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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
segment
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Segment Reporting [Abstract]          
Number of operating segments | segment     4    
Number of reportable segments | segment     3    
Revenues:          
Total revenues $ 278,969 $ 266,673 $ 831,942 $ 796,185  
Expenses:          
Property operating expenses 115,987 104,689 334,141 308,650  
Depreciation and amortization 71,661 66,619 214,300 209,463  
General and administrative 31,032 19,883 85,228 57,880  
Acquisition and certain other transaction related costs 51 19 138 148  
Impairment of assets 4,525 0 5,073 5,082  
Total expenses 223,256 191,210 638,880 581,223  
Gain on sale of properties 0 0 261,916 0  
Dividend income 660 659 1,978 1,978  
Unrealized gains and losses on equity securities, net 35,137 0 85,643 0  
Interest and other income 248 128 362 323  
Interest expense (45,416) (40,105) (133,781) (124,394)  
Gain (loss) on early extinguishment of debt 108 (274) (22) (7,627)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 46,450 35,871 409,158 85,242  
Income tax expense (79) (109) (444) (300)  
Equity in earnings of an investee 831 31 882 533  
Net income (loss) 47,202 35,793 409,596 85,475  
Net income attributable to noncontrolling interest (1,397) (1,379) (4,181) (2,865)  
Net income (loss) attributable to common shareholders 45,805 34,414 405,415 82,610  
Assets 7,453,444   7,453,444   $ 7,294,019
MOBs          
Revenues:          
Total revenues 104,492 96,116 309,497 285,413  
Expenses:          
Property operating expenses 32,652 29,158 94,773 83,980  
Depreciation and amortization 35,223 32,351 105,934 95,890  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0 0 0 0  
Impairment of assets 0   0 0  
Total expenses 67,875 61,509 200,707 179,870  
Gain on sale of properties     0    
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 (6,172) (6,172) (18,194) (18,742)  
Gain (loss) on early extinguishment of debt 0 0 0 (59)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 30,445 28,435 90,596 86,742  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income (loss) 30,445 28,435 90,596 86,742  
Net income attributable to noncontrolling interest (1,397) (1,379) (4,181) (2,865)  
Net income (loss) attributable to common shareholders 29,048 27,056 86,415 83,877  
Assets 3,408,381   3,408,381   3,367,485
Triple Net Leased Senior Living Communities          
Revenues:          
Total revenues 64,538 67,662 198,626 202,340  
Expenses:          
Property operating expenses 0 0 0 0  
Depreciation and amortization 20,148 20,629 60,529 61,434  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0 0 0 0  
Impairment of assets 4,525   5,073 0  
Total expenses 24,673 20,629 65,602 61,434  
Gain on sale of properties     261,916    
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 (327) (655) (1,463) (8,205)  
Gain (loss) on early extinguishment of debt 76 0 76 (7,294)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 39,614 46,378 393,553 125,407  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income (loss) 39,614 46,378 393,553 125,407  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders 39,614 46,378 393,553 125,407  
Assets 2,121,134   2,121,134   2,251,756
Managed Senior Living Communities          
Revenues:          
Total revenues 105,321 98,325 309,981 294,748  
Expenses:          
Property operating expenses 83,335 75,531 239,368 224,670  
Depreciation and amortization 15,341 12,691 44,993 49,295  
General and administrative 0 0 0 0  
Acquisition and certain other transaction related costs 0 0 0 0  
Impairment of assets 0   0 0  
Total expenses 98,676 88,222 284,361 273,965  
Gain on sale of properties     0    
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 (997) (1,172) (3,580) (3,523)  
Gain (loss) on early extinguishment of debt 32 0 (98) 0  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee 5,680 8,931 21,942 17,260  
Income tax expense 0 0 0 0  
Equity in earnings of an investee 0 0 0 0  
Net income (loss) 5,680 8,931 21,942 17,260  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders 5,680 8,931 21,942 17,260  
Assets 1,351,382   1,351,382   1,273,757
All Other Operations          
Revenues:          
Total revenues 4,618 4,570 13,838 13,684  
Expenses:          
Property operating expenses 0 0 0 0  
Depreciation and amortization 949 948 2,844 2,844  
General and administrative 31,032 19,883 85,228 57,880  
Acquisition and certain other transaction related costs 51 19 138 148  
Impairment of assets 0   0 5,082  
Total expenses 32,032 20,850 88,210 65,954  
Gain on sale of properties     0    
Dividend income 660 659 1,978 1,978  
Unrealized gains and losses on equity securities, net 35,137   85,643    
Interest and other income 248 128 362 323  
Interest expense (37,920) (32,106) (110,544) (93,924)  
Gain (loss) on early extinguishment of debt 0 (274) 0 (274)  
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee (29,289) (47,873) (96,933) (144,167)  
Income tax expense (79) (109) (444) (300)  
Equity in earnings of an investee 831 31 882 533  
Net income (loss) (28,537) (47,951) (96,495) (143,934)  
Net income attributable to noncontrolling interest 0 0 0 0  
Net income (loss) attributable to common shareholders (28,537) (47,951) (96,495) (143,934)  
Assets 572,547   572,547   $ 401,021
Rental income          
Revenues:          
Total revenues 173,648 168,348 521,961 501,437  
Rental income | MOBs          
Revenues:          
Total revenues 104,492 96,116 309,497 285,413  
Rental income | Triple Net Leased Senior Living Communities          
Revenues:          
Total revenues 64,538 67,662 198,626 202,340  
Rental income | Managed Senior Living Communities          
Revenues:          
Total revenues 0 0 0 0  
Rental income | All Other Operations          
Revenues:          
Total revenues 4,618 4,570 13,838 13,684  
Residents fees and services          
Revenues:          
Total revenues 105,321 98,325 309,981 294,748  
Residents fees and services | MOBs          
Revenues:          
Total revenues 0 0 0 0  
Residents fees and services | Triple Net Leased Senior Living Communities          
Revenues:          
Total revenues 0 0 0 0  
Residents fees and services | Managed Senior Living Communities          
Revenues:          
Total revenues 105,321 98,325 309,981 294,748  
Residents fees and services | All Other Operations          
Revenues:          
Total revenues $ 0 $ 0 $ 0 $ 0