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Segment Disclosures (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 item | Dec. 31, 2012 | Dec. 31, 2011
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments |  |  |  |  |  |  |  |  | 5 |  |
Rental Revenues |  |  |  |  |  |  |  |  | $ 1,865,584 | $ 1,714,466 | $ 1,543,390
Resident Fees and Services |  |  |  |  |  |  |  |  | 146,288 | 139,073 | 49,091
Interest Income |  |  |  |  |  |  |  |  | 86,159 | 24,536 | 99,864
Investment Management Fee Income |  |  |  |  |  |  |  |  | 1,847 | 1,895 | 2,073
Total revenues | 530,297 | 546,158 | 512,239 | 511,184 | 503,233 | 469,999 | 456,130 | 450,608 | 2,099,878 | 1,879,970 | 1,694,418
NOI |  |  |  |  |  |  |  |  | 1,713,590 | 1,572,823 | 1,373,780
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | 1,581,038 | 1,429,989 | 1,232,546
Senior housing |  |  |  |  |  |  |  |  |  |  |
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Rental Revenues |  |  |  |  |  |  |  |  | 602,506 | 481,559 | 469,251
Resident Fees and Services |  |  |  |  |  |  |  |  | 146,288 | 139,073 | 49,091
Interest Income |  |  |  |  |  |  |  |  | 11,621 | 3,503 | 178
Investment Management Fee Income |  |  |  |  |  |  |  |  |  |  | 70
Total revenues |  |  |  |  |  |  |  |  | 760,415 | 624,135 | 518,590
NOI |  |  |  |  |  |  |  |  | 653,191 | 529,209 | 484,970
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | 594,492 | 478,671 | 432,047
Post-acute/skilled nursing |  |  |  |  |  |  |  |  |  |  |
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Rental Revenues |  |  |  |  |  |  |  |  | 541,805 | 530,037 | 388,633
Interest Income |  |  |  |  |  |  |  |  | 73,595 | 19,993 | 98,450
Total revenues |  |  |  |  |  |  |  |  | 615,400 | 550,030 | 487,083
NOI |  |  |  |  |  |  |  |  | 539,320 | 529,562 | 388,214
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | 467,508 | 453,456 | 331,134
Life science |  |  |  |  |  |  |  |  |  |  |
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Rental Revenues |  |  |  |  |  |  |  |  | 296,879 | 289,664 | 288,151
Investment Management Fee Income |  |  |  |  |  |  |  |  | 4 | 4 | 4
Total revenues |  |  |  |  |  |  |  |  | 296,883 | 289,668 | 288,155
NOI |  |  |  |  |  |  |  |  | 239,923 | 236,491 | 235,355
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | 228,475 | 226,997 | 212,250
Medical office |  |  |  |  |  |  |  |  |  |  |
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Rental Revenues |  |  |  |  |  |  |  |  | 352,334 | 333,008 | 318,368
Investment Management Fee Income |  |  |  |  |  |  |  |  | 1,843 | 1,891 | 1,999
Total revenues |  |  |  |  |  |  |  |  | 354,177 | 334,899 | 320,367
NOI |  |  |  |  |  |  |  |  | 212,958 | 200,876 | 190,584
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | 210,811 | 195,761 | 184,408
Hospital |  |  |  |  |  |  |  |  |  |  |
Segment reporting information, revenues |  |  |  |  |  |  |  |  |  |  |
Rental Revenues |  |  |  |  |  |  |  |  | 72,060 | 80,198 | 78,987
Interest Income |  |  |  |  |  |  |  |  | 943 | 1,040 | 1,236
Total revenues |  |  |  |  |  |  |  |  | 73,003 | 81,238 | 80,223
NOI |  |  |  |  |  |  |  |  | 68,198 | 76,685 | 74,657
Adjusted NOI (Cash NOI) |  |  |  |  |  |  |  |  | $ 79,752 | $ 75,104 | $ 72,707

X
- Definition Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL accretion, amortization of above and below market lease intangibles, and lease termination fees. Adjusted NOI is sometimes referred to as "Cash NOI". + References No definition available. + Details
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X
- Definition NOI is a non-GAAP supplemental financial measure used to evaluate the operating performance of real estate. The Company defines NOI as rental revenues, including tenant recoveries, resident fees and services, and income from direct financing leases, less property level operating expenses. NOI excludes interest income, investment management fee income, depreciation and amortization, interest expense, general and administrative expenses, impairments, impairment recoveries, other income, net, income taxes, equity income from and impairments of investments in unconsolidated joint ventures, and discontinued operations. The Company believes NOI provides relevant and useful information because it reflects only income and operating expense items that are incurred at the property level and presents them on an unleveraged basis. The Company uses NOI to make decisions about resource allocations and to assess and compare property level performance. The Company believes that net income is the most directly comparable GAAP measure to NOI. NOI should not be viewed as an alternative measure of operating performance to net income as defined by GAAP because it does not reflect the aforementioned excluded items. Further, the Company's definition of NOI may not be comparable to the definition used by other REITs, as those companies may use different methodologies for calculating NOI. + References No definition available. + Details
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- Definition The total amount of rental and related revenues, tenant recoveries and income from direct financing leases recognized for the period. + References No definition available. + Details
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- Definition Amount of revenues recognized from services provided to residents in facilities owned or operated by the health care organization (not including patient service revenue), which may be based on contractual rates set forth in agreements with third-party payers. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(d)) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8184-115640 + Details
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- Definition Amount of operating interest income, including, but not limited to, amortization and accretion of premiums and discounts on securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(e)) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 + Details
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- Definition Revenue, comprised of base and incentive revenue derived from the management of joint ventures, managing third-party properties, or another entity's operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(d)) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 + Details
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- Definition Number of operating segments. An operating segment is a component of an enterprise: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same enterprise), (b) whose operating results are regularly reviewed by the enterprise's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. An operating segment may engage in business activities for which it has yet to earn revenues, for example, start-up operations may be operating segments before earning revenues. + References No definition available. + Details
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- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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