Edgar Filing: HEALTH CARE REIT INC /DE/

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)


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

For the quarterly period ended March 31, 2014


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 ☑ No o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ☑ No o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☑

Accelerated filer o

Non-accelerated filer o

(Do not check if a smaller reporting company)

Smaller reporting company o

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

As of April 30, 2014, the registrant had 291,458,048 shares of common stock outstanding.

TABLE OF CONTENTS

	Page
PART I. FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Consolidated Balance Sheets — March 31, 2014 and December 31, 2013	3

Consolidated Statements of Comprehensive Income — Three months ended March 31, 2014 and 2013	4

Consolidated Statements of Equity — Three months ended March 31, 2014 and 2013	6

Consolidated Statements of Cash Flows — Three months ended March 31, 2014 and 2013	7

Notes to Unaudited Consolidated Financial Statements	8

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations	25

Item 3. Quantitative and Qualitative Disclosures About Market Risk	48

Item 4. Controls and Procedures	49

PART II. OTHER INFORMATION

Item 1. Legal Proceedings Item 1A. Risk Factors	50 50

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	50

Item 5. Other Information	50

Item 6. Exhibits	51

Signatures	52

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

CONSOLIDATED BALANCE SHEETS

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

				March 31, 2014		December 31, 2013
				(Unaudited)		(Note)
Assets:
Real estate investments:
	Real property owned:
		Land and land improvements		$	1,883,866	$	1,878,877
		Buildings and improvements			20,769,414		20,625,515
		Acquired lease intangibles			1,066,626		1,070,754
		Real property held for sale, net of accumulated depreciation			18,502		18,502
		Construction in progress			144,516		141,085
			Gross real property owned		23,882,924		23,734,733
		Less accumulated depreciation and amortization			(2,617,026)		(2,386,658)
			Net real property owned		21,265,898		21,348,075
	Real estate loans receivable				351,401		332,146
	Net real estate investments				21,617,299		21,680,221
Other assets:
		Investments in unconsolidated entities			668,171		479,629
		Goodwill			68,321		68,321
		Deferred loan expenses			68,842		70,875
		Cash and cash equivalents			185,928		158,780
		Restricted cash			67,797		72,821
		Receivables and other assets			534,684		553,310
			Total other assets		1,593,743		1,403,736
Total assets				$	23,211,042	$	23,083,957

Liabilities and equity
Liabilities:
		Borrowings under unsecured line of credit arrangement		$	562,000	$	130,000
		Senior unsecured notes			7,377,789		7,379,308
		Secured debt			2,917,314		3,058,248
		Capital lease obligations			84,371		84,458
		Accrued expenses and other liabilities			612,671		640,573
Total liabilities					11,554,145		11,292,587
Redeemable noncontrolling interests					34,171		35,039
Equity:
		Preferred stock			1,006,250		1,017,361
		Common stock			291,091		289,461
		Capital in excess of par value			12,494,410		12,418,520
		Treasury stock			(26,454)		(21,263)
		Cumulative net income			2,396,244		2,329,869
		Cumulative dividends			(4,848,008)		(4,600,854)
		Accumulated other comprehensive income (loss)			(25,419)		(24,531)
		Other equity			6,241		6,020
			Total Health Care REIT, Inc. stockholders’ equity		11,294,355		11,414,583
		Noncontrolling interests			328,371		341,748
Total equity					11,622,726		11,756,331
Total liabilities and equity				$	23,211,042	$	23,083,957

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

See notes to unaudited consolidated financial statements

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands, except per share data)

			Three Months Ended
			March 31,
			2014		2013
Revenues:
	Rental income		$	336,455	$	292,643
	Resident fees and services			456,265		327,324
	Interest income			8,594		9,057
	Other income			493		700
		Total revenues		801,807		629,724
Expenses:
	Interest expense			120,833		108,838
	Property operating expenses			341,431		252,823
	Depreciation and amortization			233,318		184,688
	General and administrative			32,865		27,179
	Transaction costs			952		65,980
	Loss (gain) on derivatives, net			-		2,309
	Loss (gain) on extinguishment of debt, net			(148)		(308)
		Total expenses		729,251		641,509
Income (loss) from continuing operations before income taxes
	and income from unconsolidated entities			72,556		(11,785)
Income tax (expense) benefit				(2,260)		(2,763)
Income (loss) from unconsolidated entities				(5,556)		2,262
Income (loss) from continuing operations				64,740		(12,286)
Discontinued operations:
	Gain (loss) on sales of properties, net			-		82,492
	Income (loss) from discontinued operations, net			460		1,593
		Discontinued operations, net		460		84,085
Net income				65,200		71,799
Less:		Preferred stock dividends		16,353		16,602
Less:		Net income (loss) attributable to noncontrolling interests⁽¹⁾		(1,175)		139
Net income (loss) attributable to common stockholders			$	50,022	$	55,058

Average number of common shares outstanding:
	Basic			289,606		260,036
	Diluted			290,917		260,036

Earnings per share:
	Basic:
	Income (loss) from continuing operations
		attributable to common stockholders	$	0.17	$	(0.11)
	Discontinued operations, net			-		0.32
	Net income (loss) attributable to common stockholders*		$	0.17	$	0.21

	Diluted:
	Income (loss) from continuing operations
		attributable to common stockholders	$	0.17	$	(0.11)
	Discontinued operations, net			-		0.32
	Net income (loss) attributable to common stockholders*		$	0.17	$	0.21

Dividends declared and paid per common share			$	0.795	$	0.765

* 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 (CONTINUED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

		Three Months Ended March 31,
		2014		2013
Net income		$	65,200	$	71,799

Other comprehensive income (loss):
	Unrecognized gain (loss) on equity investments		549		172
	Unrealized gains (losses) on cash flow hedges		440		471
	Foreign currency translation gain (loss)		(9,889)		(22,706)
Total other comprehensive income (loss)			(8,900)		(22,063)

Total comprehensive income (loss)			56,300		49,736
Less: Total comprehensive income (loss) attributable to noncontrolling interests⁽¹⁾			(9,187)		139
Total comprehensive income (loss) attributable to common stockholders		$	65,487	$	49,875

(1) Includes amounts attributable to redeemable noncontrolling interests.

See notes to unaudited consolidated financial statements

CONSOLIDATED STATEMENTS OF EQUITY (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

		Three Months Ended March 31, 2014
														Accumulated
						Capital in								Other
		Preferred		Common		Excess of		Treasury		Cumulative		Cumulative		Comprehensive		Other		Noncontrolling
		Stock		Stock		Par Value		Stock		Net Income		Dividends		Income (Loss)		Equity		Interests		Total
Balances at beginning of period		$	1,017,361	$	289,461	$	12,418,520	$	(21,263)	$	2,329,869	$	(4,600,854)	$	(24,531)	$	6,020	$	341,748	$	11,756,331
Comprehensive income:
	Net income (loss)										66,375								(982)		65,393
	Other comprehensive income														(888)				(8,012)		(8,900)
Total comprehensive income																					56,493
Net change in noncontrolling interests							(2,713)												(4,383)		(7,096)
Amounts related to issuance of common stock
	from dividend reinvestment and stock
	incentive plans, net of forfeitures				1,397		67,725		(5,191)								(12)				63,919
Conversion of preferred stock			(11,111)		233		10,878														-
Option compensation expense																	233				233
Cash dividends paid:
	Common stock cash dividends												(230,801)								(230,801)
	Preferred stock cash dividends												(16,353)								(16,353)
Balances at end of period		$	1,006,250	$	291,091	$	12,494,410	$	(26,454)	$	2,396,244	$	(4,848,008)	$	(25,419)	$	6,241	$	328,371	$	11,622,726

		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
Proceeds from issuance of common stock																	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

See notes to unaudited consolidated financial statements

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

HEALTH CARE REIT, INC. AND SUBSIDIARIES

(In thousands)

			Three Months Ended
			March 31,
			2014		2013
Operating activities:
Net income			$	65,200	$	71,799
Adjustments to reconcile net income to
	net cash provided from (used in) operating activities:
		Depreciation and amortization		233,318		187,122
		Other amortization expenses		1,672		4,194
		Stock-based compensation expense		7,667		10,508
		Loss (gain) on derivatives, net		-		2,309
		Loss (gain) on extinguishment of debt, net		(148)		(308)
		Loss (income) from unconsolidated entities		5,556		(2,262)
		Rental income in excess of cash received		(15,323)		(2,538)
		Amortization related to above (below) market leases, net		266		172
		Loss (gain) on sales of properties, net		-		(82,492)
		Distributions by unconsolidated entities		4,560		-
		Increase (decrease) in accrued expenses and other liabilities		(25,532)		18,276
		Decrease (increase) in receivables and other assets		(18,575)		(6,972)
Net cash provided from (used in) operating activities				258,661		199,808

Investing activities:
	Cash disbursed for acquisitions			(55,041)		(1,786,396)
	Cash disbursed for capital improvements to existing properties			(27,406)		(24,129)
	Cash disbursed for construction in progress			(52,717)		(40,053)
	Capitalized interest			(1,605)		(1,606)
	Investment in real estate loans receivable			(29,709)		(11,971)
	Other investments, net of payments			1,787		(1,978)
	Principal collected on real estate loans receivable			10,646		49,926
	Contributions to unconsolidated entities			(214,832)		(359,575)
	Distributions by unconsolidated entities			12,462		9,916
	Proceeds from (payments on) derivatives			-		(2,604)
	Decrease (increase) in restricted cash			5,024		(94,840)
	Proceeds from sales of real property			-		294,607
Net cash provided from (used in) investing activities				(351,391)		(1,968,703)

Financing activities:
	Net increase (decrease) under unsecured lines of credit arrangements			432,000		710,000
	Proceeds from issuance of senior unsecured notes			-		497,862
	Payments to extinguish senior unsecured notes			(1)		-
	Net proceeds from the issuance of secured debt			10,690		-
	Payments on secured debt			(129,539)		(18,931)
	Net proceeds from the issuance of common stock			63,755		45,377
	Decrease (increase) in deferred loan expenses			(2,284)		(9,650)
	Contributions by noncontrolling interests⁽¹⁾			778		1,420
	Distributions to noncontrolling interests⁽¹⁾			(7,386)		(4,522)
	Acquisitions of noncontrolling interests			(1,175)		-
	Cash distributions to stockholders			(247,154)		(216,148)
	Other financing activities			(87)		(992)
Net cash provided from (used in) financing activities				119,597		1,004,416
Effect of foreign currency translation on cash and cash equivalents				281		557
Increase (decrease) in cash and cash equivalents				27,148		(763,922)
Cash and cash equivalents at beginning of period				158,780		1,033,764
Cash and cash equivalents at end of period			$	185,928	$	269,842

Supplemental cash flow information:
	Interest paid		$	126,302	$	99,202
	Income taxes paid			10,064		920

(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, 2014, our diversified portfolio consisted of 1,212 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, 2014 are not necessarily an indication of the results that may be expected for the year ending December 31, 2014. For further information, refer to the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2013.

