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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Cash Flows from Operating Activities    
Net loss $ (283,852) $ (42,630)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Loss on extinguishment of debt, net 44 3,766
Depreciation and amortization, net 607,622 328,310
Equity in loss (earnings) of unconsolidated ventures 766 (913)
Distributions from unconsolidated ventures from cumulative share of net earnings 7,825 1,210
Amortization of deferred gain (3,279) (3,279)
Amortization of entrance fees (2,316) (20,506)
Proceeds from deferred entrance fee revenue 8,887 30,129
Deferred income tax benefit (164,014) (116,164)
Change in deferred lease liability 6,451 2,400
Change in fair value of derivatives 790 2,179
(Gain) loss on sale of assets (1,723) 315
Non-cash stock-based compensation 25,871 23,170
Non-cash interest expense on financing leases 17,458 5,947
Amortization of (above) below market rents, net (5,425) (1,377)
Other (2,272) 0
Changes in operating assets and liabilities:    
Accounts receivable, net (2,907) 25,086
Prepaid expenses and other assets, net 39,897 (68,046)
Accounts payable and accrued expenses (23,192) (7,094)
Tenant refundable fees and security deposits (738) (1,151)
Deferred revenue (23,708) (4,504)
Net cash provided by operating activities 202,185 156,848
Cash Flows from Investing Activities    
Decrease in lease security deposits and lease acquisition deposits, net 12,541 3,260
Decrease in cash and escrow deposits - restricted 6,822 14,640
Additions to property, plant and equipment and leasehold intangibles, net (301,778) (212,533)
Acquisition of assets, net of related payables and cash received (193,451) (39,818)
Acquisition of Emeritus Corporation, cash received 0 28,429
Investment in unconsolidated ventures (40,709) (25,532)
Distributions received from unconsolidated ventures 7,038 12,057
Proceeds from sale of assets, net 8,072 0
Other 3,163 2,713
Net cash used in investing activities (498,302) (216,784)
Cash Flows from Financing Activities    
Proceeds from debt 550,131 226,510
Repayment of debt and capital and financing lease obligations (453,389) (274,381)
Proceeds from line of credit 970,000 242,000
Repayment of line of credit (760,000) (272,000)
Proceeds from public equity offering, net 0 330,405
Payment of financing costs, net of related payables (32,251) (1,020)
Refundable entrance fees:    
Proceeds from refundable entrance fees 1,510 20,330
Refunds of entrance fees (3,251) (25,327)
Cash portion of loss on extinguishment of debt (44) (4,101)
Payment on lease termination (12,375) (3,875)
Other 2,094 1,208
Net cash provided by financing activities 262,425 239,749
Net (decrease) increase in cash and cash equivalents (33,692) 179,813
Cash and cash equivalents at beginning of period 104,083 58,511
Cash and cash equivalents at end of period $ 70,391 $ 238,324