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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2011
Real property acquisitions and development [Line Items]  
Pro forma consolidated results of operations
                 
    Six Months Ended June 30,  
    2011     2010  
Revenues
  $ 689,630     $ 408,005  
Income from continuing operations attributable to common stockholders
  $ 50,550     $ 73,928  
Income from continuing operations attributable to common stockholders per share:
               
Basic
  $ 0.29     $ 0.49  
Diluted
  $ 0.29     $ 0.48  
Summary of real property investment activity
                                 
    Six Months Ended  
    June 30, 2011     June 30, 2010  
    Properties     Amount     Properties     Amount  
Real property acquisitions:
                               
Senior housing operating
    46     $ 1,126,130           $  
Senior housing triple-net
    165       2,849,603       10       109,492  
Medical facilities
    6       65,599       19       246,582  
Land parcels
    1       6,770              
 
                       
Total acquisitions
    218       4,048,102       29       356,074  
Less: Assumed debt
            (721,632 )             (117,892 )
Assumed other items, net(1)
            (147,500 )             (31,690 )
 
                           
Cash disbursed for acquisitions
            3,178,970               206,492  
Construction in progress additions:
                               
Senior housing triple-net
            75,999               50,726  
Medical facilities
            124,150               129,568  
 
                           
Total construction in progress additions
            200,149               180,294  
Less: Capitalized interest
            (6,979 )             (11,983 )
Accruals(2)
            (30,736 )             (5,775 )
 
                           
Cash disbursed for construction in progress
            162,434               162,536  
Capital improvements to existing properties
            29,193               20,845  
 
                           
Total cash invested in real property
          $ 3,370,597             $ 389,873  
 
                           
 
(1)   Includes $75,144,000 of capital lease obligations.
 
(2)   Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the period noted above.
Summary of construction projects placed into service and generating revenues
                 
    Six Months Ended  
    June 30, 2011     June 30, 2010  
Development projects:
               
Senior housing triple-net
  $     $ 269,260  
Medical facilities
    325,563       110,481  
 
           
Total development projects
    325,563       379,741  
Expansion projects
    19,218       1,502  
 
           
Total construction in progress conversions
  $ 344,781     $ 381,243  
 
           
Silverado Partnership [Member]
 
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
         
Land and land improvements
  $ 11,170  
Buildings and improvements
    173,841  
Acquired lease intangibles
    19,305  
Investment in unconsolidated subsidiary
    14,960  
Cash and cash equivalents
    4,084  
 
     
Total assets acquired
    223,360  
Secured debt
    60,667  
 
     
Total liabilities assumed
    60,667  
Capital in excess of par
    6,017  
Noncontrolling interests
    7,836  
 
     
Net assets acquired
  $ 148,840  
 
     
Benchmark partnership [Member]
 
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
         
Land and land improvements
  $ 60,440  
Buildings and improvements
    792,394  
Acquired lease intangibles
    68,980  
Cash and cash equivalents
    28,258  
Restricted cash
    5,451  
 
     
Total assets acquired
    955,523  
Secured debt
    524,989  
Accrued expenses and other liabilities
    17,412  
Entrance fee liability
    13,269  
 
     
Total liabilities assumed
    555,670  
Noncontrolling interests
    19,575  
 
     
Net assets acquired
  $ 380,278