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Real Estate Investments (Details 2) (USD $) | 12 Months Ended
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Dec. 31, 2011 property Unit | Dec. 31, 2010 property | Dec. 31, 2009 property
Acquisitions |  |  |
Purchase Price | $ 106,135,000 | $ 94,250,000 |
Transaction Costs | 375,000 | 350,000 |
Total Acquisition Costs | 106,510,000 | 94,600,000 |
Number of Properties | 9 | 10 |
Commitment | 14,080,000 |  |
Number of beds/units | 2,923 |  |
Acquisition proforma revenue | 91,916,000 | 86,257,000 |
Acquisition proforma net income | 53,636,000 | 52,590,000 |
Amount invested for expansion and renovation of properties | 3,144,000 | 4,593,000 | 3,170,000
Average yield on amount invested for expansion and renovation of properties (as a percent) | 9.70% | 9.70% | 10.60%
Number of properties in which investments to expand and renovate | 11 | 11 | 8
Number of operators of properties in which investments to expand and renovate | 7 | 7 | 6
Amount invested in properties with yield already included in rental rates | 42,000 | 1,231,000 | 633,000
Depreciation expense on buildings and improvements | 19,487,000 | 16,016,000 | 14,705,000
Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent |  |  |
2012 | 81,021,000 |  |
2013 | 81,344,000 |  |
2014 | 81,774,000 |  |
2015 | 68,533,000 |  |
2016 | 68,106,000 |  |
Thereafter | 343,828,000 |  |
Discontinued operations |  |  |
Rental income |  | 1,005,000 | 1,097,000
Interest and other income | 5,000 | 5,000 | 3,000
Total revenues | 5,000 | 1,010,000 | 1,100,000
Depreciation and amortization | (108,000) | (392,000) | (502,000)
Provisions for doubtful accounts |  | (601,000) | (579,000)
Operating and other expenses | (127,000) | (134,000) | (132,000)
Total expenses | (235,000) | (1,127,000) | (1,213,000)
Income (loss) from discontinued operations | (230,000) | (117,000) | (113,000)
SNF Beds |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 1,134 | 805 |
ALF Units |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 40 | 287 |
ILF Units |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 53 | 47 |
Assisted Living |  |  |
Acquisitions |  |  |
Purchase Price |  | 26,900,000 | 13,000,000
Transaction Costs |  | 210,000 | 181,000
Total Acquisition Costs |  | 27,110,000 |
Number of Properties |  | 4 | 3
Number of beds/units acquired |  | 241 | 192
Half of prepayment penalty included in transaction costs |  | 106,000 |
Skilled Nursing |  |  |
Acquisitions |  |  |
Purchase Price | 93,841,000 | 54,011,000 |
Transaction Costs | 330,000 | 140,000 |
Total Acquisition Costs | 94,171,000 | 54,151,000 |
Number of Properties | 7 | 5 |
Skilled Nursing | Texas |  |  |
Acquisitions |  |  |
Purchase Price | 41,000,000 |  |
Total Acquisition Costs | 50,841,000 |  |
Number of Properties | 4 |  |
Number of earn-out payments | 2 |  |
Total contingent earn-out payment, maximum | 11,000,000 |  |
First contingent earn-out payment, amount | 4,000,000 |  |
Lease inducement paid |  | 125,000 |
Skilled Nursing | CA |  |  |
Acquisitions |  |  |
Period of master lease (in years) | 12 |  |
GAAP yield (as a percent) | 10.30% |  |
Annual escalation under lease (as a percent) | 2.00% |  |
Number of renewal options | 2 |  |
Lease term of master lease (in years) | 10 |  |
Skilled Nursing | Capital improvement commitment expiring 10/11/2013 |  |  |
Acquisitions |  |  |
Commitment | 8,250,000 |  |
Skilled Nursing | SNF Beds |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 1,016 | 668 |
Skilled Nursing | SNF Beds | Texas |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 524 | 166 |
Skilled Nursing | SNF Beds | CA |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 156 |  |
Skilled Nursing | SNF Beds | Capital improvement commitment expiring 10/11/2013 |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 120 |  |
196-bed skilled nursing property | SNF Beds | Texas |  |  |
Acquisitions |  |  |
Purchase Price | 15,500,000 |  |
Number of beds/units acquired | 196 |  |
120-bed skilled nursing property | Texas |  |  |
Acquisitions |  |  |
Period of master lease (in years) | 10 |  |
GAAP yield (as a percent) | 11.00% |  |
Annual escalation under lease (as a percent) | 2.50% |  |
Number of renewal options | 2 |  |
Lease term of master lease (in years) | 5 |  |
120-bed skilled nursing property | SNF Beds | Capital improvement commitment expiring 10/11/2013 |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 120 |  |
Number of units in existing property to be replaced | $ 90 |  |
Commitment | 8,250,000 |  |
140-bed skilled nursing property | Texas |  |  |
Acquisitions |  |  |
Purchase Price | 10,000,000 |  |
GAAP yield (as a percent) | 10.50% |  |
140-bed skilled nursing property | SNF Beds | Texas |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 140 |  |
524-bed skilled nursing property | Texas |  |  |
Acquisitions |  |  |
Purchase Price | 41,000,000 |  |
Total Acquisition Costs | 50,841,000 |  |
Number of Properties | 4 |  |
Number of earn-out payments | 2 |  |
Total contingent earn-out payment, maximum | 11,000,000 |  |
First contingent earn-out payment, amount | 4,000,000 |  |
524-bed skilled nursing property | SNF Beds | Texas |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 524 |  |
Other Senior Housing |  |  |
Acquisitions |  |  |
Purchase Price | 11,450,000 | 13,339,000 |
Transaction Costs | 34,000 |  |
Total Acquisition Costs | 11,484,000 | 13,339,000 |
Number of Properties | 2 | 1 |
Annual escalation under lease (as a percent) | 2.50% |  |
Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent |  |  |
Annualized Rental Income |  | 2,420,000 |
Other Senior Housing | South Carolina |  |  |
Acquisitions |  |  |
Number of Properties | 2 |  |
GAAP yield (as a percent) | 10.10% |  |
Annual escalation under lease (as a percent) | 2.50% |  |
Number of renewal options | 3 |  |
Lease term of master lease (in years) | 5 |  |
Other Senior Housing | SNF Beds |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 118 | 137 |
Other Senior Housing | SNF Beds | South Carolina |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 118 |  |
Other Senior Housing | ALF Units |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 40 | 46 |
Other Senior Housing | ALF Units | South Carolina |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 40 |  |
Other Senior Housing | ILF Units |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 53 | 47 |
Other Senior Housing | ILF Units | South Carolina |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 53 |  |
Land |  |  |
Acquisitions |  |  |
Purchase Price | 844,000 |  |
Transaction Costs | 11,000 |  |
Total Acquisition Costs | 855,000 |  |
Land | Texas |  |  |
Acquisitions |  |  |
Purchase Price | $ 844,000 |  |
Skilled nursing property associated with the other senior housing property |  |  |
Acquisitions |  |  |
Period of master lease (in years) |  | 12 |
Number of renewal options |  | 2 |
Lease term of master lease (in years) |  | 10 |
Skilled nursing property associated with the other senior housing property | SNF Beds |  |  |
Acquisitions |  |  |
Number of beds/units acquired | 90 |  |
Number of beds/units |  | 90 |

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