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Supplemental Cash Flow Information (Details) (USD $)
In Thousands
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Supplemental cash flow information:  
Interest paid, net of capitalized interest$ 290,738$ 232,504
Income taxes paid5831,717
Supplemental schedule of non-cash investing activities:  
Capitalized interest19,39515,514
Accrued construction costs11,3535,032
Settlement of loans receivable as consideration for the HCR ManorCare Acquisition1,990,406 
Loans received upon real estate disposition 21,519
Supplemental schedule of non-cash financing activities:  
Restricted stock issued 221
Vesting of restricted stock units228265
Cancellation of restricted stock(35)(52)
Conversion of non-managing member units into common stock2,5335,072
Mortgages included in consolidation of HCP Ventures II635,1829,267
Mortgages assumed with other real estate acquisitions57,8695,352
Unrealized losses on available-for-sale securities and derivatives designated as cash flow hedges, net$ (14,244)$ (1,432)