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Debt (Details) (USD $)
3 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Dec. 31, 2011
Mar. 31, 2012
Credit Facility 2011 [Member]
Dec. 31, 2011
Credit Facility 2011 [Member]
Mar. 31, 2012
Secured and unsecured letter of credit facilities
Mar. 31, 2012
Other Financing Transaction [Member]
Mar. 31, 2012
First mortgage loan issued in February 2012 [Member]
Mar. 31, 2012
4.2% First Mortgage Facility [Member]
Integer
Mar. 31, 2012
7.0% First Mortgage Facility [Member]
Integer
Mar. 31, 2012
Interest Rate Swap [Member]
Integer
Dec. 31, 2011
Interest Rate Swap [Member]
Mar. 31, 2012
Interest Rate Cap [Member]
Integer
Dec. 31, 2011
Interest Rate Cap [Member]
Mar. 31, 2012
Mortgages payable due [Member]
Dec. 31, 2011
Mortgages payable due [Member]
Mar. 31, 2012
Notes Payable, Other Payables [Member]
Integer
Dec. 31, 2011
Notes Payable, Other Payables [Member]
Mar. 31, 2012
Discount Mortgage Note payable due 2013 [Member]
Dec. 31, 2011
Discount Mortgage Note payable due 2013 [Member]
Mar. 31, 2012
Variable rate tax exempt bonds [Member]
Dec. 31, 2011
Variable rate tax exempt bonds [Member]
Mar. 31, 2012
Capital Lease Obligations [Member]
Dec. 31, 2011
Capital Lease Obligations [Member]
Mar. 31, 2012
Convertible Debt [Member]
Dec. 31, 2011
Convertible Debt [Member]
Mar. 31, 2012
Construction Financing [Member]
Dec. 31, 2011
Construction Financing [Member]
Mar. 31, 2012
Notes Payable, Insurance Premiums Due 2012 [Member]
Dec. 31, 2011
Notes Payable, Insurance Premiums Due 2012 [Member]
Debt Instrument [Line Items]                                                            
Debt $ 2,506,242,000   $ 2,398,625,000                       $ 1,573,629,000 $ 1,470,462,000 $ 147,554,000 $ 148,601,000 $ 80,068,000 $ 79,911,000 $ 100,288,000 $ 100,423,000 $ 342,643,000 $ 348,195,000 $ 244,186,000 $ 241,897,000 $ 7,194,000 $ 6,591,000 $ 10,680,000 $ 2,545,000
Less current portion 125,316,000   47,654,000                                                      
Long-term debt 2,380,926,000   2,350,971,000                                                      
Maturity date       Jan. 31, 2016     Jan. 31, 2017 Feb. 28, 2017                 Aug. 31, 2013   Dec. 31, 2013   Dec. 31, 2032   Dec. 31, 2026   Jun. 30, 2018   Dec. 31, 2024   Dec. 31, 2012  
Maturity date, start                             2013                              
Maturity date, end                             2022                              
Weighted average interest rate (in hundredths)                             4.90% 5.04%     2.57% 2.52% 1.80% 1.65% 8.62% 8.61% 2.75% 2.75% 7.00% 7.00% 2.64% 3.11%
Unamortized debt discount                             500,000       2,500,000           72,100,000          
Number of communities securing debt (in number of communities)                                 5                          
Amount of cash collateral securing debt                                 3,000,000                          
Description of variable rate basis                                 LIBOR plus0.88%                          
Basis spread on variable rate basis (in hundredths)                                 0.88%                          
Principal                                                 316,300,000          
Derivative [Line Items]                                                            
Current notional balance                     27,660,000   418,238,000                                  
Highest possible notional                     27,660,000   418,238,000                                  
Lowest interest rate (in hundredths)                     5.49%   5.00%                                  
Highest interest rate (in hundredths)                     5.49%   6.06%                                  
Average fixed rate                     5.49%   5.49%                                  
Earliest maturity date                     2016   2012                                  
Latest maturity date                     2016   2017                                  
Weighted average original maturity                     5.0 years   2.7 years                                  
Estimated liability fair value (included in other liabilities)                     (1,793,000) (2,809,000)                                    
Estimated asset fair value (included in other assets)                         0 0                                
Change in fair value of derivatives and amortization (233,000) (8,000)                                                        
Notional amount of new agreements                         169,500,000                                  
Number of swaps agreements terminated                     1                                      
Notional amount of swap agreement terminated                     150,000,000                                      
Number of cap agreements entered                         2                                  
Cash collateral paid to counterparties pursuant to swap termination                     1,200,000                                      
Line of Credit Facility [Line Items]                                                            
Commitment on Prior borrowing facility         120,000,000                                                  
Initial commitment       200,000,000                                                    
Credit Facility, maximum borrowing capacity       230,000,000   82,700,000                                                
Maturity date       Jan. 31, 2016     Jan. 31, 2017 Feb. 28, 2017                 Aug. 31, 2013   Dec. 31, 2013   Dec. 31, 2032   Dec. 31, 2026   Jun. 30, 2018   Dec. 31, 2024   Dec. 31, 2012  
Description of applicable margin calculation based on utilization percentage       Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin, as described below. For purposes of determining the interest rate, in no event will LIBOR be less than 2.0%. The applicable margin varies with the percentage of the total commitment drawn, with a 4.5% margin at 35% or lower utilization, a 5.0% margin at utilization greater than 35% but less than or equal to 50%, and a 5.5% margin at greater than 50% utilization. The Company is also required to pay a quarterly commitment fee of 1.0% per annum on the unused portion of the facility.                                                    
Availability under the secured line of credit       199,800,000                                                    
Line of credit borrowings outstanding       85,000,000                                                    
Letters of credit outstanding           77,800,000                                                
Principal amount of note             63,000,000 20,000,000 77,900,000 15,000,000                                        
Interest rate terms             The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 300 basis points and matures in January 2017. The loan bears interest at a variable rate equal to 30-day LIBOR plus a margin of 275 basis points and matures in February 2017. 75% of the facility bears interest at a fixed rate of 4.2% and the remaining 25% of the facility bears interest at a variable rate of 30-day LIBOR plus a margin of 276 basis points 7.0%                                        
Extinguishment of debt with proceeds of debt             $ 62,800,000                                              
Percentage of loans bearing interest at a fixed rate (in hundredths)                 75.00%                                          
Percentage of loans bearing interest at a variable rate (in hundredths)                 25.00%                                          
Basis of variable rate                                 LIBOR plus0.88%                          
Margin on variable rate interest                                 0.88%                          
Term of loan                 10 2