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Concentration of Credit Risk (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Concentration of Credit Risk      
Investment $ 5,183,307 $ 4,721,591  
Revenue 460,811 422,166 340,113
Five Star | Senior living communities
     
Concentration of Credit Risk      
Number of properties acquired, referred to as managed properties 39    
Investment | Rents from significant lessee
     
Concentration of Credit Risk      
Investment 5,183,307 4,721,591  
% of Total (as a percent) 100.00% 100.00%  
Investment | Rents from significant lessee | Five Star
     
Concentration of Credit Risk      
Investment 2,181,338 2,150,722  
% of Total (as a percent) 42.00% 46.00%  
Investment | Rents from significant lessee | All others
     
Concentration of Credit Risk      
Investment 3,001,969 2,570,869  
% of Total (as a percent) 58.00% 54.00%  
Rental income | Rents from significant lessee
     
Concentration of Credit Risk      
Revenue 460,811 422,166  
% of Total (as a percent) 100.00% 100.00%  
Rental income | Rents from significant lessee | Five Star
     
Concentration of Credit Risk      
Revenue 200,912 195,409  
% of Total (as a percent) 44.00% 46.00%  
Rental income | Rents from significant lessee | All others
     
Concentration of Credit Risk      
Revenue $ 259,899 $ 226,757  
% of Total (as a percent) 56.00% 54.00%