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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2013
Segment Reporting (Tables) [Abstract]  
Summary of information for reportable segments
Three Months Ended March 31, 2013:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 185,309 $ - $ 111,525 $ - $ 296,834
Resident fees and services   -   327,324   -   -   327,324
Interest income   5,844   757   2,456   -   9,057
Other income   209   -   410   81   700
Total revenues   191,362   328,081   114,391   81   633,915
                
Property operating expenses   -   (224,503)   (28,851)   -   (253,354)
Net operating income from continuing operations   191,362   103,578   85,540   81   380,561
                
Reconciling items:               
Interest expense   (6,545)   (19,070)   (9,572)   (75,102)   (110,289)
(Loss) gain on derivatives, net   -   (2,309)   -   -   (2,309)
Depreciation and amortization   (56,255)   (89,875)   (40,969)   -   (187,099)
General and administrative   -   -   -   (27,179)   (27,179)
Transaction costs   (494)   (65,325)   (161)   -   (65,980)
(Loss) gain on extinguishment of debt, net   -   308   -   -   308
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 128,068 $ (72,693) $ 34,838 $ (102,200) $ (11,987)
                
Total assets $ 8,638,136 $ 7,377,227 $ 4,569,112 $ 204,497 $ 20,788,972

Three Months Ended March 31, 2012:  Seniors Housing Triple-net  Seniors Housing Operating  Medical Facilities  Non-segment / Corporate  Total
Rental income $ 161,936 $ - $ 88,059 $ - $ 249,995
Resident fees and services   -   158,174   -   -   158,174
Interest income   5,877   -   2,264   -   8,141
Other income   847   -   604   235   1,686
Total revenues   168,660   158,174   90,927   235   417,996
                
Property operating expenses   -   (107,243)   (21,558)   -   (128,801)
Net operating income from continuing operations   168,660   50,931   69,369   235   289,195
                
Reconciling items:               
Interest expense   (589)   (15,835)   (8,274)   (64,116)   (88,814)
(Loss) gain on derivatives, net   -   (555)   -   -   (555)
Depreciation and amortization   (49,446)   (39,773)   (31,688)   -   (120,907)
General and administrative   -   -   -   (27,751)   (27,751)
Transaction costs   (1,523)   (1,578)   (2,478)   -   (5,579)
Income (loss) from continuing operations before income taxes and income from unconsolidated entities $ 117,102 $ (6,810) $ 26,929 $ (91,632) $ 45,589

  Three Months Ended
  March 31, 2013  March 31, 2012
Revenues: Amount%  Amount%
United States$ 573,37190.4% $ 417,996100.0%
International  60,5449.6%   -0.0%
Total$ 633,915100.0% $ 417,996100.0%
        
  As of
  March 31, 2013  December 31, 2012
Assets: Amount%  Amount%
United States$ 18,991,18291.4% $ 18,692,21495.6%
International  1,797,7908.6%   856,8954.4%
Total$ 20,788,972100.0% $ 19,549,109100.0%