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Real Property Acquisitions and Development (Tables)
12 Months Ended
Dec. 31, 2010
Real Property Acquisitions and Development (Tables) [Abstract]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities
         
Land and land improvements
  $ 64,050  
Buildings and improvements
    476,817  
Acquired lease intangibles
    45,036  
Cash and cash equivalents
    4,777  
Restricted cash
    3,707  
Receivables and other assets
    13,459  
 
     
Total assets acquired
    607,846  
Secured debt
    234,431  
Accrued expenses and other liabilities
    3,316  
 
     
Total liabilities assumed
    237,747  
Capital in excess of par
    41,423  
Noncontrolling interests
    79,775  
 
     
Net assets acquired
  $ 248,901  
 
     
         
Land and land improvements
  $ 11,570  
Buildings and improvements
    210,094  
Acquired lease intangibles
    18,721  
Cash and cash equivalents
    3,756  
Restricted cash
    391  
Receivables and other assets
    940  
 
     
Total assets acquired
    245,472  
Secured debt
    70,736  
Accrued expenses and other liabilities
    3,533  
 
     
Total liabilities assumed
    74,269  
Capital in excess of par
    2,218  
Noncontrolling interests
    27,902  
 
     
Net assets acquired
  $ 141,083  
 
     
         
Land and land improvements
  $ 10,240  
Buildings and improvements
    171,014  
Acquired lease intangibles
    41,519  
Investment in unconcolidated joint venture
    21,321  
Goodwill
    51,207  
Other acquired intangibles
    43,439  
Cash and cash equivalents
    3,873  
Restricted cash
    107  
Receivables and other assets
    5,390  
 
     
Total assets acquired
    348,110  
Secured debt
    61,664  
Below market lease intangibles
    4,189  
Accrued expenses and other liabilities
    26,848  
 
     
Total liabilities assumed
    92,701  
Redeemable noncontrolling interests
    4,553  
Preferred stock
    16,667  
Capital in excess of par
    2,721  
Noncontrolling interests
    6,295  
 
     
Net assets acquired
  $ 225,173  
 
     
Unaudited pro forma consolidated results of operations
                 
    Year Ended December 31,  
    2010     2009  
Revenues
  $ 777,725     $ 681,905  
Income from continuing operations attributable to common stockholders
  $ 53,371     $ 95,253  
Income from continuing operations attributable to common stockholders per share:
               
Basic
  $ 0.42     $ 0.83  
Diluted
  $ 0.42     $ 0.83  
Summary of real property investment activity
                                                                         
    Year Ended  
    December 31, 2010     December 31, 2009     December 31, 2008  
  Senior                     Senior                     Senior              
  Housing     Medical             Housing     Medical             Housing     Medical        
  and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals  
Real property acquisitions:
                                                                       
Senior housing operating
  $ 816,000             $ 816,000                     $                     $  
Senior housing triple-net(2)
    1,011,229               1,011,229                           $ 113,790               113,790  
Skilled nursing facilities
    17,300               17,300     $ 11,650               11,650       11,360               11,360  
Hospitals
                                $ 20,500       20,500             $ 196,303       196,303  
Medical office buildings
          $ 626,414       626,414               35,523       35,523               121,809       121,809  
Land parcels
            4,300       4,300                             10,000               10,000  
 
                                                     
Total acquisitions
    1,844,529       630,714       2,475,243       11,650       56,023       67,673       135,150       318,112       453,262  
Less: Assumed debt
    (389,253 )     (170,255 )     (559,508 )                                            
Assumed other items, net
    (171,389 )     (36,925 )     (208,314 )                                   (1,899 )     (1,899 )
 
                                                     
Cash disbursed for acquisitions
    1,283,887       423,534       1,707,421       11,650       56,023       67,673       135,150       316,213       451,363  
Construction in progress additions:
                                                                       
Senior housing triple-net
    85,993               85,993       310,310               310,310       419,622               419,622  
Skilled nursing facilities
                        23,262               23,262       29,429               29,429  
Hospitals
            123,033       123,033               113,907       113,907               77,642       77,642  
Medical office buildings
            129,561       129,561               107,853       107,853               93,907       93,907  
 
                                                     
Total construction in progress additions
    85,993       252,594       338,587       333,572       221,760       555,332       449,051       171,549       620,600  
Less: Capitalized interest
    (6,396 )     (13,924 )     (20,320 )     (28,474 )     (12,495 )     (40,969 )     (20,312 )     (4,717 )     (25,029 )
Capitalized other
                                            (119 )             (119 )
Accruals(3)
          (11,435 )     (11,435 )             (21,466 )     (21,466 )                      
 
                                                     
Cash disbursed for construction in progress
    79,597       227,235       306,832       305,098       187,799       492,897       428,620       166,832       595,452  
Capital improvements to existing properties
    23,568       36,355       59,923       18,326       20,063       38,389       13,329       12,232       25,561  
 
                                                     
Total cash invested in real property
  $ 1,387,052     $ 687,124     $ 2,074,176     $ 335,074     $ 263,885     $ 598,959     $ 577,099     $ 495,277     $ 1,072,376  
 
                                                     
 
(1)   Includes amounts relating to both the senior housing triple-net and senior housing operating segments (all activity for the years ended December 31, 2009 and 2008 related to the senior housing treiple-net segment)
 
(2)   Includes $612,598,000 acquisition of a portfolio of 19 senior housing facilities that closed in December 2010. The allocation of the purchase consideration is preliminary and subject to change.
 
(3)   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
                                                                         
    Year Ended  
    December 31, 2010     December 31, 2009     December 31, 2008  
    Senior                     Senior                     Senior              
    Housing     Medical             Housing     Medical             Housing     Medical        
    and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals  
Development projects:
                                                                       
Senior housing facilities
  $ 273,034             $ 273,034     $ 505,137             $ 505,137     $ 190,044             $ 190,044  
Skilled nursing facilities
                        45,367               45,367       16,918               16,918  
Hospitals
          $ 96,829       96,829                                   $ 35,151       35,151  
Medical office buildings
            65,547       65,547             $ 183,127       183,127               11,823       11,823  
 
                                                     
Total development projects
    273,034       162,376       435,410       550,504       183,127       733,631       206,962       46,974       253,936  
Expansion projects
    3,216             3,216       4,288             4,288       40,954             40,954  
 
                                                     
Total construction in progress conversions
  $ 276,250     $ 162,376     $ 438,626     $ 554,792     $ 183,127     $ 737,919     $ 247,916     $ 46,974     $ 294,890  
 
                                                     
 
(1)   Represents activity for the senior housing triple-net segment.
Future minimum lease payments receivable under operating leases
         
2011
  $ 610,295  
2012
    604,731  
2013
    591,676  
2014
    538,787  
2015
    526,783  
Thereafter
    3,403,370  
 
     
Totals
  $ 6,275,642