CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	6 Months Ended
Jun. 30, 2012	Jun. 30, 2011
Cash flows from operating activities:
Net income	$ 65,603	$ 82,823
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation	68,607	53,296
Amortization of deferred financing fees and debt discounts	3,024	2,144
Straight line rental income	(6,062)	(5,725)
Amortization of acquired real estate leases and other intangible assets	(170)	(371)
Loss on early extinguishment of debt		427
Impairment of assets	3,071	166
Gain on sale of properties		(21,315)
Equity in earnings of an investee	(121)	(83)
Change in assets and liabilities:
Restricted cash	(2,916)	(718)
Other assets	10,719	3,120
Accrued interest	(8,966)	5,100
Other liabilities	13,740	12,867
Cash provided by operating activities	146,529	131,731
Cash flows from investing activities:
Real estate acquisitions and deposits	(123,867)	(306,819)
Real estate improvements	(20,015)	(16,462)
Loan receivable		(41,000)
Principal payments on loan receivable	38,000	32,000
Investment in Five Star Quality Care, Inc.		(5,000)
Proceeds from sale of properties		38,663
Cash used for investing activities	(105,882)	(298,618)
Cash flows from financing activities:
Proceeds from issuance of common shares, net		(103)
Proceeds from issuance of unsecured senior notes, net of discount		247,327
Proceeds from borrowings on revolving credit facility	434,000	365,000
Repayments of borrowings on revolving credit facility	(74,000)	(309,000)
Redemption of senior notes	(225,000)
Repayment of other debt	(54,889)	(4,541)
Payment of deferred financing fees	(294)	(9,604)
Distributions to shareholders	(123,619)	(104,976)
Cash (used for) provided by financing activities	(43,802)	184,103
(Decrease) increase in cash and cash equivalents	(3,155)	17,216
Cash and cash equivalents at beginning of period	23,560	10,866
Cash and cash equivalents at end of period	20,405	28,082
Supplemental cash flow information:
Interest paid	62,951	38,863
Income taxes paid	378	256
Non-cash investing activities:
Acquisitions funded by assumed debt	(56,789)	(48,062)
Non-cash financing activities:
Assumption of mortgage notes payable	56,789	48,062
Issuance of common shares	$ 657	$ 441

The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) and liabilities in a systematic and rational manner to the periods expected to be impacted from such assets and liabilities. As a noncash expense/ income, this element is added back to/deducted from net income when calculating cash provided by (used in) operations using the indirect method.

No definition available.