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SEGMENT INFORMATION - Income Statement (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2016
USD ($)
Jun. 30, 2015
USD ($)
Jun. 30, 2016
USD ($)
segment
Jun. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
Segment Reporting [Abstract]          
Number of reportable business segments | segment     3    
Revenues:          
Rental income $ 354,206 $ 322,478 $ 712,829 $ 648,095  
Resident fees and services 464,437 454,645 928,413 901,559  
Medical office building and other services revenue 5,504 9,408 12,689 19,951  
Income from loans and investments 24,146 25,215 46,532 47,268  
Interest and other income 111 174 230 645  
Total revenues 848,404 811,920 1,700,693 1,617,518  
Less:          
Interest and other income 111 174 230 645  
Property-level operating expenses 351,955 342,662 708,177 683,461  
Medical office building services costs 1,852 5,764 5,303 12,682  
Segment NOI 494,486 463,320 986,983 920,730  
Income (loss) from unconsolidated entities 1,418 9 1,220 (242)  
Segment profit 495,904 463,329 988,203 920,488  
Interest and other income 111 174 230 645  
Interest expense (103,665) (83,959) (206,938) (166,287)  
Depreciation and amortization (221,961) (214,711) (458,348) (430,930)  
General, administrative and professional fees (32,094) (33,959) (63,820) (68,285)  
Gain (loss) on extinguishment of debt, net (2,468) 455 (2,782) 434  
Merger-related expenses and deal costs (7,224) (12,265) (8,856) (42,878)  
Other (2,303) (4,279) (6,471) (9,153)  
Income tax benefit 11,549 9,789 19,970 17,039  
Discontinued operations (148) 18,243 (637) 35,817  
Gain on real estate dispositions 5,739 7,469 31,923 14,155  
Net income 143,440 150,286 292,474 271,045 $ 419,222
Operating Segments | Triple-Net Leased Properties          
Revenues:          
Rental income 210,119 182,006 424,606 370,563  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 1,231 1,139 2,430 2,275  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 211,350 183,145 427,036 372,838  
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 211,350 183,145 427,036 372,838  
Income (loss) from unconsolidated entities 825 221 154 645  
Segment profit 212,175 183,366 427,190 373,483  
Interest and other income 0 0 0 0  
Operating Segments | Senior Living Operations          
Revenues:          
Rental income 0 0 0 0  
Resident fees and services 464,437 454,645      
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 464,437 454,645 928,413 901,559  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 307,989 299,252 620,530 597,614  
Medical office building services costs 0 0 0 0  
Segment NOI 156,448 155,393 307,883 303,945  
Income (loss) from unconsolidated entities 336 (240) 673 (662)  
Segment profit 156,784 155,153 308,556 303,283  
Interest and other income 0 0 0 0  
Operating Segments | MOB Operations          
Revenues:          
Rental income 144,087 140,472 288,223 277,532  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 3,369 7,749 8,345 16,607  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 147,456 148,221 296,568 294,139  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 43,966 43,410 87,647 85,847  
Medical office building services costs 1,852 5,764 5,303 12,682  
Segment NOI 101,638 99,047 203,618 195,610  
Income (loss) from unconsolidated entities 173 143 47 119  
Segment profit 101,811 99,190 203,665 195,729  
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 904 520 1,914 1,069  
Income from loans and investments 24,146 25,215      
Interest and other income 111 174 230 645  
Total revenues 25,161 25,909 48,676 48,982  
Less:          
Interest and other income 111 174 230 645  
Property-level operating expenses 0 0 0 0  
Medical office building services costs 0 0 0 0  
Segment NOI 25,050 25,735 48,446 48,337  
Income (loss) from unconsolidated entities 84 (115) 346 (344)  
Segment profit 25,134 25,620 48,792 47,993  
Interest and other income $ 111 $ 174 $ 230 $ 645