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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
 12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
CASH FLOWS FROM OPERATING ACTIVITIES:      
Net income $ 151,419 $ 116,485 $ 109,715
Adjustments to reconcile net income to cash provided by operating activities:      
Depreciation 113,265 90,409 78,583
Amortization of deferred financing fees and debt discounts 5,067 2,496 2,563
Amortization of acquired real estate leases (93) 891 1,006
Loss on early extinguishment of debt 427 2,433  
Impairment of assets 1,990 5,965 15,530
Gain on sale of properties (21,315) (109) (397)
Equity in (earnings) losses of an investee (139) 1 134
Changes in assets and liabilities:      
Restricted cash (2,134) (772) 122
Other assets (18,798) (10,733) (7,842)
Accrued interest 7,288 1,300 2,572
Other liabilities 18,582 6,939 7,406
Cash provided by operating activities 255,559 215,305 209,392
CASH FLOWS FROM INVESTING ACTIVITIES:      
Acquisitions (837,745) (467,441) (547,603)
Loan receivable from Five Star Quality Care, Inc. (80,000)    
Principal repayments on loan receivable 42,000    
Investment in Five Star Quality Care, Inc. (5,000)   (8,960)
Investment in Affiliates Insurance Company   (76) (5,134)
Proceeds from sale of properties 38,663 1,450 4,898
Cash used for investing activities (842,082) (466,067) (556,799)
CASH FLOWS FROM FINANCING ACTIVITIES:      
Proceeds from issuance of common shares, net 432,233 281,986 223,973
Proceeds from issuance of unsecured senior notes, net 541,984 197,852  
Proceeds from issuance of mortgage debt     512,934
Proceeds from borrowings on revolving credit facility 690,000 461,000 204,000
Repayments of borrowings on revolving credit facility (818,000) (393,000) (401,000)
Redemption of senior notes   (98,780)  
Repayment of other debt (9,711) (8,506) (4,291)
Payment of deferred financing fees (13,760) (4,661) (12,233)
Distributions to shareholders (223,529) (184,757) (171,472)
Cash provided by financing activities 599,217 251,134 351,911
Increase in cash and cash equivalents 12,694 372 4,504
Cash and cash equivalents at beginning of year 10,866 10,494 5,990
Cash and cash equivalents at end of year 23,560 10,866 10,494
SUPPLEMENTAL CASH FLOW INFORMATION:      
Interest paid 85,907 76,221 51,267
Income taxes paid 264 259 230
NON-CASH INVESTING ACTIVITIES:      
Acquisitions funded by assumed debt (217,317) (2,458)  
NON-CASH FINANCING ACTIVITIES:      
Assumption of mortgage notes payable 217,317 2,458  
Issuance of common shares pursuant to our equity compensation plans $ 1,814 $ 2,058 $ 1,764