000	£ 350,000,000	250,000,000	£ 550,000,000	250,000,000	£ 550,000,000	$ 57,000,000	12,000,000	$ 57,000,000	0	24,000,000	0

XML

Dispositions, Assets Held for Sale and Discontinued Operations (Details 2) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Revenues:
Rental income, disposed	$ 3,636,000	$ 5,002,000	$ 8,677,000	$ 10,002,000
Expenses:
Interest expense, disposed	549,000	1,403,000	1,947,000	2,797,000
Property operating expenses, disposed	650,000	568,000	1,205,000	1,080,000
Depreciation expense, disposed	1,070,000	1,486,000	2,560,000	2,970,000
Expenses, disposed	2,269,000	3,457,000	5,712,000	6,847,000
Income (loss) from disposed properties	$ 1,367,000	$ 1,545,000	$ 2,965,000	$ 3,155,000

XML

Senior Unsecured Notes and Secured Debt (Tables)

6 Months Ended

Jun. 30, 2014

Senior Unsecured Notes And Secured Debt (Tables) [Abstract]

Principal payments due on debt obligations

	Senior		Secured
	Unsecured Notes(1,2)		Debt (1,3)		Totals
2014	$	-	$	117,263	$	117,263
2015		484,170(4)		409,563		893,733
2016		1,200,000(5)		372,528		1,572,528
2017		450,000		327,347		777,347
2018		450,000		430,379		880,379
Thereafter		4,865,937(6)		1,155,146		6,021,083
Totals	$	7,450,107	$	2,812,226	$	10,262,333
(1) Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(2) Annual interest rates range from 1.5% to 6.5%.
(3) Annual interest rates range from 1.0% to 8.0%. Carrying value of the properties securing the debt totaled $5,123,888,000 at June 30, 2014.
(4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $234,170,000 based on the Canadian/U.S. Dollar exchange rate in effect on June 30, 2014). The loan matures on July 27, 2015 (with an option to extend for an additional year at our discretion) and bears interest at the Canadian Dealer Offered Rate plus 145 basis points (2.7% at June 30, 2014). Please see Note 19 for subsequent activity.
(5) On January 8, 2013, we completed funding on a $500,000,000 unsecured term loan. The loan matures on March 31, 2016 (with an option to extend for two additional years at our discretion) and bears interest at LIBOR plus 135 basis points (1.5% at June 30, 2014). Please see Note 19 for subsequent activity.
(6) On November 20, 2013, we completed the sale of £550,000,000 (approximately $940,830,000 based on the Sterling/U.S. Dollar exchange rate in effect on June 30, 2014) of 4.8% senior unsecured notes due 2028.

Summary of senior unsecured note activity

	Six Months Ended
	June 30, 2014			June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	7,421,707	4.400%	$	5,894,403	4.675%
Debt issued		-	0.000%		500,000	1.552%
Debt redeemed		(1)	3.000%		(3)	3.000%
Foreign currency		28,401	4.865%		-	0.000%
Ending balance	$	7,450,107	4.402%	$	6,394,400	4.431%

Secured debt principal activity

	Six Months Ended
		June 30, 2014		June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	3,010,711	5.10%	$	2,311,586	5.14%
Debt issued		10,690	3.54%		71,340	4.96%
Debt assumed		12,005	4.15%		536,856	4.22%
Debt extinguished		(188,722)	5.73%		(49,156)	4.20%
Principal payments		(31,258)	4.98%		(24,709)	5.39%
Foreign currency		(1,200)	3.94%		(6,892)	3.87%
Ending balance	$	2,812,226	5.04%	$	2,839,025	5.08%

XML

Commitments and Contingencies (Details Textual) (USD $)	6 Months Ended
	Jun. 30, 2014 Number	Dec. 31, 2013
Commitments and Contingencies (Textual) [Abstract]
Number of outstanding letters of credit	6
Letter of credit obligation	$ 10,769,000
Outstanding construction financings for leased properties	124,073,000	141,085,000
Additional financing to complete construction	191,592,000
Total contingent purchase obligations	70,517,000
Minimum part of economic life of the leased asset to be classified as capital lease	75.00%
Minimum net present value of the future minimum lease payments to be classified as capital lease.	90.00%
Operating lease obligations relating to certain ground leases	884,093,000
Operating Leases, Future Minimum Payments Due, Future Minimum Sublease Rentals	42,322,000
Capital Leases, Future Minimum Payments Due	$ 114,423,000

XML

Subsequent Events

6 Months Ended

Jun. 30, 2014

Subsequent Events

Subsequent Events

19. Subsequent Events

Credit Facility Extension and Expansion.On July 25, 2014, we closed on a new unsecured credit facility with a consortium of 28 banks that includes a $2,500,000,000 revolving line of credit, a $500,000,000 term loan and a $250,000,000 Canadian denominated term loan.  The revolver is priced at 1.05% over LIBOR with a 0.20% annual facility fee based on current credit ratings. We have an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature. The facility also allows us to borrow up to $500,000,000 in alternate currencies. The term loans are priced at 1.15% over LIBOR for U.S. tranche and CDOR for Canadian tranche based on our current credit ratings.  Among other things, the new facility provides us with additional borrowing capacity and extends the agreement to October 31, 2018.  It can be extended for an additional year at our option.

XML

Borrowings Under Line of Credit Arrangements and Related Items (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2014 USD ($)	Jun. 30, 2013 USD ($)	Jun. 30, 2014 USD ($)	Jun. 30, 2013 USD ($)	Jun. 30, 2014 CAD	Jun. 30, 2014 GBP (£)	Dec. 31, 2013 USD ($)
Aggregate borrowings under the unsecured line of credit arrangements
Balance outstanding at quarter end	$ 0	$ 0	$ 0	$ 0	0	£ 0	$ 130,000,000
Maximum amount outstanding at any month end	637,000,000	600,000,000	637,000,000	780,000,000
Average amount outstanding (total of daily principal balances divided by days in period)	$ 375,824,000	$ 299,011,000	$ 331,602,000	$ 510,055,000
Weighted average interest rate (actual interest expense divided by average borrowings outstanding)	1.37%	1.38%	1.36%	1.38%

XML

Real Estate Intangibles (Details) (USD $)	6 Months Ended	12 Months Ended
	Jun. 30, 2014	Dec. 31, 2013
Intangible Assets:
Gross historical cost	$ 1,084,703,000	$ 1,070,754,000
Accumulated amortization	713,334,000	571,008,000
Net book value	371,369,000	499,746,000
Weighted-average amortization period in years	17 years 11 months	16 years 8 months
Intangible Liabilities:
Gross historical cost	85,369,000	85,871,000
Accumulated amortization	37,425,000	34,434,000
Net book value	47,944,000	51,437,000
Weighted-average amortization period in years	13 years 1 month	14 years 4 months
Estimated Aggregate Amortization Expense For Acquired Lease Intangibles Expected To Be Recognized [Line Items]
Totals	371,369,000	499,746,000
Intangible Liability [Member]
Estimated Aggregate Amortization Expense For Acquired Lease Intangibles Expected To Be Recognized [Line Items]
2014	3,421,000
2015	5,994,000
2016	5,580,000
2017	5,115,000
2018	4,729,000
Thereafter	23,105,000
Intangible Asset [Member]
Estimated Aggregate Amortization Expense For Acquired Lease Intangibles Expected To Be Recognized [Line Items]
2014	77,024,000
2015	64,525,000
2016	30,515,000
2017	22,266,000
2018	19,317,000
Thereafter	157,722,000
In place lease intangibles [Member]
Intangible Assets:
Gross historical cost	947,616,000	937,357,000
Above market tenant leases [Member]
Intangible Assets:
Gross historical cost	58,735,000	55,939,000
Below market ground leases [Member]
Intangible Assets:
Gross historical cost	60,088,000	59,165,000
Lease commissions [Member]
Intangible Assets:
Gross historical cost	18,264,000	18,293,000
Below market tenant leases [Member]
Intangible Liabilities:
Gross historical cost	78,723,000	76,381,000
Above market ground leases [Member]
Intangible Liabilities:
Gross historical cost	$ 6,646,000	$ 9,490,000

XML

Disclosure about Fair Value of Financial Instruments (Tables)

6 Months Ended

Jun. 30, 2014

Disclosure about Fair Value of Financial Instruments (Tables) [Abstract]

Carrying amounts and estimated fair values of financial instruments

		June 30, 2014				December 31, 2013
		Carrying Amount		Fair Value		Carrying Amount		Fair Value
Financial assets:
	Mortgage loans receivable	$	164,837	$	167,847	$	146,987	$	148,088
	Other real estate loans receivable		202,349		204,665		185,159		188,920
	Available-for-sale equity investments		-		-		1,211		1,211
	Cash and cash equivalents		207,354		207,354		158,780		158,780
	Foreign currency forward contracts		44		44		-		-
	Interest rate swap agreements		3		3		38		38
Financial liabilities:
	Borrowings under unsecured line of credit arrangements	$	-	$	-	$	130,000	$	130,000
	Senior unsecured notes		7,411,243		8,164,689		7,379,308		7,743,730
	Secured debt		2,850,103		2,972,268		3,058,248		3,168,775
	Foreign currency forward contracts		19,909		19,909		11,637		11,637

The Market approach utilized to measure fair value of financial assets and liabilities on recurring basis

	Fair Value Measurements as of June 30, 2014
	Total		Level 1		Level 2		Level 3
Interest rate swap agreements, net(1)	$	3	$	-	$	3	$	-
Foreign currency forward contracts, net(1)		(19,865)		-		(19,865)		-
Totals	$	(19,862)	$	-	$	(19,862)	$	-
(1) Please see Note 11 for additional information.

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Senior Unsecured Notes and Secured Debt (Details)	1 Months Ended	6 Months Ended		3 Months Ended
	Jul. 25, 2014	Jun. 30, 2014 USD ($)	Dec. 31, 2013 USD ($)	Jun. 30, 2014 Senior Unsecured Notes [Member] USD ($)		Jun. 30, 2014 Secured Debt [Member] USD ($)		Jun. 30, 2014 Canadian Denominated Unsecured Term Loan [Member] USD ($)	Jun. 30, 2014 Canadian Denominated Unsecured Term Loan [Member] CAD	Jun. 30, 2014 Unsecured Line of Credit Term Loan [Member] USD ($)	Jun. 30, 2014 UKDebt [Member] USD ($)	Jun. 30, 2014 UKDebt [Member] GBP (£)
Principal payments due on debt obligations
2014		$ 117,263,000		$ 0	[1],[2]	$ 117,263,000	[1],[3]
2015		893,733,000		484,170,000	[1],[2],[4]	409,563,000	[1],[3]
2016		1,572,528,000		1,200,000,000	[1],[2],[5]	372,528,000	[1],[3]
2017		777,347,000		450,000,000	[1],[2]	327,347,000	[1],[3]
2018		880,379,000		450,000,000	[1],[2]	430,379,000	[1],[3]
Thereafter		6,021,083,000		4,865,937,000	[1],[2],[6]	1,155,146,000	[1],[3]
Totals		10,262,333,000		7,450,107,000	[1],[2]	2,812,226,000	[1],[3]
Senior Unsecured Notes and Secured Debt (Textual) [Abstract]
Notes, annual stated interest rates, Minimum				1.50%		1.00%
Notes, annual stated interest rates, Maximum				6.50%		8.00%
Interest rate								2.70%	2.70%	1.50%	4.80%	4.80%
Senior unsecured notes issued amount											940,830,000	550,000,000
Senior unsecured notes		7,411,243,000	7,379,308,000					234,170,000	250,000,000	500,000,000
Secured debt		2,850,103,000	3,058,248,000
Carrying values of properties securing the debt						$ 5,123,888,000
Interest Rate margin	1.05%	1.175%						1.45%	1.45%	1.35%
Debt instrument maturity date	Oct. 31, 2018	Mar. 31, 2017						Jul. 27, 2015	Jul. 27, 2015	Mar. 31, 2016
Loan Extension Period				2 years 0 months

[1] (1) Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.

[2] (2) Annual interest rates range from 1.5% to 6.5%.

[3] (3) Annual interest rates range from 1.0% to 8.0%. Carrying value of the properties securing the debt totaled $5,123,888,000 at June 30, 2014.

[4] (4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $234,170,000 based on the Canadian/U.S. Dollar exchange rate in effect on June 30, 2014). The loan matures on July 27, 2015 (with an option to extend for an additional year at our discretion) and bears interest at the Canadian Dealer Offered Rate plus 145 basis points (2.7% at June 30, 2014). Please see Note 19 for subsequent activity.

[5] (5) On January 8, 2013, we completed funding on a $500,000,000 unsecured term loan. The loan matures on March 31, 2016 (with an option to extend for two additional years at our discretion) and bears interest at LIBOR plus 135 basis points (1.5% at June 30, 2014). Please see Note 19 for subsequent activity.

[6] (6) On November 20, 2013, we completed the sale of £550,000,000 (approximately $940,830,000 based on the Sterling/U.S. Dollar exchange rate in effect on June 30, 2014) of 4.8% senior unsecured notes due 2028.

