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Dispositions, Assets Held for Sale and Discontinued Operations (Tables)
12 Months Ended
Dec. 31, 2012
Dispositions, Assets Held for Sale and Discontinued Operations (Tables) [Abstract]  
Summary of real property disposition activity
   Year Ended
   December 31, 2012 December 31, 2011 December 31, 2010
Real property dispositions:         
 Seniors housing triple-net $ 372,378 $ 150,755 $ 170,290
 Medical facilities   149,344   35,295   14,092
 Total dispositions   521,722   186,050   184,382
Add: Gain (loss) on sales of real property, net   100,549   61,160   36,115
  Seller financing on sales of real property   (12,000)   0   (1,470)
Proceeds from real property sales $ 610,271 $ 247,210 $ 219,027
Reclassification impact as result of classifying properties as discontinued operations
    Year Ended December 31,
   2012 2011 2010
Revenues:         
 Rental income $ 79,323 $ 107,236 $ 123,945
Expenses:         
 Interest expense   16,217   24,626   26,982
 Property operating expenses   2,354   6,131   8,678
 Provision for depreciation   17,697   29,723   37,378
Income (loss) from discontinued operations, net $ 43,055 $ 46,756 $ 50,907