Edgar Filing: HEALTH CARE REIT INC /DE/

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)


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

For the quarterly period ended March 31, 2013


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)

(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 the filing requirements for at least the past 90 days. Yes þ 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 þ 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 þ

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 þ

As of April 30, 2013, the registrant had 261,550,566 shares of common stock outstanding.

TABLE OF CONTENTS

	Page
PART I. FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Consolidated Balance Sheets — March 31, 2013 and December 31, 2012	3

Consolidated Statements of Comprehensive Income — Three months ended March 31, 2013 and 2012	4

Consolidated Statements of Equity — Three months ended March 31, 2013 and 2012	6

Consolidated Statements of Cash Flows — Three months ended March 31, 2013 and 2012	7

Notes to Unaudited Consolidated Financial Statements	8

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations	26

Item 3. Quantitative and Qualitative Disclosures About Market Risk	48

Item 4. Controls and Procedures	48

PART II. OTHER INFORMATION

Item 1. Legal Proceedings Item 1A. Risk Factors	49 49

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	49

Item 6. Exhibits	50

Signatures	51

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

CONSOLIDATED BALANCE SHEETS

HEALTH CARE REIT, INC. AND SUBSIDIARIES

				March 31,		December 31,
				2013		2012
				(Unaudited)		(Note)

Assets				(In thousands)
Real estate investments:
	Real property owned:
		Land and land improvements		$	1,592,792	$	1,365,391
		Buildings and improvements			17,814,940		15,635,127
		Acquired lease intangibles			811,495		673,684
		Real property held for sale, net of accumulated depreciation			36,096		245,213
		Construction in progress			86,820		162,984
			Gross real property owned		20,342,143		18,082,399
		Less accumulated depreciation and amortization			(1,739,767)		(1,555,055)
			Net real property owned		18,602,376		16,527,344
	Real estate loans receivable				276,876		895,665
	Net real estate investments				18,879,252		17,423,009
Other assets:
		Equity investments			781,792		438,936
		Goodwill			68,321		68,321
		Deferred loan expenses			73,735		66,327
		Cash and cash equivalents			269,842		1,033,764
		Restricted cash			225,360		107,657
		Receivables and other assets			490,670		411,095
			Total other assets		1,909,720		2,126,100
Total assets				$	20,788,972	$	19,549,109

Liabilities and equity
Liabilities:
		Borrowings under unsecured line of credit arrangement		$	710,000	$	-
		Senior unsecured notes			6,610,873		6,114,151
		Secured debt			2,452,495		2,336,196
		Capital lease obligations			80,560		81,552
		Accrued expenses and other liabilities			518,170		462,099
Total liabilities					10,372,098		8,993,998
Redeemable noncontrolling interests					33,727		34,592
Equity:
		Preferred stock			1,022,917		1,022,917
		Common stock			261,249		260,396
		Capital in excess of par value			10,599,290		10,543,690
		Treasury stock			(21,238)		(17,875)
		Cumulative net income			2,256,479		2,184,819
		Cumulative dividends			(3,910,727)		(3,694,579)
		Accumulated other comprehensive income (loss)			(33,091)		(11,028)
		Other equity			5,893		6,461
			Total Health Care REIT, Inc. stockholders’ equity		10,180,772		10,294,801
		Noncontrolling interests			202,375		225,718
Total equity					10,383,147		10,520,519
Total liabilities and equity				$	20,788,972	$	19,549,109

NOTE: The consolidated balance sheet at December 31, 2012 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

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

			Three Months Ended
			March 31,
			2013		2012

			(In thousands, except per share data)
Revenues:
	Rental income		$	296,834	$	249,995
	Resident fees and services			327,324		158,174
	Interest income			9,057		8,141
	Other income			700		1,686
		Total revenues		633,915		417,996
Expenses:
	Interest expense			110,289		88,814
	Property operating expenses			253,354		128,801
	Depreciation and amortization			187,099		120,907
	General and administrative			27,179		27,751
	Transaction costs			65,980		5,579
	Loss (gain) on derivatives, net			2,309		555
	Loss (gain) on extinguishment of debt, net			(308)		-
		Total expenses		645,902		372,407
Income (loss) from continuing operations before income taxes
	and income from unconsolidated entities			(11,987)		45,589
Income tax (expense) benefit				(2,763)		(1,470)
Income from unconsolidated entities				2,262		1,532
Income (loss) from continuing operations				(12,488)		45,651
Discontinued operations:
	Gain (loss) on sales of properties, net			82,492		769
	Income (loss) from discontinued operations, net			1,795		11,038
		Discontinued operations, net		84,287		11,807
Net income				71,799		57,458
Less:		Preferred stock dividends		16,602		19,207
Less:		Net income (loss) attributable to noncontrolling interests⁽¹⁾		139		(1,056)
Net income (loss) attributable to common stockholders			$	55,058	$	39,307

Average number of common shares outstanding:
	Basic			260,036		199,661
	Diluted			260,036		201,658

Earnings per share:
	Basic:
	Income (loss) from continuing operations
		attributable to common stockholders	$	(0.11)	$	0.14
	Discontinued operations, net			0.32		0.06
	Net income (loss) attributable to common stockholders*		$	0.21	$	0.20

	Diluted:
	Income (loss) from continuing operations
		attributable to common stockholders	$	(0.11)	$	0.14
	Discontinued operations, net			0.32		0.06
	Net income (loss) attributable to common stockholders*		$	0.21	$	0.19

Dividends declared and paid per common share			$	0.765	$	0.740

* Amounts may not sum due to rounding

(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

			Three Months Ended March 31,
			2013		2012
			(in thousands)

Net income			$	71,799	$	57,458

Other comprehensive income (loss):
	Unrecognized gain/(loss) on equity investments			172		8
	Change in net unrealized gains (losses) on cash flow hedges:
		Unrealized gain/(loss)		471		278
	Foreign currency translation gain/(loss)			(22,706)		-
Total other comprehensive income (loss)				(22,063)		286

Total comprehensive income				49,736		57,744
Total comprehensive income attributable to noncontrolling interests⁽¹⁾				139		(1,056)
Total comprehensive income attributable to stockholders			$	49,875	$	56,688


(1) Includes amounts attributable to redeemable noncontrolling interests.

See accompanying notes

CONSOLIDATED STATEMENTS OF EQUITY (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(in thousands)

		Three Months Ended March 31, 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)										71,660								560		72,220
	Other comprehensive income														(22,063)						(22,063)
Total comprehensive income																					50,157
Net change in noncontrolling interests																			(23,903)		(23,903)
Amounts related to issuance of common stock
	from dividend reinvestment and stock
	incentive plans, net of forfeitures				853		55,600		(3,363)								(862)				52,228
Option compensation expense																	294				294
Cash dividends paid:
	Common stock cash dividends												(199,546)								(199,546)
	Preferred stock cash dividends												(16,602)								(16,602)
Balances at end of period		$	1,022,917	$	261,249	$	10,599,290	$	(21,238)	$	2,256,479	$	(3,910,727)	$	(33,091)	$	5,893	$	202,375	$	10,383,147

		Three Months Ended March 31, 2012
														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		$	1,010,417	$	192,299	$	7,019,714	$	(13,535)	$	1,896,806	$	(2,972,129)	$	(11,928)	$	6,120	$	153,883	$	7,281,647
Comprehensive income:
	Net income (loss)										58,514								(678)		57,836
	Other comprehensive income														286						286
Total comprehensive income																					58,122
Net change in noncontrolling interests							874												4,428		5,302
Amounts related to issuance of common stock
	from dividend reinvestment and stock
	incentive plans, net of forfeitures				530		35,546		(3,730)								(294)				32,052
Proceeds from issuance of common stock					20,700		1,042,038														1,062,738
Proceeds from issuance of preferred stock			287,500				(9,599)														277,901
Option compensation expense																	1,382				1,382
Cash dividends paid:
	Common stock cash dividends												(142,919)								(142,919)
	Preferred stock cash dividends												(19,207)								(19,207)
Balances at end of period		$	1,297,917	$	213,529	$	8,088,573	$	(17,265)	$	1,955,320	$	(3,134,255)	$	(11,642)	$	7,208	$	157,633	$	8,557,018

See notes to unaudited consolidated financial statements

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

			Three Months Ended
			March 31,
			2013		2012
Operating activities			(In thousands)
Net income			$	71,799	$	57,458
Adjustments to reconcile net income to
	net cash provided from (used in) operating activities:
		Depreciation and amortization		187,122		127,422
		Other amortization expenses		4,194		4,984
		Stock-based compensation expense		10,508		11,323
		Loss (gain) on derivatives, net		2,309		555
		Loss (gain) on extinguishment of debt, net		(308)		-
		Income from unconsolidated entities		(2,262)		(1,532)
		Rental income in excess of cash received		(2,538)		(10,125)
		Amortization related to above (below) market leases, net		172		(252)
		Loss (gain) on sales of properties, net		(82,492)		(769)
		Distributions by unconsolidated entities		-		4,009
		Increase (decrease) in accrued expenses and other liabilities		18,276		(6,156)
		Decrease (increase) in receivables and other assets		(6,972)		(12,873)
Net cash provided from (used in) operating activities				199,808		174,044

Investing activities
	Investment in real property, net of cash acquired			(1,850,578)		(570,200)
	Capitalized interest			(1,606)		(2,420)
	Investment in real estate loans receivable			(11,971)		(10,661)
	Other investments, net of payments			(1,978)		22,438
	Principal collected on real estate loans receivable			49,926		4,301
	Contributions to unconsolidated entities			(359,575)		-
	Distributions by unconsolidated entities			9,916		-
	Proceeds from (payments on) derivatives			(2,604)		-
	Increase in restricted cash			(94,840)		(13,879)
	Proceeds from sales of real property			294,607		32,584
Net cash provided from (used in) investing activities				(1,968,703)		(537,837)

Financing activities
	Net increase (decrease) under unsecured lines of credit arrangements			710,000		(605,000)
	Proceeds from issuance of senior unsecured notes			497,862		-
	Payments to extinguish senior unsecured notes			-		(22)
	Net proceeds from the issuance of secured debt			-		111,000
	Payments on secured debt			(18,931)		(41,592)
	Net proceeds from the issuance of common stock			45,377		1,087,777
	Net proceeds from the issuance of preferred stock			-		277,901
	Decrease (increase) in deferred loan expenses			(9,650)		(2,324)
	Contributions by noncontrolling interests⁽¹⁾			1,420		8,367
	Distributions to noncontrolling interests⁽¹⁾			(4,522)		(3,477)
	Cash distributions to stockholders			(216,148)		(162,126)
	Other financing activities			(992)		(976)
Net cash provided from (used in) financing activities				1,004,416		669,528
Effect of foreign currency translation on cash and cash equivalents				557		-
Increase (decrease) in cash and cash equivalents				(763,922)		305,735
Cash and cash equivalents at beginning of period				1,033,764		163,482
Cash and cash equivalents at end of period			$	269,842	$	469,217

Supplemental cash flow information:
	Interest paid		$	99,202	$	96,426
	Income taxes paid			920		2,596

(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

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 March 31, 2013, our diversified portfolio consisted of 1,133 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 three months ended March 31, 2013 are not necessarily an indication of the results that may be expected for the year ending December 31, 2013. 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, 2012.

New Accounting Standards

In February 2013, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2013-02, “Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income” (“ASU 2013-02”), which requires companies to provide information about the amounts that are reclassified out of accumulated other comprehensive income by component. Additionally, companies are required to present significant amounts reclassified out of accumulated other comprehensive income by the respective line items of net income. The amendment to authoritative guidance associated with comprehensive income was effective for the Company on January 1, 2013. The adoption of this guidance did not have a material impact on our unaudited consolidated financial statements.

