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Segment Reporting (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2011 | Sep. 30, 2011 | Jun. 30, 2011 | Mar. 31, 2011 | Dec. 31, 2012 item | Dec. 31, 2011 | Dec. 31, 2010
Segment Reporting |  |  |  |  |  |  |  |  |  |  |
Number of operating segments |  |  |  |  |  |  |  |  | 3 |  |
Number of reportable segments |  |  |  |  |  |  |  |  | 2 |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  | $ 460,811 | $ 422,166 | $ 340,113
Residents fees and services |  |  |  |  |  |  |  |  | 184,031 | 27,851 |
Total revenues | 194,164 | 158,633 | 146,972 | 145,073 | 136,603 | 113,700 | 101,162 | 98,552 | 644,842 | 450,017 | 340,113
Expenses: |  |  |  |  |  |  |  |  |  |  |
Depreciation |  |  |  |  |  |  |  |  | 141,456 | 113,265 | 90,409
Property operating expenses |  |  |  |  |  |  |  |  | 201,263 | 68,967 | 20,169
General and administrative |  |  |  |  |  |  |  |  | 31,517 | 26,041 | 21,677
Acquisition related costs |  |  |  |  |  |  |  |  | 9,394 | 12,239 | 3,610
Impairment of assets |  |  |  |  |  |  |  |  | 3,071 | 1,990 | 5,965
Total expenses |  |  |  |  |  |  |  |  | 386,701 | 222,502 | 141,830
Operating income (loss) |  |  |  |  |  |  |  |  | 258,141 | 227,515 | 198,283
Interest and other income |  |  |  |  |  |  |  |  | 1,117 | 1,451 | 844
Interest expense |  |  |  |  |  |  |  |  | (117,240) | (98,262) | (80,017)
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (6,349) | (427) | (2,433)
Gain on lease terminations |  |  |  |  |  |  |  |  | 375 |  |
(Loss) gain on sale of properties |  |  |  |  |  |  |  |  | (101) | 21,315 | 109
Equity in earnings (losses) of an investee |  |  |  |  |  |  |  |  | 316 | 139 | (1)
Income before income tax expense |  |  |  |  |  |  |  |  | 136,259 | 151,731 | 116,785
Income tax expense |  |  |  |  |  |  |  |  | (375) | (312) | (300)
Net income | 44,636 | 25,646 | 33,251 | 32,352 | 38,599 | 29,996 | 51,048 | 31,776 | 135,884 | 151,419 | 116,485
Total assets | 4,748,002 |  |  |  | 4,383,048 |  |  |  | 4,748,002 | 4,383,048 |
Short and Long Term Residential Care Communities |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  | 246,948 | 242,652 | 237,578
Residents fees and services |  |  |  |  |  |  |  |  | 184,031 | 27,851 |
Total revenues |  |  |  |  |  |  |  |  | 430,979 | 270,503 | 237,578
Expenses: |  |  |  |  |  |  |  |  |  |  |
Depreciation |  |  |  |  |  |  |  |  | 87,856 | 71,020 | 66,172
Property operating expenses |  |  |  |  |  |  |  |  | 138,819 | 21,639 |
Impairment of assets |  |  |  |  |  |  |  |  |  | 1,028 | 1,095
Total expenses |  |  |  |  |  |  |  |  | 226,675 | 93,687 | 67,267
Operating income (loss) |  |  |  |  |  |  |  |  | 204,304 | 176,816 | 170,311
Interest expense |  |  |  |  |  |  |  |  | (47,299) | (43,862) | (41,076)
Gain on lease terminations |  |  |  |  |  |  |  |  | 375 |  |
(Loss) gain on sale of properties |  |  |  |  |  |  |  |  |  | 21,236 | 109
Income before income tax expense |  |  |  |  |  |  |  |  | 157,380 | 154,190 | 129,344
Net income |  |  |  |  |  |  |  |  | 157,380 | 154,190 | 129,344
Total assets | 2,767,227 |  |  |  | 2,461,532 |  |  |  | 2,767,227 | 2,461,532 | 1,905,938
MOBs |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  | 196,107 | 161,809 | 85,152
Total revenues |  |  |  |  |  |  |  |  | 196,107 | 161,809 | 85,152
Expenses: |  |  |  |  |  |  |  |  |  |  |
Depreciation |  |  |  |  |  |  |  |  | 49,808 | 38,453 | 20,445
Property operating expenses |  |  |  |  |  |  |  |  | 62,444 | 47,328 | 20,169
Impairment of assets |  |  |  |  |  |  |  |  | 3,071 | 962 | 4,870
Total expenses |  |  |  |  |  |  |  |  | 115,323 | 86,743 | 45,484
Operating income (loss) |  |  |  |  |  |  |  |  | 80,784 | 75,066 | 39,668
Interest expense |  |  |  |  |  |  |  |  | (3,255) | (996) | (862)
(Loss) gain on sale of properties |  |  |  |  |  |  |  |  | (101) | 79 |
Income before income tax expense |  |  |  |  |  |  |  |  | 77,428 | 74,149 | 38,806
Net income |  |  |  |  |  |  |  |  | 77,428 | 74,149 | 38,806
Total assets | 1,684,434 |  |  |  | 1,487,364 |  |  |  | 1,684,434 | 1,487,364 | 1,167,994
All Other Operations |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  | 17,756 | 17,705 | 17,383
Total revenues |  |  |  |  |  |  |  |  | 17,756 | 17,705 | 17,383
Expenses: |  |  |  |  |  |  |  |  |  |  |
Depreciation |  |  |  |  |  |  |  |  | 3,792 | 3,792 | 3,792
General and administrative |  |  |  |  |  |  |  |  | 31,517 | 26,041 | 21,677
Acquisition related costs |  |  |  |  |  |  |  |  | 9,394 | 12,239 | 3,610
Total expenses |  |  |  |  |  |  |  |  | 44,703 | 42,072 | 29,079
Operating income (loss) |  |  |  |  |  |  |  |  | (26,947) | (24,367) | (11,696)
Interest and other income |  |  |  |  |  |  |  |  | 1,117 | 1,451 | 844
Interest expense |  |  |  |  |  |  |  |  | (66,686) | (53,404) | (38,079)
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (6,349) | (427) | (2,433)
Equity in earnings (losses) of an investee |  |  |  |  |  |  |  |  | 316 | 139 | (1)
Income before income tax expense |  |  |  |  |  |  |  |  | (98,549) | (76,608) | (51,365)
Income tax expense |  |  |  |  |  |  |  |  | (375) | (312) | (300)
Net income |  |  |  |  |  |  |  |  | (98,924) | (76,920) | (51,665)