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Segment Reporting (Details) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Summary of information for reportable segments
Rental income	$ 347,847,000	$ 298,873,000	$ 684,303,000	$ 591,516,000
Resident fees and services	467,639,000	370,995,000	923,904,000	698,319,000
Interest income	8,933,000	7,640,000	17,527,000	16,696,000
Other income	2,027,000	1,025,000	2,520,000	1,725,000
Total revenues	826,446,000	678,533,000	1,628,254,000	1,308,256,000
Property operating expenses	343,754,000	277,958,000	685,185,000	530,780,000
Net Operating Income from Continuing Operations	482,692,000	400,575,000	943,069,000	777,476,000
Interest expense	121,065,000	109,465,000	241,898,000	218,303,000
Loss (gain) on derivatives, net	351,000	(2,716,000)	351,000	(407,000)
Depreciation and amortization	214,449,000	198,062,000	447,766,000	382,750,000
General and administrative	51,660,000	23,902,000	84,524,000	51,081,000
Transaction costs	7,040,000	28,136,000	7,993,000	94,116,000
Loss (gain) on extinguishment of debt, net	531,000	0	383,000	(308,000)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	87,596,000	43,726,000	160,154,000	31,941,000
Total assets	23,573,890,000		23,573,890,000		23,083,957,000
Percent Of Assets	1	1	1	1	1
Percent Of Revenues	1	1	1	1
Senior housing - triple net [Member]
Summary of information for reportable segments
Rental income	225,472,000	187,518,000	440,302,000	370,814,000
Resident fees and services	0	0	0	0
Interest income	5,666,000	5,433,000	11,106,000	11,276,000
Other income	325,000	199,000	446,000	408,000
Total revenues	231,463,000	193,150,000	451,854,000	382,498,000
Property operating expenses	0	0	0	0
Net Operating Income from Continuing Operations	231,463,000	193,150,000	451,854,000	382,498,000
Interest expense	8,879,000	3,247,000	17,769,000	9,055,000
Loss (gain) on derivatives, net	73,000	0	73,000	0
Depreciation and amortization	61,613,000	54,637,000	123,016,000	109,587,000
General and administrative	0	0	0	0
Transaction costs	4,007,000	11,211,000	4,283,000	11,705,000
Loss (gain) on extinguishment of debt, net	0		0	0
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	156,891,000	124,055,000	306,713,000	252,151,000
Total assets	9,460,260,000		9,460,260,000
Senior housing - operating [Member]
Summary of information for reportable segments
Rental income	0	0	0	0
Resident fees and services	467,639,000	370,995,000	923,904,000	698,319,000
Interest income	11,000	0	11,000	757,000
Other income	1,264,000	0	1,318,000	0
Total revenues	468,914,000	370,995,000	925,233,000	699,076,000
Property operating expenses	310,029,000	248,972,000	618,213,000	473,475,000
Net Operating Income from Continuing Operations	158,885,000	122,023,000	307,020,000	225,601,000
Interest expense	28,833,000	19,412,000	56,312,000	38,482,000
Loss (gain) on derivatives, net	278,000	(2,716,000)	278,000	(407,000)
Depreciation and amortization	109,644,000	103,646,000	238,806,000	193,521,000
General and administrative	0	0	0	0
Transaction costs	1,660,000	16,799,000	2,290,000	82,124,000
Loss (gain) on extinguishment of debt, net	531,000		383,000	(308,000)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	17,939,000	(15,118,000)	8,951,000	(87,811,000)
Total assets	9,156,333,000		9,156,333,000
Medical facilities [Member]
Summary of information for reportable segments
Rental income	122,375,000	111,355,000	244,001,000	220,702,000
Resident fees and services	0	0	0	0
Interest income	3,256,000	2,207,000	6,410,000	4,663,000
Other income	362,000	662,000	665,000	1,072,000
Total revenues	125,993,000	114,224,000	251,076,000	226,437,000
Property operating expenses	33,725,000	28,986,000	66,972,000	57,305,000
Net Operating Income from Continuing Operations	92,268,000	85,238,000	184,104,000	169,132,000
Interest expense	8,122,000	9,506,000	17,730,000	18,364,000
Loss (gain) on derivatives, net	0	0	0	0
Depreciation and amortization	43,192,000	39,779,000	85,944,000	79,642,000
General and administrative	0	0	0	0
Transaction costs	1,373,000	126,000	1,420,000	287,000
Loss (gain) on extinguishment of debt, net	0		0	0
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	39,581,000	35,827,000	79,010,000	70,839,000
Total assets	4,906,320,000		4,906,320,000
Non Segment Corporate [Member]
Summary of information for reportable segments
Rental income	0	0	0	0
Resident fees and services	0	0	0	0
Interest income	0	0	0	0
Other income	76,000	164,000	91,000	245,000
Total revenues	76,000	164,000	91,000	245,000
Property operating expenses	0	0	0	0
Net Operating Income from Continuing Operations	76,000	164,000	91,000	245,000
Interest expense	75,231,000	77,300,000	150,087,000	152,402,000
Loss (gain) on derivatives, net	0	0	0	0
Depreciation and amortization	0	0	0	0
General and administrative	51,660,000	23,902,000	84,524,000	51,081,000
Transaction costs	0	0	0	0
Loss (gain) on extinguishment of debt, net	0		0	0
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	(126,815,000)	(101,038,000)	(234,520,000)	(203,238,000)
Total assets	50,977,000		50,977,000
International [Member]
Summary of information for reportable segments
Total revenues	130,524,000	87,024,000	257,233,000	147,568,000
Total assets	3,197,439,000		3,197,439,000		3,324,012,000
Percent Of Assets	0.136		0.136		0.144
Percent Of Revenues	0.158	0.128	0.158	0.113
United States [Member]
Summary of information for reportable segments
Total revenues	695,922,000	591,509,000	1,371,021,000	1,160,688,000
Total assets	$ 20,376,451,000		$ 20,376,451,000		$ 19,759,945,000
Percent Of Assets	0.864		0.864		0.856
Percent Of Revenues	0.842	0.872	0.842	0.887

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Stockholder's Equity (Details 4)	6 Months Ended		12 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013	Dec. 31, 2012
Stockholders' Equity [Line Items]
Preferred stock conversions	233,236	0
Preferred Stock, Shares Outstanding	25,875,000	26,224,854	26,108,236	26,224,854
Preferred stock balance weighted average rate	0.065	0.06493	0.06496	0.06493
Preferred stock converted weighted average rate	0.06	0

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Real Estate Loans Receivable (Details) (USD $)	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Advances on real estate loans receivable:
Investments in new loans	$ 3,493,000	$ 23,919,000
Draws on existing loans	51,384,000	29,153,000
Net cash advances on real estate loans	54,877,000	53,072,000
Receipts on real estate loans receivable:
Loan payoffs	3,950,000	44,469,000
Principal payments on loans	16,991,000	11,078,000
Total receipts on real estate loans	20,941,000	55,547,000
Net advances (receipts) on real estate loans	33,936,000	(2,475,000)
Change in balance due to foreign currency translation	1,104,000	0
Net change Real Estate Loans Receivable	35,040,000	(2,475,000)
Seniors Housing Facilities Triple Net [Member]
Advances on real estate loans receivable:
Investments in new loans	3,493,000	23,919,000
Draws on existing loans	36,658,000	27,269,000
Net cash advances on real estate loans	40,151,000	51,188,000
Receipts on real estate loans receivable:
Loan payoffs	3,950,000	44,469,000
Principal payments on loans	16,670,000	9,589,000
Total receipts on real estate loans	20,620,000	54,058,000
Net advances (receipts) on real estate loans	19,531,000	(2,870,000)
Change in balance due to foreign currency translation	1,104,000	0
Net change Real Estate Loans Receivable	20,635,000	(2,870,000)
Medical facilities [Member]
Advances on real estate loans receivable:
Investments in new loans	0	0
Draws on existing loans	14,726,000	1,884,000
Net cash advances on real estate loans	14,726,000	1,884,000
Receipts on real estate loans receivable:
Loan payoffs	0	0
Principal payments on loans	321,000	1,489,000
Total receipts on real estate loans	321,000	1,489,000
Net advances (receipts) on real estate loans	14,405,000	395,000
Change in balance due to foreign currency translation	0	0
Net change Real Estate Loans Receivable	$ 14,405,000	$ 395,000

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Real Property Acquisitions and Development

6 Months Ended

Jun. 30, 2014

Real Property Acquisitions and Development [Abstract]

Real Property Acquisitions and Development

3. Real Property Acquisitions and Development

The total purchase price for all properties acquired has been allocated to the tangible and identifiable intangible assets, liabilities and noncontrolling interests based upon their respective fair values in accordance with our accounting policies. The results of operations for these acquisitions have been included in our consolidated results of operations since the date of acquisition and are a component of the appropriate segments. Transaction costs primarily represent costs incurred with property acquisitions, including due diligence costs, fees for legal and valuation services and termination of pre-existing relationships computed based on the fair value of the assets acquired, lease termination fees and other acquisition-related costs.

Seniors Housing Triple-net Activity

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	18,530		$	8,533
Buildings and improvements				230,126			47,993
	Total assets acquired			248,656			56,526
Non-cash acquisition related activity				(1,839)			-
	Cash disbursed for acquisitions			246,817			56,526
Construction in progress additions				55,535			58,799
Less:	Capitalized interest			(2,332)			(2,208)
	Foreign currency translation			(116)			-
Cash disbursed for construction in progress				53,087			56,591
Capital improvements to existing properties				9,863			18,302
	Total cash invested in real property, net of cash acquired		$	309,767		$	131,419
(1) Includes acquisitions with an aggregate purchase price of $116,134,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

Acquisitions of seniors housing operating properties are structured under RIDEA, which is described in Note 18. This structure results in the inclusion of all resident revenues and related property operating expenses from the operation of these qualified health care properties in our Consolidated Statements of Comprehensive Income. Certain of our subsidiaries’ functional currencies are the local currencies of their respective countries. See Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for information regarding our foreign currency policies.

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	3,546		$	337,066
Building and improvements				37,274			3,069,192
Acquired lease intangibles				5,569			263,740
Restricted cash				-			22,863
Receivables and other assets				33			76,286
	Total assets acquired(2)			46,422			3,769,147
Secured debt				(12,846)			(556,413)
Accrued expenses and other liabilities				(853)			(51,356)
	Total liabilities assumed			(13,699)			(607,769)
Noncontrolling interests				-			(229,966)
Non-cash acquisition related activity(3)				-			(555,562)
	Cash disbursed for acquisitions			32,723			2,375,850
Construction in progress additions				2,348			472
Less:	Capitalized interest			(75)			(6)
Cash disbursed for construction in progress				2,273			466
Capital improvements to existing properties				32,171			21,474
	Total cash invested in real property, net of cash acquired		$	67,167		$	2,397,790
(1) Includes acquisitions with an aggregate purchase price of $23,922,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $245,000 and $60,590,000 of cash acquired during the six months ended June 30, 2014 and 2013, respectively.
(3) Represents Sunrise loan and noncontrolling interests acquisitions.

Medical Facilities Activity

		Six Months Ended
(In thousands)		June 30, 2014 (1)			June 30, 2013
Land and land improvements			$	1,655	$	-
Buildings and improvements				212,572		-
Acquired lease intangibles				1,525		-
Receivables and other assets				249		-
	Total assets acquired			216,001		-
Accrued expenses and other liabilities				(7,475)		-
	Total liabilities assumed			(7,475)		-
	Cash disbursed for acquisitions			208,526		-
Construction in progress additions				50,323		60,925
Less:	Capitalized interest			(898)		(778)
	Accruals(2)			(9,584)		2,129
Cash disbursed for construction in progress				39,841		62,276
Capital improvements to existing properties				12,654		8,704
	Total cash invested in real property		$	261,021	$	70,980
(1) Includes acquisitions with an aggregate purchase price of $200,295,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.

Construction Activity

The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented (in thousands):

			Six Months Ended
			June 30, 2014			June 30, 2013
	Development projects:
		Seniors housing triple-net		$	71,570		$	67,317
		Medical facilities			42,799			70,227
		Total development projects			114,369			137,544
	Expansion projects				10,849			8,155
Total construction in progress conversions				$	125,218		$	145,699

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Stockholder's Equity (Details 5) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Summary of dividend payments
Dividends declared and paid per common share	$ 0.795	$ 0.765	$ 1.59	$ 1.53
Common stock cash dividends			$ 462,551,000	$ 399,815,000
Total dividends paid			495,256,000	433,018,000
Series H Preferred Stock [Member]
Summary of dividend payments
Dividends declared and paid per preferred share			$ 0.0079	$ 1.4292
Preferred stock cash dividends			1,000	500,000
Series I Preferred Stock [Member]
Summary of dividend payments
Dividends declared and paid per preferred share			$ 1.625	$ 1.625
Preferred stock cash dividends			23,360,000	23,359,000
Series J Preferred Stock [Member]
Summary of dividend payments
Dividends declared and paid per preferred share			$ 0.8126	$ 0.8126
Preferred stock cash dividends			$ 9,344,000	$ 9,344,000

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Real Estate Intangibles (Details 1) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Real Estate Intangible Amortization [Abstract]
Rental income related to above/below market tenant leases, net	$ 290,000	$ 213,000	$ 245,000	$ 361,000
Property operating expenses related to above/below market ground leases, net	(299,000)	(303,000)	(610,000)	(606,000)
Depreciation and amortization related to in place lease intangibles and lease commissions	$ 59,603,000	$ (39,083,000)	$ 138,998,000	$ (89,659,000)

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Dispositions, Assets Held for Sale and Discontinued Operations (Tables)

6 Months Ended

Jun. 30, 2014

Dispositions, Assets Held for Sale and Discontinued Operations (Tables) [Abstract]

Summary of real property disposition activity

		Six Months Ended
		June 30, 2014			June 30, 2013
Real property dispositions:
	Seniors housing triple-net		$	41,124		$	133,024
	Medical facilities			86,616			135,784
	Total dispositions			127,740			268,808
Gain (loss) on sales of real property, net				13,079			52,495
Proceeds from real property sales			$	140,819		$	321,303

Reclassification impact as result of classifying properties as discontinued operations

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	298	$	4,789	$	881	$	11,575
Expenses:
	Interest expense		34		1,379		157		3,275
	Property operating expenses		-		867		-		1,731
	Provision for depreciation		-		2,415		-		4,849
	Total expenses		34		4,661		157		9,855
Income (loss) from discontinued operations, net		$	264	$	128	$	724	$	1,720

Summary of disposed properties.

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	3,636	$	5,002	$	8,677	$	10,002
Expenses:
	Interest expense		549		1,403		1,947		2,797
	Property operating expenses		650		568		1,205		1,080
	Provision for depreciation		1,070		1,486		2,560		2,970
	Total expenses		2,269		3,457		5,712		6,847
Income (loss) from real estate dispositions, net		$	1,367	$	1,545	$	2,965	$	3,155

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Real Estate Intangibles (Tables)

6 Months Ended

Jun. 30, 2014

Real Estate Intangibles (Tables) [Abstract]

Summary of real estate intangibles excluding those classified as held for sale

		June 30, 2014		December 31, 2013
Assets:
	In place lease intangibles	$	947,616	$	937,357
	Above market tenant leases		58,735		55,939
	Below market ground leases		60,088		59,165
	Lease commissions		18,264		18,293
	Gross historical cost		1,084,703		1,070,754
	Accumulated amortization		(713,334)		(571,008)
	Net book value	$	371,369	$	499,746
	Weighted-average amortization period in years		17.9		16.7
Liabilities:
	Below market tenant leases	$	78,723	$	76,381
	Above market ground leases		6,646		9,490
	Gross historical cost		85,369		85,871
	Accumulated amortization		(37,425)		(34,434)
	Net book value	$	47,944	$	51,437
	Weighted-average amortization period in years		13.1		14.3

Schedule of Real Estate Intangible Amortization

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2014		2013		2014		2013
Rental income related to above/below market tenant leases, net	$	290	$	213	$	245	$	361
Property operating expenses related to above/below market ground leases, net		(299)		(303)		(610)		(606)
Depreciation and amortization related to in place lease intangibles and lease commissions		(59,603)		(39,083)		(138,996)		(89,659)

Schedule of the future estimated aggregate amortization of intangible assets and liabilities

		Assets		Liabilities
2014	$	77,024	$	3,421
2015		64,525		5,994
2016		30,515		5,580
2017		22,266		5,115
2018		19,317		4,729
Thereafter		157,722		23,105
Totals	$	371,369	$	47,944

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Derivative Instruments (Details 1) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Derivative [Line Items]
Loss (gain) on derivatives, net	$ 351,000	$ (2,716,000)	$ 351,000	$ (407,000)
Interest expense	121,065,000	109,465,000	241,898,000	218,303,000
Interest Rate Swap [Member]
Derivative [Line Items]
Gain (loss) recognized in OCI	(4,000)	(4,000)	(7,000)	(8,000)
Interest expense	(436,000)	(476,000)	(879,000)	(951,000)
Foreign Exchange Contract [Member]
Derivative [Line Items]
Gain (loss) recognized in OCI	$ (67,899,000)	$ 14,680,000	$ (49,410,000)	$ 90,537,000