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. During the three months ended March 31, 2013, we finalized our purchase price allocation of certain previously reported acquisitions and there were no material changes from those previously disclosed.

Seniors Housing Triple-net Activity

		Three Months Ended
		March 31, 2013⁽¹⁾			March 31, 2012
			(in thousands)
Land and land improvements			$	8,533		$	5,950
Buildings and improvements				47,993			89,333
	Total assets acquired			56,526			95,283
Accrued expenses and other liabilities				-			(232)
	Cash disbursed for acquisitions			56,526			95,051
Construction in progress additions				23,946			38,467
Less:	Capitalized interest			(1,227)			(1,242)
Cash disbursed for construction in progress				22,719			37,225
Capital improvements to existing properties				8,336			9,948
	Total cash invested in real property, net of cash acquired		$	87,581		$	142,224


(1) Includes acquisitions with an aggregate purchase price of $56,526,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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, 2012 for information regarding our foreign currency policies.

		Three Months Ended
		March 31, 2013⁽²⁾			March 31, 2012
			(In thousands)
Land and land improvements			$	216,949		$	18,980
Building and improvements				2,074,770			174,467
Acquired lease intangibles				142,054			16,656
Restricted cash				22,863			-
Receivables and other assets				3,225			1,182
	Total assets acquired⁽¹⁾			2,459,861			211,285
Secured debt				(138,259)			-
Accrued expenses and other liabilities				(31,302)			(1,649)
	Total liabilities assumed			(169,561)			(1,649)
Noncontrolling interests				(4,868)			(2,054)
Non-cash acquisition related activity⁽³⁾				(555,562)			-
	Cash disbursed for acquisitions			1,729,870			207,582
Construction in progress additions				235			-
Less:	Capitalized interest			(2)			-
Cash disbursed for construction in progress				233			-
Capital improvements to existing properties				10,604			3,040
	Total cash invested in real property, net of cash acquired		$	1,740,707		$	210,622


(1) Excludes $51,803,000 and $1,619,000 of cash acquired during the three months ended March 31, 2013 and 2012, respectively.
(2) Includes acquisitions with an aggregate purchase price of $2,819,436,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(3) Represents Sunrise loan and noncontrolling interests acquisitions.

Sunrise Merger

In August 2012, we entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Sunrise Senior Living, Inc. (“Sunrise”), pursuant to which we agreed to acquire Sunrise in an all-cash merger (the “Merger”) in which Sunrise stockholders would receive $14.50 in cash for each share of Sunrise common stock. On January 9, 2013, we completed our acquisition of the Sunrise property portfolio. The Sunrise Merger advances our strategic vision to own higher-end, private pay properties located in major metropolitan markets. As of March 31, 2013, 71 properties are wholly owned and 54 properties are held in unconsolidated entities (see Note 7 for additional information). The total estimated purchase price of approximately $2,763,336,000, including approximately $2,041,893,000 of cash consideration has been allocated on a preliminary basis to the tangible and identifiable intangible assets and liabilities in the table above based on respective fair values in accordance with our accounting policies. We funded the cash consideration and other associated costs of the acquisition from cash on-hand as well as draws on our primary unsecured line of credit and unsecured term loan (see Notes 9 and 10 for additional information).

Subsequent to the date of acquisition, we recognized $112,093,000 of revenues and $36,901,000 of net operating income from continuing operations related to the Sunrise portfolio during the three months ended March 31, 2013. In addition, we incurred $63,779,000 of transaction costs, which include advisory fees, due diligence costs, severances, and fees for legal and valuation services. These amounts are included in the seniors housing operating results reflected in Note 17.

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The following unaudited pro forma consolidated results of operation have been prepared as if the Sunrise merger had occurred as of January 1, 2012 based on the preliminary purchase price allocations discussed above. Amounts are in thousands, except per share data:

		Three Months Ended
		March 31,		March 31,
		2013		2012
Revenues		$	647,269	$	531,936
Income (loss) from continuing operations attributable to common stockholders		$	(30,479)	$	23,164
Income (loss) from continuing operations attributable to common stockholders per share:
	Basic	$	(0.12)	$	0.12
	Diluted	$	(0.12)	$	0.11

Medical Facilities Activity

		Three Months Ended
		March 31, 2013			March 31, 2012
			(In thousands)
Land and land improvements			$	-	$	9,509
Buildings and improvements				-		320,481
Acquired lease intangibles				-		39,619
Receivables and other assets				-		4,158
	Total assets acquired			-		373,767
Secured debt				-		(172,856)
Accrued expenses and other liabilities				-		(9,255)
	Total liabilities assumed			-		(182,111)
	Cash disbursed for acquisitions			-		191,656
Construction in progress additions				35,139		40,557
Less:	Capitalized interest			(377)		(1,178)
	Accruals⁽¹⁾			(17,661)		(20,752)
Cash disbursed for construction in progress				17,101		18,627
Capital improvements to existing properties				5,189		7,071
	Total cash invested in real property		$	22,290	$	217,354


(1) 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):

			Three Months Ended
			March 31, 2013			March 31, 2012
	Development projects:
		Seniors housing triple-net		$	67,317		$	23,859
		Medical facilities			60,536			93,676
		Total development projects			127,853			117,535
	Expansion projects				7,631			240
Total construction in progress conversions				$	135,484		$	117,775

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):

		March 31, 2013		December 31, 2012
Assets:
	In place lease intangibles	$	678,368	$	541,729
	Above market tenant leases		56,024		56,086
	Below market ground leases		61,461		61,450
	Lease commissions		15,642		14,419
	Gross historical cost		811,495		673,684
	Accumulated amortization		(315,229)		(257,242)
	Net book value	$	496,266	$	416,442

	Weighted-average amortization period in years		13.7		16.4

Liabilities:
	Below market tenant leases	$	77,058	$	77,036
	Above market ground leases		9,490		9,490
	Gross historical cost		86,548		86,526
	Accumulated amortization		(29,652)		(27,753)
	Net book value	$	56,896	$	58,773

	Weighted-average amortization period in years		14.2		14.3

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

	Three Months Ended
	March 31,
	2013		2012
Rental income related to above/below market tenant leases, net	$	148	$	552
Property operating expenses related to above/below market ground leases, net		(320)		(300)
Depreciation and amortization related to in place lease intangibles and lease commissions		(50,576)		(27,605)

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

		Assets		Liabilities
2013	$	162,891	$	5,296
2014		91,723		6,608
2015		29,373		5,604
2016		23,039		5,220
2017		23,504		4,899
Thereafter		165,736		29,269
Totals	$	496,266	$	56,896

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

5. Dispositions, Assets Held for Sale and Discontinued Operations

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

		Three Months Ended
		March 31, 2013			March 31, 2012
Real property dispositions:
	Seniors housing triple-net		$	76,331		$	-
	Medical facilities			135,784			31,815
	Total dispositions			212,115			31,815
Add: Gain (loss) on sales of real property, net				82,492			769
Proceeds from real property sales			$	294,607		$	32,584

At March 31, 2013, $139,758,000 of sales proceeds is on deposit in an Internal Revenue Code Section 1031 exchange escrow account with a qualified intermediary. We have reclassified the income and expenses attributable to all properties sold prior to or held for sale at March 31, 2013 to discontinued operations. Expenses include an allocation of interest expense based on property carrying values and our weighted-average cost of debt. The following illustrates the reclassification impact as a result of classifying properties as discontinued operations for the periods presented (in thousands):

			Three Months Ended
			March 31,
		2013		2012
Revenues:
	Rental income	$	2,597	$	23,354
Expenses:
	Interest expense		445		4,908
	Property operating expenses		334		893
	Provision for depreciation		23		6,515
Income (loss) from discontinued operations, net		$	1,795	$	11,038

6. Real Estate Loans Receivable

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

		Three Months Ended
		March 31, 2013						March 31, 2012
		Seniors						Seniors
		Housing		Medical				Housing		Medical
		Triple-net		Facilities		Totals		Triple-net		Facilities		Totals
Advances on real estate loans receivable:
	Investments in new loans	$	416	$	-	$	416	$	-	$	-	$	-
	Draws on existing loans		10,271		1,284		11,555		10,467		194		10,661
	Net cash advances on real estate loans		10,687		1,284		11,971		10,467		194		10,661
Receipts on real estate loans receivable:
	Loan payoffs		42,865		-		42,865		-		-		-
	Principal payments on loans		6,343		718		7,061		3,689		612		4,301
	Total receipts on real estate loans		49,208		718		49,926		3,689		612		4,301
Net advances (receipts) on real estate loans		$	(38,521)	$	566	$	(37,955)	$	6,778	$	(418)	$	6,360

We recorded no provision for loan losses during the three months ended March 31, 2013. At March 31, 2013, we had real estate loans with outstanding balances of $4,230,000 on non-accrual status with an allowance for loan losses of $0.

7. Investments in Unconsolidated Entities

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

During the year ended December 31, 2010, we entered into a joint venture investment with Forest City Enterprises (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. At March 31, 2013, our investment of $174,692,000 is recorded as an investment in unconsolidated entities on the balance sheet.

On December 31, 2010, we formed a strategic partnership with a national medical office building company whereby the partnership invested in 17 medical office properties. We own a controlling interest in 11 properties and consolidate them. Consolidation is based on a combination of ownership interest and control of operational decision-making authority. We do not own a controlling interest in six properties and account for them under the equity method. Our investment in the strategic partnership provides us access to health systems and includes development and property management resources.

During the three months ended June 30, 2012, we entered into a joint venture (structured under RIDEA) 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. At March 31, 2013, our investment of $223,134,000 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 $7,858,000 at March 31, 2013 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 described in Note 3, 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. At March 31, 2013, our investment of $359,575,000 is recorded as an investment in unconsolidated entities on the balance sheet.

The results of operations for these properties have been included in our consolidated results of operations from the date of acquisition by the joint ventures and are reflected in our statements of comprehensive income as income or loss from unconsolidated entities. The following is a summary of our income from and investments in unconsolidated entities (dollars in thousands):

	March 31, 2013		Three Months Ended March 31,				Assets as of
	Percentage Ownership	Properties	2013 Income (loss)		2012 Income (loss)		March 31, 2013		December 31, 2012
Seniors housing triple-net⁽¹⁾	10% to 49%	-	$	1,290	$	1	$	32,895	$	34,618
Seniors housing operating	33% to 50%	93		(1,548)		(330)		561,409		217,701
Medical facilities	36% to 49%	13		2,520		1,861		187,488		186,617
Total			$	2,262	$	1,532	$	781,792	$	438,936


(1) Asset amounts include an available-for-sale equity investment. See Note 16 for additional information.

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 March 31, 2013 (dollars in thousands):

		Number of	Total		Percent of
Concentration by investment:⁽¹⁾		Properties⁽²⁾	Investment⁽²⁾		Investment⁽³⁾
	Sunrise Senior Living	71	$	2,664,285	14%
	Genesis HealthCare	175		2,662,118	14%
	Merrill Gardens	48		1,075,791	6%
	Belmont Village	19		883,126	5%
	Benchmark Senior Living	36		836,346	4%
	Remaining portfolio	678		10,757,586	57%
	Totals	1,027	$	18,879,252	100%

_____________________

(1) Genesis is in our seniors housing triple-net segment whereas the other top five relationships are in our seniors housing operating segment.

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

(3) Investments with our top five relationships comprised 37% of total investments at December 31, 2012.

