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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2017
USD ($)
segment
Sep. 30, 2016
USD ($)
Dec. 31, 2016
USD ($)
Segment Reporting [Abstract]          
Number of operating segments | segment     4    
Number of reportable segments | segment     3    
Revenues:          
Rental income $ 168,348 $ 165,503 $ 501,437 $ 490,922  
Residents fees and services 98,331 98,480 294,816 292,803  
Total revenues 266,679 263,983 796,253 783,725  
Expenses:          
Property operating expenses 104,714 103,347 308,565 298,776  
Depreciation and amortization 66,619 72,344 209,463 214,938  
General and administrative 19,883 12,107 57,889 34,931  
Acquisition and certain other transaction related costs 0 824 292 1,443  
Impairment of assets 0 4,578 5,082 16,930  
Total expenses 191,216 193,200 581,291 567,018  
Operating income 75,463 70,783 214,962 216,707  
Dividend income 659 659 1,978 1,449  
Interest and other income 128 89 323 330  
Interest expense (40,105) (43,438) (124,394) (123,837)  
Loss on early extinguishment of debt (274) (84) (7,627) (90)  
Income from continuing operations before income tax expense and equity in earnings of an investee 35,871 28,009 85,242 94,559  
Income tax expense (109) (119) (300) (318)  
Equity in earnings of an investee 31 13 533 107  
Net income 35,793 27,903 85,475 98,409  
Income before gain on sale of properties 35,793 27,903 85,475 94,348  
Gain on sale of properties 0 0 0 4,061  
Net income attributable to noncontrolling interest (1,379) 0 (2,865) 0  
Net income attributable to common shareholders 34,414 27,903 82,610 98,409  
Total assets 7,187,741   7,187,741   $ 7,227,754
Triple Net Leased Senior Living Communities          
Revenues:          
Rental income 67,662 66,520 202,340 198,269  
Residents fees and services 0 0 0 0  
Total revenues 67,662 66,520 202,340 198,269  
Expenses:          
Property operating expenses 0 47 0 833  
Depreciation and amortization 20,629 19,727 61,434 58,401  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs   0 0 0  
Impairment of assets   2,191 0 6,583  
Total expenses 20,629 21,965 61,434 65,817  
Operating income 47,033 44,555 140,906 132,452  
Dividend income 0 0 0 0  
Interest and other income 0 0 0 0  
Interest expense (655) (6,228) (8,205) (18,892)  
Loss on early extinguishment of debt 0 0 (7,294) 0  
Income from continuing operations before income tax expense and equity in earnings of an investee 46,378 38,327 125,407 113,560  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income 46,378   125,407    
Income before gain on sale of properties       113,560  
Gain on sale of properties       4,061  
Net income attributable to noncontrolling interest 0   0    
Net income attributable to common shareholders 46,378 38,327 125,407 117,621  
Total assets 2,270,952   2,270,952   2,289,045
Managed Senior Living Communities          
Revenues:          
Rental income 0 0 0 0  
Residents fees and services 98,331 98,480 294,816 292,803  
Total revenues 98,331 98,480 294,816 292,803  
Expenses:          
Property operating expenses 75,556 74,763 224,585 218,582  
Depreciation and amortization 12,691 20,747 49,295 60,905  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs   0 0 0  
Impairment of assets   2,394 0 2,394  
Total expenses 88,247 97,904 273,880 281,881  
Operating income 10,084 576 20,936 10,922  
Dividend income 0 0 0 0  
Interest and other income 0 0 0 0  
Interest expense (1,172) (2,104) (3,523) (7,332)  
Loss on early extinguishment of debt 0 (84) 0 (90)  
Income from continuing operations before income tax expense and equity in earnings of an investee 8,912 (1,612) 17,413 3,500  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income 8,912   17,413    
Income before gain on sale of properties       3,500  
Gain on sale of properties       0  
Net income attributable to noncontrolling interest 0   0    
Net income attributable to common shareholders 8,912 (1,612) 17,413 3,500  
Total assets 1,241,190   1,241,190   1,260,032
MOBs          
Revenues:          
Rental income 96,116 94,404 285,413 278,964  
Residents fees and services 0 0 0 0  
Total revenues 96,116 94,404 285,413 278,964  
Expenses:          
Property operating expenses 29,158 28,537 83,980 79,361  
Depreciation and amortization 32,351 30,922 95,890 92,788  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs   0 0 0  
Impairment of assets   (7) 0 7,953  
Total expenses 61,509 59,452 179,870 180,102  
Operating income 34,607 34,952 105,543 98,862  
Dividend income 0 0 0 0  
Interest and other income 0 0 0 0  
Interest expense (6,172) (5,599) (18,742) (7,398)  
Loss on early extinguishment of debt 0 0 (59) 0  
Income from continuing operations before income tax expense and equity in earnings of an investee 28,435 29,353 86,742 91,464  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income 28,435   86,742    
Income before gain on sale of properties       91,464  
Gain on sale of properties       0  
Net income attributable to noncontrolling interest (1,379)   (2,865)    
Net income attributable to common shareholders 27,056 29,353 83,877 91,464  
Total assets 3,290,138   3,290,138   3,333,141
All Other Operations          
Revenues:          
Rental income 4,570 4,579 13,684 13,689  
Residents fees and services 0 0 0 0  
Total revenues 4,570 4,579 13,684 13,689  
Expenses:          
Property operating expenses 0 0 0 0  
Depreciation and amortization 948 948 2,844 2,844  
General and administrative 19,883 12,107 57,889 34,931  
Acquisition and certain other transaction related costs   824 292 1,443  
Impairment of assets   0 5,082 0  
Total expenses 20,831 13,879 66,107 39,218  
Operating income (16,261) (9,300) (52,423) (25,529)  
Dividend income 659 659 1,978 1,449  
Interest and other income 128 89 323 330  
Interest expense (32,106) (29,507) (93,924) (90,215)  
Loss on early extinguishment of debt (274) 0 (274) 0  
Income from continuing operations before income tax expense and equity in earnings of an investee (47,854) (38,059) (144,320) (113,965)  
Income tax expense (109) (119) (300) (318)  
Equity in earnings of an investee 31 13 533 107  
Net income (47,932)   (144,087)    
Income before gain on sale of properties       (114,176)  
Gain on sale of properties       0  
Net income attributable to noncontrolling interest 0   0    
Net income attributable to common shareholders (47,932) $ (38,165) (144,087) $ (114,176)  
Total assets $ 385,461   $ 385,461   $ 345,536