New Accounting Standards

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

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.

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Seniors Housing Triple-net Activity

		Three Months Ended
(In thousands)		March 31, 2014⁽¹⁾			March 31, 2013
Land and land improvements			$	2,750		$	8,533
Buildings and improvements				30,693			47,993
	Total assets acquired			33,443			56,526
Non-cash acquisition related activity				(657)			-
	Cash disbursed for acquisitions			32,786			56,526
Construction in progress additions				24,657			23,946
Less:	Capitalized interest			(1,170)			(1,227)
	Foreign currency translation			(14)			-
Cash disbursed for construction in progress				23,473			22,719
Capital improvements to existing properties				5,877			8,336
	Total cash invested in real property, net of cash acquired		$	62,136		$	87,581

(1) Includes acquisitions with an aggregate purchase price of $3,402,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

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


		Three Months Ended
(In thousands)		March 31, 2014			March 31, 2013
Land and land improvements			$	2,100		$	216,949
Building and improvements				19,069			2,074,770
Acquired lease intangibles				1,331			142,054
Restricted cash				-			22,863
Receivables and other assets				-			3,225
	Total assets acquired⁽¹⁾			22,500			2,459,861
Secured debt				-			(138,259)
Accrued expenses and other liabilities				(245)			(31,302)
	Total liabilities assumed			(245)			(169,561)
Noncontrolling interests				-			(4,868)
Non-cash acquisition related activity⁽²⁾				-			(555,562)
	Cash disbursed for acquisitions			22,255			1,729,870
Construction in progress additions				1,026			235
Less:	Capitalized interest			(50)			(2)
Cash disbursed for construction in progress				976			233
Capital improvements to existing properties				13,998			10,604
	Total cash invested in real property, net of cash acquired		$	37,229		$	1,740,707

(1) Excludes $245,000 and $51,083,000 of cash acquired during the three months ended March 31, 2014 and 2013, respectively.
(2) Represents Sunrise loan and noncontrolling interests acquisitions.

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Medical Facilities Activity


		Three Months Ended
(In thousands)		March 31, 2014			March 31, 2013
Construction in progress additions			$	38,237	$	35,139
Less:	Capitalized interest			(385)		(377)
	Accruals⁽¹⁾			(9,584)		(17,661)
Cash disbursed for construction in progress				28,268		17,101
Capital improvements to existing properties				7,531		5,189
	Total cash invested in real property		$	35,799	$	22,290

(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, 2014			March 31, 2013
	Development projects:
		Seniors housing triple-net		$	8,481		$	67,317
		Medical facilities			42,799			60,536
		Total development projects			51,280			127,853
	Expansion projects				9,209			7,631
Total construction in progress conversions				$	60,489		$	135,484

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, 2014		December 31, 2013
Assets:
	In place lease intangibles	$	930,687	$	937,357
	Above market tenant leases		57,910		55,939
	Below market ground leases		59,165		59,165
	Lease commissions		18,864		18,293
	Gross historical cost		1,066,626		1,070,754
	Accumulated amortization		(649,362)		(571,008)
	Net book value	$	417,264	$	499,746

	Weighted-average amortization period in years		17.3		16.7

Liabilities:
	Below market tenant leases	$	76,340	$	76,381
	Above market ground leases		9,490		9,490
	Gross historical cost		85,830		85,871
	Accumulated amortization		(36,086)		(34,434)
	Net book value	$	49,744	$	51,437

	Weighted-average amortization period in years		14.3		14.3

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS


	Three Months Ended
	March 31,
	2014		2013
Rental income related to above/below market tenant leases, net	$	(45)	$	148
Property operating expenses related to above/below market ground leases, net		(311)		(320)
Depreciation and amortization related to in place lease intangibles and lease commissions		(79,393)		(50,576)

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


		Assets		Liabilities
2014	$	131,571	$	3,319
2015		60,803		6,144
2016		27,796		5,230
2017		21,181		4,936
2018		18,396		4,609
Thereafter		157,517		25,506
Totals	$	417,264	$	49,744

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, 2014			March 31, 2013
Real property dispositions:
	Seniors housing triple-net		$	-		$	76,331
	Medical facilities			-			135,784
	Total dispositions			-			212,115
Gain (loss) on sales of real property, net				-			82,492
Proceeds from real property sales			$	-		$	294,607

We have reclassified the income and expenses attributable to all properties sold prior to or held for sale at January 1, 2014 to discontinued operations in accordance with ASU 2014-08. See Note 2 for additional information. 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,
		2014		2013
Revenues:
	Rental income	$	583	$	6,788
Expenses:
	Interest expense		123		1,896
	Property operating expenses		-		865
	Provision for depreciation		-		2,434
	Total expenses		123		5,195
Income (loss) from discontinued operations, net		$	460	$	1,593

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

6. Real Estate Loans Receivable

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


		Three Months Ended
		March 31, 2014						March 31, 2013
		Seniors						Seniors
		Housing		Medical				Housing		Medical
		Triple-net		Facilities		Totals		Triple-net		Facilities		Totals
Advances on real estate loans receivable:
	Investments in new loans	$	1,203	$	-	$	1,203	$	416	$	-	$	416
	Draws on existing loans		21,823		6,683		28,506		10,271		1,284		11,555
	Net cash advances on real estate loans		23,026		6,683		29,709		10,687		1,284		11,971
Receipts on real estate loans receivable:
	Loan payoffs		500		-		500		42,865		-		42,865
	Principal payments on loans		9,996		150		10,146		6,343		718		7,061
	Total receipts on real estate loans		10,496		150		10,646		49,208		718		49,926
Net cash advances (receipts) on real estate loans			12,530		6,533		19,063		(38,521)		566		(37,955)
Change in balance due to foreign currency translation			192		-		192		-		-		-
Net change in real estate loans receivable		$	12,722	$	6,533	$	19,255	$	(38,521)	$	566	$	(37,955)

We recorded no provision for loan losses during the three months ended March 31, 2014. At March 31, 2014, there were no real estate loans with outstanding balances on non-accrual status and no allowances for loan losses were recorded.

7. Investments in Unconsolidated Entities

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

During the three months ended June 30, 2012, we entered into a joint venture with Chartwell Retirement Residences (TSX:CSH.UN). The portfolio contains 42 properties in Canada, 39 of which are owned 50% by us and Chartwell, and three of which we wholly own. All properties are managed by Chartwell. Our investment in the 39 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $8,613,000 at March 31, 2014 is primarily attributable to transaction costs that will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

In conjunction with the Sunrise merger (see Note 3 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013), we acquired joint venture interests in 54 properties and a 20% interest in a newly formed Sunrise management company, which manages the entire property portfolio. On July 1, 2013, we acquired the remaining interests in 49 of the properties. Our original investment of $49,759,000 relating to the five remaining unconsolidated properties and the management company is recorded as an investment in unconsolidated entities on the balance sheet.

During the three months ended March 31, 2014, we invested $214,832,000 for a 46.79% interest in a joint venture with Senior Resource Group (“SRG”) and the Public Sector Pension Investment Board. The joint venture owns 10 properties located in major metropolitan markets in Arizona, California and Colorado. The properties owned by the joint venture are operated by SRG. Our investment in the 10 properties is recorded as an investment in unconsolidated entities on the balance sheet. The aggregate remaining unamortized basis difference of our investment in this joint venture of $178,356,000 at March 31, 2014 is primarily attributable to appreciation of the underlying properties as well as transaction costs, and will be amortized over the weighted-average useful life of the related properties and included in the reported amount of income from unconsolidated entities.

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

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, 2014 (dollars in thousands):


		Number of	Total		Percent of
Concentration by investment:⁽¹⁾		Properties⁽²⁾	Investment⁽²⁾		Investment⁽³⁾
	Sunrise Senior Living	121	$	4,013,200	19%
	Genesis HealthCare	178		2,673,389	12%
	Revera	47		1,115,858	5%
	Benchmark	39		933,823	4%
	Belmont Village	19		841,800	4%
	Remaining portfolio	741		12,039,229	56%
	Totals	1,145	$	21,617,299	100%

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

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

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

9. Borrowings Under Line of Credit Arrangements and Related Items

At March 31, 2014, we had a $2,250,000,000 unsecured line of credit arrangement with a consortium of 30 banks. We have an option to upsize the facility by up to an additional $1,000,000,000 through an accordion feature, allowing for the aggregate commitment of up to $3,250,000,000. The arrangement also allows us to borrow up to $500,000,000 in alternate currencies (none outstanding at March 31, 2014). The revolving credit facility is scheduled to expire March 31, 2017, but can be extended for an additional year at our option. Borrowings under the revolver are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (1.33% at March 31, 2014). The applicable margin is based on certain of our debt ratings and was 1.175% at March 31, 2014. In addition, we pay a facility fee annually to each bank based on the bank’s commitment amount. The facility fee depends on certain of our debt ratings and was 0.225% at March 31, 2014. Principal is due upon expiration of the agreement.

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


		Three Months Ended March 31,
		2014		2013
Balance outstanding at quarter end		$	562,000	$	710,000
Maximum amount outstanding at any month end		$	562,000	$	780,000
Average amount outstanding (total of daily
	principal balances divided by days in period)	$	286,889	$	723,444
Weighted average interest rate (actual interest
	expense divided by average borrowings outstanding)		1.34%		1.38%

10. Senior Unsecured Notes and Secured Debt

We may repurchase, redeem or refinance convertible and non-convertible senior unsecured notes from time to time, taking advantage of favorable market conditions when available. We may purchase senior notes for cash through open market purchases, privately negotiated transactions, a tender offer or, in some cases, through the early redemption of such securities pursuant to their terms. The non-convertible senior unsecured notes are redeemable at our option, at any time in whole or from time to time in part, at a redemption price equal to the sum of (1) the principal amount of the notes (or portion of such notes) being redeemed plus accrued and unpaid interest thereon up to the redemption date and (2) any “make-whole” amount due under the terms of the notes in connection with early redemptions. Redemptions and repurchases of debt, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors. At March 31, 2014, 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
2014	$	-	$	190,986	$	190,986
2015		476,142⁽⁴⁾		403,141		879,283
2016		1,200,000⁽⁵⁾		381,659		1,581,659
2017		450,000		324,102		774,102
2018		450,000		429,473		879,473
Thereafter		4,842,232⁽⁶⁾		1,146,596		5,988,828
Totals	$	7,418,374	$	2,875,957	$	10,294,331

(1) Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(2) Annual interest rates range from 1.5% to 6.5%.
(3) Annual interest rates range from 1.0% to 8.0%. Carrying value of the properties securing the debt totaled $5,976,759,000 at March 31, 2014.
(4) On July 30, 2012, we completed funding on a $250,000,000 Canadian denominated unsecured term loan (approximately $226,142,000 based on the Canadian/U.S. Dollar exchange rate on March 31, 2014). The loan matures on July 27, 2015 (with an option to extend for an additional year at our discretion) and bears interest at the Canadian Dealer Offered Rate plus 145 basis points (2.7% at March 31, 2014).
(5) On January 8, 2013, we completed funding on a $500,000,000 unsecured term loan. The loan matures on March 31, 2016 (with an option to extend for two additional years at our discretion) and bears interest at LIBOR plus 135 basis points (1.5% at March 31, 2014).
(6) On November 20, 2013, we completed the sale of £550,000,000 (approximately $917,125,000 based on the Sterling/U.S. Dollar exchange rate on March 31, 2014) of 4.8% senior unsecured notes due 2028.

