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Segment Reporting (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
item
Jun. 30, 2011
Dec. 31, 2011
Segment Reporting          
Number of operating segments     3    
Number of reportable segments     2    
Revenues:          
Rental income $ 110,986 $ 100,318 $ 220,491 $ 198,870  
Residents fees and services 35,986 844 71,554 844  
Total revenues 146,972 101,162 292,045 199,714  
Expenses:          
Depreciation 35,230 26,935 68,607 53,296  
Property operating expenses 40,734 11,302 80,068 21,735  
General and administrative 8,068 6,793 15,753 12,949  
Acquisition related costs 1,829 2,814 2,517 3,927  
Impairment of assets     3,071 166  
Total expenses 85,861 47,844 170,016 92,073  
Operating income (loss) 61,111 53,318 122,029 107,641  
Interest and other income 227 244 709 476  
Interest expense (28,120) (23,361) (57,009) (46,107)  
Loss on early extinguishment of debt   (427)   (427)  
Gain on sale of properties   21,315   21,315  
Equity in earnings of an investee 76 46 121 83  
Income before income tax expense 33,294 51,135 65,850 82,981  
Income tax expense (43) (87) (247) (158)  
Net income 33,251 51,048 65,603 82,823  
Total assets 4,466,552   4,466,552   4,383,048
Short and Long Term Residential Care Communities
         
Revenues:          
Rental income 59,643 57,186 118,467 114,296  
Residents fees and services 35,986 844 71,554 844  
Total revenues 95,629 58,030 190,021 115,140  
Expenses:          
Depreciation 21,065 17,014 41,962 33,743  
Property operating expenses 26,244 609 51,743 609  
Total expenses 47,309 17,623 93,705 34,352  
Operating income (loss) 48,320 40,407 96,316 80,788  
Interest expense (12,976) (10,326) (26,153) (20,599)  
Gain on sale of properties   21,236   21,236  
Income before income tax expense 35,344 51,317 70,163 81,425  
Net income 35,344 51,317 70,163 81,425  
Total assets 2,449,845 2,060,845 2,449,845 2,060,845  
MOBs
         
Revenues:          
Rental income 46,885 38,658 93,146 75,748  
Total revenues 46,885 38,658 93,146 75,748  
Expenses:          
Depreciation 13,217 8,973 24,749 17,657  
Property operating expenses 14,490 10,693 28,325 21,126  
Impairment of assets     3,071 166  
Total expenses 27,707 19,666 56,145 38,949  
Operating income (loss) 19,178 18,992 37,001 36,799  
Interest expense (381) (215) (793) (432)  
Gain on sale of properties   79   79  
Income before income tax expense 18,797 18,856 36,208 36,446  
Net income 18,797 18,856 36,208 36,446  
Total assets 1,587,430 1,288,412 1,587,430 1,288,412  
All Other Operations
         
Revenues:          
Rental income 4,458 4,474 8,878 8,826  
Total revenues 4,458 4,474 8,878 8,826  
Expenses:          
Depreciation 948 948 1,896 1,896  
General and administrative 8,068 6,793 15,753 12,949  
Acquisition related costs 1,829 2,814 2,517 3,927  
Total expenses 10,845 10,555 20,166 18,772  
Operating income (loss) (6,387) (6,081) (11,288) (9,946)  
Interest and other income 227 244 709 476  
Interest expense (14,763) (12,820) (30,063) (25,076)  
Loss on early extinguishment of debt   (427)   (427)  
Equity in earnings of an investee 76 46 121 83  
Income before income tax expense (20,847) (19,038) (40,521) (34,890)  
Income tax expense (43) (87) (247) (158)  
Net income (20,890) (19,125) (40,768) (35,048)  
Total assets 429,277 384,161 429,277 384,161  
Consolidated
         
Revenues:          
Rental income 110,986 100,318 220,491 198,870  
Residents fees and services 35,986 844 71,554 844  
Total revenues 146,972 101,162 292,045 199,714  
Expenses:          
Depreciation 35,230 26,935 68,607 53,296  
Property operating expenses 40,734 11,302 80,068 21,735  
General and administrative 8,068 6,793 15,753 12,949  
Acquisition related costs 1,829 2,814 2,517 3,927  
Impairment of assets     3,071 166  
Total expenses 85,861 47,844 170,016 92,073  
Operating income (loss) 61,111 53,318 122,029 107,641  
Interest and other income 227 244 709 476  
Interest expense (28,120) (23,361) (57,009) (46,107)  
Loss on early extinguishment of debt   (427)   (427)  
Gain on sale of properties   21,315   21,315  
Equity in earnings of an investee 76 46 121 83  
Income before income tax expense 33,294 51,135 65,850 82,981  
Income tax expense (43) (87) (247) (158)  
Net income 33,251 51,048 65,603 82,823  
Total assets $ 4,466,552 $ 3,733,418 $ 4,466,552 $ 3,733,418