9. Borrowings Under Line of Credit Arrangements and Related Items

At March 31, 2013, we had a $2,250,000,000 unsecured line of credit arrangement with a consortium of 29 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. 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 (1.38% at March 31, 2013). The applicable margin is based on certain of our debt ratings and was 1.175% at March 31, 2013. 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 March 31, 2013. Principal is due upon expiration of the agreement. In addition, at March 31, 2013, we had $10,000,000 outstanding in unsecured revolving demand notes bearing interest at 1.13%.

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

		Three Months Ended March 31,
		2013		2012
Balance outstanding at quarter end		$	710,000	$	5,000
Maximum amount outstanding at any month end		$	780,000	$	897,000
Average amount outstanding (total of daily
	principal balances divided by days in period)	$	723,444	$	480,703
Weighted average interest rate (actual interest
	expense divided by average borrowings outstanding)		1.38%		1.65%

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 March 31, 2013, the annual principal payments due on these debt obligations were as follows (in thousands):

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

	Senior		Secured
	Unsecured Notes^(1,2)		Debt ^(1,3)		Totals
2013	$	300,000	$	100,367	$	400,367
2014		-		278,237		278,237
2015 ⁽⁴⁾		495,724		224,607		720,331
2016		1,200,000		328,865		1,528,865
2017		450,000		320,537		770,537
Thereafter		4,194,403		1,172,420		5,366,823
Totals	$	6,640,127	$	2,425,033	$	9,065,160


(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 3.0% to 6.5%, excluding the Canadian denominated unsecured term loan discussed in footnote 4 and the $500,000,000 unsecured term loan discussed below.
(3) Annual interest rates range from 0.4% to 8.0%. Carrying value of the properties securing the debt totaled $4,157,430,000 at March 31, 2013.
(4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $245,724,000 USD at exchange rates on March 31, 2013). The loan matures 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 (2.65% at March 31, 2013).

During the three months ended March 31, 2013, we borrowed on a $500,000,000 unsecured term loan entered into as part of our unsecured line of credit arrangement. The loan matures on March 31, 2016, but can be extended up to two years at our option and bears interest at LIBOR plus 1.35% (1.38% at March 31, 2013).

The following is a summary of our senior unsecured note activity, excluding the Canadian denominated unsecured term loan, during the periods presented (dollars in thousands):

	Three Months Ended
	March 31, 2013			March 31, 2012
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	5,894,403	4.675%	$	4,464,927	5.133%
Debt issued		500,000	1.552%		-	0.000%
Debt redeemed		-	0.000%		(22)	4.750%
Ending balance	$	6,394,403	4.431%	$	4,464,905	5.133%

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

	Three Months Ended
		March 31, 2013		March 31, 2012
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	2,311,586	5.14%	$	2,108,384	5.29%
Debt issued		-	0.00%		111,000	4.18%
Debt assumed		132,680	5.49%		158,290	5.86%
Debt extinguished		(7,807)	7.43%		(33,092)	4.30%
Foreign currency		6	5.62%		-	0.00%
Principal payments		(11,432)	5.44%		(8,500)	5.49%
Ending balance	$	2,425,033	5.17%	$	2,336,082	5.04%

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 March 31, 2013, we were in compliance with all of the covenants under our debt agreements.

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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 elected to manage this risk through the use of a forward exchange contract and issuing debt in the foreign currency.

Interest Rate Swap 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. As of March 31, 2013, we had one interest rate swap for a total aggregate notional amount of $11,835,000. The swap hedges interest payments associated with long-term LIBOR based borrowings and matures on December 31, 2013. Approximately $2,911,000 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. On February 15, 2012, we entered into a forward exchange contract to purchase $250,000,000 Canadian Dollars at a fixed rate in the future. The forward contract was used to limit exposure to fluctuations in the Canadian Dollar to U.S. Dollar exchange rate associated with our initial cash investment funded for the Chartwell transaction. On May 3, 2012, this forward exchange contract was settled for a gain of $2,772,000, which was reflected on the consolidated statement of comprehensive income, and the proceeds were used to fund our investment. On May 3, 2012, we also entered into a forward contract to sell $250,000,000 Canadian dollars at a fixed rate on July 31, 2012 to hedge our net investment. We settled the forward contract on July 31, 2012 with the net loss reflected in OCI. Upon settlement of the forward contract we entered into a $250,000,000 Canadian Dollar term loan which has been designated as a net investment hedge of our Chartwell investment and changes in fair value are reported in OCI as no ineffectiveness is anticipated.

On August 30, 2012, we entered into two cross currency swaps to purchase £125,000,000. The swaps were used to limit exposure to fluctuations in the Pound Sterling to U.S. Dollar exchange rate associated with our initial cash investment funded for the Sunrise transaction discussed in Note 3. The cross currency swaps have been designated as a net investment hedge, and changes in fair value are reported in OCI as no ineffectiveness is anticipated.

On September 17, 2012, we entered into two forward exchange contracts to purchase $14,000,000 Canadian Dollars and £23,000,000 at a fixed rate in the future. The forward contracts were used to limit exposure to fluctuations in foreign currency associated with future international transactions. These forward contacts were settled on March 22, 2013 for a realized loss of $2,309,000.

On January 14, 2013 and January 15, 2013, we entered into three forward exchange contracts to purchase £675,000,000 at a fixed rate in the future. The forward exchange contracts are used to hedge a portion of our investment in the United Kingdom at a fixed Pound Sterling rate in U.S. dollars and mature on July 16, 2013. The forward exchange contracts were designated as net investment hedges and changes in fair value are reported in OCI as no ineffectiveness is expected.

The following presents the impact of derivative instruments on the statement of comprehensive income and OCI for the periods presented (dollars in thousands):

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

			Three Months Ended
			March 31,
		Location		2013		2012
Gain (loss) on interest rate swap recognized in
	OCI (effective portion)	OCI	$	946	$	739
Gain (loss) on interest rate swaps reclassified from
	AOCI into income (effective portion)	Interest expense		(475)		(461)
Gain (loss) on forward exchange contracts recognized in
	income (ineffective portion and amount excluded
	from effectiveness testing)	Unrealized loss		-		(555)
Gain (loss) on forward exchange contracts recognized
	in income	Realized loss		(2,309)		-
Gain (loss) on forward exchange contracts designated
	as net investment hedge recognized in OCI	OCI		75,857		-

12. Commitments and Contingencies

At March 31, 2013, we had eight outstanding letter of credit obligations totaling $6,172,000 and expiring between 2013 and 2014. At March 31, 2013, we had outstanding construction in process of $86,820,000 for leased properties and were committed to providing additional funds of approximately $217,172,000 to complete construction. At March 31, 2013, we had contingent purchase obligations totaling $73,957,000. 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 March 31, 2013, we had operating lease obligations of $698,039,000 relating to certain ground leases and company office space and capital lease obligations of $83,499,000 relating to certain investment properties. We incurred rental expense relating to company office space of $413,000 for the three months ended March 31, 2013 as compared to $290,000 for the same period in 2012. 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 March 31, 2013, aggregate future minimum rentals to be received under these noncancelable subleases totaled $46,831,000.

13. Stockholders’ Equity

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

	March 31, 2013	December 31, 2012
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	26,224,854	26,224,854
Outstanding shares	26,224,854	26,224,854

Common Stock, $1.00 par value:
Authorized shares	400,000,000	400,000,000
Issued shares	261,893,455	260,780,109
Outstanding shares	261,432,764	260,373,754

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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

	Three Months Ended
	March 31, 2013		March 31, 2012
		Weighted Avg.		Weighted Avg.
	Shares	Dividend Rate	Shares	Dividend Rate

Beginning balance	26,224,854	6.493%	25,724,854	7.013%
Shares issued	-	0.000%	11,500,000	6.500%
Ending balance	26,224,854	6.493%	37,224,854	6.855%

Common Stock. The following is a summary of our common stock issuances during the three months ended March 31, 2013 and 2012 (dollars in thousands, except per share amounts):

	Shares Issued		Average Price		Gross Proceeds		Net Proceeds

February 2012 public issuance	20,700,000	$	53.50	$	1,107,450	$	1,062,737
2012 Dividend reinvestment plan issuances	429,058		54.61		23,429		23,429
2012 Option exercises	43,047		37.42		1,611		1,611
2012 Totals	21,172,105			$	1,132,490	$	1,087,777

2013 Dividend reinvestment plan issuances	652,724	$	61.59	$	40,199	$	40,199
2013 Option exercises	119,999		43.15		5,178		5,178
2013 Totals	772,723			$	45,377	$	45,377

Dividends. The increase in dividends is primarily attributable to increases in our common shares outstanding as described above. Please refer to Note 18 for information related to federal income tax of dividends. The following is a summary of our dividend payments (in thousands, except per share amounts):

	Three Months Ended
	March 31, 2013				March 31, 2012
	Per Share		Amount		Per Share		Amount

Common Stock	$	0.7650	$	199,546	$	0.7400	$	142,919
Series D Preferred Stock		-		-		0.4922		1,969
Series F Preferred Stock		-		-		0.4766		3,336
Series H Preferred Stock		0.7146		250		0.3750		250
Series I Preferred Stock		0.8125		11,680		0.8125		11,680
Series J Preferred Stock		0.4064		4,672		0.1715		1,972
Totals			$	216,148			$	162,126

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

		Unrecognized gains (losses) related to:
		Foreign Currency Translation		Equity Investments		Actuarial losses		Cash Flow Hedges		Total
Balance at December 31, 2012	$	(881)	$	(216)	$	(2,974)	$	(6,957)	$	(11,028)
Other comprehensive income before reclassification adjustments		(22,706)		172		-		946		(21,588)
Reclassification amount to net income		-		-		-		(475)⁽¹⁾		(475)
Net current-period other comprehensive income		(22,706)		172		-		471		(22,063)
Balance at March 31, 2013	$	(23,587)	$	(44)	$	(2,974)	$	(6,486)	$	(33,091)

Balance at December 31, 2011	$	-	$	(619)	$	(2,748)	$	(8,561)	$	(11,928)
Other comprehensive income before reclassification adjustments		-		8		-		739		747
Reclassification amount to net income		-		-		-		(461)⁽¹⁾		(461)
Net current-period other comprehensive income		-		8		-		278		286
Balance at March 31, 2012	$	-	$	(611)	$	(2,748)	$	(8,283)	$	(11,642)


(1) Please see Note 11 for additional information.

14. Stock Incentive Plans

Our Amended and Restated 2005 Long-Term Incentive 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 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 years for non-employee directors to five years for officers and key employees. Options expire ten years from the date of grant. Stock-based compensation expense totaled $10,508,000 for the three months ended March 31, 2013 and $11,323,000 for the same period in 2012.

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
		March 31,
		2013		2012
Numerator for basic and diluted earnings
	per share - net income (loss) attributable
	to common stockholders	$	55,058	$	39,307

Denominator for basic earnings per
	share - weighted average shares		260,036		199,661
Effect of dilutive securities:
	Employee stock options		-		223
	Non-vested restricted shares		-		280
	Convertible senior unsecured notes		-		1,494
Dilutive potential common shares			-		1,997
Denominator for diluted earnings per
	share - adjusted weighted average shares		260,036		201,658

Basic earnings per share		$	0.21	$	0.20
Diluted earnings per share		$	0.21	$	0.19

The diluted earnings per share calculation for the three months ended March 31, 2013 excludes the dilutive effect of all common stock equivalents as they are anti-dilutive due to the loss from continuing operations. The diluted earnings per share calculation for the three

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

months ended March 31, 2012 excludes the dilutive effect of 388,000 stock options because the exercise prices were more than the average market price. The Series H Cumulative Convertible and Redeemable Preferred Stock and Series I Cumulative Convertible Perpetual Preferred Stock were not included in the calculations as the effect of conversions into common stock was anti-dilutive.

