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SEGMENT INFORMATION (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
segment
Sep. 30, 2012
Dec. 31, 2012
Segment Reporting [Abstract]          
Number of reportable business segments     3    
Revenues:          
Rental income $ 334,614 $ 308,186 $ 983,255 $ 867,828  
Resident fees and services 359,112 316,560 1,039,876 905,190  
Medical office building and other services revenue 4,146 4,544 11,331 16,791  
Income from loans and investments 14,448 9,035 45,284 25,223  
Interest and other income 66 330 1,901 442  
Total revenues 712,386 638,655 2,081,647 1,815,474  
Less:          
Interest and other income 66 330 1,901 442  
Property-level operating expenses 285,112 252,450 822,299 704,939  
Medical office building services costs 1,651 1,487 4,957 8,314  
Segment NOI 425,557 384,388 1,252,490 1,101,779  
Income from unconsolidated entities 110 17,074 533 17,905  
Segment profit 425,667 401,462 1,253,023 1,119,684  
Interest and other income 66 330 1,901 442  
Interest expense (84,089) (74,037) (245,622) (214,028)  
Depreciation and amortization (177,710) (188,540) (528,180) (534,792)  
General, administrative and professional fees (28,659) (26,867) (84,760) (75,488)  
Gain (loss) on extinguishment of debt 189 1,194 909 (38,339)  
Merger-related expenses and deal costs (6,208) (4,917) (17,137) (49,566)  
Other (4,353) (1,966) (13,325) (5,052)  
Income tax benefit 2,780 8,886 13,100 2,727  
Discontinued operations (9,084) (3,724) (33,679) 70,061  
Net income 118,599 111,821 346,230 275,649 361,775
Triple-Net Leased Properties
         
Revenues:          
Rental income 219,170 207,372 645,719 613,939  
Medical office building and other services revenue 1,116 1,110 3,342 3,329  
Total revenues 220,286 208,482 649,061 617,268  
Less:          
Segment NOI 220,286 208,482 649,061 617,268  
Income from unconsolidated entities 203 348 573 1,068  
Segment profit 220,489 208,830 649,634 618,336  
Senior Living Operations
         
Revenues:          
Total revenues 359,112 316,560 1,039,876 905,190  
Less:          
Property-level operating expenses 244,316 216,306 706,561 618,471  
Segment NOI 114,796 100,254 333,315 286,719  
Income from unconsolidated entities (32)   (1,173)    
Segment profit 114,764 100,254 332,142 286,719  
MOB Operations
         
Revenues:          
Rental income 115,444 100,814 337,536 253,889  
Medical office building and other services revenue 2,530 3,434 7,226 13,462  
Total revenues 117,974 104,248 344,762 267,351  
Less:          
Property-level operating expenses 40,796 36,144 115,738 86,468  
Medical office building services costs 1,651 1,487 4,957 8,314  
Segment NOI 75,527 66,617 224,067 172,569  
Income from unconsolidated entities 71 16,726 1,456 16,837  
Segment profit 75,598 83,343 225,523 189,406  
All Other
         
Revenues:          
Medical office building and other services revenue 500   763    
Income from loans and investments 14,448 9,035 45,284 25,223  
Interest and other income 66 330 1,901 442  
Total revenues 15,014 9,365 47,948 25,665  
Less:          
Interest and other income 66 330 1,901 442  
Segment NOI 14,948 9,035 46,047 25,223  
Income from unconsolidated entities (132)   (323)    
Segment profit 14,816 9,035 45,724 25,223  
Interest and other income $ 66 $ 330 $ 1,901 $ 442