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


	Three Months Ended
	March 31, 2014			March 31, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	7,421,707	4.400%	$	6,145,457	4.600%
Debt issued		-	0.000%		500,000	1.552%
Debt redeemed		(1)	3.000%		-	0.000%
Foreign currency		(3,332)	3.486%		(5,330)	2.670%
Ending balance	$	7,418,374	4.400%	$	6,640,127	4.400%

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


	Three Months Ended
		March 31, 2014		March 31, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	3,010,711	5.10%	$	2,311,586	5.14%
Debt issued		10,690	3.54%		-	0.00%
Debt assumed		-	0.00%		132,680	5.49%
Debt extinguished		(114,084)	5.73%		(7,807)	7.43%
Principal payments		(15,455)	5.12%		(11,432)	5.44%
Foreign currency		(15,905)	3.86%		6	5.62%
Ending balance	$	2,875,957	5.08%	$	2,425,033	5.17%

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, 2014, we were in compliance with all of the covenants under our debt agreements.

11. Derivative Instruments

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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

I nterest Rate Swap Contracts Designated as Cash Flow Hedges

For instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of other comprehensive income (“OCI”), and reclassified into earnings in the same period, or periods, during which the hedged transaction affects earnings. Gains and losses on the derivative representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness are recognized in earnings. Approximately $1,887,000 of losses, which are included in accumulated other comprehensive income (“AOCI”), are expected to be reclassified into earnings in the next 12 months.

Foreign Currency Hedges

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

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


		March 31, 2014		December 31, 2013
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars	$	600,000	$	600,000
Denominated in Pounds Sterling	£	350,000	£	350,000

Financial instruments designated as net investment hedges:
Denominated in Canadian Dollars	$	250,000	$	250,000
Denominated in Pounds Sterling	£	550,000	£	550,000

Derivatives designated as cash flow hedges	$	57,000	$	57,000

The following presents the impact of derivative instruments on the statements of comprehensive income for the periods presented (in thousands):


		Three Months Ended
		March 31,
	Location		2014		2013
Gain (loss) on interest rate swap recognized in OCI (effective portion)	OCI	$	(3)	$	946

Gain (loss) on interest rate swaps reclassified from AOCI into income (effective portion)	Interest expense		(443)		(475)

Gain (loss) on forward exchange contracts recognized in income	Gain (loss) on derivatives, net		0		(2,309)

Gain (loss) on foreign exchange contracts and term loans designated as net investment hedge recognized in OCI	OCI		18,489		75,857

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

12. Commitments and Contingencies

At March 31, 2014, we had five outstanding letter of credit obligations totaling $5,301,000 and expiring between 2014 and 2015. At March 31, 2014, we had outstanding construction in process of $144,516,000 and were committed to providing additional funds of approximately $224,139,000 to complete construction. At March 31, 2014, we had contingent purchase obligations totaling $66,640,000. 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, 2014, we had operating lease obligations of $878,401,000 relating to certain ground leases and company office space and capital lease obligations of $115,770,000 relating to certain investment properties. Regarding ground leases, we have sublease agreements with certain of our operators that require the operators to reimburse us for our monthly operating lease obligations. At March 31, 2014, aggregate future minimum rentals to be received under these noncancelable subleases totaled $43,214,000.

13. Stockholders’ Equity

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


	March 31, 2014	December 31, 2013
Preferred Stock:
Authorized shares	50,000,000	50,000,000
Issued shares	25,875,000	26,108,236
Outstanding shares	25,875,000	26,108,236

Common Stock, $1.00 par value:
Authorized shares	400,000,000	400,000,000
Issued shares	291,638,492	290,024,789
Outstanding shares	291,084,415	289,563,651

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, 2014		March 31, 2013
		Weighted Avg.		Weighted Avg.
	Shares	Dividend Rate	Shares	Dividend Rate

Beginning balance	26,108,236	6.496%	26,224,854	6.493%
Shares converted	(233,236)	6.000%	-	0.000%
Ending balance	25,875,000	6.500%	26,224,854	6.493%

Common Stock. The following is a summary of our common stock issuances during the three months ended March 31, 2014 and 2013 (dollars in thousands, except per share amounts):


	Shares Issued		Average Price		Gross Proceeds		Net Proceeds

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


2014 Dividend reinvestment plan issuances	1,143,397	$	55.71	$	63,703	$	63,703
2014 Option exercises	1,155		45.02		52		52
2014 Preferred stock conversions	233,236				-		-
2014 Senior note conversions	1				-		-
2014 Totals	1,377,788			$	63,755	$	63,755

Dividends. The increase in dividends is primarily attributable to increases in our common shares outstanding as described above and an increase in common dividends per share. 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, 2014				March 31, 2013
	Per Share		Amount		Per Share		Amount

Common Stock	$	0.7950	$	230,801	$	0.7650	$	199,546
Series H Preferred Stock		0.0079		1		0.7146		250
Series I Preferred Stock		0.8125		11,680		0.8125		11,680
Series J Preferred Stock		0.4064		4,672		0.4064		4,672
Totals			$	247,154			$	216,148

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, 2013	$	(17,631)	$	(389)	$	(1,452)	$	(5,059)	$	(24,531)
Other comprehensive income before reclassification adjustments		(1,877)		549		-		(3)		(1,331)
Reclassification amount to net income		-		-		-		443⁽¹⁾		443
Net current-period other comprehensive income		(1,877)		549		-		440		(888)
Balance at March 31, 2014	$	(19,508)	$	160	$	(1,452)	$	(4,619)	$	(25,419)

Balance at December 31, 2012	$	(881)	$	(216)	$	(2,974)	$	(6,957)	$	(11,028)
Other comprehensive income before reclassification adjustments		(22,706)		172		-		(4)		(22,538)
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)

(1) Please see Note 11 for additional information.

14. Stock Incentive Plans

Our Amended and Restated 2005 Long-Term Incentive Plan (“2005 Plan”) authorizes up to 6,200,000 shares of common stock to be issued at the discretion of the Compensation Committee of the Board of Directors. The 2005 Plan replaced the 1995 Stock Incentive Plan (“1995 Plan”) and the Stock Plan for Non-Employee Directors. The options granted to officers and key employees under the 1995 Plan vested through 2010 and expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2005 Plan. The 2005 Plan allows for the issuance of, among other things, stock options, restricted stock, deferred stock units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted shares generally range from three to five years. Options expire ten years from the date of grant. Stock-based compensation expense totaled $7,667,000 for the three months ended March 31, 2014 and $10,508,000 for the same period in 2013.

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

15. Earnings Per Share

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


		Three Months Ended
		March 31,
		2014		2013
Numerator for basic and diluted earnings
	per share - net income (loss) attributable
	to common stockholders	$	50,022	$	55,058

Denominator for basic earnings per
	share - weighted average shares		289,606		260,036
Effect of dilutive securities:
	Employee stock options		148		-
	Non-vested restricted shares		540		-
	Convertible senior unsecured notes		623		-
Dilutive potential common shares			1,311		-
Denominator for diluted earnings per
	share - adjusted weighted average shares		290,917		260,036

Basic earnings per share		$	0.17	$	0.21
Diluted earnings per share		$	0.17	$	0.21

The diluted earnings per share calculations exclude the dilutive effect of 215,000 stock options for the three months ended March 31, 2014 because the exercise prices were higher than the average market price. The diluted earnings per share calculation for the three months ended 2013 excludes the dilutive effect of all common stock equivalents as they are anti-dilutive due to the loss from continuing operations. The Series I Cumulative Convertible Perpetual Preferred Stock was not included in the calculations as the effect of conversions into common stock was anti-dilutive.

16. Disclosure about Fair Value of Financial Instruments

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

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

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

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

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

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

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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

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

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

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

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

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

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


		March 31, 2014				December 31, 2013
		Carrying Amount		Fair Value		Carrying Amount		Fair Value
Financial assets:
	Mortgage loans receivable	$	154,320	$	157,006	$	146,987	$	148,088
	Other real estate loans receivable		197,081		201,123		185,159		188,920
	Available-for-sale equity investments		1,760		1,760		1,211		1,211
	Cash and cash equivalents		185,928		185,928		158,780		158,780
	Foreign currency forward contracts		17,130		17,130		-		-
	Interest rate swap agreements		25		25		38		38

Financial liabilities:
	Borrowings under unsecured line of credit arrangements	$	562,000	$	562,000	$	130,000	$	130,000
	Senior unsecured notes		7,377,789		7,987,921		7,379,308		7,743,730
	Secured debt		2,917,314		3,030,057		3,058,248		3,168,775
	Foreign currency forward contracts		13,440		13,440		11,637		11,637

Items Measured at Fair Value on a Recurring Basis

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS


	Fair Value Measurements as of March 31, 2014
	Total		Level 1		Level 2		Level 3
Available-for-sale equity investments⁽¹⁾	$	1,760	$	1,760	$	-	$	-
Interest rate swap agreements, net⁽²⁾		25		-		25		-
Foreign currency forward contracts, net⁽²⁾		3,690		-		3,690		-
Totals	$	5,475	$	1,760	$	3,715	$	-

(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, care homes (United Kingdom), care homes with nursing (United Kingdom) and combinations thereof. Under the seniors housing triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our seniors housing operating properties include the seniors housing communities referenced above and independent supportive living facilities (Canada) that are owned and/or operated through RIDEA structures (see Notes 3 and 18).

