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Commitments and Contingencies (Details) (USD $) | 3 Months Ended | 9 Months Ended |  |  | 3 Months Ended | 9 Months Ended |  | 3 Months Ended | 9 Months Ended | 0 Months Ended | 3 Months Ended | 9 Months Ended | 3 Months Ended | 9 Months Ended | 0 Months Ended | 9 Months Ended | 12 Months Ended | 9 Months Ended | 12 Months Ended | 9 Months Ended | 12 Months Ended | 9 Months Ended | 12 Months Ended | 9 Months Ended | 12 Months Ended | 3 Months Ended | 9 Months Ended | 3 Months Ended | 9 Months Ended | 3 Months Ended | 9 Months Ended
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Sep. 30, 2014 | Sep. 30, 2013 | Sep. 30, 2014 | Sep. 30, 2013 | Dec. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2014 HCR ManorCare | Sep. 30, 2013 HCR ManorCare | Sep. 30, 2014 HCR ManorCare | Sep. 30, 2013 HCR ManorCare | Dec. 31, 2013 HCR ManorCare | Sep. 30, 2014 Brookdale Senior Living | Sep. 30, 2013 Brookdale Senior Living | Sep. 30, 2014 Brookdale Senior Living Maximum | Sep. 30, 2014 Brookdale Senior Living Minimum | Aug. 29, 2014 Emeritus Corporation item | Sep. 30, 2014 Senior housing | Sep. 30, 2013 Senior housing | Sep. 30, 2014 Senior housing | Sep. 30, 2013 Senior housing | Sep. 30, 2014 Post-acute/skilled | Sep. 30, 2013 Post-acute/skilled | Sep. 30, 2014 Post-acute/skilled | Sep. 30, 2013 Post-acute/skilled | Aug. 29, 2014 Management and Accounting Services [Member] Senior housing Brookdale Senior Living item | Aug. 29, 2014 Management and Accounting Services [Member] Senior housing Brookdale Senior Living Maximum | Aug. 29, 2014 Management and Accounting Services [Member] Senior housing Brookdale Senior Living Minimum | Sep. 30, 2014 Total Assets Operators HCR ManorCare | Sep. 30, 2014 Total Assets Operators Brookdale Senior Living | Sep. 30, 2014 Total Assets Operators Senior housing HCR ManorCare | Dec. 31, 2013 Total Assets Operators Senior housing HCR ManorCare | Sep. 30, 2014 Total Assets Operators Senior housing Brookdale Senior Living | Dec. 31, 2013 Total Assets Operators Senior housing Brookdale Senior Living | Sep. 30, 2014 Total Assets Operators Post-acute/skilled HCR ManorCare | Dec. 31, 2013 Total Assets Operators Post-acute/skilled HCR ManorCare | Sep. 30, 2014 Revenue Operators HCR ManorCare | Sep. 30, 2013 Revenue Operators HCR ManorCare | Dec. 31, 2013 Revenue Operators HCR ManorCare | Sep. 30, 2014 Revenue Operators Brookdale Senior Living | Sep. 30, 2013 Revenue Operators Brookdale Senior Living | Dec. 31, 2013 Revenue Operators Brookdale Senior Living | Sep. 30, 2014 Revenue Operators Senior housing HCR ManorCare | Sep. 30, 2013 Revenue Operators Senior housing HCR ManorCare | Sep. 30, 2014 Revenue Operators Senior housing HCR ManorCare | Sep. 30, 2013 Revenue Operators Senior housing HCR ManorCare | Sep. 30, 2014 Revenue Operators Senior housing Brookdale Senior Living | Sep. 30, 2013 Revenue Operators Senior housing Brookdale Senior Living | Sep. 30, 2014 Revenue Operators Senior housing Brookdale Senior Living | Sep. 30, 2013 Revenue Operators Senior housing Brookdale Senior Living | Sep. 30, 2014 Revenue Operators Post-acute/skilled HCR ManorCare | Sep. 30, 2013 Revenue Operators Post-acute/skilled HCR ManorCare | Sep. 30, 2014 Revenue Operators Post-acute/skilled HCR ManorCare | Sep. 30, 2013 Revenue Operators Post-acute/skilled HCR ManorCare
Concentration of Credit Risk |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Concentration risk (as a percent) |  |  |  |  |  |  |  |  |  | 25.00% | 27.00% |  |  |  | 13.00% | 16.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31.00% | 14.00% | 10.00% | 11.00% | 34.00% | 48.00% | 89.00% | 89.00% | 27.00% | 28.00% | 32.00% | 15.00% | 17.00% | 19.00% | 7.00% | 10.00% | 9.00% | 10.00% | 32.00% | 47.00% | 40.00% | 47.00% | 86.00% | 74.00% | 86.00% | 82.00%
Number of RIDEA joint ventures |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Balance Sheets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real estate and other property, net | $ 10,840,024,000 |  |  | $ 10,840,024,000 |  |  | $ 10,627,249,000 |  |  | $ 2,956,400,000 |  | $ 2,956,400,000 |  | $ 2,993,200,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents | 83,531,000 |  | 49,414,000 | 83,531,000 |  | 49,414,000 | 300,556,000 |  | 247,673,000 | 137,200,000 |  | 137,200,000 |  | 141,800,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill, intangible and other assets, net | 941,128,000 |  |  | 941,128,000 |  |  | 867,705,000 |  |  | 5,084,100,000 |  | 5,084,100,000 |  | 5,174,900,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total assets | 20,744,890,000 | [1] |  | 20,744,890,000 | [1] |  | 20,075,870,000 | [1] |  | 8,177,700,000 |  | 8,177,700,000 |  | 8,309,900,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt and financing obligations |  |  |  |  |  |  |  |  |  | 6,145,100,000 |  | 6,145,100,000 |  | 6,258,500,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts payable, accrued liabilities and other | 329,209,000 |  |  | 329,209,000 |  |  | 318,427,000 |  |  | 993,700,000 |  | 993,700,000 |  | 1,013,400,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total equity | 11,036,174,000 |  | 10,850,237,000 | 11,036,174,000 |  | 10,850,237,000 | 10,931,134,000 |  | 10,753,777,000 | 1,038,900,000 |  | 1,038,900,000 |  | 1,038,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total liabilities and equity | 20,744,890,000 |  |  | 20,744,890,000 |  |  | 20,075,870,000 |  |  | 8,177,700,000 |  | 8,177,700,000 |  | 8,309,900,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statements: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues | 596,638,000 |  | 546,157,000 | 1,662,751,000 |  | 1,569,581,000 |  |  |  | 1,030,900,000 | 1,021,200,000 | 3,117,600,000 | 3,105,000,000 |  |  |  |  |  |  | 249,966,000 | 188,934,000 | 634,661,000 | 565,437,000 | 152,803,000 | 174,659,000 | 456,050,000 | 464,764,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Operating, general and administrative expense |  |  |  |  |  |  |  |  |  | (888,300,000) | (875,500,000) | (2,698,600,000) | (2,639,500,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization expense | (122,975,000) |  | (104,783,000) | (343,496,000) |  | (317,172,000) |  |  |  | (36,000,000) | (35,700,000) | (106,900,000) | (108,100,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest expense | (111,275,000) |  | (108,088,000) | (324,755,000) |  | (325,650,000) |  |  |  | (101,800,000) | (103,600,000) | (306,500,000) | (311,700,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other income (expense), net | 3,111,000 |  | 1,632,000 | 5,750,000 |  | 17,032,000 |  |  |  | (500,000) | 2,400,000 | 4,000,000 | 4,100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
(Loss) income from continuing operations before income tax benefit (expense) |  |  |  |  |  |  |  |  |  | 4,300,000 | 8,800,000 | 9,600,000 | 49,800,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income tax benefit (expense) | (55,000) |  | (1,034,000) | (2,840,000) |  | (3,553,000) |  |  |  | (2,200,000) | (3,600,000) | (4,400,000) | (17,100,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income from continuing operations | 251,059,000 |  | 227,033,000 | 707,215,000 |  | 672,483,000 |  |  |  | 2,100,000 | 5,200,000 | 5,200,000 | 32,700,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss from discontinued operations, net of taxes |  |  | 9,825,000 | 29,746,000 |  | 14,884,000 |  |  |  | 3,600,000 | (2,600,000) | (2,000,000) | (8,300,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income | 251,059,000 |  | 236,858,000 | 736,961,000 |  | 687,367,000 |  |  |  | 5,700,000 | 2,600,000 | 3,200,000 | 24,400,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 68 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Management agreement term (in years) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15 years | 10 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Management agreement renewal term (in years) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of EDITDAR payable as base management fee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5.00% | 4.50% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Credit Enhancement Guarantee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Third party debt collateralized by facilities, debt amount (maturing in May 1, 2025) | 107,000,000 |  |  | 107,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Third party debt collateralized by facilities, asset carrying amount (maturing in May 1, 2025) | $ 371,000,000 |  |  | $ 371,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
[1] | (1) The Company’s consolidated total assets at September 30, 2014 and December 31, 2013 include assets of certain variable interest entities (“VIEs”) that can only be used to settle the liabilities of those VIEs. Total assets at September 30, 2014 includes VIE assets as follows: buildings and improvements $668 million; land $113 million; accumulated depreciation and amortization $105 million; accounts receivable $2 million; cash $52 million; and other assets $19 million. Total assets at December 31, 2013 includes other assets of $1 million from VIEs. See Note 17 to the Condensed Consolidated Financial Statements for additional information.

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