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Net Investment in Direct Financing Leases (Details) (USD $)
 12 Months Ended 0 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
item
Dec. 31, 2012
item
Dec. 31, 2011
Nov. 21, 2013
Tenet Healthcare Corporation
item
Nov. 21, 2013
Tenet Healthcare Corporation
Minimum
Nov. 21, 2013
Tenet Healthcare Corporation
Maximum
Dec. 31, 2013
DFL Portfolio
Dec. 31, 2012
DFL Portfolio
Dec. 31, 2011
DFL Portfolio
Sep. 30, 2013
DFL Portfolio
item
Apr. 02, 2013
HCR ManorCare
Apr. 07, 2011
HCR ManorCare
item
Dec. 31, 2013
HCR ManorCare
item
Mar. 31, 2013
HCR ManorCare
Dec. 31, 2012
HCR ManorCare
Dec. 31, 2013
HCR ManorCare
Minimum
Dec. 31, 2013
HCR ManorCare
Maximum
Acquisition                                  
Minimum lease payments receivable $ 24,808,386,000 $ 25,217,520,000                     $ 23,500,000,000   $ 24,000,000,000    
Rent receivable from triple-net lease with HCR ManorCare                     506,000,000     489,000,000      
Rate of increase in minimum lease revenue per year over each of the next 3 years (as a percent)                         3.50%        
Remaining specified period of the initial lease term during which the minimum lease revenue increases by a specified percentage per year                         3 years        
Rate of increase in minimum lease revenue per year for remaining years of lease term (as a percent)                         3.00%        
Number of asset pools                         4        
Rate of increase in rent receivable for first year of extension option (as a percent)                         3.00%        
Total initial available term of asset pools                               23 years 35 years
Number of individual leases       3                          
Real estate lease term         3 years 8 years                      
Estimated residual values 4,134,405,000 4,010,514,000                              
Less unearned income (21,789,392,000) (22,346,641,000)                              
Net investment in direct financing leases 7,153,399,000 6,881,393,000               376,000,000              
Properties subject to direct financing leases 364 361               14              
DFL income 636,881,000 622,073,000 464,704,000       24,400,000 27,800,000 27,500,000                
Cash proceeds from DFL portfolio             24,000,000 23,800,000 21,900,000                
Number of post-acute, skilled nursing and assisted living facilities acquired                       334          
Capital leases future minimum payments receivable                                  
2014 594,270,000                                
2015 606,618,000                                
2016 626,713,000                                
2017 638,775,000                                
2018 656,263,000                                
Thereafter 21,685,747,000                                
Total $ 24,808,386,000