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Pro Forma Information (unaudited) (Details) (USD $) In Thousands, except Share data, unless otherwise specified | 1 Months Ended | 3 Months Ended | 12 Months Ended | 1 Months Ended |  |  |  |  |  | 1 Months Ended |  |  |  |  |  | 1 Months Ended | 12 Months Ended |  |  | 1 Months Ended |  |  |  | 1 Months Ended |  |  | 12 Months Ended | 1 Months Ended | 12 Months Ended | 1 Months Ended | 12 Months Ended
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Jan. 31, 2013 | Jul. 31, 2012 | Oct. 31, 2011 | Jul. 31, 2011 | 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 item | Dec. 31, 2010 item | Jan. 31, 2011 Senior unsecured notes 4.30% | Dec. 31, 2012 Senior unsecured notes 4.30% | Dec. 31, 2011 Senior unsecured notes 4.30% | Dec. 31, 2012 Unsecured revolving credit facility | 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, 2012 Senior unsecured notes 6.75% | Jul. 31, 2012 Senior unsecured notes 6.75% | Dec. 31, 2011 Senior unsecured notes 6.75% | Apr. 30, 2010 Senior unsecured notes 6.75% | Dec. 31, 2011 Unsecured senior notes due 2021 | Dec. 31, 2011 Unsecured senior notes due 2021 | Dec. 31, 2012 Unsecured senior notes due 2021 | Dec. 31, 2011 Senior unsecured notes 7.875% | Jul. 31, 2012 Senior unsecured notes 5.625% due in 2042 | Oct. 31, 2012 Mortgages | Aug. 31, 2012 Mortgages | Jun. 30, 2012 Mortgages | Apr. 30, 2012 Mortgages item | Feb. 29, 2012 Mortgages | Dec. 31, 2012 Mortgages | Dec. 31, 2011 Mortgages | Apr. 30, 2010 Mortgages | Jan. 31, 2012 Senior unsecured notes 8.625% | Dec. 31, 2011 Senior unsecured notes 8.625% | Dec. 31, 2012 Mortgages 6.65% | Dec. 31, 2012 Five Star | Dec. 31, 2011 Five Star | Dec. 31, 2012 Senior living communities Sunrise Senior Living, Inc. | May 31, 2011 Senior living communities Five Star Property | Dec. 31, 2012 MOBs | Dec. 31, 2011 MOBs | Dec. 31, 2012 Acquisition | Dec. 31, 2011 Acquisition | Jul. 31, 2011 Acquisition Senior living communities | Dec. 31, 2012 Acquisition Senior living communities item | Dec. 31, 2011 Acquisition Senior living communities item | Dec. 31, 2012 Acquisition MOBs item | Dec. 31, 2011 Acquisition MOBs item | Dec. 31, 2012 Sale | Dec. 31, 2011 Sale Property | Dec. 31, 2012 Sale MOBs Property | Dec. 31, 2011 Sale MOBs Property | Dec. 31, 2011 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 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6 |  |  |  |  |  | 11 | 28 | 13 | 28 |  |  |  |  |  |
Aggregate purchase price of properties acquired, excluding closing costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 449,657 | $ 991,618 |  |  | $ 99,808 |  |  | $ 225,695 | $ 336,395 |  |  |  |  |  |
Number of properties sold |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 7 | 1 | 2 | 4 | 1
Aggregate sale price |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,100 | 39,460 |  |  |  |
(Loss) gain on sale of properties |  |  |  |  |  |  |  |  |  |  |  |  | (101) | 21,315 | 109 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (101) | 21,315 |  |  |  |
Real estate improvements purchased |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30,520 | 33,269 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stated interest rate (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4.30% | 4.30% | 4.30% |  |  |  |  | 7.875% | 6.75% |  | 6.75% |  | 6.75% | 6.75% | 6.75% |  | 5.625% | 6.50% | 6.40% | 6.07% |  | 6.03% |  |  |  | 8.625% | 8.625% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Debt sold |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000 |  |  |  |  |  |  |  |  |  |  |  | 300,000 | 300,000 |  |  | 350,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred financing fees |  |  |  |  | 12,608 |  |  |  | 13,760 |  |  |  | 12,608 | 13,760 | 4,661 | 1,973 |  |  |  |  | 6,723 |  | 826 | 44 | 11,439 |  | 2,907 | 2,487 | 2,487 |  | 1,973 | 11,439 |  |  |  |  |  | 1,125 | 2,540 | 25 |  |  |  |  |  |  |  |  |  | 12,608 | 2,540 |  |  |  |  |  |  |  |  |  |  |
Unsecured revolving credit facility, maximum borrowing capacity |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 750,000 |  | 750,000 | 550,000 | 550,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage debt assumed |  |  |  |  |  |  |  |  |  |  |  |  | 121,793 | 217,317 | 2,458 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 73,103 | 13,286 |  |  |  |  |  |
