Derivative Instruments (Details 1) (USD $)	3 Months Ended
	Mar. 31, 2015		Mar. 31, 2014
Derivative [Line Items]
Loss (Gain) on option exercise	$ (58,427,000)	[1]
Interest Rate Swap [Member]
Derivative [Line Items]
Gain (loss) recognized in OCI			(3,000)
Gain (loss) on interest rate swaps recalssified from AOCI into income (effective portion)	(465,939)		(443,000)
Foreign Exchange Contract [Member]
Derivative [Line Items]
Gain (loss) on forward exchange contracts recognized in income.	2,746,740
Gain on Release of cumulative translation adjustment related to net investment hedge of an equity investment	$ 184,051,097		$ 18,489,000

[1] (1) In April 2011, we completed the acquisition of substantially all of the real estate assets of privately-owned Genesis Healthcare Corporation. In conjunction with this transaction, we received the option to acquire an ownership interest in Genesis Healthcare. In February 2015, Genesis Healthcare closed on a transaction to merge with Skilled Healthcare Group to become a publicly traded company which required us to record the value of the derivative asset due to the net settlement feature.