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Dispositions, Assets Held for Sale and Discontinued Operations (Details) (USD $)	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Real property dispositions:
Total dispositions	$ 127,740,000	$ 268,808,000
Net loss (gain) on sales of properties	(13,079,000)	(52,495,000)
Real property held for sale, net of accumulated depreciation	77,436,000		18,502,000
Proceeds from sales of real property	140,819,000	321,303,000
Seniors Housing Facilities Triple Net [Member]
Real property dispositions:
Total dispositions	41,124,000	133,024,000
Net loss (gain) on sales of properties	6,411,000
Real property held for sale, net of accumulated depreciation	18,502,000
Medical facilities [Member]
Real property dispositions:
Total dispositions	$ 86,616,000	$ 135,784,000

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Real Estate Loans Receivable (Tables)

6 Months Ended

Jun. 30, 2014

Real Estate Loans Receivable (Tables) [Abstract]

Summary of real estate loan activity

		Six Months Ended
		June 30, 2014						June 30, 2013
		Seniors						Seniors
		Housing		Medical				Housing		Medical
		Triple-net		Facilities		Totals		Triple-net		Facilities		Totals
Advances on real estate loans receivable:
	Investments in new loans	$	3,493	$	-	$	3,493	$	23,919	$	-	$	23,919
	Draws on existing loans		36,658		14,726		51,384		27,269		1,884		29,153
	Net cash advances on real estate loans		40,151		14,726		54,877		51,188		1,884		53,072
Receipts on real estate loans receivable:
	Loan payoffs		3,950		-		3,950		44,469		-		44,469
	Principal payments on loans		16,670		321		16,991		9,589		1,489		11,078
	Total receipts on real estate loans		20,620		321		20,941		54,058		1,489		55,547
Net cash advances (receipts) on real estate loans			19,531		14,405		33,936		(2,870)		395		(2,475)
Change in balance due to foreign currency translation			1,104		-		1,104		-		-		-
Net change in real estate loans receivable		$	20,635	$	14,405	$	35,040	$	(2,870)	$	395	$	(2,475)

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Credit Concentration (Tables)

6 Months Ended

Jun. 30, 2014

Customer Concentration (Tables) [Abstract]

Summary of credit concentration

		Number of	Total		Percent of
Concentration by investment:(1)		Properties(2)	Investment(2)		Investment(3)
	Sunrise Senior Living(4)	121	$	4,001,436	18%
	Genesis HealthCare	179		2,681,574	12%
	Revera(4)	48		1,158,028	5%
	Benchmark	39		929,443	4%
	Belmont Village	19		832,909	4%
	Remaining portfolio	751		12,308,922	57%
	Totals	1,157	$	21,912,312	100%

• Genesis is in our seniors housing triple-net segment. Sunrise, Revera, and Belmont Village are in our seniors housing operating segment. Benchmark is in both our seniors housing triple-net and seniors housing operating segments.
• Excludes our share of investments in unconsolidated entities. Please see Note 7 for additional information.
• Investments with our top five relationships comprised 44% of total investments at December 31, 2013.
• Revera owns a controlling interest in Sunrise.

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Accounting Policies and Related Matters

6 Months Ended

Jun. 30, 2014

Accounting Policies and Related Matters [Abstract]

Accounting Policies and Related Matters

2. Accounting Policies and Related Matters

Basis of Presentation

The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with instructions to Quarterly Report on Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the sixmonths ended June 30, 2014 are not necessarily an indication of the results that may be expected for the year ending December 31, 2014. For further information, refer to the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2013.

New Accounting Standards

In April 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity” (“ASU 2014-08”), which amends U.S. GAAP to require reporting of discontinued operations only if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. This pronouncement will be effective for the first annual reporting period beginning after December 15, 2014 with early adoption permitted. We adopted ASU 2014-08 on January 1, 2014 on a prospective basis. The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations.

In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)” (“ASU 2014-09”). The standard is a comprehensive new revenue recognition model that requires revenue to be recognized in a manner to depict the transfer of goods or services to a customer at an amount that reflects the consideration expected to be received in exchange for those goods or services. ASU 2014-09 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2016, and early adoption is not permitted. Accordingly, the standard is effective for us on January 1, 2017. We are currently evaluating the impact that the standard will have on our consolidated financial statements and have not yet determined the method by which we will adopt the standard.

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Borrowings Under Line of Credit Arrangements and Related Items (Tables)

6 Months Ended

Jun. 30, 2014

Borrowings Under Line of Credit Arrangement and Related Items (Tables) [Abstract]

Aggregate borrowings under the unsecured line of credit arrangements

		Three Months Ended June 30,				Six Months Ended June 30,
		2014		2013		2014		2013
Balance outstanding at quarter end		$	-	$	-	$	-	$	-
Maximum amount outstanding at any month end		$	637,000	$	600,000	$	637,000	$	780,000
Average amount outstanding (total of daily
	principal balances divided by days in period)	$	375,824	$	299,011	$	331,602	$	510,055
Weighted average interest rate (actual interest
	expense divided by average borrowings outstanding)		1.37%		1.38%		1.36%		1.38%

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Real Property Acquisitions and Development (Details 1) (USD $)	6 Months Ended
	Jun. 30, 2014		Jun. 30, 2013
Senior housing - triple net [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Land and land improvements	$ 18,530,000	[1]	$ 8,533,000
Buildings and improvements	230,126,000	[1]	47,993,000
Total assets acquired	248,656,000	[1]	56,526,000
Non-cash acquisition related activity	(1,839,000)	[1]	0
Cash disbursed for acquisitions	246,817,000	[1]	56,526,000
Construction in progress additions	55,535,000	[1]	58,799,000
Less: Capitalized Interest	(2,332,000)	[1]	(2,208,000)
Less: Foreign currency translation	(116,000)	[1]	0
Cash disbursed for construction in progress	53,087,000	[1]	56,591,000
Capital improvements to existing properties	9,863,000	[1]	18,302,000
Total cash invested in real property	309,767,000	[1]	131,419,000
Senior housing - triple net [Member] | Preliminary [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Total cash invested in real property	116,134,000
Senior housing - operating [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Land and land improvements	3,546,000	[2]	337,066,000
Buildings and improvements	37,274,000	[2]	3,069,192,000
Acquired lease intangibles	5,569,000	[2]	263,740,000
Restricted cash	0	[2]	22,863,000
Receivables and other assets	33,000	[2]	76,286,000
Total assets acquired	46,422,000	[2],[3]	3,769,147,000	[3]
Secured debt	(12,846,000)	[2]	(556,413,000)
Accrued expenses and other liabilities	(853,000)	[2]	(51,356,000)
Total liabilities assumed	(13,699,000)	[2]	(607,769,000)
Noncontrolling interests	0	[2]	(229,966,000)
Non-cash acquisition related activity	0	[2]	(555,562,000)	[4]
Cash disbursed for acquisitions	32,723,000	[2]	2,375,850,000
Construction in progress additions	2,348,000	[2]	472,000
Less: Capitalized Interest	(75,000)	[2]	(6,000)
Cash disbursed for construction in progress	2,273,000	[2]	466,000
Capital improvements to existing properties	32,171,000	[2]	21,474,000
Total cash invested in real property	67,167,000	[2]	2,397,790,000
Cash Acquired from Acquisition	245,000	[2]	60,590,000
Senior housing - operating [Member] | Preliminary [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Total cash invested in real property	23,922,000
Medical facilities [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Land and land improvements	1,655,000	[5]	0
Buildings and improvements	212,572,000	[5]	0
Acquired lease intangibles	1,525,000	[5]	0
Receivables and other assets	249,000	[5]	0
Total assets acquired	216,001,000	[5]	0
Accrued expenses and other liabilities	(7,475,000)	[5]	0
Total liabilities assumed	(7,475,000)	[5]	0
Cash disbursed for acquisitions	208,526,000	[5]	0
Construction in progress additions	50,323,000	[5]	60,925,000
Less: Capitalized Interest	(898,000)	[5]	(778,000)
Less: Accruals	(9,584,000)	[5],[6]	2,129,000	[6]
Cash disbursed for construction in progress	39,841,000	[5]	62,276,000
Capital improvements to existing properties	12,654,000	[5]	8,704,000
Total cash invested in real property	261,021,000	[5]	70,980,000
Medical facilities [Member] | Preliminary [Member]
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
Total cash invested in real property	$ 200,295,000

[1] (1) Includes acquisitions with an aggregate purchase price of $116,134,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

[2] (1) Includes acquisitions with an aggregate purchase price of $23,922,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

[3] (2) Excludes $245,000 and $60,590,000 of cash acquired during the six months ended June 30, 2014 and 2013, respectively.

[4] (3) Represents Sunrise loan and noncontrolling interests acquisitions.

[5] (1) Includes acquisitions with an aggregate purchase price of $200,295,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

[6] (2) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.

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Senior Unsecured Notes and Secured Debt (Details 1) (USD $)	6 Months Ended		12 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013	Dec. 31, 2012
Unsecured note issuances
Senior unsecured debt issued	$ 0	$ 497,862,000
Senior unsecured debt redeemed	(1,000)	(3,000)
Excluding Fair Value Adjustments [Member]
Unsecured note issuances
Senior unsecured debt balance	7,450,107,000	6,394,400,000	7,421,707,000	5,894,403,000
Senior unsecured debt issued	0	500,000,000
Senior unsecured debt redeemed	(1,000)	(3,000)
Senior unsecured debt foreign currency	$ 28,401,000	$ 0
Senior unsecured debt balance average rate	0.04402	0.04431	0.044	0.04675
Senior unsecured debt issued average rate	0	0.01552
Senior unsecured debt redeemed average rate	0.03	0.03
Senior unsecured debt foreign currency average rate	0.04865	0

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Consolidated Balance Sheets (Unaudited)(USD ($))	Jun. 30, 2014	Dec. 31, 2013
Real property owned:
Land and land improvements	$ 1,916,820,000	$ 1,878,877,000
Buildings and improvements	21,151,624,000	20,625,515,000
Acquired lease intangibles	1,084,703,000	1,070,754,000
Real property held for sale, net of accumulated depreciation	77,436,000	18,502,000
Construction in progress	124,073,000	141,085,000
Gross real property owned	24,354,656,000	23,734,733,000
Less accumulated depreciation and amortization	(2,809,530,000)	(2,386,658,000)
Net real property owned	21,545,126,000	21,348,075,000
Real estate loans receivable:
Real estate loans receivable	367,186,000	332,146,000
Net real estate investments	21,912,312,000	21,680,221,000
Other assets:
Investments in unconsolidated entities	680,558,000	479,629,000
Goodwill	68,321,000	68,321,000
Deferred loan expenses	65,479,000	70,875,000
Cash and cash equivalents	207,354,000	158,780,000
Restricted cash	65,139,000	72,821,000
Receivables and other assets	574,727,000	553,310,000
Total other assets	1,661,578,000	1,403,736,000
Total assets	23,573,890,000	23,083,957,000
Liabilities:
Borrowings under unsecured line of credit arrangement	0	130,000,000
Senior unsecured notes	7,411,243,000	7,379,308,000
Secured debt	2,850,103,000	3,058,248,000
Capital lease obligations	83,850,000	84,458,000
Accrued expenses and other liabilities	678,400,000	640,573,000
Total liabilities	11,023,596,000	11,292,587,000
Redeemable noncontrolling interests	35,404,000	35,039,000
Equity:
Preferred stock	1,006,250,000	1,017,361,000
Common stock	308,355,000	289,461,000
Capital in excess of par value	13,524,621,000	12,418,520,000
Treasury stock	(32,289,000)	(21,263,000)
Cumulative net income	2,484,425,000	2,329,869,000
Cumulative Dividends	(5,096,110,000)	(4,600,854,000)
Accumulated other comprehensive income (loss)	(18,642,000)	(24,531,000)
Other equity	6,159,000	6,020,000
Total Health Care REIT, Inc. stockholders' equity	12,182,769,000	11,414,583,000
Noncontrolling interests	332,121,000	341,748,000
Total equity	12,514,890,000	11,756,331,000
Total liabilities and equity	$ 23,573,890,000	$ 23,083,957,000

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Dispositions, Assets Held for Sale and Discontinued Operations (Details 1) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Revenues:
Rental income, discontinued	$ 298,000	$ 4,789,000	$ 881,000	$ 11,575,000
Expenses:
Interest expense, discontinued	34,000	1,379,000	157,000	3,275,000
Property operating expenses, discontinued	0	867,000	0	1,731,000
Provision for depreciation, discontinued	0	2,415,000	0	4,849,000
Expenses, discontinued	34,000	4,661,000	157,000	9,855,000
Income (loss) from discontinued operations, net	$ 264,000	$ 128,000	$ 724,000	$ 1,720,000

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Consolidated Statements of Cash Flows (Unaudited) (USD $)	6 Months Ended
	Jun. 30, 2014		Jun. 30, 2013
Operating activities
Net income	$ 153,054,000		$ 78,980,000
Adjustments to reconcile net income to net cash provided from (used in) operating activities:
Depreciation and amortization	447,766,000		387,599,000
Other amortization expenses	3,065,000		6,543,000
Stock-based compensation expense	21,837,000		12,694,000
Loss (gain) on derivatives, net	351,000		(407,000)
Loss (gain) on extinguishment of debt, net	(383,000)		308,000
Income (loss) from unconsolidated entities	17,073,000		3,198,000
Rental income in excess of cash received	(26,414,000)		(18,463,000)
Amortization related to above (below) market leases, net	365,000		245,000
Net loss (gain) on sales of properties	(13,079,000)		(52,495,000)
Distributions by unconsolidated entities	7,155,000		0
Increase (decrease) in accrued expenses and other liabilities	5,433,000		25,507,000
Decrease (increase) in receivables and other assets	(21,455,000)		(36,356,000)
Net cash provided from (used in) operating activities	595,534,000		406,737,000
Investing activities
Cash disbursed for acquisitions	(488,066,000)		(2,432,376,000)
Cash disbursed for capital improvements to existing properties	(54,688,000)		(48,480,000)
Cash disbursed for construction in progress	(95,201,000)		(119,333,000)
Capitalized interest	(3,305,000)		(2,992,000)
Investment in real estate loans receivable	(54,877,000)		(53,072,000)
Other investments, net of payments	(47,858,000)		8,051,000
Principal collected on real estate loans receivable	20,941,000		55,547,000
Contributions to unconsolidated entities	(246,794,000)		(361,107,000)
Distributions by unconsolidated entities	22,925,000		14,786,000
Proceeds from (payments on) derivatives investing	0		(2,604,000)
Decrease (increase) in restricted cash	7,682,000		(82,292,000)
Proceeds from sales of real property	140,819,000		321,303,000
Net cash provided from (used in) investing activities	(798,422,000)		(2,702,569,000)
Financing activities
Net increase (decrease) under unsecured lines of credit arrangements	(130,000,000)		0
Proceeds from issuance of senior unsecured notes	0		497,862,000
Payments to extinguish senior unsecured notes	(1,000)		(3,000)
Secured debt issued	10,690,000		71,340,000
Payments on secured debt	(219,980,000)		(73,557,000)
Net proceeds from the issuance of common stock	1,101,969,000		1,730,235,000
Decrease (increase) in deferred loan expenses	(3,395,000)		(10,790,000)
Contributions by noncontrolling interests	4,485,000	[1]	3,730,000	[1]
Distributions to noncontrolling interests	(14,208,000)	[1]	(9,860,000)	[1]
Acquisitions of noncontrolling interests	(1,175,000)		0
Cash distributions to stockholders	(495,256,000)		(433,018,000)
Other financing activities	(608,000)		(2,072,000)
Net cash provided from (used in) financing activities	252,521,000		1,773,867,000
Effect of foreign currency translation on cash and cash equivalents	(1,059,000)		673,000
Increase (decrease) in cash and cash equivalents	48,574,000		(521,292,000)
Cash and cash equivalents at beginning of period	158,780,000		1,033,764,000
Cash and cash equivalents at end of period	207,354,000		512,472,000
Supplemental cash flow information:
Interest paid	224,544,000		196,980,000
Income taxes paid	$ 11,955,000		$ 2,625,000

[1] (1) Includes amounts attributable to redeemable noncontrolling interests.

