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Segment Disclosures (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014 item	Jun. 30, 2013
Segment reporting information, revenues
Number of reportable segments			5
Rental Revenues	$ 480,801	$ 461,199	$ 955,595	$ 923,810
Resident Fees and Services	37,939	36,394	75,992	72,139
Interest Income	16,937	14,147	33,633	26,533
Investment Management Fee Income	444	499	893	942
Total revenues	536,121	512,239	1,066,113	1,023,424
NOI	439,873	423,706	877,013	849,376
Adjusted (Cash) NOI	409,165	399,166	810,158	781,790
Senior housing
Segment reporting information, revenues
Rental Revenues	151,904	150,261	301,989	299,157
Resident Fees and Services	37,939	36,394	75,992	72,139
Interest Income	3,430	2,806	6,714	5,207
Total revenues	193,273	189,461	384,695	376,503
NOI	165,020	163,319	328,610	324,438
Adjusted (Cash) NOI	153,476	148,005	303,851	290,726
Post-acute/skilled
Segment reporting information, revenues
Rental Revenues	138,548	135,255	276,328	269,091
Interest Income	13,507	11,029	26,919	21,014
Total revenues	152,055	146,284	303,247	290,105
NOI	138,015	134,623	275,263	267,830
Adjusted (Cash) NOI	122,105	117,822	240,204	231,669
Life science
Segment reporting information, revenues
Rental Revenues	77,541	75,227	153,663	148,557
Investment Management Fee Income	1	1	2	2
Total revenues	77,542	75,228	153,665	148,559
NOI	62,092	61,388	124,053	121,335
Adjusted (Cash) NOI	59,339	58,265	118,168	114,605
Medical office
Segment reporting information, revenues
Rental Revenues	91,541	89,996	180,803	176,827
Investment Management Fee Income	443	498	891	940
Total revenues	91,984	90,494	181,694	177,767
NOI	54,376	54,883	108,122	107,450
Adjusted (Cash) NOI	53,770	53,770	106,799	105,010
Hospital
Segment reporting information, revenues
Rental Revenues	21,267	10,460	42,812	30,178
Interest Income		312		312
Total revenues	21,267	10,772	42,812	30,490
NOI	20,370	9,493	40,965	28,323
Adjusted (Cash) NOI	$ 20,475	$ 21,304	$ 41,136	$ 39,780

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

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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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