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Segment Disclosures (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014 item	Sep. 30, 2013
Segment reporting information, revenues
Number of reportable segments			5
Rental Revenues	$ 516,461	$ 467,245	$ 1,472,056	$ 1,391,055
Resident Fees and Services	62,213	36,370	138,205	108,509
Interest Income	17,517	42,078	51,150	68,611
Investment Management Fee Income	447	464	1,340	1,406
Total revenues	596,638	546,157	1,662,751	1,569,581
NOI	479,075	428,198	1,356,088	1,277,574
Adjusted (Cash) NOI	413,431	395,237	1,223,589	1,177,027
Senior housing
Segment reporting information, revenues
Rental Revenues	183,834	149,443	485,823	448,600
Resident Fees and Services	62,213	36,370	138,205	108,509
Interest Income	3,919	3,121	10,633	8,328
Total revenues	249,966	188,934	634,661	565,437
NOI	203,030	162,078	531,640	486,516
Adjusted (Cash) NOI	155,512	148,684	459,363	439,410
Post-acute/skilled
Segment reporting information, revenues
Rental Revenues	139,205	136,017	415,533	405,108
Interest Income	13,598	38,642	40,517	59,656
Total revenues	152,803	174,659	456,050	464,764
NOI	138,671	135,388	413,934	403,218
Adjusted (Cash) NOI	121,978	117,921	362,182	349,590
Life science
Segment reporting information, revenues
Rental Revenues	79,450	72,531	233,113	221,088
Investment Management Fee Income	1	1	3	3
Total revenues	79,451	72,532	233,116	221,091
NOI	62,813	58,440	186,866	179,775
Adjusted (Cash) NOI	60,722	56,352	178,890	170,957
Medical office
Segment reporting information, revenues
Rental Revenues	92,412	88,425	273,215	265,252
Investment Management Fee Income	446	463	1,337	1,403
Total revenues	92,858	88,888	274,552	266,655
NOI	53,953	52,438	162,075	159,888
Adjusted (Cash) NOI	54,481	52,397	161,280	157,406
Hospital
Segment reporting information, revenues
Rental Revenues	21,560	20,829	64,372	51,007
Interest Income		315		627
Total revenues	21,560	21,144	64,372	51,634
NOI	20,608	19,854	61,573	48,177
Adjusted (Cash) NOI	$ 20,738	$ 19,883	$ 61,874	$ 59,664

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=35755891&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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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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