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

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

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

Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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, 2014 and 2013 is as follows (in thousands):


Three Months Ended March 31, 2014:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	214,828	$	-	$	121,627	$	-	$	336,455
Resident fees and services		-		456,265		-		-		456,265
Interest income		5,439		-		3,155		-		8,594
Other income		121		54		303		15		493
Total revenues		220,388		456,319		125,085		15		801,807

Property operating expenses		-		(308,184)		(33,247)		-		(341,431)
Net operating income from continuing operations		220,388		148,135		91,838		15		460,376

Reconciling items:
Interest expense		(8,890)		(27,479)		(9,608)		(74,856)		(120,833)
Depreciation and amortization		(61,404)		(129,162)		(42,752)		-		(233,318)
General and administrative		-		-		-		(32,865)		(32,865)
Transaction costs		(275)		(630)		(47)		-		(952)
(Loss) gain on extinguishment of debt, net		-		148		-		-		148
Income (loss) from continuing operations before income taxes and income from unconsolidated entities	$	149,819	$	(8,988)	$	39,431	$	(107,706)	$	72,556

Total assets	$	9,407,112	$	9,081,864	$	4,670,775	$	51,291	$	23,211,042

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS


Three Months Ended March 31, 2013:		Seniors Housing Triple-net		Seniors Housing Operating		Medical Facilities		Non-segment / Corporate		Total
Rental income	$	183,296	$	-	$	109,347	$	-	$	292,643
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		189,349		328,081		112,213		81		629,724

Property operating expenses		-		(224,503)		(28,320)		-		(252,823)
Net operating income from continuing operations		189,349		103,578		83,893		81		376,901

Reconciling items:
Interest expense		(5,805)		(19,070)		(8,861)		(75,102)		(108,838)
(Loss) gain on derivatives, net		-		(2,309)		-		-		(2,309)
Depreciation and amortization		(54,950)		(89,875)		(39,863)		-		(184,688)
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	$	128,100	$	(72,693)	$	35,008	$	(102,200)	$	(11,785)

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


		Three Months Ended
		March 31, 2014			March 31, 2013
Revenues:		Amount	%		Amount	%
United States	$	675,099	84.2%	$	569,321	90.4%
International		126,708	15.8%		60,403	9.6%
Total	$	801,807	100.0%	$	629,724	100.0%


		As of
		March 31, 2014			December 31, 2013
Assets:		Amount	%		Amount	%
United States	$	20,113,340	86.7%	$	19,759,945	85.6%
International		3,097,702	13.3%		3,324,012	14.4%
Total	$	23,211,042	100.0%	$	23,083,957	100.0%

18. Income Taxes and Distributions

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

HEALTH CARE REIT, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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 the use of, a hospital, nursing facility, assisted living facility, congregate care facility, qualified continuing care facility, or other licensed facility which extends medical or nursing or ancillary services to patients. We have entered into various joint ventures that were structured under RIDEA. Resident level rents and related operating expenses for these facilities are reported in the unaudited consolidated financial statements and are subject to federal and state income taxes as the operations of such facilities are included in TRS entities. Certain net operating loss carryforwards could be utilized to offset taxable income in future years.

Our consolidated provision for income taxes for the three months ended March 31, 2014 and 2013 was $2,260,000 and $2,763,000, 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 $19,808,000 and $19,748,000 as of March 31, 2014 and December 31, 2013, respectively, and related primarily to differences between the financial reporting and tax bases of fixed and intangible assets.

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

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

The balance of our unrecognized tax benefits as of March 31, 2014 and December 31, 2013 was $6,413,000. As of March 31, 2014, $5,896,000 (exclusive of accrued interest and penalties) relates to the April 1, 2011 Genesis HealthCare Corporation transaction (“Genesis Acquisition”) and is included in accrued expenses and other liabilities on the consolidated balance sheet. As a part of the Genesis Acquisition, we received a full indemnification from FC-GEN Operations Investment, LLC covering income taxes or other taxes as well as interest and penalties relating to tax positions taken by FC-GEN Operations Investment, LLC prior to the acquisition. Accordingly, an offsetting indemnification asset is recorded in receivables and other assets on the consolidated balance sheet. Such indemnification asset is reviewed for collectability periodically. Unrecognized tax benefits, as currently accrued for, have an immaterial impact on the effective tax rate to the extent that they would be recognized. The uncertain tax positions associated with the Genesis Acquisition are expected to expire given the current statute of limitations for those positions during 2014. Interest and penalties totaled $40,000 and $100,000, respectively, for the three months ended March 31, 2014, and are included in income tax expense.

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

	EXECUTIVE SUMMARY

	Company Overview Business Strategy Capital Market Outlook Key Transactions in 2014 Key Performance Indicators, Trends and Uncertainties Corporate Governance	26 26 27 27 28 30

	LIQUIDITY AND CAPITAL RESOURCES

	Sources and Uses of Cash Off-Balance Sheet Arrangements Contractual Obligations Capital Structure	30 31 31 32

	RESULTS OF OPERATIONS

	Summary Seniors Housing Triple-net Seniors Housing Operating Medical Facilities Non-Segment/Corporate	33 34 36 37 40

	NON-GAAP FINANCIAL MEASURES & OTHER DISCLOSURES

	FFO Reconciliations EBITDA and Adjusted EBITDA Reconciliations NOI and SSCNOI Reconciliations	42 42 44
	Health Care Reimbursements and Other Related Laws	45
	Critical Accounting Policies Cautionary Statement Regarding Forward-Looking Statements	47 48

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

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

Executive Summary

Company Overview

Health Care REIT, Inc. is a real estate investment trust (“REIT”) that has been at the forefront of seniors housing and health care real estate since the company was founded in 1970. We are an S&P 500 company headquartered in Toledo, Ohio. Our portfolio spans the full spectrum of seniors housing and health care real estate, including seniors housing communities, skilled nursing/post-acute facilities, medical office buildings, inpatient and outpatient medical centers and life science facilities. Our capital programs, when combined with comprehensive planning, development and property management services, make us a single-source solution for acquiring, planning, developing, managing, repositioning and monetizing real estate assets. The following table summarizes our consolidated portfolio as of March 31, 2014 (dollars in thousands):

			Percentage of	Number of
Type of Property	Investments⁽¹⁾		Investments	Properties
Seniors housing triple-net	$	8,933,423	41.4%	622
Seniors housing operating		8,333,226	38.5%	280
Medical facilities		4,350,650	20.1%	243
Totals	$	21,617,299	100.0%	1,145

(1) Excludes our share of investments in unconsolidated entities. Entities in which we have a joint venture with a minority partner are shown at 100% of the amount.

Business Strategy

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

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

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

For the three months ended March 31, 2014, rental income and resident fees and services represented 42% and 57%, respectively,

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

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 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, 2014, we had $185,928,000 of cash and cash equivalents, $67,797,000 of restricted cash and $1,688,000,000 of available borrowing capacity under our primary unsecured line of credit arrangement.

Capital Market Outlook

We believe the capital markets remain supportive of our investment strategy. For the year ended December 31, 2013, we raised over $3.7 billion in aggregate gross proceeds through the issuance of common stock and unsecured debt. The capital raised, in combination with available cash and borrowing capacity under our line of credit, supported $5.7 billion in gross new investments during 2013 and $542 million during the three months ended March 31, 2014. We expect attractive investment opportunities to remain available in the future as we continue to leverage the benefits of our relationship investment strategy.

Key Transactions in 2014

Capital. For the three months ended March 31, 2014, we raised $63,703,000 through our dividend reinvestment program.

Investments. We completed $542,206,000 of gross investments, including 29% from existing relationships, during the three months ended March 31, 2014. The following summarizes our acquisitions and joint venture investments during that period (dollars in thousands):

	Properties		Investment Amount⁽¹⁾	Capitalization Rates⁽²⁾		Book Amount⁽³⁾
Seniors housing triple-net	2	$	34,650	8.7%	$	33,443
Seniors housing operating	11		408,050	6.0%		237,332
Total acquisitions/JVs	13	$	442,700	6.2%	$	270,775

(1) Represents stated purchase price including cash and any assumed debt but excludes fair value adjustments pursuant to U.S. GAAP.
(2) Represents annualized contractual or projected income to be received in cash divided by investment amounts.
(3) Represents amounts recorded on our books including fair value adjustments pursuant to U.S. GAAP. See Notes 3, 6 and 7 to our unaudited consolidated financial statements for additional information.

Dispositions. We completed $500,000 of dispositions related to one loan payoff during the three months ended March 31, 2014.

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

Dividends. Our Board of Directors increased the annual cash dividend to $3.18 per common share ($0.795 per share quarterly), as compared to $3.06 per common share for 2013, beginning in February 2014. The dividend declared for the quarter ended March 31, 2014 represents the 172^nd consecutive quarterly dividend payment.

Key Performance Indicators, Trends and Uncertainties

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

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

		Three Months Ended
		March 31,		June 30,		September 30,		December 31,		March 31,
		2013		2013		2013		2013			2014

Net income (loss) attributable to common stockholders		$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022
Funds from operations			170,878		230,666		258,263		265,077		288,803
Net operating income from continuing operations			376,901		400,569		441,792		454,468		460,376
Same store cash net operating income			310,390		314,234		316,266		319,323		322,669

Per share data (fully diluted):
	Net income (loss) attributable to common stockholders	$	0.21	$	(0.03)	$	0.07	$	0.04	$	0.17
	Funds from operations		0.65		0.83		0.90		0.92		0.99

Concentration Risk. We evaluate our concentration risk in terms of asset mix, investment mix, relationship mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our investments could be at risk if certain sectors were to experience downturns. 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:

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

		March 31,	June 30,	September 30,	December 31,	March 31,
		2013	2013	2013	2013	2014
Asset mix:
	Real property	91%	92%	95%	95%	95%
	Real estate loans receivable	1%	1%	1%	1%	2%
	Investments in unconsolidated entities	8%	7%	4%	4%	3%

Investment mix:⁽¹⁾
	Seniors housing triple-net	43%	40%	41%	41%	41%
	Seniors housing operating	35%	39%	39%	39%	39%
	Medical facilities	22%	21%	20%	20%	20%

Relationship mix:⁽¹⁾
	Sunrise Senior Living	14%	13%	19%	19%	19%
	Genesis HealthCare	14%	13%	12%	12%	12%
	Revera		6%	6%	5%	5%
	Benchmark Senior Living	4%		4%	4%	4%
	Belmont Village	5%	4%	4%	4%	4%
	Merrill Gardens	6%	5%
	Remaining relationships	57%	59%	55%	56%	56%

Geographic mix:⁽¹⁾
	California	9%	8%	10%	10%	10%
	New Jersey	8%	8%	8%	8%	8%
	England	8%	7%	8%	8%	8%
	Texas	8%	8%	7%	7%	7%
	Florida	6%	5%	5%	5%	5%
	Remaining geographic areas	61%	64%	62%	62%	62%

(1) Excludes our share of investments in unconsolidated entities. Entities in which the company has a joint venture with a minority partner are shown at 100% of the amount.

