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Concentration of Credit Risk (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Concentration of credit risk      
Investment $ 5,263,625 $ 5,019,615  
Revenue 459,380 450,769 412,180
Five Star | Senior living communities
     
Concentration of credit risk      
Number of properties acquired, referred to as managed properties 44    
Investment | Rents from significant lessee
     
Concentration of credit risk      
Investment 5,263,625 5,019,615  
% of Total (as a percent) 100.00% 100.00%  
Investment | Rents from significant lessee | Five Star
     
Concentration of credit risk      
Investment 2,099,713 2,074,877  
% of Total (as a percent) 40.00% 41.00%  
Investment | Rents from significant lessee | All others
     
Concentration of credit risk      
Investment 3,163,912 2,944,738  
% of Total (as a percent) 60.00% 59.00%  
Rental income | Rents from significant lessee
     
Concentration of credit risk      
Revenue 459,380 450,769  
% of Total (as a percent) 100.00% 100.00%  
Rental income | Rents from significant lessee | Five Star
     
Concentration of credit risk      
Revenue 203,719 200,912  
% of Total (as a percent) 44.00% 45.00%  
Rental income | Rents from significant lessee | All others
     
Concentration of credit risk      
Revenue $ 255,661 $ 249,857  
% of Total (as a percent) 56.00% 55.00%