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SEGMENT INFORMATION - Income Statement (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
segment
Sep. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Segment Reporting [Abstract]          
Number of reportable business segments | segment     3    
Revenues:          
Rental income $ 343,783 $ 287,559 $ 991,878 $ 846,989  
Resident fees and services 454,825 396,247 1,356,384 1,141,781  
Medical office building and other services revenue 10,000 7,573 29,951 18,240  
Income from loans and investments 18,924 13,186 66,192 36,902  
Interest and other income 74 367 719 811  
Total revenues 827,606 704,932 2,445,124 2,044,723  
Less:          
Interest and other income 74 367 719 811  
Property-level operating expenses 347,845 306,536 1,031,306 883,014  
Medical office building services costs 6,416 4,568 19,098 9,565  
Segment NOI 473,271 393,461 1,394,001 1,151,333  
Income (loss) from unconsolidated entities (955) (47) (1,197) 549  
Segment profit 472,316 393,414 1,392,804 1,151,882  
Interest and other income 74 367 719 811  
Interest expense (97,135) (77,325) (263,422) (214,117)  
Depreciation and amortization (226,332) (173,006) (657,262) (507,167)  
General, administrative and professional fees (32,114) (29,464) (100,399) (93,632)  
Loss on extinguishment of debt, net (15,331) (2,414) (14,897) (5,079)  
Merger-related expenses and deal costs (62,145) (16,188) (105,023) (35,944)  
Other (4,795) (9,413) (13,948) (18,070)  
Income tax benefit (expense) 10,697 1,887 27,736 (4,820)  
Discontinued operations (22,383) 18,171 13,434 79,026  
Gain on real estate dispositions 265 3,625 14,420 16,514  
Net income 23,117 109,654 294,162 369,404 $ 477,186
Triple-Net Leased Properties          
Revenues:          
Rental income 201,028 170,873 571,591 500,047  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 1,011 1,136 3,286 3,429  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 202,039 172,009 574,877 503,476  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 0 0 0 0  
Medical office building services costs 0 0 0 0  
Segment NOI 202,039 172,009 574,877 503,476  
Income (loss) from unconsolidated entities (1,431) 252 (785) 838  
Segment profit 200,608 172,261 574,092 504,314  
Interest and other income 0 0 0 0  
Senior Living Operations          
Revenues:          
Rental income 0 0 0 0  
Resident fees and services 454,825 396,247 1,356,384 1,141,781  
Medical office building and other services revenue 0 0 0 0  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 454,825 396,247 1,356,384 1,141,781  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 304,540 265,274 902,154 762,993  
Medical office building services costs 0 0 0 0  
Segment NOI 150,285 130,973 454,230 378,788  
Income (loss) from unconsolidated entities 433 (225) (221) (209)  
Segment profit 150,718 130,748 454,009 378,579  
Interest and other income 0 0 0 0  
MOB Operations          
Revenues:          
Rental income 142,755 116,686 420,287 346,942  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 8,459 5,937 25,066 13,311  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 151,214 122,623 445,353 360,253  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 43,305 41,262 129,152 120,021  
Medical office building services costs 6,416 4,568 19,098 9,565  
Segment NOI 101,493 76,793 297,103 230,667  
Income (loss) from unconsolidated entities 108 66 226 326  
Segment profit 101,601 76,859 297,329 230,993  
Interest and other income 0 0 0 0  
All Other          
Revenues:          
Rental income 0 0 0 0  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 530 500 1,599 1,500  
Income from loans and investments 18,924 13,186 66,192 36,902  
Interest and other income 74 367 719 811  
Total revenues 19,528 14,053 68,510 39,213  
Less:          
Interest and other income 74 367 719 811  
Property-level operating expenses 0 0 0 0  
Medical office building services costs 0 0 0 0  
Segment NOI 19,454 13,686 67,791 38,402  
Income (loss) from unconsolidated entities (65) (140) (417) (406)  
Segment profit 19,389 13,546 67,374 37,996  
Interest and other income $ 74 $ 367 $ 719 $ 811