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,
		2013	2013	2013	2013	2014

Debt to book capitalization ratio		49%	44%	47%	48%	48%
Debt to undepreciated book
	capitalization ratio	45%	41%	43%	43%	43%
Debt to market capitalization ratio		34%	32%	35%	39%	37%

Interest coverage ratio		3.42x	2.88x	3.32x	3.23x	3.24x
Fixed charge coverage ratio		2.72x	2.27x	2.62x	2.56x	2.56x

Lease Expirations. The following table sets forth information regarding lease expirations for certain portions of our portfolio as of March 31, 2014 (dollars in thousands):

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

			Expiration Year
			2014		2015		2016		2017		2018		2019		2020		2021		2022		2023		Thereafter

Seniors housing triple-net:
	Properties		8		-		-		34		51		-		10		23		42		2		428
	Base rent⁽¹⁾	$	7,116	$	-	$	-	$	15,743	$	37,398	$	-	$	13,356	$	35,376	$	40,695	$	5,760	$	707,542
	% of base rent		0.8%		0.0%		0.0%		1.8%		4.3%		0.0%		1.5%		4.1%		4.7%		0.7%		82.0%
	Units		1,060		-		-		1,603		3,151		-		912		3,587		5,463		383		48,025
	% of Units		1.7%		0.0%		0.0%		2.5%		4.9%		0.0%		1.4%		5.6%		8.5%		0.6%		74.8%

Hospitals:
	Properties		-		-		-		-		-		-		-		-		-		1		30
	Base rent⁽¹⁾	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	-	$	1,979	$	88,690
	% of base rent		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		2.2%		97.8%
	Beds		-		-		-		-		-		-		-		-		-		60		1,072
	% of Beds		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		0.0%		5.3%		94.7%

Medical office buildings:
	Square feet		465,971		632,337		776,593		1,151,313		849,075		874,693		855,930		925,023		1,967,271		902,572		3,096,184
	Base rent⁽¹⁾	$	9,127	$	14,713	$	16,690	$	27,419	$	20,021	$	20,469	$	20,551	$	22,546	$	40,148	$	22,119	$	80,174
	% of base rent		3.1%		5.0%		5.7%		9.3%		6.8%		7.0%		7.0%		7.7%		13.7%		7.5%		27.3%
	Leases		147		185		177		218		176		139		91		105		135		58		143
	% of Leases		9.3%		11.8%		11.2%		13.9%		11.2%		8.8%		5.8%		6.7%		8.6%		3.7%		9.1%


(1) The most recent monthly base rent including straight line for leases with fixed escalators or annual cash rents for leases with contingent escalators. Base rent does not include tenant recoveries or amortization of above and below market lease intangibles.

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

Corporate Governance

Maintaining investor confidence and trust is important in today’s business environment. Our Board of Directors and management are strongly committed to policies and procedures that reflect the highest level of ethical business practices. Our corporate governance guidelines provide the framework for our business operations and emphasize our commitment to increase stockholder value while meeting all applicable legal requirements. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on the Internet at www.hcreit.com.

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):

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

		Three Months Ended				Change
		March 31, 2014		March 31, 2013		$		%

Cash and cash equivalents at beginning of period		$	158,780	$	1,033,764	$	(874,984)	-85%
Cash provided from (used in):
Operating activities			258,661		199,808		58,853	29%
Investing activities			(351,391)		(1,968,703)		1,617,312	-82%
Financing activities			119,597		1,004,416		(884,819)	-88%
Effect of foreign currency translation on cash and cash equivalents			281		557		(276)	-50%
	Cash and cash equivalents at end of period	$	185,928	$	269,842	$	(83,914)	-31%

Operating Activities. The change in net cash provided from operating activities is primarily attributable to increases in NOI, which is primarily due to acquisitions. Please see “Results of Operations” for further discussion. For the three months ended March 31, 2014, cash flow provided from operations exceeded cash distributions to stockholders. For the three months ended March 31, 2013, cash distributions to stockholders exceeded cash flow provided from operations. The source of funds for these excess distributions was available cash on-hand, which was $1,033,764,000 at December 31, 2012 and $269,842,000 at March 31, 2013.

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


	Three Months Ended				Change
	March 31,		March 31,
	2014		2013		$		%
New development	$	52,717	$	40,053	$	12,664	32%
Recurring capital expenditures, tenant improvements and lease commissions		12,392		11,885		508	4%
Renovations, redevelopments and other capital improvements		15,014		12,244		2,769	23%
Total	$	80,123	$	64,182	$	15,941	25%

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

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

Off-Balance Sheet Arrangements

At March 31, 2014, we had investments in unconsolidated entities with our ownership ranging from 10% to 50%. Please see Note 7 to our unaudited consolidated financial statements for additional information. We use financial derivative instruments to hedge interest rate and foreign currency exchange rate exposure. Please see Note 11 to our unaudited consolidated financial statements for additional information. At March 31, 2014, we had five outstanding letter of credit obligations. Please see Note 12 to our unaudited consolidated financial statements for additional information.

Contractual Obligations

The following table summarizes our payment requirements under contractual obligations as of March 31, 2014 (in thousands):

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

	Payments Due by Period
Contractual Obligations	Total		2014		2015-2016		2017-2018		Thereafter
Unsecured line of credit arrangements	$	562,000	$	-	$	-	$	562,000	$	-
Senior unsecured notes⁽¹⁾		7,418,374		-		1,676,142		900,000		4,842,232
Secured debt⁽¹⁾		3,455,857		234,507		1,101,468		846,540		1,273,342
Contractual interest obligations		4,114,651		374,586		898,849		677,466		2,163,750
Capital lease obligations		115,770		4,044		17,889		9,411		84,426
Operating lease obligations		878,401		10,824		28,227		28,510		810,840
Purchase obligations		290,779		14,193		276,586		-		-
Other long-term liabilities		7,673		-		-		3,069		4,604
Total contractual obligations	$	16,843,505	$	638,154	$	3,999,161	$	3,026,996	$	9,179,194

(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, 2014, we had an unsecured line of credit arrangement with an aggregate commitment amount of $2,250,000,000. See Note 9 to our unaudited consolidated financial statements for additional information. Total contractual interest obligations on this arrangement totaled $22,424,000 at March 31, 2014, using interest rates in place at that date.

We have $5,775,107,000 of senior unsecured notes principal outstanding with annual fixed interest rates ranging from 2.25% to 6.5%, payable semi-annually. A total of $275,107,000 of our senior unsecured notes are convertible notes that also contain put features. In addition, we have £550,000,000 (approximately $917,125,000 based on the Sterling/U.S. Dollar exchange rate on March 31, 2014) of 4.8% senior unsecured notes due 2028. We have a $250,000,000 Canadian denominated unsecured term loan (approximately $226,142,000 based on the Canadian/U.S. Dollar exchange rate on March 31, 2014). 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 all senior unsecured notes and term loans totaled $3,181,367,000 at March 31, 2014, using interest rates and foreign currency translation rates in place at that date.

We have consolidated secured debt with total outstanding principal of $2,875,957,000, collateralized by owned properties, with fixed annual interest rates ranging from 1.0% to 8.0%, payable monthly. The carrying values of the properties securing the debt totaled $5,976,759,000 at March 31, 2014. Total contractual interest obligations on consolidated secured debt totaled $822,498,000 at March 31, 2014. Additionally, our share of non-recourse debt associated with unconsolidated entities (as reflected in the contractual obligations table above) is $579,900,000 at March 31, 2014. Our share of contractual interest obligations on our unconsolidated entities’ secured debt is $88,362,000 at March 31, 2014, using interest rates and foreign currency translation rates in place at that date.

At March 31, 2014, we had operating lease obligations of $878,401,000 relating primarily to ground leases at certain of our properties and office space leases and capital lease obligations of $115,770,000 relating to certain leased investment properties that contain bargain purchase options.

Purchase obligations include unfunded construction commitments and contingent purchase obligations. At March 31, 2014, we had outstanding construction financings of $144,516,000 for leased properties and were committed to providing additional financing of approximately $224,139,000 to complete construction. At March 31, 2014, we had contingent purchase obligations totaling $66,640,000. 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 statements included in our Annual Report on Form 10-K for the year ended December 31, 2013.

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, 2014, we were in compliance with all of the covenants under our debt agreements. Please refer to the section entitled “Non-GAAP Financial Measures” for further discussion. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings. However, under our primary unsecured line of credit arrangement, the ratings on our senior unsecured notes are used to determine the fees and interest charged. A summary of certain covenants and our results as of March 31, 2014 is as follows:

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

	Per Agreement
	Unsecured Line of Credit⁽¹⁾	Senior Unsecured Notes	Actual at
Covenant	Unsecured Line of Credit⁽¹⁾	Senior Unsecured Notes	March 31, 2014
Total Indebtedness to Book Capitalization Ratio maximum	60%	n/a	48%
Secured Indebtedness to Total Assets Ratio maximum	30%	40%	13%
Total Indebtedness to Total Assets maximum	n/a	60%	47%
Unsecured Debt to Unencumbered Assets maximum	60%	n/a	43%
Adjusted Interest Coverage Ratio minimum	n/a	1.50x	3.24x
Adjusted Fixed Charge Coverage minimum	1.50x	n/a	2.56x

(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, 2014, we had an effective registration statement on file in connection with our enhanced dividend reinvestment plan under which we may issue up to 10,000,000 shares of common stock. As of April 30, 2014, 5,962,348 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, 2014, we had $457,112,000 of remaining capacity under the Equity Shelf Program. Depending upon market conditions, we anticipate issuing securities under our registration statements to invest in additional properties and to repay borrowings under our unsecured line of credit arrangements.

Results of Operations

Summary

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

	Three Months Ended				Change
	March 31,		March 31,
	2014		2013		Amount		%
Net income (loss) attributable to common stockholders	$	50,022	$	55,058	$	(5,036)	-9%
Funds from operations		288,803		170,878		117,925	69%
EBITDA		421,734		372,418		49,316	13%
Net operating income from continuing operations (NOI)		460,376		376,901		83,475	22%
Same store cash NOI		322,669		310,390		12,279	4%

Per share data (fully diluted):
Net income (loss) attributable to common stockholders	$	0.17	$	0.21	$	(0.04)	-19%
Funds from operations		0.99	$	0.65	$	0.34	52%

Interest coverage ratio		3.24x		3.42x		-0.18x	-5%
Fixed charge coverage ratio		2.56x		2.72x		-0.16x	-6%

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,
		2014		2013		$		%
SSCNOI⁽¹⁾		$	178,156		172,689	$	5,467	3%
Non-cash NOI attributable to same store properties⁽¹⁾			9,408		10,836		(1,428)	-13%
NOI attributable to non same store properties⁽²⁾			32,824		5,824		27,000	464%
NOI		$	220,388	$	189,349	$	31,039	16%

(1) Change is due to increases in cash and non-cash revenues (described below) related to 530 same store properties.
(2) Change is primarily due to the acquisition of 34 properties, the conversion of 13 construction projects into revenue-generating properties subsequent to January 1, 2013 and the transition of 38 properties from our seniors housing operating segment on September 1, 2013.