16. Disclosure about Fair Value of Financial Instruments

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 two and level three 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 value based on level one 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 senior unsecured notes payable was estimated based on level one publicly available trading prices.

Secured Debt — The fair value of fixed rate secured debt is estimated using level two 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 two 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 two 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):

		March 31, 2013				December 31, 2012
		Carrying		Fair		Carrying		Fair
		Amount		Value		Amount		Value
Financial assets:
	Mortgage loans receivable	$	88,861	$	89,693	$	87,955	$	88,975
	Other real estate loans receivable		188,015		199,985		807,710		820,195
	Available-for-sale equity investments		1,555		1,555		1,384		1,384
	Cash and cash equivalents		269,842		269,842		1,033,764		1,033,764
	Foreign currency forward contracts		63,249		63,249		-		-

Financial liabilities:
	Borrowings under unsecured line of credit arrangements	$	710,000	$	710,000	$	-	$	-
	Senior unsecured notes		6,610,873		7,363,318		6,114,151		6,793,424
	Secured debt		2,452,495		2,643,513		2,336,196		2,515,145
	Interest rate swap agreements		200		200		264		264
	Foreign currency forward contracts		-		-		7,247		7,247

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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, 2012 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.

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.

	Fair Value Measurements as of March 31, 2013
	Total		Level 1		Level 2		Level 3
Available-for-sale equity investments⁽¹⁾	$	1,555	$	1,555	$	-	$	-
Interest rate swap agreements⁽²⁾		(200)		-		(200)		-
Foreign currency forward contracts⁽²⁾		63,249		-		63,249		-
Totals	$	64,604	$	1,555	$	63,049	$	-

(1) Unrealized gains or losses on equity investments are recorded in accumulated other comprehensive income (loss) at each measurement date.
(2) 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 and combinations thereof. Under the seniors housing triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our seniors housing operating properties include seniors housing communities that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

Our medical facility properties include medical office buildings, hospitals and life science buildings which are aggregated into our medical facilities reportable segment. Our medical office buildings are typically leased to multiple tenants and generally require a

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

certain level of property management. Our hospital investments are leased and we are not involved in the management of the property. Our life science investment represents an investment in an unconsolidated entity (see Note 7).

The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2012). 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, which exclude depreciation and amortization, general and administrative expenses, transaction costs, provision for loan losses and interest expense. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.

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

Summary information for the reportable segments for the three months ended March 31, 2013 and 2012 is as follows (in thousands):

Three Months Ended March 31, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	185,309	$	-	$	111,525	$	-	$	296,834
Resident fees and services		-		327,324		-		-		327,324
Interest income		5,844		757		2,456		-		9,057
Other income		209		-		410		81		700
Total revenues		191,362		328,081		114,391		81		633,915

Property operating expenses		-		(224,503)		(28,851)		-		(253,354)
Net operating income from continuing operations		191,362		103,578		85,540		81		380,561

Reconciling items:
Interest expense		(6,545)		(19,070)		(9,572)		(75,102)		(110,289)
(Loss) gain on derivatives, net		-		(2,309)		-		-		(2,309)
Depreciation and amortization		(56,255)		(89,875)		(40,969)		-		(187,099)
General and administrative		-		-		-		(27,179)		(27,179)
Transaction costs		(494)		(65,325)		(161)		-		(65,980)
(Loss) gain on extinguishment of debt, net		-		308		-		-		308
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	128,068	$	(72,693)	$	34,838	$	(102,200)	$	(11,987)

Total assets	$	8,638,136	$	7,377,227	$	4,569,112	$	204,497	$	20,788,972

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Three Months Ended March 31, 2012:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	161,936	$	-	$	88,059	$	-	$	249,995
Resident fees and services		-		158,174		-		-		158,174
Interest income		5,877		-		2,264		-		8,141
Other income		847		-		604		235		1,686
Total revenues		168,660		158,174		90,927		235		417,996

Property operating expenses		-		(107,243)		(21,558)		-		(128,801)
Net operating income from continuing operations		168,660		50,931		69,369		235		289,195

Reconciling items:
Interest expense		(589)		(15,835)		(8,274)		(64,116)		(88,814)
(Loss) gain on derivatives, net		-		(555)		-		-		(555)
Depreciation and amortization		(49,446)		(39,773)		(31,688)		-		(120,907)
General and administrative		-		-		-		(27,751)		(27,751)
Transaction costs		(1,523)		(1,578)		(2,478)		-		(5,579)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	117,102	$	(6,810)	$	26,929	$	(91,632)	$	45,589

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 (in thousands):

		Three Months Ended
		March 31, 2013			March 31, 2012
Revenues:		Amount	%		Amount	%
United States	$	573,371	90.4%	$	417,996	100.0%
International		60,544	9.6%		-	0.0%
Total	$	633,915	100.0%	$	417,996	100.0%

		As of
		March 31, 2013			December 31, 2012
Assets:		Amount	%		Amount	%
United States	$	18,991,182	91.4%	$	18,692,214	95.6%
International		1,797,790	8.6%		856,895	4.4%
Total	$	20,788,972	100.0%	$	19,549,109	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, the 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 subsidiary 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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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 consolidated financial statements and are subject to federal taxes as the operations of such facilities are included in a TRS. Certain net operating loss carryforwards could be utilized to offset taxable income in future years.

Our consolidated provision for income taxes for the three months ended March 31, 2013 and 2012 was $2,763,000 and $1,470,000, respectively. 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 $1,333,000 and $1,419,000 as of March 31, 2013 and December 31, 2012, respectively, and related primarily to differences between the financial reporting and tax bases of fixed and intangible assets and to net operating losses.

Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service (“IRS”) for the year ended December 31, 2008 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2007 and subsequent years. In the future, we will be subject to audit by the Canada Revenue Agency (“CRA”) 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 acquisitions 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 taxing authority.

Of the total $6,101,000 of total liability for gross unrecognized tax benefits at December 31, 2012, $5,916,000 (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 would be recognized. There were insignificant uncertain tax positions as of March 31, 2013 for which it is reasonably possible that the amount of unrecognized tax benefits would decrease during 2013. Interest and penalties totaled $33,000 and $98,000, respectively, for the three months ended March 31, 2013 and are included in income tax expense. Of these amounts, $29,000 and $88,000 of interest and penalties, respectively, relate to the Genesis Acquisition and are offset by the indemnification asset.

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 2013 Key Performance Indicators, Trends and Uncertainties Corporate Governance	26 26 27 27 28 30

	LIQUIDITY AND CAPITAL RESOURCES

	Sources and Uses of Cash Off-Balance Sheet Arrangements Contractual Obligations Capital Structure	31 31 32 32

	RESULTS OF OPERATIONS

	Summary Seniors Housing Triple-net Senior Housing Operating Medical Facilities Non-Segment/Corporate	33 34 36 38 40

	NON-GAAP FINANCIAL MEASURES & OTHER

	FFO Reconciliations EBITDA & Adjusted EBITDA Reconciliations NOI and SSCNOI Reconciliations	41 43 44
	Health Care Reimbursements and Other Related Laws	45
	Critical Accounting Policies Forward-Looking Statements and Risk Factors	47 47

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

The following discussion and analysis is based primarily on the 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, 2012, including factors identified under the headings “Business,” “Risk Factors,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

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 March 31, 2013:

	Investments		Percentage of	Number of
Type of Property	(in thousands)		Investments	Properties
Seniors housing triple-net	$	8,156,816	43.3%	568
Seniors housing operating⁽¹⁾		6,541,181	34.6%	217
Medical facilities⁽²⁾		4,181,255	22.1%	242
Totals	$	18,879,252	100.0%	1,027


(1) Excludes 93 properties with an investment amount of $1,155,773,000 which relates to our share of investments in unconsolidated entities with Chartwell and Sunrise. Please see Note 7 to our consolidated financial statements for additional information.
(2) Excludes 13 properties with an investment amount of $372,029,000 which relates to our share of investments in unconsolidated entities with Forest City and a strategic medical partnership. Please see Note 7 to our consolidated financial statements for additional information.

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, customer 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 three months ended March 31, 2013, rental income, resident fees and services and interest and other income represented 47%, 51%, and 2% respectively, of total revenues (including discontinued operations). Substantially all of our operating leases are designed with escalating rent 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

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

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 March 31, 2013, we had $269,842,000 of cash and cash equivalents, $225,360,000 of restricted cash and $1,550,000,000 of available borrowing capacity under our primary unsecured line of credit arrangement.

Capital Market Outlook

The capital markets remain supportive of our investment strategy. For the year ended December 31, 2012, we raised over $6.0 billion in aggregate gross proceeds through issuance of common and preferred stock, unsecured debt and a Canadian denominated term loan. During the three months ended March 31, 2013, we funded a $500 million unsecured term loan and expanded our primary unsecured line of credit arrangement to $2.25 billion. The capital raised, in combination with available cash and borrowing capacity under our line of credit, supported $4.9 billion in gross new investments during 2012 and $2.6 billion year-to-date in 2013. 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 2013

Capital. In January 2013, we closed a $2.75 billion unsecured line of credit arrangement consisting of a $2.25 billion revolver and a $500 million term loan. The facility replaced our existing $2.0 billion unsecured line of credit arrangement. The revolver matures on March 31, 2017, but can be extended for an additional year at our option. The term loan matures on March 31, 2016, but can be extended up to two years at our option. The revolver bears interest at LIBOR plus 117.5 basis points and has an annual facility fee of 22.5 basis points. The term loan bears interest at LIBOR plus 135 basis points. We have an option to upsize the facility by up to an additional $1.0 billion through an accordion feature, allowing for aggregate commitments of up to $3.75 billion. The facility also allows us to borrow up to $500 million in alternate currencies.

Investments. We completed $2.6 billion of gross investments during the three months ended March 31, 2013, including 100% from existing relationships. The following summarizes investments made during the three months ended March 31, 2013 (dollars in thousands):

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

	Properties		Investment Amount⁽¹⁾	Capitalization Rates⁽²⁾		Book Amount⁽³⁾
Acquisitions/JVs:
Seniors housing triple-net	2	$	56,636	7.0%	$	56,526
Seniors housing operating⁽⁴⁾	117		2,485,709	5.9%		2,819,436
Total acquisitions/JVs	119		2,542,345	5.9%		2,875,962
Construction in progress			59,320			59,320
Loan advances			11,971			11,971
Total		$	2,613,636		$	2,947,253


(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 consolidated financial statements for additional information.
(4) Excludes $580,834,000 for the Sunrise loan which was acquired upon merger consummation on January 9, 2013. See Note 21 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2012 for additional information.

Dispositions. We completed $255 million of dispositions, generating $337 million in proceeds and $82 million in net gains as of March 31, 2013. The following summarizes dispositions made for the three months ended March 31, 2013 (dollars in thousands):

	Properties		Proceeds⁽¹⁾	Capitalization Rates⁽²⁾		Book Amount⁽³⁾
Property sales:
Seniors housing triple-net	11	$	157,032	11.6%	$	76,331
Medical facilities	6		137,575	8.0%		135,784
Total property sales	17		294,607	9.3%		212,115
Loan payoffs⁽⁴⁾			42,865			42,865
Total dispositions	17	$	337,472		$	254,980


(1) Represents proceeds received upon disposition including any seller financing. See Notes 5 and 6 to our 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.
(4) Excludes $580,834,000 for the Sunrise loan which was acquired upon merger consummation on January 9, 2013.

