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Dispositions, Assets Held for Sale and Discontinued Operations (Tables)
12 Months Ended
Dec. 31, 2010
Dispositions, Assets Held for Sale and Discontinued Operations (Tables) [Abstract]  
Summary of real property disposition activity
                                                                         
    Year Ended  
    December 31, 2010     December 31, 2009     December 31, 2008  
    Senior                     Senior                     Senior              
    Housing     Medical             Housing     Medical             Housing     Medical        
    and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals  
Real property dispositions:
                                                                       
Senior housing facilities
  $ 3,438     $       $ 3,438     $ 55,320     $       $ 55,320     $ 163,622     $       $ 163,622  
Skilled nursing facilities
    166,852               166,852       45,835               45,835       6,290               6,290  
Hospitals
                                40,841       40,841               8,735       8,735  
Medical office buildings
            14,092       14,092               44,717       44,717               6,781       6,781  
Land parcels
                                              73               73  
 
                                                     
Total dispositions
    170,290       14,092       184,382       101,155       85,558       186,713       169,985       15,516       185,501  
Add: Gain (loss) on sales of real property
    36,274       (159 )     36,115       32,084       11,310       43,394       151,457       12,476       163,933  
LandAmerica settlement
                                            2,500               2,500  
Extinguishment of other assets (liabilities)
                                                    (116 )     (116 )
Seller financing on sales of real property
          (1,470 )     (1,470 )             (6,100 )     (6,100 )     (59,649 )     (5,122 )     (64,771 )
 
                                                     
Proceeds from real property sales
  $ 206,564     $ 12,463     $ 219,027     $ 133,239     $ 90,768     $ 224,007     $ 264,293     $ 22,754     $ 287,047  
 
                                                     
 
(1)   Represents activity for the senior housing triple-net segment.
Reclassification impact as result of classifying properties as discontinued operations
                         
    Year Ended December 31,  
    2010     2009     2008  
Revenues:
                       
Rental income
  $ 38,753     $ 59,304     $ 82,913  
Other income
          8,059        
Expenses:
                       
Interest expense
    7,779       11,176       19,684  
Property operating expenses
    5,662       4,964       5,566  
Provision for depreciation
    13,288       21,628       31,711  
 
                 
Income (loss) from discontinued operations, net
  $ 12,024     $ 29,595     $ 25,952