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Segment Disclosures (Details 3) (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2014
Dec. 31, 2013
Segment Disclosure    
Assets held for sale, net   $ 9,819
Total assets 20,744,890 [1] 20,075,870 [1]
Goodwill 50,346 50,346
Operating segment
    
Segment Disclosure    
Gross assets 22,409,624 21,381,636
Accumulated depreciation and amortization (2,488,484) (2,257,188)
Total assets 19,921,140 19,124,448
Operating segment | Senior housing
    
Segment Disclosure    
Gross assets 8,427,636 7,803,085
Goodwill 31,000 31,000
Operating segment | Post-acute/skilled
    
Segment Disclosure    
Gross assets 6,336,758 6,266,938
Goodwill 3,000  
Operating segment | Life science
    
Segment Disclosure    
Gross assets 4,113,227 3,986,187
Operating segment | Medical office
    
Segment Disclosure    
Gross assets 2,892,081 2,686,069
Goodwill 11,000  
Operating segment | Hospital
    
Segment Disclosure    
Gross assets 639,922 639,357
Goodwill 5,000  
Other non-segment
    
Segment Disclosure    
Total assets $ 823,750 $ 941,603
[1] (1) The Company’s consolidated total assets at September 30, 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. Total assets at September 30, 2014 includes VIE assets as follows: buildings and improvements $668 million; land $113 million; accumulated depreciation and amortization $105 million; accounts receivable $2 million; cash $52 million; and other assets $19 million. Total assets at December 31, 2013 includes other assets of $1 million from VIEs. See Note 17 to the Condensed Consolidated Financial Statements for additional information.