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Dispositions, Assets Held for Sale and Discontinued Operations (Tables)
3 Months Ended
Sep. 30, 2012
Dispositions, Assets Held for Sale and Discontinued Operations (Tables) [Abstract]  
Summary of real property disposition activity
   Nine Months Ended
   September 30, 2012 September 30, 2011
Real property dispositions:        
 Seniors housing triple-net  $ 149,984  $ 129,725
 Medical facilities    106,347    35,295
 Total dispositions    256,331    165,020
Add: Gain (loss) on sales of real property, net    46,046    56,565
Proceeds from real property sales  $ 302,377  $ 221,585
Reclassification impact as result of classifying properties as discontinued operations
    Three Months Ended  Nine Months Ended
    September 30,  September 30,
   2012 2011 2012 2011
Revenues:            
 Rental income $ 8,441 $ 14,147 $ 33,287 $ 51,117
Expenses:            
 Interest expense   1,663   3,382   6,669   11,387
 Property operating expenses   219   944   1,099   4,331
 Provision for depreciation   708   4,058   6,190   14,838
Income (loss) from discontinued operations, net $ 5,851 $ 5,763 $ 19,329 $ 20,561