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Dispositions of Real Estate and Discontinued Operations (Details) (USD $)
 3 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2014
item
Mar. 31, 2013
item
Dec. 31, 2013
Mar. 31, 2014
Post-acute/skilled nursing
item
Dec. 31, 2013
Post-acute/skilled nursing
item
Mar. 31, 2014
Hospital
Dec. 31, 2013
Hospital
item
Dec. 31, 2013
Post-acute/skilled nursing and senior housing
Dispositions of Real Estate and Land                
Number of properties disposed   0   2        
Total consideration for disposition of real estate       $ 22,000,000   $ 17,000,000    
Number of properties held for sale 0       2   1  
Carrying value of properties classified as held for sale     9,819,000         10,000,000
Operating income from discontinued operations                
Rental and related revenues 1,810,000 5,083,000            
Depreciation and amortization expenses   1,538,000            
Operating expenses 54,000 919,000            
Other expenses, net 20,000 394,000            
Income before gain on sales of real estate, net of income taxes 1,736,000 2,232,000            
Gain on sales of real estate, net of income taxes $ 28,010,000              
Number of properties included in discontinued operations 3 13