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

			Three Months Ended				Change
			March 31,		March 31,
			2014		2013		$		%
Revenues:
	Rental income		$	214,828	$	183,296	$	31,532	17%
	Interest income			5,439		5,844		(405)	-7%
	Other income			121		209		(88)	-42%
		Net operating income from continuing operations (NOI)		220,388		189,349		31,039	16%
Expenses:
	Interest expense			8,890		5,805		3,085	53%
	Depreciation and amortization			61,404		54,950		6,454	12%
	Transaction costs			275		494		(219)	-44%
				70,569		61,249		9,320	15%
Income from continuing operations before income taxes and income (loss) from unconsolidated entities				149,819		128,100		21,719	17%
Income tax benefit (expense)				(355)		(762)		407	-53%
Income (loss) from unconsolidated entities				1,382		1,290		92	7%
Income from continuing operations				150,846		128,628		22,218	17%
Discontinued operations:
	Gain (loss) on sales of properties, net			-		80,701		(80,701)	-100%
	Income (loss) from discontinued operations, net			460		535		(75)	-14%
	Discontinued operations, net			460		81,236		(80,776)	-99%
Net income				151,306		209,864		(58,558)	-28%
Less: Net income (loss) attributable to noncontrolling interests				488		369		119	32%
Net income attributable to common stockholders			$	150,818	$	209,495	$	(58,677)	-28%

The increase in rental income is primarily attributable to the acquisitions of new properties, 38 properties transitioned from the seniors housing operating segment and the conversion of newly constructed seniors housing triple-net properties from which we receive rent. 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

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

three months ended March 31, 2014, we had no lease renewals but we had 18 leases with rental rate increasers ranging from 0.11% to 0.76% in our seniors housing triple-net portfolio.

During the quarter ended March 31, 2014, we completed one seniors housing triple-net construction project representing $8,481,000 or $188,466 per bed/unit plus expansion projects totaling $921,000. The following is a summary of our seniors housing triple-net construction projects, excluding expansions, pending as of March 31, 2014 (dollars in thousands):

Location	Units/Beds		Commitment		Balance	Est. Completion
Moorestown, NJ	124	$	31,500	$	27,054	3Q14
Gambrills, MD	110		19,700		17,889	3Q14
Burleson, TX	106		13,900		9,013	3Q14
Upper Providence, PA	96		29,030		8,542	4Q14
Mahwah, NJ	96		29,045		4,253	1Q15
Frederick, MD	130		19,000		8,837	1Q15
Piscataway, NJ	124		30,600		12,273	2Q15
Haddonfield, NJ	52		18,815		4,289	2Q15
Derby, England	74		12,311		2,664	3Q15
Total	912	$	203,901	$	94,814

Interest expense for the three months ended March 31, 2014 and 2013 represents $9,013,000 and $6,827,000, respectively, of secured debt interest expense, which is offset by interest allocated to discontinued operations. The change in secured debt interest expense is due to the net effect and timing of assumptions, segment transitions, extinguishments and principal amortizations. The following is a summary of our seniors housing triple-net secured debt principal activity (dollars in thousands):

	Three Months Ended
	March 31, 2014			March 31, 2013
			Wtd. Avg.			Wtd. Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	587,136	5.394%	$	218,741	5.393%
Principal payments		(2,773)	5.897%		(1,149)	5.536%
Ending balance	$	584,363	5.391%	$	217,592	5.392%

Monthly averages	$	585,355	5.391%	$	217,994	5.392%

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

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

Changes in gains on sales of properties are related to property sales, which totaled zero and 11 for the three months ended March 31, 2014 and 2013, respectively. The table below illustrates the reclassification impact as a result of classifying the properties sold prior to or held for sale at January 1, 2014 as discontinued operations 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,
		2014		2013

Rental income		$	583	$	2,884
Expenses:
	Interest expense		123		1,022
	Provision for depreciation		-		1,327
Income from discontinued operations, net		$	460	$	535

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,
		2014		2013		$		%
SSCNOI⁽¹⁾		$	65,858	$	60,065	$	5,793	10%
NOI attributable to non same store properties⁽²⁾			82,277		43,513		38,764	89%
NOI		$	148,135	$	103,578	$	44,557	43%

(1) Change is due to increases in revenues (described below) related to 116 same store properties.
(2) Change is primarily due to the acquisition of 164 properties subsequent to January 1, 2013 and the transition of 38 properties to our seniors housing triple-net segment on September 1, 2013.

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

		Three Months Ended				Change
		March 31,		March 31,
		2014		2013		$		%
Revenues:
	Resident fees and services	$	456,265	$	327,324	$	128,941	39%
	Interest income		-		757		(757)	n/a
	Other income		54		-		54	n/a
			456,319		328,081		128,238	39%
Property operating expenses			308,184		224,503		83,681	37%
	Net operating income from continuing operations (NOI)		148,135		103,578		44,557	43%
Other expenses:
	Interest expense		27,479		19,070		8,409	44%
	Loss (gain) on derivatives, net		0		2,309		(2,309)	-100%
	Depreciation and amortization		129,162		89,875		39,287	44%
	Transaction costs		630		65,325		(64,695)	-99%
	Loss (gain) on extinguishment of debt, net		(148)		(308)		160	-52%
			157,123		176,271		(19,148)	-11%
Income (loss) from continuing operations before income taxes and income (loss) from unconsolidated entities			(8,988)		(72,693)		63,705	-88%
Income tax expense			(1,643)		(1,729)		86	-5%
Income (loss) from unconsolidated entities			(7,961)		(1,548)		(6,413)	414%
Net income (loss)			(18,592)		(75,970)		57,378	-76%
Less: Net income (loss) attributable to noncontrolling interests			(1,821)		(274)		(1,547)	565%
Net income (loss) attributable to common stockholders		$	(16,771)	$	(75,696)	$	58,925	-78%

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

Fluctuations in revenues and property operating expenses are primarily a result of acquisitions subsequent to March 31, 2013, offset by the transition of 38 properties to seniors housing triple-net on September 1, 2013. The fluctuations in depreciation and amortization are due to acquisitions and variations in amortization of short-lived intangible assets. To the extent that we acquire or dispose of additional properties in the future, these amounts will change accordingly. Loss from unconsolidated entities during the three month periods ended March 31, 2014 and 2013 is primarily attributable to depreciation and amortization of short-lived intangible assets related to our joint ventures described in Note 7 to our unaudited 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 $250,000,000 Canadian-denominated unsecured term loan and our £550,000,000 Sterling-denominated senior unsecured notes. Please refer to Note 10 to our unaudited consolidated financial statements for additional information. The following is a summary of our seniors housing operating property secured debt principal activity (dollars in thousands):

	Three Months Ended
	March 31, 2014			March 31, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate
Beginning balance	$	1,714,714	4.622%		1,369,526	4.874%
Debt issued		10,690	3.544%		-	0.000%
Debt assumed		-	0.000%		132,680	5.492%
Debt extinguished		(73,218)	5.883%		(7,807)	7.430%
Foreign currency		(15,905)	3.862%		6	5.624%
Principal payments		(8,513)	4.454%		(5,986)	5.034%
Ending balance	$	1,627,768	4.529%	$	1,488,419	4.925%

Monthly averages	$	1,687,910	4.596%		1,460,933	4.921%

The change in net derivative gains is due to foreign currency hedges relating to our international investments which are described in Note 11 to our unaudited consolidated financial statements.

The decrease in transaction costs is primarily due to costs associated with the Sunrise merger transaction in the prior year. The majority of our seniors housing operating properties are formed through partnership interests. Net income attributable to noncontrolling interests for the three month periods ended March 31, 2014 and 2013 represents our partners’ share of net income (loss) related to those properties.

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,
		2014		2013		$		%
SSCNOI⁽¹⁾		$	78,655		77,636	$	1,019	1%
Non-cash NOI attributable to same store properties⁽¹⁾			1,441		2,587		(1,146)	-44%
NOI attributable to non same store properties⁽²⁾			11,742		3,670		8,072	220%
NOI		$	91,838	$	83,893	$	7,945	9%

(1) Change is due to increases in cash and decreases in non-cash revenues (described below) related to 204 same store properties.
(2) Change is primarily due to acquisitions of 13 properties and conversions of construction projects into nine revenue-generating properties subsequent to January 1, 2013.

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

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

		Three Months Ended				Change
		March 31,		March 31,
		2014		2013		$		%
Revenues:
	Rental income	$	121,627	$	109,347	$	12,280	11%
	Interest income		3,155		2,456		699	28%
	Other income		303		410		(107)	-26%
			125,085		112,213		12,872	11%
Property operating expenses			33,247		28,320		4,927	17%
	Net operating income from continuing operations (NOI)		91,838		83,893		7,945	9%
Other expenses:
	Interest expense		9,608		8,861		747	8%
	Depreciation and amortization		42,752		39,863		2,889	7%
	Transaction costs		47		161		(114)	-71%
			52,407		48,885		3,522	7%
Income from continuing operations before income taxes and income from unconsolidated entities			39,431		35,008		4,423	13%
Income tax expense			(262)		(272)		10	-4%
Income from unconsolidated entities			1,023		2,520		(1,497)	-59%
Income from continuing operations			40,192		37,256		2,936	8%
Discontinued operations:
	Gain (loss) on sales of properties, net		-		1,791		(1,791)	-100%
	Income (loss) from discontinued operations, net		-		1,058		(1,058)	-100%
	Discontinued operations, net		-		2,849		(2,849)	-100%
Net income (loss)			40,192		40,107		85	0%
Less: Net income (loss) attributable to noncontrolling interests			157		44		113	257%
Net income (loss) attributable to common stockholders		$	40,035	$	40,063	$	(28)	0%

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, 2014, our consolidated medical office building portfolio signed 48,393 square feet of new leases and 90,095 square feet of renewals. The weighted-average term of these leases was five years, with a rate of $21.81 per square foot and tenant improvement and lease commission costs of $19.56 per square foot. Substantially all of these leases during the referenced quarter contain an annual fixed or contingent escalation rent structure ranging from the change in CPI to 4%. For the three months ended March 31, 2014, we had no lease renewals and no rental rate increasers in our hospital portfolio.

