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Pro Forma Information (Details) (USD $) In Thousands, except Share data, unless otherwise specified | 1 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended | 5 Months Ended | 9 Months Ended | 12 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended | 1 Months Ended |  | 1 Months Ended |  |  | 1 Months Ended |  | 1 Months Ended
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Oct. 31, 2011 | Jul. 31, 2011 | Sep. 30, 2011 property | Sep. 30, 2010 | Sep. 30, 2011 property | Sep. 30, 2010 property | Dec. 31, 2010 property | Sep. 30, 2011 Acquisition | Sep. 30, 2011 Acquisition | Sep. 30, 2011 Sale property | Sep. 30, 2011 Senior living communities property | Sep. 30, 2011 Medical Office Building property | Dec. 31, 2010 Medical Office Building property | Sep. 30, 2011 Five Star | Sep. 30, 2011 Five Star | Dec. 31, 2010 Five Star | Dec. 31, 2010 Five Star Skilled nursing facilities | Dec. 31, 2010 Skilled nursing facilities property | Jan. 31, 2011 Senior unsecured notes 4.30% | Sep. 30, 2011 Senior unsecured notes 4.30% | Jun. 30, 2011 Unsecured revolving credit facility | Sep. 30, 2011 Unsecured revolving credit facility | Jun. 30, 2011 Previous unsecured revolving credit facility | Apr. 30, 2010 Senior unsecured notes 6.75% | Sep. 30, 2011 Senior unsecured notes 6.75% | May 31, 2010 Senior unsecured notes 7.875%
Pro Forma Information |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties acquired |  |  |  |  |  |  |  |  |  |  | 19 | 25 | 26 |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price of properties acquired, excluding closing costs |  |  |  |  |  |  |  | $ 43,725 | $ 569,893 |  |  |  | $ 433,955 |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties sold |  |  | 2 |  |  |  |  |  |  | 7 |  |  |  |  |  |  |  | 4 |  |  |  |  |  |  |  |
Aggregate sale price |  |  |  |  |  |  |  |  |  | 39,460 |  |  |  |  |  |  |  | 1,450 |  |  |  |  |  |  |  |
Gain on sale of properties |  |  |  | 109 | 21,315 | 109 |  |  |  |  |  |  |  |  | 21,315 |  | 109 |  |  |  |  |  |  |  |  |
Real estate improvements purchased |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,554 | 25,877 | 31,894 |  |  |  |  |  |  |  |  |  |
Impairment of assets charges recorded |  |  | 1,028 |  | 1,194 | 1,095 | 5,965 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties impaired |  |  | 1 |  | 3 | 5 | 7 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt sold |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000 |  |  |  |  | 200,000 |  |
Interest rate (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4.30% |  |  |  |  | 6.75% | 7.875%
Deferred financing fees |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,973 |  |  |  |  | 2,907 |  |
Unsecured revolving credit facility, maximum borrowing capacity |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 750,000 | 750,000 | 550,000 |  |  |
Loss on early extinguishment of debt |  |  |  |  | (427) | (2,433) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (427) |  |  |  |  | 2,433
Number of common shares issued | 9,200,000 | 11,500,000 |  |  | 11,500,000 |  | 14,400,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Redemption of senior notes |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 97,500
Pro forma results of operations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  | 121,642 | 119,601 | 362,174 | 359,367 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income |  |  | $ 32,807 | $ 30,899 | $ 122,958 | $ 125,235 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Per common share data: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (in dollars per share) |  |  | $ 0.21 | $ 0.20 | $ 0.80 | $ 0.82 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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