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Commitments and Contingencies (Details Textuals) (USD $)
12 Months Ended
Dec. 31, 2010
Dec. 31, 2009
Dec. 31, 2008
Commitments and Contingencies (Textuals) [Abstract]      
Outstanding construction financings for leased properties $ 356,793,000    
Additional financing to complete construction 268,055,000    
Total contingent purchase obligations 33,613,000    
Operating lease obligations relating to certain ground leases 230,189,000    
Rental expense relating to company office space 1,280,000 1,138,000 1,452,000
Aggregate future minimum rentals to be received 32,329,000    
Conditions for treating a lease as as capital lease A lease is classified as a capital lease if it provides for transfer of ownership of the leased asset at the end of the lease term, contains a bargain purchase option, has a lease term greater than 75% of the economic life of the leased asset, or if the net present value of the future minimum lease payments are in excess of 90% of the fair value of the leased asset. One lease related to a senior housing facility contains a bargain purchase option and has been classified as a capital lease    
Liability and property insurance [Member]
     
Commitments and Contingencies (Textuals) [Abstract]      
Number of outstanding letters of credit 1    
Maturity date of outstanding letters of credit 2013    
Outstanding letters of credit 1,000,000    
Workers compensation insurance [Member]
     
Commitments and Contingencies (Textuals) [Abstract]      
Number of outstanding letters of credit 2    
Maturity date of outstanding letters of credit 2013    
Outstanding letters of credit 4,200,000    
Completion and Installation of Certain Public Improvements [Member]
     
Commitments and Contingencies (Textuals) [Abstract]      
Number of outstanding letters of credit 1    
Maturity date of outstanding letters of credit November 2011    
Outstanding letters of credit 67,932    
Letter of credit Related To Wisconsin [Member]
     
Commitments and Contingencies (Textuals) [Abstract]      
Number of outstanding letters of credit 1    
Maturity date of outstanding letters of credit 41548    
Outstanding letters of credit $ 215,000