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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
segment
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Segment Reporting [Abstract]          
Number of operating segments | segment     4    
Number of reportable segments | segment     3    
Revenues:          
Rental income $ 174,585 $ 166,647 $ 348,313 $ 333,090  
Residents fees and services 102,663 98,366 204,750 196,484  
Total revenues 277,248 265,013 553,063 529,574  
Expenses:          
Property operating expenses 110,092 102,795 218,235 203,851  
Depreciation and amortization 72,300 69,669 142,639 142,844  
General and administrative 29,078 22,922 54,196 38,005  
Acquisition and certain other transaction related costs 77 0 97 292  
Impairment of assets 548 5,082 548 5,082  
Total expenses 212,095 200,468 415,715 390,074  
Operating income 65,153 64,545 137,348 139,500  
Dividend income 659 659 1,318 1,319  
Unrealized gains and losses on equity securities, net 23,265 0 50,506 0  
Interest and other income 60 76 114 195  
Interest expense (44,813) (40,800) (88,365) (84,289)  
Loss on early extinguishment of debt 0 (7,353) (130) (7,353)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 44,324 17,127 100,791 49,372  
Income tax expense (105) (99) (365) (191)  
Equity in earnings of an investee 7 374 51 502  
Income (loss) before gain on sale of properties 44,226 17,402 100,477 49,683  
Gain on sale of properties 80,762 0 261,916 0  
Net income (loss) 124,988 17,402 362,393 49,683  
Net income attributable to noncontrolling interest (1,401) (1,360) (2,784) (1,486)  
Net income (loss) attributable to common shareholders 123,587 16,042 359,609 48,197  
Assets 7,435,636   7,435,636   $ 7,294,019
MOBs          
Revenues:          
Rental income 103,854 94,651 205,005 189,297  
Residents fees and services 0 0 0 0  
Total revenues 103,854 94,651 205,005 189,297  
Expenses:          
Property operating expenses 31,183 27,646 62,121 54,823  
Depreciation and amortization 36,326 31,861 70,711 63,539  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0   0 0  
Impairment of assets 0 0 0 0  
Total expenses 67,509 59,507 132,832 118,362  
Operating income 36,345 35,144 72,173 70,935  
Dividend income 0 0 0 0  
Unrealized gains and losses on equity securities, net 0   0    
Interest and other income 0 0 0 0  
Interest expense (6,113) (6,250) (12,022) (12,570)  
Loss on early extinguishment of debt   (59) 0 (59)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 30,232 28,835 60,151 58,306  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Income (loss) before gain on sale of properties 30,232   60,151    
Gain on sale of properties 0   0    
Net income (loss) 30,232 28,835 60,151 58,306  
Net income attributable to noncontrolling interest (1,401) (1,360) (2,784) (1,486)  
Net income (loss) attributable to common shareholders 28,831 27,475 57,367 56,820  
Assets 3,425,719   3,425,719   3,367,485
Triple Net Leased Senior Living Communities          
Revenues:          
Rental income 66,113 67,426 134,088 134,678  
Residents fees and services 0 0 0 0  
Total revenues 66,113 67,426 134,088 134,678  
Expenses:          
Property operating expenses 0 0 0 0  
Depreciation and amortization 20,186 20,470 40,381 40,804  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0   0 0  
Impairment of assets 548 0 548 0  
Total expenses 20,734 20,470 40,929 40,804  
Operating income 45,379 46,956 93,159 93,874  
Dividend income 0 0 0 0  
Unrealized gains and losses on equity securities, net 0   0    
Interest and other income 0 0 0 0  
Interest expense (565) (2,211) (1,136) (7,550)  
Loss on early extinguishment of debt   (7,294) 0 (7,294)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 44,814 37,451 92,023 79,030  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Income (loss) before gain on sale of properties 44,814   92,023    
Gain on sale of properties 80,762   261,916    
Net income (loss) 125,576 37,451 353,939 79,030  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders 125,576 37,451 353,939 79,030  
Assets 2,138,399   2,138,399   2,251,756
Managed Senior Living Communities          
Revenues:          
Rental income 0 0 0 0  
Residents fees and services 102,663 98,366 204,750 196,484  
Total revenues 102,663 98,366 204,750 196,484  
Expenses:          
Property operating expenses 78,909 75,149 156,114 149,028  
Depreciation and amortization 14,841 16,390 29,652 36,605  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0   0 0  
Impairment of assets 0 0 0 0  
Total expenses 93,750 91,539 185,766 185,633  
Operating income 8,913 6,827 18,984 10,851  
Dividend income 0 0 0 0  
Unrealized gains and losses on equity securities, net 0   0    
Interest and other income 0 0 0 0  
Interest expense (1,256) (1,176) (2,583) (2,352)  
Loss on early extinguishment of debt   0 (130) 0  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 7,657 5,651 16,271 8,499  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Income (loss) before gain on sale of properties 7,657   16,271    
Gain on sale of properties 0   0    
Net income (loss) 7,657 5,651 16,271 8,499  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders 7,657 5,651 16,271 8,499  
Assets 1,340,992   1,340,992   1,273,757
All Other Operations          
Revenues:          
Rental income 4,618 4,570 9,220 9,115  
Residents fees and services 0 0 0 0  
Total revenues 4,618 4,570 9,220 9,115  
Expenses:          
Property operating expenses 0 0 0 0  
Depreciation and amortization 947 948 1,895 1,896  
General and administrative 29,078 22,922 54,196 38,005  
Acquisition and certain other transaction related costs 77   97 292  
Impairment of assets 0 5,082 0 5,082  
Total expenses 30,102 28,952 56,188 45,275  
Operating income (25,484) (24,382) (46,968) (36,160)  
Dividend income 659 659 1,318 1,319  
Unrealized gains and losses on equity securities, net 23,265   50,506    
Interest and other income 60 76 114 195  
Interest expense (36,879) (31,163) (72,624) (61,817)  
Loss on early extinguishment of debt   0 0 0  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee (38,379) (54,810) (67,654) (96,463)  
Income tax expense (105) (99) (365) (191)  
Equity in earnings of an investee 7 374 51 502  
Income (loss) before gain on sale of properties (38,477)   (67,968)    
Gain on sale of properties 0   0    
Net income (loss) (38,477) (54,535) (67,968) (96,152)  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders (38,477) $ (54,535) (67,968) $ (96,152)  
Assets $ 530,526   $ 530,526   $ 401,021