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Pro Forma Information (unaudited) (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 1 Months Ended 2 Months Ended 3 Months Ended 12 Months Ended 1 Months Ended 1 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 2 Months Ended 12 Months Ended
Nov. 30, 2009
Property
Jun. 30, 2011
Property
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
Property
Dec. 31, 2010
Property
Dec. 31, 2009
Property
Jan. 31, 2011
Senior unsecured notes 4.30%
Dec. 31, 2011
Senior unsecured notes 4.30%
Dec. 31, 2011
Unsecured revolving credit facility
Jun. 30, 2011
Unsecured revolving credit facility
Jun. 30, 2011
Previous unsecured revolving credit facility
Dec. 31, 2010
Previous unsecured revolving credit facility
Dec. 31, 2011
Senior unsecured notes 6.75%
Apr. 30, 2010
Senior unsecured notes 6.75%
Dec. 31, 2011
Unsecured senior notes due 2021
May 31, 2010
Senior unsecured notes 7.875%
Dec. 31, 2011
Senior unsecured notes 7.875%
Dec. 31, 2010
Senior unsecured notes 7.875%
Dec. 31, 2011
Five Star
Dec. 31, 2010
Five Star
Feb. 29, 2012
Senior living communities
Five Star
Property
Dec. 31, 2011
Senior living communities
Five Star
Property
Dec. 31, 2011
Acquisition
Dec. 31, 2011
Acquisition
Senior living communities
Property
Jun. 30, 2011
Acquisition
MOB
Property
Dec. 31, 2011
Acquisition
MOB
Property
Dec. 31, 2010
Acquisition
MOB
Property
Dec. 31, 2011
Sale
Dec. 31, 2011
Sale
MOB
Property
Dec. 31, 2011
Sale
Skilled nursing facilities
Property
Dec. 31, 2010
Sale
Skilled nursing facilities
Property
Dec. 31, 2011
Sale
Assisted living community
Property
Pro Forma Information                                                                              
Number of properties acquired or agreed to be acquired                                                       1 1   28 4 28 26          
Aggregate purchase price of properties acquired, excluding closing costs                                                       $ 11,300 $ 11,300       $ 991,618 $ 433,955          
Number of properties sold 1 2                                                                   2 4 4 1
Aggregate sale price                                                                     39,460     1,450  
Gain on sale of properties                     21,315 109 397                                           21,315        
Real estate improvements purchased                                                   33,269 31,894                        
Impairment of asset charges recorded                     1,990 5,965 15,530                                                    
Number of properties impaired                     4 7 11                                                    
Stated interest rate (as a percent)                           4.30% 4.30%         6.75% 6.75% 6.75%     7.875%                            
Debt sold                           250,000           300,000 200,000 300,000                                  
Deferred financing fees     13,760       4,661       13,760 4,661   1,973     6,723   826 2,487 2,907 2,487   1,973           2,540                  
Unsecured revolving credit facility, maximum borrowing capacity     1,500,000               1,500,000         750,000 750,000 550,000 550,000                                        
Loss on early extinguishment of debt                     427 2,433           427         2,433                                
Redemption of senior notes                                             97,500                                
Mortgage debt assumed                     217,317 2,458                                                      
Weighted average interest rate on mortgage debt assumed (as a percent)     5.94%               5.94%                                                        
Revenues     136,603 113,277 100,748 98,077 97,295 81,164 81,008 80,704 450,017 340,113 297,399                                 60,395                  
Operating expenses                                                           29,604                  
Interest expense                     98,262 80,017 56,404                                 2,915                  
Pro forma results of operations                                                                              
Total revenues                     589,898 586,577                                                      
Net income                     $ 150,575 $ 137,198                                                      
Per common share data:                                                                              
Net income (in dollars per share)                     $ 0.93 $ 0.84