During the quarter ended March 31, 2014, we completed two medical office building construction projects representing $42,799,000 or $220 per square foot plus one hospital expansion project totaling $4,951,000. The following is a summary of the medical facilities construction projects, excluding expansions, pending as of March 31, 2014 (dollars in thousands):

Location	Square Feet		Commitment		Balance	Est. Completion
Clear Lake, TX	54,713	$	14,750	$	7,615	3Q14
Burnsville, MN	123,857		36,087		17,429	3Q14
Humble, TX	36,475		10,885		3,540	3Q14
Bettendorf, IA	40,493		7,561		1,551	4Q14
Houston, TX	51,057		17,600		1,108	1Q15
Shenandoah, TX	80,085		24,558		6,799	1Q15
Total	386,680	$	111,441	$	38,042

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

Total interest expense for the three months ended March 31, 2014 and 2013 represents $9,608,000 and $9,735,000, 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 facility secured debt principal activity (dollars in thousands):

	Three Months Ended
	March 31, 2014			March 31, 2013
			Weighted Avg.			Weighted Avg.
	Amount		Interest Rate	Amount		Interest Rate

Beginning balance	$	700,427	5.999%	$	713,720	5.950%
Debt extinguished		(40,866)	5.463%		-	0.000%
Principal payments		(3,865)	5.976%		(3,897)	6.023%
Ending balance	$	655,696	6.036%	$	709,823	5.950%

Monthly averages	$	679,495	5.889%	$	711,826	5.950%

The increase in property operating expenses and depreciation and amortization is primarily attributable to acquisitions and construction conversions of new medical facilities for which we incur certain property operating expenses offset by property operating expenses associated with discontinued operations. The change in transaction costs is due primarily to lower transaction volume in the current year. Income from unconsolidated entities includes our share of net income related to our joint venture investment with Forest City Enterprises and certain unconsolidated property investments related to our strategic joint venture relationship with a national medical office building company. See Note 7 to our unaudited consolidated financial statements for additional information.

Changes in gains/losses on sales of properties is related to property sales, which totaled zero and six for the three months ended March 31, 2014, and 2013, respectively. The table below illustrates the reclassification impact as a result of classifying the properties sold prior to or held for sale at January 1, 2014 as discontinued operations for the periods presented (in thousands).

		Three Months Ended
		March 31,
		2014		2013

Rental income		$	-	$	3,904
Expenses:
	Interest expense		-		874
	Property operating expenses		-		865
	Provision for depreciation		-		1,107
Income (loss) from discontinued operations, net		$	-	$	1,058

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,
		2014		2013		$		%
Revenues:
	Other income	$	15	$	81	$	(66)	-81%
Expenses:
	Interest expense		74,856		75,102		(246)	0%
	General and administrative		32,865		27,179		5,686	21%
			107,721		102,281		5,440	5%
Loss from continuing operations			(107,706)		(102,200)		(5,506)	5%
Less: Preferred stock dividends			16,353		16,602		(249)	-1%
Net loss attributable to common stockholders		$	(124,059)	$	(118,802)	$	(5,257)	4%

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,
	2014		2013		$		%
Senior unsecured notes	$	70,702	$	72,180	$	(1,478)	-2%
Secured debt		104		109		(5)	-4%
Unsecured lines of credit		2,301		4,521		(2,220)	-49%
Capitalized interest		(1,553)		(1,606)		53	-3%
Swap loss (savings)		(4)		(4)		-	0%
Loan expense		3,306		(98)		3,404	n/a
Totals	$	74,856	$	75,102	$	(246)	0%

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

General and administrative expenses as a percentage of consolidated revenues (including revenues from discontinued operations) for the three months ended March 31, 2014 and 2013 were 4.10% and 4.46%, 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 effect of 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, NOI and EBITDA to be useful supplemental measures of our operating performance. Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts (“NAREIT”) created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO, as defined by NAREIT, means net income attributable to common stockholders, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate and impairment of depreciable assets, plus depreciation and amortization, and after adjustments for unconsolidated entities and noncontrolling interests.

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

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

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

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

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

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


		Three Months Ended
		March 31,		June 30,		September 30,		December 31,		March 31,
FFO Reconciliations:		2013		2013		2013		2013		2014
Net income (loss) attributable to common stockholders		$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022
Depreciation and amortization			187,122		200,477		242,981		243,380		233,318
Loss (gain) on sales of properties, net			(82,492)		29,997		(4,707)		8,064		0
Noncontrolling interests			(5,793)		(7,821)		(12,328)		(10,362)		(10,520)
Unconsolidated entities			16,983		16,521		11,626		12,522		15,983
Funds from operations		$	170,878	$	230,666	$	258,263	$	265,077	$	288,803

Average common shares outstanding:
	Basic		260,036		273,091		286,020		288,133		289,606
	Diluted		262,525		276,481		288,029		289,677		290,917

Per share data:
Net income attributable to
	common stockholders
	Basic	$	0.21	$	(0.03)	$	0.07	$	0.04	$	0.17
	Diluted		0.21		(0.03)		0.07		0.04		0.17

Funds from operations
	Basic	$	0.66	$	0.84	$	0.90	$	0.92	$	1.00
	Diluted		0.65		0.83		0.90		0.92		0.99

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:		2013		2013		2013		2013		2014
Net income		$	71,799	$	7,181	$	33,605	$	25,696	$	65,200
Interest expense			110,734		110,844		116,542		124,485		120,956
Income tax expense (benefit)			2,763		1,215		3,077		435		2,260
Depreciation and amortization			187,122		200,477		242,981		243,380		233,318
EBITDA		$	372,418	$	319,717	$	396,205	$	393,996	$	421,734

Interest Coverage Ratio:
Interest expense		$	110,734	$	110,844	$	116,542	$	124,485	$	120,956
Non-cash interest expense			(3,494)		(1,237)		951		(264)		(330)
Capitalized interest			1,606		1,386		1,706		2,003		1,605
	Total interest		108,846		110,993		119,199		126,224		122,231
EBITDA		$	372,418	$	319,717	$	396,205	$	393,996	$	421,734
	Interest coverage ratio		3.42x		2.88x		3.32x		3.12x		3.45x

Fixed Charge Coverage Ratio:
Total interest		$	108,846	$	110,993	$	119,199	$	126,125	$	122,230
Secured debt principal payments			11,432		13,277		15,297		16,132		15,455
Preferred dividends			16,602		16,602		16,602		16,531		16,353
	Total fixed charges		136,880		140,872		151,098		158,788		154,038
EBITDA		$	372,418	$	319,717	$	396,205	$	403,100	$	421,734
	Fixed charge coverage ratio		2.72x		2.27x		2.62x		2.54x		2.74x

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

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


		Twelve Months Ended
Adjusted EBITDA		March 31,		June 30,		September 30,		December 31,		March 31,
Reconciliations:		2013		2013		2013		2013		2014
Net income		$	309,183	$	239,491	$	219,590	$	138,280	$	131,682
Interest expense			400,312		414,394		434,693		462,606		472,827
Income tax expense (benefit)			8,904		8,672		10,913		7,491		6,987
Depreciation and amortization			593,285		660,799		770,922		873,960		920,156
Stock-based compensation expense			17,728		17,607		18,971		20,177		17,336
Provision for loan losses			27,008		27,008		2,110		2,110		2,110
Loss (gain) on extinguishment of debt, net			(1,083)		(1,659)		(5,942)		(909)		(749)
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,451,257	$	1,503,715	$	1,550,349

Adjusted Fixed Charge Coverage Ratio:
Interest expense		$	400,312	$	414,394	$	434,693	$	462,606	$	472,827
Capitalized interest			8,964		8,211		7,362		6,700		6,700
Non-cash interest expense			(11,196)		(9,584)		(6,392)		(4,044)		(880)
	Total interest		398,080		413,021		435,663		465,262		478,647
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,449,147	$	1,503,715	$	1,550,349
	Adjusted interest coverage ratio		3.40x		3.31x		3.33x		3.23x		3.24x

Total interest		$	398,080	$	413,021	$	435,663	$	465,262	$	478,647
Secured debt principal payments			41,457		45,167		50,323		56,318		60,341
Preferred dividends			66,525		66,408		66,408		66,336		66,088
	Total fixed charges		506,062		524,596		552,394		587,916		605,076
Adjusted EBITDA		$	1,355,337	$	1,366,312	$	1,451,257	$	1,503,715	$	1,550,349
	Adjusted fixed charge coverage ratio		2.68x		2.60x		2.63x		2.56x		2.56x

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:			2013		2013		2013		2013		2014
Total revenues:
	Seniors housing triple-net		$	189,349	$	193,145	$	203,764	$	217,410	$	220,388
	Seniors housing operating			328,081		370,995		466,294		452,030		456,319
	Medical facilities			112,213		114,224		113,622		119,119		125,085
	Non-segment/corporate			81		164		32		20		15
		Total revenues		629,724		678,528		783,712		788,579		801,807
Property operating expenses:
	Seniors housing operating			224,503		248,972		311,575		304,189		308,184
	Medical facilities			28,320		28,987		30,345		29,922		33,247
		Total property operating expenses		252,823		277,959		341,920		334,111		341,431
Net operating income:
	Seniors housing triple-net			189,349		193,145		203,764		217,410		220,388
	Seniors housing operating			103,578		122,023		154,719		147,841		148,135
	Medical facilities			83,893		85,237		83,277		89,197		91,838
	Non-segment/corporate			81		164		32		20		15
		Net operating income from continuing operations (NOI)		376,901		400,569		441,792		454,468		460,376
Reconciling items:
	Interest expense			(108,838)		(109,465)		(115,792)		(124,265)		(120,833)
	Loss (gain) on derivatives, net			(2,309)		2,716		(4,872)		(6)		-
	Depreciation and amortization			(184,688)		(198,062)		(241,027)		(242,022)		(233,318)
	General and administrative			(27,179)		(23,902)		(28,718)		(28,519)		(32,865)
	Transaction costs			(65,980)		(28,136)		(23,591)		(15,693)		(952)
	Loss (gain) on extinguishment of debt, net			308		-		4,068		(3,467)		148
	Provision for loan losses			-		-		-		(2,110)		-
	Income tax benefit (expense)			(2,763)		(1,215)		(3,077)		(435)		(2,260)
	Income (loss) from unconsolidated entities			2,262		(5,461)		(331)		(4,659)		(5,556)
	Income (loss) from discontinued operations, net			84,085		(29,863)		5,153		(7,596)		460
	Preferred dividends			(16,602)		(16,602)		(16,602)		(16,531)		(16,353)
	Loss (income) attributable to noncontrolling interests			(139)		913		3,688		2,308		1,175
				(321,843)		(409,077)		(421,101)		(442,995)		(410,354)
Net income (loss) attributable to common stockholders			$	55,058	$	(8,508)	$	20,691	$	11,473	$	50,022

