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Segment Disclosures (Details 3) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2014
Dec. 31, 2013
Segment Disclosure    
Total assets $ 19,858,678 [1] $ 20,075,870 [1]
Assets held for sale, net   9,819
Goodwill 50,346 50,346
Operating segment
    
Segment Disclosure    
Gross assets 21,430,968 21,381,636
Accumulated depreciation and amortization (2,318,562) (2,254,591)
Total assets 19,112,406 19,127,045
Operating segment | Senior housing
    
Segment Disclosure    
Gross assets 7,812,723 7,803,085
Goodwill 31,000 31,000
Operating segment | Post-acute/skilled nursing
    
Segment Disclosure    
Gross assets 6,301,607 6,266,938
Goodwill 3,000 3,000
Operating segment | Life science
    
Segment Disclosure    
Gross assets 4,003,001 3,986,187
Operating segment | Medical office
    
Segment Disclosure    
Gross assets 2,674,280 2,686,069
Goodwill 11,000 11,000
Operating segment | Hospital
    
Segment Disclosure    
Gross assets 639,357 639,357
Goodwill 5,000 5,000
Other non-segment
    
Segment Disclosure    
Total assets $ 746,272 $ 939,006
[1] The Company's consolidated total assets at March 31, 2014 and December 31, 2013 include assets of certain variable interest entities ("VIEs") that can only be used to settle the liabilities of those VIEs. At both March 31, 2014 and December 31, 2013: other assets, net, $1 million. See Note 16 to the Condensed Consolidated Financial Statements for additional information.