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SEGMENT INFORMATION - Income Statement (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2015
USD ($)
Jun. 30, 2014
USD ($)
Jun. 30, 2015
USD ($)
segment
Jun. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Segment Reporting [Abstract]          
Number of reportable business segments | segment     3    
Revenues:          
Rental income $ 400,965 $ 357,616 $ 804,161 $ 710,685  
Resident fees and services 454,645 374,473 901,559 745,534  
Medical office building and other services revenue 9,408 4,367 19,951 10,667  
Income from loans and investments 26,068 14,625 48,967 25,392  
Interest and other income 236 173 708 446  
Total revenues 891,322 751,254 1,775,346 1,492,724  
Less:          
Interest and other income 236 173 708 446  
Property-level operating expenses 342,573 288,759 683,284 576,399  
Medical office building services costs 5,764 1,626 12,682 4,997  
Segment NOI 542,749 460,696 1,078,672 910,882  
Income (loss) from unconsolidated entities 9 348 (242) 596  
Segment profit 542,758 461,044 1,078,430 911,478  
Interest and other income 236 173 708 446  
Interest expense (107,591) (91,501) (214,181) (179,342)  
Depreciation and amortization (249,195) (190,818) (496,636) (384,412)  
General, administrative and professional fees (33,962) (31,306) (68,292) (64,172)  
Gain (loss) on extinguishment of debt 455 (2,924) 434 (2,665)  
Merger-related expenses and deal costs (14,585) (9,599) (49,757) (20,359)  
Other (5,091) (4,863) (10,387) (10,092)  
Income tax benefit (expense) 9,789 (3,274) 17,039 (6,707)  
Discontinued operations 67 (255) (356) 2,776  
Gain on real estate dispositions 7,469 11,889 14,155 12,889  
Net income 150,350 138,566 271,157 259,840 $ 477,186
Triple-Net Leased Properties          
Revenues:          
Rental income 260,562 242,726 526,768 480,572  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 1,139 1,145 2,275 2,293  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 261,701 243,871 529,043 482,865  
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 261,701 243,871 529,043 482,865  
Income (loss) from unconsolidated entities 221 17 645 586  
Segment profit 261,922 243,888 529,688 483,451  
Interest and other income 0 0 0 0  
Senior Living Operations          
Revenues:          
Rental income 0 0 0 0  
Resident fees and services 454,645 374,473 901,559 745,534  
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 454,645 374,473 901,559 745,534  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 299,252 249,424 597,614 497,719  
Medical office building services costs 0 0 0 0  
Segment NOI 155,393 125,049 303,945 247,815  
Income (loss) from unconsolidated entities (240) 160 (662) 16  
Segment profit 155,153 125,209 303,283 247,831  
Interest and other income 0 0 0 0  
MOB Operations          
Revenues:          
Rental income 140,403 114,890 277,393 230,113  
Resident fees and services 0 0 0 0  
Medical office building and other services revenue 7,749 2,722 16,607 7,374  
Income from loans and investments 0 0 0 0  
Interest and other income 0 0 0 0  
Total revenues 148,152 117,612 294,000 237,487  
Less:          
Interest and other income 0 0 0 0  
Property-level operating expenses 43,321 39,335 85,670 78,680  
Medical office building services costs 5,764 1,626 12,682 4,997  
Segment NOI 99,067 76,651 195,648 153,810  
Income (loss) from unconsolidated entities 143 307 119 260  
Segment profit 99,210 76,958 195,767 154,070  
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 520 500 1,069 1,000  
Income from loans and investments 26,068 14,625 48,967 25,392  
Interest and other income 236 173 708 446  
Total revenues 26,824 15,298 50,744 26,838  
Less:          
Interest and other income 236 173 708 446  
Property-level operating expenses 0 0 0 0  
Medical office building services costs 0 0 0 0  
Segment NOI 26,588 15,125 50,036 26,392  
Income (loss) from unconsolidated entities (115) (136) (344) (266)  
Segment profit 26,473 14,989 49,692 26,126  
Interest and other income $ 236 $ 173 $ 708 $ 446