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Segment Reporting (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
USD ($)
Jun. 30, 2015
USD ($)
Jun. 30, 2016
USD ($)
segment
Jun. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
Segment reporting          
Number of operating segments | segment     4    
Number of reportable segments | segment     3    
Revenues:          
Rental income $ 163,997 $ 155,546 $ 325,419 $ 301,329  
Residents fees and services 97,370 91,856 194,323 174,649  
Total revenues 261,367 247,402 519,742 475,978  
Expenses:          
Property operating expenses 97,474 93,592 195,422 179,386  
Depreciation and amortization 71,372 62,511 142,594 116,218  
General and administrative 11,965 11,674 22,828 22,248  
Acquisition related costs 180 4,617 619 5,775  
Impairment of assets 4,961   12,351    
Total expenses 185,952 172,394 373,814 323,627  
Operating income (loss) 75,415 75,008 145,928 152,351  
Dividend income     789    
Interest and other income 177 142 242 217  
Interest expense (41,118) (37,907) (80,399) (73,848)  
Loss on early extinguishment of debt   (39) (6) (1,448)  
Income (loss) before income tax expense and equity in earnings of an investee 35,263 37,204 66,554 77,272  
Income tax expense (108) (129) (202) (239)  
Equity in earnings of an investee 17 23 94 95  
Income (loss) from continuing operations 35,172 37,098 66,446 77,128  
Discontinued operations:          
Loss from discontinued operations   (109)   (350)  
Impairment of assets from discontinued operations   (602)   (602)  
Income before gain on sale of properties 35,172 36,387 66,446 76,176  
Gain on sale of properties 4,061   4,061    
Income (loss) before gain on sale of properties 35,172 36,387 66,446 76,176  
Gain on sale of properties 4,061   4,061    
Net income (loss) 39,233 36,387 70,507 76,176  
Total assets 7,265,767   7,265,767   $ 7,160,090
Triple Net Leased Senior Living Communities          
Revenues:          
Rental income 66,441 61,347 131,749 116,598  
Total revenues 66,441 61,347 131,749 116,598  
Expenses:          
Property operating expenses 423   786    
Depreciation and amortization 19,273 17,058 38,674 32,183  
Impairment of assets     4,391    
Total expenses 19,696 17,058 43,851 32,183  
Operating income (loss) 46,745 44,289 87,898 84,415  
Interest expense (6,282) (6,270) (12,665) (12,255)  
Loss on early extinguishment of debt   (6)   (6)  
Income (loss) before income tax expense and equity in earnings of an investee 40,463 38,013 75,233 72,154  
Income (loss) from continuing operations   38,013   72,154  
Discontinued operations:          
Income before gain on sale of properties 40,463 38,013 75,233    
Gain on sale of properties 4,061   4,061    
Income (loss) before gain on sale of properties 40,463 38,013 75,233    
Gain on sale of properties 4,061   4,061    
Net income (loss) 44,524   79,294 72,154  
Total assets 2,318,798   2,318,798   2,251,212
Managed Senior Living Communities          
Revenues:          
Residents fees and services 97,370 91,856 194,323 174,649  
Total revenues 97,370 91,856 194,323 174,649  
Expenses:          
Property operating expenses 71,642 69,792 143,820 132,195  
Depreciation and amortization 20,140 13,649 40,158 22,109  
Total expenses 91,782 83,441 183,978 154,304  
Operating income (loss) 5,588 8,415 10,345 20,345  
Interest expense (2,663) (2,561) (5,227) (4,580)  
Loss on early extinguishment of debt   (33) (6) (33)  
Income (loss) before income tax expense and equity in earnings of an investee 2,925 5,821 5,112 15,732  
Income (loss) from continuing operations   5,821   15,732  
Discontinued operations:          
Income before gain on sale of properties 2,925 5,821 5,112    
Income (loss) before gain on sale of properties 2,925 5,821 5,112    
Net income (loss) 2,925   5,112 15,732  
Total assets 1,258,212   1,258,212   1,260,425
MOBs          
Revenues:          
Rental income 92,978 89,591 184,559 175,592  
Total revenues 92,978 89,591 184,559 175,592  
Expenses:          
Property operating expenses 25,409 23,800 50,816 47,191  
Depreciation and amortization 31,011 30,856 61,866 60,030  
Impairment of assets 4,961   7,960    
Total expenses 61,381 54,656 120,642 107,221  
Operating income (loss) 31,597 34,935 63,917 68,371  
Interest expense (844) (1,758) (1,798) (3,525)  
Income (loss) before income tax expense and equity in earnings of an investee 30,753 33,177 62,119 64,846  
Income (loss) from continuing operations   33,177   64,846  
Discontinued operations:          
Loss from discontinued operations   (109)   (350)  
Impairment of assets from discontinued operations   (602)   (602)  
Income before gain on sale of properties 30,753 32,466 62,119    
Income (loss) before gain on sale of properties 30,753 32,466 62,119    
Net income (loss) 30,753   62,119 63,894  
Total assets 3,374,952   3,374,952   3,362,214
All Other Operations          
Revenues:          
Rental income 4,578 4,608 9,111 9,139  
Total revenues 4,578 4,608 9,111 9,139  
Expenses:          
Depreciation and amortization 948 948 1,896 1,896  
General and administrative 11,965 11,674 22,828 22,248  
Acquisition related costs 180 4,617 619 5,775  
Total expenses 13,093 17,239 25,343 29,919  
Operating income (loss) (8,515) (12,631) (16,232) (20,780)  
Dividend income     789    
Interest and other income 177 142 242 217  
Interest expense (31,329) (27,318) (60,709) (53,488)  
Loss on early extinguishment of debt       (1,409)  
Income (loss) before income tax expense and equity in earnings of an investee (38,878) (39,807) (75,910) (75,460)  
Income tax expense (108) (129) (202) (239)  
Equity in earnings of an investee 17 23 94 95  
Income (loss) from continuing operations   (39,913)   (75,604)  
Discontinued operations:          
Income before gain on sale of properties (38,969) (39,913) (76,018)    
Income (loss) before gain on sale of properties (38,969) $ (39,913) (76,018)    
Net income (loss) (38,969)   (76,018) $ (75,604)  
Total assets $ 313,805   $ 313,805   $ 286,239