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Stockholder's Equity (Details 1) (USD $)	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Summary of common stock issuances
Public issuance, Shares Issued	16,100,000	23,000,000
Public issuance, Average Price	$ 62.35	$ 73.5
Public issuance, Gross Proceeds	$ 1,003,835,000	$ 1,690,500,000
Public issuance, Net Proceeds	968,517,000	1,630,636,000
Dividend reinvestment plan issuances, Shares Issued	2,132,427	1,370,661
Dividend reinvestment plan issuances, Average Price	58.73	66.87
Dividend reinvestment plan issuances, Net Proceeds	125,232,000	91,651,000
Dividend reinvestment plan issuances, Gross Proceeds	125,232,000	91,651,000
Option exercises, Shares	175,699	186,404
Option exercises, Average Price	46.78	42.64
Option exercises, Gross Proceeds	8,220,000	7,948,000
Option exercises, Net Proceeds	8,220,000	7,948,000
Stock incentive plans, net of forfeitures, Shares Issued	124,723	301,544
Issuance of Common Stock, Shares	18,766,086	24,858,627
Preferred stock conversions	233,236	0
Senior note conversions	1	18
Gross Proceeds From Issuance of Common Stock	1,137,287,000	1,790,099,000
Net proceeds from the issuance of common stock	$ 1,101,969,000	$ 1,730,235,000

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Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2014

Stockholders' Equity (Tables) [Abstract]

Summary of stockholder's equity capital accounts

	June 30, 2014	December 31, 2013
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	25,875,000	26,108,236
Outstanding shares	25,875,000	26,108,236
Common Stock, $1.00 par value:
Authorized shares	700,000,000	400,000,000
Issued shares	308,976,931	290,024,789
Outstanding shares	308,329,737	289,563,651

Summary of preferred stock activity

	Six Months Ended
	June 30, 2014		June 30, 2013
		Weighted Avg.		Weighted Avg.
	Shares	Dividend Rate	Shares	Dividend Rate
Beginning balance	26,108,236	6.496%	26,224,854	6.493%
Shares converted	(233,236)	6.000%	-	0.000%
Ending balance	25,875,000	6.500%	26,224,854	6.493%

Summary of common stock issuances

	Shares Issued		Average Price		Gross Proceeds		Net Proceeds
2013 Public issuances	23,000,000	$	73.50	$	1,690,500	$	1,630,636
2013 Dividend reinvestment plan issuances	1,370,661		66.87		91,651		91,651
2013 Option exercises	186,404		42.64		7,948		7,948
2013 Stock incentive plans, net of forfeitures	301,544				-		-
2013 Senior note conversions	18				-		-
2013 Totals	24,858,627			$	1,790,099	$	1,730,235
2014 Public issuances	16,100,000	$	62.35	$	1,003,835	$	968,517
2014 Dividend reinvestment plan issuances	2,132,427		58.73		125,232		125,232
2014 Option exercises	175,699		46.78		8,220		8,220
2014 Preferred stock conversions	233,236				-		-
2014 Stock incentive plans, net of forfeitures	124,723				-		-
2014 Senior note conversions	1				-		-
2014 Totals	18,766,086			$	1,137,287	$	1,101,969

Summary of dividend payments

	Six Months Ended
	June 30, 2014				June 30, 2013
	Per Share		Amount		Per Share		Amount
Common Stock	$	1.5900	$	462,551	$	1.5300	$	399,815
Series H Preferred Stock		0.0079		1		1.4292		500
Series I Preferred Stock		1.6250		23,360		1.6250		23,359
Series J Preferred Stock		0.8126		9,344		0.8126		9,344
Totals			$	495,256			$	433,018

Summary of accumulated other comprehensive income/(loss)

		Unrecognized gains (losses) related to:
		Foreign Currency Translation		Equity Investments		Actuarial losses		Cash Flow Hedges		Total
Balance at December 31, 2013	$	(17,631)	$	(389)	$	(1,452)	$	(5,059)	$	(24,531)
Other comprehensive income before reclassification adjustments		4,628		389		-		(7)		5,010
Reclassification amount to net income		-		-		-		879(1)		879
Net current-period other comprehensive income		4,628		389		-		872		5,889
Balance at June 30, 2014	$	(13,003)	$	-	$	(1,452)	$	(4,187)	$	(18,642)
Balance at December 31, 2012	$	(881)	$	(216)	$	(2,974)	$	(6,957)	$	(11,028)
Other comprehensive income before reclassification adjustments		(39,003)		(86)		-		(8)		(39,097)
Reclassification amount to net income		-		-		-		951(1)		951
Net current-period other comprehensive income		(39,003)		(86)		-		943		(38,146)
Balance at June 30, 2013	$	(39,884)	$	(302)	$	(2,974)	$	(6,014)	$	(49,174)
(1) Please see Note 11 for additional information.

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Disclosure about Fair Value of Financial Instruments (Details)	Jun. 30, 2014 USD ($)	Jun. 30, 2014 CAD	Jun. 30, 2014 GBP (£)	Dec. 31, 2013 USD ($)	Jun. 30, 2013 USD ($)	Dec. 31, 2012 USD ($)	Jun. 30, 2014 Mortgage Loans on Real Estate [Member] USD ($)	Dec. 31, 2013 Mortgage Loans on Real Estate [Member] USD ($)	Jun. 30, 2014 Other Real Estate Loans Receivable [Member] USD ($)	Dec. 31, 2013 Other Real Estate Loans Receivable [Member] USD ($)
Financial Assets:
Loans receivable, Carrying Amount	$ 367,186,000			$ 332,146,000			$ 164,837,000	$ 146,987,000	$ 202,349,000	$ 185,159,000
Loans receivable, Fair value							167,847,000	148,088,000	204,665,000	188,920,000
Available-for-sale equity investments, Carrying Amount	0			1,211,000
Available-for-sale equity investments, Fair Value	0			1,211,000
Cash and cash equivalents, Carrying Amount	207,354,000			158,780,000	512,472,000	1,033,764,000
Cash and cash equivalents, Fair Value	207,354,000			158,780,000
Foreign currency forward contract, asset	44,000			0
Interest rate derivative, Fair Value, Asset	3,000			38,000
Financial Liabilities:
Borrowings under unsecured line of credit arrangement	0	0	0	130,000,000	0
Borrowings under unsecured lines of credit arrangements, Fair Value	0			130,000,000
Senior unsecured notes, Carrying Amount	7,411,243,000			7,379,308,000
Senior unsecured notes, Fair Value	8,164,689,000			7,743,730,000
Secured debt, Carrying Amount	2,850,103,000			3,058,248,000
Secured debt, Fair Value	2,972,268,000			3,168,775,000
Foreign currency forward contact, liability	$ 19,909,000			$ 11,637,000

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Disclosure about Fair Value of Financial Instruments

6 Months Ended

Jun. 30, 2014

Disclosure About Fair Value of Financial Instruments [Abstract]

Disclosure about Fair Value of Financial Instruments

16. Disclosure about Fair Value of Financial Instruments

U.S. GAAP provides authoritative guidance for measuring and disclosing fair value measurements of assets and liabilities. The guidance defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The guidance also establishes a fair value hierarchy which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The guidance describes three levels of inputs that may be used to measure fair value:

Level 1 - Quoted prices in active markets for identical assets or liabilities.

Level 2 - Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Please see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for additional information.

Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practicable to estimate that value.

Mortgage Loans and Other Real Estate Loans Receivable — The fair value of mortgage loans and other real estate loans receivable is generally estimated by using Level 2 and Level 3 inputs such as discounting the estimated future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities.

Cash and Cash Equivalents — The carrying amount approximates fair value.

Available-for-sale Equity Investments — Available-for-sale equity investments are recorded at their fair valuebased on Level 1 publicly available trading prices.

Borrowings Under Unsecured Line of Credit Arrangements — The carrying amount of the unsecured line of credit arrangements approximates fair value because the borrowings are interest rate adjustable.

Senior Unsecured Notes — The fair value of the fixed rate senior unsecured notes payable was estimated based on Level 1 publicly available trading prices.The carrying amount of variable rate senior unsecured notes payable approximates fair value because the borrowings are interest rate adjustable.

Secured Debt — The fair value of fixed rate secured debt is estimated using Level 2 inputs by discounting the estimated future cash flows using the current rates at which similar loans would be made with similar credit ratings and for the same remaining maturities. The carrying amount of variable rate secured debt approximates fair value because the borrowings are interest rate adjustable.

Interest Rate Swap Agreements — Interest rate swap agreementsare recorded in other assets or other liabilities on the balance sheet at fair market value. Fair market value is estimated using Level 2 inputs by utilizing pricing models that consider forward yield curves and discount rates.

Foreign Currency Forward Contracts— Foreign currency forward contracts are recorded in other assets or other liabilities on the balance sheet at fair market value. Fair market value is determined using Level 2 inputs by estimating the future value of the currency pair based on existing exchange rates, comprised of current spot and traded forward points, and calculating a present valueof the net amount using a discount factor based on observable traded interest rates.

The carrying amounts and estimated fair values of our financial instruments are as follows (in thousands):

		June 30, 2014				December 31, 2013
		Carrying Amount		Fair Value		Carrying Amount		Fair Value
Financial assets:
	Mortgage loans receivable	$	164,837	$	167,847	$	146,987	$	148,088
	Other real estate loans receivable		202,349		204,665		185,159		188,920
	Available-for-sale equity investments		-		-		1,211		1,211
	Cash and cash equivalents		207,354		207,354		158,780		158,780
	Foreign currency forward contracts		44		44		-		-
	Interest rate swap agreements		3		3		38		38
Financial liabilities:
	Borrowings under unsecured line of credit arrangements	$	-	$	-	$	130,000	$	130,000
	Senior unsecured notes		7,411,243		8,164,689		7,379,308		7,743,730
	Secured debt		2,850,103		2,972,268		3,058,248		3,168,775
	Foreign currency forward contracts		19,909		19,909		11,637		11,637

Items Measured at Fair Value on a Recurring Basis

The market approach is utilized to measure fair value for our financial assets and liabilities reported at fair value on a recurring basis. The market approach uses prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities. The following summarizes items measured at fair value on a recurring basis (in thousands):

	Fair Value Measurements as of June 30, 2014
	Total		Level 1		Level 2		Level 3
Interest rate swap agreements, net(1)	$	3	$	-	$	3	$	-
Foreign currency forward contracts, net(1)		(19,865)		-		(19,865)		-
Totals	$	(19,862)	$	-	$	(19,862)	$	-
(1) Please see Note 11 for additional information.

Items Measured at Fair Value on a Nonrecurring Basis

In addition to items that are measured at fair value on a recurring basis, we also have assets and liabilities in our balance sheet that are measured at fair value on a nonrecurring basis. As these assets and liabilities are not measured at fair value on a recurring basis, they are not included in the tables above. Assets, liabilities and noncontrolling interests that are measured at fair value on a nonrecurring basis include those acquired/assumed in business combinations (see Note 3) and asset impairments (if applicable, see Note 5 for impairments of real property and Note 6 for impairments of loans receivable). We have determined that the fair value measurements included in each of these assets and liabilities rely primarily on company-specific inputs and our assumptions about the use of the assets and settlement of liabilities, as observable inputs are not available. As such, we have determined that each of these fair value measurements generally reside within Level 3 of the fair value hierarchy. We estimate the fair value of real estate and related intangibles using the income approach and unobservable data such as net operating income and estimated capitalization and discount rates. We also consider local and national industry market data including comparable sales, and commonly engage an external real estate appraiser to assist us in our estimation of fair value. We estimate the fair value of assets held for sale based on current sales price expectations or, in the absence of such price expectations, Level 3 inputs described above. We estimate the fair value of secured debt assumed in business combinations using current interest rates at which similar borrowings could be obtained on the transaction date.

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Earnings Per Share (Tables)

6 Months Ended

Jun. 30, 2014

Earnings Per Share (Tables) [Abstract]

Computation of basic and diluted earnings per share

		Three Months Ended				Six Months Ended
		June 30,				June 30,
		2014		2013		2014		2013
Numerator for basic and diluted earnings
	per share - net income (loss) attributable
	to common stockholders	$	71,829	$	(8,508)	$	121,851	$	46,551
Denominator for basic earnings per
	share - weighted average shares		296,256		273,091		293,046		266,602
Effect of dilutive securities:
	Employee stock options		191		283		170		-
	Non-vested restricted shares		472		370		506		-
	Convertible senior unsecured notes		1,076		2,737		868		-
Dilutive potential common shares			1,739		3,390		1,544		-
Denominator for diluted earnings per
	share - adjusted weighted average shares		297,995		276,481		294,590		266,602
Basic earnings per share		$	0.24	$	(0.03)	$	0.42	$	0.17
Diluted earnings per share		$	0.24	$	(0.03)	$	0.41	$	0.17

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Income Taxes and Distributions

6 Months Ended

Jun. 30, 2014

Income Taxes And Distributions [Abstract]

Income Taxes And Distributions

18. Income Taxes and Distributions

We elected to be taxed as a REIT commencing with our first taxable year.To qualify as a REIT for federal income tax purposes, at least 90% of taxable income (excluding 100% of net capital gains) must be distributed to stockholders. REITs that do not distribute a certain amount of current year taxable income in the current year are also subject to a 4% federal excise tax. The main differences between undistributed net income for federal income tax purposes and financial statement purposes are the recognition of straight-line rent for reporting purposes, basis differences in acquisitions, recording of impairments, differing useful lives and depreciation and amortization methods for real property and the provision for loan losses for reporting purposes versus bad debt expense for tax purposes.

Under the provisions of the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”), for taxable years beginning after July 30, 2008, a REIT may lease “qualified health care properties” on an arm’s-length basis to a taxable REIT subsidiary (“TRS”) if the property is operated on behalf of such TRS by a person who qualifies as an “eligible independent contractor.” Generally, the rent received from the TRS will meet the related party rent exception and will be treated as “rents from real property.”  A “qualified health care property” includes real property and any personal property that is, or is necessary or incidental to the use of, a hospital, nursing facility, assisted living facility, congregate care facility, qualified continuing care facility, or other licensed facility which extends medical or nursing or ancillary services to patients. We have entered into various joint ventures that were structured under RIDEA. Resident level rents and related operating expenses for these facilities are reported in the unaudited consolidated financial statements and are subject to federal and state income taxes as the operations of such facilities are included in TRS entities. Certain net operating loss carryforwards could be utilized to offset taxable income in future years. 

Income tax expense reflected in the financial statements primarily represents U.S. federal and state and local income taxes as well as non-U.S. income taxes on certain investments located in jurisdictions outside the U.S. Net deferred tax liabilities with respect to our TRS entities totaled $21,215,000 and $19,748,000 as of June 30, 2014 and December 31, 2013, respectively, and related primarily to differences between the financial reporting and tax bases of fixed and intangible assets.