The following other events occurred during the three months ended March 31, 2013:

· Our Board of Directors increased the annual cash dividend to $3.06 per common share ($0.765 per share quarterly), as compared to $2.96 per common share for 2012, beginning in February 2013. The dividend declared for the quarter ended December 31, 2012 represents the 167th consecutive quarterly dividend payment; and

· We received a ratings upgrade from Standard & Poor’s to BBB with a stable outlook.

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):

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,
		2012		2012		2012		2012			2013

Net income (loss) attributable to common stockholders		$	39,307	$	54,735	$	37,269	$	90,576	$	55,058
Funds from operations			163,857		157,932		170,725		205,047		170,878
Net operating income from continuing operations			289,195		303,916		319,261		339,078		380,561
Same store cash net operating income			248,139		252,071		254,388		256,790		254,999

Per share data (fully diluted):
	Net income (loss) attributable to common stockholders	$	0.19	$	0.25	$	0.16	$	0.35	$	0.21
	Funds from operations		0.81		0.73		0.75		0.78		0.65

Concentration Risk. We evaluate our concentration risk in terms of asset mix, investment mix, customer 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. Asset mix measures the portion of our investments that are real property. In order to qualify as an equity REIT, at least 75% of our real estate investments must be real property whereby each property, which includes the land, buildings, improvements, intangibles and related rights, is owned by us. 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,
		2012	2012	2012	2012	2013
Asset mix:
	Real property	95%	93%	93%	91%	91%
	Real estate loans receivable	2%	2%	2%	5%	1%
	Investments in unconsolidated entities	3%	5%	5%	4%	8%

Investment mix:⁽¹⁾
	Seniors housing triple-net	53%	53%	53%	47%	43%
	Seniors housing operating	20%	20%	20%	28%	35%
	Medical facilities	27%	27%	27%	25%	22%

Relationship mix:⁽¹⁾
	Sunrise Senior Living				6%	14%
	Genesis HealthCare	18%	18%	17%	15%	14%
	Merrill Gardens	8%	7%	7%	6%	6%
	Belmont Village				5%	5%
	Benchmark Senior Living	6%	6%	5%	5%	4%
	Brandywine Senior Living	5%	5%	5%
	Senior Living Communities	4%	4%	4%
	Remaining relationships	59%	60%	62%	63%	57%

Geographic mix:
	California	10%	9%	9%	9%	9%
	Texas	9%	9%	9%	9%	8%
	New Jersey	10%	9%	9%	9%	8%
	England					8%
	Florida	7%	7%	8%	7%	6%
	Pennsylvania	6%	6%	5%	5%
	Remaining geographic areas	58%	60%	60%	61%	61%


(1) Excludes our share of investments in unconsolidated entities.

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

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 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,
		2012	2012	2012	2012	2013

Debt to book capitalization ratio		45%	48%	41%	45%	49%
Debt to undepreciated book
	capitalization ratio	41%	45%	38%	41%	45%
Debt to market capitalization ratio		34%	36%	31%	33%	34%

Interest coverage ratio		3.03x	3.21x	2.94x	3.60x	3.42x
Fixed charge coverage ratio		2.33x	2.52x	2.30x	2.82x	2.72x

Lease Expirations. The following table sets forth information regarding lease expirations for certain portions of our portfolio as of March 31, 2013 (dollars in thousands):

Expiration Year

			2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	Thereafter

Seniors housing triple-net:
	Properties		8	15	1	-	34	51	-	12	54	10	363
	Base rent⁽¹⁾	$	1,913	25,909	4,669	-	15,594	37,194	-	14,982	60,834	12,817	577,542
	% of base rent		0.3%	3.4%	0.6%	0.0%	2.1%	4.9%	0.0%	2.0%	8.1%	1.7%	76.9%

Hospitals:
	Properties		-	-	-	-	3	-	-	-	-	-	23
	Base rent⁽¹⁾	$	-	-	-	-	2,350	-	-	-	-	-	77,861
	% of base rent		0.0%	0.0%	0.0%	0.0%	2.9%	0.0%	0.0%	0.0%	0.0%	0.0%	97.1%

Medical office buildings:
	Square feet		442,551	640,433	678,341	773,973	1,114,363	733,477	669,234	699,506	829,452	1,953,345	3,335,648
	Base rent⁽¹⁾	$	9,871	14,445	15,119	17,196	26,960	16,988	16,332	17,066	20,906	39,678	88,315
	% of base rent		3.5%	5.1%	5.3%	6.1%	9.5%	6.0%	5.8%	6.0%	7.4%	14.0%	31.2%

(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 “Forward-Looking Statements and Risk Factors” 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, 2012, 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

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

are available on the Internet at www.hcreit.com.

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):

		Three Months Ended				Change
		March 31, 2013		March 31, 2012		$		%

Cash and cash equivalents at beginning of period		$	1,033,764	$	163,482	$	870,282	532%
Cash provided from (used in):
Operating activities			199,808		174,044		25,764	15%
Investing activities			(1,968,703)		(537,837)		(1,430,866)	266%
Financing activities			1,004,416		669,528		334,888	50%
Effect of foreign currency translation on cash and cash equivalents			557		-		557	n/a
	Cash and cash equivalents at end of period	$	269,842	$	469,217	$	(199,375)	-42%

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.

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 2013.” Please refer to Notes 3, 6 and 7 of our consolidated financial statements for additional information.

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/redemptions of common and preferred stock and dividend payments, which are summarized above in “Key Transactions in 2013” and Notes 9, 10 and 13 of our consolidated financial statements.

Off-Balance Sheet Arrangements

At March 31, 2013, we had investments in unconsolidated entities with our ownership ranging from 10% to 50%. Please see Note 7 to our consolidated financial statements for additional information. We use financial derivative instruments to hedge interest rate exposure. Please see Note 11 to our consolidated financial statements for additional information. At March 31, 2013, we had eight outstanding letter of credit obligations. Please see Note 12 to our consolidated financial statements for additional information.

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

Contractual Obligations

The following table summarizes our payment requirements under contractual obligations as of March 31, 2013 (in thousands):

	Payments Due by Period
Contractual Obligations	Total		2013		2014-2015		2016-2017		Thereafter

Unsecured line of credit arrangements	$	710,000	$	10,000	$	-	$	700,000	$	-
Senior unsecured notes⁽¹⁾		6,640,127		300,000		495,724		1,650,000		4,194,403
Secured debt⁽¹⁾		3,136,421		148,447		880,152		773,190		1,334,632
Contractual interest obligations		3,584,344		340,539		786,109		621,802		1,835,894
Capital lease obligations		83,499		71,512		10,203		1,118		666
Operating lease obligations		698,039		9,672		22,339		22,348		643,680
Purchase obligations		291,129		120,138		170,991		-		-
Other long-term liabilities		6,522		-		1,580		2,463		2,479
Total contractual obligations	$	15,150,081	$	1,000,308	$	2,367,098	$	3,770,921	$	8,011,754


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

At March 31, 2013, we had an unsecured line of credit arrangement with an aggregate commitment amount of $2,250,000,000 and unsecured demand notes totaling $10,000,000. See Note 9 to our unaudited consolidated financial statements for additional information. Total contractual interest obligations on these arrangements totaled $34,624,000 at March 31, 2013, using interest rates in place at that date.

We have $5,894,403,000 of senior unsecured notes principal outstanding with annual fixed interest rates ranging from 3.0% to 6.5%, payable semi-annually. A total of $494,403,000 of our senior unsecured notes are convertible notes that also contain put features. In addition, we have a $250,000,000 Canadian denominated unsecured term loan (approximately $245,724,000 USD at exchange rates on March 31, 2013). The loan matures on July 27, 2015 with an option to extend for an additional year at our discretion. We also have a $500,000,000 unsecured term loan that matures on March 16, 2016 and can be extended for two additional years at our option. See Note 10 to our unaudited consolidated financial statements for more information. Total contractual interest obligations on senior unsecured notes, the Canadian term loan and the $500,000,000 term loan totaled $2,717,307,000 at March 31, 2013.

We have consolidated secured debt with total outstanding principal of $2,425,033,000, collateralized by owned properties, with fixed annual interest rates ranging from 0.4% to 8.0%, payable monthly. The carrying values of the properties securing the debt totaled $4,157,430,000 at March 31, 2013. Total contractual interest obligations on consolidated secured debt totaled $712,122,000 at March 31, 2013. Additionally, our share of non-recourse debt associated with unconsolidated entities (as reflected in the contractual obligations table above) is $711,388,000 at March 31, 2013. Our share of contractual interest obligations on our unconsolidated entities’ secured debt is $120,291,000 at March 31, 2013.

At March 31, 2013, we had operating lease obligations of $698,039,000 relating primarily to ground leases at certain of our properties and office space leases and capital lease obligations of $83,499,000 relating to certain leased investment properties that contain bargain purchase options.

Purchase obligations include unfunded construction commitments and contingent purchase obligations. At March 31, 2013, we had outstanding construction financings of $86,820,000 for leased properties and were committed to providing additional financing of approximately $217,172,000 to complete construction. At March 31, 2013, we had contingent purchase obligations totaling $73,957,000. These contingent purchase obligations relate to unfunded capital improvement obligations and contingent obligations on acquisitions. Upon funding, amounts due from the tenant are increased to reflect the additional investment in the property.

Other long-term liabilities relate to our Supplemental Executive Retirement Plan, which is discussed in Note 19 to the financial statement included in our Annual Report on Form 10-K for the year ended December 31, 2012.

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 March 31, 2013, 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 March 31, 2013 is as follows:

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

Per Agreement

Covenant

Unsecured Line of Credit⁽¹⁾

Senior Unsecured Notes

Actual At March 31, 2013

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%

46%

Unsecured Debt to Unencumbered Assets maximum:

60%

n/a

44%

Adjusted Interest Coverage Ratio minimum:

n/a

1.50x

3.41x

Adjusted Fixed Charge Coverage minimum:

1.50x

n/a

2.68x

(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 April 30, 2013, 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 April 30, 2013, 3,103,084 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 April 30, 2013, 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 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
	March 31,		March 31,
	2013		2012		Amount		%
Net income (loss) attributable to common stockholders	$	55,058	$	39,307	$	15,751	40%
Funds from operations		170,878		163,857		7,021	4%
EBITDA		372,418		280,072		92,346	33%
Net operating income from continuing operations (NOI)		380,561		289,195		91,366	32%
Same store cash NOI		254,999		248,139		6,860	3%

Per share data (fully diluted):
Net income (loss) attributable to common stockholders	$	0.21	$	0.19	$	0.02	11%
Funds from operations		0.65	$	0.81	$	(0.16)	-20%

Interest coverage ratio		3.42x		3.03x		0.39x	13%
Fixed charge coverage ratio		2.72x		2.33x		0.39x	17%

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
		March 31,		March 31,
		2012		2013		$		%
SSCNOI⁽¹⁾		$	140,313	$	144,387	$	4,074	3%
Non-cash NOI attributable to same store properties⁽¹⁾			8,426		8,821		395	5%
NOI attributable to non same store properties⁽²⁾			19,921		38,154		18,233	92%
NOI		$	168,660	$	191,362	$	22,702	13%


(1) Due to increases in cash and non-cash revenues (described below) related to 465 same store properties.
(2) Primarily due to acquisitions of 65 properties and conversions of 15 construction projects into revenue-generating properties subsequent to January 1, 2012.

