v2.4.0.6

Segment Information (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2011 | Sep. 30, 2011 | Jun. 30, 2011 | Mar. 31, 2011 | Dec. 31, 2012 | Dec. 31, 2011 | Dec. 31, 2010
Revenues: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,194,060 | $ 803,455 | $ 523,339
Resident fees and services |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,229,479 | 868,095 | 446,301
Medical office building and other services revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20,741 | 36,471 | 14,098
Income from loans and investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39,913 | 34,415 | 16,412
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,106 | 1,217 | 484
Total revenues | 660,711 | [1] | 641,520 | [1] | 614,502 | [1] | 568,566 | [1] | 563,145 | [2] | 554,691 | [2] | 359,421 | [2] | 266,396 | [2] | 2,485,299 | 1,743,653 | 1,000,634
Less: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,106 | 1,217 | 484
Property-level operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 969,342 | 647,193 | 315,953
Medical office building services costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9,883 | 27,082 | 9,518
Segment NOI |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,504,968 | 1,068,161 | 674,679
Income from unconsolidated entities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 18,154 | (52) | (664)
Segment profit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,523,122 | 1,068,109 | 674,015
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,106 | 1,217 | 484
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (293,401) | (229,346) | (172,474)
Depreciation and amortization |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (725,981) | (447,664) | (200,682)
General, administrative and professional fees |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (98,801) | (74,537) | (49,830)
Loss on extinguishment of debt |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (37,640) | (27,604) | (9,791)
Litigation proceeds, net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 202,259 | 0
Merger-related expenses and deal costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (63,183) | (153,923) | (19,243)
Other |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (6,956) | (7,270) | (272)
Income tax benefit (expense) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6,282 | 30,660 | (5,201)
Discontinued operations | (11,725) | [1] | (4,093) | [1] | 30,529 | [1] | 42,516 | [1] | (605) | [2] | (306) | [2] | 1,226 | [2] | 1,045 | [2] | 57,227 | 1,360 | 32,723
Net income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 361,775 | 363,261 | 249,729
Triple-Net Leased Properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 831,221 | 637,294 | 453,592
Resident fees and services |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Medical office building and other services revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4,438 | 2,217 | 0
Income from loans and investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Total revenues |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 835,659 | 639,511 | 453,592
Less: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Property-level operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Medical office building services costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Segment NOI |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 835,659 | 639,511 | 453,592
Income from unconsolidated entities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,313 | 295 | 0
Segment profit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 836,972 | 639,806 | 453,592
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Senior Living Operations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Resident fees and services |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,229,479 | 868,095 | 446,301
Medical office building and other services revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income from loans and investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Total revenues |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,229,479 | 868,095 | 446,301
Less: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Property-level operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 843,190 | 590,151 | 291,831
Medical office building services costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Segment NOI |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 386,289 | 277,944 | 154,470
Income from unconsolidated entities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (48) | 0 | 0
Segment profit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 386,241 | 277,944 | 154,470
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
MOB Operations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 362,839 | 166,161 | 69,747
Resident fees and services |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Medical office building and other services revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 16,303 | 34,254 | 14,098
Income from loans and investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Total revenues |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 379,142 | 200,415 | 83,845
Less: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Property-level operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 126,152 | 57,042 | 24,122
Medical office building services costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9,883 | 27,082 | 9,518
Segment NOI |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 243,107 | 116,291 | 50,205
Income from unconsolidated entities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 16,889 | (347) | (664)
Segment profit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 259,996 | 115,944 | 49,541
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
All Other |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Resident fees and services |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Medical office building and other services revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income from loans and investments |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39,913 | 34,415 | 16,412
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,106 | 1,217 | 484
Total revenues |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 41,019 | 35,632 | 16,896
Less: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,106 | 1,217 | 484
Property-level operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Medical office building services costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Segment NOI |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39,913 | 34,415 | 16,412
Income from unconsolidated entities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0 | 0
Segment profit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39,913 | 34,415 | 16,412
Interest and other income |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,106 | $ 1,217 | $ 484
[1] | The amounts presented for the three months ended March 31, 2012, June 30, 2012 and September 30, 2012 differ from the amounts previously reported in our Quarterly Reports on Form 10-Q as a result of discontinued operations consisting of properties sold in 2012 or classified as held for sale as of December 31, 2012.
[2] | The amounts presented for the three months ended March 31, 2011, June 30, 2011, September 30, 2011 and December 31, 2011 differ from the amounts previously reported in our Annual Report on Form 10-K for the year ended December 31, 2011 as a result of discontinued operations consisting of properties sold in 2012 or classified as held for sale as of December 31, 2012.

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- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI http://asc.fasb.org/extlink&oid=21917927&loc=d3e1043-128460 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 59 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
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