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Real Estate Properties (Details)
$ in Thousands
1 Months Ended 12 Months Ended 55 Months Ended
Feb. 29, 2016
USD ($)
ft²
property
Jan. 31, 2016
USD ($)
community
property
Sep. 30, 2015
USD ($)
community
property
item
May. 31, 2015
USD ($)
community
property
item
Feb. 28, 2015
USD ($)
Jan. 31, 2015
USD ($)
ft²
building
property
Dec. 31, 2014
USD ($)
ft²
community
agreement
item
Dec. 31, 2014
USD ($)
ft²
agreement
item
Dec. 31, 2014
USD ($)
ft²
agreement
property
item
Dec. 31, 2014
USD ($)
ft²
agreement
item
May. 31, 2014
USD ($)
ft²
property
Apr. 30, 2014
USD ($)
ft²
property
Dec. 31, 2015
USD ($)
ft²
state
company
community
agreement
property
item
Dec. 31, 2014
USD ($)
ft²
community
building
agreement
property
item
Dec. 31, 2013
USD ($)
Dec. 31, 2015
USD ($)
ft²
state
property
item
Jul. 31, 2015
USD ($)
Jan. 31, 2014
USD ($)
Real Estate Properties                                    
Real estate properties, at cost             $ 6,222,360 $ 6,222,360 $ 6,222,360 $ 6,222,360     $ 7,456,940 $ 6,222,360   $ 7,456,940    
Accumulated depreciation             $ (973,205) $ (973,205) $ (973,205) $ (973,205)     (1,147,540) (973,205)   (1,147,540)    
2016                         542,987     542,987    
2017                         530,269     530,269    
2018                         513,150     513,150    
2019                         479,591     479,591    
2020                         453,161     453,161    
Thereafter                         2,980,205     2,980,205    
Payment for land parcel adjacent to a senior living community leased to Five Star         $ 490                          
Acquired Real Estate Leases                         779,761     779,761    
Assumption of mortgage notes payable                         181,433 $ 15,630 $ 12,266      
Weighted average interest rate on debt (as a percent)             6.28% 6.28% 6.28% 6.28%       6.28%        
Accumulated amortization of capitalized below market lease values             $ 15,643 $ 15,643 $ 15,643 $ 15,643     23,819 $ 15,643   23,819    
2016                         76,793     76,793    
2017                         72,769     72,769    
2018                         44,196     44,196    
2019                         38,982     38,982    
2020                         36,571     36,571    
Thereafter                         $ 219,611     $ 219,611    
Number of properties owned | property                         427     427    
Number of states in which properties are located | state                         43     43    
Weighted Average                                    
Real Estate Properties                                    
Remaining amortization period on below market lease assets                         12 years 6 months          
Above market lease                                    
Real Estate Properties                                    
Acquired Real Estate Leases             47,107 47,107 47,107 47,107     $ 48,048 47,107   $ 48,048    
Accumulated amortization on lease assets             22,749 22,749 22,749 22,749     $ 26,828 22,749   26,828    
Above market lease | Weighted Average                                    
Real Estate Properties                                    
Remaining amortization period on lease assets                         5 years 3 months 18 days          
Original value lease                                    
Real Estate Properties                                    
Acquired Real Estate Leases             530,070 530,070 530,070 530,070     $ 731,713 530,070   731,713    
Accumulated amortization on lease assets             81,640 81,640 81,640 81,640     $ 148,647 81,640   148,647    
Original value lease | Weighted Average                                    
Real Estate Properties                                    
Remaining amortization period on lease assets                         10 years 7 months 6 days          
Five Star                                    
Real Estate Properties                                    
Increase or decrease in annual lease rent payable         $ 39   $ 2,066 $ 2,066 $ 2,066 $ 2,066     $ 1,734 $ 2,066 $ 2,177 1,734    
Senior Living Communities                                    
Real Estate Properties                                    
Number of communities | community       1                 19          
Number of living units | item       838                            
Number of pre-existing management agreements terminated | community       14                            
Number of Properties | community       37                            
Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Number of separate management agreements entered for communities acquired | agreement                         14          
Increase or decrease in annual lease rent payable                         $ (2)     $ (2)    
Number of Properties | property                               55    
Triple Net Leased Senior Living Communities                                    
Real Estate Properties                                    
Number of communities | community       20                            
Managed Senior Living Communities                                    
Real Estate Properties                                    
Number of communities owned | community                         1          
Managed Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Number of communities owned | community                         65          
MOBs                                    
Real Estate Properties                                    
Number of communities | community                           2        
Number of Properties | property           23                        
Number of buildings acquired | building                           3        
Acquisition                                    
Real Estate Properties                                    
Number of Properties | property           23                        
Assumption of mortgage notes payable           $ 29,995                        
Weighted average interest rate on debt (as a percent)           4.73%                        
