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Dispositions of Real Estate and Discontinued Operations (Details) (USD $) | 12 Months Ended | 1 Months Ended | 12 Months Ended |  |
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Dec. 31, 2013 item | Dec. 31, 2012 item | Dec. 31, 2011 item | Dec. 31, 2013 Medical office item | Dec. 31, 2012 Medical office item | Sep. 30, 2013 Hospital item | Dec. 31, 2013 Hospital item | Dec. 31, 2012 Hospital item | Dec. 31, 2013 Senior housing item | Dec. 31, 2012 Senior housing item | Dec. 31, 2013 Post-acute/skilled nursing item | Dec. 31, 2012 Post-acute/skilled nursing | Dec. 31, 2012 Parcel of land in the life science segment | Dec. 31, 2013 Post-acute/skilled nursing and senior housing | Dec. 31, 2012 Senior housing and hospital and medical office
Dispositions of Real Estate and Land |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed |  |  |  | 2 |  |  |  |  | 2 | 2 | 8 |  |  |  |
Total consideration for disposition of real estate |  |  |  | $ 6,000,000 | $ 7,000,000 |  |  |  | $ 22,000,000 | $ 111,000,000 | $ 68,000,000 | $ 15,000,000 | $ 18,000,000 |  |
Number of beds sold |  |  |  |  |  | 62 |  |  |  |  |  |  |  |  |
Number of beds acquired |  |  |  |  |  | 60 |  |  |  |  |  |  |  |  |
Number of properties held for sale |  |  |  |  | 2 |  | 1 | 2 |  | 12 | 2 |  |  |  |
Carrying value of properties classified as held for sale | 9,819,000 | 56,659,000 |  |  |  |  |  |  |  |  |  |  |  | 10,000,000 | 56,000,000
Gain on sales of real estate, net of income taxes | 69,866,000 | 31,454,000 | 3,107,000 |  |  | 8,000,000 |  |  |  |  |  |  |  |  |
Operating income from discontinued operations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rental and related revenues | 16,649,000 | 33,777,000 | 32,555,000 |  |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization expenses | 5,862,000 | 12,808,000 | 11,340,000 |  |  |  |  |  |  |  |  |  |  |  |
Operating expenses | 3,929,000 | 3,304,000 | 1,472,000 |  |  |  |  |  |  |  |  |  |  |  |
Other expense, net | 979,000 | 3,467,000 | 4,486,000 |  |  |  |  |  |  |  |  |  |  |  |
Income before impairments and gain on sales of real estate, net of income taxes | 5,879,000 | 14,198,000 | 15,257,000 |  |  |  |  |  |  |  |  |  |  |  |
Impairments | $ 1,372,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties included in discontinued operations | 16 | 20 | 23 |  |  |  |  |  |  |  |  |  |  |  |

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