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Segment Reporting (Details)
$ in Thousands
 3 Months Ended
Mar. 31, 2018
USD ($)
segment
Mar. 31, 2017
USD ($)
Dec. 31, 2017
USD ($)
Segment Reporting [Abstract]      
Number of operating segments | segment 4    
Number of reportable segments | segment 3    
Revenues:      
Rental income $ 173,728 $ 166,443  
Residents fees and services 102,087 98,118  
Total revenues 275,815 264,561  
Expenses:      
Property operating expenses 108,143 101,057  
Depreciation and amortization 70,339 73,175  
General and administrative 25,118 15,083  
Acquisition and certain other transaction related costs 20 292  
Total expenses 203,620 189,607  
Operating income 72,195 74,954  
Dividend income 659 659  
Unrealized gains and losses on equity securities, net 27,241 0  
Interest and other income 54 120  
Interest expense (43,552) (43,488)  
Loss on early extinguishment of debt (130) 0  
Income from continuing operations before income tax expense and equity in earnings of an investee 56,467 32,245  
Income (loss) from continuing operations 237,405 32,281  
Income tax expense (260) (92)  
Equity in earnings of an investee 44 128  
Income (loss) before gain on sale of properties 56,251 32,281  
Gain on sale of properties 181,154 0  
Net income (loss) 237,405 32,281  
Net income attributable to noncontrolling interest (1,383) (126)  
Net income attributable to common shareholders 236,022 32,155  
Total assets 7,384,064   $ 7,294,019
Triple Net Leased Senior Living Communities      
Revenues:      
Rental income 67,975 67,252  
Residents fees and services 0 0  
Total revenues 67,975 67,252  
Expenses:      
Property operating expenses 0 0  
Depreciation and amortization 20,195 20,334  
General and administrative 0 0  
Acquisition and certain other transaction related costs 0 0  
Total expenses 20,195 20,334  
Operating income 47,780 46,918  
Dividend income 0 0  
Unrealized gains and losses on equity securities, net 0    
Interest and other income 0 0  
Interest expense (571) (5,339)  
Loss on early extinguishment of debt 0    
Income from continuing operations before income tax expense and equity in earnings of an investee 47,209 41,579  
Income (loss) from continuing operations   41,579  
Income tax expense 0 0  
Equity in earnings of an investee 0 0  
Income (loss) before gain on sale of properties 47,209 41,579  
Gain on sale of properties 181,154 0  
Net income (loss) 228,363 41,579  
Net income attributable to noncontrolling interest 0 0  
Net income attributable to common shareholders 228,363 41,579  
Total assets 2,199,708   2,251,756
Managed Senior Living Communities      
Revenues:      
Rental income 0 0  
Residents fees and services 102,087 98,118  
Total revenues 102,087 98,118  
Expenses:      
Property operating expenses 77,205 73,880  
Depreciation and amortization 14,811 20,215  
General and administrative 0 0  
Acquisition and certain other transaction related costs 0 0  
Total expenses 92,016 94,095  
Operating income 10,071 4,023  
Dividend income 0 0  
Unrealized gains and losses on equity securities, net 0    
Interest and other income 0 0  
Interest expense (1,327) (1,176)  
Loss on early extinguishment of debt (130)    
Income from continuing operations before income tax expense and equity in earnings of an investee 8,614 2,847  
Income (loss) from continuing operations   2,847  
Income tax expense 0 0  
Equity in earnings of an investee 0 0  
Income (loss) before gain on sale of properties 8,614 2,847  
Gain on sale of properties 0 0  
Net income (loss) 8,614 2,847  
Net income attributable to noncontrolling interest 0 0  
Net income attributable to common shareholders 8,614 2,847  
Total assets 1,313,777   1,273,757
MOBs      
Revenues:      
Rental income 101,151 94,646  
Residents fees and services 0 0  
Total revenues 101,151 94,646  
Expenses:      
Property operating expenses 30,938 27,177  
Depreciation and amortization 34,385 31,678  
General and administrative 0 0  
Acquisition and certain other transaction related costs 0 0  
Total expenses 65,323 58,855  
Operating income 35,828 35,791  
Dividend income 0 0  
Unrealized gains and losses on equity securities, net 0    
Interest and other income 0 0  
Interest expense (5,909) (6,321)  
Loss on early extinguishment of debt 0    
Income from continuing operations before income tax expense and equity in earnings of an investee 29,919 29,470  
Income (loss) from continuing operations   29,470  
Income tax expense 0 0  
Equity in earnings of an investee 0 0  
Income (loss) before gain on sale of properties 29,919 29,470  
Gain on sale of properties 0 0  
Net income (loss) 29,919 29,470  
Net income attributable to noncontrolling interest (1,383) (126)  
Net income attributable to common shareholders 28,536 29,344  
Total assets 3,454,428   3,367,485
All Other Operations      
Revenues:      
Rental income 4,602 4,545  
Residents fees and services 0 0  
Total revenues 4,602 4,545  
Expenses:      
Property operating expenses 0 0  
Depreciation and amortization 948 948  
General and administrative 25,118 15,083  
Acquisition and certain other transaction related costs 20 292  
Total expenses 26,086 16,323  
Operating income (21,484) (11,778)  
Dividend income 659 659  
Unrealized gains and losses on equity securities, net 27,241    
Interest and other income 54 120  
Interest expense (35,745) (30,652)  
Loss on early extinguishment of debt 0    
Income from continuing operations before income tax expense and equity in earnings of an investee (29,275) (41,651)  
Income (loss) from continuing operations   (41,615)  
Income tax expense (260) (92)  
Equity in earnings of an investee 44 128  
Income (loss) before gain on sale of properties (29,491) (41,615)  
Gain on sale of properties 0 0  
Net income (loss) (29,491) (41,615)  
Net income attributable to noncontrolling interest 0 0  
Net income attributable to common shareholders (29,491) $ (41,615)  
Total assets $ 416,151   $ 401,021