  Generally, given current statutes of limitations, we are subject to audit by the Internal Revenue Service (“IRS”) for the year ended December 31, 2010 and subsequent years and by state taxing authorities for the year ended December 31, 2009 and subsequent years.  We are also subject to audit by the Canada Revenue Agency and provincial authorities generally for periods subsequent to our Chartwell investment in May 2012 related to entities acquired or formed in connection with the investments, and by HM Revenue & Customs for periods subsequent to our Sunrise-related United Kingdom acquisitions beginning in August 2012 related to entities acquired or formed in connection with the acquisitions.

      We apply the rules under ASC 740-10 “Accounting for Uncertainty in Income Taxes” for uncertain tax positions using a “more likely than not” recognition threshold for tax positions. Pursuant to these rules, we will initially recognize the financial statement effects of a tax position when it is more likely than not, based on the technical merits of the tax position, that such a position will be sustained upon examination by the relevant tax authorities. If the tax benefit meets the “more likely than not” threshold, the measurement of the tax benefit will be based on our estimate of the ultimate tax benefit to be sustained if audited by the relevant taxing authority.

      The balance of our unrecognized tax benefits as of June 30, 2014 and December 31, 2013 was $6,413,000.  As of June 30, 2014, $5,896,000 (exclusive of accrued interest and penalties) relates to the April 1, 2011 Genesis HealthCare Corporation transaction (“Genesis Acquisition”) and is included in accrued expenses and other liabilities on the consolidated balance sheet.  As a part of the Genesis Acquisition, we received a full indemnification from FC-GEN Operations Investment, LLC covering income taxes or other taxes as well as  interest and penalties relating to tax positions taken by FC-GEN Operations Investment, LLC prior to the acquisition.  Accordingly, an offsetting indemnification asset is recorded in receivables and other assets on the consolidated balance sheet.  Such indemnification asset is reviewed for collectability periodically.  Unrecognized tax benefits, as currently accrued for, have an immaterial impact on the effective tax rate to the extent that they would be recognized.  The uncertain tax positions associated with the Genesis Acquisition are expected to expire given the current statute of limitations for those positions during 2014.  Interest and penalties for the three and six months ended June 30, 2014 totaled $140,000 and $287,000,respectively, and are included in income tax expense.

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Income Taxes and Distributions (Details) (USD $)	3 Months Ended	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2014	Dec. 31, 2013
Income Taxes And Distributions (Textuals) [Abstract]
Deferred Tax Liabilities	$ 21,215,000	$ 21,215,000	$ 19,748,000
Additional Income Taxes and Distributions (Textuals) [Abstract]
Unrecognized Tax Benefits	6,413,000	6,413,000	6,413,000
Expensed tax interest and penalties	140,000	287,000
Genesis Acquisition [Member]
Additional Income Taxes and Distributions (Textuals) [Abstract]
Unrecognized Tax Benefits	$ 5,896,000	$ 5,896,000

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Business

6 Months Ended

Jun. 30, 2014

Business [Abstract]

Business

1. Business

Health Care REIT, Inc., an S&P 500 company with headquarters in Toledo, Ohio, is an equity real estate investment trust (“REIT”) that invests in seniors housing and health care real estate. Our full service platform offers property management and development services to our customers. As of June 30, 2014, our diversified portfolio consisted of 1,224 properties in 46 states, the United Kingdom, and Canada. Founded in 1970, we were the first real estate investment trust to invest exclusively in health care facilities.

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Consolidated Statements of Income (Unaudited) (USD $)	3 Months Ended				6 Months Ended
	Jun. 30, 2014		Jun. 30, 2013		Jun. 30, 2014		Jun. 30, 2013
Revenues:
Rental income	$ 347,847,000		$ 298,873,000		$ 684,303,000		$ 591,516,000
Resident fees and services	467,639,000		370,995,000		923,904,000		698,319,000
Interest income	8,933,000		7,640,000		17,527,000		16,696,000
Other income	2,027,000		1,025,000		2,520,000		1,725,000
Total revenues	826,446,000		678,533,000		1,628,254,000		1,308,256,000
Expenses:
Interest expense	121,065,000		109,465,000		241,898,000		218,303,000
Property operating expenses	343,754,000		277,958,000		685,185,000		530,780,000
Depreciation and amortization	214,449,000		198,062,000		447,766,000		382,750,000
General and administrative	51,660,000		23,902,000		84,524,000		51,081,000
Transaction costs	7,040,000		28,136,000		7,993,000		94,116,000
Loss (gain) on derivatives, net	351,000		(2,716,000)		351,000		(407,000)
Loss (gain) on extinguishment of debt, net	531,000		0		383,000		(308,000)
Total expenses	738,850,000		634,807,000		1,468,100,000		1,276,315,000
Income (loss) from continuing operations before income taxes and income from unconsolidated entities, total	87,596,000		43,726,000		160,154,000		31,941,000
Income tax (expense) benefit	(1,569,000)		(1,215,000)		(3,830,000)		(3,978,000)
Income (loss) from unconsolidated entities	(11,516,000)		(5,461,000)		(17,073,000)		(3,198,000)
Income (loss) from continuing operations	74,511,000		37,050,000		139,251,000		24,765,000
Discontinued operations:
Gain (loss) on sales of discontinued properties, net	6,411,000		(29,997,000)		6,411,000		52,495,000
Income (loss) from discontinued operations, net	264,000		128,000		724,000		1,720,000
Discontinued operations, net	6,675,000		(29,869,000)		7,135,000		54,215,000
Gain (loss) on real estate dispositions, net	6,668,000		0		6,668,000		0
Net income	87,854,000		7,181,000		153,054,000		78,980,000
Less: Preferred stock dividends	16,352,000		16,602,000		32,705,000		33,203,000
Less: Net income (loss) attributable to noncontrolling interests	(327,000)	[1]	(913,000)	[1]	(1,502,000)	[1]	(774,000)	[1]
Net income (loss) attributable to common stockholders	$ 71,829,000		$ (8,508,000)		$ 121,851,000		$ 46,551,000
Average number of common shares outstanding:
Basic	296,256,000		273,091,000		293,046,000		266,602,000
Diluted	297,995,000		276,481,000		294,590,000		266,602,000
Basic:
Income (loss) from continuing operations attributable to common stockholders, including real estate dispositions	$ 0.22		$ 0.08		$ 0.39		$ (0.03)
Discontinued operations, net	$ 0.02		$ (0.11)		$ 0.02		$ 0.2
Net income (loss) attributable to common stockholders, total	$ 0.24		$ (0.03)		$ 0.42		$ 0.17
Diluted:
Income (loss) from continuing operations attributable to common stockholders, including real estate dispositions	$ 0.22		$ 0.08		$ 0.39		$ (0.03)
Discontinued operations, net	$ 0.02		$ (0.11)		$ 0.02		$ 0.2
Net income (loss) attributable to common stockholders, total	$ 0.24		$ (0.03)		$ 0.41		$ 0.17
Dividends declared and paid per common share	$ 0.795		$ 0.765		$ 1.59		$ 1.53

[1] (1) Includes amounts attributable to redeemable noncontrolling interests.

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Derivative Instruments

6 Months Ended

Jun. 30, 2014

Derivative Instruments [Abstract]

Derivative Instruments

11. Derivative Instruments

We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We may elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to manage the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. In addition, non-U.S. investments expose us to the potential losses associated with adverse changes in foreign currency to U.S. Dollar exchange rates. We may elect to manage this risk through the use of forward contracts and issuing debt in foreign currencies.

Interest Rate Swap Contracts and Foreign Currency Forward Contracts Designated as Cash Flow Hedges

For instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of other comprehensive income (“OCI”), and reclassified into earnings in the same period, or periods, during which the hedged transaction affects earnings. Gains and losses on the derivative representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness are recognized in earnings. Approximately $1,946,000 of losses, which are included in accumulated other comprehensive income (“AOCI”), are expected to be reclassified into earnings in the next 12 months.

Foreign Currency Hedges

For instruments that are designated and qualify as net investment hedges, the variability in the foreign currency to U.S. Dollar of the instrument is recorded as a cumulative translation adjustment component of OCI.  The balance of the cumulative translation adjustment will be reclassified to earnings when the hedged investment is sold or substantially liquidated.

The following presents the notional amount of derivatives and other financial instruments as of the dates indicated (in thousands):

		June 30, 2014		December 31, 2013
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars	$	600,000	$	600,000
Denominated in Pounds Sterling	£	350,000	£	350,000
Financial instruments designated as net investment hedges:
Denominated in Canadian Dollars	$	250,000	$	250,000
Denominated in Pounds Sterling	£	550,000	£	550,000
Derivatives designated as cash flow hedges
Denominated in U.S. Dollars	$	57,000	$	57,000
Denominated in Canadian Dollars	$	12,000	$	-
Derivative instruments not designated:
Denominated in Canadian Dollars	$	24,000	$	-

The following presents the impact of derivative instruments on the Consolidated Statements of Comprehensive Income for the periods presented (in thousands):

		Three Months Ended				Six Months Ended
		June 30,				June 30,
	Location		2014		2013		2014		2013
Gain (loss) on interest rate swap recognized in OCI (effective portion)	OCI	$	(4)	$	(4)	$	(7)	$	(8)
Gain (loss) on interest rate swaps reclassified from AOCI into income (effective portion)	Interest expense		(436)		(476)		(879)		(951)
Gain (loss) on forward exchange contracts recognized in income	Gain (loss) on derivatives, net		(351)		2,716		(351)		407
Gain (loss) on foreign exchange contracts and term loans designated as net investment hedge recognized in OCI	OCI		(67,899)		14,680		(49,410)		90,537

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Document and Entity Information (USD $)	6 Months Ended
	Jun. 30, 2014	Jul. 25, 2014
Document And Entity Information [Abstract]
Entity Registrant Name	HEALTH CARE REIT INC /DE/
Entity Central Index Key	0000766704
Document Type	10-Q
Document Period End date	Jun. 30, 2014
Amendment Flag	false
Document Fiscal Year Focus	2014
Document Fiscal Period Focus	Q2
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	$ 19,277,423,332
Entity Common Stock Shares Outstanding		308,544,842

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Commitments and Contingencies

6 Months Ended

Jun. 30, 2014

Commitments and Contingencies [Abstract]

Commitments and Contingencies

12. Commitments and Contingencies

At June 30, 2014, we had six outstanding letter of credit obligations totaling $10,769,000 and expiring between 2014 and 2015. At June 30, 2014, we had outstanding construction in process of $124,073,000 and were committed to providing additional funds of approximately $191,592,000 to complete construction. At June 30, 2014, we had contingent purchase obligations totaling $70,517,000. These contingent purchase obligations relate to unfunded capital improvement obligations and contingent obligations on acquisitions. Rents due from the tenant are increased to reflect the additional investment in the property.

     We evaluate our leases for operating versus capital lease treatment in accordance with Accounting Standards Codification (“ASC”) Topic 840 “Leases.”  A lease is classified as a capital lease if it provides for transfer of ownership of the leased asset at the end of the lease term, contains a bargain purchase option, has a lease term greater than 75% of the economic life of the leased asset, or if the net present value of the future minimum lease payments are in excess of 90% of the fair value of the leased asset. Certain leases contain bargain purchase options and have been classified as capital leases. At June 30, 2014, we had operating lease obligations of $884,093,000 relating to certain ground leases and company office space and capital lease obligations of $114,423,000 relating to certain investment properties. Regarding ground leases, we have sublease agreements with certain of our operators that require the operators to reimburse us for our monthly operating lease obligations. At June 30, 2014, aggregate future minimum rentals to be received under these noncancelable subleases totaled $42,322,000.

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Consolidated Statements of Comprehensive Income (Unaudited) (USD $)	3 Months Ended				6 Months Ended
	Jun. 30, 2014		Jun. 30, 2013		Jun. 30, 2014		Jun. 30, 2013
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 87,854,000		$ 7,181,000		$ 153,054,000		$ 78,980,000
Other comprehensive income (loss):
Unrecognized gain (loss) on equity investments	(160,000)		(258,000)		389,000		(86,000)
Unrecognized gain (loss) on cash flow hedges	432,000		472,000		872,000		943,000
Unrecognized gain (loss) on foreign currency translation	13,109,000		(20,751,000)		3,220,000		(43,457,000)
Total other comprehensive income (loss)	13,381,000		(20,537,000)		4,481,000		(42,600,000)
Total comprehensive income (loss), total	101,235,000		(13,356,000)		157,535,000		36,380,000
Total comprehensive income (loss) attributable to noncontrolling interests	6,277,000	[1]	(5,367,000)	[1]	(2,910,000)	[1]	(5,228,000)	[1]
Comprehensive income (loss) attributable to controlling interests	$ 94,958,000		$ (7,989,000)		$ 160,445,000		$ 41,608,000

[1] (1) Includes amounts attributable to redeemable noncontrolling interests.

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Real Estate Loans Receivable

6 Months Ended

Jun. 30, 2014

Real Estate Loans Receivable [Abstract]

Real Estate Loans Receivable

6. Real Estate Loans Receivable

     The following is a summary of our real estate loan activity for the periods presented (in thousands):

		Six Months Ended
		June 30, 2014						June 30, 2013
		Seniors						Seniors
		Housing		Medical				Housing		Medical
		Triple-net		Facilities		Totals		Triple-net		Facilities		Totals
Advances on real estate loans receivable:
	Investments in new loans	$	3,493	$	-	$	3,493	$	23,919	$	-	$	23,919
	Draws on existing loans		36,658		14,726		51,384		27,269		1,884		29,153
	Net cash advances on real estate loans		40,151		14,726		54,877		51,188		1,884		53,072
Receipts on real estate loans receivable:
	Loan payoffs		3,950		-		3,950		44,469		-		44,469
	Principal payments on loans		16,670		321		16,991		9,589		1,489		11,078
	Total receipts on real estate loans		20,620		321		20,941		54,058		1,489		55,547
Net cash advances (receipts) on real estate loans			19,531		14,405		33,936		(2,870)		395		(2,475)
Change in balance due to foreign currency translation			1,104		-		1,104		-		-		-
Net change in real estate loans receivable		$	20,635	$	14,405	$	35,040	$	(2,870)	$	395	$	(2,475)

We recorded no provision for loan losses during the six months ended June 30, 2014. At June 30, 2014, there were no real estate loans with outstanding balances on non-accrual status and no allowances for loan losses were recorded.