Acquisition | Senior Living Communities                                    
Real Estate Properties                                    
Number of communities | community     1 37                   2        
Number of living units | item             228 228 228 228     3,563 228   3,563    
Purchase price excluding closing costs       $ 9,750                            
Weighted average interest rate on debt (as a percent)                         4.57%          
Fees paid to terminate the agreement                         $ 975     $ 975    
Purchase price amount withheld until seller satisfies various conditions       $ 1,000                            
Number of Properties | property     39 39                 39 2        
Cash Paid plus Assumed Debt, excluding closing costs                         $ 817,077 $ 47,430        
Acquired Real Estate Leases             $ 3,119 $ 3,119 $ 3,119 $ 3,119     130,305 $ 3,119   130,305    
Other Liabilities                         19,091     $ 19,091    
Assumption of mortgage notes payable       $ 151,477                 151,477          
Premium on Assumed Debt                         $ 858          
Weighted average interest rate on debt (as a percent)       4.57%                            
Acquisition | Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Number of communities | community       1                            
Number of private pay independent living units | property       40                            
Acquisition | Triple Net Leased Senior Living Communities                                    
Real Estate Properties                                    
Number of communities | community     1                   19          
Number of living units | property     84                   2,206     2,206    
Purchase price excluding closing costs     $ 18,250                              
Number of operators | company                         7          
Weighted average amortization period                         11 years 6 months          
Acquisition | Managed Senior Living Communities                                    
Real Estate Properties                                    
Number of communities | community                         5          
Number of living units | property                         395     395    
Number of pre-existing management agreements terminated | community                         14          
Acquisition | Managed Senior Living Communities | TRS                                    
Real Estate Properties                                    
Number of communities | community                         19          
Number of living units | property                         1,233     1,233    
Acquisition | Managed Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Number of living units | property                         838     838    
Number of separate management agreements entered for communities acquired | community                         14          
Acquisition | Senior Living Community Subtotal                                    
Real Estate Properties                                    
Number of living units | item                         3,439     3,439    
Number of Properties | property                         38          
Cash Paid plus Assumed Debt, excluding closing costs                         $ 790,077          
Acquired Real Estate Leases                         130,144     $ 130,144    
Other Liabilities                         18,091     18,091    
Assumption of mortgage notes payable                         151,477          
Premium on Assumed Debt                         $ 858          
Acquisition | MOBs                                    
Real Estate Properties                                    
Purchase price excluding closing costs           $ 539,000                        
Net closing adjustments           $ 7,377                        
Number of Properties | property                         23 2        
Cash Paid plus Assumed Debt, excluding closing costs                         $ 531,623 $ 1,162,584        
Acquired Real Estate Leases             $ 410,954 $ 410,954 $ 410,954 $ 410,954     87,780 410,954   $ 87,780    
Assumption of mortgage notes payable                         29,955 15,630        
Premium on Assumed Debt                         $ 1,073 $ 1,013        
Number of buildings acquired | building           23               3        
Weighted average interest rate on debt (as a percent)           4.73%                        
Area of real estate properties (in square feet) | ft²             1,776,000 1,776,000 1,776,000 1,776,000     2,170,000 1,776,000   2,170,000    
Intangible lease liabilities recorded             $ 118,429 $ 118,429 $ 118,429 $ 118,429     $ 3,150 $ 118,429   $ 3,150    
Acquisition | MOBs | Weighted Average                                    
Real Estate Properties                                    
Below market, acquired lease amortization period           11 years 2 months 12 days                        
Acquisition | MOBs | Above market lease | Weighted Average                                    
Real Estate Properties                                    
Acquired lease amortization period           9 years 8 months 12 days                        
Acquisition | MOBs | Original value lease | Weighted Average                                    
Real Estate Properties                                    
Acquired lease amortization period           9 years 6 months                        
Agreement to Acquire | Senior Living Communities                                    
Real Estate Properties                                    
Number of communities             38 38                    
Number of living units | agreement             3,439 3,439 3,439 3,439       3,439        
Purchase price excluding closing costs                   $ 790,000                
Net closing adjustments                   77                
Weighted average interest rate on debt (as a percent)       4.57%                            
Assumption of mortgage notes payable       $ 151,477                            
Land                                    
Real Estate Properties                                    