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

			Three Months Ended				Change
			March 31,		March 31,
			2013		2012		$		%
Revenues:
	Rental income		$	185,309	$	161,936	$	23,373	14%
	Interest income			5,844		5,877		(33)	-1%
	Other income			209		847		(638)	-75%
		Net operating income from continuing operations (NOI)		191,362		168,660		22,702	13%
Expenses:
	Interest expense			6,545		589		5,956	1011%
	Depreciation and amortization			56,255		49,446		6,809	14%
	Transaction costs			494		1,523		(1,029)	-68%
				63,294		51,558		11,736	23%
Income from continuing operations before income taxes and income (loss) from unconsolidated entities				128,068		117,102		10,966	9%
Income tax expense				(762)		(678)		(84)	12%
Income (loss) from unconsolidated entities				1,290		1		1,289	128900%
Income from continuing operations				128,596		116,425		12,171	10%
Discontinued operations:
	Gain (loss) on sales of properties, net			80,701		-		80,701	n/a
	Income (loss) from discontinued operations, net			565		9,512		(8,947)	-94%
	Discontinued operations, net			81,266		9,512		71,754	754%
Net income				209,862		125,937		83,925	67%
Less: Net income attributable to noncontrolling interests				(369)		(116)		(253)	218%
Net income attributable to common stockholders			$	209,493	$	125,821	$	83,672	67%

The increase in rental income is primarily attributable to the acquisitions of new properties and the conversion of newly constructed seniors housing triple-net properties from which we receive rent. 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 March 31, 2013, we had no lease renewals but we had 14 leases with rental rate increasers ranging from 0.15% to 0.41% in our seniors housing triple-net portfolio. The decrease in interest income is attributable to loan payoffs (see Note 6 to our consolidated financial statements for additional information).

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

Interest expense for the years ended March 31, 2013 and 2012 represents $6,829,000 and $3,533,000, respectively, of 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, 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
	March 31, 2013			March 31, 2012
			Wtd. Avg.			Wtd. Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	218,741	5.393%	$	259,000	5.105%
Principal payments		(1,149)	5.536%		(1,176)	5.467%
Ending balance	$	217,592	5.392%	$	257,824	5.467%

Monthly averages	$	217,994	5.392%	$	258,413	5.140%

Depreciation and amortization increased primarily as a result of new property acquisitions and the conversions of newly constructed investment properties. 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, and termination of pre-existing relationships computed based on the fair value of the assets acquired), lease termination fees and other similar costs.

Changes in gains on sales of properties are related to property sales which totaled 11 and 0 for the three months ended March 31, 2013 and 2012, respectively. The following illustrates the reclassification impact as a result of classifying the properties sold prior to or held for sale at March 31, 2013 as discontinued operations for the periods presented. Please refer to Note 5 to our consolidated financial statements for further discussion.

		Three Months Ended
		March 31,
		2013		2012

Rental income		$	872	$	16,703
Expenses:
	Interest expense		284		2,944
	Provision for depreciation		23		4,247
Income from discontinued operations, net		$	565	$	9,512

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
		March 31,		March 31,
		2012		2013		$		%
SSCNOI⁽¹⁾		$	48,362	$	50,010	$	1,648	3%
Non-cash NOI attributable to same store properties			-		-		-	0%
NOI attributable to non same store properties⁽²⁾			2,569		53,568		50,999	1985%
NOI		$	50,931	$	103,578	$	52,647	103%


(1) Due to increases in cash and non-cash revenues (described below) related to 112 same store properties.
(2) Primarily due to acquisitions of 105 properties subsequent to January 1, 2012.

As discussed in Note 3 to our consolidated financial statements, we completed additional acquisitions within our seniors housing operating segment during the three months ended March 31, 2013. The results of operations for these properties have been included in our consolidated results of operations from the dates of acquisition. The seniors housing operating acquisitions were structured under RIDEA, which is discussed in Note 18 to our consolidated financial statements. When considering new acquisitions utilizing the RIDEA structure, we look for opportunities with best-in-class operators with a strong seasoned leadership team, high-quality real estate in attractive markets, growth potential above the standard rent escalators in our triple-net lease seniors housing portfolio, and alignment of economic interests with our operating partner. Our seniors housing operating properties offer us the opportunity for external growth because we have the right to fund future seniors housing investment opportunities sourced by our operating partners. There were no seniors housing operating segment investments prior to September 1, 2010. As such, the increases in NOI are almost entirely attributable to 98 property acquisitions that have occurred subsequent to March 31, 2012. The following is a summary of our seniors housing operating results of operations (dollars in thousands):

		Three Months Ended				Change
		March 31,		March 31,
		2013		2012		$		%
Revenues:
	Resident fees and services	$	327,324	$	158,174	$	169,150	107%
	Interest income		757		-		757	n/a
			328,081		158,174		169,907	107%
Property operating expenses			224,503		107,243		117,260	109%
	Net operating income from continuing operations (NOI)		103,578		50,931		52,647	103%
Other expenses:
	Interest expense		19,070		15,835		3,235	20%
	Loss (gain) on derivatives, net		2,309		555		1,754	316%
	Depreciation and amortization		89,875		39,773		50,102	126%
	Transaction costs		65,325		1,578		63,747	4040%
	Loss (gain) on extinguishment of debt, net		(308)		-		(308)	n/a
			176,271		57,741		118,530	205%
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities			(72,693)		(6,810)		(65,883)	967%
Income tax expense			(1,729)		(659)		(1,070)	162%
Income (loss) from unconsolidated entities			(1,548)		(330)		(1,218)	369%
Net income (loss)			(75,970)		(7,799)		(68,171)	874%
Less: Net income (loss) attributable to noncontrolling interests			(274)		(1,305)		1,031	-79%
Net income (loss) attributable to common stockholders		$	(75,696)	$	(6,494)	$	(69,202)	1066%

Fluctuations in revenues and property operating expenses are primarily a result of acquisitions subsequent to September 30, 2010. Interest income relates to the Sunrise loan funded during the three months ended December 31, 2012. 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. Loss from unconsolidated entities during the three months ended March 31, 2013 is primarily attributable to depreciation and amortization of short-lived intangible assets related to

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

our joint ventures described in Note 7 to our consolidated financial statements. Interest income relates to the Sunrise loan that was acquired upon merger consummation on January 9, 2013.

Interest expense represents secured debt interest expense as well as interest expense related to our unsecured Canadian term loan discussed further in Note 10 to our consolidated financial statements. The following is a summary of our seniors housing operating property secured debt principal activity, which excludes the Canadian term loan (dollars in thousands):

	Three Months Ended
	March 31, 2013			March 31, 2012
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	1,369,526	4.874%		1,318,599	5.139%
Debt issued		-	0.000%		111,000	4.180%
Debt assumed		132,680	5.492%		-	0.000%
Debt extinguished		(7,807)	7.430%		(15,709)	2.752%
Foreign currency		6	5.624%		-	0.000%
Principal payments		(5,986)	5.034%		(3,715)	5.018%
Ending balance	$	1,488,419	4.925%	$	1,410,175	5.090%

Monthly averages	$	1,460,933	4.921%		1,427,302	5.064%

In connection with secured debt extinguishments, we recognized a gain of $308,000 during the three months ended March 31, 2013. In addition, during the three months ended March 31, 2013, we recognized a net realized loss on derivatives of $2,309,000 associated with future foreign investments.

Transaction costs were incurred in connection with acquisitions that occurred during the relevant periods. Transaction costs generally include due diligence costs and fees for legal and valuation services, charges associated with the termination of pre-existing relationships computed based on the fair value of the assets acquired and lease termination fees. The majority of our seniors housing operating properties are formed through partnership interests. Net income attributable to noncontrolling interests for the three months ended March 31, 2013 represents our partners’ share of net income (loss) related to those properties.

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

Medical Facilities

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

	Three Months Ended					Change
		March 31,		March 31,
		2012		2013		$		%
SSCNOI⁽¹⁾		$	59,464	$	60,602	$	1,138	2%
Non-cash NOI attributable to same store properties⁽¹⁾			2,937		2,079		(858)	-29%
NOI attributable to non same store properties⁽²⁾			6,968		22,859		15,891	228%
NOI		$	69,369	$	85,540	$	16,171	23%


(1) Due to increases in cash and non-cash revenues (described below) related to 171 same store properties.
(2) Primarily due to acquisitions of 34 properties and conversions of construction projects into 6 revenue-generating properties subsequent to January 1, 2012.

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

		Three Months Ended				Change
		March 31,		March 31,
		2013		2012		$		%
Revenues:
	Rental income	$	111,525	$	88,059	$	23,466	27%
	Interest income		2,456		2,264		192	8%
	Other income		410		604		(194)	-32%
			114,391		90,927		23,464	26%
Property operating expenses			28,851		21,558		7,293	34%
	Net operating income from continuing operations (NOI)		85,540		69,369		16,171	23%
Other expenses:
	Interest expense		9,572		8,274		1,298	16%
	Depreciation and amortization		40,969		31,688		9,281	29%
	Transaction costs		161		2,478		(2,317)	-94%
			50,702		42,440		8,262	19%
Income from continuing operations before income taxes and income from unconsolidated entities			34,838		26,929		7,909	29%
Income tax expense			(272)		(133)		(139)	105%
Income from unconsolidated entities			2,520		1,861		659	35%
Income from continuing operations			37,086		28,657		8,429	29%
Discontinued operations:
	Gain (loss) on sales of properties, net		1,791		769		1,022	133%
	Income (loss) from discontinued operations, net		1,230		1,526		(296)	-19%
	Discontinued operations, net		3,021		2,295		726	32%
Net income (loss)			40,107		30,952		9,155	30%
Less: Net income (loss) attributable to noncontrolling interests			44		133		(89)	-67%
Net income (loss) attributable to common stockholders		$	40,063	$	30,819	$	9,244	30%

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 March 31, 2013, our consolidated medical office building portfolio signed 68,659 square feet of new leases and 163,638 square feet of renewals. The weighted-average term of these leases was seven years, with a rate of $20.34 per square foot and tenant improvement and lease commission costs of $17.02 per square foot. Substantially all

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

of these leases during the referenced quarter contain an annual fixed or contingent escalation rent structure ranging from the change in CPI to 3%. For the three months ended March 31, 2013, we had no lease renewals and no rental rate increasers in our hospital portfolio.

Interest expense for the three months ended March 31, 2013 and 2012 represents $9,733,000 and $10,238,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. 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 facilities secured debt principal activity (dollars in thousands):

	Three Months Ended
	March 31, 2013			March 31, 2012
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate

Beginning balance	$	713,720	5.950%	$	520,066	5.981%
Debt assumed		-	0.000%		158,290	5.859%
Debt extinguished		-	0.000%		(17,383)	5.695%
Principal payments		(3,897)	6.023%		(3,319)	6.022%
Ending balance	$	709,823	5.950%	$	657,654	5.959%

Monthly averages	$	711,826	5.950%	$	626,821	5.953%

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. Transaction costs for the three months ended March 31, 2012 represent costs incurred in connection with the acquisition of new properties. 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. See Note 7 to our consolidated financial statements for additional information.

Changes in gains/losses on sales of properties is related to property sales which totaled six and four for the three months ended March 31, 2013, and 2012, respectively. The following illustrates the reclassification impact as a result of classifying the properties sold prior to or held for sale at March 31, 2013 as discontinued operations for the periods presented. Please refer to Note 5 to our consolidated financial statements for further discussion.

