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Real Estate Properties (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended 3 Months Ended 1 Months Ended 6 Months Ended 1 Months Ended 6 Months Ended 2 Months Ended 1 Months Ended 2 Months Ended 3 Months Ended 2 Months Ended 3 Months Ended 3 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Jul. 31, 2011
Acquisition
sqft
Jul. 31, 2011
Acquisition
Five States in the Southeast United States
Senior living communities
Jun. 30, 2011
Acquisition
Five States in the Southeast United States
Senior living communities
Mar. 31, 2011
Acquisition
Five States in the Southeast United States
Senior living communities
Jun. 30, 2011
Acquisition
Five States in the Southeast United States
Senior living communities
May 31, 2011
Acquisition
Five States in the Southeast United States
Senior living communities
Five Star
May 31, 2011
Acquisition
Rockford, Illinois
Senior living communities
Jun. 30, 2011
Acquisition
Rockford, Illinois
Senior living communities
Five Star
Jun. 30, 2011
Acquisition
Shoreview, Minnesota
MOB
Jul. 31, 2011
Acquisition
Alachua, Florida
MOB
sqft
Jun. 30, 2011
Acquisition
Alachua, Florida
MOB
Jul. 31, 2011
Acquisition
Senior living communities
Jun. 30, 2011
Acquisition
Senior living communities
Five Star
Jun. 30, 2011
Acquisition
MOB
sqft
Jul. 31, 2011
Acquisition
MOB
Jul. 31, 2011
Acquisition
Living units
Jun. 30, 2011
Sale
Jun. 30, 2011
Sale
Jun. 30, 2011
Sale
MOB
Jun. 30, 2011
Sale
Five Star
Jun. 30, 2011
Sale
Assisted living community
Jun. 30, 2011
Five Star
Jun. 30, 2011
Five Star
Real estate properties                                                      
Number of properties owned 339   339                                                
Number of states in which properties are located 37   37         5               6     1                
Number of properties agreed to be acquired               20 3             1     2                
Aggregate purchase price of properties acquired, excluding closing costs         $ 22,725 $ 44,671 $ 196,594 $ 304,000     $ 7,500     $ 5,200       $ 21,750                  
Number of properties acquired           3 14     15 1   1 1 3     4                  
Mortgage loans assumed in real estate acquisition (48,062)   (48,062) (2,458)   12,757               3,700                          
Mortgage loans expected to be assumed in real estate acquisition         9,700                                            
Number of acquisition agreements         2                                            
Number of properties agreed to be acquired, referred as managed properties                 15                                    
Number of properties agreed to be acquired, referred as leased properties             5   5                                    
Number of properties acquired, referred as managed properties           2 10             1                          
Number of real estate properties leased                                 4                    
Number of units                     73                 57              
Initial lease rent                       608                             192,915
Area of real estate properties acquired (in square feet)         45,578                 32,476       174,408                  
Intangible lease assets recorded                                   2,003                  
Intangible lease liabilities recorded                                   251                  
Number of properties sold                                         7   2   1    
Aggregate sale price                                         39,460     18,800      
Gain on sale of properties 21,315   21,315                                   21,315            
Number of properties agreed to be sold                                           0          
Impairment of assets charges recorded   1,095 166 1,095                                              
Number of properties impaired   5 2 5                                              
Real estate improvements purchased                                                   4,485 15,322
Increase or decrease in annual lease rent payable                                               $ (1,864)   $ 359 $ 1,228