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SEGMENT INFORMATION - Income Statement (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2016
USD ($)
segment
Mar. 31, 2015
USD ($)
Dec. 31, 2015
USD ($)
Segment Reporting [Abstract]      
Number of reportable business segments | segment 3    
Revenues:      
Rental income $ 358,623 $ 325,617  
Resident fees and services 463,976 446,914  
Medical office building and other services revenue 7,185 10,543  
Income from loans and investments 22,386 22,053  
Interest and other income 119 471  
Total revenues 852,289 805,598  
Less:      
Interest and other income 119 471  
Property-level operating expenses 356,222 340,799  
Medical office building services costs 3,451 6,918  
Segment NOI 492,497 457,410  
Income (loss) from unconsolidated entities (198) (251)  
Segment profit 492,299 457,159  
Interest and other income 119 471  
Interest expense (103,273) (82,328)  
Depreciation and amortization (236,387) (216,219)  
General, administrative and professional fees (31,726) (34,326)  
Loss on extinguishment of debt, net (314) (21)  
Merger-related expenses and deal costs (1,632) (30,613)  
Other (4,168) (4,874)  
Income tax benefit 8,421 7,250  
Discontinued operations (489) 17,574  
Gain on real estate dispositions 26,184 6,686  
Net income 149,034 120,759 $ 419,222
Operating Segments | Triple-Net Leased Properties      
Revenues:      
Rental income 214,487 188,557  
Resident fees and services 0 0  
Medical office building and other services revenue 1,199 1,136  
Income from loans and investments 0 0  
Interest and other income 0 0  
Total revenues 215,686 189,693  
Less:      
Interest and other income 0 0  
Property-level operating expenses 0 0  
Medical office building services costs 0 0  
Segment NOI 215,686 189,693  
Income (loss) from unconsolidated entities (671) 425  
Segment profit 215,015 190,118  
Interest and other income 0 0  
Operating Segments | Senior Living Operations      
Revenues:      
Rental income 0 0  
Resident fees and services 463,976 446,914  
Medical office building and other services revenue 0 0  
Income from loans and investments 0 0  
Interest and other income 0 0  
Total revenues 463,976 446,914  
Less:      
Interest and other income 0 0  
Property-level operating expenses 312,541 298,362  
Medical office building services costs 0 0  
Segment NOI 151,435 148,552  
Income (loss) from unconsolidated entities 337 (422)  
Segment profit 151,772 148,130  
Interest and other income 0 0  
Operating Segments | MOB Operations      
Revenues:      
Rental income 144,136 137,060  
Resident fees and services 0 0  
Medical office building and other services revenue 4,976 8,858  
Income from loans and investments 0 0  
Interest and other income 0 0  
Total revenues 149,112 145,918  
Less:      
Interest and other income 0 0  
Property-level operating expenses 43,681 42,437  
Medical office building services costs 3,451 6,918  
Segment NOI 101,980 96,563  
Income (loss) from unconsolidated entities (126) (25)  
Segment profit 101,854 96,538  
Interest and other income 0 0  
All Other      
Revenues:      
Rental income 0 0  
Resident fees and services 0 0  
Medical office building and other services revenue 1,010 549  
Income from loans and investments 22,386 22,053  
Interest and other income 119 471  
Total revenues 23,515 23,073  
Less:      
Interest and other income 119 471  
Property-level operating expenses 0 0  
Medical office building services costs 0 0  
Segment NOI 23,396 22,602  
Income (loss) from unconsolidated entities 262 (229)  
Segment profit 23,658 22,373  
Interest and other income $ 119 $ 471