		Three Months Ended
		March 31,
		2013		2012

Rental income		$	1,725	$	6,651
Expenses:
	Interest expense		161		1,964
	Property operating expenses		334		893
	Provision for depreciation		-		2,268
Income from discontinued operations, net		$	1,230	$	1,526

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
		March 31,		March 31,
		2013		2012		$		%
Revenues:
	Other income	$	81	$	235	$	(154)	-66%
Expenses:
	Interest expense		75,102		64,116		10,986	17%
	General and administrative		27,179		27,751		(572)	-2%
			102,281		91,867		10,414	11%
Loss from continuing operations			(102,200)		(91,632)		(10,568)	12%
Less:	Preferred stock dividends		16,602		19,207		(2,605)	-14%

Net loss attributable to common stockholders		$	(118,802)	$	(110,839)	$	(7,963)	7%

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
	March 31,		March 31,
	2013		2012		$		%

Senior unsecured notes	$	72,180	$	59,301	$	12,879	22%
Secured debt		109		122		(13)	-11%
Unsecured lines of credit		4,521		4,113		408	10%
Capitalized interest		(1,606)		(2,420)		814	-34%
SWAP savings		(4)		(41)		37	-90%
Loan expense		(98)		3,041		(3,139)	n/a

Totals	$	75,102	$	64,116	$	10,986	17%

The change in interest expense on senior unsecured notes is due to the net effect of issuances and extinguishments. Please refer to Note 10 of our 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 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 for senior unsecured note issuance. 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 Note 9 of our consolidated financial statements for additional information regarding our unsecured line of credit arrangements.

General and administrative expenses as a percentage of consolidated revenues (including revenues from discontinued operations) for the three months ended March 31, 2013 and 2012 were 4.46% and 6.37%, respectively. The increase in general and administrative expenses is primarily related to costs associated with our initiatives to attract and retain appropriate personnel to achieve our business objectives. The decline in percent of revenue is primarily related to the increasing revenue base as a result of our acquisitions.

The changes in preferred stock dividends are primarily attributable to the net effect of issuances, redemptions and conversions. Please see Note 13 to our consolidated financial statements for additional information.

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 to be a useful supplemental measure 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, 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.

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 level operating expenses, which exclude depreciation and amortization, general and administrative expenses, impairments and interest expense. 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, 2012. Any properties acquired, developed, transitioned or classified in discontinued operations 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 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.

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 amounts represent the noncontrolling interests’ share of transaction costs and depreciation and amortization. Unconsolidated entity amounts represent our share of unconsolidated entities’ 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,
		2012		2012		2012		2012		2013
FFO Reconciliations:
Net income (loss) attributable to common stockholders		$	39,307	$	54,735	$	37,269	$	90,576	$	55,058
Depreciation and amortization			127,422		132,963		132,858		140,342		187,122
Impairment of assets			-		-		6,952		22,335		-
Loss (gain) on sales of properties, net			(769)		(32,450)		(12,827)		(54,502)		(82,492)
Noncontrolling interests			(4,990)		(5,189)		(5,440)		(5,439)		(5,793)
Unconsolidated entities			2,887		7,873		11,913		11,735		16,983
Funds from operations		$	163,857	$	157,932	$	170,725	$	205,047	$	170,878

Average common shares outstanding:
	Basic		199,661		213,498		224,391		259,290		260,036
	Diluted		201,658		215,138		226,258		261,210		262,525

Per share data:
Net income attributable to
	common stockholders
	Basic	$	0.20	$	0.26	$	0.17	$	0.35	$	0.21
	Diluted		0.19		0.25		0.16		0.35		0.21

Funds from operations
	Basic	$	0.82	$	0.74	$	0.76	$	0.79	$	0.66
	Diluted		0.81		0.73		0.75		0.78		0.65

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,
EBITDA Reconciliations:		2012		2012		2012		2012		2013
Net income		$	57,458	$	76,875	$	53,506	$	107,005	$	71,799
Interest expense			93,722		96,762		96,243		96,573		110,734
Income tax expense			1,470		1,447		836		3,858		2,763
Depreciation and amortization			127,422		132,963		132,858		140,342		187,122
EBITDA		$	280,072	$	308,047	$	283,443	$	347,778	$	372,418

Interest Coverage Ratio:
Interest expense		$	93,722	$	96,762	$	96,243	$	96,573	$	110,734
Non-cash interest expense			(3,693)		(2,849)		(2,241)		(2,612)		(3,494)
Capitalized interest			2,420		2,140		2,556		2,664		1,606
	Total interest		92,449		96,053		96,558		96,625		108,846
EBITDA		$	280,072	$	308,047	$	283,443	$	347,778	$	372,418
	Interest coverage ratio		3.03x		3.21x		2.94x		3.60x		3.42x

Fixed Charge Coverage Ratio:
Total interest		$	92,449	$	96,053	$	96,558	$	96,625	$	108,846
Secured debt principal payments			8,529		9,567		10,141		10,317		11,319
Preferred dividends			19,207		16,719		16,602		16,602		16,602
	Total fixed charges		120,185		122,339		123,301		123,544		136,767
EBITDA		$	280,072	$	308,047	$	283,443	$	347,778	$	372,418
	Fixed charge coverage ratio		2.33x		2.52x		2.30x		2.82x		2.72x

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
		March 31,		June 30,		September 30,		December 31,		March 31,
Adjusted EBITDA Reconciliations:		2012		2012		2012		2012		2013
Net income		$	238,363	$	229,029	$	230,181	$	294,841	$	309,183
Interest expense			356,390		368,379		376,811		383,300		400,312
Income tax expense			2,729		3,965		4,578		7,611		8,904
Depreciation and amortization			476,259		498,169		515,387		533,585		593,285
Stock-based compensation expense			16,552		16,177		17,003		18,521		17,728
Provision for loan losses			1,762		1,594		28,471		27,008		27,008
Loss (gain) on extinguishment of debt, net			(979)		(403)		(188)		(775)		(1,083)
Adjusted EBITDA		$	1,091,076	$	1,116,910	$	1,172,243	$	1,264,091	$	1,355,337

Adjusted Fixed Charge Coverage Ratio:
Interest expense		$	356,390	$	368,379	$	376,811	$	383,300	$	400,312
Capitalized interest			10,919		10,745		10,190		9,777		8,964
Non-cash interest expense			(13,882)		(14,033)		(12,560)		(11,395)		(11,196)
Secured debt principal payments			30,427		32,983		35,920		38,554		41,344
Preferred dividends			71,028		70,394		69,762		69,129		66,525
	Total fixed charges		454,882		468,468		480,123		489,365		505,949
Adjusted EBITDA		$	1,091,076	$	1,116,910	$	1,172,243	$	1,264,091	$	1,355,337
	Adjusted fixed charge coverage ratio		2.40x		2.38x		2.44x		2.58x		2.68x

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. Amounts are in thousands.

			Three Months Ended
			March 31,		June 30,		September 30,		December 31,		March 31,
NOI Reconciliations:			2012		2012		2012		2012		2013
Total revenues:
	Seniors housing triple-net		$	168,660	$	176,693	$	186,005	$	187,719	$	191,362
	Seniors housing operating			158,174		165,654		174,464		205,400		328,081
	Medical facilities			90,927		97,165		102,539		107,253		114,391
	Non-segment/corporate			235		243		277		158		81
		Total revenues		417,996		439,755		463,285		500,530		633,915
Property operating expenses:
	Seniors housing operating			107,243		111,340		118,369		134,726		224,503
	Medical facilities			21,558		24,499		25,655		26,726		28,851
		Total property operating expenses		128,801		135,839		144,024		161,452		253,354
Net operating income:
	Seniors housing triple-net			168,660		176,693		186,005		187,719		191,362
	Seniors housing operating			50,931		54,314		56,095		70,674		103,578
	Medical facilities			69,369		72,666		76,884		80,527		85,540
	Non-segment/corporate			235		243		277		158		81
		Net operating income from continuing operations (NOI)		289,195		303,916		319,261		339,078		380,561
Reconciling items:
	Interest expense			(88,814)		(91,648)		(92,408)		(94,137)		(110,289)
	Loss (gain) on derivatives, net			(555)		2,676		(409)		113		(2,309)
	Depreciation and amortization			(120,907)		(127,968)		(129,185)		(137,689)		(187,099)
	General and administrative			(27,751)		(25,870)		(23,679)		(20,039)		(27,179)
	Transaction costs			(5,579)		(28,691)		(8,264)		(19,074)		(65,980)
	Loss (gain) on extinguishment of debt, net			-		(576)		(215)		1,566		308
	Provision for loan losses			-		-		(27,008)		-		-
	Income tax benefit (expense)			(1,470)		(1,447)		(836)		(3,858)		(2,763)
	Income from unconsolidated entities			1,532		1,456		(739)		232		2,262
	Income (loss) from discontinued operations, net			11,807		45,027		16,988		40,812		84,287
	Preferred dividends			(19,207)		(16,719)		(16,602)		(16,602)		(16,602)
	Preferred stock redemption charge			-		(6,242)		-		-		-
	Loss (income) attributable to noncontrolling interests			1,056		821		365		174		(139)
				(249,888)		(249,181)		(281,992)		(248,502)		(325,503)
Net income (loss) attributable to common stockholders			$	39,307	$	54,735	$	37,269	$	90,576	$	55,058

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,
					2012		2012		2012		2012		2013
Same Store Cash NOI Reconciliations:
Net operating income from continuing operations:
	Seniors housing triple-net				$	168,660	$	176,693	$	186,005	$	187,719	$	191,362
	Seniors housing operating					50,931		54,314		56,095		70,674		103,578
	Medical facilities					69,369		72,666		76,884		80,527		85,540
			Total			288,960		303,673		318,984		338,920		380,480
Adjustments:
	Seniors housing triple-net:
		Non-cash NOI on same store properties				(8,426)		(8,104)		(8,603)		(8,779)		(8,821)
		NOI attributable to non same store properties				(19,921)		(25,422)		(32,967)		(33,908)		(38,154)
			Subtotal			(28,347)		(33,526)		(41,570)		(42,687)		(46,975)
	Seniors housing operating:
		Non-cash NOI on same store properties				-		-		-		-		-
		NOI attributable to non same store properties				(2,569)		(4,701)		(6,106)		(19,229)		(53,568)
			Subtotal			(2,569)		(4,701)		(6,106)		(19,229)		(53,568)
	Medical facilities:
		Non-cash NOI on same store properties				(2,937)		(2,350)		(2,333)		(2,331)		(2,079)
		NOI attributable to non same store properties				(6,968)		(11,025)		(14,587)		(17,883)		(22,859)
			Subtotal			(9,905)		(13,375)		(16,920)		(20,214)		(24,938)
Same store cash net operating income:				Properties
	Seniors housing triple-net			465		140,313		143,167		144,435		145,032		144,387
	Seniors housing operating			112		48,362		49,613		49,989		51,445		50,010
	Medical facilities			171		59,464		59,291		59,964		60,313		60,602
			Total	748	$	248,139	$	252,071	$	254,388	$	256,790		254,999

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.

On May 2, 2013 the Centers for Medicare and Medicaid Services (“CMS”) issued its proposed rule for the skilled nursing prospective payment system, which sets forth proposed payment rate changes for the 2014 fiscal year. Based on CMS’s proposed rule for fiscal year 2014, SNFs will receive a net payment increase of 1.4%, which is based on a 2.3% increase in the SNF market basket, less a 0.5% forecast error adjustment, and less a 0.4% multi-factor productivity adjustment. CMS proposes to implement a forecast error adjustment because the forecasted fiscal year 2012 market basket percentage change exceeded the actual SNF market basket percentage change by 0.51%, a figure that is in excess of the 0.5% threshold proposed by the agency for determining when a forecast error adjustment will be applied.

On November 21, 2011, the Joint Select Committee on Deficit Reduction, which was created by the Budget Control Act of 2011, concluded its work, and issued a statement that it was not able to make a bipartisan agreement, thus triggering the sequestration process. On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 2012 (“Taxpayer Relief Act”), which delayed the sequestration process until March 1, 2013. While the sequester went into effect March 1, 2013, effective April 1, 2013, provider payments under Medicare Parts A and B, Medicare Advantage, and Medicare Part D, will be reduced up to 2% annually.