Real estate properties, at cost             $ 681,808 $ 681,808 $ 681,808 681,808     781,426 $ 681,808   781,426    
Land | Acquisition | Senior Living Communities                                    
Real Estate Properties                                    
Property plant and equipment acquired                         47,589 2,803        
Land | Acquisition | Senior Living Community Subtotal                                    
Real Estate Properties                                    
Property plant and equipment acquired                         43,117          
Land | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                         50,429 55,784        
Building improvements                                    
Real Estate Properties                                    
Real estate properties, at cost             5,304,857 5,304,857 5,304,857 5,304,857     6,391,482 5,304,857   6,391,482    
Accumulated depreciation             838,719 838,719 838,719 838,719     992,361 838,719   992,361    
Building improvements | Acquisition | Senior Living Communities                                    
Real Estate Properties                                    
Property plant and equipment acquired                         623,315 40,819        
Building improvements | Acquisition | Senior Living Community Subtotal                                    
Real Estate Properties                                    
Property plant and equipment acquired                         601,284          
Building improvements | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                         397,637 815,288        
Furniture, fixtures and equipment                                    
Real Estate Properties                                    
Real estate properties, at cost             235,695 235,695 235,695 235,695     284,032 235,695   284,032    
Accumulated depreciation             $ 134,486 $ 134,486 $ 134,486 $ 134,486     155,179 134,486   $ 155,179    
Furniture, fixtures and equipment | Acquisition | Senior Living Communities                                    
Real Estate Properties                                    
Property plant and equipment acquired                         35,817 $ 689        
Furniture, fixtures and equipment | Acquisition | Senior Living Community Subtotal                                    
Real Estate Properties                                    
Property plant and equipment acquired                         $ 34,481          
11 States | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Number of living units | item       2,119                            
Number of Properties | property       18                            
Cash Paid plus Assumed Debt, excluding closing costs       $ 459,184                            
Acquired Real Estate Leases       54,096                            
Other Liabilities       18,091                            
Assumption of mortgage notes payable       44,395                            
Premium on Assumed Debt       1,125                            
11 States | Land | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       29,716                            
11 States | Building improvements | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       373,471                            
11 States | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       $ 21,117                            
5 States | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Number of living units | item       1,233                            
Number of Properties | property       19                            
Cash Paid plus Assumed Debt, excluding closing costs       $ 313,345                            
Acquired Real Estate Leases       73,840                            
Assumption of mortgage notes payable       94,785                            
Premium on Assumed Debt       (832)                            
5 States | Land | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       12,267                            
5 States | Building improvements | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       214,064                            
5 States | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       $ 12,342                            
North Carolina | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Number of living units | item     87                              
Number of Properties | property     1                              
Cash Paid plus Assumed Debt, excluding closing costs     $ 17,548                              
Acquired Real Estate Leases     2,208                              
Assumption of mortgage notes payable     12,297                              
Premium on Assumed Debt     565                              
North Carolina | Land | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     1,134                              
North Carolina | Building improvements | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     13,749                              
North Carolina | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     $ 1,022                              
Georgia | Senior Living Communities | TRS                                    
Real Estate Properties                                    
Number of private pay independent living units | item       40                            
Number of Properties | community       1                            
Cash Paid plus Assumed Debt, excluding closing costs       $ 9,750                            
Georgia | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Number of living units | item     84                              
Number of Properties | property     1                              
Cash Paid plus Assumed Debt, excluding closing costs     $ 18,250                              
Georgia | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Number of living units | item       40                            
Number of Properties | property       (2)                            
Cash Paid plus Assumed Debt, excluding closing costs       $ 8,750                            
Acquired Real Estate Leases       161                            