Total assets | 296,341 |  |  |  | 434,152 |  |  |  | 296,341 | 434,152 | 318,724
Consolidated |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Rental income |  |  |  |  |  |  |  |  | 460,811 | 422,166 | 340,113
Residents fees and services |  |  |  |  |  |  |  |  | 184,031 | 27,851 |
Total revenues |  |  |  |  |  |  |  |  | 644,842 | 450,017 | 340,113
Expenses: |  |  |  |  |  |  |  |  |  |  |
Depreciation |  |  |  |  |  |  |  |  | 141,456 | 113,265 | 90,409
Property operating expenses |  |  |  |  |  |  |  |  | 201,263 | 68,967 | 20,169
General and administrative |  |  |  |  |  |  |  |  | 31,517 | 26,041 | 21,677
Acquisition related costs |  |  |  |  |  |  |  |  | 9,394 | 12,239 | 3,610
Impairment of assets |  |  |  |  |  |  |  |  | 3,071 | 1,990 | 5,965
Total expenses |  |  |  |  |  |  |  |  | 386,701 | 222,502 | 141,830
Operating income (loss) |  |  |  |  |  |  |  |  | 258,141 | 227,515 | 198,283
Interest and other income |  |  |  |  |  |  |  |  | 1,117 | 1,451 | 844
Interest expense |  |  |  |  |  |  |  |  | (117,240) | (98,262) | (80,017)
Loss on early extinguishment of debt |  |  |  |  |  |  |  |  | (6,349) | (427) | (2,433)
Gain on lease terminations |  |  |  |  |  |  |  |  | 375 |  |
(Loss) gain on sale of properties |  |  |  |  |  |  |  |  | (101) | 21,315 | 109
Equity in earnings (losses) of an investee |  |  |  |  |  |  |  |  | 316 | 139 | (1)
Income before income tax expense |  |  |  |  |  |  |  |  | 136,259 | 151,731 | 116,785
Income tax expense |  |  |  |  |  |  |  |  | (375) | (312) | (300)
Net income |  |  |  |  |  |  |  |  | 135,884 | 151,419 | 116,485
Total assets | $ 4,748,002 |  |  |  | $ 4,383,048 |  |  |  | $ 4,748,002 | $ 4,383,048 | $ 3,392,656

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- Definition The amount of interest income and other income recognized during the period. Included in this element is interest derived from investments in debt securities, cash and cash equivalents, and other investments which reflect the time value of money or transactions in which the payments are for the use or forbearance of money and other income from ancillary business-related activities (that is, excluding major activities considered part of the normal operations of the business). + References No definition available. + Details
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- Definition The cost of borrowed funds accounted for as interest that was charged against earnings during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph 9 -Article 9 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher OTS -Name Federal Regulation (FR) -Number Title 12 -Section 563c.102 -Paragraph 9 -Chapter V -Subsection II -LegacyDoc This is a non-GAAP reference that was included in the 2009 taxonomy. It will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 34 -Paragraph 21 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6450988&loc=d3e26243-108391 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04.9) -URI http://asc.fasb.org/extlink&oid=6879574&loc=d3e536633-122882 + Details
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- Definition Net income after adjustments for dividends on preferred stock (declared in the period) and/or cumulative preferred stock (accumulated for the period). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 260 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=7655603&loc=d3e1377-109256 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 128 -Paragraph 9 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
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- Definition Number of operating segments. An operating segment is a component of an enterprise: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same enterprise), (b) whose operating results are regularly reviewed by the enterprise's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. An operating segment may engage in business activities for which it has yet to earn revenues, for example, start-up operations may be operating segments before earning revenues. + References No definition available. + Details
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- Definition Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements. + References No definition available. + Details
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- Definition The net result for the period of deducting operating expenses from operating revenues. + References No definition available. + Details
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- Definition The aggregate revenue from real estate operations during the reporting period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(e)) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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- Definition Aggregate revenue recognized during the period (derived from goods sold, services rendered, insurance premiums, or other activities that constitute an entity's earning process). For financial services companies, also includes investment and interest income, and sales and trading gains. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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