The Balanced Budget Act of 1997 mandated caps on Medicare reimbursement for certain therapy services. However, Congress imposed various waivers on the implementation of those caps. The Middle Class Tax Relief and Job Creation Act of 2012 (“Job Creation Act”) made a number of changes effective on October 1, 2012, including applying the therapy caps to outpatient hospitals, creating two new threshold amounts of $3,700 (one for each therapy cap amount), and requiring a manual medical review process of claims over these new thresholds. CMS announced on March 1, 2013 that until the agency provides further guidance, all therapy claims that are suspended for Manual Medical Review of Therapy Services above the $3,700 threshold will be subject to prepayment medical review. The Taxpayer Relief Act extended the Job Creation Act provisions related to payment for Medicare outpatient therapy services and extended the historical therapy cap waiver and exceptions process through December 31, 2013. The Taxpayer Relief Act also increased the multiple procedure discount for Medicare Part B therapy services from 25% to 50% effective April 1, 2013, which will lower revenues for certain operators or tenants.

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

CMS annually adjusts the Medicare Physician Fee Schedule payment rates based on an update formula that includes application of the Sustainable Growth Rate (“SGR”). On November 1, 2012, CMS published the calendar year 2013 Physician Fee Schedule final rule that called for a negative 26.5% update under the statutory SGR formula. The Taxpayer Relief Act provided for a zero percent update, blocking this cut through December 31, 2013. In March 2013, CMS estimated that the SGR for calendar year 2014 will be negative 15.2%. Additionally, House Energy and Commerce and Ways and Means panels released a plan in April 2013 to eliminate the SGR updates and emphasized the importance of tailoring a permanent fix for different medical specialties. The House panels requested comments on their proposal but have not yet adopted a plan to eliminate the SGR.

Medicaid is a major payor source for residents in our skilled nursing facilities and hospitals. The federal and state government share responsibility for financing Medicaid. President Obama’s proposed fiscal year budget for 2013 included several proposals that would have lowered federal spending for Medicaid, potentially impacting provider Medicaid reimbursement rates. The proposals included new limits on state provider taxes, phasing down the existing Medicaid provider tax, and blending the Federal matching rate for state Medicaid and the Children’s Health Insurance Program. Although the President’s proposed fiscal year budget for 2014 did not include these proposals, it nevertheless called for an overall reduction in federal health care spending by $401 billion over ten years, with savings stemming from several cost-saving proposals including reduced Medicare payments for long-term care hospitals, skilled nursing facilities, and other post-acute care providers.

On April 26, 2013, CMS issued its proposed rule for the Inpatient Prospective Payment System, which sets forth proposed acute care and long-term care hospital payment rate changes for the 2014 fiscal year. Based on CMS’s proposed rule for fiscal year 2014, the Medicare rates for acute care hospitals will increase by 0.8% and rates for hospitals providing long-term care services will increase by 0.5%, accounting for adjustments, such as the multifactor productivity adjustment and the second year adjustment for a three-year phase-in of a one-time 3.75% budget neutrality adjustment to the long-term care hospital rate. CMS also proposes to let expire the one-year extension of the existing moratorium on the 25% threshold policy, a policy that imposes lower Medicare payments, in certain circumstances, on those long-term care hospitals that admit more than 25% of their patients from a single acute care hospital. The expiration of the moratorium on the 25% threshold policy will impact cost reporting periods which begin on or after October 1, 2013.

Additionally, CMS proposes a number of changes to comply with the Health Reform Laws. CMS proposes to revise the reimbursement formula for disproportionate share hospitals resulting in these hospitals receiving only 25% of the amount they currently receive and the remaining 75% being re-allocated to certain hospitals that provide a certain amount of uncompensated care. Additionally, beginning in fiscal year 2015, hospitals that rank among the lowest-performing 25% with regard to hospital-acquired conditions will see a 1% reduction in Medicare payment rates. CMS also will increase the maximum payment reduction under the Hospital Readmissions Reduction program, which began on October 1, 2012, to 2% of payment amounts in fiscal year 2014. For fiscal year 2014, CMS is increasing the applicable percent reduction, the portion of Medicare payments available to fund the Value-Based Purchasing Program’s value-based incentive payments, to 1.25%.

Other Related Laws

All health care providers are subject to a number of federal and state health care fraud and abuse laws, including, but not limited to, the Federal Anti-Kickback Statute, which generally prohibits persons from offering, providing, soliciting, or receiving remuneration to induce either the referral of an individual or the furnishing of a good or service for which payment may be made under a federal health care program, such as Medicare or Medicaid. On April 17, 2013, the Department of Health and Human Services’ Office of Inspector General (“OIG”), which is the agency charged with enforcement of the Federal Anti-Kickback Statute, released a revised provider self-disclosure protocol (“SDP”). The SDP establishes a process for providers to voluntarily identify and disclose potential cases of fraud involving federal health care programs. The SDP notes that damages calculations will begin at 1.5 times the amount actually paid by federal health care programs and that disclosing entities should expect minimum settlement amounts of $50,000 for kickback-related submissions and $10,000 for all other matters eligible for disclosure under the SDP. Such settlements could have an adverse effect on a property operator’s liquidity and financial condition, which could negatively impact the operator’s ability to make payments.

Certain provisions in the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) require health care providers to utilize federally mandated standards for certain electronic transactions and maintain the privacy and security of medical records and other protected health information about individuals. Operators may face significant financial and criminal liability if they fail to maintain the privacy and security of medical records and other protected health information or otherwise abide by applicable requirements. The Health Information Technology for Economic and Clinical Health (“HITECH”) Act, passed in February 2009, strengthened the HHS Secretary’s authority to impose civil money penalties for HIPAA violations occurring after February 18, 2009. In October 2009, the Office for Civil Rights (“OCR”) issued an interim Final Rule which conformed HIPAA enforcement regulations to the HITECH Act, increasing the maximum penalty for multiple violations of a single requirement or prohibition in a calendar year to $1.5 million. Additionally, on January 25, 2013, OCR promulgated a Final Rule, which expands the applicability of HIPAA and HITECH and strengthens the government’s ability to enforce these laws. The changes also strengthen the HITECH breach

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

notification requirements by clarifying when breaches of unsecured health information must be reported to the Department of Health and Human Services. Generally, covered entities and business associates must come into compliance with the final rule by September 23, 2013, though some exceptions exist (e.g., a later deadline for modification of certain business associate agreements).

Critical Accounting Policies

Our 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 Board of Directors. Management believes the current assumptions and other considerations used to estimate amounts reflected in our 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 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, 2012 for further information regarding significant accounting policies that impact us. There have been no material changes to these policies in 2013.

Forward-Looking Statements and Risk Factors

This Quarterly Report on Form 10-Q may contain “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. These forward-looking statements concern and are based upon, among other things, the possible expansion of the company’s portfolio; the sale of facilities; the performance of its operators/tenants and facilities; its ability to enter into agreements with viable new tenants for vacant space or for facilities that the company takes back from financially troubled tenants, if any; its occupancy rates; its ability to acquire, develop and/or manage facilities; its ability to make distributions to stockholders; its policies and plans regarding investments, financings and other matters; its ability to manage the risks associated with international expansion and operations; its tax status as a real estate investment trust; its critical accounting policies; its ability to appropriately balance the use of debt and equity; its ability to access capital markets or other sources of funds; and its ability to meet its earnings guidance. When the company uses words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions, it is making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties. The company’s expected results may not be achieved, and actual results may differ materially from expectations. 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 facilities with profitable results; the failure to make new investments as and when anticipated; acts of God affecting the company’s facilities; 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; regulatory approval and market acceptance of the products and technologies of life science tenants; liability or contract claims by or against operators/tenants; unanticipated difficulties and/or expenditures relating to future acquisitions; environmental laws affecting the company’s facilities; changes in rules or practices governing the company’s financial reporting; the movement of foreign currency exchange rates; and legal and operational matters, including real estate investment trust qualification 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, 2012, 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 assumes no obligation to update or revise any forward-looking statements 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.

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 the unsecured line of credit arrangements.

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):

	March 31, 2013				December 31, 2012
	Principal		Change in		Principal		Change in
	balance		fair value		balance		fair value
Senior unsecured notes	$	6,640,127	$	451,432	$	6,145,457	$	451,478
Secured debt		2,138,999		106,886		2,024,454		96,290
Totals	$	8,779,126	$	558,318	$	8,169,911	$	547,768

Our variable rate debt, including our unsecured line of credit arrangements, is reflected at fair value. At March 31, 2013, we had $710,000,000 outstanding related to our variable rate lines of credit and $286,727,000 outstanding related to our variable rate secured debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $9,967,000. At December 31, 2012, we had no amounts outstanding under our variable rate lines of credit and $276,006,000 outstanding related to our variable rate secured debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $2,760,000.

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 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.

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 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

Except as provided in “Item 2 — Management’s Discussion and Analysis of Financial Condition and Results of Operations — Forward Looking Statements and 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, 2012.

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

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
January 1, 2013 through January 31, 2013	54,049	$	61.86
February 1, 2013 through February 28, 2013	-		-
March 1, 2013 through March 31, 2013	287		65.31
Totals	54,336	$	61.88


^{(1) During the three months ended March 31, 2013, 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 6. Exhibits

2.1 Agreement and Plan of Merger, dated as of August 21, 2012, by and among Sunrise Senior Living, Inc., Brewer Holdco, Inc., Brewer Holdco Sub, Inc., Health Care REIT, Inc. and Red Fox, Inc. (the exhibits and schedules to the Agreement and Plan of Merger have been omitted pursuant to Item 601(b)(2) of Regulation S-K) (filed with the SEC as Exhibit 2.1 to the company’s Form 8-K filed August 22, 2012 (File No. 001-08923), and incorporated herein by reference thereto).

10.1 Credit Agreement dated as of January 7, 2013, by and among Health Care REIT, Inc., the lenders listed therein, KeyBank National Association, as administrative agent, LC 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 joint lead arrangers, and Merrill Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities LLC, as joint book managers (filed with the SEC as Exhibit 10.1 to the company’s Form 8-K filed January 11, 2013 (File No. 001-08923), and incorporated herein by reference thereto).

10.2 Letter Agreement, dated February 4, 2013, by and between Health Care REIT, Inc. and George L. Chapman (filed with the SEC as Exhibit 10.8(b) to the company’s Form 10-K filed February 26, 2013 (File No. 001-08923), and incorporated herein by reference thereto).

10.3 Employment Agreement, dated March 11, 2013, by and between the Company and Scott M. Brinker.

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 March 31, 2013 and December 31, 2012, (ii) the Consolidated Statements of Comprehensive Income for the three months ended March 31, 2013 and 2012, (iii) the Consolidated Statements of Equity for the three months ended March 31, 2013 and 2012, (iv) the Consolidated Statements of Cash Flows for the three months ended March 31, 2013 and 2012 and (v) the Notes to Unaudited Consolidated Financial Statements.

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 hereunto duly authorized.


	HEALTH CARE REIT, INC.
Date: May 7, 2013	By:	/s/ GEORGE L. CHAPMAN
	George L. Chapman,
	Chairman, Chief Executive Officer and President (Principal Executive Officer)


Date: May 7, 2013	By:	/s/ SCOTT A. ESTES
	Scott A. Estes,
	Executive Vice President and Chief Financial Officer (Principal Financial Officer)


Date: May 7, 2013	By:	/s/ PAUL D. NUNGESTER, JR.
	Paul D. Nungester, Jr.,
	Senior Vice President and Controller (Principal Accounting Officer)