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Segment Disclosures (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2014 item	Mar. 31, 2013
Segment reporting information, revenues
Number of reportable segments	5
Rental Revenues	$ 474,794	$ 462,611
Resident Fees and Services	38,053	35,746
Interest Income	16,696	12,386
Investment Management Fee Income	449	443
Total revenues	529,992	511,186
NOI	437,140	425,671
Adjusted NOI (Cash NOI)	400,993	382,625
Senior housing
Segment reporting information, revenues
Rental Revenues	150,085	148,896
Resident Fees and Services	38,053	35,746
Interest Income	3,284	2,401
Total revenues	191,422	187,043
NOI	163,590	161,120
Adjusted NOI (Cash NOI)	150,375	142,722
Post-acute/skilled
Segment reporting information, revenues
Rental Revenues	137,780	133,836
Interest Income	13,412	9,985
Total revenues	151,192	143,821
NOI	137,248	133,207
Adjusted NOI (Cash NOI)	118,099	113,847
Life science
Segment reporting information, revenues
Rental Revenues	76,122	73,330
Investment Management Fee Income	1	1
Total revenues	76,123	73,331
NOI	61,961	59,947
Adjusted NOI (Cash NOI)	58,829	56,340
Medical office
Segment reporting information, revenues
Rental Revenues	89,262	86,831
Investment Management Fee Income	448	442
Total revenues	89,710	87,273
NOI	53,746	52,567
Adjusted NOI (Cash NOI)	53,029	51,240
Hospital
Segment reporting information, revenues
Rental Revenues	21,545	19,718
Total revenues	21,545	19,718
NOI	20,595	18,830
Adjusted NOI (Cash NOI)	$ 20,661	$ 18,476

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.

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- 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.

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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.

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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

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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

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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

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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.

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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

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