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Real Estate Properties (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended 1 Months Ended 0 Months Ended 1 Months Ended 6 Months Ended 1 Months Ended 6 Months Ended 1 Months Ended 6 Months Ended 1 Months Ended
Jun. 30, 2014
property
state
building
Jun. 30, 2013
Jun. 30, 2014
property
state
building
Jun. 30, 2013
Jun. 30, 2014
MOB
item
property
sqft
building
Dec. 31, 2013
MOB
sqft
building
property
Jun. 30, 2014
Senior living communities
item
Dec. 31, 2013
Senior living communities
item
Aug. 31, 2013
Senior living communities
Five Star
property
Jun. 30, 2014
Senior living communities
Five Star
item
Apr. 30, 2014
Sale
MOB
sqft
Jun. 30, 2014
Sale
MOB
property
building
sqft
Apr. 30, 2014
Sale
MOB
building
property
sqft
Jun. 30, 2014
Sale
MOB
property
sqft
Jun. 30, 2014
Sale
Senior living communities
property
Jun. 30, 2014
Sale
Senior living communities
Five Star
property
item
Jan. 31, 2014
Sale
Senior living communities
Five Star
property
item
Aug. 31, 2013
Sale
Senior living communities
Five Star
item
Jun. 30, 2014
Acquisition
MOB
property
sqft
Jul. 31, 2014
Acquisition
Senior living communities
Subsequent event
property
item
Jun. 30, 2014
Land
Acquisition
MOB
Jun. 30, 2014
Buildings and improvements
Acquisition
MOB
May 31, 2014
MA
Acquisition
MOB
building
property
sqft
May 31, 2014
MA
Land
Acquisition
MOB
May 31, 2014
MA
Buildings and improvements
Acquisition
MOB
Jan. 31, 2014
Texas
Sale
Senior living communities
Five Star
item
Apr. 30, 2014
Texas
Acquisition
MOB
building
property
sqft
Apr. 30, 2014
Texas
Land
Acquisition
MOB
Apr. 30, 2014
Texas
Buildings and improvements
Acquisition
MOB
Real Estate Properties                                                          
Number of properties owned 372   372                                                    
Number of buildings owned 399   399                                                    
Number of states in which properties are located 39   39                                                    
Real Estate Properties                                                          
Number of properties acquired or agreed to be acquired     2                               2 1     1       1    
Number of buildings acquired                                             2       1    
Number of living units             552 744               156 36 112   52                  
Cash Paid plus Assumed Debt, excluding closing costs                                     $ 1,156,963 $ 7,000     $ 1,124,031       $ 32,932    
Mortgage debt assumed in connection with real estate acquisitions     15,630 12,266                             15,630               15,630    
Area of real estate properties acquired (in square feet)                     210,879 235,079 210,879 235,079         1,776,000       1,651,037       125,240    
Impairment of asset charges recorded   4,371   5,675 334                                                
Number of properties classified as held for sale 9   9   2 4 7 10   7                                      
Number of buildings classified as held for sale         5 7                                              
Property held for sale (in square feet)         385,541 831,499                                              
Number of properties impaired         3                                                
Real estate properties, held for sale             13,249 27,888                                          
Number of properties to be sold                 1     1 1 2 3 2 1                 36      
Sale price of property sold and agreed to be sold                     5,000 6,000       4,500 2,400 2,550               2,400      
Gain on the sale of property 2,396   2,552                 0 0     2,396 156                        
Number of buildings sold                       1 1                                
Premium on Assumed Debt                                     1,013               1,013    
Intangible lease assets recorded                                     249,904       245,511       4,393    
Intangible lease liabilities recorded                                     118,495       118,485       10    
Property plant and equipment recorded                                         $ 55,784 $ 970,783   $ 52,643 $ 944,362     $ 3,141 $ 26,421