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Major Operators (Details 2) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 12 Months Ended 9 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Sep. 30, 2011
Operators
Extendicare REIT
Sep. 30, 2011
Operators
ALC
Sep. 30, 2011
Operators
Brookdale
Financial information                            
Current assets                       $ 522,144 $ 20,427 $ 273,291
Non-current assets                       1,443,363 445,435 4,165,150
Current liabilities                       705,036 38,383 607,187
Non-current liabilities                       1,195,498 125,206 2,781,868
Stockholders' equity 466,748       455,560       466,748 455,560   64,973 302,273 1,049,386
Gross revenue 22,298 21,429 21,180 20,253 19,820 18,359 17,925 17,592 85,160 73,696 68,794 1,571,223 175,589 1,785,947
Operating expenses                       1,345,373 144,187 1,715,579
(Loss) income from continuing operations                 49,673 45,860 44,473 (12,499) 17,050 (53,300)
Net (loss) income                 49,443 46,053 44,360 (12,499) 17,050 (53,300)
Cash provided by operations                 70,835 65,325 60,340 98,587 41,290 212,002
Cash used in investing activities                 (97,389) (87,378) (9,066) (47,044) (7,961) (122,210)
Cash used in financing activities                 $ 24,059 $ 20,100 $ (63,536) $ (62,573) $ (44,094) $ (132,424)