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Dispositions, Assets Held for Sale and Discontinued Operations

6 Months Ended

Jun. 30, 2014

Disclosure Dispositions, Assets Held for Sale and Discontinued Operations [Abstract]

Dispositions, Assets Held for Sale and Discontinued Operations

5. Dispositions, Assets Held for Sale and Discontinued Operations

We periodically sell properties for various reasons, including favorable market conditions or the exercise of tenant purchase options. The following is a summary of our real property disposition activity for the periods presented (in thousands):

		Six Months Ended
		June 30, 2014			June 30, 2013
Real property dispositions:
	Seniors housing triple-net		$	41,124		$	133,024
	Medical facilities			86,616			135,784
	Total dispositions			127,740			268,808
Gain (loss) on sales of real property, net				13,079			52,495
Proceeds from real property sales			$	140,819		$	321,303

Discontinued Operations

As discussed in Note 2, we adopted ASU 2014-08 effective January 1, 2014. During the quarter ended June 30, 2014, we sold seniors housing triple-net properties previously held for sale with a balance of $18,502,000 for a gain of $6,411,000. We have reclassified the income and expenses attributable to all properties sold prior to or held for sale at January 1, 2014 to discontinued operations. The following illustrates the reclassification impact as reported in our Consolidated Statements of Comprehensive Income as a result of classifying these properties as discontinued operations for the periods presented (in thousands):

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	298	$	4,789	$	881	$	11,575
Expenses:
	Interest expense		34		1,379		157		3,275
	Property operating expenses		-		867		-		1,731
	Provision for depreciation		-		2,415		-		4,849
	Total expenses		34		4,661		157		9,855
Income (loss) from discontinued operations, net		$	264	$	128	$	724	$	1,720

Dispositions and Assets Held for Sale

Pursuant to our adoption of ASU 2014-08, operating results attributable to properties sold subsequent to or classified as held for sale after January 1, 2014 and which do not meet the definition of discontinued operations are no longer reclassified on our Consolidated Statements of Comprehensive Income. The following represents the activity related to these properties for the periods presented (in thousands):

			Three Months Ended				Six Months Ended
			June 30,				June 30,
		2014		2013		2014		2013
Revenues:
	Rental income	$	3,636	$	5,002	$	8,677	$	10,002
Expenses:
	Interest expense		549		1,403		1,947		2,797
	Property operating expenses		650		568		1,205		1,080
	Provision for depreciation		1,070		1,486		2,560		2,970
	Total expenses		2,269		3,457		5,712		6,847
Income (loss) from real estate dispositions, net		$	1,367	$	1,545	$	2,965	$	3,155

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Segment Reporting

6 Months Ended

Jun. 30, 2014

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, care homes (United Kingdom), care homes with nursing (United Kingdom) 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 the seniors housing communities referenced above and independent supportive living facilities (Canada) 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, 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 is as follows for the periods presented (in thousands):

Three Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	225,472	$	-	$	122,375	$	-	$	347,847
Resident fees and services		-		467,639		-		-		467,639
Interest income		5,666		11		3,256		-		8,933
Other income		325		1,264		362		76		2,027
Total revenues		231,463		468,914		125,993		76		826,446
Property operating expenses		-		310,029		33,725		-		343,754
Net operating income from continuing operations		231,463		158,885		92,268		76		482,692
Reconciling items:
Interest expense		8,879		28,833		8,122		75,231		121,065
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		61,613		109,644		43,192		-		214,449
General and administrative		-		-		-		51,660		51,660
Transaction costs		4,007		1,660		1,373		-		7,040
(Loss) gain on extinguishment of debt, net		-		531		-		-		531
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	156,891	$	17,939	$	39,581	$	(126,815)	$	87,596
Total assets	$	9,460,260	$	9,156,333	$	4,906,320	$	50,977	$	23,573,890

Three Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	187,518	$	-	$	111,355	$	-	$	298,873
Resident fees and services		-		370,995		-		-		370,995
Interest income		5,433		-		2,207		-		7,640
Other income		199		-		662		164		1,025
Total revenues		193,150		370,995		114,224		164		678,533
Property operating expenses		-		248,972		28,986		-		277,958
Net operating income from continuing operations		193,150		122,023		85,238		164		400,575
Reconciling items:
Interest expense		3,247		19,412		9,506		77,300		109,465
(Loss) gain on derivatives, net		-		(2,716)		-		-		(2,716)
Depreciation and amortization		54,637		103,646		39,779		-		198,062
General and administrative		-		-		-		23,902		23,902
Transaction costs		11,211		16,799		126		-		28,136
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	124,055	$	(15,118)	$	35,827	$	(101,038)	$	43,726

Six Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	440,302	$	-	$	244,001	$	-	$	684,303
Resident fees and services		-		923,904		-		-		923,904
Interest income		11,106		11		6,410		-		17,527
Other income		446		1,318		665		91		2,520
Total revenues		451,854		925,233		251,076		91		1,628,254
Property operating expenses		-		618,213		66,972		-		685,185
Net operating income from continuing operations		451,854		307,020		184,104		91		943,069
Reconciling items:
Interest expense		17,769		56,312		17,730		150,087		241,898
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		123,016		238,806		85,944		-		447,766
General and administrative		-		-		-		84,524		84,524
Transaction costs		4,283		2,290		1,420		-		7,993
(Loss) gain on extinguishment of debt, net		-		383		-		-		383
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	306,713	$	8,951	$	79,010	$	(234,520)	$	160,154

Six Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	370,814	$	-	$	220,702	$	-	$	591,516
Resident fees and services		-		698,319		-		-		698,319
Interest income		11,276		757		4,663		-		16,696
Other income		408		-		1,072		245		1,725
Total revenues		382,498		699,076		226,437		245		1,308,256
Property operating expenses		-		473,475		57,305		-		530,780
Net operating income from continuing operations		382,498		225,601		169,132		245		777,476
Reconciling items:
Interest expense		9,055		38,482		18,364		152,402		218,303
(Loss) gain on derivatives, net		-		(407)		-		-		(407)
Depreciation and amortization		109,587		193,521		79,642		-		382,750
General and administrative		-		-		-		51,081		51,081
Transaction costs		11,705		82,124		287		-		94,116
(Loss) gain on extinguishment of debt, net		-		(308)		-		-		(308)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	252,151	$	(87,811)	$	70,839	$	(203,238)	$	31,941

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 Ended						Six Months Ended
		June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
Revenues:		Amount	%		Amount	%		Amount	%		Amount	%
United States	$	695,922	84.2%	$	591,509	87.2%	$	1,371,021	84.2%	$	1,160,688	88.7%
International		130,524	15.8%		87,024	12.8%		257,233	15.8%		147,568	11.3%
Total	$	826,446	100.0%	$	678,533	100.0%	$	1,628,254	100.0%	$	1,308,256	100.0%
		As of
		June 30, 2014			December 31, 2013
Assets:		Amount	%		Amount	%
United States	$	20,376,451	86.4%	$	19,759,945	85.6%
International		3,197,439	13.6%		3,324,012	14.4%
Total	$	23,573,890	100.0%	$	23,083,957	100.0%

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Stockholders' Equity

6 Months Ended

Jun. 30, 2014

Stockholders' Equity [Abstract]

Stockholders' Equity

13. Stockholders’ Equity

     The following is a summary of our stockholders’ equity capital accounts as of the dates indicated:

	June 30, 2014	December 31, 2013
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	25,875,000	26,108,236
Outstanding shares	25,875,000	26,108,236
Common Stock, $1.00 par value:
Authorized shares	700,000,000	400,000,000
Issued shares	308,976,931	290,024,789
Outstanding shares	308,329,737	289,563,651

Preferred Stock. The following is a summary of our preferred stock activity during the periods indicated:

	Six Months Ended
	June 30, 2014		June 30, 2013
		Weighted Avg.		Weighted Avg.
	Shares	Dividend Rate	Shares	Dividend Rate
Beginning balance	26,108,236	6.496%	26,224,854	6.493%
Shares converted	(233,236)	6.000%	-	0.000%
Ending balance	25,875,000	6.500%	26,224,854	6.493%

Common Stock. The following is a summary of our common stock issuances during the six months ended June 30, 2014 and 2013 (dollars in thousands, except per share amounts):

	Shares Issued		Average Price		Gross Proceeds		Net Proceeds
2013 Public issuances	23,000,000	$	73.50	$	1,690,500	$	1,630,636
2013 Dividend reinvestment plan issuances	1,370,661		66.87		91,651		91,651
2013 Option exercises	186,404		42.64		7,948		7,948
2013 Stock incentive plans, net of forfeitures	301,544				-		-
2013 Senior note conversions	18				-		-
2013 Totals	24,858,627			$	1,790,099	$	1,730,235
2014 Public issuances	16,100,000	$	62.35	$	1,003,835	$	968,517
2014 Dividend reinvestment plan issuances	2,132,427		58.73		125,232		125,232
2014 Option exercises	175,699		46.78		8,220		8,220
2014 Preferred stock conversions	233,236				-		-
2014 Stock incentive plans, net of forfeitures	124,723				-		-
2014 Senior note conversions	1				-		-
2014 Totals	18,766,086			$	1,137,287	$	1,101,969

Dividends. The increase in dividends is primarily attributable to increases in our common shares outstanding as described above and an increase in common dividends per share. The following is a summary of our dividend payments (in thousands, except per share amounts):

	Six Months Ended
	June 30, 2014				June 30, 2013
	Per Share		Amount		Per Share		Amount
Common Stock	$	1.5900	$	462,551	$	1.5300	$	399,815
Series H Preferred Stock		0.0079		1		1.4292		500
Series I Preferred Stock		1.6250		23,360		1.6250		23,359
Series J Preferred Stock		0.8126		9,344		0.8126		9,344
Totals			$	495,256			$	433,018

Accumulated Other Comprehensive Income. The following is a summary of accumulated other comprehensive income(loss) for the periods presented (in thousands):

		Unrecognized gains (losses) related to:
		Foreign Currency Translation		Equity Investments		Actuarial losses		Cash Flow Hedges		Total
Balance at December 31, 2013	$	(17,631)	$	(389)	$	(1,452)	$	(5,059)	$	(24,531)
Other comprehensive income before reclassification adjustments		4,628		389		-		(7)		5,010
Reclassification amount to net income		-		-		-		879(1)		879
Net current-period other comprehensive income		4,628		389		-		872		5,889
Balance at June 30, 2014	$	(13,003)	$	-	$	(1,452)	$	(4,187)	$	(18,642)
Balance at December 31, 2012	$	(881)	$	(216)	$	(2,974)	$	(6,957)	$	(11,028)
Other comprehensive income before reclassification adjustments		(39,003)		(86)		-		(8)		(39,097)
Reclassification amount to net income		-		-		-		951(1)		951
Net current-period other comprehensive income		(39,003)		(86)		-		943		(38,146)
Balance at June 30, 2013	$	(39,884)	$	(302)	$	(2,974)	$	(6,014)	$	(49,174)
(1) Please see Note 11 for additional information.

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Borrowings Under Line of Credit Arrangements and Related Items

6 Months Ended

Jun. 30, 2014

Borrowings Under Line of Credit Arrangement and Related Items [Abstract]

Borrowings Under Line of Credit Arrangements and Related Items

9. Borrowings Under Line of Credit Arrangements and Related Items

     Please see Note 19 regarding our new unsecured credit facility entered into subsequent to June 30, 2014. At June 30, 2014, we had a $2,250,000,000 unsecured line of credit arrangement with a consortium of 30 banks. We have an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature, allowing for the aggregate commitment of up to $3,250,000,000. The arrangement also allows us to borrow up to $500,000,000 in alternate currencies (none outstanding at June 30, 2014). The revolving credit facility is scheduled to expire March 31, 2017, but can be extended for an additional year at our option.Borrowings under the revolver are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (1.32% at June 30, 2014). The applicable margin is based on certain of our debt ratings and was 1.175%at June 30, 2014.In addition, we pay a facility fee annually to each bank based on the bank’s commitment amount. The facility fee depends on certain of our debt ratings and was 0.225%at June 30, 2014. Principal is due upon expiration of the agreement.

     The following information relates to aggregate borrowings under the unsecured line of credit arrangement for the periods presented (dollars in thousands):

		Three Months Ended June 30,				Six Months Ended June 30,
		2014		2013		2014		2013
Balance outstanding at quarter end		$	-	$	-	$	-	$	-
Maximum amount outstanding at any month end		$	637,000	$	600,000	$	637,000	$	780,000
Average amount outstanding (total of daily
	principal balances divided by days in period)	$	375,824	$	299,011	$	331,602	$	510,055
Weighted average interest rate (actual interest
	expense divided by average borrowings outstanding)		1.37%		1.38%		1.36%		1.38%

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Stockholder's Equity (Details 2) (USD $)	Jun. 30, 2014	Dec. 31, 2013	Jun. 30, 2013	Dec. 31, 2012
Summary of accumulated other comprehensive income/(loss)
Unrecognized losses on cash flow hedges	$ (4,187,000)	$ (5,059,000)	$ (6,014,000)	$ (6,957,000)
Unrecognized losses on equity investments	0	(389,000)	(302,000)	(216,000)
Unrecognized gains (losses) on foreign currency translation	(13,003,000)	(17,631,000)	(39,884,000)	(881,000)
Unrecognized actuarial losses	(1,452,000)	(1,452,000)	(2,974,000)	(2,974,000)
Totals	(18,642,000)	(24,531,000)	(49,174,000)	(11,028,000)
Other comprehensive income before reclassification adjustments
Summary of accumulated other comprehensive income/(loss)
Unrecognized losses on cash flow hedges	(7,000)		(8,000)
Unrecognized losses on equity investments	389,000		(86,000)
Unrecognized gains (losses) on foreign currency translation	4,628,000		(39,003,000)
Unrecognized actuarial losses	0		0
Totals	5,010,000		(39,097,000)
Reclassification amount to net income
Summary of accumulated other comprehensive income/(loss)
Unrecognized losses on cash flow hedges	879,000		951,000
Unrecognized losses on equity investments	0		0
Unrecognized gains (losses) on foreign currency translation	0		0
Unrecognized actuarial losses	0		0
Totals	879,000		951,000
Net current period other comprehensive income
Summary of accumulated other comprehensive income/(loss)
Unrecognized losses on cash flow hedges	872,000		943,000
Unrecognized losses on equity investments	389,000		(86,000)
Unrecognized gains (losses) on foreign currency translation	4,628,000		(39,003,000)
Unrecognized actuarial losses	0		0
Totals	$ 5,889,000		$ (38,146,000)

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Investments in Unconsolidated Entities

6 Months Ended

Jun. 30, 2014

Investments in Unconsolidated Entities [Abstract]

Investments in Unconsolidated Entities

7. Investments in Unconsolidated Entities

During the year ended December 31, 2010, we entered into a joint venture investment with Forest City Enterprises Inc. (NYSE:FCE.A and FCE.B). We acquired a 49% interest in a seven-building life science campus located at University Park in Cambridge, Massachusetts, which is immediately adjacent to the campus of the Massachusetts Institute of Technology. This investment is recorded as an investment in unconsolidated entities on the balance sheet.

During the three months ended June 30, 2012, we entered into a joint venture with Chartwell Retirement Residences (TSX:CSH.UN). The portfolio contains 42 properties in Canada, 39 of which are owned 50% by us and Chartwell, and three of which we wholly own. All properties are managed by Chartwell. Our investment in the 39 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $8,808,000 at June 30, 2014 is primarily attributable to transaction costs that will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

In conjunction with the Sunrise merger (see Note 3 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013), we acquired joint venture interests in 54 properties and a 20% interest in a newly formed Sunrise management company, which manages the entire property portfolio. On July 1, 2013, we acquired the remaining interests in 49 of the properties. In April 2014, we acquired an additional 4% ownership in the Sunrise management company.