Other Liabilities       1,000                            
Georgia | Agreement to Acquire | Senior Living Communities | TRS                                    
Real Estate Properties                                    
Number of communities | community   1                                
Purchase price excluding closing costs   $ 8,400                                
Number of private pay independent living units | property   38                                
Georgia | Land | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     3,479                              
Georgia | Land | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       993                            
Georgia | Building improvements | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     13,862                              
Georgia | Building improvements | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       8,169                            
Georgia | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired     $ 909                              
Georgia | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired       $ 427                            
Wisconsin One | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Number of living units | item             52 52 52 52       52        
Number of Properties | property                 1                  
Cash Paid plus Assumed Debt, excluding closing costs                   $ 7,000                
Acquired Real Estate Leases             $ 849 $ 849 $ 849 849       $ 849        
Wisconsin One | Land | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   188                
Wisconsin One | Building improvements | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   5,862                
Wisconsin One | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   $ 101                
Wisconsin Two | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Number of living units | item             176 176 176 176       176        
Number of Properties | property                 1                  
Cash Paid plus Assumed Debt, excluding closing costs                   $ 40,430                
Acquired Real Estate Leases             $ 2,270 $ 2,270 $ 2,270 2,270       $ 2,270        
Wisconsin Two | Land | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   2,615                
Wisconsin Two | Building improvements | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   34,957                
Wisconsin Two | Furniture, fixtures and equipment | Acquisition | Senior Living Communities | Non Leasing Member                                    
Real Estate Properties                                    
Property plant and equipment acquired                   $ 588                
12 States | Acquisition | MOBs                                    
Real Estate Properties                                    
Number of Properties | property           23                        
Cash Paid plus Assumed Debt, excluding closing costs           $ 531,623                        
Acquired Real Estate Leases           87,780                        
Assumption of mortgage notes payable           29,955                        
Premium on Assumed Debt           $ 1,073                        
Area of real estate properties (in square feet) | ft²           2,170,000                        
Intangible lease liabilities recorded           $ 3,150                        
12 States | Land | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired           50,429                        
12 States | Building improvements | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired           $ 397,637                        
Texas | Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Increase or decrease in annual lease rent payable                                   $ (210)
Texas | Acquisition | MOBs                                    
Real Estate Properties                                    
Number of Properties | property                       1            
Cash Paid plus Assumed Debt, excluding closing costs                       $ 32,932            
Acquired Real Estate Leases                       7,672            
Assumption of mortgage notes payable                       15,630            
Premium on Assumed Debt                       $ 1,013            
Area of real estate properties (in square feet) | ft²                       125,000            
Intangible lease liabilities recorded                       $ 10            
Texas | Land | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                       3,141            
Texas | Building improvements | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                       $ 23,142            
Massachusetts | Acquisition | MOBs                                    
Real Estate Properties                                    
Number of Properties | property                     1              
Cash Paid plus Assumed Debt, excluding closing costs                     $ 1,129,652              
Acquired Real Estate Leases                     $ 403,282              
Area of real estate properties (in square feet) | ft²                     1,651,000              
Intangible lease liabilities recorded                     $ 118,419              
Massachusetts | Land | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                     52,643              
Massachusetts | Building improvements | Acquisition | MOBs                                    
Real Estate Properties                                    
Property plant and equipment acquired                     $ 792,146              
Iowa | Senior Living Communities | Five Star                                    
Real Estate Properties                                    
Increase or decrease in annual lease rent payable                                 $ (16)  
Minnesota | Acquisition | MOBs                                    
Real Estate Properties                                    
Purchase price excluding closing costs $ 22,700                                  
Number of Properties | property 1                                  
Area of real estate properties (in square feet) | ft² 128,000