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Real Property Acquisitions and Development (Tables)
9 Months Ended
Sep. 30, 2011
Real property acquisitions and development [Line Items] 
Pro forma consolidated results of operations
                 
    Nine Months Ended
September 30,
 
    2011     2010  

Revenues

  $ 1,074,416     $ 632,555  

Income from continuing operations attributable to common stockholders

  $ 87,113     $ 66,733  

Income from continuing operations attributable to common stockholders per share:

               

Basic

  $ 0.48     $ 0.44  

Diluted

  $ 0.48     $ 0.43  
Summary of real property investment activity
                                 
    Nine Months Ended  
     September 30, 2011     September 30, 2010  
     Properties     Amount     Properties     Amount  

Real property acquisitions:

                               

Seniors housing operating

    46     $ 1,126,130       25     $ 576,000  

Seniors housing triple-net

    179       3,202,273       15       219,772  

Medical facilities

    22       305,915       19       246,582  

Land parcels

    1       6,770       —         —    
   

 

 

   

 

 

   

 

 

   

 

 

 

Total acquisitions

    248       4,641,088       59       1,042,354  

Less: Assumed debt

            (727,882             (353,165

Assumed other items, net (1)

            (152,391             (152,349
           

 

 

           

 

 

 

Cash disbursed for acquisitions

            3,760,815               536,840  

Construction in progress additions:

                               

Seniors housing triple-net

            121,382               62,115  

Medical facilities

            138,898               184,973  
           

 

 

           

 

 

 

Total construction in progress additions

            260,280               247,088  

Less: Capitalized interest

            (10,090             (15,536

Accruals (2)

            (33,451             (8,088
           

 

 

           

 

 

 

Cash disbursed for construction in progress

            216,739               223,464  

Capital improvements to existing properties

            52,890               40,660  
           

 

 

           

 

 

 

Total cash invested in real property

          $ 4,030,444             $ 800,964  
           

 

 

           

 

 

 

 

(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
                 
    Nine Months Ended  
    September 30, 2011     September 30, 2010  

Development projects:

               

Seniors housing triple-net

  $ 39,462     $ 269,261  

Medical facilities

    325,562       145,973  
   

 

 

   

 

 

 

Total development projects

    365,024       415,234  

Expansion projects

    43,793       2,320  
   

 

 

   

 

 

 

Total construction in progress conversions

  $ 408,817     $ 417,554  
   

 

 

   

 

 

 
Strategic Medical Office Partnership [Member]
 
Real property acquisitions and development [Line Items] 
Estimated fair value of allocated updated purchase price calculation of asset and liabilities
         

Land and land improvements

  $ 10,240  

Buildings and improvements

    170,886  

Acquired lease intangibles

    41,519  

Investment in unconsolidated joint venture

    21,321  

Goodwill

    68,321  

Other acquired intangibles

    36,439  

Cash and cash equivalents

    3,873  

Restricted cash

    107  

Receivables and other assets

    5,390  
   

 

 

 

Total assets acquired

    358,096  

Secured debt

    61,664  

Below market lease intangibles

    4,188  

Accrued expenses and other liabilities

    36,834  
   

 

 

 

Total liabilities assumed

    102,686  

Redeemable noncontrolling interests

    10,848  

Preferred stock

    16,667  

Capital in excess of par

    2,721  
   

 

 

 

Net assets acquired

  $ 225,174  
   

 

 

 
Silverado Partnership [Member]
 
Real property acquisitions and development [Line Items] 
Estimated fair value of allocated updated purchase price calculation 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

    6,715  

Restricted cash

    1,930  

Receivables and other assets

    3,455  
   

 

 

 

Total assets acquired

    231,376  

Secured debt

    60,667  

Accrued expenses and other liabilities

    8,306  
   

 

 

 

Total liabilities assumed

    68,973  

Capital in excess of par

    6,017  

Noncontrolling interests

    7,823  
   

 

 

 

Net assets acquired

  $ 148,563  
   

 

 

 
Benchmark partnership [Member]
 
Real property acquisitions and development [Line Items] 
Estimated fair value of allocated updated purchase price calculation of asset and liabilities
         

Land and land improvements

  $ 60,440  

Buildings and improvements

    794,886  

Acquired lease intangibles

    68,980  

Cash and cash equivalents

    28,258  

Restricted cash

    6,255  
   

 

 

 

Total assets acquired

    958,819  

Secured debt

    524,990  

Accrued expenses and other liabilities

    17,468  

Entrance fee liability

    13,269  
   

 

 

 

Total liabilities assumed

    555,727  

Noncontrolling interests

    19,737  
   

 

 

 

Net assets acquired

  $ 383,355