Weighted average interest rate on mortgage debt assumed (as a percent) |  |  |  |  | 5.84% |  |  |  | 5.94% |  |  |  | 5.84% | 5.94% |  |  |  |  | 1.80% | 1.70% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6.95% |  | 5.84% |  |  |  |  | 6.65% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early repayment of debt variable portion |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 199,197 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gain (loss) on extinguishment of debt |  |  |  |  |  |  |  |  |  |  |  |  | 6,349 | 427 | 2,433 |  |  |  |  |  |  | 427 |  |  |  |  |  |  |  |  |  |  |  | 6,349 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Common shares issued in public offering | 11,500,000 | 13,800,000 | 9,200,000 | 11,500,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net proceeds from issuance of common shares issued in public offering | 262,068 | 287,052 | 184,735 | 247,498 |  |  |  |  |  |  |  |  | 287,052 | 432,233 | 281,986 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  | 194,164 | 158,633 | 146,972 | 145,073 | 136,603 | 113,700 | 101,162 | 98,552 | 644,842 | 450,017 | 340,113 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 26,840 | 60,395 |  |  |  |  |  |  |  |  |  |  |
Property operating expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15,957 | 29,604 |  |  |  |  |  |  |  |  |  |  |
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  | 117,240 | 98,262 | 80,017 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2,354 | 2,915 |  |  |  |  |  |  |  |  |  |  |
Number of mortgage loans repaid |  |  |  |  |  |  |  |  |  |  |  |  | 20 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 17 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Repayment of mortgage loans |  |  |  |  |  |  |  |  |  |  |  |  | 52,254 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4,152 |  | 3,140 | 32,576 | 12,386 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Repayments of borrowings under revolving credit facility |  |  |  |  |  |  |  |  |  |  |  |  | 225,000 |  | 98,780 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 225,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Gain (loss) on lease terminations |  |  |  |  |  |  |  |  |  |  |  |  | 375 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 375 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Impairment of asset charges recorded |  |  |  |  |  |  |  |  |  |  |  |  | 3,071 | 1,990 | 5,965 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties impaired |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 4 | 7 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pro forma results of operations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  |  |  |  |  | 689,703 | 664,047 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income |  |  |  |  |  |  |  |  |  |  |  |  | $ 140,846 | $ 151,338 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Per common share data: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net income (in dollars per share) |  |  |  |  |  |  |  |  |  |  |  |  | $ 0.80 | $ 0.86 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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- Definition Represents the debt issuance expenses that were capitalized and are being amortized against income over the lives of the respective debt issues. + References No definition available. + Details
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- Definition This element represents the aggregate purchase price excluding closing costs, of real estate properties acquired by the entity during the period. + References No definition available. + Details
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- Definition This element represents the aggregate sales price excluding closing costs, of real estate properties sold by the entity during the period. + References No definition available. + Details
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- Definition The pro forma revenue for a period as if the significant acquisitions or disposals had been completed at the beginning of the period. + References No definition available. + Details
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- Definition Gain (loss) related to the termination of a contract between the parties. The termination may be due to many causes including early termination of a lease by a lessee, a breach of contract by one party, or a failure to perform. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 420 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (b)(1) -URI http://asc.fasb.org/extlink&oid=6394359&loc=d3e17939-110869 + Details
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- Definition The difference between the carrying value and the sale price of real estate or properties that were intended to be sold or held for capital appreciation or rental income. This element refers to the gain (loss) included in earnings and not to the cash proceeds of the sale. This element is a noncash adjustment to net income when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 28 -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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