During the three months ended March 31, 2014, we invested $214,832,000 for a 46.79% interestin a joint venture with Senior Resource Group (“SRG”) and the Public Sector Pension Investment Board. The joint venture owns 10 properties located in major metropolitan markets in Arizona, California and Colorado. The properties owned by the joint venture are operated by SRG. Our investment in the 10 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $173,563,000 at June 30, 2014 is primarily attributable to appreciation of the underlying properties as well as transaction costs, and will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

The results of operations for those investments accounted for under the equity method have been included in our consolidated results of operations from the date of acquisition by the joint ventures and are reflected in our Consolidated Statements of Comprehensive Income as income or loss from unconsolidated entities.

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Credit Concentration

6 Months Ended

Jun. 30, 2014

Customer Concentration [Abstract]

Credit Concentration

8. Credit Concentration

     The following table summarizes certain information about our credit concentration as of June 30, 2014 (dollars in thousands):

		Number of	Total		Percent of
Concentration by investment:(1)		Properties(2)	Investment(2)		Investment(3)
	Sunrise Senior Living(4)	121	$	4,001,436	18%
	Genesis HealthCare	179		2,681,574	12%
	Revera(4)	48		1,158,028	5%
	Benchmark	39		929,443	4%
	Belmont Village	19		832,909	4%
	Remaining portfolio	751		12,308,922	57%
	Totals	1,157	$	21,912,312	100%

• Genesis is in our seniors housing triple-net segment. Sunrise, Revera, and Belmont Village are in our seniors housing operating segment. Benchmark is in both our seniors housing triple-net and seniors housing operating segments.
• Excludes our share of investments in unconsolidated entities. Please see Note 7 for additional information.
• Investments with our top five relationships comprised 44% of total investments at December 31, 2013.
• Revera owns a controlling interest in Sunrise.

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Senior Unsecured Notes and Secured Debt

6 Months Ended

Jun. 30, 2014

Senior Unsecured Notes and Secured Debt [Abstract]

Senior Unsecured Notes and Secured Debt

10. Senior Unsecured Notes and Secured Debt

We may repurchase, redeem or refinance convertible and non-convertible senior unsecured notes from time to time, taking advantage of favorable market conditions when available. We may purchase senior notes for cash through open market purchases, privately negotiated transactions, a tender offer or, in some cases, through the early redemption of such securities pursuant to their terms. The non-convertible senior unsecured notes are redeemable at our option, at any time in whole or from time to time in part, at a redemption price equal to the sum of (1) the principal amount of the notes (or portion of such notes) being redeemed plus accrued and unpaid interest thereon up to the redemption date and (2) any “make-whole” amount due under the terms of the notes in connection with early redemptions. Redemptions and repurchases of debt, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors.At June 30, 2014, the annual principal payments due on these debt obligations were as follows (in thousands):

	Senior		Secured
	Unsecured Notes(1,2)		Debt (1,3)		Totals
2014	$	-	$	117,263	$	117,263
2015		484,170(4)		409,563		893,733
2016		1,200,000(5)		372,528		1,572,528
2017		450,000		327,347		777,347
2018		450,000		430,379		880,379
Thereafter		4,865,937(6)		1,155,146		6,021,083
Totals	$	7,450,107	$	2,812,226	$	10,262,333
(1) Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(2) Annual interest rates range from 1.5% to 6.5%.
(3) Annual interest rates range from 1.0% to 8.0%. Carrying value of the properties securing the debt totaled $5,123,888,000 at June 30, 2014.
(4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $234,170,000 based on the Canadian/U.S. Dollar exchange rate in effect on June 30, 2014). The loan matures on July 27, 2015 (with an option to extend for an additional year at our discretion) and bears interest at the Canadian Dealer Offered Rate plus 145 basis points (2.7% at June 30, 2014). Please see Note 19 for subsequent activity.
(5) On January 8, 2013, we completed funding on a $500,000,000 unsecured term loan. The loan matures on March 31, 2016 (with an option to extend for two additional years at our discretion) and bears interest at LIBOR plus 135 basis points (1.5% at June 30, 2014). Please see Note 19 for subsequent activity.
(6) On November 20, 2013, we completed the sale of £550,000,000 (approximately $940,830,000 based on the Sterling/U.S. Dollar exchange rate in effect on June 30, 2014) of 4.8% senior unsecured notes due 2028.

The following is a summary of our senior unsecured notes principal activity during the periods presented (dollars in thousands):

	Six Months Ended
	June 30, 2014			June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	7,421,707	4.400%	$	5,894,403	4.675%
Debt issued		-	0.000%		500,000	1.552%
Debt redeemed		(1)	3.000%		(3)	3.000%
Foreign currency		28,401	4.865%		-	0.000%
Ending balance	$	7,450,107	4.402%	$	6,394,400	4.431%

The following is a summary of our secured debt principal activity for the periods presented (dollars in thousands):

	Six Months Ended
		June 30, 2014		June 30, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	3,010,711	5.10%	$	2,311,586	5.14%
Debt issued		10,690	3.54%		71,340	4.96%
Debt assumed		12,005	4.15%		536,856	4.22%
Debt extinguished		(188,722)	5.73%		(49,156)	4.20%
Principal payments		(31,258)	4.98%		(24,709)	5.39%
Foreign currency		(1,200)	3.94%		(6,892)	3.87%
Ending balance	$	2,812,226	5.04%	$	2,839,025	5.08%

Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintaincertain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of June 30, 2014, we were in compliance with all of the covenants under our debt agreements.

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Earnings Per Share (Details) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Computation of basic and diluted earnings per share
Numerator for basic and diluted earnings per share - net income (loss) attributable to common stockholders	$ 71,829,000	$ (8,508,000)	$ 121,851,000	$ 46,551,000
Denominator for basic earnings per share - weighted average shares	296,256,000	273,091,000	293,046,000	266,602,000
Effect of dilutive securities:
Employee stock options	191,000	283,000	170,000	0
Non-vested restricted shares	472,000	370,000	506,000	0
Convertible senior unsecured notes	1,076,000	2,737,000	868,000	0
Dilutive potential common shares	1,739,000	3,390,000	1,544,000	0
Denominator for diluted earnings per share - adjusted weighted average shares	297,995,000	276,481,000	294,590,000	266,602,000
Basic earnings per share	$ 0.24	$ (0.03)	$ 0.42	$ 0.17
Diluted earnings per share	$ 0.24	$ (0.03)	$ 0.41	$ 0.17
Earnings Per Share (Textual) [Abstract]
Securities Excluded From Computation Of Diluted Earnings Per Share	0	0	0	0

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Disclosure about Fair Value of Financial Instruments (Details 1) (USD $)	Jun. 30, 2014		Dec. 31, 2013
The Market approach utilized to measure fair value of financial assets and liabilities on recurring basis
Available-for-sale equity investments	$ 0		$ 1,211,000
Interest rate swap agreements, net	3,000		38,000
Foreign currency forward contracts	(19,865,000)	[1]
Totals	(19,862,000)
Level 1 [Member]
The Market approach utilized to measure fair value of financial assets and liabilities on recurring basis
Interest rate swap agreements, net	0
Foreign currency forward contracts	0	[1]
Totals	0
Level 2 [Member]
The Market approach utilized to measure fair value of financial assets and liabilities on recurring basis
Interest rate swap agreements, net	3,000
Foreign currency forward contracts	(19,865,000)	[1]
Totals	(19,862,000)
Level 3 [Member]
The Market approach utilized to measure fair value of financial assets and liabilities on recurring basis
Interest rate swap agreements, net	0
Foreign currency forward contracts	0	[1]
Totals	$ 0

[1] (1) Please see Note 11 for additional information.

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Stock Incentive Plans (Details Textual) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Stock Incentive Plans [Line Items]
Number of common stock authorized for Long-Term Incentive Plan	6,200,000		6,200,000
Stock-based compensation expense	$ 14,170,000	$ 2,186,000	$ 21,837,000	$ 12,694,000
CEO transition costs	19,688,000
Restricted Stock, deferred	9,223,000
Consulting, retirement payments and other costs	$ 10,465,000

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Derivative Instruments (Tables)

6 Months Ended

Jun. 30, 2014

Derivative Instruments (Tables) [Abstract]

Impact of derivative instruments on the statement of operations and OCI

		June 30, 2014		December 31, 2013
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars	$	600,000	$	600,000
Denominated in Pounds Sterling	£	350,000	£	350,000
Financial instruments designated as net investment hedges:
Denominated in Canadian Dollars	$	250,000	$	250,000
Denominated in Pounds Sterling	£	550,000	£	550,000
Derivatives designated as cash flow hedges
Denominated in U.S. Dollars	$	57,000	$	57,000
Denominated in Canadian Dollars	$	12,000	$	-
Derivative instruments not designated:
Denominated in Canadian Dollars	$	24,000	$	-

		Three Months Ended				Six Months Ended
		June 30,				June 30,
	Location		2014		2013		2014		2013
Gain (loss) on interest rate swap recognized in OCI (effective portion)	OCI	$	(4)	$	(4)	$	(7)	$	(8)
Gain (loss) on interest rate swaps reclassified from AOCI into income (effective portion)	Interest expense		(436)		(476)		(879)		(951)
Gain (loss) on forward exchange contracts recognized in income	Gain (loss) on derivatives, net		(351)		2,716		(351)		407
Gain (loss) on foreign exchange contracts and term loans designated as net investment hedge recognized in OCI	OCI		(67,899)		14,680		(49,410)		90,537

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Borrowings Under Line of Credit Arrangements and Related Items (Details Textual)	1 Months Ended	6 Months Ended
	Jul. 25, 2014 USD ($) properties Number	Jun. 30, 2014 USD ($) Number	Jun. 30, 2014 CAD	Jun. 30, 2014 GBP (£)	Dec. 31, 2013 USD ($)	Jun. 30, 2013 USD ($)
Line Of Credit Facility [Line Items]
Unsecured line of credit arrangement	$ 2,500,000,000	$ 2,250,000,000
Additional unsecured line of credit arrangement	1,000,000,000	1,000,000,000
Maximum aggregate commitment		3,250,000,000
Number of banks in consortium	28	30	30	30
Maximum Interest payable period in months		3	3	3
Available to borrow in alternate currencies	500,000,000	500,000,000
Agent bank's prime rate of interest		1.32%	1.32%	1.32%
Interest Rate margin	1.05%	1.175%	1.175%	1.175%
Annual facility fee for each bank based on commitment amount	0.20%	0.225%	0.225%	0.225%
Debt instrument maturity date	Oct. 31, 2018	Mar. 31, 2017	Mar. 31, 2017	Mar. 31, 2017
Balance outstanding at quarter end		$ 0	0	£ 0	$ 130,000,000	$ 0

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Earnings Per Share

6 Months Ended

Jun. 30, 2014

Earnings Per Share [Abstract]

Earnings Per Share

15. Earnings Per Share

     The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):

		Three Months Ended				Six Months Ended
		June 30,				June 30,
		2014		2013		2014		2013
Numerator for basic and diluted earnings
	per share - net income (loss) attributable
	to common stockholders	$	71,829	$	(8,508)	$	121,851	$	46,551
Denominator for basic earnings per
	share - weighted average shares		296,256		273,091		293,046		266,602
Effect of dilutive securities:
	Employee stock options		191		283		170		-
	Non-vested restricted shares		472		370		506		-
	Convertible senior unsecured notes		1,076		2,737		868		-
Dilutive potential common shares			1,739		3,390		1,544		-
Denominator for diluted earnings per
	share - adjusted weighted average shares		297,995		276,481		294,590		266,602
Basic earnings per share		$	0.24	$	(0.03)	$	0.42	$	0.17
Diluted earnings per share		$	0.24	$	(0.03)	$	0.41	$	0.17

The diluted earnings per share calculations exclude the dilutive effect of zero stock options for the three and six months ended June 30, 2014and June 30, 2013 because the exercise prices were higher than the average share prices. The diluted earnings per share calculation for the six months ended June 30, 2013 excludes the dilutive effect all common stock equivalents as they are anti-dilutive due to the loss from continuing operations attributable to common stockholders. The Series I Cumulative Convertible Perpetual Preferred Stock was not included in the calculations as the effect of conversions into common stock was anti-dilutive.

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Accounting Policies and Related Matters (Policies)

6 Months Ended

Jun. 30, 2014

Accounting Policies and Related Matters (Policies) [Abstract]

Basis of Presentation

Basis of Presentation

The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with instructions to Quarterly Report on Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the sixmonths ended June 30, 2014 are not necessarily an indication of the results that may be expected for the year ending December 31, 2014. For further information, refer to the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2013.

New Accounting Standards

New Accounting Standards

In April 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity” (“ASU 2014-08”), which amends U.S. GAAP to require reporting of discontinued operations only if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. This pronouncement will be effective for the first annual reporting period beginning after December 15, 2014 with early adoption permitted. We adopted ASU 2014-08 on January 1, 2014 on a prospective basis. The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations.

In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)” (“ASU 2014-09”). The standard is a comprehensive new revenue recognition model that requires revenue to be recognized in a manner to depict the transfer of goods or services to a customer at an amount that reflects the consideration expected to be received in exchange for those goods or services. ASU 2014-09 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2016, and early adoption is not permitted. Accordingly, the standard is effective for us on January 1, 2017. We are currently evaluating the impact that the standard will have on our consolidated financial statements and have not yet determined the method by which we will adopt the standard.

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Credit Concentration (Details) (USD $)	6 Months Ended
	Jun. 30, 2014 properties		Dec. 31, 2013
Concentration by investment:
Number of properties in diversified portfolio	1,157
Net real estate investments	$ 21,912,312,000		$ 21,680,221,000
Percent of Investment	100.00%	[1]
Credit Concentration (Textual) [Abstract]
Percentage total investments with top five customers			44.00%
Genesis HealthCare [Member]
Concentration by investment:
Number of properties in diversified portfolio	179	[2]
Net real estate investments	2,681,574,000	[3]
Percent of Investment	12.00%	[1]
Benchmark Senior Living [Member]
Concentration by investment:
Number of properties in diversified portfolio	39	[2]
Net real estate investments	929,443,000	[3]
Percent of Investment	4.00%	[1]
Remaining Portfolio [Member]
Concentration by investment:
Number of properties in diversified portfolio	751	[2]
Net real estate investments	12,308,922,000	[3]
Percent of Investment	57.00%	[1]
Belmont Village [Member]
Concentration by investment:
Number of properties in diversified portfolio	19	[2]
Net real estate investments	832,909,000	[3]
Percent of Investment	4.00%	[1]
Sunrise Senior Living [Member]
Concentration by investment:
Number of properties in diversified portfolio	121	[2]
Net real estate investments	4,001,436,000	[3],[4]
Percent of Investment	18.00%	[1]
Revera [Member]
Concentration by investment:
Number of properties in diversified portfolio	48	[2]
Net real estate investments	$ 1,158,028,000	[3],[4]
Percent of Investment	5.00%	[1]

[1] Investments with our top five relationships comprised 44% of total investments at December 31, 2013

[2] Genesis is in our seniors housing triple-net segment. Sunrise, Revera, and Belmont Village are in our seniors housing operating segment. Benchmark is in both our seniors housing triple-net and seniors housing operating segments

[3] Excludes our share of investments in unconsolidated entities. Please see Note 7 for additional information

[4] Revera owns a controlling interest in Sunrise.

