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Selected Quarterly Financial Data (unaudited) (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 3 Months Ended 12 Months Ended 5 Months Ended 0 Months Ended 5 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2013
Sale
property
Dec. 31, 2013
Rehabilitation hospitals
Sale
property
Dec. 31, 2013
Rehabilitation hospitals
Sale
property
Selected Quarterly Financial Data (unaudited)                            
Revenues $ 200,336 $ 187,265 $ 186,928 $ 186,909 $ 191,703 $ 156,108 $ 144,393 $ 142,596 $ 761,438 $ 634,800 $ 440,031      
Net income 72,206 38,125 5,598 35,235 44,636 25,646 33,251 32,352 151,164 135,884 151,419      
Per share data:                            
Net income (in dollars per share) $ 0.38 $ 0.20 $ 0.03 $ 0.19 $ 0.25 $ 0.15 $ 0.20 $ 0.20            
Common distributions declared (in dollars per share) $ 0.39 $ 0.39 $ 0.39 $ 0.39 $ 0.39 $ 0.39 $ 0.38 $ 0.38            
Impairment charge     32,267           7,989 3,071 1,990      
Selected quarterly financial data (unaudited)                            
Number of properties to be sold                       3 2 2
Gain (loss) on sale of properties                 $ 37,392 $ (101) $ 21,315 $ 37,392 $ 36,251