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Segment Reporting (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Dec. 31, 2010
Segment Reporting          
Number of reportable segments 2   2    
Revenues:          
Rental income $ 99,904 $ 80,765 $ 197,981 $ 161,212  
Residents fees and services 844   844    
Total revenues 100,748 80,765 198,825 161,212  
Expenses:          
Depreciation 26,935 22,345 53,296 44,634  
Property operating expenses 10,815 4,154 20,818 8,539  
General and administrative 6,876 5,403 13,010 10,894  
Acquisition related costs 2,814 404 3,927 439  
Impairment of assets   1,095 166 1,095  
Total expenses 47,440 33,401 91,217 65,601  
Operating income (loss) 53,308 47,364 107,608 95,611  
Interest and other income 254 243 509 500  
Interest expense (23,361) (20,515) (46,107) (38,929)  
Loss on early extinguishment of debt (427) (2,433) (427) (2,433)  
Gain on sale of properties 21,315   21,315    
Equity in earnings of an investee 46 (24) 83 (52)  
Income before income tax expense 51,135 24,635 82,981 54,697  
Income tax expense (87) (76) (158) (154)  
Net income 51,048 24,559 82,823 54,543  
Total assets 3,733,418 2,993,227 3,733,418 2,993,227 3,392,656
Short and Long Term Residential Care Communities
          
Revenues:          
Rental income 57,186 56,727 114,296 113,324  
Residents fees and services 844   844    
Total revenues 58,030 56,727 115,140 113,324  
Expenses:          
Depreciation 17,014 16,526 33,743 32,962  
Property operating expenses 609   609    
Acquisition related costs 2,234 20 2,234 20  
Impairment of assets   1,095   1,095  
Total expenses 19,857 17,641 36,586 34,077  
Operating income (loss) 38,173 39,086 78,554 79,247  
Interest expense (10,326) (10,485) (20,599) (20,730)  
Gain on sale of properties 21,236   21,236    
Income before income tax expense 49,083 28,601 79,191 58,517  
Net income 49,083 28,601 79,191 58,517  
Total assets 2,060,845 1,948,645 2,060,845 1,948,645  
MOB
          
Revenues:          
Rental income 38,244 19,683 74,859 39,243  
Total revenues 38,244 19,683 74,859 39,243  
Expenses:          
Depreciation 8,973 4,871 17,657 9,776  
Property operating expenses 10,206 4,154 20,209 8,539  
Acquisition related costs 580 384 1,693 419  
Impairment of assets     166    
Total expenses 19,759 9,409 39,725 18,734  
Operating income (loss) 18,485 10,274 35,134 20,509  
Interest expense (215) (232) (432) (402)  
Gain on sale of properties 79   79    
Income before income tax expense 18,349 10,042 34,781 20,107  
Net income 18,349 10,042 34,781 20,107  
Total assets 1,288,412 749,587 1,288,412 749,587  
All Other Operations
          
Revenues:          
Rental income 4,474 4,355 8,826 8,645  
Total revenues 4,474 4,355 8,826 8,645  
Expenses:          
Depreciation 948 948 1,896 1,896  
General and administrative 6,876 5,403 13,010 10,894  
Total expenses 7,824 6,351 14,906 12,790  
Operating income (loss) (3,350) (1,996) (6,080) (4,145)  
Interest and other income 254 243 509 500  
Interest expense (12,820) (9,798) (25,076) (17,797)  
Loss on early extinguishment of debt (427) (2,433) (427) (2,433)  
Equity in earnings of an investee 46 (24) 83 (52)  
Income before income tax expense (16,297) (14,008) (30,991) (23,927)  
Income tax expense (87) (76) (158) (154)  
Net income (16,384) (14,084) (31,149) (24,081)  
Total assets $ 384,161 $ 294,995 $ 384,161 $ 294,995