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Segment Reporting (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended
Mar. 31, 2012
segment
Mar. 31, 2011
Dec. 31, 2011
Segment Reporting      
Number of operating segments 3    
Number of reportable segments 2    
Revenues:      
Rental income $ 109,505 $ 98,552  
Residents fees and services 35,568    
Total revenues 145,073 98,552  
Expenses:      
Depreciation 33,377 26,361  
Property operating expenses 39,334 10,433  
General and administrative 7,685 6,156  
Acquisition related costs 688 1,113  
Impairment of assets 3,071 166  
Total expenses 84,155 44,229  
Operating income (loss) 60,918 54,323  
Interest and other income 482 232  
Interest expense (28,889) (22,746)  
Equity in earnings of an investee 45 37  
Income before income tax expense 32,556 31,846  
Income tax expense (204) (71)  
Net income 32,352 31,775  
Total assets 4,383,821   4,383,048
Short and Long Term Residential Care Communities
      
Revenues:      
Rental income 58,824 57,109  
Residents fees and services 35,568    
Total revenues 94,392    
Expenses:      
Depreciation 20,897 16,730  
Property operating expenses 25,499    
Total expenses 46,396 16,730  
Operating income (loss) 47,996 40,379  
Interest expense (13,178) (10,274)  
Income before income tax expense 34,818 30,105  
Net income 34,818 30,105  
Total assets 2,449,750 1,881,550  
MOB
      
Revenues:      
Rental income 46,261 37,090  
Total revenues 46,261    
Expenses:      
Depreciation 11,532 8,683  
Property operating expenses 13,835 10,433  
Impairment of assets 3,071 166  
Total expenses 28,438 19,282  
Operating income (loss) 17,823 17,808  
Interest expense (412) (217)  
Income before income tax expense 17,411 17,591  
Net income 17,411 17,591  
Total assets 1,479,244 1,276,755  
All Other Operations
      
Revenues:      
Rental income 4,420 4,353  
Total revenues 4,420    
Expenses:      
Depreciation 948 948  
General and administrative 7,685 6,156  
Acquisition related costs 688 1,113  
Total expenses 9,321 8,217  
Operating income (loss) (4,901) (3,864)  
Interest and other income 482 232  
Interest expense (15,299) (12,255)  
Equity in earnings of an investee 45 37  
Income before income tax expense (19,673) (15,850)  
Income tax expense (204) (71)  
Net income (19,877) (15,921)  
Total assets 454,827 367,103  
Consolidated
      
Revenues:      
Rental income 109,505 98,552  
Residents fees and services 35,568    
Total revenues 145,073    
Expenses:      
Depreciation 33,377 26,361  
Property operating expenses 39,334 10,433  
General and administrative 7,685 6,156  
Acquisition related costs 688 1,113  
Impairment of assets 3,071 166  
Total expenses 84,155 44,229  
Operating income (loss) 60,918 54,323  
Interest and other income 482 232  
Interest expense (28,889) (22,746)  
Equity in earnings of an investee 45 37  
Income before income tax expense 32,556 31,846  
Income tax expense (204) (71)  
Net income 32,352 31,775  
Total assets $ 4,383,821 $ 3,525,408