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Real Property Acquisitions and Development (Details 2) (USD $)	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Development projects:
Total development projects	$ 114,369,000	$ 137,544,000
Expansion projects	10,849,000	8,155,000
Total construction in progress conversions	125,218,000	145,699,000
Medical facilities [Member]
Development projects:
Total development projects	42,799,000	70,227,000
Seniors Housing Facilities Triple Net [Member]
Development projects:
Total development projects	$ 71,570,000	$ 67,317,000

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Consolidated Statements of Equity (Unaudited) (USD $)	Total	Preferred Stock	Common Stock	Capital in Excess of Par Value	Treasury Stock	Cumulative Net Income	Cumulative Dividends	Accumulated Other Comprehensive Income (Loss)	Other Equity	Noncontrolling Interests
Balances at beginning of period at Dec. 31, 2012	$ 10,520,519,000	$ 1,022,917,000	$ 260,396,000	$ 10,543,690,000	$ (17,875,000)	$ 2,184,819,000	$ (3,694,579,000)	$ (11,028,000)	$ 6,461,000	$ 225,718,000
Comprehensive income:
Net income (loss)	79,746,000					79,754,000				(8,000)
Other comprehensive income	(42,600,000)							(38,146,000)		(4,454,000)
Total comprehensive income	37,146,000
Net change in noncontrolling interests	198,739,000									198,739,000
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures	109,564,000		1,689,000	112,601,000	(3,373,000)				(1,353,000)
Proceeds from issuance of common stock	1,630,636,000		23,000,000	1,607,636,000
Option compensation expense	570,000								570,000
Cash dividends paid:
Common stock cash dividends	(399,815,000)						(399,815,000)
Preferred stock cash dividends	(33,203,000)						(33,203,000)
Balances at end of period at Jun. 30, 2013	12,064,156,000	1,022,917,000	285,085,000	12,263,927,000	(21,248,000)	2,264,573,000	(4,127,597,000)	(49,174,000)	5,678,000	419,995,000
Balances at beginning of period at Dec. 31, 2013	11,756,331,000	1,017,361,000	289,461,000	12,418,520,000	(21,263,000)	2,329,869,000	(4,600,854,000)	(24,531,000)	6,020,000	341,748,000
Comprehensive income:
Net income (loss)	153,205,000					154,556,000				(1,351,000)
Other comprehensive income	4,481,000						5,889,000			(1,408,000)
Total comprehensive income	157,686,000
Net change in noncontrolling interests	(11,548,000)			(4,680,000)						(6,868,000)
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures	138,701,000		2,561,000	147,486,000	(11,026,000)				(320,000)
Proceeds from issuance of common stock	968,517,000		16,100,000	952,417,000
Conversion of preferred stock	0	(11,111,000)	233,000	10,878,000
Option compensation expense	459,000								459,000
Cash dividends paid:
Common stock cash dividends	(462,551,000)						(462,551,000)
Preferred stock cash dividends	(32,705,000)						(32,705,000)
Balances at end of period at Jun. 30, 2014	$ 12,514,890,000	$ 1,006,250,000	$ 308,355,000	$ 13,524,621,000	$ (32,289,000)	$ 2,484,425,000	$ (5,096,110,000)	$ (18,642,000)	$ 6,159,000	$ 332,121,000

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Real Estate Intangibles

6 Months Ended

Jun. 30, 2014

Real Estate Intangibles [Abstract]

Real Estate Intangibles

4. Real Estate Intangibles

     The following is a summary of our real estate intangibles, excluding those classified as held for sale, as of the dates indicated (dollars in thousands):

		June 30, 2014		December 31, 2013
Assets:
	In place lease intangibles	$	947,616	$	937,357
	Above market tenant leases		58,735		55,939
	Below market ground leases		60,088		59,165
	Lease commissions		18,264		18,293
	Gross historical cost		1,084,703		1,070,754
	Accumulated amortization		(713,334)		(571,008)
	Net book value	$	371,369	$	499,746
	Weighted-average amortization period in years		17.9		16.7
Liabilities:
	Below market tenant leases	$	78,723	$	76,381
	Above market ground leases		6,646		9,490
	Gross historical cost		85,369		85,871
	Accumulated amortization		(37,425)		(34,434)
	Net book value	$	47,944	$	51,437
	Weighted-average amortization period in years		13.1		14.3

The following is a summary of real estate intangible amortization for the periods presented (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2014		2013		2014		2013
Rental income related to above/below market tenant leases, net	$	290	$	213	$	245	$	361
Property operating expenses related to above/below market ground leases, net		(299)		(303)		(610)		(606)
Depreciation and amortization related to in place lease intangibles and lease commissions		(59,603)		(39,083)		(138,996)		(89,659)

     The future estimated aggregate amortization of intangible assets and liabilities is as follows for the periods presented (in thousands):

		Assets		Liabilities
2014	$	77,024	$	3,421
2015		64,525		5,994
2016		30,515		5,580
2017		22,266		5,115
2018		19,317		4,729
Thereafter		157,722		23,105
Totals	$	371,369	$	47,944

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Stockholder's Equity (Details)	Jun. 30, 2014	Dec. 31, 2013	Jun. 30, 2013	Dec. 31, 2012
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	25,875,000	26,108,236
Outstanding shares	25,875,000	26,108,236	26,224,854	26,224,854
Common Stock, $1.00 par value:
Authorized shares	700,000,000	400,000,000
Issued shares	308,976,931	290,024,789
Outstanding shares	308,329,737	289,563,651

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Subsequent Events (Details) (USD $)	1 Months Ended	6 Months Ended
	Jul. 25, 2014 properties Number	Jun. 30, 2014 Number
Subsequent Event [Line Items]
Number of banks in consortium	28	30
Line of Credit Facility, Maximum Borrowing Capacity	$ 2,500,000,000	$ 2,250,000,000
Term Loan	500,000,000
Canadian Denominated Term Loan	250,000,000
Interest Rate margin	1.05%	1.175%
Facility Fee as Percentage of commitment fee	0.20%	0.225%
Line of Credit Facility Maximum Borrowing Capacity Additional	1,000,000,000	1,000,000,000
Available In Alternate Currencies	$ 500,000,000	$ 500,000,000
Term Loan Interest Rate Margin	1.15%
Debt instrument maturity date	Oct. 31, 2018	Mar. 31, 2017

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Real Property Acquisitions and Development (Tables)

6 Months Ended

Jun. 30, 2014

Real property acquisitions and development [Line Items]

Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Seniors Housing Triple-net Activity

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	18,530		$	8,533
Buildings and improvements				230,126			47,993
	Total assets acquired			248,656			56,526
Non-cash acquisition related activity				(1,839)			-
	Cash disbursed for acquisitions			246,817			56,526
Construction in progress additions				55,535			58,799
Less:	Capitalized interest			(2,332)			(2,208)
	Foreign currency translation			(116)			-
Cash disbursed for construction in progress				53,087			56,591
Capital improvements to existing properties				9,863			18,302
	Total cash invested in real property, net of cash acquired		$	309,767		$	131,419
(1) Includes acquisitions with an aggregate purchase price of $116,134,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

		Six Months Ended
(In thousands)		June 30, 2014(1)			June 30, 2013
Land and land improvements			$	3,546		$	337,066
Building and improvements				37,274			3,069,192
Acquired lease intangibles				5,569			263,740
Restricted cash				-			22,863
Receivables and other assets				33			76,286
	Total assets acquired(2)			46,422			3,769,147
Secured debt				(12,846)			(556,413)
Accrued expenses and other liabilities				(853)			(51,356)
	Total liabilities assumed			(13,699)			(607,769)
Noncontrolling interests				-			(229,966)
Non-cash acquisition related activity(3)				-			(555,562)
	Cash disbursed for acquisitions			32,723			2,375,850
Construction in progress additions				2,348			472
Less:	Capitalized interest			(75)			(6)
Cash disbursed for construction in progress				2,273			466
Capital improvements to existing properties				32,171			21,474
	Total cash invested in real property, net of cash acquired		$	67,167		$	2,397,790
(1) Includes acquisitions with an aggregate purchase price of $23,922,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $245,000 and $60,590,000 of cash acquired during the six months ended June 30, 2014 and 2013, respectively.
(3) Represents Sunrise loan and noncontrolling interests acquisitions.

Medical Facilities Activity

		Six Months Ended
(In thousands)		June 30, 2014 (1)			June 30, 2013
Land and land improvements			$	1,655	$	-
Buildings and improvements				212,572		-
Acquired lease intangibles				1,525		-
Receivables and other assets				249		-
	Total assets acquired			216,001		-
Accrued expenses and other liabilities				(7,475)		-
	Total liabilities assumed			(7,475)		-
	Cash disbursed for acquisitions			208,526		-
Construction in progress additions				50,323		60,925
Less:	Capitalized interest			(898)		(778)
	Accruals(2)			(9,584)		2,129
Cash disbursed for construction in progress				39,841		62,276
Capital improvements to existing properties				12,654		8,704
	Total cash invested in real property		$	261,021	$	70,980
(1) Includes acquisitions with an aggregate purchase price of $200,295,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.

Summary of construction projects placed into service and generating revenues

			Six Months Ended
			June 30, 2014			June 30, 2013
	Development projects:
		Seniors housing triple-net		$	71,570		$	67,317
		Medical facilities			42,799			70,227
		Total development projects			114,369			137,544
	Expansion projects				10,849			8,155
Total construction in progress conversions				$	125,218		$	145,699

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Segment Reporting (Tables)

6 Months Ended

Jun. 30, 2014

Segment Reporting (Tables) [Abstract]

Summary of information for reportable segments

Three Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	225,472	$	-	$	122,375	$	-	$	347,847
Resident fees and services		-		467,639		-		-		467,639
Interest income		5,666		11		3,256		-		8,933
Other income		325		1,264		362		76		2,027
Total revenues		231,463		468,914		125,993		76		826,446
Property operating expenses		-		310,029		33,725		-		343,754
Net operating income from continuing operations		231,463		158,885		92,268		76		482,692
Reconciling items:
Interest expense		8,879		28,833		8,122		75,231		121,065
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		61,613		109,644		43,192		-		214,449
General and administrative		-		-		-		51,660		51,660
Transaction costs		4,007		1,660		1,373		-		7,040
(Loss) gain on extinguishment of debt, net		-		531		-		-		531
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	156,891	$	17,939	$	39,581	$	(126,815)	$	87,596
Total assets	$	9,460,260	$	9,156,333	$	4,906,320	$	50,977	$	23,573,890

Three Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	187,518	$	-	$	111,355	$	-	$	298,873
Resident fees and services		-		370,995		-		-		370,995
Interest income		5,433		-		2,207		-		7,640
Other income		199		-		662		164		1,025
Total revenues		193,150		370,995		114,224		164		678,533
Property operating expenses		-		248,972		28,986		-		277,958
Net operating income from continuing operations		193,150		122,023		85,238		164		400,575
Reconciling items:
Interest expense		3,247		19,412		9,506		77,300		109,465
(Loss) gain on derivatives, net		-		(2,716)		-		-		(2,716)
Depreciation and amortization		54,637		103,646		39,779		-		198,062
General and administrative		-		-		-		23,902		23,902
Transaction costs		11,211		16,799		126		-		28,136
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	124,055	$	(15,118)	$	35,827	$	(101,038)	$	43,726

Six Months Ended June 30, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	440,302	$	-	$	244,001	$	-	$	684,303
Resident fees and services		-		923,904		-		-		923,904
Interest income		11,106		11		6,410		-		17,527
Other income		446		1,318		665		91		2,520
Total revenues		451,854		925,233		251,076		91		1,628,254
Property operating expenses		-		618,213		66,972		-		685,185
Net operating income from continuing operations		451,854		307,020		184,104		91		943,069
Reconciling items:
Interest expense		17,769		56,312		17,730		150,087		241,898
(Loss) gain on derivatives, net		73		278		-		-		351
Depreciation and amortization		123,016		238,806		85,944		-		447,766
General and administrative		-		-		-		84,524		84,524
Transaction costs		4,283		2,290		1,420		-		7,993
(Loss) gain on extinguishment of debt, net		-		383		-		-		383
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	306,713	$	8,951	$	79,010	$	(234,520)	$	160,154

Six Months Ended June 30, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	370,814	$	-	$	220,702	$	-	$	591,516
Resident fees and services		-		698,319		-		-		698,319
Interest income		11,276		757		4,663		-		16,696
Other income		408		-		1,072		245		1,725
Total revenues		382,498		699,076		226,437		245		1,308,256
Property operating expenses		-		473,475		57,305		-		530,780
Net operating income from continuing operations		382,498		225,601		169,132		245		777,476
Reconciling items:
Interest expense		9,055		38,482		18,364		152,402		218,303
(Loss) gain on derivatives, net		-		(407)		-		-		(407)
Depreciation and amortization		109,587		193,521		79,642		-		382,750
General and administrative		-		-		-		51,081		51,081
Transaction costs		11,705		82,124		287		-		94,116
(Loss) gain on extinguishment of debt, net		-		(308)		-		-		(308)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	252,151	$	(87,811)	$	70,839	$	(203,238)	$	31,941

The following is a summary of geographic information for our operations for the periods presented (dollars in thousands):

		Three Months Ended						Six Months Ended
		June 30, 2014			June 30, 2013			June 30, 2014			June 30, 2013
Revenues:		Amount	%		Amount	%		Amount	%		Amount	%
United States	$	695,922	84.2%	$	591,509	87.2%	$	1,371,021	84.2%	$	1,160,688	88.7%
International		130,524	15.8%		87,024	12.8%		257,233	15.8%		147,568	11.3%
Total	$	826,446	100.0%	$	678,533	100.0%	$	1,628,254	100.0%	$	1,308,256	100.0%
		As of
		June 30, 2014			December 31, 2013
Assets:		Amount	%		Amount	%
United States	$	20,376,451	86.4%	$	19,759,945	85.6%
International		3,197,439	13.6%		3,324,012	14.4%
Total	$	23,573,890	100.0%	$	23,083,957	100.0%

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Stock Incentive Plans

6 Months Ended

Jun. 30, 2014

Stock Incentive Plans [Abstract]

Stock Incentive Plans

14. Stock Incentive Plans

Our Amended and Restated 2005 Long-Term Incentive Plan (“2005 Plan”) authorizes up to 6,200,000 shares of common stock to be issued at the discretion of the Compensation Committee of the Board of Directors. The 2005 Plan replaced the 1995 Stock Incentive Plan (“1995 Plan”) and the Stock Plan for Non-Employee Directors. The options granted to officers and key employees under the 1995 Plan vested through 2010 and expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2005 Plan. The 2005 Plan allows for the issuance of, among other things, stock options, restricted stock, deferred stock units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted shares generally range from three to five years. Options expire ten years from the date of grant. Stock-based compensation expense totaled $14,170,000 and $21,837,000 for the three and six months ended June 30, 2014, respectively, and $2,186,000 and $12,694,000 for the same periods in 2013.

On April 13, 2014, George L. Chapman, the Chairman, Chief Executive Officer and President of the company, informed the Board of Directors that he wished to retire from the company, effective immediately. As a result of Mr. Chapman’s retirement, general and administrative expenses for the three months ended June 30, 2014 included charges of $19,688,000 related to: (i) the acceleration of $9,223,000 of deferred compensation for restricted stock; and (ii) consulting, retirement payments and other costs of $10,465,000.