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Segment Disclosures (Details 3) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2014
Dec. 31, 2013
Segment Disclosure    
Assets held for sale, net   $ 9,819
Total assets 20,144,169 [1] 20,075,870 [1]
Goodwill 50,346 50,346
Operating segment
   
Segment Disclosure    
Gross assets 21,802,952 21,381,636
Accumulated depreciation and amortization (2,417,853) (2,254,591)
Total assets 19,385,099 19,127,045
Operating segment | Senior housing
   
Segment Disclosure    
Gross assets 8,046,417 7,803,085
Goodwill 31,000 31,000
Operating segment | Post-acute/skilled nursing
   
Segment Disclosure    
Gross assets 6,335,887 6,266,938
Goodwill 3,000 3,000
Operating segment | Life science
   
Segment Disclosure    
Gross assets 4,078,119 3,986,187
Operating segment | Medical office
   
Segment Disclosure    
Gross assets 2,702,584 2,686,069
Goodwill 11,000 11,000
Operating segment | Hospital
   
Segment Disclosure    
Gross assets 639,945 639,357
Goodwill 5,000 5,000
Other non-segment
   
Segment Disclosure    
Total assets $ 759,070 $ 939,006
[1] The Company's consolidated total assets at June 30, 2014 and December 31, 2013 each include $1 million of other assets of certain variable interest entities ("VIEs") that can only be used to settle the liabilities of those VIEs. See Note 16 to the Condensed Consolidated Financial Statements for additional information.