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,
Same Store Cash NOI Reconciliations:					2013		2013		2013		2013		2014
Net operating income from continuing operations:
	Seniors housing triple-net				$	189,349	$	193,145	$	203,764	$	217,410	$	220,388
	Seniors housing operating					103,578		122,025		154,719		147,840		148,135
	Medical facilities					83,893		85,237		83,278		89,197		91,838
			Total			376,820		400,407		441,761		454,447		460,361
Adjustments:
	Seniors housing triple-net:
		Non-cash NOI on same store properties				(10,836)		(9,835)		(9,999)		(9,519)		(9,408)
		NOI attributable to non same store properties				(5,825)		(9,530)		(18,182)		(31,195)		(32,825)
			Subtotal			(16,660)		(19,365)		(28,182)		(40,714)		(42,232)
	Seniors housing operating:
		Non-cash NOI on same store properties				-		-		-		-		-
		NOI attributable to non same store properties				(43,513)		(59,047)		(90,092)		(82,710)		(82,277)
			Subtotal			(43,513)		(59,047)		(90,092)		(82,710)		(82,277)
	Medical facilities:
		Non-cash NOI on same store properties				(2,587)		(2,114)		(2,326)		(1,641)		(1,441)
		NOI attributable to non same store properties				(3,671)		(5,647)		(4,895)		(10,059)		(11,742)
			Subtotal			(6,257)		(7,761)		(7,221)		(11,700)		(13,183)
Same store cash net operating income:				Properties
	Seniors housing triple-net			530		172,689		173,780		175,582		176,696		178,156
	Seniors housing operating			116		60,065		62,978		64,627		65,130		65,858
	Medical facilities			204		77,636		77,476		76,057		77,497		78,655
			Total	850	$	310,390	$	314,234	$	316,266	$	319,323	$	322,669

Same Store Cash NOI Property Reconciliation:
	Total Properties			1,145
	Acquisitions			(213)
	Developments			(27)
	Disposals / Held-for-sale			(3)
	Segment transitions			(38)
	Other⁽¹⁾			(14)
		Same store properties		850

(1) Includes nine land parcels and five loans.

Other Disclosures

Health Care Reimbursements

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

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

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

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

On December 26, 2013, the Bipartisan Budget Act of 2013 (“Budget Act”) was enacted. The Budget Act replaced scheduled cuts to the calendar year 2014 Medicare Physician Fee Schedule with a 0.5% increase for services provided through March 31, 2014. The Budget Act also extended the 2% sequestration cuts for Medicare through 2023, and a bill signed by the President on February 15, 2014, further extended these cuts for an additional year, through fiscal year 2024. The Budget Act included the Pathway for SGR Reform Act of 2013 (“SGR Reform”). SGR Reform implemented several changes to the Medicare payment rules for long-term care hospitals (“LTCHs”). For a discharge in cost reporting periods beginning on or after October 1, 2015, specified cases in LTCHs will receive the “applicable” site‐neutral payment rate. Specifically, payment rates will be blended for discharges in cost reporting periods beginning in fiscal year 2016 and fiscal year 2017, consisting of half of the site neutral payment rate and half of the payment rate that would otherwise apply, and then shift to all site‐neutral payments in fiscal year 2018. Patients with a three‐day stay in an intensive care unit (“ICU”) prior to LTCH admission or ventilator patients with at least 96 hours are exempted from the lower site‐neutral payments if the discharge does not have a principal diagnosis relating to a psychiatric diagnosis or to rehabilitation. Beginning in fiscal year 2020, LTCHs are to maintain at least 50% of patients that are excluded from the site-neutral payments. SGR Reform also requires MedPAC to conduct a study and submit a report to Congress by June 30, 2019 that includes recommendations that address these changes to the LTCH payment policies. Additionally, beginning in fiscal year 2016, calculation of length of stay requirements for LTCHs will exclude any patients for whom payment is made (i) at the site-neutral payment rate and (ii) under any Medicare Advantage plan. SGR Reform also delayed implementation of the 25% rule for another three years, and the Secretary of HHS must issue a report in two years on the need for any further extension or modifications to the 25% rule. Finally, SGR Reform reinstituted a moratorium on new LTCHs or any increase in LTCH beds from January 1, 2015 through September 30, 2017.

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

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

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

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

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

Other Related Laws

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

United Kingdom

A Health and Social Care Bill is under discussion which, if adopted, would introduce certain provisions relating to care providers, including among others, provisions for the assessment of financial sustainability of a care provider and a new offense where a care provider makes available information which is false or misleading in a material respect.

Privacy

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

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

The Act imposes a number of obligations on the data controller contained in eight Data Protection Principles: (i) personal data must be processed fairly and lawfully, (ii) personal data must be processed for specified and lawful purposes, (iii) personal data must be adequate, relevant and not excessive, (iv) personal data must be accurate and up to date, (v) personal data must not be kept for longer than necessary, (vi) personal data must be processed in accordance with the rights of data subjects, (vii) appropriate technical and organizational measures shall be taken against unauthorized or unlawful processing of personal data and against accidental loss or destruction of, or damage to, personal data; and (viii) there is a prohibition on transfers of personal data to countries outside the EEA that are not deemed by the European Commission to provide an adequate level of protection, which includes the U.S., unless certain exemptions under the Act apply.

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

Critical Accounting Policies

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

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

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

Management has discussed the development and selection of its critical accounting policies with the Audit Committee of the Board of Directors. Management believes the current assumptions and other considerations used to estimate amounts reflected in our unaudited consolidated financial statements are appropriate and are not reasonably likely to change in the future. However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change. If

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

actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our unaudited consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition. Please refer to Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2013 for further information regarding significant accounting policies that impact us. There have been no material changes to these policies in 2014.

Cautionary Statement Regarding Forward-Looking Statements

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

Item 3. Quantitative and Qualitative Disclosures about Market Risk

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

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

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

	March 31, 2014				December 31, 2013
	Principal		Change in		Principal		Change in
	balance		fair value		balance		fair value
Senior unsecured notes	$	7,418,374	$	(430,168)	$	7,421,707	$	(408,790)
Secured debt		2,652,337		(97,256)		2,787,236		(102,211)
Totals	$	10,070,711	$	(527,424)	$	10,208,943	$	(511,001)

Our variable rate debt, including our unsecured line of credit arrangements, is reflected at fair value. At March 31, 2014, we had $1,511,762,000 outstanding under our variable rate debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $15,118,000. At December 31, 2013, we had $1,089,362,000 outstanding under our variable rate debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $10,894,000.

We are subject to currency fluctuations that may, from time to time, affect our financial condition and results of operations. Increases or decreases in the value of the Canadian Dollar or Pounds Sterling relative to the U.S. Dollar impacts the amount of net income we earn from our investments in Canada and the United Kingdom. Based solely on our results for the three months ended March 31, 2014, if these exchange rates were to increase or decrease by 100 basis points, our net income from these investments would decrease or increase, as applicable, by less than $500,000 for the twelve-month period. We seek to mitigate these underlying foreign currency exposures with non-U.S. denominated borrowings and gains and losses on derivative contracts hedging these exposures. If we increase our international presence through investments in, or acquisitions or development of, seniors housing and health care properties outside the U.S., we may also decide to transact additional business or borrow funds in currencies other than the U.S. Dollars, Canadian Dollars or Pounds Sterling. To illustrate the impact of changes in foreign currency markets, we performed a sensitivity analysis on our derivative portfolio whereby we modeled the change in net present values arising from a hypothetical 1% increase in foreign currency exchange rates to determine the instruments’ change in fair value. The following table summarizes the results of the analysis performed (dollars in thousands):

	March 31, 2014				December 31, 2013
	Carrying		Change in		Carrying		Change in
	Value		fair value		Value		fair value
Foreign currency forward contracts⁽¹⁾	$	13,647	$	2,596	$	4,006	$	(2,964)
Debt designated as hedges		1,143,267		8,000		1,146,596		8,002
Totals	$	1,156,914	$	10,596	$	1,150,602	$	5,038


(1) Amounts exclude cross currency hedge activity.

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

Item 4. Controls and Procedures

Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective in providing reasonable assurance that information required to be disclosed by us in the reports we file with or submit to the Securities and Exchange Commission (“SEC”) under the Exchange Act is recorded, processed, summarized and reported within the

time periods specified in the SEC’s rules and forms. No changes in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) occurred during the fiscal quarter covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

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

Item 1A. Risk Factors

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

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

On January 2, 2014, we issued 233,236 shares of our common stock to two principals of a national medical office partner upon conversion of such principals’ 233,236 shares of our 6% Series H Cumulative Convertible and Redeemable Preferred Stock (the “Series H Preferred Stock”). These shares were issued without registration in reliance upon the federal statutory exemption of Section 4(2) of the Securities Act of 1933, as amended, upon conversion by the principals of their shares of Series H Preferred Stock, which were originally issued as partial consideration for an acquisition by us, in accordance with the terms of the Certificate of Designation for the Series H Preferred Stock.


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, 2014 through January 31, 2014	69,336	$	55.65
February 1, 2014 through February 28, 2014	23,313		56.28
March 1, 2014 through March 31, 2014	290		57.59
Totals	92,939	$	55.81

(1) During the three months ended March 31, 2014, the company acquired shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.
(2) No shares were purchased as part of publicly announced plans or programs.

Item 5. Other Information

None.

Item 6. Exhibits

10.1 Retirement and Consulting Agreement, dated April 13, 2014, between the company and George L. Chapman.*

10.2 Employment Agreement, dated April 13, 2014, between the company and Thomas J. DeRosa.*

10.3 Health Care REIT, Inc. 2013-2015 Long-Term Incentive Program, as Amended and Restated.*

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**

*			Management Contract or Compensatory Plan or Arrangement.
**			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, 2014 and December 31, 2013, (ii) the Consolidated Statements of Comprehensive Income for the three months ended March 31, 2014 and 2013, (iii) the Consolidated Statements of Equity for the three months ended March 31, 2014 and 2013, (iv) the Consolidated Statements of Cash Flows for the three months ended March 31, 2014 and 2013 and (v) the Notes to Unaudited Consolidated Financial Statements.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


	HEALTH CARE REIT, INC.
Date: May 8, 2014	By:	/s/ THOMAS J. DEROSA
	Thomas J. DeRosa,
	Chief Executive Officer (Principal Executive Officer)


Date: May 8, 2014	By:	/s/ SCOTT A. ESTES
	Scott A. Estes,
	Executive Vice President and Chief Financial Officer (Principal Financial Officer)


Date: May 8, 2014	By:	/s/ PAUL D. NUNGESTER, JR.
	Paul D. Nungester, Jr.,
	Senior Vice President and Controller (Principal Accounting Officer)