CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Cash Flows from Operating Activities
Net loss	$ (10,338)	$ (12,305)
Adjustments to reconcile net loss to net cash provided by operating activities:
Loss on extinguishment of debt	221	2,894
Depreciation and amortization	67,817	74,486
Asset impairment	1,083	14,846
Equity in earnings of unconsolidated ventures	(99)	(266)
Distributions from unconsolidated ventures from cumulative share of net earnings	206	0
Amortization of deferred gain	(1,093)	(1,093)
Amortization of entrance fees	(6,403)	(5,762)
Proceeds from deferred entrance fee revenue	7,000	6,361
Deferred income tax benefit	(4)	(11,841)
Change in deferred lease liability	1,642	1,726
Change in fair value of derivatives and amortization	233	8
Loss (gain) on sale of assets	114	(1,315)
Loss on acquisition	636	0
Gain on facility lease termination	(2,780)	0
Non-cash stock-based compensation expense	6,435	4,540
Changes in operating assets and liabilities:
Accounts receivable, net	(5,317)	(105)
Prepaid expenses and other assets, net	(3,621)	(7,104)
Accounts payable and accrued expenses	(23,705)	8,453
Tenant refundable fees and security deposits	(442)	310
Deferred revenue	12,168	11,269
Other	1,940	7,564
Net cash provided by operating activities	45,693	92,666
Cash Flows from Investing Activities
(Increase) decrease in lease security deposits and lease acquisition deposits, net	(2,217)	941
Decrease in cash and escrow deposits - restricted	8,442	54,455
Additions to property, plant and equipment and leasehold intangibles, net of related payables	(41,533)	(28,589)
Purchase of marketable securities - restricted	(399)	(26,409)
Sale of marketable securities - restricted	0	809
Acquisition of assets, net of related payables and cash received	(104,984)	(51,330)
(Issuance of) payment of notes receivable, net	(439)	403
Distributions received from unconsolidated ventures	100	60
Proceeds from the sale of assets	0	23,147
Other	(362)	(164)
Net cash used in investing activities	(141,392)	(26,677)
Cash Flows from Financing Activities
Proceeds from debt	175,838	28,000
Repayment of debt and capital lease obligations	(86,068)	(134,550)
Proceeds from line of credit	130,000	40,000
Repayment of line of credit	(110,000)	(40,000)
Payment of financing costs, net of related payables	(2,378)	(2,575)
Other	(86)	(184)
Refundable entrance fees:
Proceeds from refundable entrance fees	7,989	6,080
Refunds of entrance fees	(8,102)	(4,930)
Cash portion of loss on extinguishment of debt	(118)	(2,861)
Recouponing and payment of swap termination	(99)	(64)
Net cash provided by (used in) financing activities	106,976	(111,084)
Net increase (decrease) in cash and cash equivalents	11,277	(45,095)
Cash and cash equivalents at beginning of period	30,836	81,827
Cash and cash equivalents at end of period	$ 42,113	$ 36,732