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Pro Forma Information (unaudited) (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
 1 Months Ended 3 Months Ended 4 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 5 Months Ended
Jan. 31, 2013
Jul. 31, 2012
Oct. 31, 2011
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Oct. 31, 2011
Dec. 31, 2013
item
Dec. 31, 2012
Dec. 31, 2011
Jul. 31, 2012
Senior unsecured notes 5.625% due in 2042
Dec. 31, 2013
Senior unsecured notes 5.625% due in 2042
Dec. 31, 2012
Senior unsecured notes 5.625% due in 2042
Dec. 31, 2013
MOBs
Dec. 31, 2012
MOBs
property
building
Dec. 31, 2013
Skilled nursing facilities
property
Dec. 31, 2013
Skilled nursing facility and rehabilitation hospitals
Dec. 31, 2013
Acquisition
Dec. 31, 2012
Acquisition
Dec. 31, 2013
Acquisition
Senior living communities
property
Dec. 31, 2012
Acquisition
Senior living communities
property
Dec. 31, 2013
Acquisition
MOBs
property
building
Dec. 31, 2012
Acquisition
MOBs
property
building
Dec. 31, 2013
Sale
property
Dec. 31, 2013
Sale
Skilled nursing facilities
property
Pro Forma Information                                                            
Number of properties acquired or agreed to be acquired                                       1         6 11 6 12    
Number of buildings acquired                                                     7 13    
Aggregate purchase price of properties acquired, excluding closing costs                                     $ 202,824 $ 449,657             $ 117,475 $ 225,695    
Number of properties to be sold                                         1               3 1
Number of rehabilitation hospitals                         2                                  
Proceeds from sale of properties                         92,550 1,041 38,663         1,100   92,250                
Gain (loss) on sale of properties                         37,392 (101) 21,315         (101)   37,392             37,392  
Number of buildings sold                                       1                    
Stated interest rate (as a percent)                               5.625% 5.625% 5.625%                        
Mortgage debt assumed                         12,266 121,793 217,317                         73,103    
Weighted average interest rate on debt (as a percent)       6.25%       5.84%         6.25% 5.84%                                
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                 247,498 261,813 287,052 432,233                              
Revenues       200,336 187,265 186,928 186,909 191,703 156,108 144,393 142,596   761,438 634,800 440,031               12,306 26,840            
Property operating expenses                                             4,057 15,957            
Interest expense                         117,819 117,240 98,262               368 2,354            
Debt sold                               350,000                            
Pro forma results of operations                                                            
Total revenues                         766,263 696,806                                
Net income                         $ 113,150 $ 179,804                                
Per common share data:                                                            
Net income (in dollars per share)                         $ 0.60 $ 0.96