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Other Real Estate Property Investments (Details 2) (USD $)
 12 Months Ended 12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2013
Senior housing
Dec. 31, 2012
Senior housing
Dec. 31, 2013
Post-acute/skilled
acre
Dec. 31, 2012
Life science
Dec. 31, 2012
Medical office
Dec. 31, 2012
Hospital
Dec. 31, 2013
Senior housing, life science and medical office
Dec. 31, 2012
Senior housing, life science and medical office
Acquisition                    
Acquisition of facility     $ 18,000,000   $ 400,000          
Price paid upon exercise of purchase option     16,000,000              
Land acquired (in acres)         38          
Other real estate acquisitions                    
Consideration, Cash Paid 186,478,000     3,860,000   7,964,000 171,654,000 3,000,000    
Consideration, Debt and Other Liabilities Assumed 60,597,000           60,597,000      
Consideration, Noncontrolling Interest 42,734,000 1,500,000       86,000 42,648,000      
Assets Acquired, Real Estate 221,682,000     3,541,000   7,580,000 207,561,000 3,000,000    
Assets Acquired, Net Intangibles 68,127,000     319,000   470,000 67,338,000      
Payments to acquire productive assets                 $ 173,000,000 $ 183,000,000