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Supplemental Disclosure of Cash Flow Information (Details) (USD $)
In Thousands, unless otherwise specified
 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Interest paid $ 132,716 $ 90,167
Income taxes paid 2,546 2,089
Write-off of deferred financing costs 17 444
Acquisition of assets, net of related payables and cash received [Member]
    
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Prepaid expenses and other current assets, net (391) (1,326)
Property, plant and equipment and leasehold intangibles, net 80,330 17,157
Capital and financing lease obligations 7,795 0
Other intangible assets, net (24,601) 3,514
Other assets, net (2,747) 1,760
Accrued expenses 0 (3,866)
Long-term debt (20,568) (9,845)
Net 39,818 7,394
Capital and financing leases [Member]
    
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Property, plant and equipment and leasehold intangibles, net 27,100 0
Capital and financing lease obligations (27,100) 0
Net 0 0
Formation of CCRC venture with HCP [Member]
    
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Property, plant and equipment and leasehold intangibles, net (728,227) 0
Capital and financing lease obligations 27,085 0
Refundable Entrance Fees and Deferred Revenue 413,761 0
Other Liabilities 2,163 0
Investment in Unconsolidated Ventures 192,940 0
Other intangible assets, net (56,829) 0
Other assets, net (9,137) 0
Long-term debt 170,416 0
Net 12,172 0
Formation of Emeritus community venture with HCP [Member]
    
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Property, plant and equipment and leasehold intangibles, net (525,446) 0
Capital and financing lease obligations 538,355 0
Other Liabilities (9,034) 0
Investment in Unconsolidated Ventures 71,656 0
Long-term debt (67,640) 0
Net 7,891 0
Emeritus/HCP lease amendments [Member]
    
Supplemental Cash Flow Information and Schedule of Non-cash Operating, Investing and Financing Activities [Abstract]    
Property, plant and equipment and leasehold intangibles, net 385,696 0
Capital and financing lease obligations (217,022) 0
Other Liabilities 5,338 0
Other intangible assets, net (174,012) 0
Net $ 0 $ 0