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Segment Reporting (Details)
$ in Thousands
 1 Months Ended 3 Months Ended 6 Months Ended
Feb. 28, 2015
USD ($)
Jun. 30, 2015
USD ($)
Jun. 30, 2014
USD ($)
Jun. 30, 2015
USD ($)
segment
Jun. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Segment reporting            
Number of operating segments | segment       4    
Number of reportable segments | segment       3    
Revenues:            
Rental income   $ 155,546 $ 127,669 $ 301,329 $ 239,724  
Residents fees and services   91,856 79,039 174,649 158,481  
Total revenues   247,402 206,708 475,978 398,205  
Expenses:            
Property operating expenses   93,592 79,786 179,386 157,590  
Depreciation   62,511 46,703 116,218 85,058  
General and administrative   11,674 9,577 22,248 17,866  
Acquisition related costs   4,617 2,512 5,775 2,635  
Total expenses   172,394 138,578 323,627 263,149  
Operating income   75,008 68,130 152,351 135,056  
Interest and other income   142 154 217 258  
Interest expense   (37,907) (34,112) (73,848) (63,012)  
Loss on early extinguishment of debt $ (1,409) (39)   (1,448)    
Income (loss) before income tax expense and equity in earnings of an investee   37,204 34,172 77,272 72,302  
Income tax expense   (129) (155) (239) (346)  
Equity in earnings of an investee   23 118 95 21  
Income from continuing operations   37,098 34,135 77,128 71,977  
Discontinued Operations:            
Loss from discontinued operations   (109) 741 (350) 2,041  
Impairment of assets from discontinued operations   (602) 387 (602) (334)  
Income before gain on sale of properties   36,387 35,263 76,176 73,684  
Gain on sale of properties     2,396   2,552  
Net income   36,387 37,659 76,176 76,236  
Total assets   7,348,026 6,016,855 7,348,026 6,016,855 $ 5,968,269
Triple Net Leased Net Senior Living Communities            
Revenues:            
Rental income   61,347 55,166 116,598 110,055  
Total revenues   61,347 55,166 116,598 110,055  
Expenses:            
Depreciation   17,058 15,515 32,183 31,152  
Total expenses   17,058 15,515 32,183 31,152  
Operating income   44,289 39,651 84,415 78,903  
Interest expense   (6,270) (6,472) (12,255) (12,860)  
Loss on early extinguishment of debt   (6)   (6)    
Income (loss) before income tax expense and equity in earnings of an investee   38,013 33,179 72,154 66,043  
Income from continuing operations   38,013 33,179 72,154 66,043  
Discontinued Operations:            
Income before gain on sale of properties     33,179   66,043  
Gain on sale of properties     2,396   2,552  
Net income   38,013 35,575 72,154 68,595  
Total assets   2,231,685 1,806,867 2,231,685 1,806,867  
Managed Senior Living Communities            
Revenues:            
Residents fees and services   91,856 79,039 174,649 158,481  
Total revenues   91,856 79,039 174,649 158,481  
Expenses:            
Property operating expenses   69,792 60,624 132,195 121,412  
Depreciation   13,649 8,333 22,109 16,488  
Total expenses   83,441 68,957 154,304 137,900  
Operating income   8,415 10,082 20,345 20,581  
Interest expense   (2,561) (2,806) (4,580) (5,794)  
Loss on early extinguishment of debt   (33)   (33)    
Income (loss) before income tax expense and equity in earnings of an investee   5,821 7,276 15,732 14,787  
Income from continuing operations   5,821 7,276 15,732 14,787  
Discontinued Operations:            
Income before gain on sale of properties     7,276   14,787  
Net income   5,821 7,276 15,732 14,787  
Total assets   1,298,982 922,557 1,298,982 922,557  
MOBs            
Revenues:            
Rental income   89,591 68,027 175,592 120,791  
Total revenues   89,591 68,027 175,592 120,791  
Expenses:            
Property operating expenses   23,800 19,162 47,191 36,178  
Depreciation   30,856 21,907 60,030 35,522  
Total expenses   54,656 41,069 107,221 71,700  
Operating income   34,935 26,958 68,371 49,091  
Interest expense   (1,758) (1,507) (3,525) (2,844)  
Income (loss) before income tax expense and equity in earnings of an investee   33,177 25,451 64,846 46,247  
Income from continuing operations   33,177 25,451 64,846 46,247  
Discontinued Operations:            
Loss from discontinued operations   (109) 741 (350) 2,041  
Impairment of assets from discontinued operations   (602) 387 (602) (334)  
Income before gain on sale of properties     26,579   47,954  
Net income   32,466 26,579 63,894 47,954  
Total assets   3,412,125 2,967,167 3,412,125 2,967,167  
All Other Operations            
Revenues:            
Rental income   4,608 4,476 9,139 8,878  
Total revenues   4,608 4,476 9,139 8,878  
Expenses:            
Depreciation   948 948 1,896 1,896  
General and administrative   11,674 9,577 22,248 17,866  
Acquisition related costs   4,617 2,512 5,775 2,635  
Total expenses   17,239 13,037 29,919 22,397  
Operating income   (12,631) (8,561) (20,780) (13,519)  
Interest and other income   142 154 217 258  
Interest expense   (27,318) (23,327) (53,488) (41,514)  
Loss on early extinguishment of debt       (1,409)    
Income (loss) before income tax expense and equity in earnings of an investee   (39,807) (31,734) (75,460) (54,775)  
Income tax expense   (129) (155) (239) (346)  
Equity in earnings of an investee   23 118 95 21  
Income from continuing operations   (39,913) (31,771) (75,604) (55,100)  
Discontinued Operations:            
Income before gain on sale of properties     (31,771)   (55,100)  
Net income   (39,913) (31,771) (75,604) (55,100)  
Total assets   $ 405,234 $ 320,264 $ 405,234 $ 320,264